Weight Management for Women

What We Offer:

One-on-One Telehealth Visits with a Licensed Provider

• Telehealth Visits with a Licensed Provider

• Personalized Prescriptions When Appropriate
  (GLP-1s, metformin, topiramate, bupropion, and more)

• Prescriptions Sent to Your Pharmacy of Choice — not locked into subscriptions

• Support for PCOS, perimenopause, hormonal weight gain, and emotional eating

• Optional Labs & Supplements to personalize your plan

Medications for Weight Management

FDA-Approved Weight Management Medications

Semaglutide (Wegovy®)

A once-weekly injection that mimics GLP-1, a gut hormone that helps regulate appetite, reduce food cravings, and promote fullness. Clinically proven for long-term obesity treatment in individuals with obesity or pre-obesity with an associated medical condition.

Tirzepatide (Zepbound™)

A dual GIP/GLP-1 receptor agonist offering appetite regulation and metabolic support. Shown to produce slightly greater symptomatic control (weight).

Liraglutide (Saxenda®)

A daily GLP-1 injection that increases satiety and slows digestion. FDA-approved for chronic obesity treatment in adults and adolescents with obesity.

Generic is available.

Phentermine

A stimulant that suppresses appetite and increases energy levels. Although originally approved for short-term use, it is commonly prescribed long-term in clinical practice. Research supports its safety and effectiveness for extended use under medical supervision

Phentermine/Topiramate ER (Qsymia®)

A combination capsule taken daily that reduces appetite and cravings while supporting fullness. Offers more sustained results than phentermine alone.

Orlistat (Alli®, Xenical®)

An over-the-counter and prescription fat-blocking medication that prevents the absorption of about 25% of dietary fat. Works best when combined with a reduced-fat diet.

Naltrexone/Bupropion ER (Contrave®)

A daily oral medication that targets hunger and reward-based eating. Works in the brain to reduce food cravings and improve emotional eating patterns.

Compounded and Generic Weight Management Medications

Compounded Semaglutide

A once-weekly injection that mimics GLP-1, a gut hormone that helps regulate appetite, reduce food cravings, and promote fullness.Compounded formulations allow for flexible dosing and may include additional ingredients like B12 to support energy or reduce side effects.

Compounded Tirzepatide

A dual GIP/GLP-1 receptor agonist that activates two hormone pathways involved in appetite and blood sugar regulation. It may help control cravings, enhance fullness, and support weight reduction.

Compounded Liraglutide

Compounded Oral Semaglutide

A daily injectable medication that mimics a natural hormone involved in appetite regulation and blood sugar control. It helps slow digestion, increase feelings of fullness, and reduce overall food intake.

An alternative to weekly injections, this formulation comes in a daily oral dose. It works by mimicking gut hormones that regulate appetite and digestion, helping reduce hunger and support weight loss. Compounded versions offer flexibility in dosing but may require a much higher dose and have increased side effecs.

Bupropion

Originally developed as an antidepressant and smoking cessation aid, bupropion is used in weight management to reduce appetite, improve energy, and enhance motivation. It may also support mood and reduce emotional eating

Topiramate

A medication originally approved for seizure disorders and migraine prevention, topiramate is also used to support weight loss. It can reduce appetite, decrease food cravings, and enhance feelings of fullness.

Naltrexone (Standard Dose)

Low-Dose Naltrexone (LDN)

Typically used in higher doses to reduce cravings and block reward-driven eating behaviors. It targets the brain's opioid receptors to help manage compulsive eating, particularly in individuals with addictive tendencies or emotional eating patterns. Often combined with other medications for greater effect.

Prescribed in much smaller amounts (typically 1.5–4.5 mg daily), LDN may help regulate appetite, reduce inflammation, and improve mood. Commonly used for patients with emotional eating, chronic stress, or underlying autoimmune or inflammatory conditions.

Other Possible Weight Management Medications

Metformin

Primarily used for blood sugar control and insulin resistance, metformin may also support modest weight loss, reduce appetite, and improve metabolic markers. Commonly used in PCOS and prediabetes.

Acarbose

An alpha-glucosidase inhibitor that slows carbohydrate absorption and may blunt post-meal blood sugar spikes. Sometimes used in patients with prediabetes or metabolic syndrome.

Zonisamide

An anticonvulsant medication sometimes used off-label for weight reduction. It may suppress appetite and reduce food cravings. Often reserved for patients who don’t respond to other medications.

