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Obesity Medicine — Metabolic Syndrome Classification

A 50-year-old woman has a BMI of 31 kg/m² and a waist circumference of 95 cm. Her labs show triglycerides 200 mg/dL, HDL 38 mg/dL, and fasting glucose 115 mg/dL. Outline the role of metabolic syndrome in classification and risk assessment.

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Metabolic syndrome increases risk of type 2 diabetes and CVD

Obesity Class I (BMI 30–34.9) with central obesity (waist >88 cm in women)

Apply EOSS to refine prognosis

Meets metabolic syndrome criteria: ≥3 (waist, TG, HDL, glucose, BP)

Aggressive lifestyle therapy and risk factor control

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