The goal at our practice is that patients do not need medications, when lifestyle modifications can reverse certain chronic diseases. We do, however, recognize the benefit of appetite suppression and utilize medications like these to aid in adhering to the nutrition recommendations. Unfortunately, many clinics offer these medications with no real end in sight. If patients feel they need these to help them be more successful, the hope is that they are used on a short term along with their diet recommendations, so when they get off these drugs, there is no rebound weight gain. The shorter the duration , the less muscle mass lost. We always prescribe these and try very hard throught prior- authorizations to get them covered, only when they are not, will compounded versions be offered to patients that are candidates for them.