The drug is only FDA-approved for people considered obese by the CDC (e.g., with a body-mass index of 30 or higher) or who are overweight (BMI of 27+) but with additional health reasons for needing it (pre-diabetes, for example). In other words, it's for people facing a true health crisis, not just a bachelorette party in Miami. “There’s too much potential risk to ever use phentermine for aesthetic purposes," says Dr. Ryan. "Only when you’re treating for a health benefit can we tolerate a little risk.”


Dr. Arefa Cassoobhoy: 4 new weight loss drugs were approved recently, and more are sure to come. So, the question is, should you try one? The truth is weight loss drugs CAN help. You may want to try one if you’re obese, or if you’re overweight with a condition like type 2 diabetes or high blood pressure. So, how much weight can they help you lose? About 10% of your excess weight. Now that may not seem like a lot, but it’s a realistic goal to start with. And, once you tackle that first 10% you can set a new goal. Just remember, these drugs won’t lose the weight for you. But they will give an added boost to your diet and exercise plan. If you think this is something you want to try, talk to your doctor. For WebMD I’m Dr. Arefa Cassoobhoy.


Hi, I’m still a bit skeptical, I have seen some of my friends do the keto diet, and have had good results. Though I am still not sure about the idea of the fats being eaten. They say they eat meat with the fat and must do so, is this correct? Also isn’t this not good for the body especially for the kidneys? Second, can a diabetic do this diet? There are many questions running through my head.
A 3-day or 3-week teatox program cannot yield permanent results that are beneficial. You may lose water weight, but if you are, that may indicate that you’re losing a significant amount of electrolytes. Electrolytes help with muscle and nerve function, therefore impacting every organ system in your body. You may not notice an electrolyte imbalance until you have a muscle cramp (best case scenario) or cardiac arrest (worst case scenario).
The ketogenic diet is a mainstream dietary therapy that was developed to reproduce the success and remove the limitations of the non-mainstream use of fasting to treat epilepsy.[Note 2] Although popular in the 1920s and '30s, it was largely abandoned in favour of new anticonvulsant drugs.[1] Most individuals with epilepsy can successfully control their seizures with medication. However, 20–30% fail to achieve such control despite trying a number of different drugs.[9] For this group, and for children in particular, the diet has once again found a role in epilepsy management.[1][10]
The first modern study of fasting as a treatment for epilepsy was in France in 1911.[12] Twenty epilepsy patients of all ages were "detoxified" by consuming a low-calorie vegetarian diet, combined with periods of fasting and purging. Two benefited enormously, but most failed to maintain compliance with the imposed restrictions. The diet improved the patients' mental capabilities, in contrast to their medication, potassium bromide, which dulled the mind.[13]
That's right: Carbonated beverages are a big no-no because they introduce air into your belly, creating gas that can put pressure on your stomach and cause it to expand unnecessarily, thereby undoing the surgery results. Instead of soda, drink lots and lots of water, as dehydration is the most common reason for a patient's readmission to the hospital, according to the ASMBS.
The study, by Matthew L. Maciejewski and colleagues published in August in JAMA Surgery, found that 10 years later, more than 70 percent of surgical patients lost more than 20 percent of their starting weight, and about 40 percent had lost more than 30 percent. Gastric bypass, an operation called Roux-en-Y, resulted in a somewhat greater weight loss at 10 years than the newer gastric sleeve surgery and significantly more than the adjustable gastric band (Lap-Band) surgery, which “has fallen out of favor in the last two or three years,” Dr. Maciejewski said.
Dietary supplements like vitamins, herbal supplements—and yes, detox teas—are only loosely regulated by the FDA. Manufacturers don’t have to list every single ingredient in their tea blends, so it can be hard to know what you're exactly getting—even if the label bills itself as "herbal" or "all-natural." "Dietary supplements for weight loss have been found to have a high amount of adulteration. With a mixture like tea, it could contain nearly anything,” Stefanski says.

