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Appetite Suppression

    The best diet in the world for weight loss is the diet you can stay on.  Since overweight syndrome and obesity are genetic disorders, it is reasonable that our appetite signaling mechanisms are also genetically programmed.  You've most likely noticed that some people stop eating food much earlier than you might. A few individuals will feel full after a few bites of food.  Others that struggle with weight gain can continue to eat and only get a full signal after they have eaten so much they can hardly breath.
 
     Our appetite is a complex mechanism.  There are specific hormones that signal our brain when we should eat something.  An important hormone is produced by the stomach.  When the stomach is empty a hormone called ghrelin is released and signals our brain to eat something.  When the stomach is full and stretched the ghrelin production goes down.  Insulin is also a powerful appetite stimulant.
 
     There are other hormones that tell us to stop eating, so called appetite-inhibiting substances.  These include cholecystokinin, leptin, glucogon-like peptide, and peptide YY.  These hormones, substances, and other chemicals are produced by our gastrointestinal tract and our fat tissue.  Many medical studies have been done and are being done to see if alteration of these substances can play a role in appetite suppression and weight therapy.  To date success has been limited.
 
     I am a fan of therapeutic appetite suppression.  I use supplements and medications that reduce appetite and allow patients to stay on a healthy lower calorie dietary regimen long enough to make meaningful progress with weight and body fat reduction.  Some of these appetite suppressors are prescription medications and some are natural herbal products.
 
     Some work at the eating centers of our brain to reduce hunger causing patients to feel less hungry, feel full faster, and to think about food less. Others work directly at the level of the stomach to alter the hunger mechanisms from there.
 
      Many people get confused ( including physicians ) thinking these are "dangerous diet pills".  This comes from the decades old past use of amphetamines to reduce appetite and assist with weight loss.  Amphetamines certainly worked, but came with the risks of addiction and cardiovascular side effects.  Today, in general, it is illegal for a Dr. to prescribe amphetamines for weight reduction.
 
     Two of the medications I use are non-habit forming stimulants that act similarly to the old amphetamines for appetite suppression. They are very safe if prescribed properly and the patient is screened and monitored properly.  Certainly I do not prescribe them for patients with active heart or cardiovascular disease, uncontrolled blood pressure, and several other active diseases.  I do a cardiovascular evaluation including an EKG to make sure a patient is a good candidate for the treatment.
 
     With the herbal appetite suppressants there is much less risk, but benefits are very similar to the prescription medications. I have formulated my own herbal blend that closely mimics the more potent prescription therapy.  There are other medications to use for appetite suppression and assistance with weight loss.  Drugs like Metformin, Topiramate, Saxenda, Contrave, and others can provide great benefit in controlling appetite as well as enhancing our utilization of our fuel...fats and glucose.
 
     Many patients have found that their own physician is not willing to prescribe anything for assistance with weight issues.  It's most likely that they have not studied or been trained in their use.  No problem, just search out a physician with additional training and understanding of the treatment of the medical disorder of Overweight Syndrome and Obesity.  After all, it's your health and your life.
 
     I'll be here if you have any questions or need assistance.  Have a Lean and Fit Day

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The Big Picture

We are now tired of being overweight and have made the decision to lose excess body fat and get to a leaner place. 

Never Alone

When we make the personal decision to start losing weight and get healthy, it's typically done in a quiet conversation inside our head.  We don't trumpet this decision to the world. 

The Little Things

 We want to lose weight now and lots of it.  We are disappointed if we only lose 8 pounds in a month.  We go for any program that promises big and fast weight loss. 

Barriers to Weight Loss

 We all want to be at our best weight.  We want to look good, feel good, and be full of energy.  We all know that carrying less body fat and overall body weight will help us achieve these goals. 

Many Measures

Many of my patients and people, in general, get fixated on the scales.  I think the scales are important and tracking our body weight is a great measure of getting leaner.