Obesity Evaluation in a Patient Being

Patient’s Problem

Ms. Laxmi (name changed), a 44-year-old woman working as an administrative assistant, came in with a long-standing difficulty managing her weight. Over the last six years, she had experienced steady weight gain, worsening after shifting to a desk-based job. She reported fatigue, shortness of breath while climbing stairs, knee pain, poor sleep, and strong cravings after stressful workdays.

Diagnosis

Based on her symptoms, history, and clinical evaluation, the doctor diagnosed class II obesity with metabolic complications.

Findings included:

Physical Exam:
She had central adiposity, a BMI of 36.8 kg/m², mild knee crepitus, and stable vital signs. No thyroid enlargement or respiratory abnormalities were noted.

Lab Tests:

• HbA1c: 6.1% (prediabetes)
• Fasting glucose: 108 mg/dL
• Lipid profile: High LDL, low HDL (dyslipidemia)
• Liver enzymes: Mild ALT elevation
• Kidney and thyroid tests: Normal

Ultrasound:
Mild hepatic steatosis, suggesting early fatty liver changes.

These findings confirmed obesity with associated metabolic risk factors, making her a suitable candidate for structured weight-management care under a lady doctor in Vadodara with experience in metabolic health.

Treatment

A comprehensive, medically supervised plan was initiated.

Lifestyle and Behavioral Support:
She was guided to follow a Mediterranean-style meal plan, stress-management strategies, and gradual activity goals (150 minutes/week).

Medical Management Discussion:
Tirzepatide (Mounjaro) was considered as part of her long-term weight-management strategy. Its role, benefits, risks, and the need for slow dose escalation were explained. Medication was not used as a shortcut but as support for sustainable weight change.

Monitoring:
Regular follow-ups were planned to track:

• Weight
• Blood pressure
• HbA1c
• Liver function
• GI tolerance
• Emotional well-being

This multidisciplinary approach is commonly coordinated among general physicians and women general surgeons in metabolic care settings.

Result:
She reduced her weight from 94 kg to 87.5 kg, and her HbA1c improved from 6.1% to 5.7%. Her energy levels increased, knee pain reduced, and early GI discomfort settled.
With continued follow-up and consistent lifestyle changes, her prognosis is very good. Early intervention lowers her risk of progressing to type 2 diabetes and helps protect her long-term metabolic health.

Note: This case study is for illustrative purposes only and should not replace professional medical advice. If you have concerns about your health, please consult with a qualified healthcare provider.