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Weight No More

 

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Napa: (707) 254-7098

Ukiah: (707) 462-0464

Lakeport: (707)  263-1979

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Wednesdays   Napa     11:00 am - 5:30 pm

Thursdays       Ukiah     11:30 am - 5:30 pm
Fridays        Lakeport    11:30 am - 5:30 pm

 

New Patients are seen at 1 pm 

Weight No More

Affordable Medical Weight Control

Medication

PHENTERMINE, PHENDIMETRAZINE, ​and DIETHYLPROPRION

Under proper medical supervision, these time-tested prescription appetite suppressants have been proven to be safe and effective for many years. They are NOT amphetamines. They are in the sympathomimetic family of appetite suppressants and cause the release of norepinephrine which has an effect on the appetite center in the brain to decrease appetite. For the most part, they share similar side effects. The most common is extra energy which will be most intense for the first few days as the body adapts to it. Insomnia if taken too close to bedtime and dry mouth. Less common side effects are constipation and increased blood pressure (usually mild). Palpitations are rare and transient. Dr. Krause will be happy to address any questions in regard to the medication at any time. The medications are dispensed at the clinic at the time of your visit.

See the Doctor or FNP every visit!

Individual Attention

 

You will consult with our medical provider each monthly visit. We will help you develop sensible and safe diet and exercise guidelines. We offer sound and effective ways to control weight and produce permanent lifestyle changes.

Our philosophy at Weight No More is to respect each and every patient and to encourage the attitude that this is not just a diet, but a healthy lifestyle change. To learn and practice new skills of exercise and food choices and to learn to recognize and conquer cravings while losing the weight will give the patient the best opportunity to maintain the desired weight.
​Our plan is to stop the medication when the weight goal has been achieved. The patient should then weigh themselves on a regular basis. If five to ten pounds were to be put on, the patient should evaluate their eating and exercise and make any necessary adjustments. If over ten pounds, we encourage you to return to Weight No More.

Such “fine-tuning” will insure that you will never again have a large and discouraging amount of weight to lose.

(By the way, from time to time we have had patients not come back for too long because of embarrassment feeling that the doctor or staff will be disappointed that weight has been regained. Every member of the staff has or has had a weight problem. We understand the problem, and you will be welcomed back as a friend would be.)​

The Down-Sizer Program

As a patient you will receive our 75 page booklet in english or spanish, which it explains what it really takes to lose and to control your weight once and for all.

Try these helpful free sites

​Is there a place for 'diet pills' in Primary Care?

Colin P. Kerr, M.D., J.D., M.P.H. editor of
The Family Practice Newsletter
Vol. 10, No. 11, June 1,1995 wrote:

To my surprise the answer appears to be ‘yes.’
Almost all of the work has been done by two investigators— Michael Weintraub and George Bray,

who are now able to provide very reasonable data on safety and efficacy.

In 1992 Weintraub reported his conclusions from a 4-year National Heart, Lung and Blood Institute long-term multimodal weight control intervention.” Anorexiant medications do help many people lose weight and maintain weight loss.

Medications retain their effectiveness in some people for more than 3 1/2 years without serious adverse effects. Anorexiant medications provide beneficial therapy for obesity enhancing weight loss more than behavior modification, exercise and caloric restriction alone.

Weight loss will be maintained for several years if the medication are used in conjunction with other interventions that are reinforced periodically as part of the total weight control program. In this study there was no evidence for non-therapeutic use or any type of abuse of anorectic medications. Continuous medication was more effective than tapering the dose of mediation and restarting it at defined periods.


Primary care physicians can use anorexiant medications better. They should begin medications at lower doses and increase them as needed. They can also taper doses of medications over time and restart treatment months or years later at times of possible weight gain.”

Dr. Kerr continues: “ The above studies strongly suggest that we have overlooked or deliberately ignored some non-curative but highly effective treatments. Why? One major obstacle has been the unhelpful product labeling imposed by the FDA, which appears to limit the indication for these drugs to “the management of exogenous obesity as a short term (a few weeks) adjunct” to the treatment of obesity.

The labeling is simply irrational— inconsistent with the existing data and absurd in suggesting that any treatment of a few weeks duration has a significant role in the treatment of obesity…. For the patient who volunteers this (obesity) as a serious concern and is willing to embark on an intervention including exercise and attention to diet, we should freely offer them the benefits of the best known therapeutic approaches to weight control and this clearly includes appetite-suppressing medication.

Conclusions: (Weintraub M, Long –Term Weight Control Study: Conclusions, Clinical Pharmacol. Ther. 1992 51: 642-6.)

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