Medication to aid weight loss?

I was wondering if anyone has had any success with medication (actually prescribed by a Dr) for weight loss. I have a feeling the specialist I see next week is going to want to put me on something, but I was prescribed metformin years and years ago and it did nothing for me. I know there are a lot more out there now but I'm super hesitant.
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Replies

  • candylilacs
    candylilacs Posts: 588 Member
    I have heard good things about ozempic, but I urge you to see the YouTube videos for that one.
  • Cfrazier_03
    Cfrazier_03 Posts: 2 Member
    Ozempic, if you have ins its good, if your on medicare, it will not be covered. as weight loss, it is a diabetic drug, hoever cost is over 1000 a month
  • mikomarcia
    mikomarcia Posts: 10 Member
    Holy cow! Over a thousand a month?! I'll pass. Can't even consider that. It also makes me wonder what happens when you stop taking it. It'll be interesting to see what they say next week.
  • shockbishop
    shockbishop Posts: 37 Member
    Lol orlastat, like that Alli stuff. If you just so happen to eat something fatty…..in my case a BK lunch break…..better bring a change of clothes.
  • lorib642
    lorib642 Posts: 1,942 Member
    I take metformin for type 2 diabetes. It has not helped with weightloss. There are medications that suppress appetite, but like you mentioned, you have to go off them eventually. If you have insurance some plans help with coaching or gym memberships. You sound like you don’t want to take a medicine. You can refuse or ask for other options. Good luck
  • mikomarcia
    mikomarcia Posts: 10 Member
    Thank you all. I certainly will not take Phentermine. Someone tried to give that to me a long time ago. It scares me too much. I really DON'T want to take anything, but I'm also ignorant on some of the newer options. It always seems like they're trying to get me to take something, and if there was a good, safe, option I'd be foolish to not consider. It's all overwhelming.
  • KL1887
    KL1887 Posts: 68 Member
    I take a drug called Topirimate (topamax), it’s not typically licensed as a product for weight loss though. It has some pretty nasty side effects and the weight loss benefit doesn’t outweigh them.

    I know it’s been mixed with something else and marketed as a magic pill to fight obesity, which has been licensed for use.
  • cwolfman13
    cwolfman13 Posts: 40,986 Member
    mikomarcia wrote: »
    Thank you all. I certainly will not take Phentermine. Someone tried to give that to me a long time ago. It scares me too much. I really DON'T want to take anything, but I'm also ignorant on some of the newer options. It always seems like they're trying to get me to take something, and if there was a good, safe, option I'd be foolish to not consider. It's all overwhelming.

    The only one I would even consider would be naltrexone-bupropion. It's pretty safe. Naltrexone is primarily used for AUD and opioid use, but there have been good findings for weight loss as well. It works primarily to disrupt the pleasure receptors in the brain...so for me, I can drink on naltrexone and I can get drunk...but it just makes it not particularly pleasurable or fun and I don't get much out of it so it has slowly but surely changed my drinking behavior. Bupropion is an anti-depressant and somehow this combination has shown to work well with people who have binge eating disorders and things like that.
  • hesn92
    hesn92 Posts: 5,965 Member
    edited May 20
    Yikes, hearing all this stuff about phentermine. I knew it was probably not great but didn't know it was that bad. My coworker uses it :# And she's had some heart issues within the last year or so so that worries me. I wish she wouldn't but she's desperate! I've tried to get her onto MFP but it didn't seem to work for her
  • mikomarcia
    mikomarcia Posts: 10 Member
    So yesterday I spent the day with the specialist and her team. Ultimately tests determine I am insulin resistant. They were very pleased with my diet and activity levels. So they put me on Ozempic. It's not cheap but my insurance will cover it with prior auth. Luckily, I am NOT a chronic overeater. I never have been. I am also very active. (20-30 mile bike rides on weekends, tennis player) but this does explain a lot. She said she could tell without tests what my problem was since all my weight was in my belly but I have skinny arms and legs. So, after going over everything, I'll give it a try. The nice thing is that it isn't a forever drug. Just until my bloodwork is normal or I reach my goal weight. Side effects seem fairly low too. So we'll see. They start you low and work up the dosage. She said the first month I shouldn't expect much as it's really more to get my body used to the medication. Either way, I'll be monitoring it closely. Hopefully the other test results (which I'll get in a few days) don't show any other underlying issues. Hopefully I can manage this. I have to admit, the naltrexone is interesting to me, too. When I do have a bad day, it's because I just CRAVE something so bad I can't resist. It's never sweets, but things like taco bell, pho, sushi... and while not bad on it's own, I do it so seldom I eat till I'm stuffed. It would be nice to not have those cravings. I'd say once a month one hits me.
    Anyway, we'll see what happens. Ozempic has some amazing success stories so I'm hoping I'll be one of them and can get off fairly quickly.
  • Xellercin
    Xellercin Posts: 878 Member
    mikomarcia wrote: »
    So yesterday I spent the day with the specialist and her team. Ultimately tests determine I am insulin resistant. They were very pleased with my diet and activity levels. So they put me on Ozempic. It's not cheap but my insurance will cover it with prior auth. Luckily, I am NOT a chronic overeater. I never have been. I am also very active. (20-30 mile bike rides on weekends, tennis player) but this does explain a lot. She said she could tell without tests what my problem was since all my weight was in my belly but I have skinny arms and legs. So, after going over everything, I'll give it a try. The nice thing is that it isn't a forever drug. Just until my bloodwork is normal or I reach my goal weight. Side effects seem fairly low too. So we'll see. They start you low and work up the dosage. She said the first month I shouldn't expect much as it's really more to get my body used to the medication. Either way, I'll be monitoring it closely. Hopefully the other test results (which I'll get in a few days) don't show any other underlying issues. Hopefully I can manage this. I have to admit, the naltrexone is interesting to me, too. When I do have a bad day, it's because I just CRAVE something so bad I can't resist. It's never sweets, but things like taco bell, pho, sushi... and while not bad on it's own, I do it so seldom I eat till I'm stuffed. It would be nice to not have those cravings. I'd say once a month one hits me.
    Anyway, we'll see what happens. Ozempic has some amazing success stories so I'm hoping I'll be one of them and can get off fairly quickly.

