High cholesterol and obesity are both risk factors for cardiovascular disease—and a whole host of other potentially dangerous conditions. So if you’re one of the millions of Americans living with both of these conditions, it makes sense to try lowering cholesterol and losing weight at the same time. 

If your weight is in the obese or overweight range, you’ve likely heard advice like “eat fewer calories and exercise more.” And if your cholesterol levels are high, you’ve likely been told to “follow a diet low in saturated fat.” 

While these are not bad pieces of advice, they are oversimplified. Keeping our bodies healthy—and our life expectancy long—takes a bit more knowledge. Here are 5 important facts you might not know (but should) about lowering your cholesterol and losing weight.

Fact #1: Your body turns excess sugar into fat

If your LDL and triglycerides are high, your doctor will likely recommend you stick to a cholesterol-lowering diet that limits the amount of saturated fat you eat—but saturated fat isn’t the only culprit when it comes to worrisome cholesterol levels. 

Eating a diet low in saturated fat can help bring down your LDL (“bad” cholesterol) level—but it may not have a big effect on your triglycerides. That’s because your liver converts excess sugars (like fructose, sucrose, and glucose) into triglycerides (fats that circulate in your blood). Not only does this lead to excess stored fat in your body, but it can also lead to insulin resistance.

To help your body limit the amount of energy it stores as fat, you should try to replace the portion of your diet that is made up of sugar and refined carbohydrates with whole foods that haven’t had additives processed into them.

Fact #2: When cutting unhealthy foods from your diet, be sure you understand what’s replacing them

When discussing weight loss, it’s common to hear “just burn more calories than you eat.” And while generally healthy people may have some success with this method, people with metabolism issues likely will not. When the complex workings of metabolism are added to the equation, it becomes clear that not all calories are created equal. As a result, it’s important to pay attention to what types of foods you are choosing to eat. 

Let’s look at two methods you can use to choose foods: counting macros (and their subcategories) and choosing Whole Foods.

Method A: Counting macros (and their subcategories)

One way to categorize foods is by macronutrients or “macros.” Every food falls into one of the three macro categories: 

• Fats
• Carbohydrates
• Proteins

The problem with counting macros, though, is that if you decrease one type of macro in your diet, it can be tempting to increase another type to make up for it. Here are two common examples:

People who try a low-fat diet tend to eat more carbohydrates. Foods with labels that read “low-fat,” particularly foods like salad dressings and flavored yogurt, aren’t necessarily better for you.  Taking the fat out of food takes away the flavor—so the flavor is usually put back in using sugar. Also, processed carbohydrates like breads, pastas, and breakfast cereals may not contain much fat, but the kind of carbs they contain (that is, carbs that break down easily in the body and lack natural nutrients) are just as bad for you.

If you notice you’re replacing fats with carbs, one solution is to focus on saturated fats vs. unsaturated fats. Do your best to replace foods high in saturated fats with foods low in saturated fats (that is, get the fat your body needs from unsaturated fats instead).

People who try a low-carb diet tend to eat more saturated fat. Reducing your sugar and carbohydrate intake is not a bad tactic—in fact, it is a great solution for some people because it can help with diabetes and can help some people lose weight. One argument against the low-carb diet, though, is that those cut carbs are often replaced with saturated fats, which research has shown can increase LDL (“bad” cholesterol) levels.

If you find you’re replacing carbs with fats because cutting carbs makes you hungry, try this instead: Replace processed carbs (think sugary soda/juices, pastries, and white bread) with whole grain and nutrient-rich carbs (like brown rice, potatoes, whole fruits, and vegetables).

Method B: Choosing whole foods

Instead of categorizing and tallying every ounce (or gram) of food you eat, you can use a broader approach to selecting foods to stock in your fridge and pantry. Despite the endless ways of dieting, leading health and nutrition experts largely agree on several guidelines:

• As a general rule, the fewer ingredients a food contains, the better; as much as possible, stick to unprocessed or minimally processed foods
• When shopping for protein, select lean meats such as skinless chicken, turkey, and fish; when choosing red meat, opt for lean cuts (round, sirloin, chuck, loin, “choice,” or “select”) with no more than 15% fat; when choosing pork products, grab leaner cuts like tenderloin, chops, or ham
• When selecting carbohydrates, choose whole carbohydrates (also called complex carbohydrates) instead of highly processed carbohydrates that have been stripped of their nutrients; whole carbs provide lots of fiber, vitamins, and minerals
• Eat more fruits, vegetables, and whole grains—as a result, you’ll take in more fiber, which is excellent for your gut health
• What to limit: refined grains, fried foods, processed meats, baked goods, and sugar-sweetened foods and beverages

Overall, don’t go extreme in any one direction—it’s just not sustainable for most people. For example, don’t try ketogenic (“keto”), Atkins, or the ultra low-fat diet unless your doctor has indicated one of these diets as a treatment for you. If you’d like to follow a diet, one feasible option is the Mediterranean Diet, which has been associated with a reduced risk of cardiovascular diseases such as heart attack.

According to the Nova food classification system, food can be put into 1 of 4 categories, based on how much it has been modified from its original, raw state. Here’s a breakdown of the categories:

Nova Classification of Foods

Generally speaking, processed foods are found in the center of the grocery store, and whole foods are found around the perimeter—although, processed meats are a perimeter food to watch out for. The upsides of processed foods are that they tend to be tasty, easy to make, and last for a long time—just a few of the reasons why Americans have become so dependent on them. The downsides of processed foods include weight gain, changes to metabolism, and many other unhealthy outcomes.

Fact #3: Exercise has epic benefits—but you can’t exercise away an unhealthy diet

First things first: We don’t say this to discourage you from exercising but rather to help you set realistic expectations for any cholesterol-related or weight-related goals you have that are tied to exercise.

Exercise and weight loss

Exercise alone generally doesn’t directly lead to weight loss because our bodies are pretty good at regulating the total number of calories we burn each day—and these internal adjustments that are out of our control make it especially hard to lose weight. For that reason, it’s usually recommended to pair regular exercise with a healthy diet.

