Safe & effective weight loss meds, delivered

Could weight loss medication like metformin work for you? See how thousands of members reached their forever weight with Found.

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Metformin

Promotes weight loss by regulating the body’s response to insulin, decreasing cravings, and lowering the tendency to store fat.

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Branded names

Fortamet®, Glucophage®, Glumetza®, and Riomet®

Conditions FDA-approved to treat

Type 2 diabetes

Benefits for weight loss

Regulate insulin

Balance blood sugar

Reduce appetite

Decrease fat absorption

The results are in...

  • How it works

    Metformin is FDA-approved to improve blood sugar control in adults with type 2 diabetes when combined with diet and exercise. While not specifically approved for this use by the FDA, it is also commonly used by leading specialist obesity clinicians and weight clinics off-label to help promote weight loss by regulating the body’s response to insulin, decreasing cravings, reducing glucose production and lowering the tendency to store fat.

  • Form and dosing

    Metformin typically comes in a tablet form or as an oral solution with dosages starting at 500 mg. Dosing instructions vary according to weight, tolerability and other factors and should be discussed with your healthcare provider.

  • Common side effects
    • diarrhea
    • nausea/vomiting
    • upset stomach (gas, bloating, and stomach cramps)

What are doctors saying?

“Metformin is a plant-derived off-label option for weight loss, appetite control, and sugar/carbohydrate craving control. It may help people be more adherent to a low carbohydrate diet for those on that type of plan.”

— Dr. Rekha Kumar, Chief Medical Officer at Found

“Metformin is an effective drug to reduce weight in a naturalistic outpatient setting in insulin sensitive and insulin resistant overweight and obese patients.”

— PubMed

Medical Disclaimers

Metformin is FDA-approved to treat type 2 diabetes. Prescribing medications are at the medical provider’s discretion and may not be appropriate for everyone.

Our medication toolkit

Found offers a wide range of medications to address biological challenges that make weight loss more difficult. Found's board-certified providers prescribe medications to help with the following:
Suppress appetite
Stabilize blood sugar levels
Control cravings
Below is a list of all medications and combinations offered to new and existing members who qualify. Click on the medication name to learn more.
Metformin is a plant-derived off-label option for weight loss, appetite control, and sugar/carbohydrate craving control. It may help people be more adherent to a low carbohydrate diet for those on that type of plan.
Bupropion is an effective off-label option for weight loss which works by reducing appetite and cravings.
Topiramate is used for many medical conditions such as migraines, seizures, and nerve pain but also is a helpful off-label option for weight loss which works by reducing hunger and cravings. Topiramate can be prescribed alone, in combination with other medication, or sometimes to counteract the weight gain potential of certain medicines.
Naltrexone is an off-label option for weight loss which works by treating cravings and compulsive eating.
Naltrexone and Bupropion is a well studied off-label combination which helps treat binging and cravings and is also helpful for people who feel “addicted to food”.
Zonisamide is an effective off-label medication for appetite and craving control. It can be used alone or in combination with other medications to help target multiple mechanisms of weight loss.
Bupropion and Zonisamide is an off-label combination of medications that can reduce overall hunger, increase fullness, and help with overeating and cravings.
Some of the medications our medical providers prescribe are FDA-approved for weight loss; others are FDA-approved medications but not for the indication of weight loss, a practice known as “off-label” prescribing. Found affiliated medical providers prescribe these off-label medications only when there is sufficient clinical evidence to support the use of a medicine and only after a medical provider has reviewed a member’s particular health history and made a determination that the medicine is safe for the particular member.
See if you qualify

Success that means more

At Found, we don't worship the scale. Our work doesn't stop until you've found your most confident, healthy, and, yes, lightest self.

