Coffee and conception—what’s your counsel?
A woman drinks 4 cups of caffeinated coffee daily but reports no other source of caffeine, which means that she consumes about 500 mg of caffeine a day. She tells you that she’s concerned about the impact of caffeine on a future pregnancy.
What would you say to this patient about her consumption of caffeine when she begins to try to conceive and, later, while she is pregnant?
Failed weight loss: Take the next step
Your patient is a 27-year-old woman who has a body mass index of 41 and polycystic ovary syndrome. Her medications are an estrogen–progestin oral contraceptive and metformin, 1,500 mg/day.
She has tried to lose weight many times, without lasting success. She has consulted with nutritionists, personal trainers, and endocrinologists. The next step is yours: