The AFP Community Blog

I have patients requesting prescriptions for a weight loss medication nearly weekly, and I believe that lots of family docs could report the same. The existing problem of AFP includes a POEM of a systematic review released in JAMA previously this year regarding the benefit of prescription weight loss medications.

This thoughtful organized review only included studies of at least 1 year’s length of time and viewed lipid, glucose, and blood circulation pressure final results in addition to weight lost. The medications included in the review were orlistat, lorcaserin, and phentermine/topiramate. Interestingly, no studies examining phentermine alone met the systematic review’s 12 month duration requirement, though even, as the POEM records, it’s the most often prescribed weight loss medication.

5% body weight lost) percentages quoted in the original study’s abstract. Every one of the studies measured the result of these medications along with diet and exercise changes, therefore i feel justified in carrying on to insist upon changes in lifestyle prior to initiating treatment with these medications. The authors also recommend discontinuing weight-loss medications if 5% bodyweight is not lost in 12 weeks, as individuals who did not lose at least that much weight were unlikely to lose any after continued medication.

The POEM highlights that this organized review did not, however, find any evidence of POEM (Patient Oriented Evidence that counts) level advantage for these medications besides weight reduction. Lipid, blood sugar, and blood pressure readings are all disease-oriented evidence (DOE); we have no studies to date showing that any of these medications reduce complications from hypertension, diabetes, heart disease – or even whether they help people live much longer.

It seems realistic to assume that patients who lose weight with these medications will improve their threat of those problems, but that’s only an unverified inference at this point. They then use this declaration to validate the need for weight loss medications as a way to combat those pressures. Frankly, I’d would rather see us work to reduce those biologic and environmental stresses rather than adding another pill to your patients’ regimens. Our commitment as 21st century family doctors must be to our areas as well as our specific patients if we are ever to show the tide of increasing weight problems rates.

  • Active fun
  • 5 minced garlic cloves
  • You also needs to minimize caffeine and alcoholic beverages, that are both diuretics
  • It’s a feeling of certainty or unwaverable beliefs in yourself and beliefs
  • Apple Watch Series 3
  • Do abdomen crunches …

There’s an AFP By Topic on obesity if you’d like to read more. Having said that, in the here and now here, these medications may have a role to play. Are you prescribing medications to help your patients lose weight? If so, how will you choose which patients to prescribe these to?

However Ms Itsines has taken offence to comments from Freelee and Durianrider, who said she was ‘starving’ her supporters and claimed that she ‘stimulates anorexia’. Aloysa Hourigan, senior nutritionist and nutrition program manager at Nutrition Australia said these crash diets are ‘regarding’ and ‘dangerous’. The 80:10:10 diet is a vegan eating plan where the fans get 80 percent of their calories from carbohydrates (mostly fruit plus some veggies), 10 percent from healthy fatty acids, and 10 % from protein. When you are on a diet that’s limited in one way, like 10 % protein.