Weight Loss Medications: An Overview

[@jennywillmond9603]

Contrave is good for emotional eaters. When you go to food because stressed or depressed

[@gloriousgod444]

I am an emotional eater and I weigh 261llbs. Am really scared right now

[@sidka84]

Dr, how about Desoxyn ? It is approved for weight loss..and phenmetrazine (Preludin) it was available in 1970s

[@krefcenz]

Can you combine weight loss medications with different mechanisms of action, say Qsymia (stimulant) and Trulicity (GLP-1 agonist)? I was on Mounjaro going to 7.5 mg and the manufacturer pulled the plug on the $25 saving card. Right now on Trulicity 3.0 which isn't as strong clinically and wondering about a compliment medication.

[@brothatwasepic]

Is there something like Orlistat but it binds to carbs instead of fat

[@geoffwhite3385]

acarbose

[@kellylewisfischer181]

I noticed you didn't mention Vyvanse. Why don't you recommend this one? Thanks so much! 🙂

[@DrMcGowanMD]

Kelly, Vyvanse (lisdexamfetamine) is not FDA-approved for weight loss. It is technically an ADHD medication but IS FDA approved for binge-eating disorder. It can reduce episodes of binge-eating, and may have a modest effect on weight, but strictly speaking is not a weight loss medication.

[@kellylewisfischer181]

@@DrMcGowanMD Thanks so much! I really appreciate it!

[@janemilston1404]

Could you make a video about Ozempic?

[@trueyouweightloss]

Here you go! kzbin.info/www/bejne/aWLNqounq698bLM. (ozempic is the same as Wegovy, just a different FDA indication and lower maximum dose)

[@jmemixx]

It works that’s what everyone is taking even if not diabetic I heard

[@nildacastillo6172]

I have thyroid problems and I take phentermine and it isn't working I would like to learn of an injection that I can take with my thyroid and ibs/gerd and severe Migraines, if u can me fine something. thx u

[@yogaIDO]

Are there FDA approved medications that work like lorcaserin?

[@shahadderwi4949]

hello doctor, I was just wondering would having thyroid problem ( and taking medication for it) contribute to what weightless pill you might get prescribed

[@DrMcGowanMD]

Hi Shahad, we would definitely want to consider your entire medical history when deciding which medication is the best option for you, or any patient. Treatment definitely needs to be individualized.

[@deans5236]

Hello. I live in San Diego and interested in the endoscopic gastroplasty. Not sure if you have a location or affiliate here. Thanks

[@wandafricks8154]

If you can avoid it at all cost. Everyone I know including me that has had weight loss surgery has have had multiple problems and have had to have the surgery reconstructed. Everything you eat result in vomiting and /or diarrhea. It has more bad side effects than good results.

[@aprilstar7503]

im useing trulicity for weightloss after weight gain post op 10 years later is this a good option?

[@DrMcGowanMD]

April, yes, Trulicity can help with weight. Though it's only FDA-approved for diabetes, it also causes weight loss. It's very similar to Wegovy and Saxenda, which are approved for the treatment of obesity.

[@linjean4009]

Can you take Tylenol for pain while on contrave

[@deeplyrooted938]

Is the percentage lose ruffly per month or per trial/3months? Thank you

[@FightBackAgainstDiabetes]

*If You Have More Than 15 LBS To Lose Then You'll Want To See How This Fat-Dissolving Outback Loophole Can Change Your Life: **kzbin.info/www/bejne/e3S6haSjo7WigMU* 😃

[@jmemixx]

I took phentermine it was a good option for me and no side effects at all

[@midelleromulus9704]

Can you take any of these meds with venlafaxine

[@DrMcGowanMD]

Venlafaxine would not be compatible with Contrave, because it could lead to elevated blood pressure or risk of seizures Otherwise, it is generally safe to take with the other medications outlined in this video.

[@staceywalters7476]

I was prescribed adipex after undergoing the Esg for controlling hunger . I did not take them because of the fear of damaging my heart. Thank you for the information.

[@DrMcGowanMD]

Stacey, Adipex (phentermine) won't damage your heart, but can raise your blood pressure or cause palpitations. It's actually quite safe. I rarely use it alone. If I prescribe phentermine, I almost always add topiramate, since the weight loss is doubled and there are few additional side effects. With ESG, Saxenda may be the best option if it's covered by insurance, since it pairs well with the mechanism of weight loss (delayed gastric emptying).

