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When appropriate, medication may be prescribed depending on your own personal medical history. Using metformin, semaglutide, peptides, phentermine or topiramate.
Medication, when used together with lifestyle modifications can help you lose weight and keep it off.
Everyone is assessed to determine the appropriateness of a weight loss plan. Weight loss medication can only be prescribed to patients with a BMI of 27 or above.
In order to prescribe weight loss medication for you, you must have a BMI of at least 30 or a BMI of 27 and a chronic health condition like diabetes, glucose intolerance, high blood pressure, elevated cholesterol, hypothyroidism, or sleep apnea. To determine your BMI click here: BMI Calculator
Semaglutide is a GLP-1 agonist administered as an injection once weekly. This medication was initially used to effectively treat diabetes and has been FDA approved for weight loss.
It works by helping your pancreas release insulin appropriately. The medication helps slow down the time it takes food to move through your digestive tract which makes you feel full longer.
It also helps regulate satiety and appetite hormone
It is an incredible medication with a ton of data showing effective weight loss of an average of 15% of their body weight. This medication can be used for long-term weight management or shorter-term weight reduction.
The cost of the brand name of the medication, Wegovy is $1300/month and not covered by insurance. Using compounded semaglutide offers an affordable option.
Phentermine is a prescription appetite suppressant used for the treatment of excess weight and obesity.
It works by suppressing the appetite by changing the chemistry in the brain in a way that decreases the hunger drive. Individuals taking these medications lose weight because they are less hungry and thus consume fewer calories. These medications help you feel more in control of your appetite and food cravings. They can increase your satiety, which means that when you eat you will feel full sooner. Phentermine can also help take your mind off food so that you can think about other things.
Phentermine was approved by the FDA in 1959 and has been taken by millions of patients. These medications have never been associated with serious medical complications.
Fen/fen was a two drug combination of fenfluramine and phentermine. Fenfluramine is not related chemically to phentermine. Fenfluramine was taken off the market in 1997 because it was thought to cause a serious complication known as pulmonary hypertension in some patients. Phentermine has never been associated with pulmonary hypertension or any other medical complication.
- B12: may help improve energy levels, and assist with burning of stored body fat. Important with detoxification. may improve sleep and mood.
- Methionine: an essential amino acid that helps the liver breakdown fats, may relieve fatigue, and lowers histamine levels
- Inositol: a B vitamin that helps break down fats, and helps with mood and appetite.
- Choline: for detoxification and fat breakdown.
The needles used for weight loss medications are so very tiny. I will show you how to give yourself an injection. I am happy to work with you to find a solution that works for you.
You can do anything!
No, I do not accept or bill insurance. I can provide a superbill. I am looking to provide a straightforward service at an affordable price.
There are no contracts, signup fees, or other hidden costs. You may find that the money you save on groceries, eating out and medical bills are greater than the cost of this program.
In addition, insurance often does not cover the cost of medication that I would recommend.
Payment is due at the time of our visit.
Paying for this service is the best form of self-care! Love yourself and spend money on yourself.
I recommend updating your blood work before our initial consultation. You may bring labs from another provider if they are from the last 4 months. Or I will order labs for you to do before our initial meet-up.
Insurance may cover your labs or I will be able to order labs that are economically priced. The labs will be shipped to your home and you ay chose your own lab to have your blood work done.
It is a very safe medication but it is not okay for people to take it with a family history of cancer like a medullary thyroid carcinoma or multiple endocrine neoplasia syndrome. Like all weight loss services, it is not for use in pregnant or breastfeeding women.
The big side effects are mostly gastrointestinal like nausea, vomiting, or diarrhea. This is better when using B12, on an empty stomach and starting at a very low dose.
I don’t. I will work with you to find a diet that resonates with you.
I am a fan of intermittent fasting. There is a lot of data behind the Mediterranean diet, which is just a non-junk food diet.
I work with you to help you find healthy foods you like. The goal is long-term sustainable eating plan.
The only diet I ever recommend is to eat REAL food, and not too much.
Vegetarian. Gluten-Free. Keto. There is not one diet with any evidence to support it other than the eating real food diet. But we will work together to develop a plan.
The goal is not to be hungry. I support food journaling, awareness, and mindful eating.
That is the goal behind the initial consultation. I want to find out everything about you, so we can create an optimal plan for you.
All chronic health conditions benefit from weight loss.
Losing weight may enable you to reduce or even eliminate the medications you are taking for high blood pressure, diabetes, high cholesterol, or other illnesses.