BOF 34

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BOF: 34

A 37-year-old woman presents with obesity. She has a past history of schizophrenia and depressive illness. She has tried to diet without success over the past six months despite dietetic advice from the local dietitian and counselling from her GP. She is taking olanzapine and venlafaxine.

On examination, she is 1.51m tall and weighs 81 Kg. Pulse is 68 reg, BP 171/97. She has 1+ glucose in her urine but no protein.

What would your first line of management be?

a) Refer for dietetic advice

b) Stop olanzapine

c) Stop venlafaxine

d) Start sibutramine

e) Start orlistat

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