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  • Ozempic

    Purpose of Use

    Ozempic is used to manage type 2 diabetes and support weight loss in individuals with obesity or related health conditions. It helps improve blood sugar levels and promotes a healthier lifestyle when combined with diet and exercise.

    Type of Medication

    Ozempic is a GLP-1 receptor agonist injected once weekly. It regulates appetite, enhances insulin sensitivity, and was initially approved for diabetes but also aids in weight management.

    Efficacy and Benefits

    Ozempic reduces appetite, increases fullness, and slows digestion, leading to significant weight loss. Studies show up to 15% body weight reduction and improved blood sugar control.

    Dosage and Administration

    Ozempic is injected weekly, starting at 0.25 mg and gradually increasing to 1 mg. Doses should be taken on the same day each week, with missed doses taken within five days.

    Precautions and Other Notes

    Ozempic may cause nausea, vomiting, or diarrhea. It’s not recommended for those with thyroid tumors or pancreatitis and should be avoided during pregnancy or breastfeeding. Regular medical monitoring is advised.

  • Orlistat (Alli®, Xenical®)

    Purpose of Use
    Orlistat is designed to assist individuals in managing obesity by reducing the absorption of dietary fat, making it a suitable option for those aiming to lose weight in combination with a low-calorie diet and exercise.

    Type of Medication
    Orlistat is a lipase inhibitor, available both as a prescription (Xenical) and over-the-counter (Alli), targeting fat absorption in the digestive system.

    Efficacy and Benefits
    Clinical studies demonstrate that Orlistat users can achieve 5-10% weight loss over 12 months when paired with proper diet and exercise. The medication’s mechanism helps reduce calorie intake effectively.

    Dosage and Administration
    Xenical is prescribed at 120 mg three times daily with meals, while Alli is taken at 60 mg three times daily with meals. Both formulations should be consumed during or within one hour after a fat-containing meal for optimal results.

    Precautions and Other Notes
    Common side effects include oily stools, increased bowel movements, and abdominal discomfort. Individuals should limit fat intake to avoid gastrointestinal issues. Orlistat may interfere with the absorption of fat-soluble vitamins, requiring supplementation as directed by a healthcare provider.

  • Phentermine-Topiramate (Qsymia®)

    Purpose of Use
    Qsymia is intended for chronic weight management, helping individuals reduce appetite and promote satiety, particularly when combined with a healthy lifestyle.

    Type of Medication
    This medication is a combination of phentermine, an appetite suppressant, and topiramate, which enhances feelings of fullness, offering a dual-action approach to weight loss.

    Efficacy and Benefits
    Patients using Qsymia can achieve 5-10% weight loss within 12 months. Higher doses may lead to greater weight loss, although side effects may also increase.

    Dosage and Administration
    Treatment begins with 3.75 mg phentermine and 23 mg topiramate daily, gradually increasing to 7.5 mg/46 mg after 14 days. Based on efficacy and tolerability, the dose may be adjusted to a maximum of 15 mg/92 mg daily.

    Precautions and Other Notes
    Potential side effects include dry mouth, constipation, tingling sensations, and mood changes. It is unsuitable for use during pregnancy and requires regular monitoring of heart rate and mental health. Discuss any existing medical conditions with a healthcare provider before starting Qsymia.

  • Naltrexone-Bupropion (Contrave®)

    Purpose of Use
    Contrave is prescribed for weight management, specifically for individuals struggling with food cravings and appetite control, as part of a comprehensive plan involving diet and exercise.

    Type of Medication
    Contrave combines naltrexone, commonly used for addiction treatment, and bupropion, an antidepressant. Together, they work on the brain's reward system to reduce appetite and cravings.

    Efficacy and Benefits
    Clinical studies indicate that Contrave users may achieve 5-9% weight loss over 12 months when combined with lifestyle changes, making it an effective option for long-term weight management.

    Dosage and Administration
    Treatment begins with one tablet daily (8 mg naltrexone/90 mg bupropion), gradually increasing to two tablets twice daily. This stepwise increase minimizes potential side effects.

    Precautions and Other Notes
    Common side effects include nausea, headache, dizziness, and increased blood pressure. This medication is not suitable for individuals with uncontrolled hypertension or seizure disorders. Regular monitoring is recommended for safe use.

