THE SUPERVISION OF A PHYSICIAN. DIANE , GREAT ADVICE, DIANE , GREAT ADVICE, ERIELLE RESHEF. ERIELLE RESHEF. THANK YOU . THANK YOU . AND SPEAKING OF PHYSICIANS, DR. AND SPEAKING OF PHYSICIANS, DR. DORIAN SUTTON IS HERE NOW DORIAN SUTTON IS HERE NOW WITH MORE ON THIS DR. PATEL. WITH MORE ON THIS DR. PATEL. AND WHAT DO PEOPLE NEED TO BE AND WHAT DO PEOPLE NEED TO BE AWARE OF WHEN IT COMES TO THE AWARE OF WHEN IT COMES TO THE SAFETY OF THESE OFF BRAND SAFETY OF THESE OFF BRAND COMPOUNDED VERSIONS OF COMPOUNDED VERSIONS OF THE DRUGS? THE DRUGS? >> IT REALLY REVOLVES AROUND >> IT REALLY REVOLVES AROUND HOW THEY'RE MADE. HOW THEY'RE MADE. SO AS AEREO WAS JUST STATING, SO AS AEREO WAS JUST STATING, SIMEULUE LUTIE, WHICH IS THE SIMEULUE LUTIE, WHICH IS THE ACTIVE INGREDIENT IN ZEMBIEC, ACTIVE INGREDIENT IN ZEMBIEC, WOULD GO THE REBELS. WOULD GO THE REBELS. THESE MEDICATIONS THAT HAVE THESE MEDICATIONS THAT HAVE GAINED POPULARITY INCREASE IN GAINED POPULARITY INCREASE IN TERMS OF DEMAND AND OF COURSE, TERMS OF DEMAND AND OF COURSE, LIMITATIONS AND SUPPLY HAVE LIMITATIONS AND SUPPLY HAVE LED PEOPLE TO TRYING TO GET LED PEOPLE TO TRYING TO GET THIS MEDICATION IN DIFFERENT THIS MEDICATION IN DIFFERENT WAYS, ONE OF WHICH THESE WAYS, ONE OF WHICH THESE COMPOUNDING PHARMACIES. COMPOUNDING PHARMACIES. THE CONCERN, AS WAS JUST THE CONCERN, AS WAS JUST STATED, IS THAT THESE STATED, IS THAT THESE PHARMACIES AREN'T REGULATED PHARMACIES AREN'T REGULATED AND THEY MAY USE CERTAIN AND THEY MAY USE CERTAIN VERSIONS OF THAT ACTIVE VERSIONS OF THAT ACTIVE INGREDIENT THAT HAVE NOT BEEN INGREDIENT THAT HAVE NOT BEEN TESTED AND STUDIED EXTENSIVELY. TESTED AND STUDIED EXTENSIVELY. OF COURSE, EXPOSING PATIENTS OF COURSE, EXPOSING PATIENTS TO HARM. TO HARM. SO PATIENTS HAVE TO KNOW RIGHT SO PATIENTS HAVE TO KNOW RIGHT NOW THAT THESE MEDICATIONS ARE NOW THAT THESE MEDICATIONS ARE NOT THE SAME. NOT THE SAME. YOU MAY BE EXPOSING YOURSELF YOU MAY BE EXPOSING YOURSELF TO RISK AND YOU MAY NOT EVEN TO RISK AND YOU MAY NOT EVEN GET THAT BENEFIT OF WEIGHT LOSS GET THAT BENEFIT OF WEIGHT LOSS BECAUSE IT MAY NOT BE THE BECAUSE IT MAY NOT BE THE ACTIVE INGREDIENT, OF COURSE, ACTIVE INGREDIENT, OF COURSE, THAT HAS BEEN STUDIED THAT HAS BEEN STUDIED AND TESTED. AND TESTED. NOW, GIVEN HOW POPULAR THESE NOW, GIVEN HOW POPULAR THESE DRUGS ARE BECOMING, HOW DO DRUGS ARE BECOMING, HOW DO YOU KNOW IF THEY'RE RIGHT FOR YOU KNOW IF THEY'RE RIGHT FOR YOU ? YOU ? IS THIS THE KIND OF THING IS THIS THE KIND OF THING YOU CAN USE TO LOSE AN EXTRA YOU CAN USE TO LOSE AN EXTRA FIVE OR 10 POUNDS? FIVE OR 10 POUNDS? SO THE STUDIES HAVE SHOWN THAT SO THE STUDIES HAVE SHOWN THAT WITH DIET AND EXERCISE, WITH DIET AND EXERCISE, THE APPROPRIATE USE OF THESE THE APPROPRIATE USE OF THESE MEDICATIONS HAS BEEN ASSOCIATED MEDICATIONS HAS BEEN ASSOCIATED TO A 10% OR MORE IN WEIGHT TO A 10% OR MORE IN WEIGHT LOSS. LOSS. >> AND THERE ARE OTHER >> AND THERE ARE OTHER INDICATIONS, NOT JUST DIABETES, INDICATIONS, NOT JUST DIABETES, NOT JUST OBESITY, BUT PATIENTS NOT JUST OBESITY, BUT PATIENTS WHO HAVE SIGNIFICANT WHO HAVE SIGNIFICANT CARDIOVASCULAR RISK FACTORS. CARDIOVASCULAR