Vivus Inc. the manufacturer of Qysmia reported a lack of insurance coverage may have caused disappointing sales numbers for the newly introduced drug. Sales of the drug only amounted to $41,000 over the first two weeks of its launch (Sept. 17, 2012). Sales were expected to exceed $310,000 over that time. This indicates that many people would be forced to pay out of pocket if they wanted to use the drug and are not willing or able to do so.

Six years of using Qsymia cost more than Lap-band surgery. The average cost of using Qsymia is reported to be $160 per month. Multiply that by 12 and you have a yearly cost of $1,920. That means that six years of out of pocket use of Qsymia will cost on average $11,520. Well over the cost of Lap-band surgery at this time. At this rate of cost after six years using the lap-band, would be free while you still must pay to use the drug. You might counter by saying that after losing weight with Qsymia it would be free too, and for some people that could be true. But we have found that people who have suffered a lifetime of obesity need a permanent or very long term solution. Many people will use weight loss drugs like Qsymia only to gain all their pounds back and more after they quit using it. Yes we have said that for many people weight loss drugs are going to end up being another manifestation of yoyo dieting.  They’ll lose some pounds on the drug, quit taking it and gain it all back and more.

Qsymia side effects may not allow some people to take the drug often or long enough to control life long obesity. We have reported some serious side effects with this drug. Side effects that are serious enough that you may never want to risk your health by taking it. While there are risks with Lap-band surgery, once it is successfully placed and the patient has lived with it for a short while, side effects are almost nonexistent. At this time, the Lap-band works much better than any pill. A lifetime using the Lap-band costs much less than Qsymia.


Using weight loss surgery as a quick fix

Doctors are doing weight loss surgery without adequately evaluating and counseling patients prior to their procedure. That’s what a Huffington Post (United Kingdom) article states. This results in patients agreeing to have weight loss surgery without fully understanding the risks. They are having weight loss surgery without first fully utilizing diet, exercise and professional counseling. Frequently such patients do not realize that after a bariatric operation post surgical support groups must become an important component in their lives. There are people having weight loss surgery thinking you can have the procedure and just walk away – that it is a magic bullet requiring no further medical involvement or effort on their part.


A bariatric procedure is a major operation. As with all surgeries, conservative treatments should be applied before to doing it. You should first ask your General Practitioner to help you lose some pounds prior to going to a bariatric surgeon. Your doctor may treat you directly or he may refer you to another doctor that specializes in nonsurgical weight loss. You might work with a personal trainer specially educated to help overweight people start exercising. Because no matter how much we hate to realize it, the formula for weight loss is diet and exercise (a lot of us just hate the “E” word). But you will also learn about portion size and the glycemic index. You will go to classes to learn how to balance your diet so your nutrition is adequate. Exercise requires a properly fueled body. So you can see there is a synergy you must learn about to lose some pounds. Your General Practitioner will observe your progress. After a year or so of dedicated participation in these programs, he may begin to consider weight loss surgery – if it appears that diet and exercise will not work. It is very important that you take your conservative treatment seriously. Don’t try and fool your doctor into thinking you have been dedicated when you have not. You are just hurting yourself and exposing yourself to unnecessary risk.

If your General Practitioner determines that you can’t help but cheat on diets, he may send you to  psychological counseling. This is because overeating can be a response to extreme trauma(s) in life. Sometimes past events may be so terrible that the patient blocks them out and has no idea why or that they are compulsively overeating. Events may have happened very long ago in early childhood. A patient with terrific life long traumas may require years of analysis. These people will not be candidates for a bariatric operation until after they are finished with psychotherapy and conservative treatments have again failed.

Weight loss surgery can’t be used as a quick fix. It just won’t work if you use it that way. All bariatric procedures are only tools you use to lose weight. For it to work you must have extensive education on how to use your new weight loss tool and you must have support to keep you dedicated. Most important is the fact that all bariatric surgeries are not minor procedures. It is a full blown major operation and has considerable risks. Before seeing a bariatric surgeon, in a perfect world a prospective patient should experience the process we have outlined above. We worry about people with psychological problems because they can end up getting an operation they just don’t need and/or they are not ready for. Unfortunately in this world, prospective patients must learn the facts themselves about any procedure they are considering because there are unscrupulous surgical providers that will quickly do an operation to everyone that walks through the door.  Our advice is that after you work with your General Practitioner and they determine that you can’t lose the pounds on your own, find the most experienced and reputable bariatric surgeon available.

“Weight Loss Surgery Used As ‘A Quick Fix’.” Huffpost Lifestyle United Kingdom. 18 2012: 1. Web. 20 Nov. 2012.