Frequently Asked Questions

Information here is for educational purposes only and do not constitute as medical advice.

What is “medical weight management”?

Medical weight management is the treatment of obesity as a disease by a doctor who is certified in obesity medicine. It enlists the help of medications to reinforce and sustain lifestyle changes that can help you lose weight.

What does an “obesity medicine doctor” do?

As a certified obesity medicine specialist, Dr. Tchang treats 50-60 patients per week as part of a busy clinical practice. Treatment is focused on the disease of obesity and encompasses: (1) education on the biological drivers of weight gain and (2) the role of anti-obesity medications to fix these biological factors. She works as part of an interdisciplinary practice along with registered dietitian-nutritionists, exercise physiologists, nurse practitioners, fellows, and pharmacists.

What are “anti-obesity medications”?

Anti-obesity medications are medications that treat the hormonal disruptions that predispose a person to obesity. For example, some people never feel full; others can eat even when they’re not hungry. Anti-obesity medications adjust appetite and fullness thresholds so that people feel comfortable with smaller portions and feel more in control of their cravings.

Should I take an anti-obesity medication? Are they safe? What are the pros/cons?

Only you and your doctor can decide whether an anti-obesity medication is the right choice for you. They have been studied for several years to ensure safety and efficacy. The potential benefits vary from long-term weight management to improved relationships with food. The potential drawbacks include side effects like nausea, heartburn, constipation, and fatigue.

Do I have to take anti-obesity medications forever?

Many people choose to take the medication forever because they are experiencing how the benefits outweigh possible risks. No medication has been studied lifelong, but we know what the disease of obesity can do over a lifetime.

We also consider obesity similar to other chronic diseases, like high blood pressure. Blood pressure that was kept normal with medication is likely to go up again if you stop the medication. Weight regain is possible if you stop the anti-obesity medication.

How do I get an anti-obesity medication?

Access to anti-obesity medications nowadays is complicated and requires several steps. You should have an appointment with your doctor to obtain a prescription; the pharmacy needs to have it in stock; and your insurance needs to cover the cost.

One telehealth company, Ro, put together a very helpful FAQ if you want to learn more about navigating the healthcare system: insurance coverage, medication cost, pharmacy’s role, and supply issues.