期刊
FRONTIERS IN ENDOCRINOLOGY
卷 12, 期 -, 页码 -出版社
FRONTIERS MEDIA SA
DOI: 10.3389/fendo.2021.588016
关键词
generic weight loss medications; preoperative weight loss; anti-obesity pharmacotherapy; pre-surgery; super obesity; medical weight loss; MBSAQIP surgical risk calculator
FDA approved anti-obesity medications may not be cost effective for patients struggling with pre-operative weight loss prior to bariatric surgery. Metformin, a biguanide, and Topiramate, a carbonic anhydrase inhibitor, have shown to be cost effective medications for weight loss in patients with type 2 diabetes or seizures, respectively, demonstrating success in achieving >8% total body weight loss prior to bariatric surgery for patients with a BMI >= 50 kg/m(2) who are unable to follow the prescribed nutritional plan due to dysregulated appetite system.
FDA approved anti-obesity medications may not be cost effective for patients struggling with pre-operative weight loss prior to bariatric surgery. Metformin, a biguanide, and Topiramate, a carbonic anhydrase inhibitor, both cost effective medications, have demonstrated weight loss when used for the treatment of type 2 diabetes or seizures, respectively. The aim of the three cases is to demonstrate the clinical utility of topiramate and metformin for preoperative weight loss in patients with a body mass index (BMI) >= 50 kg/m(2) prior to bariatric surgery who are unable to follow the bariatric nutritional prescription due to a dysregulated appetite system Each patient was prescribed metformin and/or topiramate in an off-label manner in conjunction with lifestyle modifications and achieved >8% total body weight loss during the preoperative period.
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