A 45-Year-Old Lady with Type 2 Diabetes, Obesity, and Hypertension

A 45-year-old lady with type 2 diabetes, obesity, and hypertension visits the doctor for a regular check-up. A sulfonylurea and an ACE inhibitor are among her meds. The patient attributes his weight reduction of 2.3 kg (5 lb) to a new energy and weight loss supplement. She bought the supplement via the Internet on the advice of a friend and claims it includes caffeine and numerous herbs that aid in weight reduction. The supplement has been well tolerated by the patient. The blood pressure is 140/90 mm Hg, and the pulse rate is 88 beats per minute. Which of the following is the most suitable medical response?

A) Advise the patient to avoid the supplement and engage in other forms of weight loss
B) Advise the patient to limit the use of other caffeine-containing products
C) Explain that weight loss due to dietary supplements is unlikely to be sustainable
D) Offer to review the ingredients with the patient and discuss the potential risks of supplements
E) Respect the patient's decision and follow her closely