Kelly, 53 Tony, 45 Elie, 64 Emily, 34
Kelley, 53 | Lost 30 lbs
I have been a member of Found for about 7 months, and in that time, I’ve managed to lose about 30 lbs. Like a lot of you when we went into lockdown, I turned to food to get rid of the stress and to comfort me. Once I found the medication component, I found that the medication I was using turned off those cravings and urges that all of us feel.
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Tony, 45 | Lost 70 lbs
When I started I was 468 lbs, and after several months into the program I am down to 396 lbs. My favorite aspect of the program is the whole support group from the Facebook group. There's no calorie counting, no special diet food that you have to purchase. It gives you the building blocks to change the way that you are living your life so that you can lose the weight and keep the weight off for good.
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Elie, 64 | Lost 12 lbs
I’m over 60 and I’ve always been very fit, but since menopause, I’ve had an awful time trying to keep my weight down and I just haven’t felt healthy. I’m a retired nurse and I was looking for some type of program that would not only help me but is more than just about medication. And since I found Found, I have been so successful and it has been life changing for me. It’s not just about taking medicine. It’s not a magic pill. It’s multifacted.
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Emily, 34 | Lost 45 lbs
I joined Found for my kids. I want to be the type of confident that I wish to see in them. So I know that means losing enough weight to find happiness in myself. I have been able to lose about 45 lbs so far, and I have another 20 lbs to go, but I am confident that I can reach my goals and keep off the weight this time.
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Your personalized treatment

Prescription medication
Lifestyle tools & coaching
Supportive community
The Found Program
Weight care is personal. Let's treat it that way. Our weight care program is tailored to your unique biology and lifestyle for lasting transformative results.
Board-certified clinicians
  • Board-certified and specially trained in weight loss
  • Virtual appointments, no in-person office visits required
  • Found clinicians customize your plan to your unique needs
Prescription medication
  • Our medical team personalizes care with one of the widest medication toolkits on the market
  • Medication delivered directly to your door
  • No insurance requirements
Lifestyle tools
  • Stay on track with guided programming to maintain accountability
  • Form lasting habits with guidance from behavioral experts
  • Access recipes and health articles curated by registered dietitians
Found mobile app
  • Keep track of your progress by logging your routines
  • Self-guided Focuses allow you to work at your own pace
  • Integrates with Apple Health and Google Fit
Supportive community
  • Celebrate your journey with thousands of other members
  • Share recipes, weight loss milestones, and roadblocks
  • The Found team is actively involved to help you get the most out of your Found experience
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How Found works

1
Answer a few questions
Take the health assessment to see if you qualify for a prescription medication plan.
2
Speak to a dedicated medical provider online
If you qualify, a board-certified clinician evaluates your health history and goals to determine the safest, most effective medication plan for you.
3
Match with an expert health coach
You’ll get one-to-one health coaching for the first four weeks of your program, plus unlimited access to a network of Found coaches for ongoing lifestyle change support.
4
Start your medication and adjust as needed
Your medication usually arrives at your door within a week. You'll continue to work with your provider to make sure your treatment is working for you.
5
Connect with other members
Sign up for our mobile app to access other members on a similar journey, progress tracking tools, accountability features, and more.
Frequently Asked Questions
  • What medication does Found offer?
    The Found program offers both FDA-approved anti-obesity medications, as well as “off-label” medications that are shown by clinical evidence to be highly effective and safe for helping with weight loss. “Off-label” medications are FDA-approved but for an indication other than weight loss.

    When prescribed responsibly, off-label medication can help expand your range of options to ensure you get the right medication at the right dose for your unique biology. Clinicians frequently prescribe medications “off label” when a medicine has a known benefit to treat a condition. The medications that a Found-affiliated provider may prescribe (either “on-label” or “off-label”) are the same medications prescribed in premiere academic medical obesity treatment centers across the United States.

    Medication prescriptions are up to a medical provider’s discretion. Found does not dictate prescribing practices or interfere with the medical judgment of our affiliated medical providers.
  • Who are the providers on the Found platform?
    All of our medical providers are US-licensed with combined decades of clinical experience and weight loss expertise. Alongside our robust medical team, Found collaborates with renowned health leaders to craft effective and personalized weight care paths that work in sync with your unique biology and lifestyle.

    Once you've created an account and had an initial consult, you can view your current provider or send them a message using the portal.
  • When does my medication arrive? Do I have wait for it to begin the program?
    You should hear from your Found Medical Provider within 2 to 4 days after you’ve submitted an intake survey. The length of the consult is dependent on any questions you have or additional questions the provider may need to ask before prescribing a medication. Providers typically respond within 24-48 hours depending on provider availability as consults are asynchronous. After you and the provider have agreed upon a prescription, it will be sent to our e-pharmacy partners to be filled and shipped. The filling and shipping process generally takes 4-6 days.

