Re: Wegovy: FDA approves weight loss drug to cut cardiovascular risk
(Source: BMJ Comments)
Source: BMJ Comments - April 12, 2024 Category: General Medicine Source Type: forums
A public awareness campaign for weight-loss surgery overseas
(Source: BMJ Comments)
Source: BMJ Comments - March 26, 2024 Category: General Medicine Source Type: forums
Re: Public health perspective on new weight loss medications
(Source: BMJ Comments)
Source: BMJ Comments - February 13, 2024 Category: General Medicine Source Type: forums
Stimulant/Naltrexone for Weight
I've had some patients that benefitted from bupropion/naltrexone for weight loss. I got to wondering about my ADHD patients that are on methylphenidate or amphetamine (but not bupropion) if adding naltrexone to their regimen would be helpful for weight loss. Does anyone have experience with, or thoughts about, this? (Source: Student Doctor Network)
Source: Student Doctor Network - December 18, 2023 Category: Universities & Medical Training Authors: aim-agm Tags: Psychiatry Source Type: forums
Risperdal withdrawal
I have a client with bipolar 1 disorder who has taken 6mg of risperdal daily for years. The medication has worked well for her but led to an 80 pound weight gain. The client has been working with weight management and taking Wegovy for 5 months with no weight loss at all. She quit her risperdal cold Turkey more than a week ago. Today, I noticed irritability and restlessness. The client has started having sleep difficulties. I reflected my observations today and expressed concerns for her...
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Source: Student Doctor Network - December 16, 2023 Category: Universities & Medical Training Authors: psychma Tags: Psychiatry Source Type: forums
Sorry some dumb medical questions from a PGY1
I have some really dumb questions, if anyone would be willing to answer them!
1. Do you hold all GDMT or just the beta blocker during heart failure exacerbation? What about Farxiga? Is Amlodipine or Nifedipine contraindicated in HFrEF/HFpEF?
2. Are there any formal guidelines on when to start pharmacology for weight loss, such as Phentermine-topiramate?
3. How do you know if a chest tube is currently to suction, on water seal, or clamped?
4. How exactly do you diagnose DKA? Do you need...
Read more (Source: Student Doctor Network)
Source: Student Doctor Network - September 16, 2023 Category: Universities & Medical Training Authors: lotsofquestions101 Tags: Internal Medicine and IM Subspecialties Source Type: forums
Wegovy shown to cut risk of stroke and heart attacks, company says
Weight-loss drug Wegovy cuts risk of stroke, heart attacks, company said
The findings are the first to demonstrate that a weight-loss drug has medical benefits beyond weight reduction.
www.nbcnews.com
Not peer-reviewed yet but pretty long study (5 years). We will get more data sometime this year. We don’t know if these heart benefits are due to weight loss effect or there are some other factors at play.
This can be a game-changer. (Source: Student Doctor Network)
Source: Student Doctor Network - August 15, 2023 Category: Universities & Medical Training Authors: Chrish Tags: Pharmacy Source Type: forums
Wegovy = Magic
I wonder if it has effect on malignancy, as many cancers are obesity related.
Weight Loss Drug Cuts Risk of Heart Problems, Maker Says
A clinical trial was the first to demonstrate that a new obesity drug could also improve patients’ heart health.
www.nytimes.com (Source: Student Doctor Network)
Source: Student Doctor Network - August 8, 2023 Category: Universities & Medical Training Authors: RealSimulD Tags: Radiation Oncology Source Type: forums
Question on weight-loss drug dosage.
Gettings,
We have a patient who gets Phentermine 37.5 mg BID # 60 each month.
My question is, is 75 mg/ day justified? I can’t find it anywhere in package insert to go above 37.5 mg (although we have some other folks on 1.5 tab of 37.5 mg qd).
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - August 6, 2023 Category: Universities & Medical Training Authors: Chrish Tags: Family Medicine Source Type: forums
Anyone here who started their own private practice?
How did you get patients? Did you send mailers? Just word of mouth?
I’m basically about to start my concierge weight loss clinic. Have only spent maybe $1500 so far and have website 80 percent done, emr is set up with full tele med capability, lab portal is set up. But once i got a quote for malpractice insurance, I’m starting to get cold feet.
The quote was for $5600, and that’s in fact for part time practice. And it’s a claims made policy so if i fail at the business or if it’s not...
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Source: Student Doctor Network - July 17, 2023 Category: Universities & Medical Training Authors: cyanide12345678 Tags: Emergency Medicine Source Type: forums
Topiramate
Curious what everyone’s experience has been with topiramate and it’s many many off label uses. I had a conversation with someone the other day who frequently used it for weight loss, mdd, ocd, sleep, Alcohol deprenence and other off label uses. I’ve never really used it because in my minds eye there’s always something that is “better“ in each given category of use and frankly I’m just not very familiar with it. What has the group seen by way of efficacy in all of its off label uses? My...
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Source: Student Doctor Network - June 1, 2023 Category: Universities & Medical Training Authors: medhead1990 Tags: Psychiatry Source Type: forums
Glp-1 agonists
Articles about using ozempic etc for weight loss have been all over the popular press. Has anyone had a patient using a glp-1 agonist inappropriately as part of eating disordered behaviors? I figure it's only a matter of time but I haven't come accross it yet. (Source: Student Doctor Network)
Source: Student Doctor Network - June 1, 2023 Category: Universities & Medical Training Authors: Celexa Tags: Psychiatry Source Type: forums
Way to Health is Insightful Moderation Re: Artificial sweeteners do not aid weight loss or improve health, says WHO
(Source: BMJ Comments)
Source: BMJ Comments - May 16, 2023 Category: General Medicine Source Type: forums
Outpatient PA supervisor question
I wasn’t sure how to title this..
There is a PA I work with who has an outpatient suboxone and testosterone clinic basically, he started doing ozempic for weight loss recently as well. He has a retired ER doc that started the practice and now just has his name on it for legal purposes. His current doc is retiring from everything and I was approached to take his place.
I’m interested because I’m getting burned out and would like to do some outpatient medicine. I’ve been considering ketamine...
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Source: Student Doctor Network - December 3, 2022 Category: Universities & Medical Training Authors: jikenyson Tags: Emergency Medicine Source Type: forums
Obesity is associated with central µ-opioid receptor (MOR) downregulation
Mesolimbic opioid-dopamine interaction is disrupted in obesity but recovered by weight loss following bariatric surgery - Translational Psychiatry
Obesity is a growing burden to health and the economy worldwide. Obesity is associated with central µ-opioid receptor (MOR) downregulation and disruption of the interaction between MOR and dopamine D2 receptor (D2R) system in the ventral striatum. Weight loss recovers MOR function, but it...
www.nature.com
Explains so much...
Now just need to think of the most polite way I can explain to patients that ...
Source: Student Doctor Network - November 20, 2022 Category: Universities & Medical Training Authors: sdnuser001 Tags: Pain Medicine Source Type: forums
