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32 WWW. UNWLA.ORG “НАШЕ ЖИТТЯ”, ЛИСТОПАД 2012 Weight Loss Update 2012 by Ihor Magun, MD, FACP Weight loss is one of th ose common issues that are addressed in practically every magazine . What I want to do in this article is introduce to you the latest weight los s prescription medication and explain how it works, as well as provide some advice on how everyone can incorporate non - medicinal ways to make strides in sustained weight loss. If you have been keeping up with recent weight loss medications, you have probably come across the newest member i n the prescription market called “ Qsymia. ” Although thi s medica - tion is referred to as “ new, ” it actually is a com - bina tion of two medications — phentermine and topiramate — that have been on the market for years. Short - term use of Qsymia is recommended to i ndividuals who are considered obese or those who are overweight and have comorbid condi - tions such as diabetes, hypertension , or issues with cholesterol. Phentermine (marketed as Adipex) is an appetite suppressant similar to amphetamines. It tricks the b ody into believing that it is not hungry . Topiramate (marketed as Topamax) is actually used for controlling seizure s and relieving mig - raine headaches. The exact mechanism of action is unknown, but everyone who was placed on this medication has had substantial wei ght loss. It seems logical to assume that a careful combina - tion of the two medications would provide good outcomes in weight loss. In fact, this combination does work well, although s ide effects are c ommon and include increases in blood pressure and heart rate, insomnia, and drowsiness. Phentermine is also known as a controlled substance that may lead to an addiction. Nevertheless, c areful ly in - corporating this medication combination into your lifestyle, along with modification s in diet and increased physical activity , can help successful ly shed excess weight . What can one do to achieve weight loss without the use of this or other medications? The first step is to determine how many calories you need to ingest in order to keep your cu rrent weight. Take your body weight in pounds and convert it into kilograms by dividing it by 2.2. Next , multiply your result by 25 if you are calc u- lating for a woman and by 30 if you are calcula t- ing for a man. For example , for a wom an who weighs 145 pou nds, which is roughly 66 kil o- grams, you will multiply 66 by 25, get ting 1650 calories. Then, for individuals who do little to no exercise , multiply the calorie result by 1.2 (1980); for those who do light exercise , multiply it by 1.325 (2186); for moderate exercise , multiply it by 1.55 (2558) ; and for more vigorous exercise , mu l- tiply it by 1.75 (2888). The results you get (nu m- ber s in parenthese s) will roughly determine the number of calories you need to consume i n order to maintain your weight. Consuming a n y thing less than that will result in weight loss while co n- suming more will bring about weight gain. Sounds simple enough , d oes it not ? Yet this route requires some calorie counting and self - control . This is where the diets that provide one hundred per cent of the meals for you are success - ful. They control the calo ries, and weight loss o c- curs. The problems begin when the provided meals end or when we cannot continue on the r e- stricted types of food and slip back into old ro u- tines, frequently gain ing bac k all the weight we had lost on the diet . So what can be done? Like with a nything else in life , progress can be made if w e work at it on a daily basis. Set specific goals, begin by edu - cating yourself about the calorie content of com - mon foods , and track your intake by writing down everything you eat. After some tim e, you may not need to continue keeping written records because you will have already trained yourself to be aware of your caloric intake . Inco rporate some physical activity such as walking, using aerobic exercise CDs, or doing anything enjoy able that also burn s calories. Sometimes recruiting family members or neighbors as partners in these activities can strengthen your commitment to a healthier life - style. The real answer to weigh t loss is to make lasting changes in our eating habits , focusing on long - t erm adjustments and foregoing quick - fix methods. Make an effort with each meal , and each day incorporate changes that will help you stay on track. Solicit additional help from your physician if you fall into the weight category that may require weight loss medications . Finally, a l- ways look at yourself as an inspir ation to others when you succeed .
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