Pramlintide

A synthetic amylin analog used to slow gastric emptying, reduce post-meal glucose spikes, and increase satiety. May be used in combination with GLP-1s or in insulin-resistant patients.

Benzphetamine or Diethylpropion

Older stimulant medications approved for short-term appetite suppression. Used less commonly but may be appropriate in specific patient cases.

Setmelanotide

Indicated for rare genetic obesity syndromes; this melanocortin-4 receptor agonist is not widely used outside of those specific conditions but represents a precision approach in certain patients.

SGLT2 Inhibitors (e.g., Canagliflozin, Dapagliflozin)

Primarily prescribed for Type 2 diabetes, these medications promote glucose loss through urine, leading to modest weight loss and improved metabolic markers. Occasionally used off-label in non-diabetics under close monitoring.

Some antidepressants may modestly reduce appetite or support behavioral change in patients with emotional or compulsive eating, though results vary and side effects must be considered.

Fluoxetine or Other SSRIs

Baclofen

A muscle relaxant that may reduce cravings and compulsive eating behaviors by acting on GABA receptors. Sometimes used in patients with significant emotional or binge eating.

Specialty & Investigational Medications

Oxytocin (Intranasal or Sublingual)

A naturally occurring hormone linked to bonding, stress regulation, and appetite control. Early research suggests oxytocin may help reduce food intake, improve emotional eating patterns, and enhance satisfaction with smaller meals. Sometimes used off-label to support behavioral health and connection.

Bromocriptine

Originally used for Parkinson’s disease and prolactin-related conditions, bromocriptine is a dopamine agonist that may improve metabolic function, insulin sensitivity, and circadian rhythm regulation. It has shown modest weight loss effects in certain patients with metabolic dysfunction, especially those with hormonal imbalances or hypothalamic obesity.

Sermorelin/GHRP Blends

Compounded peptides that support metabolism and fat loss through natural growth hormone stimulation. Typically used for body composition support.

Medications by Obesity Phenotype

Obesity isn’t one-size-fits-all. Different biological pathways contribute to how and why weight gain happens. At Optima Vida Healthcare, we identify your unique phenotype to personalize your treatment plan.

Hungry Brain
Involves dysfunction in the central nervous system's appetite regulation and reward pathways. Patients often experience constant food thoughts, poor satiety, and compulsive or impulsive eating behaviors.

Hungry Gut
Driven by abnormalities in gut hormone signaling (GLP-1, GIP, ghrelin). These individuals feel physically hungry often and struggle with portion control or early satiety.

Slow Burn
Linked to metabolic and hormonal dysfunction, such as insulin resistance, low energy expenditure, or thyroid and growth hormone imbalances. Weight gain is often gradual and stubborn.

Emotional Hunger
Related to neurochemical and emotional regulation pathways involving dopamine, serotonin, and GABA. Eating is often triggered by stress, sadness, anxiety, or trauma, rather than physical hunger.

Hungry Brain

Characterized by constant thoughts about food, poor satiety signals, compulsive eating, and reward-seeking behavior.

Hungry Gut

Marked by excessive appetite, strong physical hunger, and poor meal satisfaction.

Emotional Hunger

Eating in response to stress, boredom, sadness, or anxiety, rather than physical hunger.

Naltrexone (Standard Dose) – Reduces reward-driven eating and food obsession.

Low-Dose Naltrexone (LDN) – Supports mood, reduces compulsive cravings, and may calm emotional reactivity.

Bupropion – Helps with motivation, mood, and appetite control; often combined with other agents.

Topiramate – Decreases cravings, impulsive eating, and promotes fullness.

Zonisamide – May reduce binge and compulsive eating in select patients.

Baclofen – Targets GABA receptors to reduce urges and compulsive food behaviors.

Fluoxetine or Other SSRIs – Can support emotional regulation and reduce emotionally triggered eating.

Semaglutide (Compounded) – Mimics GLP-1 to reduce appetite, slow digestion, and enhance fullness.

Tirzepatide (Compounded) – Targets two gut hormones (GLP-1 and GIP) to control hunger and cravings.

Liraglutide (Compounded) – Daily GLP-1 that reduces hunger signals and increases satiety.

Oral Semaglutide (Compounded) – A daily capsule alternative that supports satiety and hunger control.

