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Patients losing weight with prescription drugs, injections – WCVB Boston
BOSTON
Carolyn Mills has lost 45 pounds since December by taking the prescription diet drug Contrave.
"It's probably saving my life," she said.
Contrave is one of several new drugs that the Food and Drug Administration approved in the past few years to help patients struggling with obesity.
"The drugs work," said Dr. Caroline Apovian, director of the nutrition and weight management program at Boston Medical Center. "And they all help you lose, on average, between 5 and maybe 12 percent weight loss."
That's significant for people who are obese. Often, the hormones telling them, "I'm hungry," are too powerful. Diet and exercise alone don't seem to work.
"Most people don't see obesity as a disease," Apovian said. "And even the patient thinks, 'I can do this on my own. I can lose this 100 pounds.'"
At BMC, Apovian said patients eligible for prescription pills are at least 20 to 30 pounds overweight. They must have a Body Mass Index over 30 --- or a BMI over 27 if they have another complication.
"We have to know a lot about a patient to choose which drug to try first," she added.
For example, Apovian prescribed Qsymia for her patient Jodi Gold, a young woman without any major health issues who hoped to lose a significant amount of weight.
"Gives you really good weight loss," Apovian explained. "Could keep you up at night. Headache. Palpitations. But it's a very good drug."
Gold said she hasn't experienced any side effects since she started using the drug two years ago. In combination with diet and exercise, Gold said Qsymia has helped her lose more than 60 pounds.
"I'm able to kind of go through my day without making food a focus," she said. "So it's helped me created a different lifestyle."
Apovian said another drug, Belviq, offers more more modest weight loss, but with fewer side effects.
"So it's a great drug if you have a patient with high blood pressure or diabetes," she said.
If a patient is comfortable with needles, the drug Saxenda is a new option.
"Really good weight loss," Apovian said. "Small injection. The side effect for that is nausea."
The drug Contrave combines anti-addiction with anti-depressant medications.
"And this combination is fantastic for people who have bingeing and addictions to food like carbohydrates," she said.
Mills said Contrave is working for her. She already feels healthier and happier.
"You're just not dragging yourself around all day long going, 'When will this day be over?'," she said.
Apovian said if patients stop using the drugs, unfortunately the weight can come back, but she added that the FDA has approved most of the drugs for long-term use.
WEBVTT OR RESPONSIBILITY.IT IS STILL UNFOLDING.AND YOUR HEALTH, GETTING APRESCRIPTION TO LOSE WEIGHT.MARIA: MORE DRUGS ARE ON THEMARKET AND THE FDA SAYS THEYWORK NEWSCENTER 5'S EMILY RIEMEREXPLAINS THE OPTIONS.IT'S PROBABLY SAVING MY LIFE.>> EMILY CAROLYN MILLS HAS LOST: 45 POUNDS SINCE DECEMBER WITHTHE DIET DRUG CONTRAVE.