Exercise and cholesterol

In general, aerobic exercise tends to increase HDL cholesterol (“good” cholesterol) and decrease triglycerides. However, researchers have found the effect that exercise has on LDL cholesterol to be very small. Research has also shown that weight loss interventions with and without physical activity result in similar effects on lipid profile.  If your triglycerides stay high despite regular exercise, a fibrate medication such as fenofibrate can help lower them, and you can get a fenofibrate prescription online after a visit with a doctor.

Now, back to the epic benefits of exercise—which, unfortunately, only 1 in 5 American adults are taking advantage of.

To reap the benefits of exercise, the Physical Activity Guidelines for Americans recommends the following:

• At least 2 hours and 30 minutes of moderate aerobic exercise each week or at least 1 hour and 15 minutes of vigorous aerobic exercise each week
• Moderate resistance exercise at least 2 times per week (this should involve all the major muscle groups)

Remember, you should be getting at least this much exercise to see benefits—so these numbers give you a great place to start. Over time, see if you can increase the time spent on aerobic exercise to 5 hours per week of moderate exercise or 2 hours and 30 minutes of vigorous exercise. Doing so will offer even greater health benefits.

Fact #4: Bacteria in your intestines can affect your cholesterol and your weight

The bacteria that live in your stomach and intestines, called your gut microbiome, consist of both helpful and harmful bacteria. 

Research shows that people with high BMI tend to have more “bad” bacteria (that is, bacteria that contribute to insulin resistance and high cholesterol) living in their gut compared to people with a BMI in the normal range. 

Fortunately, if your gut microbiome is overrun with “bad” bacteria, you can take steps to change it—and it all centers around what you eat. One way to improve gut health is to increase your fiber intake. Fiber is a prebiotic, that is, it’s a food that good bacteria love to eat—and they thrive on it. (Compare that to a probiotic, which is a food or pill containing actual bacteria.) Researchers are also starting to see that the Mediterranean Diet can change the gut microbes by increasing helpful bacteria and decreasing harmful bacteria.

Research into probiotics has found that bacteria species Lactobacillus and Bifidobacterium are especially good at reducing cholesterol levels. The best way to get these friendly microbes into your gut is to eat fermented foods like yogurt, kimchi, kombucha, and sauerkraut.

Fact #5: You may need more than diet and exercise to lower cholesterol and lose weight

Though lowering your cholesterol and losing unhealthy weight start by eating a nutritious diet, for certain patients, changing the foods on your plate may not be enough to lower health risks to acceptable levels. Cholesterol-lowering medications and weight loss medications can be life-changing options for some.

Cholesterol medications 

Whether or not you take medications to improve your cholesterol levels is a decision that is specific to you and one that should be made with your medical provider. To decide if taking a medication such as a statin is right for you, your provider will consider many aspects of your health, including age, gender, diet, and all of the risk factors that either protect you from or make you more vulnerable to cardiovascular disease. They should also consider your personal preferences for taking medications. 

Statin therapies can be beneficial by slowing down buildup of fatty plaques in your arteries and by stabilizing existing plaque so it doesn’t rupture (which can cause a stroke or heart attack). Statins can also work more quickly than lifestyle changes when it comes to lowering LDL cholesterol.

Though it’s rare, statins can have side effects, such as muscle pain, weakness, memory loss, and a mild increase in blood sugar levels that can lead to type 2 diabetes in some people. And it’s important to remember that a statin can only slow down the “clogging” of your arteries—it won’t treat the root cause of the disease. So, even if your provider starts you on a statin therapy, it’s still important to eat a healthy diet. 

Weight loss medications 

Weight loss medications may be an option for those trying to lose unhealthy weight who are not making progress through lifestyle change alone. Semaglutide, for example, can be prescribed to patients with obesity and to patients with excess weight who have a weight-related medical condition, such as type 2 diabetes, high blood pressure, or high cholesterol.  Beyond weight and cholesterol, GLP-1 medications may also reduce heart-disease risk.

Some notable weight loss medications you can get at QuickMD are Ozempic, Mounjaro, and Wegovy.

Research has shown that semaglutide can improve glucose metabolism and lipid metabolism in people with obesity. And semaglutide, as well as similar drugs like tirzepatide and liraglutide, can help people lose weight by slowing down the movement of food through the digestive system, controlling feelings of hunger.

Who can I contact for guidance on my cholesterol and weight goals?

If you need help losing unhealthy weight, managing your cholesterol, or both, contact QuickMD today! Our providers can offer personalized expert advice on healthy lifestyle changes and can prescribe medications when appropriate to help you achieve your health goals.

If you have excess unhealthy weight and your doctor has told you your cholesterol (lipid panel) numbers are a cause for concern, you’ve got two great reasons to make healthy lifestyle changes—starting today.

Along with blood sugar levels and blood pressure, both unhealthy weight (excess fat) and unhealthy cholesterol numbers are strongly linked to cardiovascular disease (heart and blood vessel problems), which can lead to heart attack, stroke, and other serious health problems. 

In this article, we’ll focus on the cardiovascular risk factors of high cholesterol and excess weight (particularly excess inches of fat in the waist and abdominal area) to understand how they relate to each other and why it’s important to “know your numbers.”

Why are cholesterol panel numbers so important?

A cholesterol panel (also called a lipid panel, lipid profile, or lipid screening) includes lab measurements of your total cholesterol, LDL cholesterol (“bad cholesterol”), HDL cholesterol (“good cholesterol”), and other types of circulating molecules that can give your doctor a better idea of your risk for developing cardiovascular disease (disease of the heart and blood vessels).

Keeping all of your cholesterol numbers within healthy ranges is one way to lower your risk of health issues related to cardiovascular disease, including heart attack and stroke.

Do I need a lipid screening (aka cholesterol panel)?

In adults at least 20 years old who are not on lipid-lowering therapy (that is, cholesterol meds such as statins), a fasting or nonfasting lipid panel can help your doctor estimate your risk for cardiovascular disease. After this initial screening test, your doctor will then proceed to order more screening tests as you age to determine your risk for developing cardiovascular disease, and the best strategies you can use to lower your risk.

