Medication Management for Obesity

Medications can help treat obesity—but they’re not the whole plan. Our clinicians use FDA Approved medicationswhen appropriate, monitor safety closely, and combine them with nutrition, activity, and behavioralsupport so results are safer and more sustainable.

When We Consider Medication

• After a comprehensive medical evaluation
• When health risks, prior history, and preferences suggest medication could help
• When potential benefits of anti-obesity medications outweigh risks and fit with your overall plan of continued obesity on your health.
• When we can pair medication with nutrition, movement, sleep, and behavioral support

We’ll discuss expected benefits, common side effects, alternatives (including no medication), andmonitoring steps so you can make an informed choice.

Options We May Discuss (examples)

• GLP‑1 receptor agonists and dual‑incretin agents (e.g., semaglutide, tirzepatide)
• Naltrexone/bupropion
• Phentermine/topiramate
• Lisdexamfetamine

Specific medications, dosing, and timing are individualized. Some options are not appropriate withcertain medical conditions or other prescriptions. We use FDA‑approved therapies and follow currentclinical guidance.

Safety & Monitoring

• Review of medical history, potential contraindications, and drug interactions
• Baseline measurements and labs as indicated
• Titration schedules tailored to side‑effect tolerance
• Follow‑up every 4–6 weeks initially to assess response and adjust the plan
• Guidance on nutrition, hydration, and movement to support tolerance and outcomes

Protecting Lean Mass & Metabolic Health

• Adequate protein intake and resistance training plan
• Body composition monitoring
• Sleep, stress, and recovery strategies
• Avoiding overly aggressive calorie deficits

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Coverage, Access & Affordability

• We’ll help you understand potential insurance coverage and prior authorization requirements.
• If coverage is limited, we’ll discuss alternatives.
• We do not recommend non‑approved or unsafe sources. Your safety comes first.

Tapering, Switching, or Stopping

If you stop a medication, appetite and weight may change. We design a maintenance plan—includingnutrition, activity, sleep, and behavioral strategies—to reduce the risk of weight regain. We’ll alsodiscuss whether an alternative therapy or adjusted dose is appropriate.

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Question

Are GLP‑1 medications right for me?

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Answer

It depends on your health history, goals, and preferences. We’ll review options and decide together.

Question

What side effects should I expect?

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Answer

Common effects vary by medication and dose. We’ll give you practical steps to improve tolerance andknow when to contact us.

Question

How long would I need to take medication?

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Answer

Obesity is a chronic condition; some people benefit from longer‑term treatment. We reassess at regularintervals and make a plan that fits your health and life.

Question

Is compounded medication an option?

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Answer

We do not prescribe compounded GLP-1s, which were banned by the FDA due to safety concerns. Our treatment is evidence based and grounded in scientific and real-world clinical studies.

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