>> THE DRUGS WORK.AND THEY ALL HELP YOU LOSE ONAVERAGE BETWEEN A 5 AND MAYBE12% WEIGHT LOSS.EMILY THAT'S SIGNIFICANT FOR: PATIENTS STRUGGLING WITHOBESITY.OFTEN, THE HORMONES TELLING THEMI'M HUNGRY ARE TOO POWERFUL.AND DIET AND EXERCISE ALONEWON'T WORK.MOST PEOPLE DON'T SEE OBESITY AS>>MOST PEOPLE DON'T SEE OBESITYAS A DISEASE, AND EVEN THEPATIENT THINKS, I CAN DO THIS ONMY OWN.I CAN LOSE THIS 100 POUNDS.EMILY AT BOSTON MEDICAL CENTER,: DR. CAROLINE APOVIAN SAYSPATIENTS ELIGIBLE FORPRESCRIPTION PILLS ARE AT LEAST20 TO 30 POUNDS OVERWEIGHT.THEY MUST HAVE A BODY MASS INDEXOVER 30, OR A BMI OVER 27 IFTHEY HAVE ANOTHER COMPLICATION.>> WE HAVE TO KNOW A LOT ABOUT APATIENT TO CHOOSE WHICH, WHICHDRUG TO TRY FIRST.EMILY FOR JODI GOLD, SHE: PRESCRIBED QSYMIA.>> GIVES YOU REALLY GOOD WEIGHTLOSS.COULD KEEP YOU UP AT NIGHT.HEADACHE.PALPITATIONS.BUT IT'S A VERY GOOD DRUG.EMILY IN TWO YEARS, JODI SAYS: SHE'S HAD NO SIDE EFFECTS, ANDWITH DIET AND EXERCISE, QSYMIAHAS HELPED HER LOSE MORE THAN 60POUNDS.>> I'M ABLE TO KIND OF GOTHROUGH MY DAY WITHOUT MAKINGFOOD A FOCUS, SO IT'S HELPED MECREATE A DIFFERENT LIFESTYLE.EMILY BELVIQ: OFFERS MORE MODEST WEIGHTLOSS, BUT WITH FEWER SIDEEFFECTS.SO IT'S A GREAT DRUG IF YOU HAVEA PATIENT WITH HIGH BLOODPRESSURE OR DIABETES.EMILY AND IF YOU'RE OK WITH: NEEDLES, SAXENDAIS A NEW OPTION.>> REALLY GOOD WEIGHT LOSS,SMALL INJECTION.THE SIDE EFFECT FOR THAT ISNAUSEA.EMILY CAROLYN'S DRUG, CONTRAVE: COMBINES ANTI-ADDICTION WITHANTI-DEPRESSANT MEDICATIONS.AND THIS COMBINATION IS>> FANTASTIC FOR PEOPLE WHO HAVEBINGING AND ADDICTIONS TO FOODSLIKE CARBOHYDRATES.EMILY CAROLYN SAYS IT'S WORKING: FOR HER.SHE ALREADY FEELS HEALTHIER, ANDHAPPIER.>> YOU'RE JUST NOT DRAGGINGYOURSELF AROUND ALL DAY LONGGOING WHEN WILL THIS DAY BEOVER.EMILY IF YOU STOP USING THE: DRUGS, YES, UNFORTUNATELY, THEWEIGHT CAN COME BACK.BUT DR. APOVIAN SAYS, MOST OFTHE DRUGS ARE APPROVED FORLONG-TERM USE.
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Patients losing weight with prescription drugs, injections - WCVB Boston
Diet Doc’s Personalized Ketogenic Diet Consultation Promotes Healthy Eating and Weight Loss Success – GlobeNewswire (press release)
May 22, 2017 01:00 ET | Source: Diet Doc
Salt Lake City, UT, May 22, 2017 (GLOBE NEWSWIRE) -- Finding a balanced diet to shed pounds in the short-run but also prevent long-term weight gain is challenging. With excessive hunger between meals, uncontrollable cravings for junk food, and lack of adequate physical exercise, millions of people find it difficult to establish and maintain a healthy diet. The prevalence of fad diets that offer immediate solutions but are neither sustainable nor healthy presents another obstacle. In practice, a balanced weight loss solution involves consistency, personal customization and professional health supervision. A healthy eating plan (consisting of nutritious foods that do not exceed ones daily calorie intake goal) should ideally be balanced with an active lifestyle and, in extreme cases, medical weight loss solutions. In general, a healthy eating plan involves:
The Keto Diet, or the Ketogenic Diet, is one example of a balanced diet that provides a healthy eating plan designed to promote weight loss by modifying the bodys utilization of the energy from food. It involves high levels of fat, moderate amounts of protein, and low amounts of carbohydrates. Generally, the human body burns carbohydrates before fats for energy; the ketogenic diet removes carbohydrates from the diet for bit so the body is forced to burn stored fat.
