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Opportunities and Solutions: Unintentional Weight Loss
Rebecca Guterman1, Andy S Chu, Rebecca Hirsch
1At Perlmutter Cancer Center, NYU Langone Health, New York, New York, USA, Rebecca Guterman, MS, RD, CSO, CDN, is Clinical Nutrition Manager; Andy S. Chu, MS, RD, CDN, CNSC, FAND; Rebecca Hirsch, MS, RD, CDN; Judy Singer, MPH, RD, CDN; Sarah Johnston, RD, CDN; and Katy Fung, MS, RD, CSO, CDN, are Registered Dietitians.
Abstract:
In this narrative review, the authors provide a concise overview of current information on the identification and management of unintentional weight loss (UWL) in clinical care settings. Unintended weight loss can occur widely and is often multifactorial. Clinicians should use screening tools to identify those experiencing UWL. Management includes nutrition assessments and diagnosing malnutrition when present. Nutrition counseling by a registered dietitian nutritionist should address the causes and manifestations of UWL. Individualized dietary plans with supplementation and/or nutrition support and medications for appetite stimulation may be considered. The presence of UWL at the end of life should be addressed in line with the patient's care plan. Managing UWL is part of the multidisciplinary care teams' responsibilities.
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