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BOB5148 SparkPoints: (896,944)
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10/18/19 7:14 A

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SGRAFT2018's Photo SGRAFT2018 Posts: 24
10/8/19 9:05 A

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I am currently on Phentermine, have been for 2 months, it is a live saver for me. It was only after starting this that I recognized I was a binge eater, and it removed my cravings that made me eat, eat eat. I have lost weight also, but for me the biggest benefit was taking control of my cravings and giving me the leeway to work on making healthy choices. I had always thought I just had no willpower, but it was more complicated than that.
There is a rebound effect when you stop taking it though, my doctor says it increases your hunger for a time after stopping and that's when so many people put the weight back on.

"It is never too late to be who you could have been."


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EEJAA70 Posts: 18,891
8/13/19 10:20 P

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MARYJOANNA's Photo MARYJOANNA Posts: 16,711
8/10/19 10:36 A

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CLSPROV3125's Photo CLSPROV3125 Posts: 914
7/27/19 1:11 P

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I was on Phentermine for a bit..I did start to lose a few pounds, however, it gave me terrible stomach pain...even at half the dose. I just couldn't tolerate it.

Connie S. "Never give up!"


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LLHARRI1 Posts: 1
7/9/19 9:53 A

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No..... Are you all getting the scripts from your PCP or a specialist?

BOB5148 SparkPoints: (896,944)
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6/28/19 6:11 A

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LIBERALGODDESS's Photo LIBERALGODDESS Posts: 1,209
6/10/19 5:46 P

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Contrave contains bupropion which when I took that alone, made me think I could fly. Luckily my senses knew that it was impossible, but I can't take it bc of that.

Debbi from Tucson
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CD24552401 Posts: 38
4/27/19 3:24 P

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I was on phentermine and had to discontinue use as it made my heart race, even with halving the dose. I will be upping my B-12 since I found out I'm really deficient and focus on losing weight without it.

MARYJOANNA's Photo MARYJOANNA Posts: 16,711
4/27/19 7:06 A

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ALIBELLA81's Photo ALIBELLA81 Posts: 52
4/24/19 10:13 A

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I tried Qsymia and honestly I loved it. I shed about 12 lbs in a couple of months when I used it- that's huge for me thanks to PCOS. I stopped because of pregnancy and then my insurance didn't cover it so it was too pricey. I will be starting a new job in a few weeks so I'm hoping that insurance will so I can get it again!

Even when doing good diet and exercise wise I struggle to lose anything so I was excited that it worked for me.



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MARYJOANNA's Photo MARYJOANNA Posts: 16,711
4/23/19 5:19 A

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BOB5148 SparkPoints: (896,944)
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4/20/19 7:32 A

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DARCY-B's Photo DARCY-B Posts: 6,262
4/15/19 7:38 A

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Yes, in the past. I find I do better without it.

Darcy



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MARYJOANNA's Photo MARYJOANNA Posts: 16,711
4/11/19 5:36 A

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MICHELLEXXXX SparkPoints: (13,554)
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4/6/19 2:26 A

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"For God so loved the world that he gave his one and only Son, that whoever exercises faith in him shall not perish but have eternal life." John 3:16


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MICHELLEXXXX SparkPoints: (13,554)
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4/6/19 2:25 A

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"For God so loved the world that he gave his one and only Son, that whoever exercises faith in him shall not perish but have eternal life." John 3:16


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CD16571910 Posts: 14,902
4/6/19 2:16 A

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SUZABELLA1967's Photo SUZABELLA1967 Posts: 101
4/5/19 9:01 P

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I have asked my doc if there was anything that could help me. He prescribed victoza - which is a diabetic med. it didn't help at all. He said that if it didn't work for me, nothing would. I wonder if he considered these drugs. I will have to ask him!


Nothing ever changes if nothing ever changes.


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MARYJOANNA's Photo MARYJOANNA Posts: 16,711
4/5/19 10:50 A

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SHOAPIE's Photo SHOAPIE Posts: 33,335
4/2/19 2:10 P

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MARYJOANNA's Photo MARYJOANNA Posts: 16,711
4/2/19 12:19 P

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LWLAR7 Posts: 16,907
3/17/19 9:16 P

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VKLINE326's Photo VKLINE326 Posts: 985
3/13/19 11:50 A

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Phentermine was an absolute miracle for me. Since giving birth to my daughter, I struggled with my highest weight ever. I visited a weightloss clinic on 10/18/18 at 195lbs and began Phentermine around 11/1. I was down to 160 by December 20th and have been maintaining 150 for the last two months. I ate 1200 calorie diet, did zumba three times per week, weight training once per week and the pounds fell off. I feel happier, more in control and so much healthier. My doctor prescribed 37.5 mg dose of Phentermine but I always halved my pills and I would skip many weekends so I could have a glass of wine or two. I am able to maintain now with about 1700 calories and my whole relationship with food has changed.

