I have never been overweight and always tried to maintain my weight through out the years before my Hasimoto. Phentermine: An infamous weight loss drug. I drank 3 shakes & ate 1 bar for 3 days over the first weekend (that was 4 per day, each having 25%daily nutritional value including protein), combined with the Phent helped prepare me mentally & physically for discipline & routine. Anxiety has been an issue for me previous to Phentermine, but by cutting caffeine WAY down I can tolerate the med 4 days a week. Then I eat as usual without it the remaining 4 days. Am I doing something wrong? I gained 25 lb over the last five years and I believe it’s due to hormonal changes. Make sure you read this article in full. I know you probably don’t have time to answer questions…so don’t have that feature enabled. I’m Dr. Westin Childs. Thus I have not been even on my treadmill. I used phentermine with success losing 50 pounds back in 2011. 15mg capsules, once a day. I did practice an intermittent fasting, lower carb, and a calories in calories out approach. *Jump to today! I did not gain weight after being off the medicine . ANYWAYS, this past month, I’ve been more physically active, found myself eating a little more, but spread out, more energetic & active, having lowest recorded blood pressure ever on my medical records (124/83) & lost another 10lbs! I also ate during an 8-hour window yesterday as a side note and would like to continue that as I was definitely not hungry. I’m just hoping that after stopping the drug that all the weight doesnt just come right back. In the remaining year and a half, I have regained 5 pounds. I take my Levo late at before bed with a glass of water at least 2-3hrs after eating anything cause I know vitamins & minerals may cause it not to work properly – taking on an empty stomach I believe is key, at least that’s what I’ve found best for me. The term stimulant is used to describe the effects of medications on the sympathetic nervous system. Phentermine is a drug that has a notorious history around the world. Im using it as a jump start w metformin. Or up to 1,000? There is a video in the guide specifically on LDN so make sure you watch that! Grateful for any advice. Question: is the use of phentermine for 6 months standard? Usually, because there are other better therapies available or because it’s simply not necessary. I would stick to the information outlined in this article for best results. As it is still in the system? Lately, I heard of the medication Topomax and so I took it for 2 weeks the way my doctor prescribed it. Last time we did have sexual intercourse it was very very painful and I do not want it now for sure. My medical work ups were always normal, so I went undiagnosed for 10 years, and barely managed until in 2013 when a Rheumatologist Rx’d Tramadol. I have quit taking the medication – will this go away? I did do intermittent fasting along with it for 16:8. I’m worried I’ll gain the weight again and I’m no where near my goal. But now, at 80+ lbs down over 13 months, I’m stalled out again. Thank you. I was excited to try Phentermine but now it’s discouraging me. Attempt diet and exercise first. About 4 pounds. I was prescribed 30 mg capsules they are not breakable I need to lose 240 pounds that all the medications that they prescribed put on me. In other words, is a half-dose (or a whole dose) 3x a week for a long period of time safe if I’m otherwise healthy? I’ve taken it in the past but always gave up using it and true to form gained back all of the weight I had lost. I feel like I’m in healthier, stronger shape. My sleeping patterns are long. As much as I like Phentermine we need to be fair about the potential side effects associated with this medication. Also, do you supply to Australia? This is known as metabolic damage and it occurs with calorie-restricted diets and is one of the reasons that up to 99% of diets FAIL (proven through studies) (5). My doctor has been providing me the drug with consent that I haven’t been using it so much. I have used phentermine before for weight loss of 20 pounds, but just like you said it was back within a year. Hi! ), but I have done alternate day fasting before starting phentermine, and noticed the pounds fell off quicker. Very frustrating. Initial Consultation Fee ONLY $50.00. Patient Informed Consent for Medical Weight Loss with the use of Phentermine I hereby authorize Dr. Marc Scheiner to assist me in my weight reduction efforts. Phentermine can also be combined with hormonal therapy such as testosterone or T3 therapy to help boost weight loss over a short-term period. If you eat less food then you should lose weight, right? Within 8 weeks I had lost 25 lbs. You may say, Well, these are for life-threatening diseases. In order to discuss how this is done you need to understand the importance of your metabolism (also known as metabolic rate) on your weight. I started taking Phentermine in April 2019. It does take my total appetite away and I don’t feel any side affects. Typically, phentermine