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Weight Loss Medication

Weight loss medications are prescription drugs that help control your appetite and food cravings. Some medications also help you feel fuller sooner. Some people who take these medicines report less 鈥渇ood noise鈥 in their brains. Thinking about food less often can make it easier to eat less and make healthier food choices.  

Feeling less hungry helps you eat fewer calories. This leads to weight loss. Some medications also help decrease cravings. You鈥檙e less tempted to eat fatty, salty, sweets or high-calorie foods if you have fewer cravings. This is especially helpful if you deal with emotional eating or compulsive eating.

You may qualify for weight loss medication based on your age and body mass index (BMI):

  • BMI above 27 with a weight-related condition such as insulin resistance, type 2 diabetes, or high blood pressure 

  • BMI above 30 with or without a weight-related condition

Some of the medications aren鈥檛 suitable for those under 18. Your provider will help explain what treatment is best for you.

Find an Obesity Medicine Specialist

Comprehensive Medical Weight Management

U of U 人妻中出视频 specialist teaches arm exercises to a weight management patient
An exercise physiologist guides a U of U 人妻中出视频 weight loss patient through arm exercises.

Obesity medicine specialists at 人妻中出视频 of Utah 人妻中出视频 understand the complex causes of weight gain. Anything from your genetics to your environment and stress levels can affect your weight. Even certain medications and health conditions may cause weight gain. 

We know how difficult weight management can be. We鈥檙e here to help you get to the root cause of why you鈥檝e gained weight鈥攁nd what to do about it. Together, we鈥檒l build an individualized plan and work to achieve your weight loss goals.  

Our team offers all the necessary tools to help you lose weight. We also work with you to make lasting changes in your life and health. You will have access to a comprehensive team: 

  • Registered dietitians鈥擸ou鈥檒l join a class with the registered dietician to review our program鈥檚 dietary recommendations. Then, you can meet one-on-one with the registered dietitian to create a nutrition plan for your individual needs. 

  • Exercise physiologist鈥擳his specialist offers both one-on-one and group appointments. They will perform body scans and check how many calories your body burns at rest. They鈥檒l create individualized exercise plans and help you learn to exercise safely and more effectively. 

  • Psychologist鈥擳hese experts specialize in dysfunctional relationships with food, eating behaviors, and binge eating. They offer compassion-based group therapy, intuitive eating guidance, and one-on-one therapy.

  • Sleep medicine provider鈥擜 sleep medicine provider helps if you鈥檙e at risk for, or have, obstructive sleep apnea. This provider coordinates sleep testing to diagnose sleep apnea. They also help you adjust to using a continuous positive airway pressure (CPAP) machine. CPAP is a common treatment for sleep apnea. 

  • Liver specialist鈥擜 liver specialist cares for you if you鈥檙e at risk for, or have, liver disease. They offer noninvasive testing that checks for liver scarring.

  • Cardiologist鈥擶e also work closely with cardiologist colleagues to care for patients with heart failure and cardiac conditions.

"We understand the difficulties of weight loss, and we鈥檙e here to support you though your weight loss journey."

鈥 Juliana Simonetti, MD

Weight Loss Pills

Your provider may prescribe medications you take by mouth: 

  • Phentermine鈥擳his drug helps suppress your appetite. Patients have been using it for weight loss since the 1970s. The Food and Drug Administration (FDA) has approved a low dose of phentermine (15 milligrams) combined with topiramate (Topamax庐) for long-term use. This drug combination is called Qsymia庐. You may also take 8 milligrams of phentermine in a drug called Lomaira鈩. 

  • Topiramate鈥擳his drug helps manage cravings and reduces binge eating. You often take it along with phentermine. Topiramate is an anticonvulsant, which means it helps treat seizures. In lower doses, it can also treat migraines and binge eating. 

  • Naltrexone/bupropion鈥擳his is a combination pill known as Contrave庐. Higher doses of naltrexone (Revia庐) typically treat alcohol or substance addiction. Bupropion (Wellbutrin庐) typically treats depression. These two medicines work together to lower your appetite and control cravings.

Weight Loss Medication Injections

You may take weight loss medication as an injection. Injectable medications have treated diabetes for years, and some now treat obesity. Most of the injectable medications are GLP1 and GIP receptor agonists, which mimic hormones that manage hunger, insulin, and digestion. They help you feel fuller, lower your appetite, and reduce your cravings. They also lower blood sugar in people with diabetes. Some may also help prevent heart attack and stroke or improve conditions such as sleep apnea and fatty liver disease. 

  • Liraglutide (Saxenda庐, Victoza庐)鈥擳his is a GLP1 receptor agonist that treats overweight and obese patients who are 12 years and older. It was the first injectable medication approved for weight loss back in 2014. This is a daily injection. Saxenda庐 and Victoza庐 are the same medication. However, Victoza庐 treats diabetes and Saxenda庐 treats obesity.