When and how often you should get a blood draw for a lipid profile is unique to you and should be decided between you and your doctor. If you have other risk factors for heart disease, including if you smoke or if you have diabetes, obesity, high blood pressure, or family history of heart disease at a young age, your screenings should start earlier in life than if you have none of these risk factors.

What are the current guidelines for “healthy cholesterol levels”?

While there is some debate over which cholesterol numbers from a lipid panel are most important, most medical providers rely on the American Heart Association’s guidelines for acceptable or normal cholesterol numbers.

Of the tests in the lipid panel, total cholesterol gives the least amount of info—it’s more important to know what kinds of cholesterol are out of proportion in your body. So, decisions about when to treat unhealthy lipid panel numbers are usually based upon the level of LDL (“bad”) or HDL (“good”) cholesterol rather than the level of total cholesterol. Both high levels of LDL cholesterol and/or low levels of HDL cholesterol are associated with an increased risk of atherosclerotic cardiovascular disease (ASCVD), which is a build-up of plaque in the arteries.

What are the current guidelines for “healthy weight”?

Most medical providers use the national guidelines on BMI as a place to start when gauging how healthy someone’s weight is:

Remember that BMI is only a basic measurement—it is based on total body weight and not fat. The American Medical Association (AMA) suggests that BMI be used along with other valid measurements, such as visceral fat, body adiposity index, body composition, relative fat mass, waist circumference, and genetic/metabolic factors. This is an important point because not all obesity is equal. 

Central obesity (excess fat in the waist and abdomen), for instance, is more unhealthy than excess fat deposits in other locations, such as thighs and buttocks. Someone can have obesity or overweight (according to their BMI) but have a healthy metabolism (that is, their insulin is working properly), and some people can have a normal BMI but have metabolic issues (that is, their insulin levels are high because their insulin is not working as it should).

If your BMI is high, it’s important to consider more specific tests that measure the fat in your body and where it is located. This information can help your provider determine if you are metabolically healthy or unhealthy.

What causes cholesterol numbers to be high or low?

Finding the true cause behind high cholesterol levels (and, in turn, a higher risk for developing cardiovascular disease) is a complex task, and scientists are still working on specific answers.

But here’s what we do know:

1. Genetics and family history contribute to cholesterol numbers. 

• Familial combined hyperlipidemia, which involves having high cholesterol and triglyceride levels, is associated with increased risk of getting cardiovascular disease early in life
• A family history of heart disease is a risk factor for developing heart disease yourself
• If you’ve got a high HDL (which is a good thing), this could be due to genes you inherited.

2. Not all dietary fat is created equal. All fat we eat falls into 1 of 3 categories: trans fat, saturated fat, or unsaturated fat:

• Trans fats (trans fatty acids) are fats that are chemically changed via processing called hydrogenation to create “partially hydrogenated oils,” which are bad for your health. Fortunately, trans fats now make up a very small percentage of the American diet thanks to government bans and increased knowledge of how harmful trans fats are.
• Despite being labeled a “bad fat,” saturated fat gets mixed opinions from experts on how much we should eat. The Dietary Guidelines for Americans recommends limiting saturated fat to 10% of daily calories, and the American Heart Association suggests going even lower, aiming for just 5% to 6% of calories from saturated fat. As more research is conducted, though, this guidance may change as several studies have found that high-saturated fat diets don’t raise the risk of heart disease. 
• Regardless of these studies, it’s still an accepted truth that unsaturated fats are better for you than saturated fats. Unsaturated fats may even increase your good cholesterol (HDL) levels. And it’s also safe to say that if you do decide to eat less saturated fat, you should be careful not to replace the saturated fat with sugars and/or carbohydrates.

3. Sugar and highly processed foods contribute to high cholesterol.

• Americans tend to eat and drink a lot of sugar, carbohydrates, and processed foods. Sugary drinks and baked goods are two big culprits. This excess intake of foods that are low in nutritional value can add on pounds of unhealthy weight and can eventually throw your lipid metabolism off track. 
• High carbohydrate foods turn into sugar in your stomach and intestines, and can be just as unhealthy as eating sugar. Examples of high carbohydrate foods include bread, pasta, rice, and cereals. 

4. Unhealthy habits and existing conditions add health risks. Although LDL cholesterol is often blamed for clogging arteries and causing cardiovascular disease, other risk factors for cardiovascular disease contribute as well, including:

• Cigarette smoking
• Diabetes
• High blood pressure
• Chronic kidney disease
• Inactive lifestyle
• Obesity

How are cholesterol and weight (body fat) related?

From decades of research, we know that obesity is linked to cardiovascular problems such as heart disease. We also know that cholesterol lab results (such as LDL, HDL, and triglycerides) are linked to cardiovascular disease. But how does it all tie in together?

Scientists and researchers are still piecing together exactly how everything works together to affect our body composition and metabolism, but they’re asking the right questions. Here’s what we do know about the connection between body weight, cholesterol, and other health factors.

Obesity is a risk factor

Obesity and overweight have been linked to many health conditions:

• America has high rates of obesity and cardiovascular disease, and obesity has been linked to a higher risk of cardiovascular disease 
• Obesity is estimated to account for 7 out of 10 high blood pressure cases
• Excess body fat and obesity are significant risk factors for type 2 diabetes.
• Excess unhealthy weight—and particularly abdominal obesity—is closely linked to metabolic syndrome (read on to learn more about metabolic syndrome).

Metabolic syndrome ties together cholesterol, weight, and more

Metabolic syndrome is a risk-enhancing factor for cardiovascular disease and commonly occurs in patients with type 2 diabetes or prediabetes (high fasting glucose). Metabolic syndrome means having any 3 of the following 5 risk factors: 

• Excess fat around the belly area (measured as inches around your waist)
• Triglycerides in the blood are high (greater than 150 mg/dL)
• HDL in the blood is low (less than 40 in males, less than 50 in females)
• Blood pressure is high (greater than 135/85)
• Blood sugar (glucose) is high (fasting glucose greater than 100)

As you can see from this list, 2 of the 5 factors (triglycerides and HDL) can be found on your lipid panel lab results.