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While you might think of Fitbit as a device you need to buy and wear, you can use the app with just your iPhone or Android device. Your phone has enough sensors to track most of what the Fitbit app needs to help you get in shape and lose weight. If you like the app and want more tracking when you aren’t carrying your phone, you can always buy a Fitbit device later.
I have pancreatitis, well controlled, which is the way I want to keep it. The biggest difficulty I have with keto is this: I eat a small portion of steel cut oats in the morning. When I don’t, within two days , I start having bleeding, dark in colour. My endrocrinolagest feels that I need the roughage in the steel cut oats to replete the bowel lining. I have great difficulty loosing weight, always have, even though I eat very clean, no junk food, never eat out, don’t like pop, don’t crave sugar, cook all food fresh. Any comment? Willing to try anything you can suggest.

The combination of phentermine and topiramate, brand name Qsymia (formerly Qnexa) was approved by the U.S. FDA on July 17, 2012, as an obesity treatment complementary to a diet and exercise regimen.[45] The European Medicines Agency, by contrast, rejected the combination as a treatment for obesity, citing concerns about long-term effects on the heart and blood vessels, mental health and cognitive side-effects.

Rooibos is naturally caffeine free so you can enjoy a cuppa anytime you want—even before bed. It features a nutty and citrusy flavor profile with a refreshing finish. Drink a cup during each meal or when you feel stressed out and are inclined to binge eat. Rooibos tea is often used as a base tea for masala chai. The addition of spices such as cardamom, cinnamon, ginger and black pepper make this spiced rooibos tea even more delicious. Warm up our rooibos masala chai and add a dash of soy milk or rice milk for a creamy, invigorating treat.
Burdock is also a popular ingredient. It’s a plant root that promotes healthy liver cells and purifies the blood. Yerba mate is made from dried leaves of an evergreen holly and has the benefits of tea and coffee. It boosts energy and increases alertness without causing jitters like coffee, and is packed with vitamins and minerals like vitamin A, B2, iron, and flavonoids and amino acids.