Pramlintide – Slows gastric emptying and enhances fullness after meals.

Phentermine – Suppresses appetite and enhances energy levels.

Topiramate – Reduces physical hunger and helps patients feel full sooner.

Low-Dose Naltrexone (LDN) – Calms the nervous system, reduces obsessive food thoughts, and supports emotional resilience.

Bupropion – Boosts mood and motivation while reducing stress-related eating.

Naltrexone (Standard Dose) – Reduces emotional and reward-driven eating patterns.

Baclofen – May help interrupt the cycle of emotionally triggered overeating.

Fluoxetine or SSRIs – Address underlying depression or anxiety that may fuel overeating.

Topiramate – Dulls the emotional drive to eat and helps promote a sense of satiety.

Metformin – Improves insulin sensitivity and may support modest weight loss.

SGLT2 Inhibitors – Promote glucose excretion, support fat loss, and improve metabolic function.

Acarbose – Reduces carbohydrate absorption and helps manage post-meal blood sugar.

Sermorelin – Stimulates natural growth hormone release to support fat loss and muscle maintenance.

Sermorelin/GHRP Blends – Enhance metabolic function, recovery, and lean mass preservation.

Tirzepatide (Compounded) – Improves both glucose and fat metabolism through dual hormone action.

Topiramate – May provide metabolic support and appetite suppression, especially in combination plans.

Slow Burn

Driven by a sluggish metabolism, insulin resistance, or low energy expenditure.

Wegovy®

What is Wegovy®?
Wegovy® is an FDA-approved, once-weekly injectable prescription medication used for long-term weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related condition such as high blood pressure, type 2 diabetes, or high cholesterol. It contains semaglutide, a medication that mimics a natural hormone involved in appetite regulation and blood sugar control..

How Wegovy® Works

• Helps reduce hunger and increase feelings of fullness

• Targets areas of the brain involved in appetite regulation

• Supports a calorie deficit by lowering cravings and improving portion control

• May help improve blood sugar, cholesterol, and other metabolic markers

What to Expect

• Weekly injection: Administered subcutaneously (under the skin) in the thigh, stomach, or upper arm

• Gradual dose increase: Starts at a low dose to reduce side effects, with increases every 4 weeks until the target dose is reached (2.4 mg weekly)

• Ongoing support: Treatment is most effective when combined with healthy nutrition, physical activity, and behavioral changes

Common Side Effects

• Nausea

• Diarrhea or constipation

• Headache

• Fatigue

• Stomach pain

• Injection site reactions

Most side effects are mild and improve with time or dose adjustment. Contact your provider if symptoms are persistent or severe.

Who Should Not Use Wegovy®

• People with a personal or family history of medullary thyroid carcinoma or MEN 2

• Patients with a known allergy to semaglutide

• Women who are pregnant or planning pregnancy

Discuss all medical conditions and medications with your provider before starting treatment.

How It’s Prescribed

At Optima Vida Healthcare, your prescription can be sent:

• Directly to your pharmacy of choice (retail or specialty)

• Through NovoCare®, Novo Nordisk’s patient support program (May be $499)

💲 Cash price (without insurance): Currently listed by Novo Nordisk at $1349.02/month
💡 We will help with prior authorization if using insurance, depending on your plan.

Is Wegovy® Right for You?

Wegovy® may be a good fit if:

• You have obesity or are overweight with a weight-related condition

• You've struggled with weight despite trying other methods

• You're looking for a medically-supervised long-term solution

Frequently Asked Questions

Q: How fast will I lose weight?
A: Most patients lose weight gradually over months. The average weight loss is 15%. So if you weigh 300 lbs, the average weight loss is 45 lbs.

Q: Can I stop once I reach my goal weight?
A: Wegovy® is designed for long-term use. Stopping can lead to weight regain, just like stopping treatment for blood pressure or diabetes.

Q: Can I switch between Wegovy® and other weight loss medications?
A: It’s possible but should only be done under medical supervision. Switching too often can disrupt progress or increase side effects.

Zepbound®

What is Zepbound®?

