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The evidence supports intensive health behavior and lifestyle treatment (IHBLT) as the most effective behavioral intervention for pediatric obesity
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There is no validated PHQ-2 or PHQ-9 depression instrument or explicit mental-health question, no dedicated eating-disorder screen, no substance or alcohol screen, no structured allergy capture, and no broader comorbidity multi-select covering hypertension, sleep apnea, NAFLD, PCOS, or GERD
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