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Evan Nadler: I agree that adolescents need counseling as part of a comprehensive plan for dealing with weight related issues. It’s important to have a multidisciplinary approach that includes physical activity (preferably one that is attractive to the child), education (nutritional and otherwise), as well as the mental health aspect. That’s the approach I take with all my patients, and that’s what I recommend for anyone who is seeking treatment for their weight..

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Related to diet and nutrition are asked in 20 to 25 per cent of doctor visits, she says. Most cases, these questions are directly connected to the condition the patient is seeing the doctor for, which illustrates the importance of having nutrition expertise readily available to patients and other health care providers on the team. It makes sense to have dietitians positioned in primary care, where most of the disease prevention and health promotion work is occurring in the health care system.