  • Liraglutide (Saxenda®)

    Purpose of Use

    Saxenda is designed for weight management in individuals with obesity or overweight conditions coupled with related health risks, aiming to reduce appetite and promote satiety.

    Type of Medication

    Liraglutide is a GLP-1 receptor agonist administered as a daily subcutaneous injection, mimicking a natural hormone that regulates appetite and food intake.

    Efficacy and Benefits

    People using Saxenda typically lose 5-10% of their body weight over a year when combined with diet and exercise. It supports sustainable weight loss by reducing calorie intake and increasing feelings of fullness.

    Dosage and Administration

    Saxenda treatment starts at 0.6 mg daily, with a weekly dose increase of 0.6 mg until reaching the maximum dose of 3.0 mg daily. The injection can be administered in the abdomen, thigh, or upper arm.

    Precautions and Other Notes

    Common side effects include nausea, vomiting, and diarrhea, which often subside with continued use. Rare but serious risks include pancreatitis. Saxenda is not recommended during pregnancy or breastfeeding.

  • Semaglutide (Wegovy®)

    Purpose of Use

    Wegovy is prescribed for weight management in individuals with obesity or overweight conditions with related health risks, aiming to regulate appetite and food consumption.

    Type of Medication

    Semaglutide, a GLP-1 receptor agonist, is a once-weekly subcutaneous injection that enhances satiety and reduces calorie intake, leading to gradual weight loss.

    Efficacy and Benefits

    Clinical trials show that Wegovy can lead to a 15% reduction in body weight over 68 weeks when combined with diet and exercise, making it one of the most effective weight management medications.

    Dosage and Administration

    Treatment begins with 0.25 mg weekly, gradually increasing to the target dose of 2.4 mg weekly over several weeks. The injection can be administered in the abdomen, thigh, or upper arm.

    Precautions and Other Notes

    Side effects may include nausea, diarrhea, and risk of thyroid tumors based on animal studies. Individuals with a history of thyroid cancer or pancreatitis should avoid Wegovy. Routine medical monitoring is essential during treatment.

Learn more about Medical Diet

  • Obesity Screening

    Obesity is assessed using tools like Body Mass Index (BMI) and waist circumference. While BMI is a widely used measure, it has limitations. Specifically, it does not account for abdominal fat (abdominal adiposity), which plays a critical role in health risks. Abdominal obesity is linked to an increased likelihood of heart disease, diabetes, hypertension, and metabolic dysfunction. Stigma surrounding weight can also act as a barrier to effective screening.

    BMI Categories:

    • Underweight: Less than 18.5
    • Normal Weight: 18.5 - 24.9
    • Overweight: 25.0 - 29.9 (weight loss candidates)
    • Obesity Class I: 30 - 34.9
    • Obesity Class II: 35 - 39.9
    • Obesity Class III: 40+
  • Factors Contributing to Weight Gain

    Certain medications and health conditions can contribute to weight gain, requiring careful consideration during treatment.

    Medications Associated with Weight Gain:

    • Insulin
    • Sulfonylureas
    • Antipsychotics
    • Thiazolidinediones
    • Glucocorticoids

    Secondary Causes of Weight Gain:

    • Hypothyroidism
    • Cushing’s syndrome
    • Acne
    • Hirsutism
  • Management of Obesity

    Managing obesity involves lifestyle changes, medical treatments, and monitoring progress to ensure effectiveness.

    Lifestyle Changes:

    • Dietary Habits: Adopt a calorie-conscious and balanced diet.
    • Physical Activity: Engage in regular exercise to improve metabolism and reduce fat accumulation.

    Medications:

    • Options like Duromine may support weight loss when lifestyle changes alone are insufficient.

    Evaluating Treatment Effectiveness:

    • Weight loss of 4-5% from baseline within three months is considered effective.
    • Progress may plateau after achieving maximum therapeutic effects.

Your Treatment Journey

  • We offer modern medical solutions for those struggling with:

    • Obesity
    • Diabetes management
    • Metabolic challenges
    • Weight-related health concerns

    Our approach includes:

    • FDA-approved weight management medications
    • Prescription options like Semaglutide and Tirzepatide
    • Comprehensive health monitoring
    • Nutrition counselling
    • Ongoing medical support

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