[@christywaits1292]

@@DrMcGowanMD Is Saxenda ok for someone who has a sensitivity to phentermine? I've tried the smallest dose (8mg) and still have heart palpitations and get headaches, have a difficult time focusing, etc.

[@DrMcGowanMD]

@@christywaits1292 Yes! Saxenda is completely different (in terms of mechanism and side effects) and would be a reasonable alternative if you did not tolerate phentermine.

[@laylaysinclairworld7776]

@@christywaits1292 Saxsenda is the bomb!!!! I lost over a 100 pounds with it

[@ChiChi-vl1sx]

@@laylaysinclairworld7776 Congrats! So very happy for you! 😊 I’m interested in taking Saxenda, but concerned about the cost. Did your insurance cover it? How long did it take you to lose the 100 lbs? Any major side effects?

[@cathifuller4088]

Thanks Dr. McG.

[@vgreene1745]

I tried contrave. Made me super tired

[@emoshe5]

but did you loose weight ??

[@RajaAli-ok9ip]

Hi dr I’m a type 2 diebetic I’m 107 kg need to loose weight what medication you recommend I got no cholesterol or heart problems need to reverse my diebetas please advice please thanks

[@DrMcGowanMD]

For someone with both obesity and diabetes, a GLP-1 receptor agonist would be the best class of medication. This includes liraglutide (Saxenda) and semaglutide (Wegovy/Ozempic). These medications help to reduce weight, and improve blood glucose control. The highest dose of semaglutide (2.4mg; brand name Wegovy) is also the most-effective weight loss medication to date. I discuss this in a separate video: kzbin.info/www/bejne/aWLNqounq698bLM

[@RajaAli-ok9ip]

Hi dr I’m a type 2 diebetic I mean 107kg 5ft 9 I want to loose weight to reverse my diebetas which medication you recommend as I got no cholesterol or heart problems please advice thanks

[@jmemixx]

Most times the surgery itself will reverse your diabetes and your usually off diabetes meds after surgery. I was and still am. Of course you have to stop being stupid and eating junk and sugar so which I have and I have been post op 3 years now

[@crystalmorgan5555]

Hi Doc I had the ballon placed in by you 2 years ago I lose 25lb. I have gained 12lbs of that backI am having a hard time losing the weight. At 60 would the injections be recommended considering I have had no major health changes

[@DrMcGowanMD]

Hi Crystal! Certainly. Give us a call and we can discuss further.

[@linjean4009]

Can you take both contrave & phentermine together for diet

[@DrMcGowanMD]

No, it is not recommended. The combination of phentermine and bupropion (in Contrave) can raise your risk of high blood pressure and even seizures. I would recommend avoiding the combination.

[@Ydnew51]

I took qysiMia before nothing lost. Then this year I tried saxenda and it didn’t work either. I don’t know what else to do I keep gaining weight and none of these works. I tried olistat too 😫😫😫😫

[@grefinishingenterprise1889]

Hi Doctor I was wondering if you do virtual consultations ?

[@trueyouweightloss]

Certainly. You can reach out to us at trueyouweightloss.com and we'd be happy to help you out and set up a consultation. -Dr M

[@LashawneLGates]

Wow thanks

[@lolajean243]

Please give the names of pills here

[@acertainslantoflight]

It’s in the description

[@jessicarollins418]

Will phentermine be as effective for me as it was when I forayed used it 2-3 years ago?

[@DrMcGowanMD]

Jessica, it's hard to say for certain, but yes, in general it should still be effective. Pairing it with topiramate may further boost the effect, though, if you found that you responded less well.

[@jessicarollins418]

@@DrMcGowanMD thanks Doc 👍🏽

[@SDanielMub]

So how do we curb the effects of kidney stones with Qsymia?

[@DrMcGowanMD]

@@SDanielMub If a patient has a history of multiple/frequent kidney stones, I would avoid the medication entirely. Otherwise, I emphasize maintaining hydration to prevent stone formation.

[@LashawneLGates]

Im interested in the surgery how much out of pocket because i have Kaiser

[@DrMcGowanMD]

Lashawne, if you are referring to endoscopic weight loss procedures, this is the current pricing in my program: trueyouweightloss.com/about/pricing/