It must be noted that while the Keto Diet is widely praised and discourages the starvation approach that many fad diets endorse, it can still be challenging to maintain. Like any other diet, it requires consistency, customization and professional supervision to be effective. If not managed properly, the Keto Diet, like any other diet, can be unhealthy or even dangerous. Although ketone bodies are a sign of weight loss with the Keto Diet, they can also be a warning sign of serious issues like diabetes. Therefore, it is important for a medical professional to supervise any major diet.
At Diet Doc, a nationally recognized weight loss center, the unique dietary needs of each individual are considered in order to promote efficient, safe, and long-term weight loss. Instead of a one size fits all diet strategy, every Diet Doc patient receives guidance on individual diet macros (protein, carbohydrates and fats) and metabolism-boosting techniques to lose weight fast. In fact, all Diet Doc patients receive custom-designed weight loss programs and diet consulting. With a safe, doctor-supervised diet plan and guidance for life, Diet Doc patients gain the following benefits within the very first month:
For patients who struggle with portion control or emotional eating, Diet Doc offers solutions like Metwell, which helps balance metabolism and reduce appetite without harmful side effects.. Medical weight loss solutions like these, especially in combination with popular diets like the Keto Diet, have been shown to be effective when doctor-supervised and customized to an individuals dietary needs, according to Diet Doc Weight Loss Centers resident medical expert, Dr. Rao.
With a team of doctors, nurses, nutritionists and motivational coaches, Diet Doc products help individuals lose weight fast and keep it off. Patients can get started immediately, with materials shipped directly to their home or office. They can also maintain weight loss in the long-term through weekly consultations, customized diet plans, motivational coaches and a powerful prescription program. With Diet Doc Weight Loss, the doctor is only a short phone call away and a fully dedicated team of qualified professionals is available 6 days per week to answer questions, address concerns and support patients.
Getting started with Diet Doc is very simple and affordable. New patients can easily visit https://www.dietdoc.com to quickly complete a health questionnaire and schedule an immediate, free online consultation.
About the Company:
Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.
Twitter: https://twitter.com/DietDocMedical
Facebook: https://www.facebook.com/DietDocMedicalWeightLoss/
LinkedIn: https://www.LinkedIn.com/company/diet-doc-weight-loss?trk=biz-brand-tree-co-logo
CONTACT INFORMATION
Diet Doc Contact Information:
Providing care across the USA
Headquarters:
San Diego, CA
(800) 581-5038
Attachments:
A photo accompanying this announcement is available at http://www.globenewswire.com/NewsRoom/AttachmentNg/d2ac3ae4-ccb8-410b-8d64-9a03b6403e3a
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Popular weight-loss surgery linked to alcohol problems – CBS News
Within seven years of having Roux-en-Y gastric bypass weight-loss surgery, 1 in 5 developed an alcohol problem.
Getty Images/iStockphoto
After a popular type of weight-loss surgery, nearly 21 percent of patients develop a drinking problem, sometimes years later, researchers report.
The researchers followed more than 2,000 patients who had weight-loss surgery at 10 hospitals across the United States.
Over seven years, more than 1 in 5 who had Roux-en-Y gastric bypass weight-loss surgery developed a problem such as alcohol abuse or alcoholism, compared with around 11 percent of those who underwent gastric banding.
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Roux-en-Y gastric bypass is a surgical procedure that significantly reduces the size of the stomach and changes connections with the small intestine. Gastric banding, another weight-loss option, involves placing an adjustable band around the stomach to reduce the amount of food it can hold.
In recent years, Roux-en-Y gastric bypass has become more popular than gastric banding because it leads to greater weight loss, according to the study authors.
They said their findings indicate that weight-loss (bariatric) surgery patients should receive long-term follow-up to watch for and treat drinking problems.
The study results were published online May 15 in the journalSurgery for Obesity and Related Diseases.
