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.

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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.

Concerns

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.

Positives

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.

Negatives

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.

Adipex P

Before you buy Adipex online without prescription, you need to learn about this weight loss drug. Adipex-P is a brand name form of the weight loss and appetite suppressant drug, Phentermine Hydrochloride. This medication is generally only prescribed to individuals who are considered obese and whose weight poses a severe risk to their overall health. Buying Adipex without prescription anywhere in the world is simply illegal.

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Obesity can lead to diabetes, high blood pressure, heart disease, and even death. This drug comes along with many severe side effects, so doctors will weigh the risks of a person’s obesity against the risks that come along with this drug to determine if someone is a good candidate for this prescription.

As with all other medications that contain Phentermine Hydrochloride, this drug is prescribed along with major lifestyle changes. These changes include a significant reduction in the number of calories that a patient is consuming each day. It also involves a significant increase in exercise. You should be exercising at least five days per week while on this medication, so long as your doctor says this is safe for you. Keep in mind, exercising can even be just walking. Your doctor will be able to give you expert guidance on the lifestyle changes that you need to make and determine what is safe for you as an individual.

What is the Main Ingredient in Adipex-P?

As mentioned above, the main ingredient in Adipex-P is Phentermine Hydrochloride. This chemical is used as an appetite suppressant for individuals who need to lose a significant amount of weight. One common use of this drug is for individuals who want to undergo a gastric bypass surgery but whose weight makes them unable to be a candidate for this procedure. In these cases, doctors may prescribe Adipex or other drugs containing Phentermine to help boost weight loss so that the person can undergo the surgery.

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Can I get Adipex-P Over the Counter?

You can not get Adipex over the counter. This drug is sold by prescription only to be filled through a registered pharmacy. If you find a company online that is selling this drug “over the counter,” please beware. This is illegal and may not be true Adipex-P or Phentermine Hydrochloride. We will discuss this in further detail at the end of this article.

How Does Adipex-P Work and is There a Difference Between this Drug and Phentermine?

Adipex-P (Phentermine Hydrochloride) is a stimulant that helps to suppress appetite. It is a brand name form of the chemical, Phentermine Hydrochloride. The only differences in these two medications is that “Phentermine” is the generic form of the brand name drugs that contain this ingredient. Inactive ingredients may differ slightly, as well. Phentermine, which is the main ingredient in Adipex, is a schedule IV drug that is also a sympathomimetic amine anorectic. It affects the neurotransmitter, norepinephrine. This, in turn, has an effect on the hypothalamus, which helps to regulate appetite. This “tells” our brain that we feel more full and satisfied than we actually may be. This is a common effect of stimulant medications.

What Does Adipex-P Have in It?

As mentioned above, Adipex-P contains Phentermine Hydrochloride as its active ingredient. The following is a list of the inactive ingredients that are in this prescription medication:

  • Black Iron Oxide
  • Corn Starch
  • D&C Red # 33
  • FD&C Blue # 1
  • Gelatin
  • Lactose Monohydrate
  • Magnesium Stearate
  • Propylene Glycol
  • Shellac
  • Titanium Dioxide

If any of these inactive ingredients concern you, speak with your doctor about the other drugs that contain Phentermine Hydrochloride to see if there may be a better option for you.

How do you Take Adipex-P?

Adipex-P is an oral medication that is taken daily either an hour before breakfast or one to two hours after it. It is not recommended to take this medication for ten to fourteen hours before you plan on trying to fall asleep as it can disturb ability to get to sleep and to stay asleep. This medication is taken alongside significant lifestyle changes that include reducing the number of calories you consume daily as well as increasing the amount you exercise. You should exercise at least five days a week while taking this medication, so long as your doctor has approved this. Some individuals may need to start a bit smaller and work their way up to working out daily.

