Losing Weight

Increasingly, Doctors are Prescribing Phentermine for Gastric Bypass Pre-Op

For anyone undergoing surgery, it is extremely important to maintain the utmost health and follow all of your doctor’s instructions. To reduce the risks of gastric bypass surgery, doctors often ask patients to go on diets and lose weight as part of pre-operating procedures.

More and more doctors are now seeing the benefits of FDA-approved diet drugs like Phentermine, and are even prescribing it to patients as part of their pre-operating directions in order to help minimize risks during surgery.

Losing weight pre-op is often a catch-22 for patients who have already had difficulty losing weight through traditional methods. Their doctors are looking for them to improve their diets, exercise and lose weight before the procedure, yet their lack of results with these traditional methods is the very reason they are opting to have surgery in the first place. This is when so many doctors are finally incorporating the proven weight loss pill, Phentermine, into their prescription plans.

However, for some conservative doctors, it is the stigma of weight-loss pills that is difficult for them to overcome, and not the safety or efficiency which have been proven over and over. An article in the New Yorker, equated other doctor’s hesitancy with prescribing weight loss pills that proven to be effective with their former position on mental health treatments: that someone patients did not require medical treatment.

The doctor who authored the article, Dr. Suzanne Koven, lamented this mindset back in 2013 and hoped that one day she would be able to better treat patients looking to lose weight. Hopefully, that day has come.

Why it is Important to Diet Before Gastric Bypass Surgery

You’re probably wondering why doctors tell patients to lose weight before a gastric bypass when the entire point of the surgery is mainly to lose weight. No, your doctor is not testing your weight-loss abilities. It all comes down to ensuring your safety.

If you aren’t scheduled for a gastric bypass and are wondering what exactly this surgery is, here’s a quick overview: Gastric bypass surgery is a procedure to aid in permanent weight loss by dividing the stomach into two sections to reduce its size to less than 90 percent of what it previously was.

It is a risky procedure that is only used in cases of obesity, as a last resort when no other options have worked. It is an extremely effective weight loss option for many patients who see dramatic results and increase their life-spans in the long-term.

The reason doctors are so adamant about their diet instructions before the procedure is that the surgery has been proven to be much more successful for patients who have managed to lose some weight prior to the operation.

Often doctors prescribe a liquid diet to help empty out the stomach and prevent any disorders. It is recommended that those in pre-op abstain from eating for 48 hours prior to their surgery. This helps prevent any leftover food particles from increasing the chance of leakage that can occur during the stapling part of the procedure.

If the liver is enlarged during surgery, it could prevent the surgeons from continuing with the procedure until more weight is lost. The surgeon needs to be able to access the breastbone to perform the procedure laparoscopically, which results in the greatest success with an easier recovery period.

How Phentermine Can Help with Pre-Op Procedures

For those who suffer from stress eating, the looming days before surgery can be a trigger. Prescription diet medication can significantly improve weight loss when patient experience slowing results from more traditionally recommended methods. These weight-loss medicines work by increasing the basal metabolic rate and decreases a patient’s appetite.

The appetite suppressing properties of Phentermine are psycho-stimulants that are powerful in overcoming stress eating habits. This medication can help you reduce hunger cravings such as this, which is important in limiting your diet prior to your gastric bypass operation.

When left without a prescription to Phentermine, many often falter to these stress-eating habits and find it very difficult to stick to the suggested liquid diet regime. Phentermine releases hormones like norepinephrine and epinephrine that release adrenaline that produces energy and help break down fat cells.

A prescription of Phentermine combined with dietary recommendations and exercise that doctors routinely suggest as a part of pre-op procedures for a gastric bypass can be a powerful tool in preventing weight gain. This can also benefit your recovery time, as the physiological impact of Phentermine can counteract depression that is often associated with surgeries. Depression is particularly common in elective surgeries like gastric bypass.

Why Phentermine is the Preferred Prescribed Medicine

Phentermine is the preferred appetite suppressant that is prescribed by doctors for bariatric surgery like gastric bypasses. This is because it is one of the most effective weight-loss medications on the market, with the least amount of side effects. It is also FDA approved to be used for 12 weeks, which makes it a prime candidate for pre-op prescriptions.

The normal dosage ranges from 15 to 37.5 mg for a day and has been proven to boost metabolism and reduce hunger. It also has been proven to have no long-term side effects. In a study that measured patients who abruptly ended use of Phentermine, no patients exhibited any withdrawals or addictions to the drug.

