New weight loss medication Contrave Available

If you are one of the Millions of Americans dealing with being overweight(BMI of 25-30), obese (BMI of >30), you may be excited about the new weight loss medication that just came on the market in October 2014 called Contrave.

Contrave

The U.S. FDA approved Contrave (naltrexone hydrochloride and bupropion hydrochloride extended-release tablets) as treatment option for chronic weight management in addition to a reduced-calorie diet and physical activity for those with a body mass index (BMI) of 30 or greater (obesity) or adults with a BMI of 27 or greater (overweight) who have at least one weight-related condition such as high blood pressure (hypertension), type 2 diabetes, or high cholesterol (dyslipidemia).

Obesity leads over 50 different medical problems including high blood pressure, high cholesterol, sleep apnea, diabetes, cardiovascular disease and even increased risk of most cancers(Yes, cancer risk for most Genitourinary and Gastrointestinal cancers goes up with obesity), and it continues to be a major public health problem around the world!

What is contrave for weight loss?

Similar to the other new combination weight loss medication, combination of two FDA-approved drugs, naltrexone and bupropion, is a combination of two medications in an extended-release formulation. While Naltrexone is approved to treat alcohol and opioid dependence. Bupropion is approved to treat depression and seasonal affective disorder and as an aid to smoking cessation treatment.

How effective is Contrave for weight loss?

The clinical effectiveness of Contrave was evaluated in multiple clinical trials that included approximately 4,500 obese and overweight patients with and without significant weight-related conditions treated for one year. All patients received lifestyle modification that consisted of a reduced- calorie diet and regular physical activity.

Results from a many clinical trial that enrolled patients without diabetes showed that patients had an average weight loss of 4.1 percent over treatment with placebo (inactive pill) at one year. In this trial, 42 percent of patients treated with Contrave lost at least 5 percent of their body weight compared with 17 percent of patients treated with placebo.

Side Effects of Contrave

The most common adverse reactions reported with Contrave include nausea, constipation, headache, vomiting, dizziness, insomnia, dry mouth, and diarrhea.

Does contrave work for me to lose weight?

In order to determine if Contrave or any other weight loss medication is right for you, you would need to schedule a consultation with a physician familiar with this and other weight loss medications such as the W8MD obesity medicine physicians.

Locations where Contrave is offered when appropriate to patients!

W8MD Medical weight loss centers of America

Philadelphia Insurance Weight Loss & Sleep Center: 1718, Welsh Rd, Philadelphia, PA, 19115 Ph: 1-215-676-2334 

Philadelphia weight loss doctor

King Of Prussia Weight Loss & Sleep Center: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 Ph: 215-676-2334 

Philadelphia weight loss doctor

NYC Insurance Weight Loss & Sleep Center: 2003, Bath Avenue, Brooklyn, NY, 11214 Ph: 1-718-946-5500. 

weight loss doctor new york city

New Jersey

Review of W8MD weight loss

Review of W8MD weight loss

W8MD medical weight loss centers of America’s program 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. This center bills out of network for insurance.

Distribution of Contrave

Contrave is distributed by Takeda Pharmaceuticals America Inc. of Deerfield, Illinois for Orexigen Therapeutics, Inc. of La Jolla, California.

About W8MD Medical Weight Loss Centers

W8MD is a physician supervised, evidence based non surgical medical weight loss and wellness program with offices in many states in the United States and most W8MD weight loss centers accept health insurance for the weight loss physician visits unlike the many “cash only” weight loss programs.

About FDA

The FDA, an agency within the U.S. Department of Health and Human Services.

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Cost of Phentermine and Topiramate in New York City or Philadelphia

The latest combination medication for fast and effective weight loss is the combination of Phentermine and Topiramate like in the new FDA approved medication, Qsymia.

lose weight nyc

Insurance physician weight loss

What is the cost of the new weight loss medication, Qsymia in New York City or Philadelphia?

The brand name weight loss medication Qsymia costs about $150.00-$200.00 per month.

The generic combination of Phentermine and Topiramate are available individually as generics and it is possible to use somewhat similar combination with slight changes in the dosage with similar results for significant cost savings.

What is the cheapest weight loss medication combination for fast weight loss in NYC or Philadelphia?

While this varies based on your situation and medications recommended to you after the weight loss consultation, the new weight loss medication combination of Phentermine and Topiramate are included in the biweekly weight loss program cost of $45.00 at the W8MD medical weight loss centers of America’s Brooklyn, New York, North East Philadelphia and King of Prussia, PA offices.

