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Dr Anne Peters discusses the need for lifestyle changes in combination with antiobesity medications for weight loss. https://www.medscape.com/viewarticle/maintaining-weight-loss-glp-1s-needs-lifestyle-changes-2024a1000ld0?src=soc_yt -- TRANSCRIPT -- Nearly every patient I start on incretin therapy for weight loss asks me the same question, which is, will I have to stay on this forever? The answer is probably yes, but I think it’s much more nuanced than that because A) forever is a long time and B) I think there are various ways to approach this. I want people to start just saying, let’s see how this works, because not everyone’s going to lose the same amount of weight or respond in the same way. I say let’s try it, but don’t stop it suddenly. If we decide at some point you don’t need quite the same dose, we can reduce the dose and maybe even reduce the frequency of giving it, but you don’t want to stop cold turkey because you may well regain the weight, and that’s obviously not our desired outcome. There have been multiple clinical trials in which people started on an incretin hormone, either a glucagon-like peptide 1 (GLP-1) receptor agonist or a dual hormone, and they’ve actually shown that stopping it and then continuing patients on a placebo vs active drug results in continued weight gain over time vs either weight maintenance or weight loss when they remain on the incretin hormone. Clearly, on average, people will regain the weight, but that isn’t always true. One of the things I think is really important is that, from the get-go on starting on these hormones, people start working with a lifestyle plan, whether it’s working with a coach or an online program. However they approach this, it’s important to start changing habits and increasing exercise. I can’t say how important this is enough, because people need to increase their physical activity to enhance the benefits of these agents and also to help retain lean body mass. I don’t want people losing a large amount of lean body mass as they go through the process of weight loss. I set the stage for the fact that I expect people to adhere to a lifestyle program, and maybe losing weight with the medications is going to help them do even better because they’re going to see positive outcomes. When they get to the point of weight maintenance, I think we need to reinforce lifestyle. I either go down on the dose given weekly or I start having patients take the dose every other week, for instance, as opposed to every week, and then sometimes every month. Depending on the patient, I get them potentially to a lower dose, and then they’re able to maintain the weight as long as they improved their lifestyle along with the changes in the medication. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/maintaining-weight-loss-glp-1s-needs-lifestyle-changes-2024a1000ld0?src=soc_yt

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It's been two weeks on a compounded semaglutide (a GLP-1 medication), and this second week was kinda rough. After a strong start, I suddenly felt like I wasn’t on the medication at all—wtf? Would I even lose weight this week? Plus, getting sick threw my workouts off track. In this episode, I share my weigh-in, how I ate for my goals, and three simple dinners I made when I was feeling under the weather. If you're on a GLP-1 journey, especially if you're dealing with menopause, then this is for you. 00:00 GLP-1 Intro 01:35 2nd shot effects 04:27 Weigh-in results 06:38 Feeling sick 06:59 Working WW plan 08:08 Protein & Fiber 09:44 Three Dinners Peanut Sauce 3 Tbsp. soy sauce 1 tsp. sesame oil 6 Tbsp. PB2 (peanut butter powder) 1 Tbsp. brown sugar water to thin to desired consistency Gochujang Sauce 2 Tbsp. Gochujang hot pepper paste 1-1/2 Tbsp. unseasoned rice vinegar 1 Tbsp. sesame oil 1 Tbsp. maple syrup 👉 Don’t forget to SUBSCRIBE to get the latest on my GLP-1 weight loss journey. Have questions? Leave a comment below! #GLP1 #WeightLossJourney #MenopauseHealth #semaglutide #weightloss #menopause #weightwatchers

Why Biden Is Proposing Weight Loss Drug Medicare Medicaid Coverage

Research has shown that taking anywhere from 500 milligrams up to 1500 milligrams of berberine can evoke these numerous benefits Depending on the severity of our patients' conditions we'll start them off with 500 milligrams daily and slowly work them up to 1500 milligrams Now typically for our less severe cases of peripheral neuropathy or diabetes we'll keep these patients on 1000 milligrams daily Let's address a couple of important things you need to know when taking berberine You might be wondering about side effects with berberine Now although GI upset is rare with instances of nausea or diarrhea were seen when taking berberine at high doses of 2000 milligrams for over 16 weeks although it was rare

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