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Our goal is your complete health and wellness

Gina Cirda

“It is hard to believe for me that with just the pills and Dr. Malhotra’s diet advice I have lost more that 50 lbs”

 F.A.Qs 

Frequently asked questions

Who qualifies for the weight loss program

What medical treatment options are available to me?

  • We only prescribe FDA approved treatment – phentermine- topamax as combination therapy and Wegovy
  •  Wegovy was approved for weight loss by FDA in June, 2021

What are the contraindications to get the Phentermine and Topamax

  • You fail to qualify for Phentermine and Topamax if you have uncontrolled hypertension, previous stroke or coronary artery disease or cardiac arrhythmias or plan to get pregnant

What are the contraindications to get the Wegovy or warning

  • Potential risk of thyroid C-cell tumors
  • Personal or family history of medullary thyroid carcinoma or in patients with a rare condition called Multiple Endocrine Neoplasia syndrome type 2 (MEN 2)

What are non FDA approved treatments

  • Other treatments being prescribed by medical providers include drugs  like ozempic, Mounjaro. We do not prescribe non FDA approved treatments to our patients

How do the drugs work on my body

  •  The combination of phentermine and topamax leads to decrease appetite and early satiety. It would make you consume less calories which eventually leads to weight loss
  • Wegovy works by mimicking a hormone called glucagon-like peptide-1 (GLP-1) that targets areas of the brain that regulate appetite and food intake. The medication dose must be increased gradually over 16 to 20 weeks to 2.4 mg once weekly to reduce gastrointestinal side effects.

Are the medications prescribed to me safe

  • We have multiple studies and years of data showing the safety profile of phentermine- topamax and Wegovy
  •  Some patients can experience side effects which can lead to stopping of the medications
  •  Common side effects include insomnia, irritable mood, high blood pressure by Phentermine-Topamax
  • Wegovy can lead to common side effects in the GI tract like nausea, vomiting, gastroenteritis and GERD

Can I order or get the treatment if I don’t live close to your practice

  • We can prescribe treatment to the person living anywhere in the State of Texas after a tele-visit
  • We do not prescribe weight loss treatment across state lines at this point of time

What is the cost of the treatment

  • Monthly clinic visit of $75
  • Combination of phentermine and topamax when prescribed individually costs < $25 monthly. The same combination from the pharmaceutical company costs close to $100
  • Wegovy is expensive and costs close to
    $1400 for 4 shots which lasts a month. You need to take one shot every week
  • Wegovy is covered by some insurance plans

How much weight do I expect to lose

  • Patients in the randomized controlled trials lost between 9% – 12%
  • My patients along with the dietary advice lose close to 15% – 20%. For someone who weighs close to 200 lbs, I expect them to lose 30 lbs

Is the treatment FDA approved

  • Yes, the combination of phentermine and topamax is FDA approved

Are all medical or drug treatments FDA approved

  •  No, drugs like ozempic and wegovy are approved for diabetes control only. However they do lead to weight loss, hence it is now commonly prescribed to non diabetic patients for weight loss