Psychiatrymiddle twist
A 22-year-old man with a first psychotic episode has taken olanzapine 10 mg daily for six weeks. His delusional beliefs have largely resolved and he has returned to his apprenticeship. He has gained 7 kg and his waist circumference has risen from 88 cm to 97 cm. Blood pressure is 118/74 mmHg, fasting glucose 4.8 mmol/L (3.0 to 5.4) and fasting lipids are normal. He smokes ten cigarettes a day and eats mostly takeaway food. He wants to stay on the tablets that stopped the voices. Which one of the following should be arranged now?