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Updated: May 5, 2026

Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
[Constitutional analysis of Mexican Official Norm NOM-174-SSA1-1998 for the handling of obesity]
1Ministro de la Suprema Corte de Justicia de la Nación y profesor de Derecho en el ITAM, Suprema Corte de Justicia de la Nación, México, D.F. jramoncd@mail.scjn.gob.mx.
Abstract:
The First Chamber of the Mexican Supreme Court of Justice decided, by a majority of four votes, on a case where it had to be evaluated if some articles of a Mexican Official Norm (NOM) on obesity violated human rights. The majority in the chamber concluded that the restrictions went against Medics' prescribing or therapeutic rights, and therefore their freedom to work. Justice Cossío Díaz voted against the judgment and wrote a separate opinion where he holds, first of all, that the prescribing right works as a guideline for the medical profession and is not an essential element of the freedom to work. Secondly, he points out that the freedom to work is not an absolute right, for it has certain limits permitted by the Constitution. Consequently, experts' opinions should have been consulted for them to be able to determine if the NOM´s requirements were in accordance with the Constitution. Finally, he considers that the judgment should have introduced a balancing test between freedom to work and the patient's health rights, since this last-mentioned right was what the NOM intended to protect.
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