Weight Loss
Medication journey starts here
Weight Loss 101
Activity = 15,000 steps a day
Food = More veggies and protein, less fruit and fatty foods.
Eat within an 8 hour window.
Never Ever: soda, fast food, or microwave dinners.
Hydration = Drink 1/2 your body weight in oz.
Sleep = 7 to 8hr of sleep or rest nightly.
Medication
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Phentermine
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Contrave (Wellbutrin + Naltrexone)
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Naltrexone
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Orlistat
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Metformin
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GLP1 sublingual drops & pills: Less effective as it goes through the liver/ kidney for filtration.
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GLP1 Injection: Semaglutide (Ozempic, Wegovy) vsTirzepatide (Zepbound, Mounjaro)
*I prefer tirzepatide as it has less side effects and stidues show slightly more effective, it is also slightly more expensive.
GLP-1
Drug Class:
GLP1 + GIP agonist
What it does:
Increases insulin production, lowers glucagon secretion, and regulates appetite.
By slowing motility of intestines, your food is digested slower, causing a feeling of fullness faster. Insulin is secreted by the pancreas to keep your blood sugars from spiking and increases energy.
Benefits:
Weight Loss
Decreased appetite & cravings
A1C reduction / Diabetes
Improved cardio-metabolism / heart
Side Effects:
Common: nausea/ vomit, constipation/ diarrhea, acid reflux/ stomach pain
Serious: Allergic, thyroid tumor, Kidney damage, diabetic retinopathy, pancreas or gallbladder inflammation.
Contraindication: Family hx of multiple endocrine neoplasia, hx of pancreatitis, or thyroid cancer. BMI<25.
Purchase a Vial
I Provide you with a vial,
you need to get insulin needles 100units.
These vials can last longer then a month, see chart below.
If you want me to do the injection and set up a weekly appointment, let me know.
Stay on each dose for 3-5 weeks before moving up.
Stay on the lowest dose possible for as long as possible.
*Many of my patients are on 3 or 4mg weekly.
(2) 3ml Vial $730
