Medical Weight Loss Near Me
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Medical Weight Loss Near Me

Medical Weight Loss Near Me, when you are prescribed a prescription medication, your doctor or pharmacist probably makes you aware of any side effects that the drug may have. You and your doctor probably discuss the contradictions appearing on the label or any other medications you may be taking. But one thing you probably don’t discuss is an issue often overlooked by physicians and their patients—the effects of the medication on your hormonal system. Unfortunately, many common prescription drugs can disrupt your fat-burning hormones and thwart your weight-loss plan. For three common culprits—ulcer, antifungal, and anti-inflammatory medications—there are available alternative drugs that don’t disturb your hormones.

The popular ulcer medication Tagamet (cimetidine) is well known to suppress testosterone. As you learned throughout this book, testosterone is essential b for burning fat and for building and preserving muscle. Men who suffer from ulcers are often over the age of forty-five when their testosterone levels have already started to drop because of aging. If you have an ulcer and have been prescribed Tagamet, you may want to talk to your doctor about a new generation of ulcer medications, including Prevacid (lansoprazole) and other gastric acid-secretion inhibitors, that do not suppress your testosterone.

Antifungal drugs such as Diflucan (fluconazole) and Nizoral (ketoconazole) also can be extremely disrupting to your hormones. In fact, Nizoral can actually reduce your testosterone levels to nearly zero if taken in high dosages, and it is actually used in scientific experiments specifically as a testosterone-reducing agent. Talk to your doctor about alternative antifungal drugs, such as Lamisil (Terbinafine Hydrochloride), that do not affect your hormones.

Various anti-inflammatory drugs, such as prednisone, also can negatively affect your hormonal system, causing increased fat storage and loss of muscle. Fortunately, Celebrex (celecoxib) and Enbrel (etanercept) will not affect your hormones like prednisone.

While some medical conditions may require you to medicate with drugs that subvert your hormone balance, other conditions allow for a variety of choices that will enable you to discuss hormone-friendly options with your doctor.

There are several prescription and non-prescription medicines and products available for weight loss in Australia.

Here are some of the main weight-loss medicines:

Orlistat

Orlistat, brand name Xenical, is a medicine that has been shown in randomized, clinical trials to be effective in assisting and maintaining weight loss. It is now available from pharmacists without a prescription. It should only be used by people who are obese, or who are overweight and at risk of a heart attack because of high cholesterol or a co-existing disease such as diabetes or heart disease. It should not be used during pregnancy.

Orlistat works locally in the stomach and is not absorbed into the bloodstream. It limits fat breakdown in the gut so that one-third less fat is absorbed. The undigested fat passes through the gut and is excreted in the feces.

If too much fat is eaten, the side effects of orlistat are oily rectal leakage and oily, fatty bowel motions, often accompanied by increased urgency to empty the bowels. These adverse effects usually provide an incentive for people to keep the fat content of their diet low, which helps change eating habits.


Sibutramine (no longer available)

Sibutramine, brand named Reductil, was withdrawn from use in Australia in October 2010 following results of a major study which showed a higher rate of cardiovascular events (e.g. heart attack or stroke) in obese and overweight patients taking sibutramine, than in those managing their weight through exercise and diet alone.

Sibutramine is a serotonin and noradrenaline reuptake inhibitor, which works by affecting brain chemistry.


Phentermine

Phentermine, brand named Duromine, is a centrally acting appetite suppressant. These medicines require very close monitoring so your doctor should reassess your condition every 3 months or less.

Duromine should not be used in people with high blood pressure, an overactive thyroid gland, epilepsy, a history of a psychiatric disorder, or a history of drug or alcohol abuse or dependency. This medication is also not suitable for pregnant women.

Adverse effects include dry mouth, headaches, insomnia, restlessness, nervousness, agitation, irregular heartbeat and, rarely, psychosis and hallucinations.


Fenfluramine (no longer available)

Fenfluramine was previously used as a weight loss medication, both on its own and in combination with phentermine. The combination medication, known as fen-phen, was especially popular in the United States. Medications containing fenfluramine were withdrawn from the market in 1997 because of concerns that they caused heart valve damage.
Diethylpropion hydrochloride (no longer available)

Diethylpropion hydrochloride, brand named Tenuate or Tenuate Dospan, is another prescription medication that was previously used in conjunction with calorie restriction, on a short-term basis only, in obese people. It has been withdrawn from the market.

Side effects included an irregular heartbeat, high blood pressure, dry mouth, nausea, abdominal discomfort, seizures and nervousness, and there were some reports of people becoming psychologically dependent on this drug.
Future possibilities: leptin supplements and tesofensine

Leptin is a naturally occurring hormone that is involved in regulating weight gain. There are ongoing clinical trials investigating whether medicines containing leptin (or similar substances) may be useful as weight loss medications.

Tesofensine — a noradrenaline, dopamine, and serotonin reuptake inhibitor — is another medicine that works by affecting brain chemistry to reduce your appetite. It is currently undergoing trials overseas and showing promise as an effective weight loss medicine.
Herbal and alternative treatments

There are many non-prescription medicines and herbal remedies available that reportedly help with weight loss. Ask your doctor before trying these treatments, because most have not been tested in the same way as prescription medications, and their safety and effectiveness are often unproven.

Remember, weight-loss medications only work when they are used in combination with lifestyle modifications, such as increased exercise and decreased food intake

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