Zepbound® is an FDA‑approved, once‑weekly injectable prescription medication designed for chronic weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) plus at least one weight‑related health condition (e.g., hypertension, type 2 diabetes, high cholesterol). It’s also FDA‑approved to help improve moderate‑to‑severe obstructive sleep apnea (OSA) in adults with obesity

How Zepbound® Works

• Activates both GLP‑1 and GIP receptors to suppress appetite, slow gastric emptying, and increase fullness

• Supports significant weight loss—up to ~18% of body weight at the 15 mg dose over 72 weeks (~45–50 lb) in clinical studies

• In OSA patients, reduced apnea events by ~25–29/hour and achieved remission/mild OSA in up to 50% of participants alongside notable weight loss

What to Expect

• Weekly injection: Administered subcutaneously (under the skin) in the thigh, stomach, or upper arm

• Gradual dose increase: Starts at a low dose to reduce side effects, with increases every 4 weeks until the target dose is reached (2.4 mg weekly)

• Ongoing support: Treatment is most effective when combined with healthy nutrition, physical activity, and behavioral changes

Common Side Effects

Frequent side effects (more common than placebo) include:

• Nausea, vomiting, diarrhea, constipation, abdominal discomfort

• Injection-site reactions, fatigue, hair loss, gastroesophageal reflux

Other important effects may include:

• Severe GI events, dehydration, potential kidney injury

• Gallbladder issues, pancreatitis

• Hypoglycemia (especially with insulin or sulfonylureas)

• Thyroid C-cell tumors in rats (human risk unknown)

• Rare allergic reactions, changes in mood, dizziness – patients are advised to report any new symptoms promptly

Who Should Not Use Zepbound®

• Individuals with a personal or family history of medullary thyroid carcinoma (MTC) or Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

• Known hypersensitivity to tirzepatide or formulation components

• Women who are pregnant or planning pregnancy—should discontinue treatment if pregnancy occurs.

Use caution or avoid in individuals with:

• Severe gastrointestinal disease or history of pancreatitis

• Renal impairment, gallbladder disorders, or those on insulin/sulfonylureas

Prescription & Administration Support

• Available as single‑use pens or vials (2.5–15 mg per 0.5 mL)

• Prescribed by a provider and can be filled at retail or specialty pharmacies.

• Patient support programs available via LillyDirect™ and other Lilly services

Is Zepbound® Right for You?

Zepbound® may be right if you:

• Have a BMI ≥30, or ≥27 with related health issues

• Struggle with weight loss despite lifestyle efforts

• Have moderate-to-severe OSA and obesity

• Want a medically supervised, long-term weight management solution

Frequently Asked Questions

Q: How much weight can I expect to lose?
A: Clinical trials show average weight losses of ~35–50 lb (16–23 kg) with 72 weeks of 5–15 mg

Q: Can it help with sleep apnea?
A: Yes—studies in moderate‑to‑severe OSA showed a 25–29 reduction in apneas/hr and remission in ~42–50% of participants. Likely due to weight loss

Q: What happens if I stop treatment?
A: Discontinuation may lead to weight regain. Long-term maintenance under provider guidance is advised.

Q: Can I use Zepbound® along with other GLP‑1s?
A: No—it should not be taken alongside other tirzepatide-containing or GLP‑1 agonist

Liraglutide

What is Liraglutide?

Liraglutide is an FDA-approved, once-daily injectable medication used for chronic weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related condition, such as high blood pressure, high cholesterol, or type 2 diabetes. It is also used under a different brand name for type 2 diabetes treatment.

How Liraglutide Works

• Mimics a natural gut hormone (GLP-1) to help regulate appetite and blood sugar

• Slows digestion and increases feelings of fullness

• Helps reduce cravings and supports a lower calorie intake

• Promotes gradual, sustained weight loss over time

What to Expect

• Daily injection: Given subcutaneously (under the skin) in the abdomen, thigh, or upper arm

• Gradual titration: Starts at a low dose to reduce side effects, with weekly increases until the target dose is reached

• Used alongside healthy nutrition and physical activity for best results

Common Side Effects

• Nausea (most common)

• Vomiting, diarrhea, or constipation

• Headache

• Fatigue or dizziness

• Injection site irritation

Side effects are typically mild and improve with time or dose adjustments.

Who Should Not Use Liraglutide

• Anyone with a personal or family history of medullary thyroid carcinoma (MTC) or MEN 2

• Individuals with a known allergy to liraglutide or its ingredients

• Women who are pregnant or planning to become pregnant

Caution is advised in those with a history of pancreatitis or gallbladder disease.

