GARY A. KNIGHTON, D.O.
WEIGHT LOSS PROGRAM GENERAL INFORMATION SHEET

Why not have a smaller waist, fit in smaller more comfortable clothes size or wear the clothes you used to wear? Do you want more energy and feel better about life? If yes, than you certainly came to the right place.

Studies have shown by being overweight there is an increased risk of heart disease, high blood pressure, diabetes, gallbladder disease, cancer, osteoarthritis and hyperlipidemia and depression just to name a few. The U.S. Surgeon General has reported that over 64% of people in the United States are overweight. Tragically, obesity is the leading cause of preventable death in the United States accounting for more than 400,000 deaths annually.

More than half of all people who are overweight are driven in that direction from genetics and stress. Others may be overweight due to low thyroid production, diabetes, as well as a decreased metabolism due to pregnancy, age, menopause, hysterectomy and hormone replacement. Others have increased weight due to their eating habits, decreased exercise, busy and stressful lifestyles, etc.

With a low metabolism, regardless of the cause, one can really have difficulties with weight and inches. Sometimes one can diet, diet and diet some more as well as exercise, exercise and exercise some more and still not lose the weight or inches. This can be extremely frustrating; however, with the aid of medications and proper supplements to assist in the battle, the battle becomes much easier and successful. I have treated thousands of patients for weight loss, and I have witnessed remarkable results, including members of my own family and close friends. This program is no gimmick, it is the real deal and it works!

The following are medications and supplements that are used
in our weight loss programs:

PHENTERMINE; PHENDIMETRAZINE (Bontril); TENUATE (diethylpropion)
These medications act to increase "jump start" the metabolism as well as acting as a general appetite suppressant. These medications are "timed release" which allows it to stay in the body from 7-8 hours depending on the individual, and it is administered 2 hours after breakfast or ½ hour before breakfast daily. However, it is not without possible side effects. Possible side effects consist of:

• DRY MOUTH (by far the most common)

• Difficulty sleeping the first night or two.

• Headaches (usually only if you skip meals or drink caffeine).

• Increased blood pressure - very rare.

• Increased heart rate and/or feeling jittery (usually only with skipping meals or caffeine use).

• Constipation (hint: Herbal product called Experience is by far the best and safest).

5-HTP
This is a natural supplement that is used to enable the body to have a better balance of its serotonin levels. Our body converts 5-HTP into Serotonin, and it is the enzyme that keeps us from craving various foods, mainly salts and sweets as well as allowing us to feel satisfied with smaller portions. This will be utilized in most patients as we will need that extra help covering cravings. Side effects may include nausea if meals are skipped.

NOTE: In most cases I will start each patient on phentermine to be taken in the morning and 5-HTP to be taken before dinner. This I will use as a building block and we may add additional medication as we go throughout the program. I certainly recommend the use of the supplements described below.

VITAMIN B-12/B-6 Injections
We offer B-12 and B-6 combination injections at $19 per injection that I recommend patients receive in addition to the medications. We effectively utilize a combination B-12 and B-6 injectable solution to increase energy, enhance weight loss and burn carbohydrates better. I recommend weekly injections for the first month and then every other week thereafter. Injectable B-12 and B-6 has shown to be the best way to supplement these essential vitamins.

DIGESTIVE REGULARITY & MULTIVITAMINS
EXPERIENCE is a revolutionary product. Most people that battle weight also battle constipation. This indicates that the metabolism is so slow that the body WILL NOT eliminate properly. If you have any difficulties with regularity, this product will be a must in the program as well as what will help maintain your weight when you have completed the program. There is no question that we need multivitamins, but we need these supplements to be easily absorbed, natural and effective. This is why I recommend liquid DAILY COMPLETE. If you want to reach your goals and be able to maintain, then proper multivitamins are crucial to your success.

Treatment Plan:

We will work with each patient individually to customize a program consisting of any or all of the following:

1. Appropriate eating guidelines – not a fad diet.. I prefer the eating guideline in The South Beach Diet.

2. Medications

3. Correct Vitamins and Supplements

4. Exercise recommendations according to your needs (Walking, biking, swimming, weights, yoga, etc.).

5. Ongoing communication and monitoring

6. Labwork, if necessary.

7. SUCCESS!!!!!!

Pricing:

Basic medication/supplement combination costs. (i.e. office visit plus medications = cost noted in bold). NOTE: This is for reference only as we will customize from these for your program. You will not use all of these medications at once. Most patients use Phentermine, 5-HTP, Daily Complete and Experience (*)

1. PHENTERMINE: ($89 per bottle)*

2. Phendimetrazine/Bontril): ($89 per bottle)

3. Tenuate/diethylpropion ($89 per bottle)

4. 5-HTP: ($20 per bottle) (*)

5. EXPERIENCE: ($39 per bottle) (*)

6. DAILY COMPLETE Vitamin ($39 per bottle) (*)

7. VITAMIN B-12/B-6 Injections ($19 each)

8. Pure Trim Protein Shakes ($30 per box of 10 shakes)
   
   NOTE: It is difficult due to the ongoing pricing changes in medications to have one standard price for everything. We will sincerely try to keep the costs as stated above. I will try to give you the best results possible and still keep your costs down.

Appointments:

Follow up with our office every 4 weeks.

I am confident that our program will be fit your needs so that you will not only feel the results, but others will notice your success!!

OVER 40,000 satisfied patients and GROWING!!