Shedding Pounds with Prescription Medications: A Beginner's Guide

image
Dr. Jeremias Rafael Duarte Military Health Care Provider Atlanta, GA

Jeremias R. Duarte, D.O. is a top general practice physician in Atlanta, GA. He has been practicing medicine for over 5 years and is deeply committed to providing quality care to his patients. With a passion for the field and an unwavering commitment to his specialty, Dr. Duarte is an expert in changing the lives of their... more

Everyone understands how challenging it can be to lose weight. Many of us struggle with our weight at some point in our lives, and it can be frustrating when traditional methods like diet and exercise don't seem to work. However, prescription medications for weight loss can be a helpful tool in shedding pounds and improving overall health. In this beginner's guide, I'll provide an overview of prescription medications for weight loss, including their benefits, risks, and how to use them effectively.

Firstly, it's important to understand that prescription medications for weight loss are not a quick fix or a magic pill. They work best when combined with a healthy diet and regular exercise routine. Additionally, they are typically only prescribed for individuals with a body mass index (BMI) of 30 or higher, or for those with a BMI of 27 or higher who have weight-related health conditions like diabetes or high blood pressure.

There are several different types of prescription medications for weight loss, and they work in different ways. The most commonly prescribed medications are appetite suppressants, which work by reducing hunger and making it easier to stick to a calorie-restricted diet. Some common appetite suppressants include phentermine, naltrexone, diethylpropion, semaglutide, and liraglutide, to name a few.

Phentermine

Phentermine is a medication that works by suppressing appetite and increasing the body's metabolism. It is typically prescribed for short-term use in individuals with obesity or overweight who are also engaging in a healthy diet and exercise program. Phentermine works by stimulating the release of neurotransmitters in the brain that signal a feeling of fullness, which can help individuals to eat less and reduce their calorie intake. Additionally, phentermine stimulates the body's production of adrenaline, which can increase metabolism and energy levels. However, it's important to note that phentermine can cause side effects like dry mouth, insomnia, and increased heart rate, and it should only be used under the supervision of a healthcare provider.

Liraglutide

Liraglutide is a medication that works by mimicking the effects of a hormone called glucagon-like peptide-1 (GLP-1) in the body. GLP-1 is a hormone that is released in response to food intake and helps to regulate blood sugar levels and appetite. Liraglutide works by activating GLP-1 receptors in the brain, which can help to reduce appetite and food intake. Additionally, liraglutide can slow down the rate at which the stomach empties, which can help individuals feel full for longer and reduce their calorie intake. Liraglutide is typically prescribed for individuals with a body mass index (BMI) of 30 or higher or those with a BMI of 27 or higher who also have weight-related health conditions like high blood pressure or type 2 diabetes. It's important to note that liraglutide can cause side effects like nausea, vomiting, and diarrhea, and it should only be used under the supervision of a healthcare provider.

Orlistat

Another type of weight loss medication is fat blockers, which work by preventing the absorption of fat in the digestive system. These medications, like orlistat, can cause gastrointestinal side effects like diarrhea and gas and are typically only prescribed for short-term use. These medications block an enzyme called lipase, which is responsible for breaking down fat in the food we eat. By blocking lipase, fat blockers prevent the body from absorbing some of the fat we consume, which can result in weight loss. However, it's important to note that fat blockers can cause gastrointestinal side effects like diarrhea and gas, and they are typically only prescribed for short-term use. Additionally, it's important to maintain a healthy diet and exercise routine while taking fat blockers, as they are not a magic pill and work best when combined with lifestyle changes.

Naltrexone

Naltrexone is a medication that is typically used to treat opioid and alcohol dependence, but it has also been found to have potential for weight loss. Naltrexone works by blocking the effects of endorphins, which are chemicals in the brain that are associated with pleasure and reward. By blocking endorphins, naltrexone can help to reduce cravings for high-calorie foods and decrease overeating. Naltrexone is often combined with bupropion, which is another medication that can help to reduce appetite and increase metabolism. Together, these medications can help individuals to achieve and maintain weight loss.

Liothyronine

Finally, there are medications that work by increasing the body's metabolism, like the medication liothyronine. These medications are typically only prescribed for individuals with an underactive thyroid gland, which can slow down metabolism and lead to weight gain. Medications that work by increasing the body's metabolism are typically prescribed for individuals with an underactive thyroid gland, which can slow down metabolism and lead to weight gain. These medications, like liothyronine, work by increasing the levels of thyroid hormones in the body, which can help to boost metabolism and increase energy levels. However, it's important to note that these medications are not typically prescribed for weight loss alone and are only prescribed for individuals with an underactive thyroid gland. As with any prescription medication, there are potential side effects and risks associated with using medications that increase the body's metabolism, so it's important to speak with your healthcare provider to determine if they are a good fit for you.

Lorcaserin

Lorcaserin is a medication that works by activating serotonin receptors in the brain. Serotonin is a neurotransmitter that is involved in regulating mood, appetite, and other bodily functions. By activating serotonin receptors, lorcaserin can help to reduce appetite and increase feelings of fullness, which can lead to reduced calorie intake and weight loss. Lorcaserin is typically prescribed for individuals with a body mass index (BMI) of 30 or higher or those with a BMI of 27 or higher who also have weight-related health conditions like high blood pressure or type 2 diabetes. However, it's important to note that lorcaserin can cause side effects like headache, nausea, and dizziness, and it should only be used under the supervision of a healthcare provider. As with any weight loss medication, it's important to combine lorcaserin use with healthy lifestyle habits for long-term success.

Important Notes

It's important to note that all prescription medications for weight loss come with risks and potential side effects. These can include nausea, vomiting, constipation, dry mouth, and increased heart rate. In some cases, these medications can also be habit-forming, so it's important to take them only as prescribed and under the supervision of a healthcare provider. If you're interested in using prescription medications for weight loss, it's important to speak with your healthcare provider to determine if they are a good fit for you. Your healthcare provider will evaluate your overall health, including any underlying medical conditions, and help you determine which medication, if any, is right for you. In addition to medication, it's important to make lifestyle changes like adopting a healthy diet and exercise routine. A registered dietitian can help you develop a healthy eating plan, and a personal trainer can help you develop an exercise routine that's tailored to your fitness level and goals.

Overall, prescription medications for weight loss can be a helpful tool in shedding pounds and improving overall health. However, they are not a quick fix or a magic pill, and they come with risks and potential side effects. If you're interested in using prescription medications for weight loss, it's important to speak with your healthcare provider to determine if they are a good fit for you and to use them only as prescribed and under the supervision of a healthcare provider. With the right approach, a healthy lifestyle, and the support of your healthcare team, you can achieve your weight loss goals and improve your overall health and well-being.