In addition to its many benefits for pre-operating processes, Phentermine also helps boost energy level post-surgery to combat potential lingering side effects from the anesthesia or the procedure in general. It has been shown to be effective at managing long-term weight loss, especially for those struggling to lose weight through traditional methods.

For those with a history of failing to lose weight, this is the best weight loss pill on the market. It helps patients keep weight off, struggle less with post-operating recovery, and prevents uncontrollable hunger cravings. Phentermine continues to be a safe option for patients undergoing surgery, as well as those looking to supplement their weight-loss efforts.

Phentramin-D Review

According to its manufacturers, Phentramin-D is a non-herbal dietary supplement that has been scientifically developed to help you eat less, burn more fat, and lose weight. Phentramin is clearly meant to be a play on words, as its spelling is very close to that of the prescription-only medication Phentermine. Does Phentramin-D live up to it’s claims? We’ll take an in-depth look at the product in this review.



Phentramin D Purpose

Phentramin-D is intended to help users lose weight by suppressing their appetite and boosting their metabolism, thereby allowing them to burn more fat. According to the product’s official website, Phentramin-D is designed to mimic the effects of the prescription medication Phentermine, without the the unpopular side effects.

Who Makes Phentramin-D?

Phentramin-D is manufactured by Lazarus Labs, a supplement manufacturing company that has been operating since 2003. They are currently located in Cartersville, GA. This company also goes by the name of Lazarus Enterprises, Inc.

How To Take Phentramin-D

Phentramin-D is taken twice per day. The first pill should be taken 20 minutes before breakfast, with eight ounces of water. The second should be taken 20 minutes before lunch, or in the early afternoon also with eight ounces of water. The manufacturer states that this product should not be taken in the evening or close to bedtime.


There are a number of concerns regarding Phentramin-D. The manufacturers offer no information regarding how the product is made, and there is no evidence that the supplement is made in an FDA-certified facility. This means that the product is not necessarily made with the Good Manufacturing Practices in mind.

While there is a 30-day guarantee offered for products purchased from the Lazarus Labs website, the 30-day period begins from day of order. As oftentimes shipping can take 7-10 business days from the date of order, this doesn’t leave consumers long to test the products and request a refund. There is also a $10.95 non-refundable processing fee on each refund that is issued, meaning you will not receive the full price of your purchase back should you be unsatisfied with their product.

The ingredients in Phentramin D can cause serious health problems for certain groups of people. The manufacturer states that those with diabetes, high blood pressure, heart disease, any cardiovascular problems, hyperthyroidism, or anyone who is taking any prescription medications should not use this product. This supplement could possibly interact with their medications, make their conditions worse, or result in dangerous side effects.

Phentramin D Ingredients

Phentramin-D is made with a proprietary blend consisting mainly of nootropics and hydrochlorides. These substances are designed to trick your body into burning more fat while simultaneously suppressing your appetite. However, many hydrochlorides come with nasty side effects that can be harmful.

2-Phenylethylamine Hydrochloride (PEA) – PEA is a neruomodulator that is responsible for releasing both dopamine and norepinephrine in the brain. It is often used in antidepressants and in medications. Because PEA can provide a rise in both blood pressure and blood glucose levels, it’s believed that taking this supplement can increase the metabolism. However, in some people taking PEA as a supplement has been known to cause too-high blood pressure, as well as a feeling of nervousness and anxiety. In addition, because this ingredient causes the release of dopamine and norepinephrine, it is possible to become addicted to it.

1,3.7 trimethylxanthine – this is a more scientific-sounding word for caffeine. This is a stimulant designed to help you feel more alert and energetic. Caffeine can raise your heart rate, which leads many people to believe that it also provides a boost to your metabolism. However, for many people taking caffeine can lead to unpleasant side effects such as nervousness, insomnia, diarrhea, restlessness, and stomach upset.

Hordenine Hydrochloride – hordenine hydrochloride is another stimulant that is used as an appetite suppressant and energy booster. It’s a natural phenethylamine compound that is believed to aid the body in burning fat more effectively. Unfortunately, this ingredient also has a number of unpleasant side effects, including dizziness, restlessness, increased heart rate, anxiety, mood changes, high blood pressure and stomach upset.

