What if I want to lose weight and GLP1s aren’t for me?
Losing weight can be challenging for many people. Especially frustrating is to lose several pounds and then find later you’ve gained some or all the weight back. It may be time to meet with your doctor to discuss additional options to lose weight and keep it off.
OK- I’ve tried to lose weight for 3 months and have only lost a couple of pounds. What can I do to improve my results?
Your doctor and other care team members may determine that in addition to addressing healthy eating, physical activity, and other lifestyle changes, you may benefit from medications or other treatments (e.g. surgery) to manage your weight.
What prescription medications may be considered and how do they compare?
You have heard about GLP-1s but are concerned about the price or if they are just not for you. Talk with your healthcare provider about other medications that may work for you. Be sure to ask about potential side effects and other concerns, how they are used, and the cost of the medication. Also tell them if you are pregnant, planning to get pregnant or are breastfeeding. Here are medications that help you to lose weight.
| Medication | How does it work? | How is it used and how often? | How much weight can I expect to lose? |
|---|---|---|---|
| Orlistat (Xenical®); Orlistat (Alli®, available OTC) |
By decreasing the absorption of fat from food | By mouth, usually 3 times daily | About 5% (less with OTC product) |
| Phentermine-topiramate ER (Qsymia®) | Drugs that affect the brain to reduce appetite | By mouth, once daily | About 10% |
| Naltrexone-bupropion SR (Contrave®) | Drugs that affect the brain to reduce appetite | By mouth, twice daily | About 9% |
What happens when I reach my targeted weight loss goal?
Managing your weight is an ongoing process. Successful long-term weight loss includes regular monitoring of your weight and following your diet and exercise plan. Talk to your doctor about how long you need to be on your weight loss medication in addition to discussing other parts of your long-term plan.
Summary
Losing excess pounds and maintaining a healthy weight is a lifelong commitment. Your health care team can assist you in this journey.