About 1 in 3 adults in the United States has metabolic syndrome. The central factor of metabolic syndrome is insulin resistance—in fact, metabolic syndrome is also called insulin resistance syndrome. 

Metabolic syndrome is complex. It has several causes, and each affects the other so much so that it’s difficult to identify where the problem started in the first place. For example, if you have both an increased waistline and an increased blood glucose level, it’s not clear if insulin resistance caused your body fat to increase or if increased body fat caused your insulin resistance.

3 key takeaways about cholesterol and weight

Cholesterol numbers, unhealthy weight, and many other health factors are related in complex ways that aren’t yet fully understood. Based on the past few decades of research and analysis, here are some valuable takeaways about better understanding cholesterol numbers and unhealthy weight: 

1. It’s important to not just know your individual cholesterol numbers but understand how they relate to each other—and it’s important to discuss all of this with your provider. This way, you can fully understand what your numbers are telling you about your health. 
2. LDL gets a lot of attention and is often considered the most important measurement on a cholesterol panel—but triglyceride level, HDL level, and non-HDL cholesterol are very important numbers, too.
3. Cholesterol numbers and body fat are affected by many factors—and one factor that is often overlooked is the negative effects of eating too many highly processed foods and foods that are high in sugar.

Too many people, including some healthcare professionals, believe losing weight is simply a matter of willpower. But there’s more to consider than simply watching how much you eat. Weight stigma and weight discrimination cause serious and lasting harm to those on the receiving end. Learn what we can all do to stop the damage of weight stigma.

Weight Loss Stigma: Where Does It Come From?

Obesity and weight stigma start with false perceptions and beliefs, such as “obesity is the result of laziness.” We know this to be false, but many in our society are affected by this false belief.

Too often, obesity is not placed in the proper category in people’s minds. Obesity is a disease, but we often don’t treat it as one in our day-to-day actions.

Debunking Myths: The Realities of Obesity

Obesity is a complex health disorder that is the result of many factors, including where you’re from, how much money you have, your unique life events, your access to healthcare and healthful foods, the meds you’re on, and even your DNA.  As a disease, obesity also carries serious physical consequences, and research continues to detail the link between obesity and heart disease.

Our modern environment encourages us to eat processed foods and move as little as possible. And our genetics lead us to store fat for times of famine. These are factors that are not under our direct control.

People who are obese are at higher risk for certain other issues, including mental health problems—but obesity does not cause depression. It’s the weight stigma that people with obesity must face that leads to social isolation, depressive and anxiety disorders, and disordered eating patterns.

Identifying the Biggest Obesity Stigmatizers

Some of the worst stigmatizers are those closest to you—the judgy looks and hurtful comments that people with obesity experience often come from friends and family.

Sadly, stigma can also come from those you should be able to trust with your medical care—your healthcare providers. The last place you should experience shame for your health condition is at the doctor’s office.

The media also plays a big part in spreading stigma. In movies, TV shows, and visual ads, we tend to see a lot of characters who are underweight and not many who are overweight. When creators include an overweight character, they often fit into a negative stereotype.

The Harmful Effects of Weight Stigma on Mental and Physical Health

The effects of experiencing stigma are far-reaching and can be physical, social, and emotional.

• People with obesity are treated differently, and this alters emotions, confidence, and relationships, just to name a few.
• People with obesity often don’t seek help—and for good reason. If you’re being made to feel like you’ve caused your own disease, why would you feel confident asking for help?
• Students with obesity are significantly less likely to be accepted to college or university, and those who do attend college tend to receive less financial support than their healthy-weight peers.
• People with obesity are often paid less than their healthy-weight counterparts for the same work.
• Doctors generally spend less time providing consultations to patients with obesity compared to their healthy-weight counterparts.
• In healthcare settings, gowns, chairs, and exam tables often cannot accommodate people with obesity.
• Experiencing ongoing stigma related to appearance can culminate in suicidal thoughts and actions.

Ineffective Strategies: What Not to Do for Healthy Weight Management

• Telling people with obesity or excess weight that they are at higher risk for poor health outcomes
  • Most people are well aware that excess weight is bad for them and can lead to long-term health problems
• Stigmatizing people to “motivate” them to lose weight
  • This only makes matters worse because causing people to feel bad about their condition discourages them from seeking solutions
• Telling people to fix themselves by suggesting things like “eat healthy and get moving” or “just cut your calories.”
  • This can be especially difficult for people living in neighborhoods with few grocery and exercise options.
  • Some people benefit most from counseling, medications, or other interventions that help them lose weight.

How to Handle Weight Stigma: Practical Tips and Advice

Here are 8 actions you can take that can help reduce stigma related to obesity and overweight:

1. Surround yourself with supportive people. Nothing can compete with finding people who understand your emotions and behaviors because they’ve been in your shoes. They can provide comfort during hard times and offer advice.
2. Make yourself smarter than the haters. Ask questions, read material from trusted sources, and learn all you can about obesity and weight stigma. As a result, you’ll be able to make the best decisions for your life, and you’ll be able to educate those who don’t understand the topic.
3. Drop doctors and specialists who don’t respect you and find providers who listen to your concerns and won’t simply tie all your health issues back to your weight.
4. Connect to a network and get involved:
   • Obesity Action Coalition: https://www.obesityaction.org
   • Global Obesity Patient Alliance: https://gopa.org
   • Weight Stigma Awareness Week: https://weightstigmaawarenessweek.org/
   • A group in your local community
5. Take control of the critical voice in your head. As Connie Sobczak puts it: “Our brains are like sponges—they soak up all of the mean things people say and do to us, and they turn other people’s messages into our own.”
6. Stand up to stigma. This one is not easy, but you have a right to let people know that what they say crosses the line.
7. When stigma produces negative emotions, resist the urge to go numb or run away. Cope with these emotions using self-love and self-care.
8. Share stories and encourage conversations around weight stigma and discrimination.

