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How to Speed Weight Loss on Phentermine

by
author image Marcy Brinkley
Marcy Brinkley has been writing professionally since 2007. Her work has appeared in "Chicken Soup for the Soul," "Texas Health Law Reporter" and the "State Bar of Texas Health Law Section Report." Her degrees include a Bachelor of Science in Nursing; a Master of Business Administration; and a Doctor of Jurisprudence.
How to Speed Weight Loss on Phentermine
Phentermine is prescription appetite suppressant. Photo Credit Jeng_Niamwhan/iStock/Getty Images

How to Speed Weight Loss on Phentermine

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Introduction

Phentermine (___, ___) is a prescription appetite suppressant that can help with short-term weight loss. The most commonly prescribed appetite suppressant, it also increases metabolism. (Ref. 1)
Ref 3 - indications

appetite suppressant, FDA approved
weight loss expected
combine
chronic condition
short-term
BMI
also combination Qysmia







doesn't help - supplements

surgery, VLCD

http://www.cdc.gov/obesity/


Prescription, not OTC







[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584306/]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339766/]
[http://books.google.com/books?id=OyyaAgAAQBAJ&pg=PA369&dq=prescription+appetite+suppressant&hl=en&sa=X&ei=1-h3U9fjMcjHoATbp4GQBg&ved=0CFEQ6AEwAzgK#v=onepage&q=Phentermine&f=false]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3006492/]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3618542/#!po=58.6957]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791337/]
Compliance

The U.S. Food and Drug Administration has approved the use of phentermine for a 12-week period, which may be extended to ____ weeks if ___. (Ref. __) The expected weight loss is ___ lbs or ___ kilograms
studies about compliance - elderly, higher BMI
take as directed
contact MD for side effects - many don't require stopping
Taking the medication as prescribed
Side effects may include constipation, dry mouth, rapid heart rate, high blood pressure, anxiety, ___. (Ref. 1)
Combination

Phentermine also has been approved in combination with topiramate, marketed as Qsymia, as a long-term therapy for obesity.(Ref. 1) This extended-release medication suppresses appetite and raises the basal metabolic rate or BMR. Common adverse effects include sleep difficulties, dry mouth, abnormal sensations and constipation. Serious side effects include birth defects and acute angle glaucoma. ADD TO WARNINGS?? The EQUIP study demonstrated a 37-lb weight loss at 56 weeks. (Ref. 2) WITH LOW-ENERGY diet.
can be used after bariatric surgery if weight loss slows or patient regains (ref. 1)
ref 3 - indications
Lifestyle Modifications

Obesity is a chronic condition that must be treated with a variety of strategies. Taking phentermine or any other weight loss medication without changing your lifestyle will not be effective __
reduce fat, increase exercise
required ref 3
Behavioral Changes

group support, addiction, education
Medically Directed Therapies

surgery, VLCD
Warnings

Phentermine can raise blood pressure and pulse rate, so should not be used in people with heart arrythmias, (Ref, 1, ___)
As a result, pregnancy tests need to be performed monthly in women of childbearing potential, and the medication immediately discontinued in the event of pregnancy. REWRITE (Ref. 1)
Key Concepts

appetite suppressant treatment
prescription appetite suppressant
phentermine weight loss

References

Bariatric Times: The Role of Appetite Suppressants in Post-Surgical Patients [http://bariatrictimes.com/the-role-of-appetite-suppressants-in-postsurgical-patients/]
Obesity: Controlled-Release Phentermine/Topiramate in Severely Obese Adults: A Randomized Controlled Trial (EQUIP) [http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3270297/?report=reader]
U.S. Food and Drug Administration: Medications Target Long-Term Weight Control [http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm312380.htm]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3339766/]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3584306/]
[http://dailymed.nlm.nih.gov/dailymed/lookup.cfm?setid=dbe7b8bf-e31e-43e2-98b7-465d4a895702#nlm34067-9]

Resources (Further Reading)

[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3623549/]
[http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3786546/]

User Bio

Marcy Brinkley's articles about health care and legal issues have appeared in "Texas Health Law Reporter" and the "State Bar of Texas Health Law Section Report." She holds a bachelor's degree in nursing, a master's degree in business administration and a Doctor of Jurisprudence.
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Step 1

Follow a reduced calorie diet. "Handbook of Obesity Treatment" suggests meeting with a registered dietitian to learn how many calories you should be eating daily for optimal weight loss. However, if you are unable to meet with a dietitian, the general rule of thumb is that men should consume 1,800 calories per day for weight loss and women should consume 1,200 calories per day for weight loss, according to "Foundations of Nursing."

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Step 2

Perform cardiovascular exercise, such as walking, swimming or biking, for at least 20 minutes at least three days per week. According to "Handbook of Obesity Treatment," cardiovascular activity is key to initial weight loss because it increases immediate calorie expenditure.

Step 3

Perform strength training exercise for at least 20 minutes at least three days per week. Strength training exercises include using weight machines, performing calisthenic exercises and using dumbbells. According to "Handbook of Obesity Treatment," strength training is an essential part of maximizing weight loss because it builds muscle mass, which naturally increases your basal metabolic rate and leads to greater calorie expenditure while resting.

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