Suggest treatment for weight loss
Weight loss pills
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
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
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