Weight Loss
Medication Options
We offer evidence-based medication options to support your weight loss journey. Every treatment plan is personalized based on your medical history, goals, lab results, and clinical appropriateness.
All medications are prescribed, monitored, and adjusted by our licensed medical professionals.
Medications may be discussed when appropriate. Prescription is not guaranteed and depends on clinical evaluation
Medication Options We May Discuss
FDA-Approved Weight Loss Medications
Tirzepatide
(Zepbound)
Form/Frequency:
Weekly Injection
Mechanism:
Dual GIP and GLP-1 recepor agonist
Average Weight Loss:
Up to 22.5%
Common Side Effects:
Nausea, vomiting, diarrhea, constipation, abdominal discomfort
Important Note:
May increase risk of thyroid C-cell tumors, Avoid in personal or family history of MEN2.
Semaglutide
(Wegovy)
Form/Frequency:
Weekly Injection
Mechanism:
GLP-1 receptor agonist
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Average Weight Loss:
Up to 15%
Common Side Effects:
Nausea, vomiting, diarrhea, constipation, reflux
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Important Note:
Shown to reduce risk of major cardiovascular events in some patients
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Liraglutide
(Saxenda)
Form/Frequency:
Daily Injection
Mechanism:
GLP-1 receptor agonist
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Average Weight Loss:
Up to 5%
Common Side Effects:
Nausea, vomiting, diarrhea, constipation, headache
Important Note:
Requires daily dosing for ongoing benefit
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Bupropion-Naltrexone (Contrave)
Form/Frequency:
Daily Oral Tablet
Mechanism:
Targets hunger and reward pathways in the brain to reduce cravings and appetite
Average Weight Loss:
Up to 9%
Common Side Effects:
Nausea, headache, constipation, dry mouth, insomnia
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Important Note:
Use caution with seizure history or uncontrolled hypertension
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Orlistat
(Xenical, Alli)
Form/Frequency:
Oral Tablet
Mechanism:
Blocks intestinal fat absorption (~30%)
Average Weight Loss:
Up to 5%
Common Side Effects:
Oily stools, flatulence, abdominal cramping, loose stools
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Important Note:
Take fat-soluable vitamin supplements: follow a low-fat diet
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Setmalanotide
(Imcivree)
Form/Frequency:
Injection (varies)
Mechanism:
MCA receptor pathway agent
Average Weight Loss:
Significant benefit in selected patients
Common Side Effects:
Injection site reactions, nausea, skin darkening, headache
Important Note:
Only for specific genetic obesity disorders
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Other Medications That May Sometimes Be Considered
Used off-label or in selected patients based on individual needs.
Metformin
Form/Frequency:
Oral medication
Mechanism:
Improve insulin sensitivity and may reduce appetite
Average Weight Loss:
Up to 5%
Common Side Effects:
Nausea, diarrhea, abdominal upset
Important Note:
Especially considered with insulin resistance or prediabetes
Topiramate
Form/Frequency:
Oral medication
Mechanism:
May decrease appetite and cravings​
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Average Weight Loss:
Up to 6%
Common Side Effects:
Tingling, word finding difficulty, dizziness, fatigue
Important Note:
Avoid in pregnancy​
Semaglutide Oral
(Rybelsus)
Form/Frequency:
Daily oral medication
Mechanism:
GLP-1 receptor agonist
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Average Weight Loss:
Variable
Common Side Effects:
Nausea, vomiting, diarrhea, constipation
Important Note:
Primarily approved for diabetes. Not FDA-approved specifically for obesity​
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Your treatment plan also includes nutrition resources, exercise planning, sleep optimization, and behavior change support for a comprehensive, whole-person approach to sustainable weight loss.
