I am down to 188 lbs. But now, at 80+ lbs down over 13 months, I’m stalled out again. My doctor has been providing me the drug with consent that I haven’t been using it so much. Such as taking it 3 out of 7 days to maintain the weight goal and the energy level? Thank you! Oral phentermine hydrochloride, approved for short-term use in the treatment of weight loss, is a commonly prescribed appetite suppressant that can lead to faster weight loss when used alongside a healthy diet, exercise and behavior therapy. If that were true wouldn’t you build resistance twice as fast if you took the entire pill each day? I began taking 1/2 of the 37.5mg tab of Phentermine 5 months ago. To that end, phentermime did work as I expected. I stopped drinking alcohol completely. My doctor prescribed phentermine and over a 3 month period, I increased my exercise to 6 days a week. I am a mother of 4, 32 years and struggling with weight as long as I can remember. I also exercise 6 days a week through this process (HIIT, weights, rowing machine, tennis, agility ladders, cycling, etc). Thanks, The sympathetic nervous system is your fight or flight response system and it manages your energy level, blood pressure, heart rate, alertness and so on. This article is point on. My appetite has decreased. Thank you for the information! I've used this strategy many times in my career and it has worked well for many different patients. I don’t eat until 12pm and I stop at 8pm so do I continue this and just take the phentermine three times a week? Thanks! It did work well for about three weeks. I exercise 5-6 days a week and an already pretty active. I got down to 137 pounds. I’m moving on my feet 7 hrs a day. My only concern is I have heard taking it longer than 6 months can be damaging and there hasn’t been many studies on taking it long term. I am so happy that I feel this gave me the push I need to lose the other 10 pounds I want to. What if we can take advantage of the weight loss associated with this medication while minimizing the negative side effects all while maintaining weight loss after patients stop using it? I am 5’5″ and weighed in at 242lbs! I want to sustain my weight loss so I am going to try the one you recommend of 1000 calories a day. I started taking it again about a wk ago and the only thing I’m experiencing is a very dry mouth. Don't get me wrong, it can still help with weight loss, but it's probably only going to help you lose 5-15 pounds long-term. Well, the first day I started the Phentermine I also decided that I was going to change the way I eat and exercise. I’m on week 2 and nothing! I drank 3 shakes & ate 1 bar for 3 days over the first weekend (that was 4 per day, each having 25%daily nutritional value including protein), combined with the Phent helped prepare me mentally & physically for discipline & routine. Would it work for long term and would I need to take a break? My worries are once I stop taking the medication it will all come back. OMG Michelle! The cardiovascular side effects of Phentermine use wouldn’t be seen for several years. I am aware the my weight coming off so fast coincides with no carbs. I have about 11 pills left and have already cut them in half. Phentermine is chemically an amphetamine and it is basically a short form for phenyl-tertiary-butylamine. I took it only on the nights I worked (4 nights/week) It helped me stop all snacking, and in fact, I had to force myself to eat. (The last thing I want is to damage my metabolism and/or reach the end of my prescription limit – I assume my dr. will take me off of this after a couple of months – only to gain the weight back.) Ok. The vast majority (about 98%+) will gain their weight back once they stop taking it and it’s not a medication that can or should be taken indefinitely. Dr. Childs I am from Poland I would like to order / buy phentermine. That means if you lost 5 pounds the first month you'll probably lose 2-3 pounds the next month and then another 1 pound the following month. This is assuming that you use it as I've outlined above (with episodic intermittent and prolonged fasting). Hello Dr. Childs Good article. A month before I was prescribed phentermine, I changed basically everything about my daily routine. I’m 36 and now back at a 40 BMI so I need to get some weight off for my health. I know my body has more to lose but I’m not quite sure where to go from here. I also saved a lot in food cost from what I had been spending! Altering how you take weight loss medications don’t necessarily increase your metabolism, they just prevent you from damaging it in the first place. It’s been two months since completing my diet now time to maintain. For more information, please read our Privacy Policy. I just started phen almost two weeks ago, and it has very little affect on me. This content does not have an English version. I just kept going in to doctor an taking it. the first month and 7 lbs. I feel happy, positive, energetic. Dr Westin, Healing a damaged metabolism can take many years and requires a different approach. But what good is weight loss if it's not sustained? I want to be free of this stigma. So you can imagine how excited I was to use Phentermine (a supposed weight loss medication) once I started my weight loss practice. The pharmacies won't like it, but your wallet certainly should. Not able to drop any weight due to my very damaged metabolism I finally convinced my doctor to put me on Duromine. Very much as your recommendation! I am going to change my routine to your method and hopefully I will be able to lose my goal of 12 more pounds and