Rise is one of those weight loss apps that makes dieting so easy that it'd be really difficult to mess it up. Why? You're paired with a certified nutrition coach, and your job is to literally send them photos all day of everything you eat. Each time, your nutritionist analyzes the meal, tells you how you can improve, and provides tiny tweaks that make adjusting your eating habits super simple. And while the $48 monthly fee may seem steep, think about it this way: it breaks down to just $2 a day for some seriously valuable, not to mention totally personalized, insight.
Doctors don't use this method as often as they once did, as there are newer, better techniques now. It worked like this: A surgeon cut a hole in the upper part of the stomach and put surgical staples in the stomach toward the top of it, making a small pouch. After that, the surgeon put a plastic band through the hole, wrapping it around the bottom end of the pouch to prevent stretching.  Food moved from the pouch through a small opening to the rest of the stomach.
So that children with severe obesity can gain confidence, hope, and a healthier outlook on life, we are committed to helping them lose weight. Our multidisciplinary and family-centered team starts by focusing on diet, exercise, and behavioral changes. If those methods fail, we move the discussion to bariatric surgery, a weight loss tool that alters the digestive system to either restrict how much food patients can eat or reduce how many nutrients their bodies can absorb.
If you're considering weight-loss surgery, there's a good chance you're getting plenty of pre- and post-op guidance from a doctor you trust. But that's not always the case, and for many people who have this type of procedure, life after surgery can be full of surprises — the good, the bad, and even the downright embarrassing. If you're thinking about undergoing bariatric surgery, here are a few things you should know that the doctor may forget to mention.
Why not empower rice, quinoa, and even oatmeal with the belly-fat burning properties of green tea? Instead of cooking your grains in regular water, tie 4 green tea bags onto a wooden spoon, fill a small pot with 2 cups water, and add the wooden spoon and tea bags. Bring the water to a boil and remove tea bags. Add the grains to the boiling tea water and cook as directed.
Dr. Campos, it is unfortunate that you retain the medical community’s negative stance on the ketogenic diet, probably picked up in medical school when you studied ketoacidosis, in the midst of an obesity and type II diabetes epidemic that is growing every year, especially among populations who will never see the Harvard Health Letter. The medical community has failed in reversing this trend, especially among children, and the public is picking up the tab, in the form of higher health insurance premiums to treat chronic metabolic diseases which doctors cannot cure. The ketogenic diet does not bid its adherents to eat unhealthy processed meats, and the green leafy vegetables that it emphasizes are important in a number of nutritional deficiencies. People lose weight on the ketogenic diet, they lose their craving for sugar, they feel more satiety, they may become less depressed, their insulin receptors sensitivity is improved, and these are all the good outcomes you fail to mention. There is a growing body of research which demonstrates the neuroprotective effects of the ketogenic diet to slow cancer progression, as well as diseases like Parkinson’s and Alzheimer’s, for which there are no effective medical treatments. Please respect your patients by providing them with evidence-based medical outcomes, not opinions.
Whatever the source of protein you consume, make sure they are organic grass fed and antibiotic-free, as they are generally healthier and safer for your body. In one study, researchers indicated that grass fed beef (regardless of cuts) contains more omega-3 acid and conjugated linoleic acid compared to grain-fed beef.21 As for non-meat sources of protein, try to look for organic and pesticide-free varieties.
Many people who are trying to lose weight may attempt to use dietary supplements or herbal medications, but most of these products have not been adequately studied for effectiveness or safety and none are approved by the U.S. Food and Drug Administration (FDA) for weight loss. Check with a healthcare provider for advice before using herbal or dietary supplements for weight loss.
Your personal coach, however, isn’t necessarily a registered dietitian or certified psychologist. According to its website, areas of expertise include psychology, social work, nutrition, exercise physiology. Coaches complete a Noom-specific certification program that is recognized by the International Consortium for Health & Wellness Coaching, and they complete the Centers for Disease Control’s Diabetes Prevention Program (DPP) Lifestyle Coach training.
If you have a goal weight in mind, Lose It! is designed to help you get there. Plug in your profile details and goal weight, and the app will calculate your daily calorie budget. Then you can track your food, weight, and activities to reach that goal. Features include barcode scanning, tracking food by taking a photo with Snap It, and a status bar if you’re counting macros.
Saxenda (liraglutide [rDNA origin] injection): This injectable medication helps dieters to feel full sooner so that they eat less and lose weight. Saxenda can be used by patients who are obese (with a BMI of 30 or more) or by patients who have a BMI of 27 or more and a weight-related medical condition such as type 2 diabetes, high cholesterol or high blood pressure.
Why is the keto diet good for you? A keto diet is one that prioritizes fats and proteins over carbohydrates. It can help reduce body weight, acne, and the risk of cancer. Find out about the mechanisms through which it achieves these benefits and the research that supports it. This MNT Knowledge Center article also discusses the risks of the diet. Read now

This isn’t a hodgepodge pile of workouts without explanation or curation. Nike Training Club suggests workouts based on factors like your available time and level of activity, and it’ll draw from your Apple Watch data to determine workouts you’re ready for. I especially like the way it assembles some workouts in collections, such as the “No More Excuses” series that shows it’s possible to stay fit without a gym or with little free time in your schedule.

The most common and relatively minor short-term side effects of ketogenic diet include a collection of symptoms like nausea, vomiting, headache, fatigue, dizziness, insomnia, difficulty in exercise tolerance, and constipation, sometimes referred to as keto flu. These symptoms resolve in a few days to few weeks. Ensuring adequate fluid and electrolyte intake can help counter some of these symptoms. Long-term adverse effects include hepatic steatosis, hypoproteinemia, kidney stones, and vitamin and mineral deficiencies.


This product is intended for healthy adults only. Do not use if you are sensitive to caffeine, pregnant or nursing a baby, or if you have any known or suspected medical conditions. Immediately discontinue use if you experience any negative side effects. This product contains Acetyl-L-Carnitine HCL. This ingredient can potentially cause some side effects including stomach upset, nausea, vomiting, and headache.This product contains caffeine: too much caffeine may cause irritability, nervousness, sleeplessness, nausea, and, occasionally, rapid heart beat. Do not use this product in combination with caffeine from other sources. Always start with 1 capsule to assess tolerance. Do not exceed 1 capsule per serving until tolerance has been assessed. Do not exceed the recommended dosage. Do not use if the safety seal is broken.
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