How It’s Prescribed

Liraglutide is available by prescription and can be sent to:

• Your local retail or specialty pharmacy

• Mail-order services, depending on insurance coverage

💲 Cash price varies, but prior authorization support is available to help lower your out-of-pocket cost with insurance. We’ll walk you through it.

Is Liraglutide Right for You?

Liraglutide may be a good option if:

• You prefer a daily medication over weekly injections

• You’ve had difficulty with other weight loss medications

• You want a slower titration and potentially fewer GI side effects

• You have type 2 diabetes and want a medication that can support both weight and glucose control

Frequently Asked Questions

Q: How much weight can I lose?
A: Clinical studies show an average weight loss of 5–10% of body weight with consistent use and lifestyle changes.

Q: How is it different from weekly injections like semaglutide or tirzepatide?
A: Liraglutide is taken daily and typically has a slower onset of side effects. Some patients prefer daily dosing for steadier control.

Q: What if I miss a dose?
A: If you miss a dose, take it as soon as you remember, unless it’s close to your next scheduled dose. Don’t double up.

Q: Can I stop after reaching my goal weight?
A: Weight regain is common after stopping. Like other obesity medications, long-term use is recommended for weight maintenance.

Orlistat

What is Orlistat?

Orlistat is an FDA-approved oral medication used for weight loss and weight maintenance in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with a weight-related condition such as high blood pressure, high cholesterol, or type 2 diabetes.

It works differently from hormone-based weight loss medications. Instead of affecting appetite, Orlistat blocks fat absorption in the digestive tract.

Two versions are available:

• Xenical® (prescription, 120 mg)

• Alli® (over-the-counter, 60 mg)

How Orlistat Works

• Inhibits fat-digesting enzymes (lipases) in your stomach and intestines

• Prevents about 25% of dietary fat from being absorbed

• Unabsorbed fat is eliminated in the stool

• Reduces calorie intake without affecting appetite or hormones

What to Expect

• Taken 3 times daily with meals containing fat (or up to 1 hour after)

• Best results occur when combined with a low-fat, reduced-calorie diet

• Modest weight loss: typically 5–10% of body weight over time

• Can help improve cholesterol, blood pressure, and blood sugar markers

Common Side Effects

Because it blocks fat absorption, side effects are mostly digestive:

• Oily or fatty stools

• Urgent need to go to the bathroom

• Increased bowel movements or gas with discharge

• Abdominal discomfort

These are more likely if you eat high-fat meals while on Orlistat. A lower-fat diet helps minimize side effects.

Who Should Not Use Orlistat

• Individuals with chronic malabsorption problems or cholestasis (a liver condition)

• People who have had an organ transplant

• Pregnant or breastfeeding individuals

• Those not willing to follow a lower-fat diet (risk of unpleasant GI side effects)

Nutrient Considerations

Orlistat can reduce the absorption of fat-soluble vitamins (A, D, E, and K).
Take a daily multivitamin at least 2 hours before or after your dose.

Is Orlistat Right for You?

Orlistat may be a good fit if:

• You prefer oral medication over injections

• You want a non-hormonal option

• You’re committed to following a lower-fat diet

• You’ve had limited success with appetite-based medications

Frequently Asked Questions

Q: Can I take Orlistat without changing my diet?
A: Orlistat works best with a low-fat, calorie-controlled diet. Eating too much fat while on it will likely cause uncomfortable side effects.

Q: Can I buy it without a prescription?
A: Yes. Alli® (60 mg) is available over the counter. Xenical® (120 mg) requires a prescription and is usually stronger.

Q: Can I combine Orlistat with other medications?
A: Sometimes. Always talk to your provider. Orlistat can affect the absorption of other medications (e.g., cyclosporine, thyroid meds).

Qsymia®

What is Qsymia®?

Qsymia® is an FDA-approved, once-daily oral medication used for chronic weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related condition like high blood pressure, high cholesterol, or type 2 diabetes.

Qsymia® combines two medications:

• Phentermine – a stimulant that suppresses appetite

• Topiramate – a medication originally used for seizures and migraines, which also helps with fullness and reduces cravings

Together, they target multiple pathways involved in weight gain and overeating.