    I personally would choose really good therapy over naltrexone.

    Cravings can be driven by physiological signals, like when people with low iron obsessively crave eating dirt or something like that. But the majority of people experience cravings because of emotional reward pathways that have become reinforced through repetitive behaviour, and this can be effectively modified through the appropriate therapy.

    This is WAY more effective longterm because it helps the person better understand their relationship with food and modify it to be healthier permanently. Whereas something like naltrexone has significant side effects and the affect will disappear when the person stops taking it.

    No one would suggest that a drug/alcohol addict *just* take naltrexone and not work on the psychological side of their behaviour, that would be nuts, but the naltrexone helps make abstaining a lot easier *while* they work on those issues. It doesn't solve the problem, it acts as a support while they do the real work of healing.

    Again, as I said in my previous post, the key is to understand the underlying sources if challenge and to address them with the most appropriate supports. There's no way I would ever recommend someone take naltrexone to manage food cravings without them having already been in effective counselling, and their counsellor is suggesting that they could use a pharmaceutical support at this phase of their therapy.

    Naltrexone, whether regular dose, low dose, or ultra low dose can be totally unpredictable. It might lower your enjoyment of fast food, but it might also blunt the sensations of sex, exercise, spending time with your loved ones, and the satisfaction of doing a good job at work.

    You can't just cherry pick which satisfying experiences it blunts.

    I've often said that the best diet is a good therapist, and I stand by that.
  • Annabobanna1985
    Annabobanna1985 Posts: 11 Member
    edited May 25
    cwolfman13 wrote: »
    mikomarcia wrote: »
    Thank you all. I certainly will not take Phentermine. Someone tried to give that to me a long time ago. It scares me too much. I really DON'T want to take anything, but I'm also ignorant on some of the newer options. It always seems like they're trying to get me to take something, and if there was a good, safe, option I'd be foolish to not consider. It's all overwhelming.

    The only one I would even consider would be naltrexone-bupropion. It's pretty safe. Naltrexone is primarily used for AUD and opioid use, but there have been good findings for weight loss as well. It works primarily to disrupt the pleasure receptors in the brain...so for me, I can drink on naltrexone and I can get drunk...but it just makes it not particularly pleasurable or fun and I don't get much out of it so it has slowly but surely changed my drinking behavior. Bupropion is an anti-depressant and somehow this combination has shown to work well with people who have binge eating disorders and things like that.

    I'm currently taking this and am experiencing the above description. The naltrexone seems to curb my more addictive behavior with food and alcohol and I guess the bupropion makes me feel ok about it? I'm adding an intermittent fasting schedule along with at least two miles of walking mod pace to see if I can finally get to my Weight Loss goal :)
  • gregsbabe12
    gregsbabe12 Posts: 18 Member
    I took Phentermine for a few months years ago, then ended up with AFIB and heart palpitations, so I don't recommend that one lol Lost tons of weight though, but put it back on.
  • kshama2001
    kshama2001 Posts: 25,687 Member
    Thanks for the update!