Evidence-based weight management includes intensive lifestyle modification with dietary counseling and physical activity, FDA-approved medications (prescription GLP-1 agonists, phentermine-topiramate, naltrexone-bupropion, orlistat), behavioral therapy, and metabolic/bariatric surgery for eligible patients
Individuals seeking medically guided weight loss Adults struggling with appetite control or cravings Those with a BMI in the overweight or obese range Individuals with insulin resistance or prediabetes (pending physician approval) Patients who have plateaued with diet and exercise alone People committed to combining medication with lifestyle changes Anyone wanting a structured, physician-led program with ongoing support Who Should Avoid GLP
A clinical trial of sitagliptin in a small sample of patients with impaired glucose tolerance and mild T2DM found significant reductions in carotid intimal thickness in sitagliptin compared with diet control alone [122]
It needs to be physically strong (to prevent unwanted particles from entering the bloodstream) and chemically protected (to manage inflammation)
The study, led by Raphael Cuomo, Ph.D., associate professor in the Department of Anesthesiology at UC San Diego School of Medicine and member of UC San Diego Moores Cancer Center, used real-world clinical data from the University of California Health Data Warehouse to assess outcomes across the states academic medical centers
Ann Rheum Dis (2020) 79(6):68599