{"id":58707,"date":"2023-06-08T09:30:19","date_gmt":"2023-06-08T13:30:19","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=58707"},"modified":"2025-10-21T15:11:05","modified_gmt":"2025-10-21T19:11:05","slug":"pharmacist-role-in-obesity-management","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/pharmacist-role-in-obesity-management\/","title":{"rendered":"How pharmacists can help patients with obesity"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Obesity has become a growing public health concern in the United States. Current statistics reveal an alarming rise in weight-related problems, with <\/span><a href=\"https:\/\/www.cdc.gov\/obesity\/data\/adult.html\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">nearly 40%<\/span><\/a><span style=\"font-weight: 400;\"> of adults being obese. Obesity can significantly affect a person\u2019s health and increase the risk of other health conditions, including diabetes, cardiovascular disease, renal disease, and even cancer.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With the rise in obesity rates, it has become clear that a multi-disciplinary approach is needed. Pharmacists are often accessible healthcare professionals who can provide support for patients with obesity. Their direct contact with the community puts them in a valuable position to advise and help treat those struggling to lose weight.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Let\u2019s take a look at the current state of obesity, potential risk factors, treatments, and how pharmacists can help counsel patients as part of the healthcare team.<\/span><\/p>\n<h2 id=\"the-current-state-of-obesity\"><span style=\"font-weight: 400;\">The current state of obesity\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">According to data from the National Health and Nutrition Examination Survey in 2018, the prevalence of obesity is expected to reach <\/span><a href=\"https:\/\/bmjopen.bmj.com\/content\/12\/12\/e065425\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">almost 50%<\/span><\/a><span style=\"font-weight: 400;\"> of all U.S. adults by 2030. Obesity rates are higher among older adults, women, and non-Hispanic Blacks. In addition, obesity rates were higher in people who did not graduate college, were sedentary a majority of the time, and had poor economic status. Although genetics and environmental factors play a major role in obesity, lifestyle, and socioeconomic factors may also be involved.\u00a0<\/span><\/p>\n<h3 id=\"what-are-the-consequences-of-obesity\"><span style=\"font-weight: 400;\">What are the consequences of obesity?<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The implications of obesity go far beyond aesthetics. Obesity is often diagnosed along with other comorbidities that can affect all aspects of a person\u2019s health. Obesity is linked to the <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK574535\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">following medical conditions<\/span><\/a><span style=\"font-weight: 400;\">:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hypertension<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Type 2 diabetes<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Coronary artery disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Heart failure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Atrial fibrillation<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Stroke<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Obstructive sleep apnea<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dyslipidemia<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Metabolic syndrome<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Vitamin D deficiency<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Osteoarthritis<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Non-alcoholic fatty liver disease<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gallstones<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">In addition, obesity may have effects on a person\u2019s mental health. People who are obese may be <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14504119\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">more likely to experience depression<\/span><\/a><span style=\"font-weight: 400;\"> than those who are not obese.\u00a0\u00a0<\/span><\/p>\n<h2 id=\"how-pharmacists-are-key-in-addressing-obesity\"><span style=\"font-weight: 400;\">How pharmacists are key in addressing obesity\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As a pharmacist, you are not merely a dispenser of medication. Your knowledge and skills extend far beyond this role, allowing you to help support patients in various situations. For instance, you might have a conversation with a patient about the potential health risks of excess weight. You can steer patients toward healthier lifestyle choices, such as a healthy diet and exercise plan, or encourage patients to seek regular medical checkups.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Additionally, with the use of medications becoming more popular, pharmacists can help counsel patients on how to properly use weight-loss drugs. Medications used to treat obesity may include various drug classes, such as <a href=\"https:\/\/www.singlecare.com\/drug-classes\/lipase-inhibitors\">lipase inhibitors<\/a>, serotonergic drugs, anorexiants, and GLP-1 agonists.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These medications work in different ways to help manage weight and typically need to be used along with healthy lifestyle choices for maximum effectiveness. Examples of <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/best-weight-loss-pills\/\"><span style=\"font-weight: 400;\">medications that a pharmacist might come across for weight loss<\/span><\/a><span style=\"font-weight: 400;\"> include:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/xenical\"><span style=\"font-weight: 400;\">Xenical<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/www.singlecare.com\/prescription\/alli\"><span style=\"font-weight: 400;\">Alli<\/span><\/a><span style=\"font-weight: 400;\"> (orlistat)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Belviq (lorcaserin)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/qsymia\"><span style=\"font-weight: 400;\">Qsymia (phentermine\/topiramate)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/contrave\"><span style=\"font-weight: 400;\">Contrave (naltrexone\/bupropion)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/saxenda\"><span style=\"font-weight: 400;\">Saxenda (liraglutide)<\/span><\/a><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.singlecare.com\/prescription\/wegovy\"><span style=\"font-weight: 400;\">Wegovy (semaglutide)<\/span><\/a><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">You can advise patients about <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/explain-side-effects\/\"><span style=\"font-weight: 400;\">potential side effects<\/span><\/a><span style=\"font-weight: 400;\"> and alert them to any possible interactions with other medications they may be taking. Studies have found that weight management clinics led by pharmacists may lead to <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36200484\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">better outcomes<\/span><\/a><span style=\"font-weight: 400;\"> than weight management services conducted by a primary care provider alone.