For a patient with BMI ≥ 30 and cardiovascular risk factors, what is the recommended approach to weight management?

• A. Weight loss should be recommended as a standard step
• B. Weight loss should be discussed only if asked
• C. No weight management needed
• D. Weight loss medications should be started immediately

Answer: (A)

Proactive weight management is a standard step in caring for patients with obesity and cardiovascular risk factors because obesity itself increases cardiovascular risk and even modest weight loss improves blood pressure, lipids, and glucose control. A structured, multidisciplinary approach—combining diet, physical activity, behavioral support, and regular follow-up—should be offered as part of routine care. Escalation to weight-loss medications or consideration of bariatric surgery is appropriate only after thorough evaluation and when lifestyle efforts alone are insufficient or the patient meets criteria, not as an immediate universal step. Discussing weight management proactively helps reduce risk rather than waiting for the patient to raise the topic.