Weight Management

Meet Your Weight Goals with Medically Supervised Weight Loss

As obesity has become increasingly more common in the U.S. in the past few decades, many physicians and clinics around the country are focused on providing a medically supervised weight-loss program. Through these specialized programs, they’re able to help patients overcome obesity in a healthy, safe way.

The best weight-loss programs offer medical supervision, motivation, and a diet and exercise plan. Partnering with a weight loss pharmacy can help you reach your goals. At Topline Pharmacy, we’re dedicated to helping patients have success with medically supervised weight loss through the available weight-management treatment options.

Symptoms of Obesity

Currently, 1 in 3 adults are considered obese in the U.S. According to data from Behavioral Risk Factor Surveillance System (BRFSS), adult obesity rates now exceed 35% in 12 states, 30% in 35 states and 25% in 48 states. Middle-aged adults and seniors have the highest obesity percentages of age groups in the U.S. as well.

As reported by the CDC, there are many risks of obesity including:
– Stroke

– Coronary heart disease

– Gallbladder disease

– High blood pressure (hypertension)

– Type 2 diabetes

– Osteoarthritis

– Sleep apnea and breathing problems

– Erectile dysfunction and sexual health issues

– Lower quality of life


Signs of obesity can include:
– Sudden loss of breath

– Increased sweating

– Increased snoring

– Inability to handle sudden physical activity

– Extreme daily exhaustion

– Back and joint pain

– Feelings of isolation

Benefits of Medically Supervised Weight Loss

With many people struggling to lose weight, taking part in a weight-loss program supervised by a physician can be a great option with many benefits.

Through medically supervised weight loss, a physician can monitor the overall health of the patient while making suggestions for the individual’s caloric intake, exercise regimen and more.

Losing weight has many benefits that can include:

– A healthier heart

– Lower blood pressure

– Less strain on joints and lower back

– A better sex life

– More confidence

– Improved overall quality of life

Weight Management Therapy

The weight management protocol is a physician-supervised program designed to help any individual reach his or her specific weight loss goals. The weight management protocol uses a combination of Naltrexone, Sermorelin, Lipo-Trim SL and low-calorie intake to achieve optimum weight loss results. The protocol may also boost metabolism and help patients lose large amounts of fat, all without feeling hungry…


This program is designed to use Low Dose Naltrexone (LDN) in addition to Sermorelin and Lipo-Trim SL, for best results. All Medications work slightly differently to help the body raise growth hormone levels which support several health benefits, including weight loss.

This program, using suggested medications and dosages, can only be done under the supervision of a physician.

Kits Components:
Naltrexone …………………… Oral Capsules
Monthly Dosage: Month 1 = 1.5mg, Month 2 = 3mg, Month 3+ = 4.5mg
Sermorelin …………………… Injectable w/ Bacteriostatic Water
Lipo-Trim …………………….. Oral Sublingual Spray

Naltrexone (Oral, nightly)
Naltrexone in low doses, is referred to as Low Dose Naltrexone, or LDN. LDN recommended dosage for weight loss is 1.5mg to 4.5mg nightly. Possible benefits of LDN include:

  • * May help decrease insulin levels which can improve growth hormone levels in patients. Growth hormone helps the body burn fat and maintain lean muscle mass.
  • * May help normalize appetite and reduce hunger.
  • * In some studies has shown to reduce general inflammation throughout the body.
  • * Naltrexone may help to “normalize” this mismatch between calories burned and appetite, especially in patients with hormonal imbalances.

Sermorelin (Sub Q injection, nightly)
Benefits of Sermorelin Acetate (GHRH) Therapy: (300mcg nightly):

  • * Sermorelin may stimulate the pituitary to produce more of your own body’s growth hormone. Growth hormone production drops naturally as we age.
  • * Increased growth hormone can increase development of lean body mass through the development of new muscle cells.
  • * Higher growth hormone levels may reduce body fat through lipolysis.

Lipo-Trim SL (Sublingual Oral Spray, 1x daily)
A concentrated sublingual oral spray which includes a combination of amino acids and B vitamins. Recommended dosage is 6 sprays or 1ml daily.

  • * Can help the body convert fat into energy
  • * May help reduce cravings
  • * Can help support immune system

Supplemental Medications:
When following a low-calorie diet, there are also other variables to consider. For example, immune system and energy may both be in short supply when restricting calories. Both immune response and energy enhancers may be options to fulfill deficiencies in these areas. Below are options to consider. Please discuss which option may be most suitable for you with your medical provider.

MICC (1ml IM injection, weekly):
MICC is an acronym for the compounds: L-Methionine, Inositol, Choline and Cyanocobalamin. These are lipotropic agents which help with the breakdown of fat during metabolism in the body. Often referred to as “fat burning” injections, these components, especially inositol and choline, have been found to improve mental function and feelings of depression.

Lipo MIno Mix (1ml IM injection, weekly):
Lipo-Mino Mix starts with a special lipotropics fat burning combination of methionine, inositol, choline, carnitine, B1, B2, B6 and B12. Each of these ingredients can help the body turn fat into energy

Accountability is as much as an important part of a diet, as the diet itself! Each office should have someone who can meet with patients each week for administering the IM injections and weigh ins. Keeping the patients accountable and motivated in their weight loss journey is paramount to the success of the program.

Other Weight Loss Treatment Options

The following drugs are FDA approved for weight loss/management and requires a prescription and a doctor’s supervision. With compounding, the dosage can be customized to meet patient specific needs.

Extended-release capsules are used with a doctor-approved exercise and reduced-calorie diet to help adults who are obese and have weight-related medical problems to lose weight and to keep from gaining the weight back. Phentermine is an anorectic and works by decreasing appetite. Topiramate is an anticonvulsant which also works to decrease appetite and causing feelings of fullness to last longer after eating. Dosing schedule is once a day in the morning with or without food.

Capsules and tablets are also used alone with a doctor-approved exercise and reduced calorie to help adults who are obese to lose weight. Phentermine is an anorectic and works by decreasing appetite. Dosing schedule is once a day in the morning with or without food.

Naltrexone/ Bupropion:
Extended-release tablets are used along with a reduced calorie diet and exercise plan to help adults who are obese, or who are overweight and have weight-related medical problems, to lose weight and then to keep from gaining back that weight. Naltrexone is in a class of medications called opiate antagonists. Bupropion is in a class of medications called antidepressants. These medications work together on two areas of the brain, the hunger center and the reward system, to reduce appetite and help control cravings. Dosing schedule is twice a day.