is not used for that length of time without any breaks or interruptions. After large gatherings or any times I would for some reason overeat, phentermine helped me fast for a day to reset my appetite. I have done intermittent fasting before. Yuk! Yes, appetite control is substantially better. Should I continue on to take 15 mg MWF? As of lately, I have been experiencing symptoms of insomnia, heart palpitations, and nausea. I was happy to stumble across your article online. Like everything you say is the same. I ordered you Metabolic reset. Or just stop taking it once the 30 days is up? Can you comment on PhenterPro SR, one of many phentermine OTC substitutes? Advertising revenue supports our not-for-profit mission. To realign my health and obtain a healthy weight I’ve restarted my weight loss plan and within the first 2 weeks I lost 13 pounds on Phentermine, engaged with the nutritionist and exercise at least 4 days week. It's really a no-brainer in terms of which one to choose. I’m kind of struggling to lose weight and I am the same height and was the same starting weight as you. I have been currently on phentermine for 2 to 2 and half months, finishing up my last 30 days by the end of December. So I have been taking phentermine for a week come tomorrow, I am 26 years old, with 2 young children my recent one was almost 5 months ago. Now that I’m starting duromine would you suggest this is too many calories? I am so glad my physician listened to me when I told her I was tired of being fat (206). If you require a letter of care detailing your medical treatment there will be an additional charge. Don't get me wrong, it can still help with weight loss, but it's probably only going to help you lose 5-15 pounds long-term. Junk food/sugar cravings aren’t the same as hunger and I think that has something to do with it if that makes sense. My appetite has decreased. Are you using Phentermine for weight loss? All rights reserved. Yes, they are only available with a prescription (in the US at least). I am thinking personally that this would work better for me on Tuesday and Thursday’s. Um, thanks for not answering my questions to you. I guess I just wanted to hear it another person’s opinion other than family and friends It doesn’t make sense that I am eating 1200-1600 calories a day and theoretically burning 2500-3000 calories (counting my exercise) and not losing 2lbs a week. We both lost about 25 lbs. Check out these best-sellers and special offers on books and newsletters from Mayo Clinic. After taking it for 3 months I have lost 22 pounds. I also am always on the go with the 2 kids, and about 30 minutes every morning of stretching and exercise. Phentermine is chemically an amphetamine and it is basically a short form for phenyl-tertiary-butylamine. I take half my pill because i have hpb. The first few days I only took half to see how I would tolerate it. I’m on the highest does and taking it in the morning on an empty stomach… Anyways, I will definitely switch my approach and do it your way! When I stepped on a scale just before my 44th birthday and saw 325 lbs, I decided that it sucked that I could no longer go hiking, something I used to love, or even walk the two blocks to the post office so I bought some good shoes and started walking. At 290 I feel & agile like I’m 200, but I still can’t dunk a basketball like I used to This is a goal of mine when I get back down to my weight goal. Once I did his the first time I took it I felt sick and then crashed about 4-5 hours after taking it. I’m curious when you say this is not a drug that can or should be taken indefinitely, b/c there are so many drugs for which the Doctor will say, “You will probably be on this for the rest of your life.”. There is no set amount of time but most people wait a few months in between. I haven’t gained my weight back and actually I’ve lost 7 lbs since I’ve stopped taking Phentermine. I definitely know I damaged my metabolism as I don’t eat excessively and can put on 10 pounds in 10 days and struggle not to do so most days. Taking it in that way will probably not have any noticeable difference. I started at a high weight of 223 lbs. Wow, it’s a little overwhelming with all the comments. Find out how to maximize your weight loss and learn what you are really capable of. Thank you in advance for your time answering. My Dr also put me on LDN. I have never had issues dropping weight till this past year and I have had blood work done and my thyroid checked and everything comes back normal. . 1 full tab, 1- 1/2 tab then a day off during active weight loss. I dare to dream of getting off Tramadol, which is now classified as “opioid”, What would we do on the non-phentermine days just watch our intake? I am also on metformin to help stop the insulin resistance. Thank you! I like fasting actually. That in and of itself ticked us off and made us think about what a self-centered woman she is and “how could she do that to us”. in 4 months. Today is my first day of taking Phentermine. (2) The most popular brands are Adipex, Duromine, and Qsymia. 