As far as Vvus is concerned, the label ......ie checking heart rate, monitoring suicidal ideations....etc.... Are not a big deal and take minutes preformed by a medical assistant or the patient fills out a simple form.... Everyone is blowing this out of proportion!!!!! These things are not an issue, even the pregnancy test.... Not an issue!!!
Arna and Vvus have produced drugs that will benefit me and make my clinic grow!! This is because my clinic is cash only. 99% of doctors do insurance. What is an issue is that insurance will not pay for visits to the physician for weightless or obesity.....and when you create a label requiring monthly visits to the doctor for pregnancy tests and refills on meds that are not covered by insurance.....that's a problem. Not in my clinic, but in 99% of others....that's why belviq will come out on top.
Most people don't know this, if your a doctor you'll agree. Its simple economics! FYI, I am very heavy on arna, but also a hefty amount in Vvus.....they will both do well, but arna will come out on top based on labeling and potential side effects.
Since you are a weightless doctor, then you know about the blood high triglycerides from the restricted diet when prescribing the VVUS product. Of course, high blood triglycerides are responsible for atherosclerosis, the underlying cause of heart disease, lupus, an autoimmune disorder, chronic inflammatory disease affecting especially the skin, joints, blood, and kidneys and that is just to mention a few health risks. The FDA released their restrictions that are too numerous for must doctors to try to diagnosis using a PA or a nurse. You better think about lab tests. Especially, for low potassium to mention just one test. Oh yes, please, do not put your patients at risk without a heart study.
AS a physician, PCP , i agree with your assessment. As you know, most obese adult are also hypertensive and majority on diuretics. This drug may exacerbate hyper or hypokalemia resulting in cardiac problem.
What medical school did you graduate from "Doctor"? May I call you "Doctor"?
You cannot even spell "weight loss", "Doctor".
I know why your "clinic" is cash only, because you cannot fill out the insurance forms, "Doctor".