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Phentermine
Phentermine is generic, the least expensive of the medications, and has been on the market the longest. Once a part of the famed fen-phen combination weight loss drug, Phentermine works to decrease appetite. It is the most widely used weight loss drug. While it's officially approved only as a short-term drug, some doctors use it as long term therapy.
Kushner prescribes Merida to patients who struggle with cravings and have trouble knowing when to stop eating. Aronne says that younger patients who are at a low risk for heart disease are good candidates. Side effects include dry mouth, constipation, and insomnia. Meridia should not be used by anyo
"Take a once-daily multivitamin mineral for nutritional insurance to help compensate for any losses and don't take it at the same time as the medication," says Dawn Jackson-Blatner, a spokesperson for the American Dietetic Association. Meridia (sibutramine) helps reduce hunger by working on the appetite control center in the brain that makes you feel full. "Meridia can help add 5%-10% additive weight loss that you would not get with diet and exercise alone" says Aronne.
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Xenical or Alli is safe for almost anyone because the drug is not absorbed, says Kushner. "I frequently prescribed it to cardiovascular patients because it is so safe," he says. Patients must be willing to stick to a low-fat diet. These drugs have a built-in feedback system. "If you eat a high-fat diet, you will experience the side effects, so to avoid the unpleasant effects, you need to reduce the fat in your diet," says Aronne.
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