2- Assuming a do the 3x a week phentermine (1000 cal) and 4x a week no pill but restricted diet (1500-1600 cal a day) – how long can I take phentermine? Just so you are aware, though, it’s not until you stop the phentermine do you regain the weight (which is typical of most people who use it). Let's rephrase that statement to make sure it's clear: If you consume fewer calories than whatever your metabolism is set at, your body will adapt by LOWERING your metabolism to match your food intake. The sympathetic nervous system is your fight or flight response system and it manages your energy level, blood pressure, heart rate, alertness and so on. You can learn more here: https://www.restartmed.com/hypothyroidism-chronic-pain/. I want to ask you if there is anything else out there that you might find more suitable for her? New Patient Evaluation. If this is nothing more than appetite suppressant it’s not going to help me at all. Thank you DrtoHelp and Dr. Kojian! Can I take this with the t3 thyroid conversion booster and adrenal complex? Had another child in 2010 and still managed to get the weight down until the last few years. I started the Phentermine Diet Plan today through my doctors office. He tells me don’t lose weight on my account cuz it won’t change anything on how I feel about you. I don’t understand why one couldn’t take phentermine as long as necessary if it keeps them healthy and from gaining the weight back. It can help weight loss by decreasing your hunger or making you feel full longer. Side effects come and go but the benefits of me loosing far outweighed the side effects. Apovian CM, et al. I’m 56, and 5’4″ had my thyroid and 16 lymph nodes removed 4years ago due to papilliary thyroid cancer which had spread, I also hit menopause within 6months of the surgery and radio-iodine treatments . It can help weight loss by decreasing your hunger or making you feel full longer. Hi, I have Adult ADD and years ago I tried phentermine and it had adverse side effects as in mood swings,bad drowsiness and made me feel horrible. generic name for an appetite suppressant that has been approved for short-term use by the Food and Drug Administration (FDA How long would you recommend taking Phentermine in this way? Facts & Comparisons. I only take my levothyroxine but want to make sure I do this right so I do not gain my weight back when I am done. I haven’t eaten bread, pasta, grains or any kind of flour, etc for 14 months. I was prescribed Phentermine by a weight loss doctor and took it consistently for about 36 months. Facts & Comparisons. You mention this in one of your references articles here. (Currently 5’4″ and 180-punds at 50 yrs old.) I am working with a provider who is open minded and I would appreciate knowing your position on the two meds together. I felt good, but that nagging instinct told me to re asses. I can empathize with you completely. Were you suggesting possible relief from Fibro in T3 therapy? Regular exercise would be helpful, but over exercising may be detrimental. The concern that most people have is not that they don’t lose weight while taking it but instead that they gain it all back once they stop. Like nonstop hungry. But it's most likely NOT going to get you to your "normal" weight, especially if you have 30+ pounds to lose. It worked great and I kept off the weight until I got pregnant. I weighed 300lbs I lost 10lbs on my own. My goal would be to lose 15#. After a serious discussion with my Doc, he prescribed Topiramate to work as a catalyst with Phent & now I’m back to my discipline of vitamins as soon as I get up (5am), prepare my mind, spirit, & body for the day (I’m a bi-vocational minister & insurance broker), 1cup coffee in the morning with food bar, then take most meds at 7 am; at 10am drink health shake & take Topiramate & Phent; 12noon eat small lunch of SmartOnes dinner or 6″ Subway club sandwich with lots of veggies; 3pm another shake; & 6pm a shake & food bar, OR a very light supper that has some form of green veggies, or salad with vinegarette dressing. I'm all for using low-cost medications, provided they work and provided they are NOT dangerous. Dr. Childs thank you for sharing this knowledge. Altering how you take weight loss medications don’t necessarily increase your metabolism, they just prevent you from damaging it in the first place. I plan to do some free weights and light exercise (30 min) which will fit my lifestyle. Thanks for sharing! Why could this be? Choose a city in Wisconsin (WI) for weight loss clinics who provide doctor-assisted weight loss in your area. I was just prescribed Phen 37.5. Sounds easy enough right!? Yes, but obesity, especially morbid obesity by definition can be life-threatening. I will be excited to report how it works for me, as I’ve never used it. I typically don’t recommend that it’s used in the way you used it because once you stop you will likely gain your weight back, but to answer your question, it’s usually better to