 

physician weight loss new york city and Philadelphia

physician weight loss new york city and Philadelphia

As most W8MD Medical Weight Loss Centers accept health insurance for the physician weight loss visits, with the minimal biweekly program cost of $45.00 including up to two weight loss medications including Phentermine and Topiramate when appropriate, there are not many lower cost alternatives available!

In fact, most cash only weight loss program that do not accept health insurance cost $200 – $500 per month compared to the minimal cost of $45.00 biweekly ($90.00/month) program cost at most W8MD medical weight loss centers.

 
Poly-Tech Sleep & W8MD Insurance Weight Loss Center: 1718, Welsh Rd, Philadelphia, PA, 19115

215-676-2334 

Our farthest patient comes from Nassau, Bahamas! Testimonials!

Philadelphia weight loss doctor

King of Prussia Weight Loss

Poly-Tech Sleep & W8MD Philadelphia Weight Loss Center: 987 Old Eagle School Rd, Ste 712, Wayne, PA, 19087 (King of Prussia)

215-676-2334 

Our farthest patient comes from Delaware! Testimonials


New York City Weight Loss

W8MD’s NYC Insurance Weight Loss & Sleep Apnea Center at Sleep Medical Associates, PLLC, 2003, Bath Avenue, Brooklyn, NY, 11214

718-946-5500

Our farthest patient comes from Dallas, Texas! Testimonials

weight loss doctor new york city


New Jersey Weight Loss

W8MD medical weight loss program at Vida Sleep Center of Dr. Felix Roque’s office at 543, 45th Street, Union City, New Jersey. 543 45th St, Union City, NJ  07087

(201)766-6469. 

Related links

Locations for weight loss

Testimonials for weight loss

By Prab R. Tumpati, MD, Medical Director Posted in Uncategorized

Comparing weight loss medications – Belviq, Qsymia, Phentermine, Phendimetrazine etc.

Weight loss NYC

Insurance physician weight loss NYC

With over 70 percent of the population of the United States being either overweight or obese, there is a lot of demand for various proven measures for losing weight including FDA approved weight loss medications.

With so many different medications, it is hard to know which one works the best for an average person. Here is the perspective of a practicing weight loss physician and founder of W8MD Medical Weight Loss Centers of America, Dr. Prab R. Tumpati, MD

Weight-loss drug Approximate Monthly Cost How it works Common side effects
Phentermine sold as Adipex Varies, generic available$30-90 per month. At most W8MD centers that dispense in house, this may be included in the $45.00 biweekly fee. Increase chemicals in the brain that affect appetite. Make you feel that you are not hungry or that you are full. Dry mouth, difficulty sleeping, dizziness, headache, feeling nervous, feeling restless, upset stomach, diarrhea, and constipation.
Lorcaserin
Tradename Belviq
No generic available.$220.00 Acts on the serotonin receptors in the brain. This may help you eat less and feel full after eating smaller amounts of food. Headaches, dizziness, feeling tired, nausea, dry mouth, cough, and constipation. Should not be taken with selective serotonin reuptake inhibitors (SSRIs) and monoamine oxidase inhibitor (MAOI) medications.
Phentermine-topiramate
Tradename Qsymia
$150.00 per month for brand name.Generic combination of Phentermine and Topiramate at most W8MD centers that dispense in house is included in the cost of the biweekly fee of $45.00 A mix of two drugs: phentermine (suppresses your appetite and curbs your desire to eat) and topiramate (used to treat seizures or migraine headaches). May make you feel full and make foods taste less appealing. Tingling of hands and feet, dizziness, taste alterations (particularly with carbonated beverages), trouble sleeping, constipation, and dry mouth.Note: Sold only through certified pharmacies.

MAY LEAD TO BIRTH DEFECTS. DO NOT TAKE QSYMIA IF YOU ARE PREGNANT OR PLANNING A PREGNANCY.