Achieving Healthy Weight Loss: A Global Responsibility

Weight stigma has to be stopped at many levels to open up conversations about healthy weight loss. We need help from the government to write public policy that improves the environments we live in, increases access to nutritious foods, and advocates for more healthy weight programs.

What healthcare professionals can do: 

• Prioritize education on how to care for patients with obesity or excess weight
• Make the information for patients more helpful by ensuring it is easy to understand
• Offer patients better alternatives to “eat less, move more,” such as life-course approach, Healthy at Every Size, intuitive eating, body positivity, body neutrality, and new medications.

At a personal level—and this is perhaps the hardest change to implement—we all must realize that curing obesity is everyone’s responsibility. By 2030, it is predicted that half of all adults will have obesity, so we need everyone’s help spreading the right attitudes and finding solutions.

Overcoming Obesity and Weight Loss Stigma with QuickMD

Overcoming obesity and weight loss stigma is a critical step toward achieving a healthier, more inclusive society. Understanding the origins of weight stigma, recognizing the harmful effects, and implementing effective strategies can create a supportive environment for individuals facing these challenges. QuickMD is dedicated to helping you navigate this journey by providing compassionate, professional healthcare services and prioritizing your well-being over societal biases.

With QuickMD, you can access personalized medical advice, effective weight management strategies, and emotional support tailored to your unique needs. Together, we can break the cycle of stigma and empower individuals to achieve their health goals with confidence and dignity.

Let’s take the first step toward a weight stigma-free future, embracing health and wellness for everyone. See a provider today.

Both Subutex® (buprenorphine) and Suboxone® (buprenorphine-naloxone) are prescription medications used to treat opioid use disorder (OUD). They’re designed to help ease withdrawal symptoms and reduce cravings for people seeking recovery.

Both of these medications contain the same active ingredient: buprenorphine. This ingredient helps stabilize the brain and body during withdrawal. Buprenorphine is a partial opioid agonist, which means it attaches to the brain’s opioid receptors but doesn’t fully activate them like heroin or fentanyl would. This helps reduce cravings and withdrawal symptoms without producing the same kind of high and with a much lower risk of misuse or overdose.

So, if both medications have buprenorphine, what’s the difference? The main distinction is that Suboxone contains another medication called naloxone, while Subutex does not. That one extra ingredient can make a big difference, especially when it comes to safety and how the medication is taken.

What is Suboxone?

Suboxone combines buprenorphine with naloxone, an opioid-blocking medication. The two work together to support recovery while reducing the risk of misuse.

The addition of naloxone in Suboxone adds an extra layer of safety, especially for those in early recovery. It helps reduce the risk of overdose and discourages misuse. Understanding how Suboxone works can also help answer common questions about the medication, including whether Suboxone is addictive and how physical dependence differs from addiction.

For people with opioid use disorder, this safeguard can make a big difference. Even when the intention is to stay on track, cravings and stress can trigger relapse. Having naloxone in your system can help protect you in those moments. The addition of naloxone in Suboxone’s composition isn’t a punishment. Think of it as a built-in “backup” to help you through the tougher moments in your recovery. 

This built-in safeguard makes Suboxone a safer option for most people starting Medication-Assisted Treatment (MAT). To see how it compares with other formulations, explore this overview of buprenorphine brand names and why Suboxone leads in recovery.

Why is there naloxone in Suboxone?

When naloxone is by itself, it is known as Narcan—the same medication that first responders such as paramedics and police officers give to people who have overdosed on opioids. Naloxone is an opioid antagonist (anti-opioid), which means it reverses the effect of opioids (and does so within minutes).

Naloxone is added to Suboxone to deter people from misusing it (injecting it or snorting it) in an attempt to get high.

If Suboxone is taken as directed (either sublingually under the tongue or pressed against the cheek), the naloxone it contains has no effect because it is not easily absorbed through the lining of the mouth or gut and, therefore, doesn’t enter the bloodstream. But if Suboxone is crushed and then injected, the naloxone enters the bloodstream and causes withdrawal symptoms rather than a high.  

Because it’s a life-saving medication that can quickly reverse opioid overdoses, you can often get naloxone for free or as an over the counter (OTC) medication at a lower cost. This can be especially helpful for those whose insurance does not cover Narcan or those who do not have insurance. Many providers can also prescribe it, so you have access to it where it isn’t available over the counter. Additionally, many cities and communities throughout the country provide Narcan emergency kits for free. 

What is Subutex?

Subutex is a medication used for the treatment of opioid use disorders. While it contains buprenorphine, it does not contain naloxone. Subutex works in a similar way to Suboxone, by easing withdrawal and reducing cravings. 

So why would someone take Subutex instead?

In most cases, Subutex is prescribed in controlled environments, such as clinics or inpatient treatment centers. It’s generally not used as a long-term outpatient medication because, without naloxone, there’s a higher risk of misuse. However, 

Subutex may be used in special situations, such as:

• If a patient has a known and documented allergy or adverse reaction to naloxone
• During pregnancy or breastfeeding, when providers want to reduce exposure to additional ingredients

When is Subutex prescribed for opioid addiction?

Because Subutex does not contain naloxone, there is a much larger chance of misuse compared to Suboxone. To help reduce that risk, Subutex is generally only given in clinics, hospitals, and withdrawal management facilities under the guidance of a licensed provider. 

It is rarely prescribed for outpatient use, such as during maintenance therapy for OUD. At QuickMD, we always begin MAT treatment with a Suboxone prescription rather than Subutex.

We prescribe Suboxone because the naloxone it contains offers another guardrail to make your recovery as safe and supported as possible. We understand that recovery isn’t always a linear path. OUD is not a moral failing. It’s a treatable condition. When Suboxone is part of a MAT recovery program, if you relapse, the naloxone in your system can block and reverse its effects, preventing overdose. 

The general exception to this is if a patient has a documented allergy or bad reaction to the naloxone in Suboxone. 

What’s the difference between Suboxone and Subutex?

