How to lose weight with:Metformin, Naltrexone or Contrave – how they work, safety, risks

Diet and exercise are obviously critical to weight loss. But is there a place for medications outside of weight loss clinics? Yes. Overweight and obesity are major – and growing – causes of heart attack, stroke and cancer. The easy assumption is that we get fat because we eat too much. But why is there so much weight gain as we get over 50 years old? Understanding this, most of us realize there are endocrine reasons for weight gain. But we often think only of behavior (lifestyle) in relation to treatment of weight gain.
As far as medications are concerned, Metformin is usually the best first option for the majority of baby boomers with prediabetes (insulin resistance). Saxenda is simply one of the new diabetes drugs (Liraglutide) renamed for weight loss.
Naltrexone is most often given for alcohol and opiate addiction. But genetics do not favor naltrexine in many patients. Buproprion (Wellbutrin) may be as successful as Contrave for these people.

About Dr. Brewer – Ford Brewer is a physician that started as an Emergency Doctor. After seeing too many patients coming in dead from early heart attacks, he went to Johns Hopkins to learn Preventive Medicine. He went on the run the post-graduate training program (residency) in Preventive Medicine at Hopkins. From there, he made a career of practicing and managing preventive medicine and primary care clinics. His later role in this area was Chief Medical Officer for Premise, which has over 500 primary care/ prevention clinics. He was also the Chief Medical Officer for MDLIVE, the second largest telemedicine company. More recently, he founded PrevMed, a heart attack, stroke, and diabetes prevention clinic. At PrevMed, we focus on heart attack and stroke and Type 2 diabetes prevention by reducing or eliminating risk through attentive care and state-of-the-art genetic testing, imaging, labs and telemedicine options. We serve patients who have already experienced an event as well as those have not developed a diagnosis or event. Our team of senior clinicians includes internationally recognized leaders in the research and treatment of cardiovascular disease, preventive medicine and wellness. We also provide preventive medicine by telemedicine technology to over 30 states. Contact Dr. Brewer at [email protected] or visit

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