Just keep going...


NEVERGIVINGUP74's Photo NEVERGIVINGUP74 Posts: 15
3/12/19 8:54 P

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Been on phentermine a few times, and on it right now, started February 1st stopped for about 10 days due to constipation, but if you take in lots of fiber and drink water, you must drink water no way around this, half your body weight, high fiber foods you can control the constipation i hav e found the tricks YAY and have some stuff on hand you will be fine

Phentermine will only work if you have the mindset, this is not a magic pill that will work itself, I lost 15 lbs in February, I changed our eating habits and cut things out slowly hubby and I suffer Type 2 diabetes and Hgh bp and cholesterol issues, so changed a lot of carbs and cut out junk, now i hate caffeine and no junk food at all.. I rather make a small splurge once a week, if it's that cookie i wanted or something, if i get hungry during the week Ill go for the fruit or a side salad or something Lord knows i can't even do 1800+ calories a day it's a joke, the pill will curb your appetite. the one thig i can say is if your a caffeine addict like I was this pill is not for you. the jitters and racing heart are from the phentermine and the caffeine.. since stopping the caffeine my bp has gone to normal and no jitters



NOCGIRL Posts: 107
3/12/19 4:52 P

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My work insurance now covers Contrave and I have used Phentermine before and it did work at first. I wasn't hungry at all. Was slightly jittery, emotional, and it did bother my IBS a little (made me constipated) but it did work.

I have lost some weight on my own but I constantly fight cravings and binge eating so I was going to ask my DR to write scripts for both. I read SP Becky's reply below and I have an apt next month with my DR for my annual physical I was going to ask her about the below mentioned combo.

MARYJOANNA's Photo MARYJOANNA Posts: 16,711
3/12/19 5:12 A

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LININPARADISE7's Photo LININPARADISE7 Posts: 1,186
3/9/19 8:13 A

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When it comes to Phentermine, a few things apply.
You and your doctor will decide if the benefits outweigh the risks.
Typically, Phentermine is a one to three month stint. During that time, you will educate yourself on eating healthy foods and MUCH less of whatever it is you are eating. Your appetite will disappear along with cravings.
The best part is immediate results (at least for me). .I dropped a quick 12 pounds, which in turn gave me the incentive to keep going.
The people who gain weight back after Phentermine are those who did not learn how to change their bad eating habits and replace them with healthy eating style for life.

Live, Laugh, Love!!


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CASSIES's Photo CASSIES Posts: 1,377
3/8/19 11:29 A

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Thanks for this information. I'm also considering medial weight loss using a tretment of nutrition exercise and medication. I see this is from 2016. Any updates?


�The more we witness our emotional reactions and understand how they work, the easier it is to refrain.� ― Pema Ch�dr�n



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KMILLER31 Posts: 5,634
3/8/18 3:47 P

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I don't want to take drugs to lose weight, because, in the end, I still need to change my eating and exercise habits to maintain it and be healthy

FELISHAGAIL1 Posts: 1
3/7/18 1:13 P

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I took phenteramine and I lost 25lb it worked for a lil while then it quite workin my doctor recommended I start contrave but it’s quite pricey 99$ with a coupon is it worth it ?

LININPARADISE7's Photo LININPARADISE7 Posts: 1,186
5/4/17 9:30 A

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I was on phentermine last year. My suggestion is to drink a lot of water right after you take your AM pill. Your cravings should disappear within a day or two. Phen works on that part of the brain that tells you you are hungry. Soon you will lose your appetite, and food will not be so appealing. I had to actually REMEMBER to eat. It worked for me, and now I'm working to keep it off.

Live, Laugh, Love!!


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PHOENIXRISING12's Photo PHOENIXRISING12 Posts: 77
5/4/17 9:25 A

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I am on Phentermine now and it does help but there is one thing that over rides it all and that is my stress eating. I agree that it is a good start to help create new habits. My new goal is to exercise when the stress and cravings get bad.



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TSHAWGER's Photo TSHAWGER Posts: 12,639
1/21/17 3:48 P

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Becky, i haven't loss any weight since Dec 1st. So tired being on this plateau. I keep my calories between 1200 - 1550, daily. Drink 100 fluid oz lemon water. I exercise 4-5 days a week.