How Qsymia® Works

• Reduces appetite so you eat fewer calories

• Increases fullness after meals

• Lowers cravings, especially for sugar and salty foods

• Supports long-term weight loss when combined with healthy habits

What to Expect

• Taken once daily, typically in the morning

• Starts at a low dose with gradual increases every 2–4 weeks

• Weight loss averages 6–11% of body weight over one year

• Best results occur when combined with a reduced-calorie diet and regular physical activity

Common Side Effects

Most side effects are dose-dependent and may improve over time:

• Tingling in hands/feet (paresthesia)

• Dry mouth

• Insomnia

• Dizziness or lightheadedness

• Constipation

• Mood changes or anxiety

• Altered taste or slowed thinking ("cognitive fog")

Who Should Not Use Qsymia®

• Women who are pregnant or planning pregnancy (Qsymia can cause birth defects)

• Individuals with glaucoma, overactive thyroid, or recent heart disease

• People with a history of depression, suicidal thoughts, or mood disorders should use with caution

⚠️ A negative pregnancy test is required before starting and monthly during use for people of childbearing potential.

Monitoring & Safety

• Periodic blood pressure and heart rate monitoring

• Mood and mental health check-ins

• May affect some medications (birth control, diabetes, or seizure meds)

Is Qsymia® Right for You?

Qsymia® may be a good fit if you:

• Prefer a daily pill over injections

• Struggle with cravings, binge eating, or emotional hunger

• Have plateaued with other methods

• Are open to a medication with stimulant and neurological components

Frequently Asked Questions

Q: How much weight will I lose?
A: Clinical trials show average weight loss of 15–25 pounds in the first year, with higher losses for those who stay consistent.

Q: Can I stop Qsymia after reaching my goal weight?
A: Gradual tapering is required. Stopping suddenly can cause seizures, especially if on higher doses.

Q: Can I drink alcohol on Qsymia?
A: Limit or avoid alcohol—it may increase the risk of drowsiness, dizziness, or mood changes.

Q: Is this the same as taking phentermine alone?
A: No—Qsymia contains a lower dose of phentermine and adds topiramate for greater appetite control and fewer stimulant side effects.

Phentermine

What is Phentermine?

Phentermine is an FDA-approved prescription weight loss medication used to help adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related health condition such as high blood pressure or type 2 diabetes.

It’s classified as a stimulant and works by suppressing appetite, helping patients reduce caloric intake during a structured weight loss plan.

⚠️ Phentermine is typically prescribed for short-term use (up to 12 weeks), but most providers may use it longer under close supervision.

How Phentermine Works

• Stimulates the central nervous system to reduce appetite

• Increases norepinephrine levels to help with satiety and energy

• May help reduce food cravings and snacking

• Supports a calorie deficit for weight loss

What to Expect

• Taken once daily in the morning (or divided into two smaller doses)

• Helps with hunger control and energy levels throughout the day

• Most weight is lost in the first 8–12 weeks

• Best results occur when combined with healthy eating and physical activity

Common Side Effects

Phentermine is a stimulant and may cause:

• Insomnia or difficulty sleeping

• Increased heart rate

• Dry mouth

• Anxiety or restlessness

• Constipation

• Elevated blood pressure

Side effects may improve over time. Patients with heart conditions, anxiety, or insomnia should discuss risks with their provider.

Who Should Not Use Phentermine

Phentermine is not appropriate for:

• People with heart disease, uncontrolled high blood pressure, or arrhythmias

• Individuals with a history of stroke, glaucoma, hyperthyroidism, or drug abuse

• Women who are pregnant or breastfeeding

• Anyone using other stimulant medications

Is Phentermine Right for You?

Phentermine may be a good fit if you:

• Need short-term appetite support to kickstart weight loss

• Struggle with daytime hunger or late-night snacking

• Want a lower-cost option compared to newer medications

• Have no major heart or mental health concerns

Frequently Asked Questions

Q: How much weight will I lose on phentermine?
A: Most patients lose 5–10% of body weight over 12 weeks. Long-term maintenance depends on continued healthy habits.

Q: Can I take phentermine long term?
A: While it’s FDA-approved for short-term use, some providers prescribe it longer with careful monitoring. This is considered off-label.

Q: Does phentermine cause dependence?
A: It is classified as a controlled substance (Schedule IV) due to its stimulant nature. Most patients do not become dependent when used as prescribed.

Q: Can I take phentermine with other medications?
A: Sometimes—but not with other stimulants, certain antidepressants, or MAOIs. Always review your medication list with your provider.

Contrave®

What is Contrave®?