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Remember that you should always keep in communication with your doctor while taking this medication. You should be monitoring your side effects and if any change or worsen, then you should communicate this with your doctor. Certain side effects like those that affect your heart and/or breathing warrant a complete halt of taking this medication. In these cases, you should also seek medical treatment immediately. If your doctor is not available, you should go to the Emergency Room if you are having significant changes in heart rate or difficulty breathing.

Where to Buy Adipex-P Without a Prescription

Please note that any website marketing Adipex-P without a doctor’s prescription is running and illegal and dangerous “business.” It is illegal for you to purchase, possess, or distribute this drug unless you have a prescription (in the case of purchasing and/or possessing) or unless you are a doctor or pharmacy (in the case of distribution). You not only run the risk of legal trouble, but you also endanger your health and safety if you attempt to take Adipex-P without a prescription after illegally purchasing this drug.

Individuals and entities that market these kinds of drugs online without a prescription are in a dirty business and, often times, they are not even selling what they claim to be selling. These pills could contain harmful and even deadly chemicals. You have no way of knowing what you are actually getting and an ingredient could be unsafe for you or for mixing with any other medications or supplements that you may be taking. Protect yourself, your health, and your life. It is just not worth it to engage in such a dangerous activity. You can’t lose weight if you are dead.

Fastin Side Effects

Fastin was a prescription drug that contained generic Phentermine hydrochloride. Phentermine is used to treat individuals who are very overweight and medically obese. It acts as an appetite suppressant which reduces cravings for food thereby reducing your daily caloric intake. This in turn helps you to lose weight. Fastin was not a stand alone solution but rather used in conjunction with a low calorie diet and an exercise regime. Fastin was referred to as an anorectic or anorexigenic.

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Since Fastin is Phentermine, it had the same side effects and tolerance to the drug is one of them. Fastin can generate tolerance within a few weeks. If this happens, the recommended daily dose should not be exceeded to try and increase the effect of Fastin. Instead, Fastin should be discontinued. You need to seek medical attention at that point. Some have suggested that tolerance may occur due to neurotransmitter depletion.

Since Phentermine can make you dizzy, this may effect your ability to drive a vehicle or work in a hazardous situation. When you’re using Phentermine for the first time, keep an eye out for any impairment it might cause. If you feel you are impaired, stay away from dangerous activities.

Fastin (Phentermine) has been observed to cause drug dependence. This is perhaps not surprising in that it is chemically and pharmacologically related to amphetamines. In the past, amphetamines have been abused by patients. Keep this in mind if you might be a person that is susceptible to this such that this type of weight-loss program would not be good for you. Abuse of amphetamines and related stimulants can have serious consequences. These drugs have been associated with severe psychological dependence and social dysfunction. There have been reports of patients increasing their dosage many times over recommended allowance. When these patients stop taking Fastin abruptly, they experience severe depression, extreme fatigue and insomnia.

A common Fastin side effect is upset stomach which can be uncomfortable. Generally this is temporary. You can make some changes in your diet to ease this symptom. When you feel nauseous, stay away from spicy foods and opt for well cooked veggies, oatmeal and/or crackers. In other words, try foods that are bland tasting for a few days.

Another common side effect is constipation or diarrhea. Just as with upset stomach, this is generally temporary. If you are experiencing constipation, drink more fluids such as green tea, water, vegetable juices and clear broths. Also, consume foods that contain a fair amount of fiber such as beans, veggies and/or brown rice. If diarrhea is your problem, you run the risk of losing electrolytes and becoming dehydrated. You’ll want to replenish your electrolytes so take in fruits, veggies and sports drinks.

Fastin Side Effects

  • Elevated blood pressure
  • Tachycardia (fast heart beat)
  • Over stimulation of the central nervous system, restlessness, dizziness, headache, insomnia, excess sense of well-being, tremor, confusion
  • Dry mouth, unpleasant taste, diarrhea, constipation
  • Libido changes, impotence
  • Allergic response, swelling of lips, tongue, mouth and/or throat
  • Swelling of ankles and feet Mood changes, irritability
  • Shortness of breath
  • Upset stomach, nausea, vomiting

​There are individuals with certain medical conditions that should not be prescribed Fastin. You should not take Phentermine if you have hypertension (high blood pressure). Phentermine can cause high blood pressure in some patients so this could make your blood pressure go up.