Orlistat
Sold as Xenical by prescription Over-the-counter version sold as Alli
Xenical costs $100-200 per month approved for adults and children ages 12 and older

Alli: adults only

Blocks some of the fat that you eat, keeping it from being absorbed by your body. Stomach pain, gas, diarrhea, and leakage of oily stools.Note: Rare cases of severe liver injury reported. Should not be taken with cyclosporine.
Other appetite suppressant that curb your desire to eat

  • benzphetamine sold as Didrex
$24-$45 Increase chemicals in the brain that affect appetite. Make you feel that you are not hungry or that you are full. Dizziness, dry mouth, difficulty sleeping, irritability, nausea, vomiting, diarrhea, or constipation etc.
Other appetite suppressant that curb your desire to eat

  • diethylpropion sold as Tenuate
$30-90 It works by acting on the appetite center in the brain to cause a temporary reduction in hunger or craving for food.
  • nausea, vomiting, diarrhea, upset stomach.
  • headache, blurred vision.
  • feeling nervous, anxious, or jittery.
  • sleep problems (insomnia)
  • dizziness, drowsiness, tired feeling.
  • depressed mood.
  • dry mouth, unpleasant taste in your mouth.
  • decreased sex drive
Other appetite suppressant that curb your desire to eat

  • phendimetrazine sold as Bontril
$30-90 Increase chemicals in the brain that affect appetite. Make you feel that you are not hungry or that you are full. Dry mouth, difficulty sleeping, dizziness, headache, feeling nervous, feeling restless, upset stomach, diarrhea, and constipation.

 

W8MD’s Verdict on the best weight loss medication: while it depends on the individual as to which works the best, the most effective ones will be a combination of these prescribed and supervised by a trained and experienced weight loss physician such as the W8MD weight loss physicians.

In our experience, the combination of Phentermine and Topiramate works the best for weight loss, appetite suppression and is very cost effective if the generic medications are used. Since Phentermine and Topiramate are included in the $45.00 biweekly fee at the W8MD Brooklyn, New York and Philadelphia PA locations, they are very cost effective.

Locations where you can consult with a weight loss physician that is familiar with these and other weight loss medications when medically appropriate

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

NYC Insurance Weight Loss Center: 2003, Bath Avenue, Brooklyn, NY, 11214 Ph: 1-718-946-5501  

weight loss doctor new york city

Portion control tips for losing weight and staying healthy

Portion control for losing weight


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

Exton Medical Arts Building 80 West Welsh Pool Road Suite 101S, Exton, PA 19341 Phone: (484) 483-2745

  • Specialties: Weight loss clinic, weight loss diet pills, lose weight Philadelphia, weight loss NYC, Topiramate, Qsymia, Belviq, Lorcaserin, New York weight loss, Adipex, Phentermine, Generic Phentermine Topiramate combination, weight loss diet pills, NYC weight loss service, philadelphia weight loss pills, 800 calorie VLCD diet, 1000 calorie LCD diet, cheap weight loss low calorie diets.
  • Cities Served for sleep apnea and weight loss: Staten Island, Manhattan, New York, New York City, Queens, Long Island, Bronx, Norristown, PA, Exton, West Chester, Pottstown, Philadelphia, King Of Prussia, Wayne, Brooklyn
  • Counties Served: Chester, Philadelphia, Bucks, Manhattan, Bronx, Montgomery, Burlington, Kings, Richmond, Queens,

 

healthy eating child

Obesity in children and secret of losing weight for kids!

How big is the problem of obesity in children and adolescents?

According to the statistics

  • Tell that obesity has increased so much in the last 30 years that Centers for Disease Control say is it doubled in this duration.
  • In 1980 about 7% of children were obese. In 2010, about 18% of children are obese. What and a third of the doll since you were found to be some 2010.
  • Lifestyle diseases such as such as type II diabetes which were once considered to fact only adults are now being seen increasing in children. 
  • Overweight or obese children have a 70% chance of becoming obese adults according to the surgeon general.
  • Be staying to not only causes increased risk of heart disease, type II diabetes, but also leads to poor self-esteem, and depression, according to the Surgeon General.

Definitions of obesity and overweight status in children

  • Being overweight is defined based on body mass index and the body fat ratios. 
  • Use a pediatric BMI calculator to find out where your child stands. The adult BMI and childhood BMI are completely different.
  • In children, the BMI is usually measured in percentile graphs. The goal is to stay between 25-75 percentile range for BMI, and definitely below 85 percentile.

What really causes obesity in our children?

According to Dr. Prab R. Tumpati, MD, founder of W8MD medical weight loss centers of America, the most important contributor to the weight gain in children is their insulin resistance.

Dr. Tumpati States that understanding the actions of insulin at the core of understanding how to lose weight. Although most people associate insulin with diabetes, insulin is a hormone that helps control the blood sugars. According to statistics up to 71% of the population or insulin resistant.

Since insulin is a bodybuilding hormone, more insulin in the system means more body building.