Contrave® is an FDA-approved oral medication used for chronic weight management in adults with obesity (BMI ≥30) or overweight (BMI ≥27) with at least one weight-related condition, such as high blood pressure, high cholesterol, or type 2 diabetes.

It combines two medications:

• Bupropion – commonly used for depression and smoking cessation

• Naltrexone – typically used to treat alcohol or opioid dependence

Together, they target the brain’s reward system and hunger signals to help reduce cravings, emotional eating, and compulsive food behaviors.

How Contrave® Works

• Acts on the hypothalamus to reduce hunger signals

• Affects the mesolimbic reward system to decrease food cravings

• Helps curb stress eating, impulse snacking, and sugar/salty food urges

• Supports long-term weight loss when combined with lifestyle changes

What to Expect

• Taken orally twice a day, typically titrated up over 4 weeks

• Patients report fewer food obsessions and improved control over eating

• Average weight loss is 5–9% of body weight after 1 year

• Works best when combined with a reduced-calorie diet and regular physical activity

Common Side Effects

Most are mild and improve over time:

• Nausea

• Headache

• Constipation

• Dry mouth

• Dizziness

• Trouble sleeping

• Anxiety or mood changes

These side effects are often dose-related and tend to improve after the first few weeks.

Who Should Not Use Contrave®

Contrave® is not appropriate for:

• People with a seizure disorder

• History of anorexia, bulimia, or alcohol/drug withdrawal seizures

• Use of opioid pain medications (naltrexone can block their effect)

• Use of monoamine oxidase inhibitors (MAOIs) within the last 14 days

• Women who are pregnant or breastfeeding

A discussion with your provider is essential to assess risks vs. benefits.

Is Contrave® Right for You?

Contrave® may be a good fit if you:

• Struggle with emotional or reward-based eating

• Have intense sugar or carb cravings

• Have a history of addiction or mood disorders

• Want a non-stimulant, oral medication

Frequently Asked Questions

Q: How long before I see results?
A: Many patients notice decreased cravings in the first few weeks, with steady weight loss over time.

Q: Can I take Contrave with antidepressants?
A: Sometimes, but caution is needed. Bupropion can interact with other psychiatric medications. Your provider will review your full list before prescribing.

Q: Will I feel sick if I drink alcohol or use opioids while on Contrave?
A: Drinking small amounts of alcohol is not usually a problem, but opioids should be avoided completely, as naltrexone blocks them and may cause withdrawal.

Q: Is Contrave addictive?
A: No. In fact, both components are used to treat addiction and cravings. However, mood and mental health should be monitored during use.

Compounded Semaglutide

What is Compounded Semaglutide?

Compounded semaglutide is a custom-formulated version of the active ingredient found in FDA-approved medications used for weight loss. It is prepared by licensed compounding pharmacies and prescribed by a healthcare provider when commercially available options are not accessible or appropriate.

While it contains the same active molecule (semaglutide), compounded versions may differ in dosage strength, formulation, or added ingredients (such as vitamin B12 or glycine) to support patient tolerance or adjust dosing needs.

Compounded medications are not FDA-approved, but they are legal and often used when mass-produced medications are unavailable, on shortage, or not ideal for a specific patient.

How Compounded Semaglutide Works

• Mimics GLP-1, a gut hormone that regulates hunger and blood sugar

• Reduces appetite, slows stomach emptying, and increases satiety

• Helps control cravings and supports a sustainable calorie deficit

• May improve metabolic health, including glucose and cholesterol levels

Why Choose Compounded Semaglutide?

• Allows for personalized dosing and slow titration to reduce side effects

• Often more affordable than brand-name options

• Can be tailored with vitamin additives to support wellness or reduce injection discomfort

• Offers flexibility for patients who cannot access or tolerate FDA-approved versions

What to Expect

• Weekly injection given under the skin (abdomen, thigh, or upper arm)

• Gradual dose increases to support tolerance and minimize nausea

• Best used in combination with a healthy diet, physical activity, and ongoing medical support

• Results vary, but most patients lose 5–15% of body weight over time

Common Side Effects

• Nausea or upset stomach

• Constipation or diarrhea

• Fatigue

• Injection site irritation

• Headache or lightheadedness

Side effects are generally mild and improve as your body adjusts to the medication. Slower titration can help reduce discomfort.

