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Phentermine

Phentermine is approved by the FDA for the treatment of obesity. It is an appetite suppressant that works on the hypothalamus to release norepinephrine, which in turn, decreases your appetite. Experts aren't sure of the exact mechanism of action, but it is proven to also increase free levels of serotonin and dopamine. It possibly also indirectly raises leptin levels in the brain, which is the hormone that tell us that we are full. 

  

Contraindications to therapy include:

  • History of cardiovascular disease (arrhythmias, CAD, uncontrolled hypertension, etc.)​

  • Hyperthyroidism

  • Glaucoma

  • Agitated states

  • History of drug abuse

  • Pregnancy/Breast-feeding

  • MAO inhibitor therapy

Do I Qualify?

Pills

Normal BMI range is 18.5-24.9. Patient must have a minimum BMI of 25 or waist circumference of 35 inches to qualify for initiation of therapy. Medication will be stopped after patients BMI returns to optimal range.

Side effects include:

  • Dry mouth

  • Dizziness

  • Headache

  • Constipation

  • Heart racing or palpitations

  • Elevated blood pressure

  • Chest pain

  • Jitteriness

  • Trouble sleeping

It is essential that all medications are used in conjunction with healthy eating, physical activity, and behavior modification.

There is no such thing as a magic pill!!!

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