Many weight loss pills are available in the market. The best prescription pill for you depends on your weight loss goals, your tolerability to the pill prescribed and your coexisting health conditions, if any.

Are you one of those who cannot shed extra pounds despite diet and exercise? Is your weight causing back pain and joint aches or worse? In these cases, your doctor may recommend a prescription weight loss drug in addition to (and not instead of) proper exercise and a balanced diet.

Many weight loss pills are available in the market. These are U.S. Food and Drug Administration (FDA)-approved for use more than 12 weeks. The best prescription pill for you depends on your weight loss goals, your tolerability to the pill prescribed and your coexisting health conditions, if any.

The most common weight loss medications tend to be appetite suppressants. Others interfere with the bodys fat absorption. What works for you might not work as well for others. Weight loss drugs can work by following methods.

Four weight loss drugs have been approved by the FDA for long-term use.

These may be used as a single agent or in combination with another medicine to reduce the adverse events or abuse potential. Belviq (lorcaserin) is another weight loss drug. As of February 2021, the FDA has requested the manufacturer to voluntarily withdraw the drug from the US market because of evidence reporting an increased cancer risk in the clinical trial.

How do these pills work?

Drugs that reduce food intake:

Common side effects include a fast heartbeat, high blood pressure, trouble sleeping, dizziness and restlessness.

Qsymia:

Drugs that alter the metabolism of food

Orlistat:

Gastrointestinal adverse effects of orlistat act similar to negative reinforcement, encouraging those on the medication to adhere to a low-fat diet.

Drugs that increase fullness or satiety

Contrave:

Saxenda:

The best treatment for a patient depends on their weight, health, risk factors and lifestyle. Some people find it difficult to adhere to the necessary lifestyle and dietary changes whereas others simply may not respond to the medication. Everyone using weight loss medication must be assessed by their doctor within six weeks to three months of starting the treatment to determine whether it is working effectively.

Medically Reviewed on 6/2/2021

References

Duke Global Health Institute

US FDA

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What Is the Best Prescription Weight Loss Pill? - MedicineNet

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Weight loss surgery, also called bariatric or metabolic surgery, is sometimes used as a treatment for people who are very obese.

It can lead to significant weight loss and help improve many obesity-related conditions, such astype 2 diabetes or high blood pressure.

But it's a major operation and in most cases should only be considered after trying tolose weight througha healthy dietand exercise.

Weight loss surgery is available on the NHS if:

Speak to a GP if you think weight loss surgery may be an option for you. If you qualify for NHS treatment, they can refer you for an assessment to check surgery is suitable.

You can also pay for surgery privately, although this can be expensive.

Read more aboutNHS and private weight loss surgery.

There are several types of weight loss surgery.

The most common types are:

All these operations can lead to significant weight loss within a few years, but each has advantages and disadvantages.

If you're considering weight loss surgery, speak to a surgeon about the different types available to help decide which is best for you.

Read more about the types of weight loss surgery.

Weight loss surgery can achieve dramatic weight loss, but it's not a cure for obesity on its own.

You'llneed to commit to making permanent lifestyle changes after surgery to avoid putting weight back on.

You'll need to:

Women who have weight loss surgery will also usually need to avoid becoming pregnant during the first 12 to 18 months after surgery.

Read more about life after weight loss surgery.

Weight loss surgery carries a small risk of complications.

These include:

Before having surgery, speak to your surgeon about the possible benefits and risks of the procedure.

Readmore about therisks of weight loss surgery.

Page last reviewed: 14 April 2020Next review due: 14 April 2023

Read more:
Weight loss surgery - NHS

We're With You at Every Step

Content

You are not alone in this journey. Our program is run by a team of specialists who are here to help you prepare for surgery, undergo a safe procedure, and maintain healthy lifestyle habits designed to ensure you achieve success.

OurBariatric SurgeonsEvaluate your overall health and help recommend a weight loss procedure that's right for you. Their years of experience performing about800 bariatric surgeries annually-- nearly 99% are minimally invasive -- ensureyou have the safest, most positive outcome possible.

Our Nutritionist and Behavioral Health ProvidersMeet with you individually and in group settings to address your concerns and recommend ways to overcome the challenges you face. We help you adopt a healthy lifestyle so you lose the weight and keep it off.

Our Nurses and Financial CounselorsNavigateyou through your insurance benefits and requirements, evaluation, and testing. Our bariatric coordinator helps in the days before and following your surgery and hospitalization.

Why Choose Duke Weight Loss Surgery

Content

We Are a Bariatric Center of ExcellenceOur weight loss program at Duke Regional Hospital is accredited as a Comprehensive Center by theMetabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP). In addition, our weight loss surgery program is recognized asby private insurance companies, including Blue Cross Blue Shield, Cigna, and Optum. We have achieved their recognition because we consistently deliver high-quality bariatric care, comprehensive services, and positive patient outcomes.

We Are Certified to Offer Bariatric Surgery to TeensDuke Regional Hospital is accredited to perform weight loss surgery in adolescents by the MBSAQIP of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery. It is the only North Carolina hospital and one of the few in the country with accreditation to offer weight loss surgery options to teens ages 14 to 18.

You May Be a Candidate for Weight Loss Procedures that Are Not Widely AvailableWe are involved in studies of new and variations on existing weight loss surgery methods that are not standard in the U.S. but show promise in research studies and other countries. We may be able to enroll you in a clinical trial for these procedures, depending on your individual condition and whether the procedure could be right for you.

Originally posted here:
Bariatric Surgery | Weight Loss Surgery | Duke Health

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