-In 1980, no state had more than 15 percent. Now obesity affects 40 percent of US adults. 

-Obesity implications: Hypertension, Diabetes, high cholesterol, cancer.

-Psychological effects: Obese children more likely to be bullied, more depression.

-Screen for obesity for every one more than 6 years old.

-Come for monthly weight loss counseling.

-Metabolic Syndrome:

-Change your life style:

-Prediabetes: A1c is 5.7 to 6.4

-Treatment Targets: Weight reduction, increased physical activity.

USPSTF recommendations: 3500 calories is equal to 1 pound.

-There is no weight loss diet better than others.

-Weightloss Medications