Important Considerations

• Compounded semaglutide should be dispensed only from a licensed pharmacy using high-quality ingredients

• It may be prepared as semaglutide base, not semaglutide sodium (salt)

• Dosing errors can occur if instructions are unclear—always follow injection instructions precisely

• Not recommended during pregnancy or for those with a history of medullary thyroid carcinoma (MTC) or MEN 2

Is Compounded Semaglutide Right for You?

This option may be ideal if you:

• Have been unable to access FDA-approved medications due to cost or supply

• Prefer flexible dosing based on your body’s response

• Want more frequent support and dose adjustments

• Are working with a provider experienced in personalized weight management care

Frequently Asked Questions

Q: Is compounded semaglutide the same as Wegovy® or Ozempic®?
A: It contains the same active ingredient but is not FDA-approved, mass-produced, or manufactured by Novo Nordisk. It’s made in a compounding pharmacy and may include additional ingredients.

Q: Is it safe?
A: When prescribed appropriately and prepared by a reputable pharmacy, compounded semaglutide can be safe and effective. It is not suitable for everyone and should only be used under medical supervision.

Q: Why isn’t it FDA-approved?
A: The FDA does not approve custom-compounded medications, but they are permitted under specific guidelines for patients with unique needs or during drug shortages.

Q: How do I take it?
A: Once weekly via subcutaneous injection. Your provider will give detailed instructions and help adjust the dose over time.

Compounded Tirzepatide

What is Compounded Tirzepatide?

Compounded tirzepatide is a custom-formulated version of the active ingredient used in FDA-approved medications for weight management and blood sugar control. It is prepared by licensed compounding pharmacies when commercially available options are unavailable, or not suitable for a particular patient.

Unlike mass-produced medications, compounded tirzepatide can be tailored for individualized dosing, slower titration, and specific formulation preferences, such as the addition of vitamin B12 or other supportive ingredients.

Compounded medications are not FDA-approved but may be legally prescribed and dispensed by licensed professionals under specific guidelines.

How Compounded Tirzepatide Works

• Activates two hormone receptors – GLP-1 and GIP – that regulate appetite, blood sugar, and insulin sensitivity

• Helps control hunger, reduce food intake, and improve fullness after meals

• May improve metabolic function, including insulin resistance and cholesterol levels

• Supports significant, long-term weight loss with lifestyle changes

Why Choose Compounded Tirzepatide?

• Offers personalized dosing schedules for better side effect control

• Often more accessible than commercial brands

• Can be combined with vitamins like B12 to reduce fatigue or injection-site discomfort

• A flexible option for patients needing individualized care plans

What to Expect

• Subcutaneous injection once per week (abdomen, thigh, or upper arm)

• Gradual dose titration to minimize side effects and support tolerance

• Most patients experience steady weight loss over several months

• Typically used alongside a structured plan for nutrition, exercise, and behavior change

Common Side Effects

Like other medications in this class, side effects are mostly gastrointestinal:

• Nausea or upset stomach

• Constipation or diarrhea

• Fatigue

• Injection site irritation

• Bloating or reflux

• Headache or dizziness

Side effects often improve with time or by adjusting the dose slowly.

Important Considerations

• Must be prescribed by a licensed provider and filled through a trusted compounding pharmacy

• Compounded tirzepatide is not the same as the FDA-approved branded product (e.g., Zepbound®)

• May be prepared as tirzepatide base, not the same formulation used in commercial options

• Not appropriate for use during pregnancy or in those with a history of medullary thyroid carcinoma (MTC) or MEN 2

Is Compounded Tirzepatide Right for You?

This treatment may be a good fit if you:

• Have obesity or overweight with weight-related health issues

• Have not tolerated other medications or need a custom titration plan

• Prefer a flexible, personalized approach to weight loss

• Are working with a provider experienced in advanced obesity treatment

Frequently Asked Questions

Q: Is compounded tirzepatide the same as Zepbound® or Mounjaro®?
A: It contains the same active ingredient, but compounded versions are not FDA-approved and are not produced by the original manufacturer.

Q: Is it safe?
A: When prepared by a reputable pharmacy and used under medical supervision, it can be a safe and effective option for many patients.

Q: How do I take it?
A: It is injected once weekly under the skin. Your provider will give you clear instructions and adjust the dose based on your response.

Q: What if I have side effects?
A: Nausea is the most common. We help patients start with lower doses and increase slowly to reduce discomfort.