Synephrine Hydrochloride – this compound is better known as bitter orange. Its effects are similar to those experienced when taking ephedrine, though not as potent. This naturally-occurring ingredient can help boost metabolism and stimulate fat loss, however when used in conjunction with caffeine it has been known to have dangerous and even deadly side effects. Because both stimulants can raise the heart rate, it is possible for the blood pressure to become dangerously high in some individuals, resulting in heart attack or stroke.

Yohimbine Hydrochloride – Yohimbine is often used as a fat burning compound in popular dietary supplements. However, this ingredient is known to cause anxiety and can interfere or cause adverse reactions when used alongside many prescription medications. In order to be effective, yohimbine must be consumed on an empty stomach, as eating food negates any fat burning effects that it may have.


Although this supplement does contain ingredients that may assist in weight loss, it is difficult to list them as positives. This is simply due to the fact that so few people can benefit from them.


This supplement can be used safely by only a very few people. For the rest, the side effects and interactions cause by the hydrochlorides in Phentramin-D can have disastrous results.

Customer Reviews

2 Stars Reviews Phentramin D Review
2 stars - "Phentramin-D is not available on Amazon, which in itself is a huge red flag. However, we did find this product available on eBay, though there were only two reviews. The first stated that Phentramine-D was a great product with a good price, however the second labeled it as “disappointing,” and said that it failed to live up to its promises. This gives the product a 50% success rate at best." Based on 300,784 Votes since 2016!

Verdict –  Rejected

We cannot in good conscience recommend a product that could cause problems in so many different ways, especially one that has been banned by a major online retailer such as Amazon. Unfortunately the combination of side effects along with the fact that the guarantee is extremely limited (if purchased through eBay only unopened bottles can be returned) leads us to believe that the negatives associated with Phentramin-D simply aren’t worth the minor positive effects that you may experience when taking it. Non-stimulant CLA supplement will give you better weight loss results.

Best Way To Exercise On Phentermine

​If you’re taking phentermine or thinking about taking it, it’s a good idea to consider some form of regular exercise you want to do to lose even more weight and further increase your sense of well being. Exercise can be anything from cleaning the house, walking around the neighborhood to going to a gym.



Whatever suits your fancy. But, whatever you do it doesn’t need to be strenuous but you should do it everyday if you can. After all, Phentermine can’t do all the work, so you need to do a little extra on your own part.

Phentermine is an appetite suppressant not a miracle. It will help to quench your food cravings and that will help you lose weight but exercise will give that extra added weight loss that will really make a difference in much less time. With that in mind, let’s take a closer look at some types of exercise you can do when taking phentermine.

One of the simplest forms of exercise is walking. It’s amazing how healthy it can be. Walking at a fairly decent speed (not a power walk but something close to a 15 minute mile) can be invigorating and calorie burning. This would be on the order of 4 miles per hour. This burns about 415 calories. Not Bad!

Zumba Fitness Logo

There are a number of fast exercises available today like Zumba. If you can handle fast paced movement and enjoy music, this might be just the ticket for you. If you’re into dance, consider taking a dance class. My favorite is swimming. I use a mask and snorkel so I can swim faster because you get more air. It’s easy to do a lap per minute. Do 60 laps in an hour and you can burn 600 to 700 calories. The nice thing is that you are essentially in a gravity less environment so it doesn’t put any pressure on your joints. This routine and phentermine will cut the weight down fast.

Tae Bo Class

​Some of you may be into Yoga or Tae Bo. If you’re new to Yoga but curious about it, it is a Hindu spiritual discipline that involves learning about breath control, meditation and practicing specific body postures that are supposed to promote health and relaxation. Since this is a difficult exercise, you’ll need to start out with the basics and see how far you can get with it.

There are a number of different Yoga practices and goals so you’ll need to educate yourself on the different types. However, the most well known are Hatha Yoga and Raja Yoga. Yoga classes are found just about everywhere and many of them are free.

​If you’re more into Tae Kwon Do and/or Karate, you might want to consider Tae Bo. Tae Bo has been around for about four decades and is quite popular. It combines boxing, Tae Kwon Do and other fitness practices with fast-paced music. If fast paced exercise interests you, then Tae Bo may be just right for you.

beach yoga workout

Keep in mind that phentermine will help you lose weight but you will need to do some kind of exercise on a regular basis to make it work properly.

Phentermine And Weight Loss Goals

Whether you take phentermine or not, you need to establish weight loss goals. No matter what weight loss system you use, you need a game plan to accomplish your goals.



Make sure you don’t set your goals to high or too low. Be realistic about how much weight you need to lose and in what increments work best for you.

