Sunday, November 9, 2014

What you need to know about the new weight loss medication Contrave

In September, 2014, the US FDA approved a new weight loss medication called Contrave, a combination of the well known mood stabilizer, Bupropion and a narcotic deaddition medication called Naltrexone. 



What is Contrave?

CONTRAVE is a prescription medication that contains 2 medicines (naltrexone HCl and bupropion HCl) that may help some obese adults*, or overweight adults who also have weight-related medical problems, lose weight and keep the weight off.

Who should consider Contrave?

CONTRAVE should be considered for any one who is obese with a body mass index of 30 or more or those with a body mass index of >27 with other comorbidities with a reduced calorie diet and increased physical activity.

Does Contrave work for weight loss?


In one 56-week study, people who took CONTRAVE along with a program of reduced-calorie diet, behavior counseling, and increased physical activity, about 42% of the treatment group lost the minimum of 5% compared to 17% of those who did not take CONTRAVE.§ Individual results may vary.

Dosing of Contrave 
The recommended daily dose of Contrave is two 8 mg naltrexone/90 mg bupropion (8/90) tablets taken twice daily for a total daily dose of 32 mg naltrexone/360 mg bupropion (32/360). Upon initiation, 

Contrave dosing should be escalated starting with one tablet taken daily for the first week, followed by the addition of another tablet each day during each subsequent week, until the total daily maintenance dose of two tablets twice a day (32/360) is reached at the start of Week 4.


Assessing effectiveness in 4 months
Most patients who respond to Contrave will do so in about 4 months of treatment. If a patient has not exhibited clinically meaningful weight loss (e.g., at least 5%) after 4 months of treatment, the physician should consider discontinuation of Contrave and initiation of other weight management strategies should be considered. Patients may experience elevated blood pressure or pulse during 
Contrave treatment; the risk may be greater during the initial 3 months of therapy. If clinically relevant and sustained (e.g., at least two consecutive measurements) increases in blood pressure or pulse occur, Contrave should be discontinued. As patients with hypertension or a history of hypertension may be at increased risk of blood pressure elevations, care should be exercised when initiating treatment with Contrave in such patients.

Benefits of Contrave
Contrave trials demonstrated beneficial effects on prespecified weight-related cardiometabolic parameters, including:

      waist circumference,

      triglycerides, HDL-cholesterol,

      high-sensitivity C-reactive protein (hs-CRP),

      glycemic control (fasting glucose, fasting insulin, homeostasis model assessment of insulin resistance [HOMA-IR], and, in patients with diabetes, hemoglobin A1c [HbA1c]),

      quality of life and control of eating.

Consistent with the known pressor effect of bupropion, Contrave-treated patients experienced increases in blood pressure and heart rate compared to placebo, although reduction in weight was associated with reduction in mean blood pressure in both treatment groups. Across all of the secondary manifestations of the illness of obesity, the greatest benefits of Contrave are likely in patients who achieve and maintain at least a 5% reduction in body weight.


Side effects of Contrave(also called NB)
The most common side effects of CONTRAVE include:
  • Nausea
  • Constipation
  • Headache
  • Vomiting
  • Dizziness
  • Trouble sleeping
  • Dry mouth
  • Diarrhea.

Price of Contrave

Contrave is priced right costing about $75.00 per month in the first two months and $65.00 thereafter without insurance and with insurance, it can be lower.

Comparision of Contrave

Compared to the other new weight loss medications approved a few years ago, Belviq and Qsymia, Contrave is somewhat in the middle in terms of weight loss results, a bit better than Belviq but less than Qsymia in the opinion of this blogger, Dr. Prab R. Tumpati, MD, founder of W8MD medical weight loss centers.

Locations for Contrave
While Contrave might be offered by many physicians, W8MD Medical Weight Loss Centers of America is one of the first weight loss programs to start offering Contrave for eligible patients to help lose weight and is available at their weight loss locations in New York, Pennsylvania and New Jersey. Call W8MD today at 1-800-W8MD-007 to learn more or to setup a consultation. As one of the very few medical weight loss centers that accepts health insurance for the physician weight loss visits, W8MD gets patients from far and near including other states!
King Of Prussia Weight Loss & Sleep Center: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 215-676-2334 

If you are looking for Doctors in New York City that prescribe Contrave, you may want to contact the New York City W8MD medical weight loss center location at 718-946-5500.
Philadelphia weight loss doctor
NYC Insurance Weight Loss & Sleep Center: 2003, Bath Avenue, Brooklyn, NY, 11214 Ph: 1-718-946-5500. 
Contrave doctors in New Jersey
For those living in New Jersey looking to try Contrave, please contact the W8MD weight loss program will be offered soon at Vida Sleep Center of Dr. Felix Roque's office at 543, 45th Street, Union City, New Jersey. 543 45th St, Union City, NJ  07087Phone: (201) 766-6469. 

Thursday, August 14, 2014

Best weight loss medication in New York or Philadelphia for fast weight loss

Lorcaserin (Belviq)

Belviq (pronounced BEL-VEEK), is a new appetite suppressant or diet pill approved by the FDA in 2011 and it works to reduce your appetite and make you feel full, so you eat less.