CLMEEDER Posts: 57
1/19/17 3:59 P

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I started Liraglutide SAXENDA on 01/11/17. No weight loss yet but shouldn't be too long because I can only force about 500-900 calories in on most days so far and with those calories being about 80% veggies, I must be burning more than I am taking in.
Side effects are not as bad as the doctors implied so far. Yes some minor constipation and a bit of a stomach ache some days. The only real side effect I feel is no appetite and that I am more tired/weak than usual and I am certain that is because I'm running on such poor calorie intake.
I apparently have Fibromyalgia since I was 10-years old, and a year ago I was diagnosed with Cushings Disease, Hypo-thyroid and Hypertension. I MUST lose weight for my health but despite a healthy diet and moderate/intense exercise for over a year, nothing was happening - plateaued at 245-250lbs on my 5' 9" frame.
The weight is also affecting my lower extremities, My spine, my skin and my self-esteem and confidence.
In order to re-gain my health I MUST lose weight and medical intervention is the only option. If the medication does not work, then they want me to have gastric bypass and I DO NOT want to go that route.
I am hoping that the Saxenda will help produce some results which will encourage me to try harder and hopefully develop a routine.
The medication is a temporary fix.
While on the medication I hope my stomach will shrink and I can learn to eat smaller portions; portion control has always been an issue with me. Once the weight comes off (fingers crossed) it won't be so painful to exercise again. So the medication is helping me learn healthy habits and hopefully see the results that will encourage me to keep going.
If I can lose 100lbs, I'll be at my ideal weight and I don't plan on re-gaining anything back, but we all hope that.
In the end, the monthly price of the medication is worth it if I can re-gain my health and self-worth.
Fingers crossed the weight loss is successful.


MARYJOANNA's Photo MARYJOANNA Posts: 16,711
1/17/17 5:47 A

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No, my doctor doesn't mention these and says to eat a healthy diet.



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NANADEBI917's Photo NANADEBI917 SparkPoints: (572)
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1/15/17 2:03 P

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I started taking Contrave on December 14, 2016. So far, I have lost 15 lbs., and my cravings are under control more than they ever been. I went to the website, and you can download a savings card through contrave. I paid $92 for 120 pills for it. Hopefully, it keeps working well for me.

JENNIEINKY's Photo JENNIEINKY Posts: 613
1/10/17 3:38 A

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Omg i took Phentermine once, didnt eat or sleep for 3 days, ended up in the ER with crazy blood pressure, heart rate, and had to be shot up with Ativan cause i was on the verge of a paychotic break. My husband threw the rest of the prescription in the garbage at the hospital.
I thought i was having a heart attack, apparently the dr gave me too high of a dose or something, but i will just eat healthy, and if im doing the best i can, that is more important to me than being skinny

Starting Over!!

Mini Goal-5 servings fruit/veggies a day

Mini Goal-No junk food in the house-go out for ice cream or other treat if i crave something and make it an outing, not just eating

Maxi goal-Bikini bod May 2012!
BOB5148 SparkPoints: (896,944)
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10/19/16 9:25 A

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DIETITIANBECKY Posts: 28,261
10/18/16 8:09 A

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As you know, it is extremely difficult to be successful with weight loss when your environment (home, work area, car, etc) are filled with your trigger foods.
--Have you talked to your husband about his purchasing of foods you can't resist?
--Have you told him to stop doing this?
--Have you given him suggestions of other ways to show you love?
--Why is he not supporting you in your effort to improve your health?

Becky
Your SP Registered Dietitian Nutritinionist

MEGSIZE8's Photo MEGSIZE8 Posts: 85
10/17/16 9:50 P

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Yes, at best case scenario, I'm hoping it would curve my appetite long enough to develop and stick to healthier eating habits. I cook and shop healthy, but have a hard time with cravings...and my husband, who buys my juke I can't resist. But on the other hand, I completely agree that it's better to do it on my own.

I'll let you know what I decide. :)

Thx all.

I eat to live. Not live to eat. Am I really hungry?


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ANARIE's Photo ANARIE Posts: 13,246
10/14/16 10:22 P



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You say that the doctor proposed the drug at the end of an appointment that was about something else. Did you talk at all about what you have and haven't tried in the past?

If you've been seriously working on a healthy diet and exercise program and you just can't control your eating, then these drugs are a reasonable approach to try (assuming your weight is endangering your health.) But if you haven't been consistently, systematically trying to lose weight by other means, it would make more sense to see what kind of progress you can make without the medication, first. You might find that if you really dedicate yourself to nutritional tracking and daily moderate exercise (both of which are almost free), you can get the same results with much less expense and no risk of side effects.

If you're not already using a tracker like the one at SparkPeople, why not give that a go for 12 weeks? Maybe incentivize yourself with the money you would otherwise spend on the drug-- pull out $200 per month in cash, and for every day that you successfully complete your tracking and exercise goals, put a dollar in a pretty tin or box to save toward something you normally wouldn't buy because it's too "frivolous." For any day that you don't track or don't do some exercise, put a dollar back into a medical savings account. If, at the end of 12 weeks, you haven't saved enough to buy a month of the drug, that's probably going to mean you don't need it. If you've stuck to a program almost all of the time, you probably will have achieved the same 3-5% weight loss that would be considered a success for the drug, and you'll have $500+ that you can spend on something to make you feel good about yourself, or maybe something to help you continue your successful program (good running shoes, cute workout clothes, a good-quality bicycle, a gym membership, a fancy sports computer/watch like a Garmin or Polar, etc.)

