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In the article Dr Aveyard noted, “On average people consult their doctor five times a year, meaning there is huge opportunity to deliver this low cost intervention on a large scale.”
It is a tricky balance for a GP to strike and a letter to patients with a BMI above 30 mentioning services available may be the best way forward.
In the article below from a longstanding obese woman:
"When I worry that I might be unwell, I often try to avoid visiting a general practitioner. Almost every consultation I’ve ever had—about glandular fever, contraception, a sprained ankle—has included a conversation about my weight; and that’s inevitably the conversation that destroys any rapport or trust that might have existed between me and my doctor."
1 Practice. What your patient is thinking. Why there’s no point telling me to lose weight. BMJ 2015; 350 doi: http://dx.doi.org/10.1136/bmj.g6845 (Published 20 January 2015) Cite this as: BMJ 2015;350:g6845