You might want to do some research on the internet to find out what is an appropriate weight range for your gender, height and age group.

This can help you get started. If you are uncertain, talk with your health care provider and see what he or she has to say. While you’re at it, see if they can suggest a reasonable, healthy diet that will assist in your weight loss.​ Although you don’t need to exercise with Phentermine, it is a good idea if you do because it can double your weight loss. It is possible to lose 8 to 10 pounds a month if you take the 37.5 mg dose of Phentermine and have a restricted caloric intake (1,000 to 1,500 calories per day) along with light exercise like walking. Make sure you walk 3 times a week at least 30 minutes each time and if you can try to walk for an hour. Say you lose 10 pounds the first month and your goal is to lose 30 pounds in total. Well, you’re looking at around 3 months time to achieve your weight goal. Not Bad, Simply Not Bad!

Women Smiling - weight loss

​Using this as a weight loss goal, you’ll need to establish your own, set up a daily diary. Each day should list when you took your Phentermine and how much, the meals you will have for the day along with your weight. Plan for a week in advance. Having this information written down is very important. It helps you to stay on track and can tell you were you went wrong so you can make adjustments immediately. Just do it! If you’re not losing as much weight as you want, change you diet by looking at amounts and calories. Make adjustments there and if need be, increase your walking distance or how fast you walk. I mean you can go all the way up to a power walk. Start out with you basic plan and alter it when you need to but keep going. Three months is a relatively short time to lose 30 pounds.

​Once you achieve your goal, you’ll need to think about maintaining your weight. Losing is one thing and maintaining is another but that’s for another time when you get there. Small steps, one step at a time. Don’t lose sight of the bigger picture but concentrate on what you do daily and you will get there. If you have a spouse and children, make sure that they fully support you in your endeavor. See if they will share in your diet and exercise routine.

What To Eat When Taking Phentermine

As an appetite suppressant, Phentermine can help you lose weight. Nevertheless, you should have a diet set up to go with this weight loss supplement.



Combing a sensible diet with this appetite suppressant will help you achieve your goals even faster. The menu is wide open so long as you take in healthy fats, lean protein and low sugar.

I don’t know about you, but breakfast is the most important meal for me. This is what gets me going for the day and sets my pace. You need to get the right nutrients not only to lose weight while you are on Phentermine but be able to maintain your weight when you stop taking it. Remember, breakfast gets you on your way and sets the pace for the rest of the day including metabolism. This will keep you from snacking between breakfast and lunch by stopping the cravings for food when you eat improperly.

Healthy breakfast

There’s a reason why they call breakfast “breakfast”. Your body has been without food for at least 8 hours and usually more unless you eat before you go to bed. So, you see breakfast is breaking the over night fast. Your body and brain are low in sugar and your system is pulling out stores of fats, sugars and protein. It’s now time to replenish the system and get it up to speed so you can do all those things you want to do. Just because you are on phentermine, doesn’t mean you should skip breakfast. Oh No! A healthy breakfast will actually help you to lose more weight.

Have 1 boiled egg per day and every now and then perhaps have two. Cook once and eat for two weeks. Not Bad! To go with, I have a high protein and high fiber whole wheat bread that I toast (1 slice). I put some real organic butter on that. In stead of toast, try some oatmeal. That’s always a good choice. And, to complete the meal, I have a Greek yogurt. Make sure you get the one that has only 7 grams of sugar not 32 grams (Ugh). If you like, you can add some fresh fruit to that. Just buy what is in season. Also, make some green tea.

Green tea helps you to lose some weight as well. If you’re into green smoothies and have the right blender, go for that.

Breakfast Foods to help you Lose Weight With Phentermine

  • Whole fruits
  • Low sugar and high protein yogurt, like Greek yogurt Oatmeal or equivalent cereal
  • Whole wheat bread that is high in protein and fiber but low in sugar
  • Cage-free eggs, they are higher in omega-3s, vitamin E and other vitamins and minerals and they are much lower in cholesterol.
  • Green tea or perhaps whatever tea you prefer ​

Make sure to eat breakfast, remember you are breaking your over-night fast and your body and brain need food to get going. Make sure you have a high-fiber, high-protein breakfast and your phentermine should serve you well.

​Make sure to eat breakfast, remember you are breaking your over-night fast and your body and brain need food to get going. Make sure you have a high-fiber, high-protein breakfast and your phentermine should serve you well.