Mrs Nowak: "Is he obese?" Explain that the growth chart shows how he is growing. Use: "I would focus on improving his health.", Mrs Nowak: "Is it my fault?" Reassure her. Use: "I don't want to stigmatise him, or you.", Mrs Nowak: "He often skips breakfast." Explain why breakfast helps children at school. Use: "I suggest eating...", Mrs Nowak: "He drinks sweet drinks after school." Offer one simple change. Use: "If I were you, I would...", Mrs Nowak: "He uses screens for three hours and goes to bed at 11." Talk about sleep without judging. Use: "Many families find it difficult to...", Look at the growth chart and family history. His grandfather has type 2 diabetes. Say that healthy habits help the whole family. Use: "Genetics plays a role, but...", Mrs Nowak: "I read online that he needs a strict diet." Explain that you do not recommend strict diets for children. Use: "There is no evidence that...", Mrs Nowak: "We don't have much time to cook." Suggest two quick, nutritious ideas. Use: "Children are entitled to nutritious food.", Mrs Nowak: "The other children tease him." Show empathy. Use: "It is important to avoid stigmatising him.", Mrs Nowak: "Should I weigh him every week?" Say what you would watch instead (energy, mood, sleep). Use: "I would not recommend weighing him often.", Mrs Nowak: "When will we see results?" Explain that change takes time. Use: "It takes time to...", Mrs Nowak: "Does he need to see a doctor?" Say the GP has checked him and that she can go back to the GP if she is worried. Use: "If you are worried, I would...", End the consultation. Summarise two small changes and agree the next appointment. Use: "Let's agree to..."

Final speaking exercise

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