The difference between Suboxone and Subutex is that Suboxone contains naloxone, and Subutex does not. This additional ingredient helps protect against misuse, which is why Suboxone is usually medically preferred. You might hear Subutex called a “buprenorphine monoproduct” or “buprenorphine monotherapy” because it contains only one active ingredient.

A quick note on the brand name “Subutex”: The original makers of Subutex removed the brand-name version from the US market back in 2011. Today, it’s still available as a generic (buprenorphine without naloxone), but many people still refer to it as “Subutex” out of habit.

This chart provides a quick breakdown of the differences between Subutex and Suboxone:

The biggest takeaway is that both Subutex and Suboxone work similarly in the body, but the addition of naloxone in Suboxone provides an extra safeguard. 

Benefits of Subutex vs Suboxone

Both Subutex and Suboxone are effective tools in recovery from OUD. They help reduce cravings, ease withdrawal symptoms, and make it easier to focus on healing.

The main difference (and also the reason why most providers prescribe Suboxone) is the presence of naloxone. This added ingredient makes Suboxone a safer option for many people, especially in outpatient settings.

That said, some patients may benefit from Subutex instead. Your provider will work with you to find the option that fits your medical history, lifestyle, and recovery needs.

Which is better for treating OUD?

Both medications can be effective in treating opioid use disorder, but Suboxone is often a provider’s first choice because it includes naloxone. This added ingredient helps prevent misuse and offers another layer of protection if a relapse occurs.

While Subutex can work well too, it doesn’t offer the same safety net. That’s why it’s typically used in more limited situations or under close supervision. By contrast, Suboxone can empower people in recovery to remain as independent as possible, making taking their medication as prescribed a part of their everyday routine and a helpful tool in taking back control of their health. 

No matter which medication is right for you, combining it with therapy or counseling can help you address the root causes of addiction and give you the strongest foundation for long-term recovery.

Can I switch from Suboxone to Subutex?

Prescriptions for the generic version of Subutex (buprenorphine without naloxone) are reserved only for patients who experience a negative reaction to naloxone, although this is rare. In those cases, switching medications might help ease discomfort.

If switching from Suboxone is medically appropriate, your provider will guide you through the process to make sure it’s done safely. While Suboxone and Subutex have a lot in common, even small differences in medication can affect how your body responds, so supervision and follow-up care are important.

How to take Subutex and Suboxone properly

Understanding how to take your medication properly can help you start feeling better in recovery. Let’s start with the basics:

• Subutex is a tablet that dissolves under the tongue (sublingually) and contains 8 mg of buprenorphine.
• Suboxone is available as a tablet or a film, both of which dissolve under the tongue. Tablets and films come in doses of 8 mg buprenorphine/2 mg naloxone or 2 mg buprenorphine/0.5 mg naloxone. 

This is only an example of what a dosage can look like. Your schedule and dose can vary depending on your needs. Your provider is always there to help if you need a medication adjustment. 

In order for your medications to work, the buprenorphine needs to enter your bloodstream. To do this, your medication strips have to come in contact with your mucosal membranes in your mouth. It’s important not to swallow your medication. This can make you feel queasy and sick, disrupting some of the opioid receptors in your gut.

Here are some simple steps to follow to take your medication safely:

• Wash your hands.
• Place the medication under your tongue.
• Wait for the medication to fully dissolve, typically 15 to 30 minutes. 
• Rinse your mouth and spit. 

Subutex and Suboxone in pregnancy

In the past, Subutex was often preferred during pregnancy due to concerns that naloxone might affect the baby. However, newer research suggests that both Suboxone and Subutex may be safe options while pregnant when prescribed and monitored appropriately.

At QuickMD, we typically prescribe Suboxone because it includes naloxone for added safety. That said, if you’re pregnant or breastfeeding, your provider will carefully evaluate your health history and discuss what’s best for you.

It’s worth noting that while brand-name Subutex is no longer sold in the U.S., the generic version (buprenorphine without naloxone) is still available when medically appropriate.

How to start MAT treatment with Suboxone

You can take Suboxone at home if it’s prescribed as part of a Medication-Assisted Treatment (MAT) plan. For many people, this makes starting recovery more manageable and less stressful.

If you’re living with opioid use disorder, we can help you start your recovery from the comfort of home. Our licensed providers can prescribe Suboxone (if medically appropriate) through secure video visits, making it easy to access care on your schedule.

While it was originally designed to treat type 2 diabetes, Mounjaro (tirzepatide) is now helping patients without diabetes lose weight—and it seems to be doing a better job than its competitors. Let’s see what you may expect from Mounjaro for weight loss.

Weight loss results: How much do patients lose with Mounjaro?

In July of 2022, the New England Journal of Medicine reported a study of over 2,500 participants with obesity and overweight. After 72 weeks (that’s just over one year and four months) of taking Mounjaro, half of the participants taking 10 mg per week lost an average of 20% of their body weight. For the group taking 15 mg per week, 57% of participants lost an average of 20% of their body weight.

The participants’ average weight loss in pounds looked like this:

• Participants taking the 5 mg weekly dose of Mounjaro lost an average of 35.5 pounds
• Participants taking the 10 mg weekly dose of Mounjaro lost an average of 48.9 pounds
• Participants taking the 15 mg weekly dose of Mounjaro lost an average of 52.0 pounds

The mechanism: How does Mounjaro work?

Mounjaro lowers appetite so patients can eat less without constant food cravings. Nutrient-dense foods such as fruits and vegetables should be eaten to ensure that the body is getting all the vitamins and minerals it needs. Increasing physical activity while lowering food intake is also a good idea since metabolism slows down with decreased food intake.

Understanding the price: How much does Mounjaro cost?

Like most GLP-1 agonists, the medication is quite expensive. The price of name-brand Mounjaro is about $1,000 for a one-month supply of four syringes, also called pens.

Getting started: How to get a prescription for Mounjaro

Tirzepatide is a prescription drug available only by a licensed doctor or other licensed prescriber. When medically appropriate, QuickMD can prescribe Mounjaro online via telemedicine.

Talk to a QuickMD provider to see if Mounjaro is a good solution for you, and start your weight loss journey today.

Should breastfeeding mothers use Ozempic?

