Weight loss medications - choosing the right one for you
Weight loss medications can be a helpful tool for individuals struggling to lose weight through diet and exercise alone. These medications work in various ways, such as suppressing appetite, increasing metabolism, or blocking fat absorption. It is important to note that weight loss medications are typically recommended for individuals with a body mass index (BMI) of 30 or higher, or 27 or higher with weight-related conditions such as high blood pressure or diabetes. Before considering weight loss medications, individuals should consult with a healthcare provider to discuss potential benefits, risks, and proper usage. It is crucial to combine the use of weight loss medications with a healthy diet and regular exercise for long-term success.
At Eleventh House Health and Wellness, we specialize in creating individualized weight loss plans tailored to each client's unique needs. Our approach focuses on personalized care, with each client being seen by the same provider consistently throughout their weight loss journey. This continuity ensures that our clients receive the best possible guidance and support as they work towards their health goals. At Eleventh House Health and Wellness, we schedule telehealth appointments for initial consultations and follow-up appointments. Unlike other online providers, we are located in Alaska and offer services that are overseen and evaluated by the same provider. We pride ourselves on establishing a patient-provider relationship-centered environment for our clients. At Eleventh House Health and Wellness, we prioritize transparency in our pricing to avoid surprise charges for our clients. Our goal is to offer weight loss services that are not covered by insurance at a price point that is accessible to all individuals seeking to improve their health and well-being. At Eleventh House Health and Wellness, we understand the importance of appropriate follow-up care in telehealth services. Our program is designed to bring the necessary follow-up care to you in a relaxed environment, whether through telehealth consultations or through our housecall service for in-person physical exams. We are committed to ensuring that all our clients receive the comprehensive care they need, regardless of whether they choose telehealth or in-person visits.
Medications we offer
GLP-1 Semaglutide and Tirzepatide
GLP-1 agonists such as semaglutide and tirzepatide have shown promising results in weight loss management. These medications work by stimulating the GLP-1 receptor, leading to increased insulin production, decreased glucagon secretion, and delayed gastric emptying. This results in reduced appetite and caloric intake, ultimately aiding in weight loss.
Semaglutide, a once-weekly injection, has been FDA-approved for chronic weight management in adults with obesity or overweight conditions. Clinical trials have demonstrated significant weight loss in participants using semaglutide compared to a placebo.
Tirzepatide is another GLP-1 agonist that has shown efficacy in weight loss management. It works by activating the same GLP-1 receptor as semaglutide but also targets the GIP receptor, which may further enhance its weight loss effects. Tirzepatide is administered once a week and has demonstrated substantial weight loss results in clinical trials.
Both semaglutide and tirzepatide offer valuable options for individuals struggling with weight management. When used in conjunction with a comprehensive weight loss program that includes dietary modifications and increased physical activity, these medications can be effective tools in achieving and maintaining a healthier weight.
Inclusion Criteria for GLP-1 for Weight Loss:
Patients with a body mass index (BMI) of 30 or greater, or BMI of 27 or greater with comorbidities such as type 2 diabetes.
Individuals who have not achieved weight loss goals through lifestyle modifications alone.
Patients willing to commit to a comprehensive weight loss program that includes GLP-1 therapy.
Those without contraindications to GLP-1 therapy, such as history of medullary thyroid carcinoma or pancreatitis.
Exclusion Criteria for GLP-1 for Weight Loss:
Individuals with a history of hypersensitivity or serious adverse reactions to GLP-1 receptor agonists.
Patients with a personal or family history of medullary thyroid carcinoma or multiple endocrine neoplasia syndrome type 2.
Those with a history of pancreatitis or gallbladder disease.
Pregnant or breastfeeding women, as the safety of GLP-1 therapy during pregnancy is not established.
At Eleventh House Health and Wellness, we offer a comprehensive weight management workup tailored to ensure the safety and effectiveness for each individual patient. In cases where GLP-1 for weight management is not a suitable option, we have a range of alternative medication modalities available to explore.
Metformin, MICC, Naltrexone, Contrave, Sermorelin
Metformin is a medication commonly used to treat type 2 diabetes by helping to control blood sugar levels. While its primary purpose is not weight loss, some people may experience weight loss as a side effect of taking Metformin. This weight loss is typically modest and varies from person to person. It is important to note that Metformin is not a substitute for healthy eating and regular exercise when it comes to weight loss. Consulting a healthcare provider is essential before starting any medication, including Metformin, for weight loss purposes.
Inclusion criteria for metformin:
Patients diagnosed with type 2 diabetes mellitus
Individuals with a body mass index (BMI) greater than 25 kg/m^2
Those with impaired fasting glucose or impaired glucose tolerance
Patients requiring treatment for hyperglycemia
Exclusion criteria for metformin:
Individuals with kidney impairment (creatinine clearance <30mL/min)
Patients with liver disease
Those with a history of lactic acidosis
Pregnant or breastfeeding women
Individuals with hypersensitivity to metformin or its components
MICC refers to a combination of four important nutrients: methionine, inositol, choline, and cobalamin (Vitamin B12). This combination is often used to support liver health, promote fat metabolism, and aid in weight loss efforts. Methionine is an essential amino acid that helps the body process and eliminate fat. Inositol plays a role in insulin signaling and may help regulate appetite. Choline is important for liver function and fat transport, while cobalamin (Vitamin B12) is crucial for energy production and metabolism. When combined, these nutrients work synergistically to support overall health and wellness, particularly in the context of weight management and liver function. It is important to consult with a healthcare provider before starting any new supplementation regimen to determine if MICC is appropriate for individual needs.
Inclusion Criteria:
Individuals aged 18-65 years old.
