hCG, Phentermine & other appetite suppressants

The question of Phentermine and other appetite suppressants has come up a lot - here is why i would not recommend it -

This is from Dr. Emma's hCG Secrets book - and I subscribe to this as well.

hCG in itself suppresses the appetite - most find on the correct dose they are not very hungry (physically hungry): "At a private meeting to discuss my research, I was asked by Dr. Oz, what is the most common treatment scenario I encounter when a patient comes to me to lose weight. He wanted to know what the first drug is that I may offer a patient. An appetite suppressant? I mean, isn’t that just easier? It’s FDA-approved, it’s a quick prescription to write, isn’t it all around easier? Many doctors might answer yes to that question. My answer was: Sure, an appetite suppressant is easy. Let’s ignore the cardiac risks for a minute. You take a suppressant pill, which is a stimulant, and you lose the weight even quicker than before because now your metabolism is revved up. But what happens when eventually you have to stop the pill? Your own metabolism takes a “hit” because your body tries to compensate for taking a stimulant by slowing its own metabolism down. Therefore, when you stop the suppressant, your metabolism is in the floor, and you can’t handle many calories. This sets a person up for “rebound” weight gain at twice the normal rate, and is a dangerous situation that, as a physician, I watch very closely in any patient that must discontinue an appetite suppressant.

We do not see this rebound phenomenon with hCG because hCG is not a stimulant. It is a weight loss aide. This is why people stabilize well after hCG, because they are not damaging their metabolism. And with the increased percentage of muscle in many patients, they often have an improved metabolism compared to the start of their program. When you think of it that way, it makes one wonder why everyone isn’t seeing it that way?

There is a really good reason why everyone isn’t seeing it that way. That is because many of the original studies of hCG vs. placebo were inconclusive. Because hCG is not a stimulant and did not speed up metabolism artificially, patients on hCG and placebo lost the same amount of weight. Thus the FDA did not approve the use of hCG as a weight loss aid. However, the mechanism of how hCG produced a successful weight loss was overlooked. That is, it protected the ever-important lean body mass during a period of perceived starvation to preserve, and improve body composition, and create a body of proportionally more muscle and less fat. This then served to help people improve their metabolism, and maintain a leaner figure. My retrospective data showed this. Then I conducted one of the first randomized double-blinded placebo-controlled clinical trials to show this."

-- From Dr. Emma's HCG Secrets

Dr Simeons in Pounds and Inches says he doesn't have to prescribe appetite suppressants because with hCG there is no need for them.

Per WebMD

This medication is usually taken for only a few weeks at a time. It should not be taken with other appetite suppressants. The possibility of serious side effects increases with longer use of this medication and use of this drug along with certain other diet drugs.

This medication may cause withdrawal reactions, especially if it has been used regularly for a long time or in high doses. In such cases, withdrawal symptoms (such as depression, severe tiredness) may occur if you suddenly stop using this medication. To prevent withdrawal reactions, your doctor may reduce your dose gradually.

Consult your doctor or pharmacist for more details, and report any withdrawal reactions right away.

Though it helps many people, this medication may sometimes cause addiction. This risk may be higher if you have a substance use disorder (such as overuse of or addiction to drugs/alcohol). Do not increase your dose, take it more often, or use it for a longer time than prescribed. Properly stop the medication when so directed.

This medication may stop working well after you have been taking it for a few weeks. Talk with your doctor if this medication stops working well. Do not increase the dose unless directed by your doctor. Your doctor may direct you to stop taking this medication.

Side Effects

Dizziness, dry mouth, difficulty sleeping, irritability, nausea, vomiting, diarrhea, or constipation may occur. If these effects persist or worsen, notify your doctor or pharmacist promptly.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

This medication may raise your blood pressure. Check your blood pressure regularly and tell your doctor if the results are high.

Tell your doctor right away if any of these unlikely but serious side effects occur: fast/irregular/pounding heartbeat, mental/mood changes (e.g., agitation, uncontrolled anger, hallucinations, nervousness), uncontrolled muscle movements, change in sexual ability/interest.

Stop taking this medication and seek immediate medical attention if any of these rare but very serious side effects occur: severe headache, slurred speech, seizure, weakness on one side of the body, vision changes (e.g., blurred vision).

This drug may rarely cause serious (sometimes fatal) lung or heart problems (pulmonary hypertension, heart valve problems). The risk increases with longer use of this medication and use of this drug along with other appetite-suppressant drugs/herbal products. If you notice any of the following unlikely but very serious side effects, stop taking this medication and consult your doctor or pharmacist right away: chest pain, difficulty breathing with exercise, decreased ability to exercise, fainting, swelling of the legs/ankles/feet.

A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.


When on the correct dose of hCG (125iu per Pounds and Inches) you do not need appetite suppressants. They work against hCG in that they speed up your metabolism an hCG is trying to reset your metabolism. Most people gain back more weight than they lose once they stop taking appetite suppressants.

If your clinic dosed you at anything higher than 125iu it is to cause hunger, both too high and too low of a dose of hCG will cause hunger. They want to cause hunger so they can then prescribe phentermine to make more money.

Many clinics set their patients up for failure by dosing too high, giving out a rogue protocols and not explaining the importance of phase 3.

If you have been dosed anything other than 125iu, are dealing with hunger and/or have been prescribed phentermine schedule a free call to get your hCG round back on track so you will reach your weight loss goals.


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