As an expert in obesity medicine, I have seen firsthand the struggles that many people face when trying to lose weight. It can be a frustrating and overwhelming journey, and sometimes, despite our best efforts, we need a little extra help. That's where weight loss medications come in. But before you start asking your doctor for a prescription, it's important to understand the different types of weight loss medications available and how they work. As a doctor, I have had many patients come to me with questions about these medications, so I've compiled a list of the most common questions you might want to ask your doctor.
What should my ideal weight be?
Before considering any weight loss medication, it's important to have a clear understanding of what your ideal weight should be.This can vary based on factors such as height, age, and body composition. Your doctor can help you determine a healthy weight range for your specific body type.
How long do you expect it to take me to reach my ideal weight?
Weight loss is a journey, and it's important to have realistic expectations. Your doctor can give you an estimate of how long it may take for you to reach your ideal weight with the help of medication. Keep in mind that everyone's body is different, so results may vary.What are the different types of weight-loss medications?
There are several types of weight-loss medications available, each with its own mechanism of action.These include appetite suppressants, fat blockers, and medications that affect hormones related to hunger and satiety.
What are the costs and insurance coverage for these medications?
Weight loss medications can be expensive, so it's important to understand the costs and whether or not your insurance will cover them. Your doctor can provide you with information on the different options and help you determine the most cost-effective choice for you.Why is it important to make lifestyle changes along with weight-loss medications?
While weight loss medications can be effective, they are not a magic solution. It's important to make lifestyle changes such as adopting a healthy diet and exercise routine in order to see long-term results. Your doctor can provide guidance on how to make these changes while taking medication. As Todd Unger, AMA's director of experience, explains, "Medications alone don't provide the lasting results you might need." It's important to view weight-loss medications as part of an overall treatment plan.What are the most common weight-loss medications?
There are several weight-loss medications that have gained popularity in recent years.These include Contrave, which is a combination of bupropion and naltrexone, and two new injectable medications: Wegovy and Zepbound. Wegovy is the sister drug of Ozempic, an injectable GLP-1 agonist, while Zepbound is Mounjaro's sister drug and acts on both GLP and GIP hormones. These medications work by suppressing appetite, reducing energy expenditure, and delaying gastric motility, making you feel more satiated.
Do I need a prescription for these medications?
Yes, a prescription is required for these weight-loss medications. It's important to follow up with your doctor regularly as there may be an adjustment period where the dosage needs to be increased or decreased. Your doctor will also monitor for any potential side effects or drug interactions.Are there any tests that can help determine if I will be successful with these medications?
While weight-loss medications can be effective for many people, they may not work for everyone.However, there are some tests that can help predict whether or not a person will see success with these medications. Your doctor can provide more information on these tests and whether or not they may be useful for you.
How do I start a conversation with my doctor about weight-loss medications?
Talking to your doctor about weight-loss medications can be intimidating, but it's important to have an open and honest conversation. Start by voicing your concerns about your weight and its impact on your overall health. Be transparent about your diet and exercise efforts, and explain why you think medication may be necessary. Your doctor will then evaluate your general health, medical history, and long-term weight-loss goals to recommend the best approach for you.They may also refer you to other healthcare professionals such as nutritionists, dieticians, and behavioral therapists to help you achieve your goals.
What if I have other health problems?
If you have other health problems such as heart disease, your doctor may need to adjust medication doses or monitor you more closely to ensure safety. It's important to be open and honest with your doctor about any other health issues you may have.Are there any long-term options for weight loss?
While weight-loss medications can provide short-term support, they are often not enough for long-term weight loss maintenance. In these cases, bariatric surgery may be a more effective option. This surgery offers longer-lasting and sustained weight loss results, especially for those who are severely overweight or have chronic health problems related to obesity.What should I keep track of while taking weight-loss medications?
It's important to keep track of your weight loss progress while taking medications.This includes noting any changes in weight, as well as any difficulties or side effects you may experience. It's also helpful to keep a record of any other weight loss methods you have tried in the past.
How effective are weight-loss medications?
According to studies, prescription weight-loss medications can cause significant weight loss compared to a placebo. On average, people who took Contrave lost 8.1% of their initial body weight, while those who took a placebo lost only 4.9%.Are there any FDA-approved medications for weight control?
The FDA has approved several medications for weight control, including semaglutide (prescribed under the brand names Ozempic, Wegovy, and Zepbound). However, it's important to remember that these medications are not a panacea and should be used in conjunction with lifestyle changes for best results.Do insurance plans cover weight-loss medications?
Many insurance plans require prior authorization for prescription weight-loss medications.It's important to check with your insurance provider to see if these medications are covered under your plan.
