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8 Secrets to Finding  Best Weight Loss Pills for You

Weight Loss Pills- there is no “best weight loss pill” just like there is no “best golf club”  or ” best automobile.” Every  individual has different reasons for their weight gain and different responses to different medications. Each medication works on different areas of the brain to control appetite and cravings. However, there are many factors to guide  you and your physician  when deciding on the best prescription weight loss medications for you:

  Importance of FDA Approval for Weight Loss Pills:

Currently 2/3 of adult and 1/3 of children in the US are overweight or obese. Therefore there is great pressure on the healthcare community—physicians and pharmaceutical companies alike to develop new effective and safe treatments. The heart of all FDA’s medical product evaluation decisions is a judgment about whether a new product’s benefits to users will outweigh its risks. No effective product is totally risk or side effect free, so these judgments are important. FDA reviews the results of laboratory, animal and human clinical testing done by companies to determine if the product they want to put on the market is safe and effective. The average new medication takes more than 10 years and 10,000 or more test subjects to obtain FDA approval. When they are approved, all most all become DEA controlled substances.

Classification of Diet Medication

The DEA classifies these drugs into Class I, II, III, IV and V. Qsymia and Belviq are in Class IV drugs meaning there is little to no abuse or dependency potentials. A cough medicine with small amounts of codeine would fall under Class V, while narcotic pain medications are in Class II.

Do I Qualify for Weight Loss  Pills

Weight loss pills are all medications requiring a  prescription from a physician.  Weight loss drugs may be an option for you if you:

1.  Seriously obese (BMI 30 or more)

2.  Overweight with serious health risks, such as high blood pressure, type 2 diabetes, or high cholesterol (BMI > 27) and cannot control your weight with diet and exercise alone.

3.  Sleep apnea, severe arthritis, and even depression exist.

These BMI thresholds reflected a recommendation that individuals be treated when their body weight was at least 20% above “desirable weight” based on Metropolitan Life Insurance data from 1983. A BMI of ≈27 for men and women corresponded to being 20% above desirable weight and was associated with increased risks for hypertension, hypercholesterolemia, and diabetes mellitus, as well as premature death.

 Diet Pill Options  for Weight Loss in Miami, 33143

The FDA has tightly regulated the drug marketplace for weight loss medications. The vast majority of medications are not only prescription drugs but also DEA controlled drugs:

1.There are NO FDA approved weight loss medications in over-the-counter (OTC) or supplement medication group.

2.There is only a single approved nonprescription medication for weight loss. This is Alli (Orlistat). Unfortunately it is not very effective. Orlistat (prescription strength of Alli, called Xenical) and Contrave are the only prescription medications that are FDA approved that are not DEA controlled drugs.

3.DEA controlled, prescription medications include the older medications diethylproprion, phentermine and phendimetrazine and the new medications: Qsymia and Belviq. (Contrave is a prescription medication that is not DEA controlled drug.)

Phentermine and Phentermine-Like Appetite Suppressors

Phentermine based weight loss pills have been on the market since 1959 with good success. Adipex, Ionamin and Fastin are the brands. They range from 15 mg to 37.5 mg per day. They are taken once a day usually in the morning. A new form of phentermine, Lomaira was released a few months ago.It is an immediate release, low dose at 8 mg. It is the only form of phentermine taken 2-3 times a day before meals. Its idea for people overeating at dinner and in the evening.

How to Determine Best Weight Loss Pills for You

Many factors go into the process at deciding which medication might be “right” for you. Assuming your weight and/or medical problems indicate the possible need for these medications, your medical history is the first place to start. This includes current medical problems, medications, past history of medical problems, and previous reactions to medications. Here are the reasons for you to exclude one or more of these medications:

1. Medical history that excludes use of prescription weight loss drugs: uncontrolled hypertension, heart failure, history of cardiovascular disease (heart attacks, TIA’s, strokes) terminal cancer, hyperthyroidism, some cases of glaucoma.

2. Concurrent medications that excludes all 3 drugs – (Qsymia, Belviq and Contrave) include: MAO inhibitors, seizure medications, history of allergy to any of these medications, or currently taking similar medication or one of the two components in Qsymia or Contrave.

3. Concurrent Medications that excludes a single drug:  Belviq,  Qsymia  or Contrave:

     A. Concurrent Medications Restricting Belviq Only:

          Depression and cough medications: lithium, buproprion (Aplenzin, Forfivo, Wellbutrin,


          Medications for erectile dysfunction: Viagra, Cialis, Levitra

           Medications for migraine headaches: almotriptan (Axert), eletriptan (Relpax), 

           Medications for pain:  vicodan, hydrocodone, oxycodone and other opioids, 

   B. Concurrent medications restricting Qsymia  only:  Dilantin.

   C. Concurrent medications restricting Contrave:  SSRIs, methadone, and  opioid pain

4. Past History of Successful Weight Loss Attempts with a Weight Loss Medication,
or Unpleasant Side Effects:

 Often ignored are your past attempts at weight loss whether successful or not with medications or unpleasant side effects when taking components of some of these new medications for other medical problems. Since the “older” weight loss medications—diethylproprion and phentermine have been on the market for more than 35 years, and the components of Qsymia and Contrave almost equally long, past responses both positive and negative can help you decide what new or old medication might be of assistance today.

