4951 W. 18th St, Lawrence, KS 66047
(785) 841-6540
LFPC Weight Managment

LFPC WeIght management

Weight loss from a health perspective

Weight loss medication


Supplements Used in Weight Loss

 

 

Methylcellulose tablets (MegaDitex)

Methylcellulose fiber tablets help you feel full, so they help prevent overeating and may have a mild laxative action which helps combat constipation, a frequent side effect of low calorie diets.    A recent study found that overweight people who took a fiber diet supplement each day reported less hunger after meals than people taking a placebo, and there was a trend for those using a fiber supplement to lose more weight.  These are taken three times per day, before meals to help with appetite. 

 

Omega 3 Fatty Acids

These essential fatty acids are recommended for multiple reasons—in low calorie diets they help you get the minimum amount of fatty acids required for bodily processes and more importantly may help prevent the formation of gallstones, a problem that can affect up to 1/3 of dieters who drop a large amount of weight.  They have also been shown to be beneficial for heart health and possibly even mental health as well.

 

Multivitamin

These are a good idea with any diet but essential for the low calorie diet plans we are using to make sure you are getting the necessary nutrients

 

Vitamin D

Vitamin D supplements are frequently recommended since dairy foods are not frequently a part of the low calorie diets and many people are vitamin D deficient even before starting the diet.  Vitamin D is one of the vitamins you can get too much of so do not take more than the recommended amount

 

Calcium

As above, since low calorie diets do not include a lot of dairy calcium supplements are often recommended to get the daily requirement of this nutrient.  Some studies have also shown that dieters who took calcium supplements actually lost more weight than dieters who didn’t take extra calcium. 

 

Chromium Picolinate

There have been multiple studies have found that chromium may help with weight loss and also aid in carbohydrate metabolism, possibly reducing the risk of developing diabetes.  While more studies are probably needed to confirm these findings chromium supplements are very safe with little side effects

 

Green Coffee Bean Extract

Chlorogenic acid is the key component of green coffee bean extract and it has been shown to prevent the release of glucose into the bloodstream, which causes the metabolism to increase and burn fat faster. This process also prevents the body from absorbing and storing fat. Recent studies showed patients taking the supplement lost up to 10% of their overall body weight after 12 weeks with minimal to no side effects.  These are taken twice a day, 30 min before breakfast and lunch.


Prescription weight loss

Medications Used for Weight Loss

With the proper diet we find many patients do not require medications to help with weight loss.  However one of the advantages of seeing a physician to address your weight concerns is that we have the ability to prescribe medications if they are necessary to assist in your weight loss plan. 



Orlistat (Xenical and Alli)

The drug Orlistat, sold under the brand name Xenical, has been available since 1999. It is approved for use by adults and it is the only drug approved for use in children ages 12 and older. Orlistat will stop about one-third of the fat from the food you eat from being digested. It does so by blocking the enzyme lipase, which breaks down fat. When fat is not broken down, the body cannot absorb it, so fewer calories are taken in. Weight loss varies on an individual basis depending on dietary consumption of fat but can range 10-20lbs in a year.

Common side effects of Orlistat include stomach pain, gas, diarrhea, and leakage of oily stool. These side effects are generally mild and temporary, but may be worse when you eat high-fat foods. You should eat a low-fat diet (less than 30 percent of calories from fat) before starting to take this drug. Because Orlistat prevents some vitamins from being absorbed, you should take a multivitamin while using Orlistat.

Rare cases of severe liver injury have been reported.


Lorcaserin (Belviq)

Belviq  works by affecting chemicals in your brain that help decrease your appetite and make you feel full, so you eat less.

In studies 47 percent of patients taking Belviq lost at least 5 percent of their initial body weight at 1 year. If you do not lose 5 percent of your weight within 12 weeks of being on the drug, it is unlikely that the medicine will work for you, and it should be stopped.

 Common side effects of Belviq include headaches, dizziness, feeling tired, nausea, dry mouth, cough, and constipation. A rare but serious side effect is serotonin syndrome (high fever, muscle rigidity, and confusion), which can occur if the drug is taken along with SSRI antidepressants or MAOI medications. Belviq, as with all weight-loss agents, should not be taken if you are pregnant or planning to become pregnant.


Phentermine-topiramate (Qsymia)
 Qsymia combines two FDA-approved drugs:
  • Phentermine, a medicine approved to suppress appetite.
  • Topiramate, a medicine approved to control seizures. It may also be used to prevent migraine headaches.

Although phentermine when used by itself is only approved for short term use, the combination has been studied for 2 years and found to be safe for use. Additionally, the doses used in Qsymia are much lower than the usual doses of phentermine and topiramate when prescribed separately.

Common side effects include tingling of hands and feet, dizziness, taste alterations (particularly with carbonated beverages), trouble sleeping, constipation, and dry mouth. Serious but rare side effects include allergic reactions (such as rash, hives, difficulty breathing), memory problems, and anxiety. Rare side effects associated with topiramate include kidney stones and acute glaucoma. Qsymia must not be used during pregnancy because it may cause harm to the baby.


Phentermine

Phentermine is an appetite suppressant that helps promote weight loss by increasing one or more brain chemicals that affect appetite. You may feel less hungry or feel full sooner when taking these drugs. They are FDA approved only for a short period of time (up to 12 weeks). Some doctors may prescribe them for longer periods of time.

Common side effects of appetite suppressants include dry mouth, difficulty sleeping, dizziness, headache, feeling nervous, feeling restless, upset stomach, and diarrhea or constipation. Severe side effects may include chest pain, fainting, fast heartbeat, shortness of breath, confusion, and swelling in your ankles or feet. People with heart disease, an overactive thyroid gland, or glaucoma should not use these drugs. 



Contrave

Contrave is a new medication approved in 2014 that is a combination of Wellbutrin, an anti-depressant, and naltrexone.  It is thought that the increase of dopamine in the brain produced by this medication creates a sense of "well-being"  similar to feelings that some people experience from eating.  It can help people lose 5% or more of their body weight when combined with a diet and exercise program and may be particularly helpful in people who feel that they "stress-eat" or have a "food addiction".  Side effects can include nausea, constipation, dry mouth and insomnia.  You should not take Contrave if you are already taking Wellbutrin or take narcotic medications on a chronic basis.


Saxenda

The newest medication approved for weight loss, is Saxenda. Saxenda is an once daily injection that has been shown to be effective for weight loss when combined with a diet and exercise program.  Common side effects include nausea/vomiting, difficulty with urination, sweating and muscle pains