    Additionally, your coach will reach out within your first week to guide you through your first month. You can go ahead and start using our app to work on building new, healthy habits prior to receiving your medication!
  • What's included in Found's health coaching?
    Our expert coach support is designed to kickstart your weight care journey and help you stay on track with your weekly goals. In month-one of your plan, you’ll be matched 1:1 with a dedicated coach to guide you via SMS through healthy lifestyle change, including nutrition, movement, sleep, mindful eating, and more — all personalized to your weight care goals. Your plan also includes access to our network of coaches through our in-app community for guidance, support, and encouragement throughout your membership.

Medication disclaimers

Select a medication from the dropdown below:

metformin
metformin
bupropion
naltrexone
topiramate
zonisamide

Medications

  • metformin
  • bupropion
  • naltrexone
  • topiramate
  • zonisamide

metformin

  • Box warning
  • Warning
  • Side effects
  • Drug interactions

BLACK BOX WARNING: METFORMIN MAY CAUSE LACTIC ACIDOSIS

Postmarketing cases of metformin-associated lactic acidosis have resulted in death, hypothermia, hypotension, and resistant bradyarrhythmias. Symptoms included malaise, myalgias, respiratory distress, somnolence, dizziness, changes in heart rate/rhythm, and abdominal pain. Laboratory abnormalities included elevated blood lactate levels, anion gap acidosis, increased lactate/pyruvate ratio; and metformin plasma levels generally >5 mcg/mL. In more than 20,000 patient-years exposure to metformin in clinical trials, there were no reports of lactic acidosis. Reported cases have occurred primarily in diabetic patients with significant renal insufficiency, including both intrinsic renal disease and renal hypoperfusion, often in the setting of multiple concomitant medical/surgical problems and multiple concomitant medications.

Risk factors include renal impairment, concomitant use of certain drugs, age ≥65 years old, radiological studies with contrast, surgery and other procedures, hypoxic states, excessive alcohol intake, and hepatic impairment. Lactic acidosis is a medical emergency and requires immediate treatment in the hospital.

WARNING

Before using metformin, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • heart disease or congestive heart failure
  • liver disease
  • metabolic acidosis or diabetic ketoacidosis
  • high ketone levels in your blood or urine
  • you use insulin or other diabetes medications

Talk to your healthcare provider if you are planning to become pregnant or if pregnant or breastfeeding. Avoid alcohol while taking this medication. Talk to your healthcare provider about discontinuing metformin prior to a surgical procedure or an iodinated contrast imaging procedure. Stop metformin and notify your healthcare provider immediately if you have an illness with severe diarrhea and/or vomiting resulting in dehydration.

Side effects

Many people experience no side effects while taking metformin. The most common side effects of metformin include:

  • diarrhea
  • nausea/vomiting
  • upset stomach (gas, bloating, and stomach cramps)

These symptoms may subside after the body adjusts to the medication. Taking your medicine with the evening meal can help reduce these side effects.

Additional but rare side effects include:

  • low blood sugar (hypoglycemia)
  • feeling cold
  • unusual muscle pain
  • dizziness
  • slow or irregular heart rate
  • trouble breathing
  • metallic taste
  • changes to nails on fingers and toes
  • Low b12 levels

Drug interactions

As with other medications, metformin can interact with alcohol and certain medications, including angiotensin-converting enzyme (ACE) inhibitors, beta-blockers, corticosteroids, hormone replacement therapy and estrogens, oral contraceptives, carbonic anhydrase inhibitors, nifedipine, thiazides or furosemide and other diuretics, phenothiazines, phenytoin, nicotinic acid (niacin), multidrug and toxin extrusion inhibitors, sympathomimetics, calcium channel blockers, isoniazid (antibiotic for tuberculosis), insulin and glyburide or other medications for diabetes, and medications for thyroid disease.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to metformin contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

bupropion

  • Box warning
  • Warning
  • Side effects
  • Drug interactions

BLACK BOX WARNING: BUPROPION MAY CAUSE SUICIDAL THINKING AND BEHAVIOR AND OTHER SERIOUS SIDE EFFECTS

Bupropion may cause psychiatric disorders, including suicidal thinking and behavior, hallucinations, confusion, paranoia, irrational fears and manic episodes (for people with undiagnosed bipolar disorder). The medicine could also cause high blood pressure, fast irregular heart beats, seizures, acute angle-closure glaucoma, and death. You should not stop taking bupropion abruptly or without consulting your healthcare provider.

