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#4 - 02 - Meet Meena

Phil McElnay

Created on February 8, 2026

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Transcript

Meet Meena

History

Examination

Past Medical History

Medications

Examination
  • Declines to be weighed or have waist measured
  • HbA1c 6.1%
  • Blood pressure 142/92
History

Meena, 32, stay-at-home mom Describes bullying as a teenager about her weight Has been shamed by doctors in the past - told to “eat less, move more” Says she feels “lazy” and wishes she had energy to exercise more Describes her prior dieting failures with great disappointment Avoids social situations because she feels “ashamed” of her appearance Weight has yo-yoed for years

Medications

Citalopram 20 mg once daily

Past Medical History
  • Prediabetes (recent labs)
  • Polycystic ovary syndrome
  • Obesity
  • Depression