As per the research studies, almost half (47 percent) of patients taking Belviq lost at least 5 percent of their initial body weight after one year.

Phentermine-topiramate (Qsymia)

In July 2012, the FDA approved the drug combination phentermine and topiramate,with the brand name Qsymia (pronounced kyoo-sim-EE-uh) to treat weight gain and obesity in adults. Qsymia is a combination of two FDA-approved drugs:
  • phentermine, a medicine approved to suppress appetite.
  • topiramate, a medicine approved to control seizures. It may also be used to prevent migraine headaches. It is in an extended-release form in Qsymia.
The generic combination of taking Phentermine and Topiramate, although not identical in dosing to that of Qsymia, gives similar results as can be expected when you combine two existing medications. 

Qsymia must not be used during pregnancy because it may cause harm to the baby. People with an overactive thyroid gland, glaucoma, or who have recently taken certain antidepressant drugs known as MAOIs should not use Qsymia, although the drug was studied in patients taking SSRI and other antidepressants without adverse events.

In our experience, the combination drugs work the best as they combine the power of two or three existing medications for optimal results for appetite suppression and weight loss. 

Orlistat (Xenical and Alli)

This OTC or over the counter drug called Alli or the prescription dose Xenical is approved for use by adults. After 1 or 2 years of taking orlistat, patients may lose about 5 to 7 pounds. However, the gastrointestinal side effects make this drug not very popular.

Other Appetite Suppressants

Several appetite suppressants may be used to promote weight loss including
  • phentermine (sold as Adipex-P, Oby-Cap, Suprenza, T-Diet, Zantryl)
  • benzphetamine (sold as Didrex)
  • diethylpropion (sold as Tenuate, Tenuate Dospan)
  • phendimetrazine (sold as Adipost, Bontril PDM, Bontril Slow Release, Melfiat)
Phentermine is the one used most often in the United States and the combination with Topiramate might give the best results.

It is important to do this under the careful supervision of a medical doctor trained in the management of metabolic and weight related problems so that you can not only lose weight, but try to maintain it. 

Locations for weight loss in New York and Pennsylvania

NYC Insurance Weight Loss Center: 2003, Bath Avenue, Brooklyn, NY, 11214 Ph: 1-718-946-5501  
weight loss doctor new york city
Philadelphia Insurance Weight Loss Center: 1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334
Philadelphia weight loss doctor
King Of Prussia Weight Loss Center: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 1-800-986-3007 
Philadelphia weight loss doctor

Thursday, January 2, 2014

6 simple steps for weight loss and wellness in New York City or Philadelphia

Weight loss step 1
Know your body mass index

Body Mass Index (BMI) is a number calculated from your weight relative to your height. BMI is a fairly reliable indicator of body fatness for most people. BMI does not measure body fat directly, but research has shown that BMI correlates to direct measures of body fat, such as dual energy x-ray absorptiometry (DXA).

Since it is easy and more practical, BMI can be considered an alternative for direct measures of body fat as it is an inexpensive and easy-to-perform method of screening for weight.

Weight loss step 1

Interpret and understand your BMI

BMI
Weight Status
Below 18.5Underweight
18.5 – 24.9Normal
25.0 – 29.9Overweight
30.0 and AboveObese

Weight loss step 3.



If you are overweight or obese, or if you have excess belly fat, you might be at a higher health risk. Understand your metabolic risk using the metabolic syndrome meter from W8MD medical weight loss centers of America.

Weight loss step 4. 

Find a weight loss program that is right for you based on your health insurance, and location. Did you know that the Affordable Care Act, also called Obamacare, mandates all insurances to provide insurance coverage for obesity screening and treatment?

Weight loss step 5.

Understand if you might be insulin resistant which causes weight gain in the stomach and upper part of the body.

Weight loss step 6.
Understand the 5 proven measures to lose weight!




Additional steps for weight loss

  • Enjoy a wide variety of nutritious foods
  • Eat plenty of vegetables, legumes and fruits 
  • Reduce amount of cereals (including breads, rice, pasta and noodles), and change to wholegrain 
  • Include lean meat, fish, poultry and/or alternatives Include milks, yoghurts, cheeses and/or
  • alternatives
  • Drink plenty of water and take care to: 
  • Limit saturated fat and moderate total fat intake Choose foods low in salt Limit your alcohol intake if you choose to drink 
  • Eliminate or limit foods containing added sugars Prevent weight gain: be physically active and eat 
  • according to your energy needs
How can W8MD medical weight loss centers of America's insurance physician weight loss program help you lose weight fast and safe in New York City or Philadelphia?

W8MD is a physician supervised, evidence based non surgical medical weight loss and wellness program with offices in many states in the United States. Unlike the many "Cash Only" Weight Loss Programs, Most W8MD Centers Accept Health Insurance For The Visits!  


Weight loss centers that accept insurance for visits

NYC Insurance Weight Loss Center: 2003, Bath Avenue, Brooklyn, NY, 11214 Ph: 1-718-946-5500  
weight loss doctor new york city
Philadelphia Insurance Weight Loss Center: 1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334
Philadelphia weight loss doctor
King Of Prussia Weight Loss Center: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 1-800-986-3007 
Philadelphia weight loss doctor
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