What causes weight gain and obesity?
Obesity and weight gain are caused by complex conditions influenced by a various factors.
Dietary and energy imbalance between energy intake and expenditure, meaning people consume more calories than they burn through activity. However, it's not just about diet and exercise.
Genetics can play a significant role, affecting how the body stores fat and regulates appetite. If there is a family history of being chronically overweight, then a genetic factor may be responsible.
Lifestyle factors like poor dietary choices, little to no physical activity, and consuming high-calorie drinks and foods contribute to weight gain by consuming more calories than can be burned.
​Socioeconomic factors like food access, emotional stress, education, and work environment.
Medical conditions such as hypothyroidism or hormonal imbalances can cause weight gain.

Weight loss medication online

GLP-1 (glucagon-like peptide 1)
Semaglutide (active ingredient in Wegovy®, Ozempic®, Rybelsus®)​
Semaglutide works by activating GLP-1 receptors. GLP-1 helps regulate appetite by making you feel full longer and reduces hunger by slowing down how quickly food leaves your stomach. This helps you eat less and lose weight over time.
Most patients lose on average 15% body weight combined with dietary and daily physical activity.
GIP (gastric inhibitory polypeptide)
​Tirzepatide (active ingredient in Zepbound®, Mounjaro®)
Tirzepatide works by targeting two different receptors in your body, GIP and GLP-1. By activating these receptors, it helps your body release more insulin, reduces your appetite by slowing down how quickly your stomach empties feeling less hungry, and helps control blood sugar level.
Tirzepatide results in an average 20% weight loss when combined with dietary and daily physical activity.
Oral medications used to treat obesity and eating disorders
Rybelsus®
Rybelsus is a prescription medication used to manage blood sugar levels in adults with type 2 diabetes mellitus. It's an oral medication containing the active ingredient semaglutide, which belongs to a class of drugs called GLP-1 receptor agonists.
Vyvanse®
Vyvanse (lisdexamphetamine) is part of a group of medicines called stimulants. If you have attention deficit hyperactivity disorder (ADHD), this medicine can help increase attention and decrease impulsiveness (acting without thinking) and hyperactivity. If you have binge eating disorder, it can help you to overeat less often.
Contrave®
Contrave contains a combination of two different drugs, bupropion and naltrexone. This medication is thought to work by adjusting the brain's appetite and reward centers, which can help reduce hunger and cravings.
Phentermine
Phentermine (Adipex-P®, Lomaira®) is a prescription medicine used to lessen appetite. It can help weight loss by making you less hungry. Or it can help you feel full longer.
Conditions GLP-1 & GIP medications can treat
Type 2 Diabetes
FDA-approved use for managing blood glucose levels in adults. Medications like Ozempic, Rybelsus, and Mounjaro help improve insulin sensitivity and reduce A1c levels.Especially effective in patients with obesity or insulin resistance.
Obesity and Overweight
Wegovy and Zepbound are FDA-approved for long-term weight loss. Typically prescribed for adults with: BMI ≥ 30 (obesity), orBMI ≥ 27 (overweight) with weight-related conditions like high blood pressure or cholesterol. Support weight loss through appetite suppression and delayed gastric emptying.
Cardiovascular Risk Reduction
Wegovy is FDA-approved to reduce the risk of heart attack, stroke, and cardiovascular death in adults with obesity and established heart disease. These medications improve multiple cardiometabolic markers, including blood pressure, inflammation, LDL cholesterol, and triglycerides.
Obstructive Sleep Apnea
Zepbound is newly FDA-approved (2024) for moderate-to-severe obstructive sleep apnea in adults with obesity. Weight loss with these medications can significantly reduce airway obstruction during sleep and improve oxygenation.
How does The Nudge treat weight loss?
The first step in getting on road to weight loss is a telehealth visit or we can see you in-office at our location in Wichita, Kansas. ​​Our provider can offer nutritional guidance with affordable medication treatment options we can ship right to your door. We give you the freedom to order your medication without the hassle of auto withdrawal membership fees.
​
Start by clicking the Nudge Fit button below to fill out our intake forms.
What to Expect During Your First Visit
Evaluation
During you first visit you'll meet with our expert provider, who will ask about your current symptoms, personal and medical history, and weight loss goals. Due to the restrictions of having these medications covered by your insurance, we'll have to make sure you meet the health requirements for your insurance to consider covering the medication.
Diagnosis
Based on a simple evaluation and a review of your medical history, your provider can provide a diagnosis and begin your treatment plan.
Personalized Treatment Plan
You'll work closely with your provider to develop a customized plan to manage your symptoms. If medication is appropriate, your provider will explain your options, discussing the benefits and potential side effects of each.
