When I was a child, the fat ring on my arm hasn't gone away until now.

Patient's question:

When I was a child, the fat ring on my arm hasn't gone down yet, and the child is 4 weeks old.

Doctor's answer:

Goal setting and treatment must be individualized, with the primary objective being the restoration of energy intake and expenditure balance; in cases where intake is clearly excessive, energy expenditure must be increased while simultaneously limiting caloric intake.

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