Body Mass Index (BMI) of 30 or higher.
Committed to making lifestyle changes to support weight loss.
Willing to participate in regular check-ins and follow-up appointments.
Exclusion Criteria:
Pregnancy or planning to become pregnant.
History of eating disorders.
Uncontrolled psychiatric conditions.
Uncontrolled medical conditions that may be exacerbated by weight loss efforts.
Inability to engage in physical activity as deemed appropriate by healthcare providers.
Allergy to Sulfa
Naltrexone, typically used to treat alcohol and opioid dependence, has also shown promise in aiding weight loss. By targeting the brain's reward system, naltrexone can help reduce food cravings and overeating tendencies. When combined with bupropion in a medication called Contrave, naltrexone can be even more effective for weight loss. However, it's important to consult a healthcare provider before starting any medication for weight loss to ensure it is safe and appropriate for individual health needs and goa
Contrave is a prescription medication approved by the FDA for weight management in adults who are overweight or obese. It is a combination of two drugs, naltrexone and bupropion, which work together to reduce appetite and cravings while increasing feelings of fullness. This dual-action approach can help individuals achieve and maintain weight loss when used in conjunction with a reduced-calorie diet and increased physical activity. It is important to consult with a healthcare provider to determine if Contrave is a suitable option based on individual health needs and goals. Bupropion is primarily an antidepressant and smoking cessation aid, but it is also sometimes used off-label for weight management. Naltrexone, on the other hand, is an opioid antagonist often used in the treatment of alcohol and opioid dependence.
When combined, bupropion and naltrexone work synergistically to help with weight loss by targeting different pathways in the brain that control appetite and food cravings. Bupropion is believed to help reduce appetite and cravings, while naltrexone may help to curb food cravings and addictive behaviors related to food.
It is important to note that this medication combination is typically prescribed for individuals who are overweight or obese and have weight-related health conditions. As with any medication, there can be side effects and contraindications, so it is essential to consult with a healthcare provider before starting this or any other weight loss regimen.
Inclusion criteria for Contrave typically include:
Adults with a body mass index (BMI) of 30 or greater
Adults with a BMI of 27 or greater with at least one weight-related comorbidity
Exclusion criteria for Contrave often include:
Individuals with uncontrolled hypertension
Individuals with a history of seizures
Individuals with an eating disorder
Individuals undergoing abrupt discontinuation of alcohol, benzodiazepines, barbiturates, and antiepileptic drugs
Pregnant or breastfeeding women
It is important for healthcare providers to thoroughly assess patients against the inclusion and exclusion criteria before prescribing Contrave to ensure patient safety and efficacy of the treatment.
Sermorelin is a type of peptide that can be used to support weight loss efforts. It works by stimulating the production and release of growth hormone in the body, which can help increase metabolism and promote the breakdown of stored fat. By incorporating sermorelin into a comprehensive weight loss plan that includes a healthy diet and regular exercise, individuals may experience enhanced results in their journey to achieve and maintain a healthy weight. As with any weight loss supplement, it is essential to consult with a healthcare provider before starting sermorelin to ensure it is safe and appropriate for individual needs.
Sermorelin Inclusion Criteria:
Adults aged 30 years and older
Individuals with a diagnosis of growth hormone deficiency
Patients seeking treatment for age-related symptoms
Those looking to increase muscle mass and reduce body fat
Sermorelin Exclusion Criteria:
Individuals under the age of 30
Patients with active cancer or a history of cancer
Pregnant or nursing women
Persons with a known hypersensitivity to sermorelin
Individuals with acute critical illness
Eleventh House Health and Wellness Weight Loss Management Plan Process
The weight loss management plan at Eleventh House Health and Wellness consists of several key steps:
Initial Consult: During the initial consultation, patients meet with our medical professionals to discuss their health history, weight loss goals, and any concerns they may have. This is a crucial step to tailor the plan to each individual's needs.
Labwork: Following the initial consult, patients undergo labwork to assess their current health status. This may include tests to check cholesterol levels, blood sugar levels, thyroid function, and other important indicators.
Review of Labwork: Our team reviews the lab results thoroughly to understand the patient's overall health and identify any underlying conditions that may affect their weight loss journey.
Inclusion and Exclusion Criteria for Each Medication: Based on the lab results and overall health assessment, our medical professionals determine the most suitable medications for the patient. Inclusion and exclusion criteria are carefully considered to ensure the safety and effectiveness of the medications prescribed.
Motivation of Patient: Throughout the weight loss management plan, our team provides continuous support and motivation to the patient. We believe that a positive mindset and ongoing encouragement are vital for successful weight loss outcomes.
Cost: The cost of the weight loss management plan varies depending on the individual's needs, the medications prescribed, and the duration of the program. Our team will discuss all associated costs with the patient during the initial consultation.
If you're considering a weight loss journey, Eleventh House Health and Wellness is here to support you every step of the way.
At Eleventh House Health and Wellness, we understand the importance of the relationship between you and our program in achieving your weight loss goals. While medications may assist in weight loss, our approach emphasizes a holistic transformation that encompasses your mind, body, and soul. This comprehensive focus is designed to not only help you lose weight but also to support you in maintaining your overall health and wellness beyond reaching your weight loss goals. At Eleventh House Health and Wellness, our blog and community events serve as platforms to foster a supportive environment for healing and promoting the holistic health of each patient. Our goal is to bring together individuals who are dedicated to prioritizing their well-being, providing a space where they can connect, learn, and grow together on their wellness journeys. The resources and events we offer aim to empower our community members to achieve sustainable health and balance in all aspects of their lives. Join us in this collective pursuit of holistic well-being at Eleventh House Health and Wellness.