Medical Weight Loss
How it works
Weight loss
You Are NOT Alone
Weight loss can be a sensitive topic and a struggle for many people, often creating a strain on mental health.
- Obesity affects
more than 1 in 3 adults in the U.S -
leading to increased risk for type 2 diabetes, cardiovascular events, liver disease, kidney disease, and many other comorbidities.
- You will receive a personalized and comprehensive weight loss plan that is sustainable and enhances your life!
- We look
beyond diet and exercise, addressing hormone imbalances, insulin resistance, stress, and sleep to help you see real, long lasting results.
Note: Hormone imbalances, insulin resistance, and chronic inflammation can significantly impact weight loss. Managing stress, improving sleep, and ensuring proper nutrition are also key factors in achieving lasting results.
Potential Treatment Options
*Please note these treatments are not "magic" - they are simply tools that you can use in combination with diet and activity to hit your goals. We will be cheering you on all the way! *
Liraglutide
This is a Glucagon-like Peptide (GLP-1) Receptor Agonist. GLP-1 is one of the incretin hormones naturally produced in the body which tell us to stop eating.
What does it do?
- Delays how quickly the stomach digests food leading to a feeling of fullness giving better portion control as well as reduction in cravings.
- Delayed intestinal motility allowing the feeling of fullness for longer after meals.
- Stimulation of insulin secretion by pancreas to lower blood glucose values by helping the cells use glucose from what you consume INSTEAD of storing as fat and also by reducing production of sugar in the liver termed glycogenesis.
- Reduces inflammation throughout the body.
Contraindications:
- Family or personal history of medullary thyroid carcinoma
- Multiple endocrine neoplasia syndrome (Type 2)
- Hypersensitivity
- Type 1 Diabetes
- History of pancreatitis (talk with provider)
Phentermine
This is a daily
oral medication for weight loss and definitely one of the oldest prescription medications available for this indication being first introduced in the 1950s. This medication is a norepinephrine uptake inhibitor which helps to suppress appetite helping to provide a caloric deficit needed to lose weight.
Phentermine + Topiramate
This drug combination is a great choice for those who need help with curbing appetite, but also struggles with late night cravings or specific food cravings. It will help with controlling hunger and help resist cravings throughout the day. It begins to work immediately after taking.
*This is a short term management option*
Contraindicated In:
- Uncontrolled blood pressure
- Glaucoma
- Diabetes
- Hyperthyroidism
- Mental health disorders
- Alcoholism
- History of MI or chest pain or other significant cardiac history
*If you are seeing a Cardiologist, you will need clearance from them as this is a stimulant. EKG may be needed depending on reported medical history.
Buproprion/ Naltrexone
What does it do?
This is an oral medication taken to help with weight loss and is especially helpful for patients who may be low on motivation or have symptoms of depression. This is also great for patients with cravings or binge-eating. This medication combines an antidepressant to regulate mood with an opiate antagonist which blocks certain receptors in your brain cells. This allows the target of two areas of the brain linked to cravings and urge to eat. The two medications work to help with reduction of appetite.
Contraindicated In:
- Seizure disorder
- Alcohol abuse
- Glaucoma
- Alcohol or opioid use or withdraw
- Black box warning for this combination for those with major depression or other psychiatric disorders due to increased risk for suicide in those patients
Possible Adjunctive Add-on Therapies
* Consult with your doctor *
Sermorelin
(weight loss, muscle increase, improved sleep, less fatigue, and better mental clarity)
Sermorelin is an injectable peptide that works to help with burning of fat, increasing lean muscle mass, improving your hormone balance, and improved immune response through stimulating production of hormones in the pituitary gland.
Benefits:
- Increased muscle mass
- Improved fat loss
- Enhanced recovery and healing
- Boosted immune function
- Enhanced bone density
- Increased energy levels
- Enhanced overall physical performance
Low Dose Naltrexone (LDN)
LDN has been shown to assist with weight loss and increased control with metabolism. Naltrexone is an FDA-approved drug that was created to treat patients suffering from opioid addiction in the 1980s. LDN uses one-tenth of a naltrexone dose which is why it is called low-dose naltrexone. The most common form of LDN is a capsule taken at night time because it can assist with sleep.
We commonly use this in those with chronic inflammatory or autoimmune conditions who are also struggling with weight. This may also be useful in those with chronic pain.
Visit
https://ldnresearchtrust.org/ if you would like to see a more complete list of all things LDN can be used for.
Benefits of LDN:
- Regulate Appetite
- Better sleep
- Reduces Stress
- Controls Your Metabolism
- Reduces Binge Eating/cravings
- and much more
Lipo-Mino with L-Carnitine
(fat burner, energy boost, build muscle, and better clarity)
- Methionine
- helps to breakdown sugar and carbs for conversion for energy
- Inositol
- Helps convert food into energy
- B12
- Boosts energy, helps metabolic rate, burns stored fat, helps detox, helps with sleep regulation, helps with mood and appetite
- Choline-
- Distributes cholesterol, supports fat metabolism, and cell membrane function
- L-carnitine
- Helps to convert body fat to fuel for use and also elevates certain enzymes needed for metabolism