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Weight Loss Treatment

Answers to all your weight loss medication questions

Weight Loss Medications

A review of available weight loss drugs, including their efficacy, side effects, and costs, is provided below. A table that ranks weight loss treatments (medications and bariatric procedures) by effectiveness is available here - Obesity treatment effects.

  • BPD/DS - Biliopancreatic diversion with duodenal switch
  • References [PMID: 32202076, 33625476, 28017964, 19564877, 21481449, 26132939, 10678259, 23408728, 30421844, 35658024]
Typical weight loss seen with obesity treatments
Treatment % weight loss from baseline
(length of follow-up)
BPD/DS 35 - 40%
(> 10 years)
Gastric bypass 30 - 35%
(> 10 years)
Gastric sleeve 25 - 30%
(> 10 years)
Gastric banding 20 - 25%
(> 10 years)
Mounjaro (tirzepatide) 21%
(72 weeks)
Wegovy (semaglutide) 16%
(68 weeks)
Endoscopic sleeve gastroplasty 11.4%
(104 weeks)
Intragastric balloon 10%
(6 months)
Appetite suppressants (e.g. phentermine) 10%
(6 months)
Qsymia (topiramate + phentermine) 10%
(56 weeks)
Saxenda (Liraglutide) 8%
(56 weeks)
Xenical (orlistat) 7.6%
(2 years)
Contrave (naltrexone + bupropion) 6.5%
(28 weeks)
Plenity (hydrogel) 6.4%
(24 weeks)

Insurance Coverage for GLP drugs

The following is typically true of insurance coverage for Wegovy, Ozempic, and Mounjaro:

  • If one of them is preferred and does not require a prior authorization, insurance will usually cover it

  • If Wegovy requires a prior authorization, it typically asks if the patient meets FDA-approved indications (BMI ≥ 30 or ≥ 27 with comorbidities like hypertension or high cholesterol), and most people are approved. The Wegovy manufacturer has set up a webpage to help determine insurance coverage - Wegovy coverage checker. (NOTE: the provider information is Todd Crump, Austin, TX)

  • If Ozempic or Mounjaro require a prior authorization, it will ask if the patient has diabetes, and coverage will be denied if they do not

Weight loss therapy from Texas Telemedicine Doctor

We prescribe the following weight loss therapies:
  • Mounjaro® (tirzepatide)
  • Wegovy® and Ozempic® (semaglutide)
  • Phentermine
  • Qsymia® (phentermine + topiramate)
  • Saxenda® (liraglutide)
  • Contrave® (bupropion + naltrexone)
  • Xenical® (orlistat)
  • Plenity®
We do not send prescriptions to compounding pharmacies

How it works:
  • Appointments:
    • Phentermine and Qsymia: Initial visit, 6-week follow up, then every 3 months
    • All other meds: Initial visit, then every 3 months
  • Cost: All visits are $50 if we only see you for weight loss. If you want us to address additional problems (e.g. hypertension, low thyroid, eczema), it's $10 per issue. See pricing for more.
  • Labs: For Wegovy, Ozempic, Mounjaro, and Saxenda, we recommend some basic labs (CMP, CBC, TSH, FLP). If you have done labs within the last year, we can accept those. You can use your insurance or pay with cash, including HSA/FSA cards (total cost is $52 for all labs)

Texas Telemedicine Doctor Advantage

The table below shows how we compare to other weight-loss options

Texas Telemedicine Doctor Calibrate Weight Watchers Local doctor
Cost per year $200 $1656 $1237 Copays and deductibles
Manage other issues YES NO NO YES
Telemedicine appointments YES YES YES Varies