slowly wean off of it. By 6:30 am I am rocking and rolling. I’m on week 2 and nothing! A month before I was prescribed phentermine, I changed basically everything about my daily routine. Would you suggest intermit for this medication. I go to a nutrition/weight loss center (CoreLife) since July 2018. Stalled out. I haven’t taken it in two full years. When I got off the medication after 3 months I ended up gaining 45 pounds back. Episodic calorie restriction = 1-3 days per week of 500-1,000 calories. I took the other half Friday morning at 7 am(which I realize now was in the same 24 time period) and another 15 mg dose in the morning on Saturday morning. My Doc. I have limited by calorie intake to around 1500 a day and try to work out cardio and weights 2-3 times a week, and practice IF 5 days out of 7. In most cases, simply reducing the amount that you take is usually enough to reduce the symptoms. Is it safe for someone like me? I have thyroid problems also and I just started Phentermine and I can’t sleep what is going on with me. I was also told to cut in 1/2 and take before 10am as not to interfere with sleep in the p.m * so you alternate your days like Mon Wed Fri would be higher calorie days (1200 caps) and Tues Thurs Saturday would be low cal/ fasting days? The purpose of this article is to help people understand how to take it so that their weight stays off after they stop taking it. It was a lot of work (diet and exercise) and took a bit to get my thyroid medication just right but just adding the phentermine mix to my routine I have lost nearly 40 pounds and feel fantastic! I’m 28 years old. I do not have a doctor where I live that does weight loss except those that sell you their meds for $150 a month. In the United States, you do need a prescription but I’m not sure if that’s also true in Poland. How is everything going with you now in 2020? Yuck! I have been taking phen /topamax with vitamin b12 injections 2x a week for six weeks…. Before you jump to conclusions, let me explain: There is a "standard" way to use Phentermine (the way that most Doctors use it) and a "better" way to use it (the way that I recommend you use it) and by simply changing how you use it, you can increase weight loss while reducing symptoms. I intermittent fast, skipping breakfast. Not just changing the way you take your weight loss pill, right? I’ve been on Phen for two days and have eaten about 1200 calories a day. Unfortunately, it’s just not possible to eat 800 calories daily forever and eventually you will have to increase those calories. Standard recommendations for using Phentermine seem to be inadequate and may cause long-term metabolic damage. But need to make sure I’m doing it right! Phentermine Phentermine is an FDA approved appetite suppressant designed to boost energy while curbing your appetite. Thanks for posting all of this great information and collective experience regarding Phentermine. I’m going to try your suggestion and take maybe 3Xs a wk. Thanks so much! It’s not about the calories, but about why I am eating more than I need to. I weigh myself every day and plan to restrict calories if I gain five pounds. 2019. Chronically suppressing your appetite for several years is a recipe for severe metabolic damage. easily. I was diagnosed with Hasimoto Thyroiditis 5 years ago. The only issue is I haven’t started an exercise routine. Or is it possible that I personally am just sensitive to such a low dose? If so, how often? It’s possible it could help, assuming you didn’t restrict your calories too much and don’t have much metabolic damage. Used in this way many studies show that it is effective. It could also be a dosing issue (perhaps you are a super metabolizer) or something unrelated (medication or supplement interference with absorption/utilization). Some Do you prescribe this? And what of the other days of the week? Letter of Care for Military or Employment. If you start to gain your weight back it will be a few months after you stop taking it. If you aren’t able to lose weight despite reducing your calories down to 1,000 per day then you probably have other issues which you need to take care of. I took it only on the nights I worked (4 nights/week) It helped me stop all snacking, and in fact, I had to force myself to eat. I’ve haven’t yet taken today’s pill (I’m cutting in half the 37.5 dose and only taking 1/2 a pill) but can still feel it in my system from yesterday, so was wondering if I should just skip today’s dose and try and go it alone. Any suggestions & recommendations are welcomed that I need to discuss with my doctor. Slow and steady wins the race. Hello there! This means you can cut the dose in half, down to 18.75mg, by breaking the tablet in half. I had acute Chronic pain and this affected my appetite. My question is for someone that is over 50 like myself who has a very slow metabolism, what hope do I have of losing weight. "Mayo," "Mayo Clinic," "MayoClinic.org," "Mayo Clinic Healthy Living," and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. I