Prescribed Medications for Obesity

March 16, 2022

Introduction

Obesity is a complex, chronic disease that requires a multifaceted treatment approach. While lifestyle modifications like diet and exercise are foundational, they may not always be sufficient for significant weight loss. At Vital Health Medical Care in Rochester, NY, we understand the challenges of weight management and offer medically supervised programs that include FDA-approved prescription medications as part of a comprehensive treatment plan.

Understanding Obesity and Its Implications

Obesity is defined by an excessive accumulation of body fat, often measured by a Body Mass Index (BMI) of 30 or higher. It increases the risk of various health conditions, including type 2 diabetes, heart disease, stroke, and certain cancers. Addressing obesity is crucial for improving overall health and quality of life.

Role of Prescription Medications in Obesity Management

Prescription weight-loss medications are designed to assist individuals who have not achieved significant weight loss through diet and exercise alone. These medications work by suppressing appetite, increasing feelings of fullness, or reducing fat absorption. They are most effective when combined with lifestyle changes and are typically prescribed for individuals with:

A BMI of 30 or higher
A BMI of 27 or higher with obesity-related health conditions, such as hypertension or type 2 diabetes

FDA-Approved Prescription Medications for Obesity

1. Orlistat (Xenical, Alli)

Mechanism: Inhibits pancreatic lipase, reducing fat absorption in the intestines.
Usage: Taken three times daily with meals containing fat.
Considerations: May cause gastrointestinal side effects; adherence to a low-fat diet is recommended.

2. Phentermine-Topiramate (Qsymia)

Mechanism: Phentermine suppresses appetite; topiramate induces a sense of fullness.
Usage: Once-daily oral capsule with dose escalation.
Considerations: Not recommended for individuals with cardiovascular disease; potential side effects include dry mouth and insomnia.

3. Bupropion-Naltrexone (Contrave)

Mechanism: Bupropion affects dopamine and norepinephrine; naltrexone blocks opioid receptors, reducing food cravings.
Usage: Gradual dose increase to two tablets twice daily.
Considerations: May increase blood pressure; not suitable for individuals with seizure disorders.

4. Liraglutide (Saxenda)

Mechanism: GLP-1 receptor agonist that slows gastric emptying and promotes satiety.
Usage: Daily subcutaneous injection with dose escalation.
Considerations: Potential side effects include nausea and pancreatitis; not recommended for individuals with a history of medullary thyroid carcinoma.

5. Semaglutide (Wegovy)

Mechanism: GLP-1 receptor agonist that regulates appetite and calorie intake.
Usage: Weekly subcutaneous injection with dose escalation.
Considerations: May cause gastrointestinal side effects; monitoring for thyroid tumors is advised.

6. Tirzepatide (Zepbound)

Mechanism: Dual GIP and GLP-1 receptor agonist that enhances insulin secretion and reduces appetite.
Usage: Weekly subcutaneous injection with dose escalation.
Considerations: Potential side effects include nausea and diarrhea; long-term safety data are still being evaluated.

7. Semaglutide (Ozempic)

Mechanism: GLP-1 receptor agonist that increases insulin secretion, slows gastric emptying, and promotes satiety.
Usage: Weekly subcutaneous injection, starting at 0.25 mg and potentially increasing up to 2 mg.
Considerations: Originally approved for type 2 diabetes management; often used off-label for weight loss. Potential side effects include nausea and risk of thyroid tumors.

Integrating Medications into a Comprehensive Weight Management Program

At Vital Health Medical Care, we emphasize a holistic approach to weight loss. Prescription medications are integrated into a broader program that includes:

Nutritional Counseling: Personalized meal plans to promote healthy eating habits.
Physical Activity Guidance: Customized exercise programs to increase energy expenditure.
Behavioral Therapy: Strategies to address emotional eating and develop coping mechanisms.
Regular Monitoring: Ongoing assessments to track progress and adjust treatment plans.

Safety and Monitoring

Safety is paramount when prescribing weight-loss medications. Our medical team conducts thorough evaluations to determine the most appropriate medication based on individual health profiles. Regular follow-ups ensure that any side effects are promptly addressed, and treatment efficacy is monitored.

Meet Dr. Sanin Syed – Leading Medical Weight Loss Specialist in Rochester, NY

Dr. Sanin Syed, founder and CEO of Vital Health Medical Care, is a board-certified obesity and internal medicine specialist. With over two decades of experience, Dr. Syed is dedicated to helping her patients achieve lasting weight loss and a healthier lifestyle.

Recognized Expertise: Dr. Syed’s knowledge has been featured on NPR’s Evan Dawson Show and in the Rochester Academy of Medicine.
Commitment to Patient Health: She focuses on building sustainable health habits and lifestyle changes that support long-term success.

Our clinic, located at 10 Office Parkway, Suite 100, Pittsford, NY, provides a welcoming and professional setting for patients who are ready to make positive changes.

Why Choose Vital Health Medical Care?

Experienced Weight Loss Doctor

Dr. Sanin Syed is one of the leading weight loss doctors in New York, with over 20 years of experience in medicine and obesity management. She holds dual board certifications from the American Board of Obesity Medicine and the American Board of Internal Medicine, ensuring you receive the highest standard of care.

Personalized Care

At Vital Health Medical Care, we believe in a personalized approach to weight loss. Our programs are tailored to meet your unique needs, ensuring you receive the best possible care and support on your weight loss journey.

Comprehensive Support

We provide ongoing support throughout your weight loss journey, including regular monitoring and adjustments to your plan as needed. Our comprehensive approach ensures you have the resources and guidance necessary to achieve your weight loss goals.

Insurance Acceptance

We understand that managing healthcare costs is important. That’s why we accept a wide range of insurance plans to make our weight loss treatments accessible and affordable for everyone.

Nutritional Counseling

Our qualified nutritionists create personalized diet plans that fit your lifestyle and dietary preferences. We provide expert guidance on making healthy food choices that support your weight loss goals.

Physician Consultation

Our experienced physicians, led by Dr. Syed, will work with you to find the best medication and treatment plan for your needs. We utilize FDA-approved medications such as Wegovy and Zepbound to support your weight loss efforts.

Health Coaching

Our health coaches provide ongoing support and motivation, helping you stay on track with your weight loss goals. They offer practical advice and encouragement to help you overcome challenges and achieve lasting success.

Culinary Medicine

Learn how to prepare healthy, delicious meals that support your weight loss journey with guidance from our culinary medicine experts. We offer cooking classes and workshops to help you develop the skills needed to maintain a healthy diet.

Meal Replacement

We offer meal replacement options that are nutritious and convenient, helping you manage your calorie intake effectively. Our meal replacements are designed to support your weight loss goals while ensuring you receive essential nutrients.

Individualized Exercise Plan

Our fitness experts develop personalized exercise plans tailored to your fitness level and goals. We provide guidance on the best types of exercise for weight loss and overall health, ensuring you achieve optimal results.

Comprehensive Weight Loss Treatment in Rochester, New York

Vital Health Medical Care offers evidence-based weight loss treatments designed to help you succeed. We take a holistic approach, integrating medication, diet, exercise, and behavioral changes to ensure long-term success. Contact us today to schedule a consultation and start your journey.

Conclusion

Prescription medications can be a valuable tool in the fight against obesity, especially when combined with lifestyle modifications and professional support. At Vital Health Medical Care in Rochester, NY, we are committed to providing individualized, evidence-based treatments to help our patients achieve and maintain a healthy weight.