Sumo wreslter diet

In fact this is being used by Sumo wrestlers in Japan to intentionally gain weight by putting themselves to a regime of diet that makes them insulin resistant.

There are recent reports that show that even American bodybuilders have discovered the secret and use insulin in order to gain excess body weight quickly.

Unfortunately up to 71% are already insulin resistant and up to 35% of them already have pre-diabetes, also called metabolic syndrome. Even kids are having insulin resistance, prediabetes and even frank type 2 diabetes.

Failed food pyramid

Failed food pyramid from USDA(United States Department of Agriculture) in fact made the problem of insulin resistance worse by their overemphasis on low fatty foods, which in turn ended up being high glycemic, thus leading to increased insulin resistant, and expanding waist lines. Since this was initially accepted as science, although later proven to be very flawed, there is so much misunderstanding both among the regular medical profession and among the lay public as most think low fat is good forgetting the role of insulin resistance if that low fat means high glycemic.

How does this work?

The natural response of the body to insulin resistance Used to increase production of the Bodybuilding hormone called insulin. The more insulin the body has, the more building happens!

Metabolic starvation

You may be surprised to know that many of the overweight or obese children and adults are in fact in starvation internally.

Acanthosis nigricans of neck sign of insulin resistance

Acanthosis nigricans of neck sign of insulin resistance

How is this possible for for an obese person to be in starvation?

This is so because the storage of fat is controlled by insulin. Hi am on the fence in the bloodstream make a person go into metabolic starvation.

For the body to release the stored fat back, the levels of insulin should be low. Unfortunately, those that are insulin resistant have high amounts of insulin at baseline. Since insulin also controls the release back of the stored fat, high amounts of insulin essentially make it impossible to get the stored fat back when you need it in between the meals leading to cravings, and loss of muscle tissue as that is the only other way the body can get some energy!

To a naïve person, these two cravings might appear as lack of control issue but the underlying processes actually and send assistance and have nothing to do with lack of self control.

Stop blaming the victim for obesity. 

Our misunderstanding of the actions of insulin, and the metabolic starvation due to insulin lead to the society’s misunderstanding that tends to blame the victim for obesity as it appears as if it is a lack of control issue due to cravings but insulin resistance and the resultant metabolic starvation is what drives these cravings.

Research from Yale University and other places shows that up to 90 percent of diabetes is preventable.

How can we recognize insulin resistance?

Looking at the neck for signs of insulin resistance very can see some lines or stria on the neck, or darker or thicker patches in the neck called Acanthosis Nigricans, upper body distribution of the weight, belly fat, waist to hip ratio etc. are some of the signs a trained obesity medicine doctor will look for in recognizing insulin resistance.

Wait, my blood sugars OK, so why do I need to worry about this?

Your blood sugars will be fine in the compensation phase when the body is able to over produce insulin. First, this excess insulin causes weight gain, and 2nd, this causes starvation metabolically! The blood sugars start to raise above 100 fasting only when this compensation of over production of insulin begins to fail.

The medical profession failed miserably in that they wait until this compensation fails to do any thing to correct this issue and even then, most physicians have nothing to offer other than simply say “lose weight”. This is not useful for most patients as they already are aware they are overweight or obese.

Lack of proper physician education 

W8MD Model Doctor

W8MD Model Doctor

Up to 94 percent of general physicians receive minimal or no education in tackling this problem of obesity and so have nothing to offer other than simply say lose weight or hand our a diet sheet!

How can W8MD medical weight loss centers of America help my child lose weight?

W8MD Medical weight loss centers of America Help you are your time to lose weight using evidence-based non-surgical weight loss measures aimed at reversing the true causes of weight gain instead of blaming the victim or their families!

Things you can do:

If your child is overweight or obese, make an appointment with of the specially trained obesity medicine physicians of W8MD medical weight loss centers of America.

THIS COULD BE THE BEST THING YOU EVER DID TO YOUR CHILD!

Make sure you do not blame your child or yourself for their weight gain but do let them know he or she is loved and appreciated whatever his or her weight.

An overweight or obese child most likely knows better than anyone else that he or she has a weight problem.

Overweight or obese children need support, acceptance,and encouragement from their parents instead of “blame game” which helps none.

Know that any weight loss program for children should be supervised by an obesity medicine physician and w8md medical weight loss centers of America can help!

