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GLP-1 (glucagon-like peptide-1) weight loss medications are a class of drugs used in the treatment of type 2 diabetes and obesity. They work by mimicking the actions of the natural hormone GLP-1, which is produced in the gut in response to food intake. GLP-1 plays a role in regulating glucose metabolism and appetite.

Increased satiety:

GLP-1 medications can promote feelings of fullness and reduce hunger. Activation of GLP-1 receptors in the hypothalamus leads to a decrease in appetite, which can result in reduced food intake.

When GLP-1 medications are administered, they bind to GLP-1 receptors in various tissues, including the brain. In the brain, GLP-1 receptors are located in areas that control appetite and satiety, such as the hypothalamus.

Regulation of reward pathways:

GLP-1 medications can promote feelings of fullness and reduce hunger. Activation of GLP-1 receptors in the hypothalamus leads to a decrease in appetite, which can result in reduced food intake.

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Generic Name:Semaglutide

FDA Approval Year:2021

BMI Criteria (Obesity):BMI ≥ 30 or BMI ≥ 27 with at least one weight-related condition

Rx Required:Yes

The Good:

  • Best in class for weight loss

  • Helps you end meals earlier

  • Help keeps you full longer

  • Weight Loss @1-year = 15%

The Bad

  • Nausea is common when starting

  • Expensive, may be a high co-payment

  • Not all insurances cover it (usually needs

  • MD supervision, detailed diet, exercise
    and behavior counseling)

Generic Name:Liraglutide

FDA Approval Year:2014

BMI Criteria (Obesity):BMI ≥ 30 or BMI ≥ 27 with at least one weight-related condition

Rx Required:Yes

The Good:

  • Helps you end meals earlier

  • Helps keep you full longer

  • Weight Loss @1-year = 6%

  • Treatment for Type 2 Diabetes

  • Good side effect profile

The Bad

  • Nausea is common when starting

  • Once a day injection

  • Expensive, may be a high co-payment

  • Not all insurances cover it

  • Usually needs MD supervision, detailed diet, exercise and behavior counseling

Generic Name:Phentermine

FDA Approval Year:1959

BMI Criteria (Obesity):Typically used for short-term treatment in individuals with a BMI ≥ 30

Rx Required:Yes

The Good:

  • Suppresses Appetite

  • Many Doses Available

  • Cheap

The Bad

  • May develop tolerance and regain weight

  • Can increase blood pressure & heart rate

  • Not safe for use in some people (Ask MD)

Generic Name:Phentermine + Topiramate

FDA Approval Year:2012

BMI Criteria (Obesity):BMI ≥ 30 or BMI ≥ 27 with at least one weight-related condition

Rx Required:Yes

The Good:

  • Suppresses Appetite

  • Combination Therapy

  • Weight Loss @1-year = 6-9%

The Bad

  • Side Effect: Concentration difficulties

  • Side Effect: Memory loss

  • Weight Loss @2-year = 7-9%

Generic Name:Bupropion + Naltrexone

FDA Approval Year:2014

BMI Criteria (Obesity):BMI ≥ 30 or BMI ≥ 27 with at least one weight-related condition

Rx Required:Yes

The Good:

  • Suppresses Appetite

  • Combination Therapy

  • Weight Loss @1-year = 4%

The Bad

  • Must not be on Opiates

  • Not safe for use in some people (Ask MD)

  • No Weight Loss Study >1-year = ???

Generic Name:Tirzepatide

FDA Approval Year:2022

BMI Criteria (Obesity):BMI ≥ 30 or BMI ≥ 27 with at least one weight-related condition

Rx Required:Yes

The Good:

  • Proven effective for significant weight loss.

  • Reduces appetite and food intake.

  • Administered weekly by injection.

The Bad

  • Common side effects include gastrointestinal issues and injection site reactions.

  • Potential risk of thyroid tumors (based on animal studies).

  • Weight regain likely upon discontinuation

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Your Questions Answered With Clarity And Insight.

GLP-1 (glucagon-like peptide-1) medications work by mimicking a naturally occurring hormone in the body that regulates appetite and glucose metabolism. These medications can help control hunger, slow down digestion, and regulate blood sugar levels, leading to weight loss.

Weight loss medications are prescription drugs that can aid in weight management by suppressing appetite, increasing metabolism, or reducing the absorption of fat. These medications are used in conjunction with a comprehensive weight loss program to support healthy and sustainable weight loss.

Weight loss medications can be safe and effective when prescribed and monitored by a qualified healthcare professional. However, they may have potential side effects and are not suitable for everyone. It❜s essential to discuss your medical history, current medications, and any underlying conditions with your healthcare provider before starting any weight loss medication.

Contrave is a combination medication that contains bupropion and naltrexone. Bupropion helps reduce appetite and cravings, while naltrexone works by blocking certain receptors in the brain involved in food reward. Contrave is used to support weight loss efforts when combined with a healthy diet and exercise.

Qsymia is a combination medication that contains phentermine and topiramate extended-release. It works by suppressing appetite and enhancing satiety to support weight loss. Qsymia is used as a long-term treatment for obesity when combined with a reduced-calorie diet and increased physical activity.

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