What To Eat While On Fastin – Learn how to eat properly while taking Fastin diet pills

As you know there are many diets out there, so it’s hard to know where to start when you’re taking Fastin.

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Fastin as an appetite suppressant will help you eat less but you still need to know what to eat. Fastin is not meant to work on its own but rather along with a low calorie diet and exercise. You’ll need to plan out your meals for a week at a time and stick to it. Make sure you keep a food diary as well so you have a record of everything you’re doing. You’ll be cutting back your daily calories by at least 500 Calories. That’s a place to start.

You know that you need to make healthy choices so you’re looking for foods that are high in lean protein, have fiber, healthy fats and are low in sugar. Some complex carbs are okay in small amounts. The first two weeks are the most difficult because you need to stay away from sugar as much as possible and you’re only allowed small amounts of complex carbs. After that point you can bring in more complex carbs and small amounts of sugar. You can continue to do this until you begin gaining weight, then you need to cut back on sugars to where you don’t gain weight. So essentially what we’re looking at is a low carb, high fiber, high protein diet.

What is crucial here is that you should not skip meals. You need to eat to lose weight, however you need to eat the right foods and in the proper proportion. When you skip meals, this sends your body into starvation mode. Now, your body is going to try to hold on to its weight for survival. So, always remember you need to eat to lose weight. Also remember that you need to drink a lot of water when taking Fastin. It is recommended that you take in 8-eight ounce glasses of water a day. This helps to keep you hydrated and ward off dry mouth.

Foods to Eat While on Fastin

The idea of a healthy diet while taking Fastin is to look for foods that are high quality. This means foods that have low energy density meaning fewer calories per gram (ounce). So consider veggies, whole grains, beans, lean chicken/pork/beef/fish and possibly low-fat dairy. Veggies, whole grains and beans provide water and fiber and help to control hunger and manage weight for the long-term not just when you’re taking Fastin. So, let’s look at some foods for you to consider.

  • Protein sources – protein is important for every cell in your body but certainly for skeletal muscle. The more lean muscle you have on your body, the higher your metabolism. You will be exercising while on Fastin as that is part of the weight-loss program. As you’re turning fat into lean muscle, you’ll need to make sure you are taking in high quality protein to build lean muscle. Good sources of protein and omega-3s are oily fishes such as salmon, tuna, sardines, anchovies and mackerel. Also consider skinless chicken, 92 percent lean beef, lean pork and turkey. Eggs are also a good source of high quality protein and omega-3s if raised free-range. Don’t forget about nuts and tofu.
  • Fiber foods – fiber is actually not nutritional but rather is needed to maintain intestinal health by keeping the gut clear of debris. Fiber has another redeeming factor, especially when you’re dieting in that it makes you feel full. When you feel full, you are satisfied and will stop eating. Fastin suppresses your appetite making you crave food less therefore eating less while fiber makes you feel full which makes you stop eating. Good sources of fiber include beans, whole grains, veggies and brown rice.
  • Veggies and fruits – you can’t go wrong with veggies and fruits as they contain a lot of water, minerals, antioxidants and fiber. For the first two weeks of Fastin therapy, try to concentrate on mostly veggies because fruit contains a lot of sugar. You can have some fruit but only a few small slices in the beginning. So, concentrate on broccoli, squash (particularly zucchini and yellow neck), cauliflower, green beans, string beans, spinach, kale, cabbage and Brussel sprouts. To get the most benefit out of your veggies, steam them. Many of them are available in steam bags which you can pop into the microwave. Easy cook and no mess to clean up.