Weight Loss Medications:

At Trimcare we use a combination of FDA-approved weight loss medications that can be helpful with not only increasing both speed and amount of weight loss, but also with reducing the sensation of hunger. Weight loss medications are not a substitute for a good diet and exercise program – they are designed to complement the behavioral program.

For most individuals, medications are very safe options that can be added to any of our medically monitored weight loss programs. The medications that we prescribe are generally well tolerated with few side effects.

All weight loss medications work much better as part of a weight loss program including diet and exercise. With food quality being the lowest of all time it is critical to what we eat, our behaviors and our activity levels in combination with the use of these medications to achieve the desired results.

The medications that we generally prescribe for weight loss but are not limited too are:
• Phentermine
• Bontril
• Tenuate
• Topamax
• 5 HTP Carbidopa

What is Phentermine?

Generic Name: phentermine (FEN ter meen)
Brand Names: Adipex-P, Oby-Cap, Suprenza, T-Diet, Zantryl
Oral phentermine Hydrochloride (HCL) is sold for weight loss and is an FDA-approved weight loss medication. It is in the Sympathomimetic family of appetite suppressants (used for the short-term management of exogenous obesity.)
When used in conjunction with diet, exercise, and behavior therapy, phentermine may help you to lose weight while you are learning new ways to eat and exercise.

How does Phentermine work?

Phentermine works by stimulating the hypothalamus gland and affecting certain neurotransmitters to decrease appetite.
The hypothalamus is the region of the brain that controls the autonomic nervous system, regulating sleep cycles, body temperature, appetite, etc.
Phentermine should NOT be used as a substitute for proper diet or exercise. For maximum effects, it must be used in conjunction with a reduced-calorie diet and/or exercise.
Any modifications in your diet, activity level, and behavior must be developed and continued long-term in order to continue losing weight and prevent the lost weight from returning.

How should I take Phentermine?

Take this medicine by mouth. Follow the directions on the prescription label. While you may take these tablets with water, it is not necessary to do so. Take your doses at regular intervals. Do not take your medicine more often than directed.

Phentermine is usually prescribed for short periods of 3 months, as the effects of phentermine tend to wear off after some time, while side effects remain.

What is Bontril?

Generic Name: phendimetrazine (fen di MEH tra zeen)
Brand Names: Adipost, Bontril, Melfiat
Bontril is used as a short-term supplement to diet and exercise in the treatment of obesity and is used as a diet pill that aims to assist users with the weight loss process. Bontril is an FDA-approved weight loss medication. Like many diet supplements and products, Bontril endeavors to suppress the user’s appetite.

How does Bontril work?

Bontril is basically a sympathomimetic amine (similar to an amphetamine). Bontril stimulates the body’s central nervous system, which supposedly decreases appetite by boosting the user’s blood pressure and heart rate.

How should I take Bontril?

Always follow the directions on the prescription label and from your doctor. It is usually advised that you take this medicine at least 1 hour before eating by mouth with a glass of water. If your doctor wants you to stop the medicine, the dose will be slowly lowered over time to avoid any side effects.

What is Tenuate?

Generic Name: diethylpropion (dye eth ill PROE pee on)
Brand Names: Tenuate
Tenuate also known as DIETHYLPROPION (dye eth il PROE pee on) decreases your appetite. It is used with a reduced calorie diet and exercise to help you lose weight. Tenuate is an FDA-approved weight loss medication.

How does Tenuate work?

Tenuate is also known as an “anorectic” or an “anorexigenic” drug. Tenuate stimulates your central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite.

How should I take Tenuate?

Take Tenuate as prescribed by your doctor. Never take Tenuate in larger amounts, or for longer than recommended by your doctor. Tenuate is usually taken once a day in the midmorning and with water.

What is Topamax

Generic Name: topiramate (toe PYRE a mate)
Brand Names: Qudexy XR, Topamax, Topamax Sprinkle, Trokendi XR
Topamax was originally given FDA approval for the treatment of epilepsy. During clinical trials of Topamax, one of the most common side effects was significant weight loss. Since then Topamax has seen a large rise in off-label use for weight loss. While the specific mechanisms of how Topamax brings about weight loss are not fully understood, there are a few accepted effects that it does have on the body.

How does Topamax work?

One side effect of Topamax is that it changes in the sensation of taste due to a reduction of saliva. In some patients, this change in taste may be so severe that they lose the pleasure associated with food, which may lead to weight loss.

Topamax may also reduce leptin present in cortisol. Cortisol is a stress hormone that leads to increased insulin production of which then leads to increased appetite and cravings, and that cortisol can have a significant impact on weight gain or preventing weight loss.

It is also said that Topamax may act on blood glucose and insulin secretion, which can lead to weight loss through ketosis. This is similar to how weight is lost on low-carbohydrate diets, which rely on the body’s fat stores as their primary source of fuel, as opposed to relying on food sources of energy.

How should I take Topamax

Always take Topamax as prescribed by your doctor. You can take Topamax with or without food. Make sure to drink plenty of fluids while taking Topamax and also limit your alcohol intake while on Topamax to guard against aggravated side effects. Also be cautious when performing tasks that require mental alertness such as driving.

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