Warning

Tell your healthcare provider about your medical history, especially if you have any of the following conditions in which case you should NOT take bupropion:

  • seizure disorder
  • anorexia
  • Bulimia
  • use of an MAOI (monoamine oxidase inhibitor) such as Nardil®, Parnate® or Marplan® in the past 14 days
  • severe head injury
  • withdrawal from benzodiazepine or alcohol intoxication.

This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of bupropion are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking bupropion as your diabetes medications may need to be adjusted as you lose weight. You should wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience anxiety, dry mouth, irregular heartbeats, irritability or other mental depression or other mood or mental changes or suicidal thoughts, restlessness, shaking, trouble sleeping, buzzing or ringing in ears, skin hives, rashes or itching, confusion, fainting, hyperventilation, hallucinations, seizures, trouble concentrating, lightheadedness, chest discomfort, sweating, headaches, impulsivity or unusual tiredness.

DO NOT take bupropion if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking bupropion. Some of the most common side effects (but not extremely frequent) are:

  • difficulty sleeping
  • headaches or migraines
  • nausea or vomiting
  • constipation
  • excessive sweating
  • dizziness
  • weight loss
  • decrease in appetite
  • blurred vision
  • dry mouth
  • nervousness
  • agitation or other mental changes
  • tremors
  • fast heart rate

Additional side effects include:

  • change in sense of taste
  • drowsiness
  • frequent need to urinate
  • sore throat
  • unusual feeling of well-being

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, bupropion can interact with alcohol and certain prescription and non-prescription medications and herbal products, including monoamine oxidase (MAO) inhibitors (like isocarboxazid, linezolid, phenelzine, selegiline, tranylcypromine), dopaminergic medications (drugs that increase dopamine levels in your system like levodopa and amantadine), drugs that affect the central nervous system (CNS) like antihistamines or medicine for allergies or colds, sedatives, tranquilizers, or sleeping medicines, medicine for depression, medicine for anxiety, antipsychotics, theophylline, systemic corticosteroids, prescription pain medicine or narcotics, medicine for attention deficit and hyperactivity disorder, medicine for seizures or barbiturates, muscle relaxants, or anesthetics, including some dental anesthetics.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to Bupropion contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

naltrexone

  • Warning
  • Side effects
  • Drug interactions

WARNING

DO NOT take naltrexone if you are taking ANY opioids or opiate drugs or if you are dependent on opioids or using methadone or buprenorphine, or if you are in opioid withdrawal. If you take opioids/opiates right after stopping naltrexone you may be more sensitive to them (and require lower doses) - which poses a risk of overdose. Please talk to your provider before initiating any amount of opioids/opiates after stopping naltrexone. Do not take this medication if you have a sensitivity to it or any of its components.

Before using naltrexone, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • liver disease (as it may cause liver dysfunction or hepatitis)
  • depression/suicidality
  • current or recent (7-14 days) use of any type of opioid or opiate drugs

This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of naltrexone are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking naltrexone as your diabetes medications may need to be adjusted as you lose weight. You should wear medical identification stating that you are taking this drug so that appropriate treatment can be given in a medical emergency.

Tell your healthcare provider right away if you experience severe stomach or abdominal pain changes in vision, eye pain, burning or swollen eyes, chest pain, confusion, discomfort while urinating or frequent urination, fever, hallucinations or seeing, hearing, or feeling things that are not there, itching, mental depression or other mood or mental changes or suicidality, ringing or buzzing in the ears, shortness of breath, swelling of the face, feet, or lower legs or weight gain.

DO NOT take naltrexone if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking naltrexone. Some of the most common side effects (but not extremely frequent) are:

  • fatigue or low energy
  • difficulty sleeping
  • nervousness and anxiety
  • headache
  • nausea or vomiting
  • joint and muscle pain
  • stomach cramps or pain

Additional side effects include:

  • loss of appetite
  • diarrhea or constipation
  • increased energy
  • increased thirst
  • dizziness
  • skin rash
  • sexual problems in males
  • chills
  • runny nose
  • irritability or feeling down

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, naltrexone can interact with certain prescription and non-prescription medications and herbal products, including dextromethorphan, diarrhea medication, disulfiram, opioid pain or cough relievers (such as codeine) and thioridazine.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to naltrexone contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

topiramate

  • Warning
  • Side effects
  • Drug interactions

WARNING

Before using topiramate, tell your healthcare provider about your medical history, especially if you have:

