I had my annual last week. I’ve continued to use the same OBGYN who delivered Persephone. He’s kind, always chats for a minute...listens to me babble and I never feel rushed. I brought up my weight and how I’d like to get it under control. But I feel like I need a push, a nudge to get me started. He said there were a few FDA approved diet pills available, but two of them are ridiculously expensive even with insurance. Qysmia (phentermine/topiramate), Belviq (lorcaserin hci) are the too expensive brand names. Then he mentioned a newer one, Contrave (naltrexonehci/bupropion hci) which is a little more affordable.
He gave me a flyer, asked me to check with my PCP and make sure none of my current medications will interfere with Contrave and said I could give it a try. What’s kind of interesting is the combo of the two ingredients of Contrave; bupropion hci is more commonly known as Wellbutrin…which is an anti-depressant. Naltrexone is used to block receptors in the brain and curb cravings. Naltrexone is marketed on its own to help with addictive disorders (smoking/drinking...etc.)
I’ve tried diets before. I even went to a specific "weight loss" clinic where I weighed in weekly, visited the doctor monthly and was prescribed phentermine. The only downfall to phentermine was the cotton mouth, headaches, elevated blood pressure and irritability. But you're a controlled substance, a type of methamphetamine. I totally felt like I could concur the world, but the process got way too expensive. I tried ADVOCARE and failed miserably. It’s my fault…I get excited in the beginning, but then get burnt out either by the ongoing costs or the plateau.
Contrave’s ingredients would produce a pretty ugly “withdrawal” if I just stopped taking it. So I’m using that scary scenario (along with older photos of myself) as motivation to stay on the program. Contrave also offers a “Scale Down” program; once you’ve filled your first month’s prescription, the pharmaceutical company sends you a scale (free of charge). You weigh in daily and it sends your results to the program wirelessly. Then they’re able to send you encouraging tips/tricks via text message or email to keep you going. They also offer a support group where you and other patients can lean on one another.
Diet and exercise are strongly recommended…so I do plan on implementing something for myself as well. I'm the one at fault for all the weight I've gained, so it's time to gain control of myself.
4/15/2015 weight: 218
I take my first Contrave tomorrow morning 4/21/15.
Week 1 : 1 pill ea morning
Week 2: 1 pill ea morning and evening
Week 3: 2 pills ea morning, 1 pill ea evening
Week 4: 2 pills ea morning, 2 pills ea evening