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How to loose weight?

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Posted on Wed, 30 Jul 2014
Question: I have recovered from "Tummy Tuck" Surgery and I'm off the insulin now! for 3 weeks , but find it such a struggle to stay on my diet. Mom took me to a diet pill Dr. when I was 14 and I went from 225 lbs. to 130 lbs. in two years. Married, raised a Beautiful Lady to become a Lawyer ! Now I'm 63,was diabetic, but my hbA1c is "7" now. My brain needs Amphetamine Diet pills again for help to lose another 50 lbs. I'm at 200 lbs. and stuck ! I recently passed a Treadmill stress test & got up to 130 pulse running for 15 mins. I need an XXXXXXX Md. who understands I want to lose more wt. & live to be an old lady of 90 someday !
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Answered by Dr. Shehzad Topiwala (10 hours later)
Brief Answer:
Weight loss

Detailed Answer:
I am delighted to see you are off Insulin.

Keep up the efforts and keep your A1c under 7 with minimal to no low glucose episodes, as much as possible.

I understand your need to lose more weight. Amphetamine based treatments are deemed unsafe.

Endocrinologists prefer to prescribe a class of medications called GLP1 analogues. They are approved for diabetes control and facilitate weight loss as well. These medications work at multiple levels. They give the brain a sense of satiety, and also slow the stomach's emptying of food thereby resulting in a feeling of fullness after eating a small portion. Additionally, they enhance the body's insulin secretion and suppress a hormone called glucagon which tends to raise blood glucoses.

Ask your doctor if you are a candidate for such a medication.

Moreover, there are 2 other medications approved for diabetes that cause weight loss too. One of them is called Metformin. If you are not already on it, then speak with your healthcare provider about this too.
The other one is a newly launched category called SGLT2 inhibitors. Ask you endocrinologist if these are suitable options for you.

I see you are in Arizona. Physicians licensed in other states, but not in Arizona are not permitted to prescribe medication to Arizona residents. Recently there was a proposal to change this law in order to encourage telemedicine.
Besides, the objective of this forum is only guidance and not actual prescribing
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Shehzad Topiwala

Endocrinologist

Practicing since :2001

Answered : 1663 Questions

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How to loose weight?

Brief Answer: Weight loss Detailed Answer: I am delighted to see you are off Insulin. Keep up the efforts and keep your A1c under 7 with minimal to no low glucose episodes, as much as possible. I understand your need to lose more weight. Amphetamine based treatments are deemed unsafe. Endocrinologists prefer to prescribe a class of medications called GLP1 analogues. They are approved for diabetes control and facilitate weight loss as well. These medications work at multiple levels. They give the brain a sense of satiety, and also slow the stomach's emptying of food thereby resulting in a feeling of fullness after eating a small portion. Additionally, they enhance the body's insulin secretion and suppress a hormone called glucagon which tends to raise blood glucoses. Ask your doctor if you are a candidate for such a medication. Moreover, there are 2 other medications approved for diabetes that cause weight loss too. One of them is called Metformin. If you are not already on it, then speak with your healthcare provider about this too. The other one is a newly launched category called SGLT2 inhibitors. Ask you endocrinologist if these are suitable options for you. I see you are in Arizona. Physicians licensed in other states, but not in Arizona are not permitted to prescribe medication to Arizona residents. Recently there was a proposal to change this law in order to encourage telemedicine. Besides, the objective of this forum is only guidance and not actual prescribing