  • narrow angle glaucoma and nearsightedness
  • kidney problems, such as kidney stones
  • liver problems
  • depression or thoughts of suicide
  • lung or breathing problems
  • metabolic acidosis
  • high blood ammonia levels
  • long-term diarrhea
  • low body temperature
  • a diet high in fat and low in carbohydrates, aka a ketogenic diet
  • brittle bones

Topiramate may cause some people to sweat less. It is recommended to avoid alcohol and stay well hydrated while taking this medication.This drug may make you dizzy or drowsy or impair your judgment. Please do not drive, operate heavy machinery, or perform any hazardous task until the effects of topiramate are known to you. For anyone taking diabetes medications, please have a discussion with your prescribing clinician prior to taking topiramate as your diabetes medications may need to be adjusted as you lose weight.

Topiramate may also cause birth defects (particularly there is a risk of cleft lip and/or palate and low birth weight). Topiramate may cause breakthrough bleeding. DO NOT take topiramate if you are planning to become pregnant or if pregnant or breastfeeding.

Side effects

Many people experience no side effects while taking topiramate. Some of the most common side effects (but not extremely frequent) are:

  • anorexia
  • weight loss
  • dizziness
  • fatigue or drowsiness
  • difficulty with concentration and psychomotor slowing
  • speech difficulty
  • nervousness
  • tingling or prickling sensations
  • abnormal vision
  • fever

Additional side effects include:

  • difficulty with memory
  • changes in taste
  • diarrhea
  • numbness
  • nausea
  • abdominal pain
  • upper respiratory tract infection
  • hair loss
  • changes in mood/suicidal thoughts

These symptoms may subside after the body adjusts to the medication.

Drug interactions

As with other medications, topiramate can interact with alcohol, marijuana and certain medications, including antiepileptic drugs, CNS depressants, oral contraceptives, lithium, other carbonic anhydrase inhibitors, hydrochlorothiazide, pioglitazone and amitriptyline. Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information.

To report suspected adverse reactions to topiramate contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

zonisamide

  • Warning
  • Side effects
  • Drug interactions

WARNING

DO NOT take zonisamide if you have an allergy to sulfa drugs. A potentially fatal reaction can occur including a life threatening skin rash or a blood cell condition.

Before using zonisamide, tell your healthcare provider about your medical history, especially if you have:

  • kidney disease
  • liver disease
  • long-term diarrhea
  • lung or breathing problems
  • metabolic acidosis or diabetic ketoacidosis
  • high ketone levels in your blood or urine
  • you use insulin or other diabetes medications
  • history of psychiatric disorders or suicidal thoughts

Talk to your healthcare provider if you are planning to become pregnant or if pregnant or breastfeeding. Avoid alcohol and stay well hydrated while taking this medication. Do not drive, operate heavy machinery or perform any hazardous task until the effects of this medication are known to you. Tell your healthcare provider right away if you experience eye pain, changes in vision, eye swelling or redness, yellowing of the eyes, confusion, difficulty concentrating, suicidal thoughts, memory problems, trouble thinking clearly, agitation, irritability, speech problems, decreased sweating, sudden flank pain, painful urination, dark urine, increased fatigue, skin rash, faintness, easy bruising, irregular or fast heartbeat, bone pain, rapid breathing, dizziness, or stomach pain that is severe or that lasts more than a few days.

Side effects

Many people experience no side effects while taking zonisamide. The most common side effects of zonisamide include:

  • dizziness and lightheadedness
  • fatigue and drowsiness
  • language and speech difficulty
  • metallic taste
  • nausea

Other possible side effects include:

  • trouble sleeping
  • lack of coordination
  • loss of appetite and weight loss
  • diarrhea
  • double vision
  • mood changes such as depression or irritability
  • difficulty concentrating

These symptoms may subside after your body adjusts to the medication.

Drug interactions

As with other medications, zonisamide can interact with certain medications, including carbonic anhydrase inhibitors (such as acetazolamide), orlistat (if using zonisamide for a seizure disorder), phenobarbital, primidone, rifamycins, glucocorticoids, and St. John's wort.

Please consult the pharmaceutical packaging for a full list of side effects, warnings, interactions and additional information. Do not stop taking this medication without consulting your healthcare provider because some conditions may become worse when the drug is suddenly stopped.

To report suspected adverse reactions to zonisamide contact the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

In case of emergencies, please call 911 or go to the nearest emergency room.

Find the path that’s right for you

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