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In this lecture, Dr. Sharon Hung explores the complex relationship between menopause, weight gain, and effective obesity management strategies. Dr. Hung begins by redefining obesity classifications, highlighting the shift from "morbid obesity" to "class three obesity" for BMIs over 40, and emphasizes the need for lower BMI thresholds in Asian populations due to elevated health risks. She explores the physiological changes during menopause, explaining how muscle mass declines by 3–8% per decade and how estrogen depletion drives central fat accumulation—raising cardiovascular risk. Dr. Hung also provides a deep dive into GLP-1 agonists, including semaglutide and terzepatide, which show promising results in weight loss (15–20%). However, she discusses the challenges in medication access, especially with limited insurance coverage across Medicare and Medicaid. When it comes to exercise and nutrition, Dr. Hung stresses resistance training 2–3 times per week to combat muscle loss and recommends a 300–500 calorie deficit paired with increased protein intake (1.2g/kg) to preserve lean mass—particularly important as GLP-1 medications can cause significant muscle loss. Whether you're a clinician, a midlife woman navigating these changes, or just interested in the latest approaches to obesity treatment, this lecture offers valuable, evidence-based guidance. Please see the full Menopause conference recording page here: https://stanford.cloud-cme.com/course/courseoverview?P=0&EID=52924

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Dr. Aronne discusses whether losing inches or losing weight is better for your health. The answer may surprise you.

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