Medications can help boost weight loss efforts and increase motivation. There are 5 FDA approved medications for weight loss and these are indicated based upon the BMI of individuals.

Weight loss medications 5 FDA approved weight loss medications Contrave, Qysmia, Saxenda, Xenical, Phentermine   Pharmacotherapy treatment recommendations BMI >27 with comorbidities BMI >30 without

 

Several diabetes medications facilitate weight loss while some diabetes medications can cause weight gain. Tight control on blood sugars can help reduce cravings for sugary carbohydrates while increasing energy to allow for exercise and more physical activity.  Achieving the correct combination of diabetes medications can have a large impact on weight management.

Some promote weight gain Insulin sulfonylureas] meglitinides   A few facilitate weight loss GLP-1 receptor agonists SGLT-2 inhibitors

 

Consider Surgery

Surgery is another option to consider if weight loss goals are not achieved.  It is recommended for individuals with a BMI over 35 if they have other comorbidities and over 40 if they do not.

Surgery may be recommended for: BMI > 35 with comorbidities BMI > 40 without comorbidities

The Sleeve has become the most common surgical option as it is as effective as Roux-en Y and has shown to have less complications over the long term.

Adjustable gastric banding (Lap Band)   - minimally invasive, reversible   -  Limited long term success   - Recent decline of procedures Sleeve gastrectomy   - 80% of stomach removed   - Similar long term weight loss to Roux-en Y Roux-en Y gastric bypass   - Very invasive, rerouting of gastrointestinal tract   - High risk of vitamin deficiencies without supplementation