A man with a BMI of 38 and a waist size of 48 inches is seen…

A man with a BMI of 38 and a waist size of 48 inches is seen in the clinic for an annual well check-up. The nurse reviews laboratory tests and notes a fasting plasma glucose of 110 mg/dL, triglyceride level of 220 mg/dL, and high-density lipoprotein level of 40 mg/dL. The man’s blood pressure is 160/110 mm Hg. The man has a history of cardiovascular disease and tells the nurse he has tried to lose weight numerous times. The nurse anticipates which of the following options to be included in the plan of care?