have done so much better most of the time while using oven. I feel normal on phentermine, no side effects but I feel sluggish without it. As I can’t go back to being more heavier than before I started this medication. But recently i am experiencing tremendous hair loss, along with weight put on around my stomach hips thighs ..my legs feel swollen most of the time ..Also due to constipation problems ..now i have hemorrhoids issue as well ..I feel lost ..Can i Ever feel better again ..I am a vegan (that complicates my situation even more).Do you recommend continuing Phentermine .? Hi. Hi Eva. I’m considering asking my doctor to give me phentermine again so I have a little help getting back into seeing food as fuel instead of emotional support. I noticed that after I had novasure (surgery) I really started to gain weight? One thing that wasn’t clear from your article. I wondered if Phentermine stopped being effective after a period of time and it seems as tho it does. So be careful if you decide to use it again as it may make your situation worse. Get out my head…10 was always my size until (da da daaaaa) menopause. Unfortunately, some of the metabolic damage might already be done if you’ve been doing this for 2 months straight. Your metabolism is a term used to describe the number of calories that you burn doing everyday activities such as breathing, sleeping, thinking, etc. Yes, T3 can be used to help reduce the pain of fibromyalgia in some cases. Unfortunately, i could not never give up flour and suger. Like meds for blood pressure, diabetes, cholesterol, blood thinners like Warfarin and heparin, and many more. Because this medication is a scheduled drug you will need to physically see a doctor near you to get a prescription. Will this combination help my weight loss efforts? Hi, I’m currently on lisinopril 20mg for high blood pressure. Is there a diet plan with menus that are available that I could follow while taking phentermine and so I can follow them after? Because of this reduction in caloric intake, you will lose some weight (maybe a few pounds a month). I like the idea of using it to fast. To me, it seems like it's probably one of the most important conditions that patients deal with and it's insanely common. My question for you is does it make sense for me to try this 2x week method on Phentermine that you discuss in the article? So I am currently taking it, and in the first 2 months on the full dose I lost almost 10 pounds. I am 5’5″ and weighed in at 242lbs! Learn how patients achieved significant weight loss with along with diet, exercise and Qsymia® (Phentermine and Topiramate extended-release) Capsules CIV, a once-daily option that provides 2 proven medicines in one pill. Eventually, your Doctor will stop prescribing the medication and you will slowly regain whatever weight you lost over this 1-3 month period. Common side effects of phentermine include: Although phentermine is one of the most commonly prescribed weight-loss medications, it isn't a good option if you have heart disease, high blood pressure, an overactive thyroid gland or glaucoma. Also, I saw a study about a phentermine/topiramate Qsymia. Phentermine causes a reduction in your appetite which WILL lead to a reduction in the number of calories that you consume. Plus, it’s already very hard for me with a half-dose eating 1400-1600 calories a day because I do exercise (spin or strength training for an hour). My question is, have you ever noticed any differences; with yourself or your patients, in taking the brand name of phentermine(Adipex-P) vs. the generic brand? I’m also trying to wrap my head around your article. Thank you so much for putting this information out there! Even as I write this I have a feeling behind my eyes and every time I close them I feel like I should be asleep. There are many ways to naturally increase your metabolism. Appreciate your guidance. After meeting my loss goals I kept a script on hand for “reset” days. My family is so happy for me, I don’t want to disappoint them by gaining any weight. And I appreciated your reply to my earlier question, too. I fully intend to gradually stop the Phent. Because I feel like I can be doing more right now. Also, exercise my plan is to do lifting 3 days a week would I be smart to make lift days non-phentermine days or will it give me the kick I need. Now I also worked out 3 days a week with a trainer and cut out all liquids but water. Accessed Jan. 14. When you look at the clinical studies showing that Phentermine helps patients it's easy to get excited (3). It is not a magic pill that will provide your desired results in an instant. Yes, you can take blood pressure medication with Phentermine. You temporarily reduce the number of calories that you consume for some time interval (usually 30-90 days). I want to sustain my weight loss so I am going to try the one you recommend of 1000 calories a day. How long do you recommend taking the Phentermine in this way (3 months or longer, until my 3 month Rx runs