be able to sustain the loss this time. Some of the weight loss clinics in Memphis could be offering medicines such as phentermine. $90.00 + cost of medication at the pharmacy. I’m so glad to know I’m in good company. (Calorie counting, drinking lots of water and herbal tea help me feel full, etc..) I was just about to move to a full dosage when I came across your blog and a better way to use the drug. One thing I have noticed with taking Adipex-P vs. the generic brand is that I seem to have less of the undesirable side effects that the generic brand gave me! Im not covered for wls. Read more here. Phentermine typically makes one feel more energetic and less drowsy. Even though it doesn't show sustained weight loss in clinical studies, we can still use the fact that it "works" to our advantage. After a serious discussion with my Doc, he prescribed Topiramate to work as a catalyst with Phent & now I’m back to my discipline of vitamins as soon as I get up (5am), prepare my mind, spirit, & body for the day (I’m a bi-vocational minister & insurance broker), 1cup coffee in the morning with food bar, then take most meds at 7 am; at 10am drink health shake & take Topiramate & Phent; 12noon eat small lunch of SmartOnes dinner or 6″ Subway club sandwich with lots of veggies; 3pm another shake; & 6pm a shake & food bar, OR a very light supper that has some form of green veggies, or salad with vinegarette dressing. We both exercised and pretty much stayed away from carbs and sugar. Or, if staying to the above, is the weight likely to come back after all is said and done? I am not obese but the overweight I have depresses me greatly. So why does it work for some people but not others? So how should you actually use Phentermine for long lasting and sustained weight loss? I just want to be at my old weight, even though, it was entirely the best weight. So I have been taking phentermine for a week come tomorrow, I am 26 years old, with 2 young children my recent one was almost 5 months ago. A weight loss program is more than just delivering pre-prepared meals to your door. I only ever use phentermine as a way to augment other weight loss therapies instead of relying upon it solely for weight loss. I’ve been exercising but not as hard as I could. Is this safe for me? You can learn more about how exactly I use phentermine in my weight loss program here. That nausea can be ameliorated with eating something with it such as sugar fee Jello. Sometimes I don’t think doctors even know what they are saying half of the time . To realign my health and obtain a healthy weight I’ve restarted my weight loss plan and within the first 2 weeks I lost 13 pounds on Phentermine, engaged with the nutritionist and exercise at least 4 days week. Yes, it’s safe provided you don’t do it for too long. I used Phentermine 15 mg. for 60 days and lost fifteen pounds (170-155). I must keep losing! So I am currently taking it, and in the first 2 months on the full dose I lost almost 10 pounds. It is important to note that I was medically managed with an inter disciplinary team . The goal of waiting a few weeks is to avoid muscle loss that can happen from starvation while your insulin levels are high. I also work out 4 days a week and lift for strong women competitions. I also ate during an 8-hour window yesterday as a side note and would like to continue that as I was definitely not hungry. It is indicated for people who are obese, and who have failed to lose enough weight with diet and exercise alone — not for people who want to lose just a few pounds. Phentermine hydrochloride. You can take Phentermine on the morning of and on an empty stomach to help reduce your appetite for that day. First month lost about 5 lbs a week, second month was between 4 and 5 lbs a week and now im around 2-3lbs a week. The problem though was that I wasn’t sustaining any excersize, & I was eating very little. Phentermine Weight Loss Program. You have to think about whether the potential negative side effects are worth the loss in your weight and determine if that weight loss is worth the small risk. I am able to grab fruit or veggies to snack on…Thank you for your time. You can read more about how to lose weight during and after menopause here: https://www.restartmed.com/menopause-weight-gain/. Now the weight loss has drastically slowed down., (I’ve lost 3 lbs in the last few weeks) my doctor gave me one last month of Phentermine. She asked me to, I happen to love her the way she is, but she is always depressed about her weight. I’m 62 y/o woman with Fibromyalgia at least since 1979. I would say the majority of people do not have the success you did, but there will always be some (probably 5-10% of people who use it) who will be able to lose weight and keep it off while using it. I exercise and watch my food closely. My goal weight is 155lbs and for the first time I feel good about being able to get there. Like we will all gain it back. He just exercised and ate healthy. I am asking from a standpoint or rev’ing up the metabolism on those days. I just read this so I can help my wife lose weight. This content does not have an Arabic version. I began taking small dose of estradiol. Great article! I have never had issues dropping weight till this past year and I have had blood work done and my thyroid checked and everything comes back normal. When in doubt touch base with your Doctor. Thank you. and never felt “good”. So exactly I still have a week or so left with phentermine 37.5. I don’t overeat sometimes I undereat. Thank You for your time. I have stopped taking all those medications