The 5 A’s are meant to have the patient actually engage, activate, and change the behavior. The first is probably the most important, and that is “Ask.” So if you are in a primary care practice, not actively engaged in weight management and are seeing a patient for something else, it is important to begin the conversation by asking, “Is this a good time to talk about your weight?” Because if the patient is not ready to undertake behavior change, you are wasting the rest of the visit. The 5 A’s