Medical Weight Loss

Medication

Form

How It Works

Common Side Effects

Natural supplements

Injectables, Capsules, sublingual

Increase metabolism through use of natural vitamins and minerals

Orlistat or Xenical

Tablet up to 3x/day

Prevents up to 1/3 of dietary fat from being digested

Can cause intestinal symptoms and diarrhea

Naltrexone

Tablet daily

Medication that reduces food consumption

Nausea

Insomnia

Headache

Muscle aches

Abdominal cramps

Bupropion (Wellbutrin)

Tablet daily

Antidepressant that increases certain types of activity in the brain to reduce cravings and appetite

*Take with food

Drowsiness 
Difficulty falling or staying asleep
Dry mouth 
Dizziness 
Headache 
Nausea/Vomiting/Constipation
Stomach pain 
Loss of appetite/weight loss*
Changes in taste
Excessive sweating 
Ringing in the ears
Frequent urination

Naltrexone-bupropion 
(Contrave)

Tablet daily

May help you feel less hungry or full sooner

Nausea/Vomiting/Diarrhea/Constipation
Dizziness 
Dry mouth 
Headache 
Increased BP/HR
Insomnia

Metformin

Tablet daily

1^st line in prediabetes and diabetes.

Makes your muscles more sensitive to your own body's insulin so that your body can burn sugar (and therefore calories) more efficiently.

Can cause GI distress

Diethylpropion

Tablet daily

Increase chemicals in brain to make you feel you are not hungry or that you are full

See side effects for phentermine and bupropion

Semaglutide (Ozempic/Wegovy)

Injection 1x/week

Designed to lower glucose in diabetes.

Known to cause significant weight loss although not a weight loss drug.

Nausea/Vomiting/Diarrhea/Constipation

Abdominal pain 

* Wegovy can be considered in those with cardiovascular diseases like type 2 diabetes, high blood pressure or high cholesterol

Semaglutide (Rybelsus)

Tablet

Designed to lower glucose in diabetes.

Not a weight loss drug, but causes weight loss.

Take on an empty stomach. Eat 30-60 minutes later.

Nausea/Vomiting/Diarrhea/Constipation – especially at first 

Abdominal pain 

Decreased appetite

Phentermine

Oral 

Increase chemicals in brain to make you feel you are not hungry or that you are full

Dry mouth 
Constipation 
Difficulty sleeping
Dizziness 
Feeling nervous/restless
Headache 
Increased BP/pulse

Topiramate

Tablet daily

Causes decrease in cravings and change in tastes

*Should NOT be used in conjunction with a ketogenic or high protein/low carbohydrate diet

Tingling in hands/feet
Headache 
Drowsiness 
Weakness 
Weight loss*
Constipation 
Heartburn 
Change in ability to taste food 
Dry mouth 
Excessive menstrual bleeding or missed periods 
Increased risk of kidney stones

Phentermine-topiramate (Qsymia)

Oral 

May make you less hungry or feel full sooner

Taste changes, especially with carbonated beverages
Dry mouth 
Constipation 
Difficulty sleeping
Dizziness 
Tingling in hands and feet

Liraglutide 
(Saxenda)

Injection daily

May help you feel less hungry or full sooner

Nausea/Diarrhea/Constipation Abdominal pain 
Headache 
Increased pulse

Topicals

Lipo Sculpt Lean Cream

Topical

Agents work together to produce fat reduction, cellulite reduction, and skin tightening

Lipo Scult Meso Max Cream

Topical

Agents work together to produce fat reduction, cellulite reduction, and skin tightening

Combos

Suppress

Amlexanox/Buproprion/Naltrexone

Bella Caffeine

Buproprion/Caffeine/Oxytocin/Topiramate/Naltrexone/Methylcobalamin

Bella Light

Bupropion/Phenteramine/Topiramate/Naltrexone/Methylcobalamain

Bella Non-Stim

Bupropion/Metformin/Oxytocin/Topiramate/Naltrexone/Methylcobalamin

Bella Plus

Bupropion/Phenteramine/Topiramate/Naltrexone/Methylcobalamin