  • Semaglutide (Wegovy庐, Ozempic庐)鈥擳his is a GLP1 receptor agonist that treats overweight and obese patients who are 12 years and older. This is a weekly injection. Recent studies show that it can treat fatty liver disease and lower risk of heart attack and stroke. Wegovy庐 and Ozempic庐 are the same medication. However, Ozempic庐 treats diabetes and Wegovy庐 treats obesity. 

  • Tirzepatide (Zepbound鈩, Mounjaro庐)鈥擳his is a GLP1/GIP receptor agonist that treats overweight and obese patients who are 18 years and older. This is a weekly injection. Recent studies show that it can treat sleep apnea and reduce heart failure risk. It helps you feel fuller, lowers your appetite, and decreases food cravings. It also lowers blood sugar in people with diabetes. Zepbound鈩 and Mounjaro庐 are the same medication. However, Mounjaro庐 treats diabetes, and Zepbound鈩 treats obesity.

  • Setmelanotide (Imcivree鈩)鈥擳his is a medication that treat patients with rare forms of obesity related to genetic conditions. It鈥檚 a once-daily injection that鈥檚 safe for people who are six years and older. 

These medications are extremely effective tools for weight loss. However, you should work with an obesity medicine specialist to manage your dosage, monitor for side effects, and give medical guidance. This collaboration is the best way to lose weight and improve your health. 

Diabetes Medications and Weight Loss

Some diabetes medications can help people with diabetes lose weight. Your body makes more insulin when you take these medications. More insulin in your body means you will have lower blood sugar. This helps control diabetes. These drugs can also make you feel less hungry and cause weight loss. 

These injectable drugs may be especially useful if you have type 2 diabetes: 

  • Diraglutide (Trulicity庐)

  • Liraglutide (Saxenda庐, Victoza庐)

  • Semaglutide (Wegovy庐, Ozempic庐)

  • Tirzepatide (Zepbound鈩, Mounjaro庐)

Medical Weight Management: What to Expect

We鈥檒l send you some forms after we receive your appointment request or referral. We鈥檒l review these forms to see if you鈥檙e eligible for our program. 

If you鈥檙e eligible, your first appointment is a virtual group visit with our registered dietitian (RD). This RD will review the diet changes our team recommends. You should start making these changes right away to start your weight loss journey.

You will meet with the RD in person after 30 days of making these diet changes. Then you will meet with a weight loss specialist to review your medical history. This specialist outlines a personalized, comprehensive weight management plan for you.  

How Quickly Do Weight Loss Medications Work?  

Most people lose about 1鈥2 pounds per week while taking weight loss medicines, and sometimes even more. These medications work best when you also eat healthy foods and get regular physical activity. 

You will likely start losing weight within the first few weeks of treatment. Your obesity medicine specialist may switch your medication or treatment if you haven鈥檛 lost more than 5% of your body weight within 12 weeks.

Side Effects of Weight Loss Medications 

Every medication has potential side effects. Your obesity medicine specialist will ask about your medical history and consider medical conditions and your preferences before we give you any medications. This way, we make sure that your medicine is safe and works best for you. 

You may lose about 25% of your muscle mass as you lose weight. This can cause your metabolism to burn calories more slowly. It can also increase the risk of bone fractures in older adults. You should eat enough protein and do strength training (muscle-building exercises) at least two or three days per week to lower these risks. Our team can help guide you and formulate a plan for success. 

Our obesity medicine specialists know the potential side effects of weight loss drugs. They monitor you closely through follow-up visits every three months. 

What Insurance Plans Cover Weight Loss Medication?

Some insurance plans cover weight loss medications, while others don鈥檛. Our team will help you understand your insurance coverage and costs before starting treatment.

Make an Appointment

You can fill out an appointment request online. Or, your provider can submit a referral. You must have a BMI of 27 or higher to schedule an appointment with one of our medical weight loss specialists. 

Weight Management in the News

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Dr. Juliana Simonetti talks with Surae Chinn of Good Things Utah about healthy habits during the holiday season to help you keep your weight and physical health in-check.

Telemundo: la obesidad y la perdida de peso

Telemundo interviews Juliana Simonetti, MD to discuss the importance of eating healthy and staying in shape, as well as the Weight Management program at 人妻中出视频 of Utah 人妻中出视频.

Resources for Our Patients

Meet the Team

Our comprehensive weight management team is here to help you successfully lose weight and support you in your weight loss journey. We can provide all the care you need, from surgeons and physician assistants to dietitians and even financial advocates.

Meet the Team

What to Expect During Your Appointment

During your first appointment, your weight loss doctor will talk with you about your goals and help you find the best treatment so you can keep weight off in the long-term.
Get the Details

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