Successful weight loss in the past with phentermine or diethylproprion might suggest trying these medications again at higher or lower doses or trying Qsymia. If you have been treated with buproprion (same as Wellbutrin) for anxiety or depression and noted weight loss you might consider Contrave. If you responded well to Zypan (a version of buproprion) and stopped smoking, you might also consider Contrave.

On the other hand if you have taken topiramate or phentermine (Qsymia components) or buproprion or naltrexone (Contrave components) for either weight loss or some other medical problem and have had unpleasant side effects then trying Qsymia or Contrave, or even the older phentermine alone, would be a poor choice. Belviq might be the best choice in that case.

5. Your Age and Gender Often Help You Decide the Best Weight Loss Pill:

 Overweight and obese younger people (teens to mid-twenties – males and females) and men who require weight loss medications and have never taken any of the older weight loss medications in the past seem to do better when they take the lowest dose medications in a single dose early in the morning. Older teens and men respond well to low dose phentermine or Tenuate especially when the dosing is early in the morning and only once a day.

6. Your Tolerance (or Intolerance) for Side Effects Helps Determine Your Best Weight Loss Pill:

All of these medications have some side effects. Most are transitory and mild. However,everyone responds differently and side effects are unpredictable. In addition, everyone has a different tolerance for side effects. In general, Qsymia has the most side effects and at the same time is probably the most effective. Contrave has fewer side effects. Side effects fall into several groups:

          * Insomnia, stimulation, anxiety: Typical of the older drugs like phentermine. Less frequent with diethylproprion. Not a problem with Lomaira 8mg.

           *Somnolence and fatigue: Not seen in the older weight loss drugs. Most commonly experienced with Qsymia

          *Tingling of fingers, memory problems: Seen only Qsymia because of the topiramate component.

          *Gastrointestinal, including nausea and rarely vomiting: Only in Contrave due to the naltrexone component.

          *Headache: Can be seen in all of the medications. Usually transient and tolerable. Responds to extra strength Tylenol.


 7. Your Eating Patterns Help Determine the Best Weight Loss Medication:


different types of eating patterns

You may be overeating for many reasons, often trying to analyze what, when, and how much you eat can help you decide on the best treatment. Here are several types of eating patterns and the medication that might be the best to consider:

*Compulsive Over-eater

A compulsive over eater is an individual who compulsively eats but does not purge and usually becomes overweight. The over eater may eat three meals a day plus frequent snacks. He or she thinks of food all day long and may overeat continually throughout the day rather than consume large amounts of food during intermittent binges. Tends to get stuck on the thought of food and feels compulsively driven. Tends to be a night time eater. Typically claims to have no control over food. Often they worry and have difficulty falling asleep. Has been associated with low levels of serotonin. Caffeine and older diet pills often make them anxious. Often do well on Qsymia (as long as they can take the phentermine component) or Belviq.

* Impulsive Overeating

An impulsive eater has poor impulse control and reaches for food often when he or she is not hungry and without thinking. They do well when they see healthy foods but have a hard time controlling urges when exposed to unhealthy foods. Often seen in untreated ADD. Great difficulty adhering to a diet plan. Will reach for the last piece of cold pizza slowly because it’s in front of him. It’s usually unhealthy food impulsive eaters reach for. The impulsive eating can occur day or night and is often unpredictable. Can do well with phentermine, diethylproprion, or Qsymia. Serotonin drug like Belviq may not be as effective.

*Sad, Emotional, Anxious, or Depressed Overeating

Over-eaters with these emotional problems often overeat to calm down, because they are depressed or sad. They often have depression and low self esteem. They will have feelings of negativity and hopelessness. Do best with Contrave because of the effect of buproprion on depression. Belviq might also help when there are serious portion control problems as well.Medications working on serotonin in the hypothalmus of the brain seem better for this problem.

Best diet pill may be Belviq ncreases brain serotonin


 *Overeating is Associated with High Alcohol Consumption

Over eaters that are drinking 2 or more alcoholic drinks daily or almost daily can do very well with Contrave. This is especially true if there are elements of compulsive behavior and depression and if the alcohol triggers increase appetite and lowering of inhibitions.  The centers in the hypothalmus that control alcohol and food (especially carb) cravings are very close together.




 Differences Among Weight Loss Medications

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 Want to Read More About These Medications?


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Read Dr Lipman’s New Book: Contrave, Belviq or Qsymia: 

5.0 out of 5 stars   –A Smart Look At Some New Medications

By D Roberts on May 19, 2015

“Contrave, Qsymia or Belviq: Which is the Best New Medication? Is loaded with insight and a clear to understand direction to the secrets behind unlocking permanent weight loss. I really liked how sharp and clear Doctor Lipman is throughout the entire book. You have to keep up with what he is going over, but you never feel lost. I had been considering bypass surgery, but due to some health issues started to see a lot of weight loss. After a year, and sixty-five pounds in weight loss, I am always looking to be informed about all the key tools and aids that can help, I don’t want to gain any back. I hope everyone reads up on all the new FDA approved medications, there are thousands of people that need to improve their health and get their weight under control. It was encouraging to see the breakthroughs and better understanding of the different receptors that produce fullness, a sense of being satisfied, and the interworkings of cravings and how to reduce and control them. I also really liked all that is covered with each medication regarding the side effects, really helps you zero in on what might have the best results. A wonderful read, information that you can start to take action from and move forward with a clear understanding”.