Free Online CME

Disease Management Clinical Decisions

Weight Management for Transgender Patients

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Release date: July 21, 2023
Expiration date: July 20, 2026

Estimated Time of Completion: 1 hour


Each lesson in the Disease Management Clinical Decisions series provides a brief, case-based review of management strategies related to the topic. Questions and multiple-choice answers about the case presented include the rationale for the correct answer. Throughout this case-based lesson, you may proceed to the next question once you answer the question correctly.

Learning Objectives

After completing this case the reader should be able to:

  • List the prevalence of obesity in transgender patients taking gender-affirming hormone therapy and summarize its impact on those individuals.
  • Describe how to approach obesity treatment for transgender patients.
  • Identify the various body composition changes that occur with weight loss.
  • Summarize the recommended criteria to qualify for bariatric surgery from the American Society for Metabolic and Bariatric Surgery guidelines.

Target Audience

Directed to primary care physicians including family practitioners and internists.


In support of improving patient care, Cleveland Clinic Center for Continuing Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

American Medical Association (AMA)
Cleveland Clinic Center for Continuing Education designates this enduring activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.

ABIM MOC:  Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0  Medical Knowledge MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

Your credit will be reported to the ABIM within 30 days of claiming credit. 

ABS MOC: This activity qualifies for 1.0  self-assessment credits toward Part 2 of the American Board of Surgery (ABS) Maintenance of Certification (MOC) Program.

Please Note:  It is the participant’s responsibility to self-report their participation to the American Board of Surgery, per board policy. 

Certificate of Participation

A certificate of participation will be provided to other health care professionals for requesting credits in accordance with their professional boards and/or associations.

Activity Director and Faculty

Activity Directors

Anthony Fernandez, MD, PhD
Director, Medical and Inpatient Dermatology
W.D. Steck Chair of Clinical Dermatology
Medical Co-Director, Center for Continuing Education
Cleveland Clinic
Cleveland, OH

Steven Kawczak, PhD, CHCP, FACEHP
Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine of CWRU
Co-Director, Center for Continuing Education
Staff, Center for Educational Resources
Education Institute
Cleveland Clinic
Cleveland, OH


Summer Azmat, MD
Cleveland Clinic
Cleveland, OH

Peminda Cabandugama, MD
Department of Endocrinology, Diabetes and Metabolism
Cleveland Clinic
Cleveland, OH

CME Disclaimer

The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.


In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.

The following faculty have indicated that he may have a relationship, which in the context of his presentation(s), could be perceived as a potential conflict of interest:

Anthony Fernandez, MD, PhD

Biogen Inc., Boehringer Ingelheim, Bristol-Myers Squibb Co., UCB, Inc.


Pfizer, Inc.

Other activities from which remuneration is received or expected: awarded a grant to fund a medical dermatology fellowship position
Research: PI

Kyowa Kirin, Mallinckrodt Inc., Novartis

Teaching and Speaking


Research: Principal Investigator

Abbvie Pharmaceuticals

Advisor or review panel participant
Teaching and Speaking

The following faculty have indicated they have no relationship which, in the context of their presentation(s), could be perceived as a potential conflict of interest:

Summer Azmat, MD

Peminda Cabandugama, MD

Steven Kawczak, PhD


This CME activity was produced by The Cleveland Clinic Foundation Center for Continuing Education.