Video

Safe weight loss programs New York City & Philadelphia

Are you a bit overweight and looking for safe and effective ways to lose weight?

physician weight loss new york city and Philadelphia

physician weight loss new york city and Philadelphia

1. The best way to reach your goal weight is to understand what is causing your weight gain to begin with.

2. Once you understand the cause(s) such as insulin resistance, sleep disorders, eating habits, and physical inactivity, you may want to then look at the proven measures to lose weight.

3. Find a weight loss program that is right for you based on your situation. A weight loss program that is supervised by an obesity medicine weight loss physician would be considered safest way to lose weight as it would take in to consideration all the factors that may be contributing to your weight gain!

Here are the things to consider before choosing a safe and effective weight loss program in New York City or Greater Philadelphia

Things to consider before deciding on a safe weight loss program

  • A balanced and nutritious very low calorie diet with or without meal replacement that reduces calories but do not make you under nourished or hungry so you can lose weight fast and safe
  • Instructions on regular physical activity and/or workout
    strategy that is right for you.
  • A weight loss program that is going to take your cultural and personal preferences in to account so that is not “one size fits all” type of weight loss program.
  • A sustained and slow weight decrease of about 1–2 pounds
    per week, up to 4-5 pounds if you are starting at a very high body masss index, with careful supervision under the care of weight loss physician.
  • A long term weight loss maintenance plan so that you can not only lose weight but keep it off!
  • Appetite suppressant medications such as Adipex, Phentermine, Qsymia, Belviq, Topiramte, Phendimetrazine when medically appropriate to curb hunger and reduce cravings, increase metabolism for fast and effective weight loss

Woman-On-Weight-Scale-I-Did-It

  • The eating / diet plan should be reduced in calories to about half of your basal calorie requirement but still supply all the nutrients needed for the body with all different vitamins, minerals, but not empty calories.
  • Make sure the program has a plan to guide you on behavior change, and exercise
  • The program should educate you how to change permanently the factors causing your weight gain and reverse metabolic factors such as insulin resistance for sustained weight loss success
  • Make sure the doctor is well trained in the field of obesity medicine for weight loss sucess
  • Make sure the weight loss program has an on going follow up plan for weight loss while on very low-calorie diet (a special weight loss formulas for partial or complete meal replacements), an exam and followup visits by a medical practitioner are also required.There are other questions you can inquire about how well a program works. Because numerous programs don’t accumulate this data, you may not get responses.
  • Does the program accept health insurance for the weight loss physician visits?

http://www.youtube.com/watch?v=0Gs8aAiVgrQ

W8MD meal replacement low calorie diets Video

Phentermine Topiramate Review

If you are a bit overweight or obese, you have some good news. The FDA has changed it’s “deny every weight loss drug policy” and is moving in the right direction.

Ironically, the FDA did not have a single Bariatrician or weight loss doctor on their panel that reviews weight loss medications until recently. As soon as they have a bariatric doctor on the panel, coincidentally or otherwise, they have two new weight loss medications – Qsymia which is a combination of Phentermine and Topiramate and Belviq (Lorcaserin).

Here is the information on Qsymia™ (Qsymia is the trade mark of Vivus, Inc.)

W8MD Medical Weight Loss Centers Of America’s unique insurance physician weight loss clinics in greater Philadelphia, NJ and NYC have extensive experience in both the brand name Qsymia™ or the generic combination of Phentermine along with Topiramate (generic version is similar to the brand name although not identical as there no generic equivalent available) for successful weight loss along with Very Low Calorie or Low Calorie Diets, Behavior Modification, and other evidence based measures.

Weight loss program NYC

Weight loss program NYC

Cost of Qsymia Brand Name Weight Loss Medication

Approximately $150.00 to $160.00 per month at about $3.00 a pill.

Cost of the generic combination of Phentermine and Topiramate at W8MD Medical Weight Loss Centers

Varies from $45.00 USD biweekly for both Phentermine and Topirmate at a dollar a pill for cost saving of 40-50 percent with the generic combination.

W8MD Medical Weight Loss Centers That Accept Most Insurances For Weight Loss Visits.

Sleep And Obesity Medicine - Prab R. Tumpati, MD

W8MD medical weight loss program at Vida Sleep Center of Dr. Felix Roque’s office at 543, 45th Street, Union City, New Jersey. 543 45th St, Union City, NJ  07087. Phone (201)766-6469. This W8MD medical weight loss center in New Jersey bills out of network for insurance.

 Related weight loss articless

(Phentermine and Topiramate is one of the most popular and most effective weight loss medications) for fast weight loss!