Get your Health question answered in 3 easy steps

198 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for weight loss

Answered by
Dr. Shehzad Topiwala


Practicing since :2001

Answered : 1663 Questions

Posted on Wed, 6 Aug 2014 in Diabetes
Question: Hi I am under the hosp for back problems and was sent to a dietician to lose weight she said that i should ask the doctor for pills to help as i arent very XXXXXXX at the moment along with the advice she gave for weight loss. if pills could help what would they be and is it wise to take them
Answered by Dr. Shehzad Topiwala 3 hours later
Brief Answer:
Weight loss pills

Detailed Answer:
Sorry to hear about your back problem.

I have perused your attached reports.

Back pain can be from the fibroids too so check with a back ache specialist or a gynecologist to see if it is a contributory factor, in addition to the spine condition diagnosed on the CT scan.

Further, it is advisable to have routine labs like
Liver and kidney function tests, electrolytes
25 hydroxy vitamin D
Free T4

These tests will also give insight into potential problems making it difficult to lose weight such as an under active thyroid.

Regarding pills, there are a few formally approved by the US FDA. I would not know which of these are available in Australia. I use them sparingly in my practice.

When a individual like you comes to me, after ordering blood tests I rule out couple other rare endocrine diseases that cause weight gain such as Acromegaly and Cushings disease.

Then I have them see the dietitian. The I have them read about various medications that have been approved for weight loss and give me their feedback at the next visit only if they feel comfortable starting on any of those.
The reason is that they all have some side effects that prevent wider public use.
Some names include short term phentermine, followed by orlistat, lorcaserin, topiramate-phentermine combination.
if they have diabetes, I offer them metformin and liraglutide/exenatide (daily/ weekly injections) and dapagliflozin/canagliflozin.
Obviously I evaluate them in person too first, to ensure they dont have conditions that make use of these medications unsafe. For example, if the kidney function test as mentioned above suggests significant kidney problems then I avoid metformin.
In my opinion, the world is yet to identify a safe and effective weight loss pill
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,  
Drug/Medication ,   ,  

Recent questions on Back pain

doctor1 MD

Hi, I am Santanu, Male, 32, 84 Kgs. I have a pain in my back that I think is associated with Kidney. Experiencing this for last 6 months, since I started losing weight from 103 kgs. This is a dull ache. A certain numbness. Have it in both sides. more prominent in my right kidney than the left. Had done a blood urea and a USG. both came normal. that was 4 months earlier. I have been drinking 5-6 litres of water. But the discomfort has not disappeared.

doctor1 MD

hi doctor, my mom face the issue of kidney stone before 6 months. she took medicines it looked like k.. but now suddenly she is facing the issue of stomach pain continued with back pain also.. previously she had pain left side of the kidney and now she had that pain in right side of the kidney.. when we palnned to take CT scan. that report says that she had a renal calculi in right side of the kidney nad mild seperation and prominence of the left pelvicalceal system is noted. can u please tell me whats the actual problem is?

doctor1 MD

My age 53, female, height 5.1 feet weight 70. Having cough frequently . used to take Asthalin for the last two years. This time I am taking 4mg in the morning and 4 mg in the night Now a cough is controlled to 90 % But since yesterday I got back pain. Is it due to Asthalin?

doctor1 MD

I have sciatica, fibromyalgia, bulging disc @ L4-5, degenerative disc disease, severe nerve damage. Question is .. constant diarrhea, I have to wear an adult diaper because of 'leakage', but also I seem to keep getting kidney infections, burning when I urinate, severe lower back pain, nausea. Any ideas on what all this could be? please... I probably misspelled some of this. I apologize

doctor1 MD

I get a lower back pain which is excrucitating right after my cycle ends.its remians for 4-5 days. And have to take painkillers.Its very debiliating.The feeling is like something in stuck inside which is unable to come out.My lower portion gets...

doctor1 MD

very small amount of brownish discharge after wiping, I finished my period just under 2 weeks ago, although I can't be precise. any reason for this?

doctor1 MD

I am 77 and take heart disease medications. I have lower back pain , am fatigued and joint pain. Suggestions?