is there a downside to these weight loss drugs originally meant for something else will? >> many nations have prescribed medications improperly so the biggest thing is a patient needs to be monitored very carefully so as they are getting care through an app, it doesn't work. my patient we start off with body composition scale. i want to know, what is the body fat composition? when body fat is high, i know there is resistant and probably need the drug we monitor for side effects and get incredible nutritional support. also hydration, that is key. we see them frequently and speak to them every week. we weigh them as weight comes down as i've been able to taper my patient off the drugs successfully by monitoring them by body composition. >> once they get down, you take them off. >> yes, if i can. probably not if i'm monitoring