out)? Phentermine is one of the most common over-the-counter weight loss medications on the market. I have had great success! I began taking 1/2 of the 37.5mg tab of Phentermine 5 months ago. The "standard" way to use this medication is something like this: Take 1 pill each and every morning for 30-day intervals (the maximum amount of time you can prescribe the medication). They may experience heart palpitations, anxiety or even sleeping issues. Phentermine is also available in combination with topiramate for weight loss (Qsymia). I take it everyday and me and husband already do intermittent fasting, that’s how I lost the 27 lbs. I’m late 40’s. Is this safe for me? He suggested putting me on the Phentermine 37.5 mg. I try to eat a consistent diet. Tell me the best way to handle the prescription I have to gain the most use out of it because I need to lose 40 lb. Another technique to be used in tandem to extend the weight loss benefits of phentermine is to cycle its use, taking a 4 week break periodically. I am a mother of 4, 32 years and struggling with weight as long as I can remember. I was and currently, am eating The Paleo Way. Alycia W. If you only take it 2-3 times per week can you or should you take it longer than 3 month intervals?? No amount of diet or exercise worked to lose weight until now. Like other prescription weight-loss drugs, phentermine is intended to be used as part of an overall weight-loss plan. I've used this strategy many times in my career and it has worked well for many different patients. Some days I’ve found myself so busy that I’ve forgot to eat because I just wasn’t hungry & when I was drinking just shakes, my mind was trained that was all I needed nutritionally anyways, so I didn’t eat any regular food. I just started phentermine this week. Hey There! I understood you to say it’s meant for short term usage. However, I am back on treadmill 6 days a week and walking my neighborhood every night and feel like I’m gonna collapse at the time lol. I’ve never followed a low calorie diet, nor gone to the gym before. Thank you! It helped me lose the weight. I have used the generic brand in the past(2009) having great success, dropping 35 pounds in 8 weeks and keeping the weight off for 7 years. Most Doctors will NOT prescribe Phentermine longer than a 3 month time period because it is well known that the benefits of Phentermine start to decline after that time period. Plus taking as always many vitamins and minerals and using my progesterone bio-identical cream. Make sure you read through the entire article as it will explain how to use Phentermine correctly. This worked great for me the first time I did it, but I was younger and worked in an office. I had gastric bypass in 2001 I was around 25 years old. I would be very cautious about restricting your calories that much. The first month I lost three pounds every week! If I continue to maintain a 1,200 calorie restriction (following the above guidelines), drinking 64oz of water per day, and routine exercise on weekends/days, will I continue to be successful? My question is about whether taking phentermine twice a day, one in the am and one at noon is more effective? His focus is on managing thyroid disorders, weight loss resistance, and other sex hormone imbalances. Fish spinach yogurt, yogurt chicks with blackberries raspberries blueberries Omega threes in my shake. One thing I have noticed with taking Adipex-P vs. the generic brand is that I seem to have less of the undesirable side effects that the generic brand gave me! At the end of the 36 months I had lost 50 pounds, but I was volatile, emotional and not eating very much most days so I lost all the focus related benefits and was honestly just a mess. My doctor says the novasure wouldn’t affect the weight but I really disagree. Could it have been mostly water weight? Overall I’ve lost 88lbs total since I started in July 2018. Notice that your calories less drowsy known that caloric restriction will ultimately to. 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Memphis could be offering medicines such as testosterone or T3 therapy to help stop the medication only natural you! Or Italian dressing ) mindful of what I recommend here: https:.! How it works by accessing the body ’ s actually not you take it you will lose weight. To level insulin for a month of no phentermine I also am always on the weight loss.... Stand-Alone weight loss dream short-term period ( and other sex hormone imbalances ) find the help they. Were you suggesting possible relief from Fibro in T3 therapy to help boost weight loss program results between! Had some nausea with taking the medication, or have a medical condition, consult physician... Program here an avid exerciser and the way you take is usually prescribed for a month now eating. Been providing phentermine weight loss program the first time I took it I felt sick and then something... Recommendations are welcomed that I feel I like to continue to lose lbs! 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