I (29/F) was just prescribed phentermine 37.5 (slow release capsule) through my new doctor at Absolutely Thin (I don't know if anyone else has had experience with them).
Just for some context, they are one of the only widespread online weight loss clinics that were available in my area. I chose them because the weight loss clinics in my town were not only sparse, but they were OUTRAGEOUS ($150 - $200+ a month) in price, and most completely refused to even consider prescribing any sort appetite suppressant to help me get past my weight loss plateau. In addition, most required that you come to frequent group meetings and that you purchase their supplements and food, which added to their high monthly costs, and the price tag just seemed ridiculous to me.
I've been able to lose from 240lbs to 180lbs just through diet alone. I'm 5'2". Only recently had my work schedule changed to where I can get back to the gym, I have missed doing cardio!
Initially what helped me control my hunger and learn how to portion and watch my caloric intake was Wellbutrin, which was actually prescribed for me by my normal doctor to counteract the sexual side effects of the Effexor I take for severe OCD. These effects from wellbutrin don't happen for everyone, and I was lucky that it helped propel forward my weight loss goals while it did. But now, I've been plateauing at 175 - 180lbs since July (it seems like I've learned to control my caloric intake enough for maintenance, at the very least), even with incorporating obsessive calorie counting and exercise. I've been hungry, frustrated and miserable, so I wanted to look for some additional help to get me to my healthy weight goal.
I signed up, submitted my health history, and visited my assigned doctor from the website in person, who went over my entire medical history and approved me to start phentermine. Typically, they prescribe phentermine with Prozac in order to stop your body from getting used to the phentermine, but since I'm already on wellbutrin and effexor, I am supposed to be okay in that regard, and didn't need to have the low dose Prozac. It's also to prevent the possibility of serotonin syndrome, which I was glad the doctor pointed out as well, because that was a concern for me when I read what their typical regiment was.
The reason I'm posting today is because this doctor's typical plan is once I reach a healthy weight, she gives her patients a very low maintenance dose of phentermine long term. This is great for me, as I was relieved to know that I didn't only have just a month or two to have this prescribed. I'm hoping it will help me maintain my weight loss as I continue to get therapy for binge/emotional eating, and continue to learn better eating habits and incorporating excercise into my life permanently.
I wanted to see if anyone else has had this regiment before, because I've never heard of anyone being allowed to have a super low maintenance dose long term. Of course, this is on the condition that my body continues to handle the medicine well, and I have to have a progress meeting monthly with my doctor via online/text in order to even receive another month of phentermine, as they do not prescribe refills.
Is anyone else on this regiment? If my body continues to do well with phentermine, as far as experiencing no negative side effects, what are your thoughts on a long term, low maintenance dose? From what I understand, it would the lowest dose of phentermine available (7mg I believe, and I think that can be cut in half via tablet form, for an even lower maintenance dose). Of course, my doctor said the decision to even have a maintenance dose is up to me (should I be handling the medicine well), and she's had successful patients on phentermine both short and long term.
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