The drugs are safe for about 12 weeks, and losing 5% of your body weight in that time is supposed to be a sign that the medication is "working" perfectly. But 5% is only around 12 pounds (possibly less; I can't remember how much your ticker showed you to weigh now.) If you can follow a diet and exercise program for 12 weeks, you're almost certain to lose that much-- so the drug really only "works" by helping you stick to the program. You might not need that help!



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LININPARADISE7's Photo LININPARADISE7 Posts: 1,186
10/14/16 9:19 A

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Phentermine works on the part of the brain that deals with WANTING food.
You will have virtually no appetite, and it is a great med to jumpstart a weight loss.
My doctor monitored me carefully, and told me let the Phentermine work by retraining my thoughts about food.
I learned to eat lean protein, no junk, no processed and it really helps with portion control b/c you are really NOT hungry. I had to make myself eat.

Live, Laugh, Love!!


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CD15849585 Posts: 538
10/14/16 7:04 A

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I just don't see how a medication would help. Maybe, for the short time you could be on it. Then what?
I don't like to take medication and only take what is absolutely necessary. Everyone has to do what they feel is best for themselves.


KARENLARS125's Photo KARENLARS125 SparkPoints: (19,001)
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10/14/16 4:38 A

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I had a doctor who was kind of a pill--pusher and I was on phentermine for a little over a year. It worked at first, but after awhile, I guess my body just got used to it and it stopped working. I also have taken topomax (topiramate) and it worked as well as the phentermine w/o the jitterniess I experienced on phentermine.

Karen L.
Philippians 4:13 "I can do all things through Christ who strengtheneth me."

EDT


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MEGSIZE8's Photo MEGSIZE8 Posts: 85
10/13/16 9:57 P

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Hi Becky,

Thank you for this info. I do want to try the Contrave, though the price is steep (bout $200/mo). I'm just leery of medication in general and want to know all about it before putting it in my body. My doc is pretty thorough and does include the program, which includes the exercise and diet portions. Since Phentermine isn't for use beyond 4 weeks, I guess Contrave would be the best call, pending budgeting. Thank you for this info.

Megan


Has anyone else tried either meds and can give their experience with either?

I eat to live. Not live to eat. Am I really hungry?


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DIETITIANBECKY Posts: 28,261
10/13/16 3:49 P

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I work with several doctors who are prescribing weight loss medication. Their patients come to see me for the on-going diet and exercise portion. It must be a combination to really see success.

Phentermine really is not recommended for weight loss since it should only be used for about 3-4 weeks maximum.

However, a combination of phentermine + topiramate called QSYMIA is showing good weight loss results in many people. The amount is slowly increased until the dosage is met of 7.5 mg phentermine + 46 mg topiramate. Response needs to be evaluated after about 12 weeks. Dosage is either increased or discontinued if the patient did not achieve at least a 3% body weight loss.

CONTRAVE is also a combination medication of naltrexone and bupropion. The combination leads to much greater weight loss than either medication alone. Once again, weight loss needs to be evaluated after 12 weeks once the target amount is met. If the patient did not achieve a 5% body weight loss, it should be stopped.

I'm sharing this information because weight loss medication needs to be carefully administered and monitored. There needs to be appropriate diet and exercise expectations too. Is your doctor providing the program that is needed for the medical management of weight loss??? Or is your doctor just giving you a pill and saying bye-bye...see you later.

As you can see there can be good and bad usage of weight loss medication and care.

Other FDA approved weight loss medications include: Orlistat (XENICAL), Lorcaserin (BELVIQ), and Liraglutide (SAXENDA).

Becky
Your SP Registered Dietitian Nutritionist

Edited by: DIETITIANBECKY at: 10/13/2016 (15:51)
MEGSIZE8's Photo MEGSIZE8 Posts: 85
10/13/16 1:52 P

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I went to the doctor on a completely unrelated topic and at the end of our appointment, my doctor said he wanted to prescribe me Contrave to help me with my weight. I've been doing research on its effectiveness and side effects and found that Phentermine is also a popular and effective drug for the same.

Has anyone else's doctor prescribed either of these? Any side effects? What's been your experience?

And what are you paying? Seems my insurance doesn't cover Contrave and it's high! Even with the $90 discount card, it'll still be over $100/month.

I eat to live. Not live to eat. Am I really hungry?


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