Drop the weight that is weighing you down.

   Wegovy (semaglutide)

• GLP-1      agonist, weekly self injections
• suppresses      appetite by stimulating neurons within the arcuate nucleus of the      hypothalamus in the brain; helps you stay full longer
• decreases      excessive glucose production from the liver, delays gastric emptying
• estimated      15% weight loss when combined with lifestyle modifications, with more than      half of patients losing more than 15%

Zepbound (tirzepatide)

• the      most recently approved option, has been around for diabetes for a while
• combination      of a GLP-1 and GIP agonist
• 18%      weight loss based on trials, which is the most effective option on the      market

Saxenda (liraglutide)

• also      a GLP-1 agonist, daily injection
• same      mechanism of action as Wegovy, but has been around longer
• not      quite as much weight loss compared to Wegovy based on studies but still      more weight loss than most other available options

Qsymia (phentermine/topiramate)

• oral      pill, combo of the stimulant phentermine and migraine/anti seizure-med      topiramate
• decreases      appetite
• potential      medication interactions and have to be careful with certain underlying      medical conditions
• can      cause birth defects if taken during pregnancy so birth control is      extremely important

Contrave (buproprion/naltrexone)

• oral      pill, combo of the depression medication bupropion and naltrexone, which      helps potentiate bupropion's action
• decreases      appetite
• potential      medication interactions and have to be careful with certain underlying      medical conditions

Phentermine (3 mo)

• oral      stimulant, can be used by itself
• only      the 3 mo course is FDA approved
• decreases      appetite
• potential      medication interactions and have to be careful with certain underlying      medical conditions

  Metformin

• cheap,      oral option classically used for diabetes or prediabetes
• may      cause GI side effects
• helps      with PCOS and insulin resistance

Topamax (topiramate)

• cheap,      oral option, decreases appetite
• can      cause fatigue, which may help with insomnia
• should      not be used with a history of glaucoma, kidney stones, or certain kidney      issues
• can      cause birth defects if taken while pregnant

phentermine (>3 mo)

• can      use >3 mo at a time off label
• caution      with significant anxiety or BP issues
• controlled      medication
• suppresses      appetite

Wellbutrin (bupropion)

• classically      used for depression or smoking cessation
• can      suppress appetite, but could worsen anxiety and raise BP
• avoid      w/ seizure history or certain eating disorders

naltrexone

• does      not contribute to weight loss by itself but can be added to bupropion to      enhance its appetite suppressing benefit 
• should      not be taken with opiod pain medications

Methionine Inositol Choline (MIC) B12 injections are blended nutrients that target fatty deposits in your body, resulting in increased energy and heightened metabolism to aid in weight loss.

• Methionine is an essential amino acid that helps the liver break down fats, lowers cholesterol, relieves fatigue and relieves allergies by lowering histamine.
• Inositol is a B vitamin that helps the liver break down fats, lowers cholesterol, and regulates mood and appetite
• Choline is an essential nutrient that helps the liver break down fats and rid the body of toxins.
• B12 is a vitamin that boosts energy, increases the metabolic rate, assists in the burning of stored body fat, detoxifies the body, and regulates sleep, mood and appetite.

Potential Benefits of MIC/B12 injectable:

• Weight Loss
• Increased Metabolism
• Improved Liver Detoxification
• Better sleep
• Better and Stronger Hair
• Increased Energy
• Improved Mood

                                                    MIC/B12 Intramuscular shot $45