because there are too many side effects. Or just stop taking it once the 30 days is up? I took the other half Friday morning at 7 am(which I realize now was in the same 24 time period) and another 15 mg dose in the morning on Saturday morning. If you have kept your weight off for more than a year then you did it the right way. Perreault L. Obesity in adults: Drug therapy. I lost almost 20 pounds but definitely noticed a plateau in my results mid September. I only take my levothyroxine but want to make sure I do this right so I do not gain my weight back when I am done. Your comments will make anyone depressed. Thank you! Your body can develop a tolerance to phentermine which is probably what is happening here. 1 full tab, 1- 1/2 tab then a day off during active weight loss. I’ve been taking Phentermine for about 13 days now, two weeks. It does make you a little energetic but I need that anyway at my age. There is a video in the guide specifically on LDN so make sure you watch that! I take it everyday and me and husband already do intermittent fasting, that’s how I lost the 27 lbs. I had gastric bypass in 2001 I was around 25 years old. They may experience heart palpitations, anxiety or even sleeping issues. I have been on phentermine for 3.5 months (one pill daily), and I have plateaued for at least a month. Is this too much of a drop in the dosage? I want to get rid of the visceral fat. The way you described makes a lot of sense. Yuck! I have started using the treadmill, and trying to ease up on the food. Anxiety has been an issue for me previous to Phentermine, but by cutting caffeine WAY down I can tolerate the med 4 days a week. It works by stimulating your sympathetic nervous system and is classified as a "stimulant" (1). If we determine this is the best weight loss option, our physician will prescribe a 4-8 week course of the medication. Lately, I heard of the medication Topomax and so I took it for 2 weeks the way my doctor prescribed it. I do kickboxing. I don’t have an ETA on when it will be out, but will definitely add it to the list! Using IF fasting + phentermine can potentially be helpful but it’s not high on the list of priorities. I understand this will continue to decrease and am worried will not make it to goal weight as desired. In the United States, you do need a prescription but I’m not sure if that’s also true in Poland. Weighing and measuring all food, I ate about 800 calories a day. Incidentally, I have had zero side-effects. Thank you. Eye lids feel hevy and foggy as well, It can take years to reverse metabolic damage, but you can read more about it here: https://www.restartmed.com/symptoms-of-not-eating-enough-calories/. But a small minority of people, usually around 5-10%, will not be able to tolerate Phentermine at any dose. Some days I feel like the pill helps a lot curb my appetite so I can make better choices when eating. Attempt diet and exercise first. We did very well. But recently i am experiencing tremendous hair loss, along with weight put on around my stomach hips thighs ..my legs feel swollen most of the time ..Also due to constipation problems ..now i have hemorrhoids issue as well ..I feel lost ..Can i Ever feel better again ..I am a vegan (that complicates my situation even more).Do you recommend continuing Phentermine .? Today is my first day of taking Phentermine. If you are someone that is NAIVE to calorie-restricted diets or NAIVE to using Phentermine then you are someone who will most likely have a lot of success with this method. I happened to remember reading about Intermittent Fasting, so I went with this in addition to Phentermine 37.5mg/day. Given a 7 day week, when do you think is the best time to split up these episodic calorie resurrections? It can definitely help some people, but remember most people are not as fortunate as you are when they take it. The first month I was on 15 mg dose and I lost 9 lbs .. month two we upped the dosage to 30mg I have lost 4 in the first couple weeks and now the last couple weeks … nothing. The mental anguish one can experience with with being overweight can at times be debilitating. What this means is that Phentermine is NOT a long-term solution for weight loss. I have been using phentermine for a month and a half now. Thank you! I am so glad my physician listened to me when I told her I was tired of being fat (206). All rights reserved. it. I had three months prescribed, but used it 3 or 4 out of 7 days, combined with intermittent fasting. Dropped all liquids with calories (except green tea) – starting meal prepping & calorie counting based off my TDEE. I’m also trying to wrap my head around your article. diet with 25-30gms of fat. The safety and efficacy of combination therapy with Phentermine and any other drug products for weight loss including prescribed drugs, over-the-counter preparations, and herbal products, or serotonergic agents such as selective serotonin reuptake inhibitors (e.g., fluoxetine, sertraline, fluvoxamine, paroxetine), have not been established. It could also be a dosing issue (perhaps you are a super metabolizer) or something unrelated (medication or supplement interference with absorption/utilization). Phentermine is a popular amphetamine-like drug used for its appetite-suppressing benefits. With this concept in mind, we can talk about the POTENTIAL side effects of Phentermine, including: Most of these side effects have to do with how sensitive you are to the dosing, meaning they are dose sensitive. Honestly about 4 of your checklist items are against her. 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