\u00a0<\/span><\/p>\n<h2 id=\"3-strategies-for-counseling-patients-with-obesity\"><span style=\"font-weight: 400;\">3 strategies for counseling patients with obesity<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">To support obesity management and overall health in your community, you can employ the following three strategies.<\/span><\/p>\n<h3 id=\"understand-the-stages-of-change\"><span style=\"font-weight: 400;\">Understand the stages of change<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Behavioral change is often a process, not an event. People typically move through stages of pre-contemplation, contemplation, preparation, action, and maintenance when making a change. It\u2019s important to keep these stages in mind when talking with your patients. For example, you may be engaging with a patient in the contemplation stage, when they are aware of their need to lose weight but uncertain about how to move forward. You can tailor your advice depending on what stage of change the patient is at.\u00a0<\/span><\/p>\n<h3 id=\"use-motivational-interviewing-techniques\"><span style=\"font-weight: 400;\">Use Motivational interviewing techniques<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are different <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK589679\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">motivational interviewing techniques<\/span><\/a><span style=\"font-weight: 400;\">, such as FRAMES and OARS, you can employ when helping patients with obesity.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The FRAMES technique would look like:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Providing <\/span><b>F<\/b><span style=\"font-weight: 400;\">eedback on health risks<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Emphasizing the patient&#8217;s <\/span><b>R<\/b><span style=\"font-weight: 400;\">esponsibility for change<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Giving clear <\/span><b>A<\/b><span style=\"font-weight: 400;\">dvice<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offering a <\/span><b>M<\/b><span style=\"font-weight: 400;\">enu of options for change<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Expressing <\/span><b>E<\/b><span style=\"font-weight: 400;\">mpathy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Promoting <\/span><b>S<\/b><span style=\"font-weight: 400;\">elf-Efficacy\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">OARS, on the other hand, involves:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using <\/span><b>O<\/b><span style=\"font-weight: 400;\">pen-ended questions to stimulate dialogue<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Providing <\/span><b>A<\/b><span style=\"font-weight: 400;\">ffirmations to validate the patient&#8217;s experiences<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Using <\/span><b>R<\/b><span style=\"font-weight: 400;\">eflective listening to convey empathy<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Offering <\/span><b>S<\/b><span style=\"font-weight: 400;\">ummaries to help reinforce the changes the patient thinks they should make<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">For a patient in the contemplation stage of change, a pharmacist could leverage motivational interviewing techniques and ask open-ended questions such as, &#8220;What is one thing you feel you could change about your diet?&#8221; This could help the patient move into the preparation stage and talk about specific dietary changes they could make.<\/span><\/p>\n<h3 id=\"try-the-5a-s-model\"><span style=\"font-weight: 400;\">Try the 5A\u2019s model<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">The 5A\u2019s model\u2014Ask, Advise, Assess, Assist, and Arrange\u2014may also be a useful framework for you to help support patients with obesity. With this structured model, you can make the conversation with patients more productive. Try asking about the patient&#8217;s eating and exercise habits and advise them on necessary changes. You can then assess their willingness to make these changes, assist them in creating a plan, and arrange follow-up visits to monitor their progress.\u00a0<\/span><\/p>\n<h2 id=\"other-things-to-keep-in-mind\"><span style=\"font-weight: 400;\">Other things to keep in mind\u00a0<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Many <\/span><a href=\"https:\/\/www.singlecare.com\/blog\/talk-to-patients-about-supplements\/\"><span style=\"font-weight: 400;\">over-the-counter diet aids<\/span><\/a><span style=\"font-weight: 400;\"> are marketed to promote rapid weight loss\u2014and you may be asked by patients about their validity. It\u2019s important to communicate that these supplements may have potential health risks, especially for people with certain medical conditions or those taking other medications. For example, <\/span><a href=\"https:\/\/ods.od.nih.gov\/factsheets\/WeightLoss-HealthProfessional\/#h4\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">certain ingredients found in weight-loss supplements<\/span><\/a><span style=\"font-weight: 400;\">, such as yohimbe and bitter orange, may cause increased blood pressure and heart rate, which can cause complications in patients with hypertension or arrhythmias.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In addition to counseling, you could also hold screenings for obesity and weight-related conditions, where you can measure body mass index (BMI) and waist circumference or discuss a patient\u2019s family history of obesity to identify potential health risks.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With your knowledge of disease states and pharmacological treatments, you are uniquely qualified to positively impact the health of people who are obese or overweight. However, if patients are at risk of weight-related health problems, you should refer patients to their healthcare provider and other healthcare professionals for additional treatment.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Obesity has become a growing public health concern in the United States. Current statistics reveal an alarming rise in weight-related problems, with nearly 40% of adults being obese. Obesity can significantly affect a person\u2019s health and increase the risk of other health conditions, including diabetes, cardiovascular disease, renal disease, and even cancer.\u00a0 With the rise [&hellip;]<\/p>\n","protected":false},"author":135,"featured_media":58732,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[9340],"tags":[743,9825],"coauthors":[8669],"class_list":["post-58707","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-the-checkout","tag-pharmacies","tag-weight-loss","wpautop"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>How pharmacists can help patients with obesity<\/title>\n<meta name=\"description\" content=\"Pharmacists play a key role in supporting their patients with obesity management. 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