What are the potential risks of using Ozempic while breastfeeding?

Losing weight naturally through breastfeeding

Safe weight loss tips for breastfeeding mothers

• Eat a balanced diet: Focus on a diet rich in fruits, vegetables, whole grains, and lean proteins. Avoid excessive sugar and processed foods.
• Exercise regularly: Engage in moderate physical activities such as walking, swimming, or postpartum yoga, which can be beneficial for overall health and weight loss.
• Stay hydrated: Drink plenty of water to stay hydrated, which is essential for both milk production and overall health.
• Get enough rest: Ensure adequate sleep and rest, as fatigue can impact weight loss efforts and overall well-being.

Ozempic and breastfeeding: Making the best choice for you and your baby

Get professional weight loss support with QuickMD

Despite the similar abbreviations and some shared symptoms, it’s crucial to understand that these two conditions, IBS and IBD, are distinct. By delving into the causes, symptoms, and treatments for each, you can empower yourself with knowledge and better manage your health. Plus, we’ll explore how you can treat your IBS, IBD, and other digestive health disorders with QuickMD experts.

What is IBS?

Irritable bowel syndrome (IBS) is one of the most common conditions seen by medical providers. It can cause a range of symptoms, including abdominal cramping, pain, bloating, and changes in bowel movements.

These changes can manifest as diarrhea (IBS-D), constipation (IBS-C), or a mix of both (IBS-M). It’s important to note that these symptoms can vary in severity and frequency from person to person.

The American College of Gastroenterology offers a 1-minute online screening test to help you and your doctor determine if you might have IBS.

What causes IBS?

IBS is not well understood, but we do know that many different factors, such as eating certain foods, a high stress level, or a family history of IBS, can sometimes explain symptoms. During endoscopies, the stomach and intestines appear normal. IBS does not lead to inflammatory bowel disease (IBD), and it does not mean you are more likely to get colon cancer. 

How is IBS treated?

IBS treatment focuses on managing symptoms through:

• Dietary Changes: Avoiding trigger foods.
• Probiotics: To support gut health.
• Stress Management: Techniques to reduce stress.
• Medications: For constipation, diarrhea, or cramping relief.

What is IBD?

Inflammatory bowel disease (IBD) is a general term for any condition that causes swelling in the intestines. The exact cause of IBD is unknown, but it’s believed to be a combination of genetic and environmental factors.

What are the types of IBD?

There are two main types of IBD: Crohn’s disease and ulcerative colitis (UC).

Crohn’s disease can affect any part of the GI (gastrointestinal) tract, and when the GI tract becomes inflamed, patients may have abdominal cramps, diarrhea, constipation, or rectal bleeding.

In ulcerative colitis, the lining of the large intestine (colon) and rectum is swollen and ulcerated (sores). Common symptoms include bloody diarrhea or stool and abdominal pain.

How is IBD treated?

IBD treatment aims to reduce inflammation and manage symptoms:

• Dietary Changes: Tailored to ease symptoms.
• Medications: Various medications to reduce inflammation and manage symptoms.
• Surgery: In some cases, to repair or remove affected parts of the intestine (for Crohn’s) or remove the colon (for UC).

Get Professional Help with QuickMD

Managing IBS or IBD can be challenging, but you don’t have to do it alone. QuickMD offers telemedicine services, a convenient and safe way to consult with experienced doctors from the comfort of your home.

With QuickMD, you can schedule an appointment, discuss your symptoms and concerns with a doctor via video call, and receive personalized treatment plans, expert advice, and prescriptions for medications if needed. Start your journey to better digestive health today with QuickMD.

Don’t let your digestive health concerns linger. With QuickMD, scheduling your telemedicine appointment is a breeze. Take the first step towards understanding and managing your condition with ease and convenience. Visit QuickMD today and regain control of your digestive health.

Middle ear infections, or otitis media, are common. While antibiotics are often prescribed for these infections, they are not always necessary. Understanding when antibiotics are needed and exploring alternative treatments can help manage ear infections effectively.

What is a middle ear infection?

A middle ear infection occurs when bacteria or viruses inflame the area behind the eardrum. Symptoms often include ear pain, fluid drainage, hearing problems, and sometimes fever. 

These infections can cause significant discomfort, so receiving prompt urgent care for ear infections is often a good idea.

Do middle ear infections always need antibiotics?

Not all middle ear infections require antibiotics. The necessity of antibiotics depends on several factors:

• Cause of the infection: Antibiotics are not effective if the infection is caused by a virus; they are only useful for bacterial infections.
• Severity of symptoms: Mild symptoms can often be managed with pain relief and monitoring without immediate antibiotics.

Are there alternative treatments for middle ear infections?

There are several ways to treat middle ear infections without antibiotics, especially if the infection is mild or viral:

• Pain Management: Over-the-counter pain relievers like acetaminophen or ibuprofen can help alleviate pain and reduce fever.
• Warm Compresses: Applying a warm, damp cloth to the affected ear can provide comfort and reduce pain.
• Monitoring: Often, doctors recommend a “wait and see” approach, monitoring symptoms for a few days before deciding on antibiotics.
• Hydration: Staying well hydrated can help the body fight off the infection.

When should I see a doctor about my ear pain?

It’s essential to consult a healthcare provider if symptoms persist or worsen. Signs that require medical attention include:

• Severe pain that doesn’t improve with pain relievers
• High fever
• Symptoms lasting more than a few days
• Fluid or pus draining from the ear

Can middle ear infections resolve on their own?

Middle ear infections do not always require antibiotics. Many infections, especially those caused by viruses, can resolve on their own with proper care and pain management. However, consulting with a healthcare provider is crucial to determine the best treatment plan.

Antibiotics may be necessary to prevent complications in persistent or severe cases. However, overusing antibiotics can lead to antibiotic resistance, a serious public health concern. Antibiotics should only be used when necessary and as prescribed by a healthcare provider.

Get Expert Middle Ear Infection Advice with QuickMD

If you are experiencing symptoms of a middle ear infection, QuickMD’s telemedicine services can provide expert advice and treatment options. This convenient service allows you to consult with a healthcare professional from the comfort of your home, relieving the stress of a physical visit. Get the care you need quickly and conveniently.

