Frequently Asked Questions About Weight Loss

Is thyroid disease the cause of weight gain?

Hypothyroidism (under-active thyroid) is a common condition in adults that often leads to slowing of the metabolism. For patients with untreated hypothyroidism, replacing thyroid hormone can often improve metabolism (although the effects on weight are often modest). For patients with normal thyroid hormone levels, giving excess thyroid hormone does not lead to weight loss because extra thyroid hormone also stimulates appetite.

Why don’t you offer h-CG injections?

Human Chorionic Gonadotropin (h-CG) is a hormone produced by the placenta during pregnancy. This medication has been advertised by some for-profit weight loss clinics as an appetite suppressant, but it is not FDA approved for this purpose. There are actually no published clinical trials of h-CG

Does insurance cover the gastric balloon?

Private insurance carriers may cover gastric balloon services in only a small number of situations. The gastric balloon procedure is self-pay for most patients, although financing options are available.

How likely is it that cortisol/Cushing's syndrome has caused weight gain?

Cortisol is a key steroid hormone that regulates blood pressure, metabolism and many other body functions. Cushing's syndrome is a rare disorder in which a tumor (usually in the brain or adrenal gland) causes the body to produce too much cortisol. This syndrome causes striking features such as uncontrolled diabetes, difficult-to-control high blood pressure and other striking physical exam findings. Without these features, the chances of Cushing's syndrome are very low.

How long can weight loss medications be used?

Most FDA-approved weight loss medications can be used as long as you are safe on the treatment, and as long as you find the treatment useful.

What happens when I stop a weight loss medication?

Weight loss medications don't permanently change your brain anatomy. Your ability to sustain weight loss after using a medication depends on your ability to keep the same lifestyle habits that caused the weight loss to begin with. That's why a comprehensive lifestyle support program is so essential to your success.

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