"We knew there was an increase in the number of people experiencing problems with alcohol within the first two years of surgery, but we didn't expect the number of affected patients to continue to grow throughout seven years of follow-up," said study author Wendy King. She's an associate professor of epidemiology at the University of Pittsburgh's Graduate School of Public Health.
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"Because alcohol problems may not appear for several years, it is important that doctors routinely ask patients with a history of bariatric surgery about their alcohol consumption and whether they are experiencing symptoms of alcohol use disorder, and are prepared to refer them to treatment," King said in a journal news release.
The study doesn't actually prove that Roux-en-Y leads to alcohol abuse. However, other studies have shown that compared to banding, it's associated with higher and quicker elevation of alcohol in the blood, the researchers said.
Moreover, some animal research has suggested that Roux-en-Y may affect areas of the brain associated with reward, possibly increasing alcohol reward sensitivity, the researchers noted.
Although Roux-en-Y gastric bypass patients were nearly four times more likely than gastric banding patients to say they'd received treatment for substance abuse, few study participants said they'd undergone such treatment, the researchers found.
Overall, 3.5 percent of the Roux-en-Y patients reported getting substance abuse treatment, far less than the nearly 21 percent who reported alcohol problems.
"This indicates that treatment programs are underutilized by bariatric surgery patients with alcohol problems," King said. "That's particularly troubling, given the availability of effective treatments."
2017 HealthDay. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.
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Popular weight-loss surgery linked to alcohol problems - CBS News
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Quick weight loss diets linked to long term heart issues – KWTX
Waco Medical surveys show a correlation between quick weight loss diets and long term heart damage.
Summer is almost here, and some may be looking for last minute ways to shed unwanted weight, but studies show many trendy diets yo-yo weight, sometimes causing long term damage to the heart and other organs.
It took you years to put this weight on, its not going to come off in five minutes, Nurse Tracy Kramer said.
Every day I can guarantee you, I have a patient that comes in wanting to lose weight and needs to lose it fast, Kramer said.
They're tired of being big and they want the magic pill or the magic shot to get it done, and the really isn't one
She said dramatic weight loss from unhealthy diets causes long term heart damage, increases cholesterol, improves your chances for developing diabetes and even could result in you gaining extra weight in the future.
Kramer recommends traditional weight loss methods.
Small portions, portion control, doing exercise 30 minutes a day where you get your heart rate up and having a calorie intake of around 1200 a day, Kramer said.
Doctors also recommend replacing sugary drinks with fruit infused water.
Kramer also recommends getting a partner to keep your workouts and diet on track.
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Quick weight loss diets linked to long term heart issues - KWTX
There’s surprising new demand for a type of medical specialty that never existed before – LifeZette
Americas obesity epidemic has created a new specialization in medicine the primary care physician with obesity specialization. But will it deliver on promises to improve health care for the overweight patient?
Research shows that highly restrictive dieting hasnt solved obesity; over 95 percent of dieters regain the lost weight. Long-term weight loss requires a comprehensive lifestyle change that patients may not be willing or able to make, or they might simply need the guidance of a primary care physician who has experience in supporting the overweight patient in every aspect of hishealth.
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The American Medical Association reclassified obesity as a disease in 2013, paving the way for more attention to obesity. The need for a PCP-obesity specialist emerged from the lack of attention general primary care physicians give the condition.
One-third of Americans are obese and 60 percent are overweight. Of the obese population, only one-third are told they are obese by general PCPs, who often spend less than 10 minutes with their patients. Annual health care costs for obese patients is $190 billion.
Overweight patients have so many complications with multiple health and organ systems, Dr. Dyan Hes, medical director of Gramercy Pediatrics, told LifeZette. There is no system that obesity does not effect. Obesity doctors are trained to see the nuances or small changes, sometimes before other doctors see it or it becomes a full-blown problem.
Patients have long contended their doctors either ignore their weight or blame every situation on it.
