OtherMedications
Phentermine, topiramate, and combination therapy when a GLP-1 is not the first or only tool.
Overview
What other medications do you use?
Not every weight-management plan starts — or stays — on a GLP-1. Other medications can be appropriate when a stimulant, an anticonvulsant used for appetite, or a combination is the more honest tool.
These are prescribed and monitored here: phentermine, topiramate, and combination therapy when the exam supports them. They are not over-the-counter shortcuts.
Why patients choose it
Key benefits
- Options when a GLP-1 is not indicated, not tolerated, or not the first step
- Medical screening before any prescription
- Follow-up that catches side effects, blood pressure, and stalled progress
- Room to combine or switch rather than lock you to one drug class
Treatment details
Areas & what to expect
Medications
Medications we discuss
- Phentermine — a short-term appetite suppressant when cardiovascular and other screening allow it
- Topiramate — used when appetite, binge pattern, or migraine history make it a reasonable adjunct
- Combination therapy — pairing medications (including with a GLP-1 when appropriate) so each dose earns its place
Your visit
We review history, medications, and contraindications. If phentermine, topiramate, or a combination is the plan, we set monitoring and a stop rule — not an open-ended refill.
If a GLP-1 or dual agonist is the better next step, we say so. If none of these belong, we say that too.
FAQ
Frequently asked questions
Common questions about this treatment — your provider will cover anything specific to you at consultation.
When do you use phentermine or topiramate instead of a GLP-1?
When a GLP-1 is not indicated, not tolerated, not available, or not the first honest tool. Combination therapy is discussed when two mechanisms earn a place.
Is phentermine long-term?
It is typically short-term and screened for cardiovascular and other risks. We set a stop rule, not an open-ended refill.
Can these be combined with a GLP-1?
Sometimes. Combination therapy is a named plan with monitoring — not stacking leftovers.
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Two decades
Refining technique, not trends
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Related treatments
Other services patients often combine with this treatment.
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Ready for Other Medications?
Schedule a consultation at our New York studio. New and returning patients welcome.