Our medical therapy approach covers two key areas. First, we’ll review the medications you’re currently taking for chronic conditions. Many drugs, including certain oral anti-diabetics, antidepressants, and antihypertensives, can contribute to weight gain. We’ll suggest alternatives to your primary care/ specialist if possible. Secondly, we’ll assess your eligibility for anti-obesity medications, ensuring you’re fully informed about side effects and contraindications before starting any new medication.
Weight loss medications can include any of the following:
- Phentermine
- Orlistat
- Metformin
- Oral hydrogel
- Phentermine-topiramate ( QSYMIA)
- Naltrexone-Bupropion(CONTRAVE)
- GLP-1 and GIP receptors agonists, including Wegovy, Ozempic, Saxenda, and Mounjaro
It’s important to note that we’ll carefully evaluate any contraindications, potential side effects, and interactions with any current medications you’re taking. If you’re on insulin, we’ll need to adjust the dose when starting some medications.
Medication Inclusion Criteria
A patient must be 18 years of age or older and fall under the following:
BMI greater or equal to 30 kg/m2
OR
BMI greater than or equal to 27 kg/m2 in the presence of one or more comorbidities listed below:
- Established coronary heart disease
- Other atherosclerotic diseases
- Dyslipidemia (ex.High LDL,TG,or low HDL)
- Hypertension
- Type 2 Diabetes
- Sleep Apnea
- Gynecological abnormalities
- Osteoarthritis
- Gallstones
- Stress Incontinence
OR
BMI greater than or equal to 27 kg/m2 in the presence of two or more risk factors listed below:
- Elevated blood pressure (systolic 120-129; diastolic >80)
- Smoking
- Impaired fasting glucose
- Family history of premature coronary heart disease
- Woman age 55 or older
- Man age 45 or older