RISK FACTORS. FOR EXAMPLE, PATIENTS FOR EXAMPLE, PATIENTS WHO HAVE HIGH CHOLESTEROL OR WHO HAVE HIGH CHOLESTEROL OR PATIENTS WHO HAVE HIGH PATIENTS WHO HAVE HIGH BLOOD PRESSURE. BLOOD PRESSURE. THIS MEDICATION HAS BEEN SHOWN THIS MEDICATION HAS BEEN SHOWN TO BE EFFECTIVE. TO BE EFFECTIVE. BUT THE IMPORTANT THING IS THAT BUT THE IMPORTANT THING IS THAT YOU HAVE TO HAVE A CONVERSATION YOU HAVE TO HAVE A CONVERSATION WITH YOUR PROVIDER WITH YOUR PROVIDER TO UNDERSTAND IF YOU'RE EVEN IF TO UNDERSTAND IF YOU'RE EVEN IF IT'S EVEN SAFE FOR YOU TO TAKE IT'S EVEN SAFE FOR YOU TO TAKE IT, IF IT'S INDICATED FOR IT, IF IT'S INDICATED FOR YOU SO THAT YOU CAN UNDERSTAND YOU SO THAT YOU CAN UNDERSTAND ALL THE RISKS AND THE BENEFITS, ALL THE RISKS AND THE BENEFITS, SOME OF WHICH INCLUDE MILD SOME OF WHICH INCLUDE MILD SYMPTOMS LIKE NAUSEA, VOMITING, SYMPTOMS LIKE NAUSEA, VOMITING, AND IT CAN PROGRESS THE MORE AND IT CAN PROGRESS THE MORE SEVERE SYMPTOMS LIKE SEVERE SYMPTOMS LIKE PANCREATITIS AND EVEN PANCREATITIS AND EVEN SIGNIFICANT HARM. SIGNIFICANT HARM. >> NOW, CAN YOU DO IN PLACE OF >> NOW, CAN YOU DO IN PLACE OF THE DIET AND EXERCISE PART? THE DIET AND EXERCISE PART? BECAUSE I THINK THAT'S THE PART BECAUSE I THINK THAT'S THE PART A LOT OF PEOPLE WANT. A LOT OF PEOPLE WANT. YOU KNOW, I WISH THAT THERE WAS YOU KNOW, I WISH THAT THERE WAS A SILVER BULLET OR A MAGIC LIKE A SILVER BULLET OR A MAGIC LIKE THIS WHERE YOU CAN JUST DO IT THIS WHERE YOU CAN JUST DO IT WITHOUT THE WORK. WITHOUT THE WORK. BUT UNFORTUNATELY, THE MAIN WAY BUT UNFORTUNATELY, THE MAIN WAY THAT IT WORKS IS THAT IT THAT IT WORKS IS THAT IT REQUIRES THAT WORK. REQUIRES THAT WORK. PATIENTS WHO HAVE HAD PATIENTS WHO HAVE HAD THE GREATEST SUCCESS ARE USING THE GREATEST SUCCESS ARE USING THIS WITH MODIFICATIONS IN THIS WITH MODIFICATIONS IN THEIR LIFESTYLE. THEIR LIFESTYLE. THEY'RE EATING APPROPRIATELY. THEY'RE EATING APPROPRIATELY. THEY'RE MOVING AT LEAST THEY'RE MOVING AT LEAST 30 MINUTES A DAY. 30 MINUTES A DAY. SO IT DOES NOT ELIMINATE THAT SO IT DOES NOT ELIMINATE THAT NEEDED WORK THAT WE ALL HAVE NEEDED WORK THAT WE ALL HAVE TO DO IN ORDER TO STAY HEALTHY. TO DO IN ORDER TO STAY HEALTHY. >> OH, SO WHAT ELSE DO PEOPLE >> OH, SO WHAT ELSE DO PEOPLE HAVE TO CONSIDER BEFORE TRYING HAVE TO CONSIDER BEFORE TRYING ONE OF THESE MEDICATIONS? ONE OF THESE MEDICATIONS? >> FIRST, I THINK, OF COURSE, >> FIRST, I THINK, OF COURSE, HAVING A CONVERSATION WITH YOUR HAVING A CONVERSATION WITH YOUR PROVIDER, MAKING SURE THAT PROVIDER, MAKING SURE THAT YOUR PROVIDER IS LICENSED YOUR PROVIDER IS LICENSED TO EVEN PRESCRIBE THAT TO EVEN PRESCRIBE THAT MEDICATION, AND THEN WHEN MEDICATION, AND THEN WHEN THEY PRESCRIBE IT, MAKE SURE THEY PRESCRIBE IT, MAKE SURE THEY'RE PRESCRIBING IT TO AN THEY'RE PRESCRIBING IT TO AN FDA REGULATED PHARMACY. FDA REGULATED PHARMACY. NOT EVERY PHARMACY IS THE NOT EVERY PHARMACY IS THE SAME . SAME . AND YOU MAY BE AGAIN EXPOSING AND YOU MAY BE AGAIN EXPOSING YOURSELF TO A RISK IF YOURSELF TO A RISK IF YOU HAPPEN TO TAKE A MEDICATION YOU HAPPEN TO TAKE A MEDICATION FROM ONE OF THESE PHARMACIES FROM ONE OF THESE PHARMACIES THAT HAVE NOT