Treatment for Optimal Performance & Mental Health
As a physician, Dr. Homer can evaluate and prescribe psychotropic and anti-obesity medications when appropriate, integrating them into a comprehensive plan so you can feel better, think clearer, and regain control without extremes or quick fixes.
Medication + Lifestyle Changes
In our practice, we recognize that achieving optimal health requires a multifaceted approach. Medication may be prescribed as part of a comprehensive treatment plan including lifestyle changes aimed at promoting sustainable overall health.
Nutritional Guidance
Developing a balanced diet plan that supports healthy weight and enhances overall health. Proper nutrition can significantly impact energy levels, mood, and metabolic function.
Physical Activity
Encouraging regular exercise tailored to each patient's abilities and preferences. Physical activity is crucial for weight loss and for improving mental health and reducing stress.
Behavioral Strategies
Implementing techniques to help patients make lasting changes to their eating and activity habits, addressing both emotional and psychological factors.
Medications for Weight Management
Semaglutide
GLP-1 receptor agonist
Use: Weight management and type 2 diabetes management
Demonstrates significant weight loss results in clinical studies.
Tirzepatide
Dual GIP and GLP-1 receptor agonist
Use: Weight management and type 2 diabetes management
Demonstrates significant weight loss as observed in clinical trials.
Orlistat
Lipase inhibitor
Use: Weight loss by reducing fat absorption
Requires adherence to a low-fat diet to minimize gastrointestinal side effects.
Phentermine-Topiramate
Combination of sympathomimetic amine and anticonvulsant
Use: Appetite suppression and weight loss
Requires monitoring for potential side effects, including mood changes and increased heart rate.
Naltrexone-Bupropion
Combination of opioid antagonist and antidepressant
Use: Weight loss through appetite control and increased energy expenditure
Monitor for potential neuropsychiatric effects.
Liraglutide
GLP-1 receptor agonist
Use: Weight management
Administered via injection; monitor for gastrointestinal side effects. Also used for glycemic control in type 2 diabetes.
Phentermine
Sympathomimetic amine
Use: Appetite suppression for short-term weight loss
Often prescribed for a few weeks due to risk of dependence.
To justify the use of weight loss enhancers, guidelines are that the patient should have a BMI of 30 or above, or a BMI of greater than 27 with at least one comorbidity factor, or a measurable body fat content equal to or greater than 25% of total body weight for male patients or 30% for female patients.
Medications to Support Lifestyle Change
Psychotropic medications might be prescribed (sometimes off-label) to help with issues that might impair one's efforts to be successful with lifestyle and behavioral changes such as diet and exercise.
Bupropion
An antidepressant on which patients often lose weight as a side effect. May help with depressed mood, lack of energy and motivation, smoking cessation, and ADHD-related impulsivity that leads to overeating.
Fluoxetine
An antidepressant that may help reduce anxiety impairing behavioral changes. Unlikely to cause weight gain. May help with obsessions and compulsions.
Topiramate
May decrease binge eating.
Lisdexamfetamine
May help with binge eating disorder and ADHD.
Naltrexone
Might help to abstain from alcohol.
Sleep Medications
Sleep-inducing medications might be used for insomnia, as getting about seven to nine hours of sleep per night is important for most people to achieve optimal fitness including for maintaining or losing weight.
Monitoring Progress with Technology
At the office you may weigh in and also get checked for body composition using Bioelectrical Impedance Analysis with an InBody smart scale. Blood work results will be monitored and reviewed. Vitals may be taken. Dr. Homer can order blood panels at potentially discount prices through the Life Extension Foundation and AnyLabTest Now. Patients are also encouraged to use an Apple Watch, Oura ring, or Fitbit, and Dr. Homer will help you use apps such as MyFitnessPal and Calm.
Disclaimer
- •We do not promise specific results.
- •We do not want you to have unreasonable expectations; everybody responds differently to medications, and the benefits of weight loss described do not apply to everyone.
- •We do not claim rapid, dramatic, incredible, or safe weight loss.
- •It should be understood that diet and exercise is required, and that weight loss is not effortless or magical.