Body contouring TIPS and HINTS
Body contouring
TIPS and HINTS
مفيش حاجة تخلي
ابني يخس؟؟
Outline • Weight lose medications and remedies:• Herbal remedies (facts and myths). • Novel pharmacological treatment of obesity.• Special populations (pregnancy, lactation, diabetes, CVSd)
• Body contouring medications and protocols:• Localized obesity.• Flabiness and stretch marks.• Cellulite.• Breast enlargement medications.
• Pediatric obesity
Adulterated products HAAD LIST
Adulteration with
SibutramineCardiovascular
events 12%Phencyclidine
NMDA RAntag Psychological dependence T3 and T4Mazindol
Amphetamine like
(sympathomimetic)
Phenolphthalein (laxative) Carcinogenic
Herbal remedies and weight loss
Herbal remediesLaxatives
and diureticsmeso-oral
Altered fat, carb
absorption Altered fat,
carb metabolism
Altered fat storage
Famous and effective herbal remedies
chemical classification
Caffeine
Garcinia cambogia (Hydroxycitric Acid)
HCA ↑lipid ox. ↓appetite
Chitosan
↓fat absorpt
ion
Green Tea
Hoodia
Appetite suppressant
Benincasa hispida (winter melon)
Appetite suppressant
SSRI
Catha edulis (Yemenian’s Esteba7a)
Amphetamine like agent
Capsicum annuum
Sympathomimetic
Cyamopsis tetragonolobus (Guar GUM) = Glactomannan
Reduce appetite by
delaying gastric emptying
Inhibition of nutrient absorption
Hibiscus sabdariffa
Alpha-amylase inhibitor (weak)
Phaseolus vulgaris
Alpaha-glucosidase inhibitor
Triticum aestivum (whole grains)
Alpha-amylase inhibitor
Panax ginseng
Anorexic Pancreatic
lipase inhibitor
Punica granatum (الرمان)
Pancreatic lipase
inhibitor
Novel Pharmacological
treatment
Lorcaserin
5-HT 2c agonist
3% in 12 wk, without diet or exerciseApproved for BMI > 30
Tesofensine
Noradrenaline, dopamine and 5-HT reuptake inhibitor
9% with higher dose (0.5mg) in 25 wks, with exer & diet
Zonisamide
Anticonvulsant -D2 agonist
MAO inhibitor (weak)
5% in 16 wks with exer and diet
Rimonabant(and taranabant)
inverse agonist for the
cannabinoid receptor CB1
Withdrawn (sever depression and suicidal) , illegal sales
Contrave (Bupropion + naltrexone)
NA/ D2 RI-> endorphin release (-ve feedback) so
add naltrexone
Empatic (Bupropion + Zonisamide)
Bup offset depression and sedation of zoni
and Zoni offset Bup induced results
Qsymia (phentermine + topiramate)
Low dose amphetamine + anti convulsant topiramate .