Obesity is linked to heart disease, diabetes, high blood pressure, high cholesterol, cancer, stroke, breathing and sleeping issues, skin problems, arthritis, andorgan damage to the gallbladder, kidneys, liver and colon.
Proponents argue the emergence of the PCP-obesity specialist will destigmatize obesity and allow doctors to educate patients and intervene earlier, especially with children who are overweight.
Critics who believe obesity is the result of choice and poor lifestyle say the reclassification of obesity as a disease will give patients an excuse and allow them to eschew responsibility for their behavior. They also argue it drives greater health care costs because it promotes expensive surgeries and pharmaceutical drugs aimed at obesity.
Obesity specialist Dr. Adrienne Youdim, an associate clinical professor of medicine at UCLA David Geffen School of Medicine, disagrees.
Obesity drives up health care costs, she told LifeZette. Patients have more complications and medication use from their illnesses. Cancer patients who are obese are more likely to die from the cancer. Also hospitalized patients tend to have prolonged hospital stays.
Youdim also notesthatwhen patients do lose weight, their needs change rapidly. Medication dosage, insulin use, and responses to treatments need to be monitored more aggressively than the patient maintaining a steady weight.
Patients have long contended their doctors go to two extremes in working with them, either ignoring their weight completely or blaming every situation on their weight.
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Jane Eiden (not her real name), of Iowa City, Iowa, believes the PCP-obesity change is positive. She manages diabetes, high blood pressure and high cholesterol and says she receives highly contradictory information from doctor to doctor. She also spends a great deal of time telling one doctor what another recommended.
Im way past worrying about losing weight, she told LifeZette. At age 65, Ive been to nutritionists, counselors, and exercise trainers with no weight loss for more than a few months. Now, I need to focus on keeping these conditions at bay for the best quality of life I can have.
Obesity specialists undergo sensitivity training aimed at helping them establish compassionate relationships with their patients, as well as training in nutrition, exercise science, and behavioral coaching. The American Board of Obesity Medicine certifies physicians as obesity specialists.
"Doctors seem more likely to blame any and all health problems on weight," Cynthia Moeser of Dallas, Texas, told LifeZette. She experienced excruciating neck pain, and a young student doctor suggested it was weight-related. She pointed out her problem wasn't in her knees, which might have been impacted by weight, but he continued to blame her weight.
As to the question of the effectiveness of obesity PCPs, she feels patient choice is a key to acceptance of the new trend. "If I were forced to go to an obesity doctor, it would feel shaming. If it was my choice, it wouldn't be shaming."
Pat Barone is a professional credentialed coach and author of the Own Every Bite! bodycentric re-education program for mindful and intuitive eating.
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Long-Term Weight Loss: It Took 10 Years Of Focus For This Woman To Lose 190 Pounds – Huffington Post Canada
Who: Jennifer Noyes Occupation: Homemaker City: Thunder Bay, Ont. Age: Age 42
By The Numbers: 386.7 pounds at my heaviest. I currently weigh 196.5 pounds for a total weight loss of 190 pounds. I am 5'6".
The Weight Gain: I have been overweight my entire life. I weighed 200 pounds when I was 12 years old. Being teased a lot in school, I tried starving myself or only eating a couple of crackers a day, but the weight kept creeping up.
Final Straw: After hearing a hurtful comment from a family member, I cried for weeks and came to the realization that I wasn't leaving the house for fear of running into people I know. I was unable to walk a few steps without having a hard time breathing. I needed to be there for my children, I needed to be around to watch them grow up. I knew deep down inside that I needed to change.
The Plan of Attack: I decide to rejoin TOPS (Take off Pounds Sensibly), as the weekly weigh-ins and informative meetings helped keep me accountable. My weight loss took 10 years, as I averaged losing roughly 20 pounds a year.
I started to cut back on portion sizes and I made healthier choices when it came to food. I traded in full-fat foods for lower-fat foods but never deprived myself of anything. I just ate in moderation.
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