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Problem
Sonya is a 29-year-old woman who presents to the clinic with complaints of increased urination, increased thirst and hunger, and fatigue. She uses a wheelchair following a motor vehicle accident in her teens. She was once an athlete. Her lower activity level has resulted in depression and subsequently caused her to gradually gain weight. She now has a BMI of 34 kg/m2. Her body fat is found to be localized around the abdomen and upper body, resulting in an apple shape. Discuss the type of obesity and the implications. What physical activity resources exist in Dallas tx community for those who use wheelchairs? What medically controlled method may be used as part of a weight reduction program for an obese patient to facilitate rapid weight loss?
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