Weight Management

16 posts

My doctor prescribed methylphenidate for weight gain from Effexor and Lexapro. It makes me sleepy/drowsy. Is there a better drug for appetite suppression?

There are occasional patients who become sluggish or sedated with methylphenidate for reasons that aren’t clear.  If you are taking Effexor or Lexapro in the am then these could interfere with the activating effects of the stimulant.  Lexapro and Effexor are usually taken in am when first started, but after […]

When my mother died my doctor prescribed Meridia and I like it very much but recently it has not worked. Is there anything similar to Meridia?

Meridia (sibutramine) is FDA approved for weight loss.  It combines the effects of antidepressants like Effexor (at doses of 225mg or higher) or Cymbalta with dopamine effects like stimulants.  One possible side effect is increased blood pressure. Years ago I tried Meridia for several patients and most of them didn’t like it […]

Vitamins & Supplements: Are they really worth it?

  We have heard it since we were kids, but do we really need to take our vitamins?  The answer is yes.  Most Americans don’t get the nutrition they need simply from the foods they eat, and supplements insure that our body meets its nutrient “quota” enabling our body to […]

Chromium Picolinate

Chromium is a mineral present in our diet and in trace amounts in our body.  Diets lacking in adequate fruits and vegetables may result in low levels of chromium in our system.  Controlled studies done in multiple major medical centers found that chromium supplements aid in fat loss and weight […]

Part Six – Medication and Weight Control

In general, when we are aroused, vigilant, or alert and especially when in a “fight or flight” mode our appetite is suppressed.  The brain transmitters serotonin, norepinephrine, dopamine, and histamine decrease appetite, and being in a relaxed vegetative state increases appetite and low blood sugar causing carbohydrate craving. During physical activity appetite suppression […]

Part Four – Genetic Obesity

Wow! That sounds like a copout – “genetic obesity”. But for many people it is reality. I have seen people who have more self-discipline than God (so I exaggerate a little), who have always maintained an ideal weight, and then they get on one of many types of medications and 3 […]