Don’t wait for symptoms to worsen. Visit QuickMD today to schedule your telemedicine appointment and receive professional guidance on managing middle ear infections effectively.

Irritable Bowel Syndrome (IBS) is a common gastrointestinal (GI) disorder that causes recurring abdominal pain, bloating, and changes in bowel habits. Doctors and researchers still don’t fully understand it, and there is no one-size-fits-all treatment. Several effective types of treatment can be tailored to each patient’s needs. Here’s an overview of the primary methods of treating IBS, including IBS medication, diet tips, and more.

What are some relaxation techniques for IBS?

Stress, anxiety, and depression are common triggers for IBS. Reducing stress can help ease symptoms. Here are some effective relaxation techniques:

• Engage in hobbies: Take a dance or crafts class
• Stay active: Join yoga classes or other exercise activities
• Get involved in your community: Participate in community projects
• Enjoy the great outdoors: Walking in the sunshine can reduce stress

Which foods should I eat (and which should I avoid)?

A healthy diet is crucial for managing IBS as it can help keep bowel movements regular, reduce bloating, and ease abdominal pain. Here are some dietary recommendations:

• High-Fiber Foods: Eat fruits and vegetables to help ease abdominal discomfort
• Low-Fat Foods: Avoid fried foods and highly processed foods with white sugar
• Hydration: Drink plenty of water to aid digestion

Are there medications to treat IBS?

Various medications can be effective in treating different types of IBS. Here are some common options:

• Guar Gum: Available over the counter, it helps soften hard stools and bind diarrhea
• Virberzi (eluxadoline): Prescribed for IBS-D (IBS with diarrhea)
• Xifaxan (rifaximin): Prescribed for IBS-D
• Amitiza (lubiprostone): Prescribed for IBS-C (IBS with constipation)
• Linzess (linaclotide): Prescribed for IBS-C

How do I get a prescription for IBS meds?

Some of these medications require a prescription from a physician or other licensed prescriber. QuickMD can prescribe the above medications online, when medically indicated. Here’s how it works: After a thorough evaluation of your symptoms and medical history, a QuickMD doctor will determine if medication is necessary and prescribe it to you. QuickMD’s telemedicine urgent care services offer convenient access to experienced doctors who can provide personalized treatment plans and prescribe necessary medications.

What’s the best IBS treatment plan for me?

Treating IBS is a journey toward relief and comfort. Many patients have found effective management of their symptoms by combining relaxation techniques, a healthy diet, and appropriate medications. Working closely with a healthcare provider is essential to determine the best treatment plan for your specific needs, offering you hope and reassurance on your path to wellness.

Managing IBS can be challenging, but you don’t have to face it alone. QuickMD’s telemedicine urgent care services provide not just medical expertise but also the convenience and accessibility you need. Our experienced doctors can offer personalized treatment plans and expert advice, ensuring you feel supported and cared for every step of the way. Whether you need dietary guidance, medication management, or stress reduction techniques, QuickMD is here to help. Don’t let IBS dictate your life. Take control and regain your power.

Visit QuickMD today to schedule your telemedicine appointment and get the support you need to manage your IBS effectively. With the right tools and guidance, you can reclaim your life from IBS and feel hopeful about the future.

Mounjaro—the brand name for tirzepatide—is marketed as an effective weight loss medication. But does it actually work? Is losing weight with Mounjaro realistic? Let’s look at the facts and see how QuickMD’s weight loss services can help you.

How does Mounjaro work?

Taking weekly injections of Mounjaro, a safe and effective weight loss medication, curbs appetite, helping patients stick to a reduced-calorie diet. It achieves this by keeping food in the stomach longer and slowing down the production of a hormone that increases appetite.

Is Mounjaro effective?

A study published in the New England Journal of Medicine in July 2022 showed that patients injecting 15.0 mg of Mounjaro for 72 weeks lost an average of almost 21% of their body weight. This makes it the most effective weight loss medication available.

However, it’s important to note that the long-term effects of Mounjaro are still being studied. Some patients may regain weight after stopping the medication, so it’s crucial to maintain a healthy lifestyle and diet even after achieving your weight loss goals.

How do you take Mounjaro?

Mounjaro is injected under the skin by the patient once per week. Doses begin at 2.5 mg and can be increased to 5.0 mg, 10.0 mg, or 15.0 mg as needed.

What are the typical side effects of Mounjaro?

Side effects are usually mild, including slight nausea and stomach upset. These effects typically diminish over time as the body adjusts to the medication.

What is the cost of Mounjaro?

Tirzepatide costs around $1,000 for a carton of 4 doses (a 4-week supply of 2.5 mg syringes). To see retail prices in your area, visit the GoodRx Mounjaro page.

Getting a Prescription for Mounjaro at QuickMD

Mounjaro is available with a prescription from a physician or other licensed prescriber. If clinically appropriate, QuickMD can prescribe Mounjaro online via telemedicine. Talk to a QuickMD provider to see if Mounjaro is a good option for you.

Conclusion

Mounjaro (tirzepatide) has shown significant effectiveness in promoting weight loss, making it a valuable option for those struggling with obesity. Its ability to reduce appetite and support a reduced-calorie diet makes it a leading non-surgical weight loss solution. But the benefits of Mounjaro go beyond weight loss.

It may also improve metabolic health, such as reducing insulin resistance and lowering blood sugar levels, which can be beneficial for individuals with obesity-related conditions like type 2 diabetes. 

If you’re considering Mounjaro for weight loss, consult a healthcare provider at QuickMD to determine if it’s the right choice for you.

Get Professional Advice with QuickMD

For personalized medical advice and to see if Mounjaro is right for you, QuickMD’s telemedicine urgent care services can help. Call a QuickMD provider today and start your journey to effective weight loss.

Don’t wait to take control of your weight loss journey. Visit QuickMD today to schedule your telemedicine appointment and get a prescription for Mounjaro if clinically appropriate.