How would you approach or discuss the topic of obesity and diet with your adult

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How would you approach or discuss the topic of obesity and diet with your adult or geriatric patients?
What are the possible health consequences of obesity and what factors need to be taken into consideration when treating the obese patient who also has multiple comorbidities (e.g., hypertension, diabetes, high cholesterol)?
For the references (within the last 5 years and peer review). Thanks