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Medications are prescribed when deemed appropriate. Your clinician will make a treatment decision based on your medical history and overall health status.
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If you accept the recommendation, pay online, and the prescription will be sent electronically to your pharmacy. If we can’t accommodate your request, you owe nothing.
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Careborne in Sarasota prescribes oral medications for weight loss
Based on your medical history and overall goals, we may consider one of the following GLP-1 medications:
Semaglutide
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0.25 to 2.4 mg lozenges or sublingual drops*
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3, 7 and 14 mg tablets (Rybelsus)**
Tirzepatide
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3, 4, and 5 mg sublingual tablets*
*Compounded medications
**Brand medications
- No injection: easy-to-take sublingual tablets or drops
- Dosage adjusted based on response and side effects
What are oral GLP-1 meds?
Are these oral medications as effective as injections?
Unfortunately, No. Injectables have been shown to be more effective. Despite this, some patients still opt for the oral form due to factors such as reduced pain and greater control over their medication schedule. It is important to note that oral medications require daily administration.
GLP-1 medications are now offered as sublingual tablets or drops. They contain the same compounds as the ones in the injectable forms to effectively suppress appetite, support metabolic health, and promote sustainable weight loss.
Why compound in the first place?
Compounding allows for a more precise treatment personalization – meeting the individual needs of each patient while minimizing side effects.
Is compounding safe?
Compounded GLP-1 meds are made (“compounded”) by a 503(a) compounding pharmacy based on a medical assessment by and prescription from a licensed healthcare provider.
Compounded medications are not FDA approved. They may differ in efficacy, safety, risk, and side-effect profiles from commercially available or FDA-approved drugs. That said, most healthcare professionals feel that compounded meds are safe to use.
How do I qualify for oral rapid dissolve sublingual tablets or drops?
Careborne doesn’t have a simple “formula” to decide if you can benefit from one of these medications. Instead, we look at the whole picture to include your:
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Past and present struggle with weight
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Metrics (weight and BMI)
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Body composition
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Current and past medical history
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Results of the laboratory testing
How long would it take for the oral GLP-1 medication to start working?
How much weight will I lose?
Everyone is different. In addition to taking weight loss medication, you must adhere to diet and other lifestyle changes. That said, many patients report losing around 10% over 4 months. That’s about 10-20 pounds for a 200-pound person!
Weight loss varies for each patient. While most patients begin to feel the effects of the medication rather quickly, it can take a couple of weeks to start seeing some real results. Be patient and trust the process.
What are the side effects?
No medicine is without side effects. That is why we individualize our approach to weight loss to find a combination of medications to provide the best effect with the fewest side effects.
Patients report the following side effects while on GLP-1 weight loss medications:
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GI upset: dry mouth, indigestion, nausea, bloating, gas, diarrhea, constipation
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Flu-like symptoms: chills, stuffy or runny nose, cough, sore throat, muscle aches, joint pain
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Rebound weight gain if medications stopped suddenly
Side effects are more pronounced while your body adjusts to the new prescription. They tend to go away after a month or two of staying on the medication.
Who should not take oral GLP-1 meds?
While these meds are considered safe and effective for weight loss, certain patients may not be able to take it. Each case is different, for sure - that’s why working with a reputable health care professional is so important! Generally, patients with the following conditions should avoid GLP-1 medications:
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Personal or familial history of MTC (Medullary Thyroid Carcinoma)
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Personal or familial history of MENS 2 (Multiple Endocrine Neoplasia syndrome type 2)
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Severe allergic reaction
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Severe gastrointestinal motility disorders
How safe are GLP-1 medications for older adults?
If you are reasonably healthy, oral GLP-1 meds are considered safe to take. If in doubt, run it by your PCP. It’s recommended that you avoid alcohol, as it can worsen the side effects and increase nausea.
Are these meds covered by insurance?
Currently, most compounded medications are not covered by insurance.
Can I order these medications online?
​No, you can’t simply “order” them. You must have a consultation with a licensed health care provider to determine if the medication is appropriate (and safe) for you. It’s important to reiterate that Careborne doctors do not prescribe medications that fall outside of their respective expertise, “on request,” or for performance enhancement.
Where can I find more information?
​For more information, go to PubMed and read this article: Long-term Drug Treatment for Obesity: A Systematic and Clinical Review.
Other Medications for Weight Loss
Injectable Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists
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Dulaglutide (Trulicity®): 0.75 to 4.5mg SQ once a week
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Semaglutide (Wegovy®, Rybelsus®, Ozempic®): 0.25 to 2.4 mg weekly
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Tirzepatide (Mounjaro®, Zepbound®): 2.5 to 12.5 mg SQ once a week
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Liraglutide (Saxenda®): 0.6 to 3.0 mg SQ once a week
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Other compounded injectable and oral versions
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Stimulant Medications for Weight Loss
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Phentermine 8 mg tablets (LomairaTM)
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Phentermine 37.5 mg SR capsules (Adipex-P©)
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Phentermine/Topiramate 3.75/23 to 15/92 mg capsules (QsymiaTM)
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Phentermine/Naltrexone/Methylcobalamin 20/3/1 mg capsules*
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Phentermine/Naltrexone/B12/Caffeine 20/8/1/100 mg capsules*
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Phentermine/Topiramate/Methylcobalamin 10/15/1 mg capsules*
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Phentermine/Chromium Picolinate 37.5/0.2 mg capsules*
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Antidepressants to Reduce Food Cravings & Promote Weight Loss
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Bupropion 75 or 100 mg IR tablets
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Bupropion 100, 150, or 200 mg SR tablets (Wellbutrin SR)
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Bupropion 150 or 300 mg XL tablets (Wellbutrin XLTM)
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Bupropion/Naltrexone 90/8 mg ER tablets (Contrave®)
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Bupropion/Naltrexone/Topiramate/MTHF 65/8/20/5 mg capsules*
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Fluoxetine 10 to 20 mg (Prozac®)
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Duloxetine 30 to 60 mg (Cymbalta®)
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Biguanides Improve Insulin Sensitivity & Reduces Appetite
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Metformin 500, 850, or 1000 mg tablets
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Metformin 500 or 100 mg ER tablets
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Carbonic Anhydrase Inhibitor
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Topiramate (Topamax®) 25 to 100 mg twice daily
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Mu-Opioid Antagonist
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Naltrexone 1.5 to 4.5 mg once a day
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Medications Affecting Endocrine System: Uterotonic
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Oxytocin 8 to 16 IU intranasal spray twice a day for 6 weeks
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Oxytocin 50 IU 1 sublingual tablet*
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Medications Affecting Endocrine System: Androgen
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Testosterone - SQ or IM injections
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Medications Affecting Endocrine System: Thyroid Hormones
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Synthetic T4: Levothyroxine (Synthroid®, Levoxyl®, and Tirosint®)
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Synthetic T3: Liothyronine
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Natural Thyroid (T3/T4 combo): Armour®, Nature-Throid®, WPThyroid®
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Numerous compounded T3/T4 combos
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Medications Affecting Endocrine System: Gonadotropin
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Human chorionic gonadotropin (HCG) 125 to 200 IU
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Peptides Promoting Human Growth Hormone
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Growth hormone: prescribed in the case of growth hormone deficiency
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Designer peptides: Sermorelin, Ipamorelin, CJC-1295, AOD 9604
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*Compounded medication
