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Dr. Pagnani of Rittenhouse Psychiatric Associates discusses Wellbutrin (Buproprion) and its off-label use in the treatment of Adult ADHD. Wellbutrin (buproprion) is a norepinephrine and dopamine reuptake inhibitor, which is FDA approved for the treatment of depression. Unlike antidepressants such as SSRIs or SNRIs, this medication does NOT increase availability of serotonin, and therefore, does NOT treat anxiety (in fact, it can make anxiety and irritability worse). It is also used for smoking cessation (with the Trade name Zyban). Other side effects include increased risk for seizure (making it a non-ideal option for individuals with eating disorders or alcohol use disorders [as it can be dangerous for these individuals]), increased intra-ocular pressure, dry mouth, constipation, tachycardia, sweating, insomnia, upset stomach, decreased appetite (and weight loss) and others. With that said, this may be a good option for some patients, particularly as it does not have the abuse potential, of stimulants like adderall, ritalin, vyvanse and concerta. Dr. Pagnani is the founder and medical director of Rittenhouse Psychiatric Associates, an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry, he supervises psychiatric residents at Jefferson Hospital, he serves on the Young Professional Board of Uplift, the Center for Grieving Children and he maintains a private practice of Psychiatry in Philadelphia where he sees patients for one-time psychiatric evaluations and second opinions. He is a licensed physician and surgeon in NJ, PA, NY, MD, DE, FL and CA and can provide consultations to individuals via HIPAA compliant Telehealth visits living in these locations. Rittenhouse Psychiatric Associates is a private practice of psychiatry consisting of about 25 psychiatrists, psychiatric nurse practitioners and psychotherapists with physical locations in Philadelphia and Paoli, PA and serving all of PA, NJ, NY and FL virtually via HIPAA compliant tele-psychiatry. Individuals seeking not only evaluations but long-term psychiatric care, can contact Rittenhouse Psychiatric Associates directly. These videos aim to increase awareness and discussion of mental health topics and to encourage struggling individuals to schedule an appointment directly with a mental health provider. Mental health needs to be normalized, and simply speaking about mental health topics openly, is an important first step. Dr. Pagnani and Rittenhouse Psychiatric Associates are NOT advocating for or against the use of any mentioned psychiatric medications for any specific individual. Additionally, any side effects mentioned are not a complete list of potential side effects or contraindications to taking any mentioned medications, and all risks and benefits of a medication should be discussed with an individual’s provider at an appointment, before starting, stopping or making changes to a medication regimen. This video is INFORMATIVE ONLY - NOT MEDICAL ADVICE. If you are researching a specific topic, please view our Youtube channel, click all videos and use the search function. Please also visit and follow us on instagram and FB: @RittenhousePsych. www.RittenhousePA.com www.ChrisPagnaniMD.com

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In this episode of The Dr. Gabrielle Lyon Show, I sit down with Dr. Mike Israetel, an exercise physiologist and co-founder of Renaissance Periodization, to break down the science of sustainable fat loss and muscle gain. We explore the essential strategies for transforming your physique without falling for quick fixes or fad diets. From macronutrient distribution to the critical role of resistance training, Dr. Israetel offers practical, science-backed guidance for anyone looking to optimize their health and fitness. From macronutrients to supplements, we cover it all! We dive into: - Why fat loss is often misunderstood and overcomplicated - The key principles of calorie balance and macronutrient needs - Strategies to preserve muscle while losing fat - How to tailor your diet and activity level for sustainable results - The revolutionary role of GLP-1 agonists like Ozempic If you’ve ever struggled to make sense of dieting myths or want a clear roadmap to achieving your fitness goals, this episode delivers the tools you need to succeed. Who is Dr. Mike Israetel? Dr. Mike Israetel is a leading expert in exercise physiology and nutrition science. With a PhD in Sport Physiology from East Tennessee State University, he has dedicated his career to teaching evidence-based principles for fitness and nutrition. As the co-founder of Renaissance Periodization, he has helped countless individuals achieve their goals through practical and sustainable methods. Dr. Israetel is also a competitive bodybuilder, author, and sought-after speaker in the fitness industry. 👉 Join my all new 6 Week Forever Strong Bootcamp - https://drgabriellelyon.com/forever-s... 👉 Get my book and join my community here: Linktr.ee/dlyon This episode is brought to you by: Timeline - Code DRLYON for 10% OFF - https://timelinenutrition.com/DRLYON Thesis - Code DRLYON for 10% OFF Customized Starter Kit - https://takethesis.com/DRLYON LMNT - Code DRLYON for free LMNT Sample Pack! - http://drinklmnt.com/drlyon Inside Tracker - Code DRLYON for 10% OFF - https://insidetracker.com/drlyon Fatty15 - Code DRLYON for 15% OFF 90 DAY Subscription - https://fatty15.com/DRLYON Find Dr. Mike Israetel at: Instagram: @drmikeisraetel Youtube: https://www.youtube.com/@RenaissancePeriodization/videos Find me at: Instagram: @drgabriellelyon Tik Tok: @drgabriellelyon Facebook: facebook.com/doctorgabriellelyon YouTube: youtube.com/@DrGabrielleLyon Disclaimer: The Dr. Gabrielle Lyon Podcast and YouTube are for general information purposes only and do not constitute the practice of medicine, nursing, or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast, YouTube, or materials linked from this podcast or YouTube is at the user's own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professional for any such conditions.

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MY HONEST REVIEW + WATER FASTING TIPS FOR BEST WEIGHTLOSS RESULT #7daywaterfasting #waterfastforweightloss 7 Days Water Fasting (NO FOOD FOR 7 DAYS!!) ***DISCLAIMER*** DO NOT DO DO THIS IF - You are under 18 - Without Medical Supervision - You suffer from bulimia, anorexia or any unhealthy eating patterns - If you have BP, Diabetes and/or other health complications - If you never fasted before - If you are alone Hey everyone! I wanted to share my experience with fasting! I am not promoting it, just sharing what I did. Please talk to the doctors if you want to fast and educate yourself a lot before attempting to do any fasts. Water fasting is popular in the wellness world, but you should approach it with caution. While it may help you lose weight in the short-term, it’s not a sustainable approach to health or weight loss, and it puts you at risk for health complications. Many cultures/religions include some fasting. The main reason for fasting is the same in all of these beliefs: Physical, mental, emotional, and spiritual healing; resetting. Fasting is nature’s way of allowing your body to heal itself, and that rest is essential to the success of the process. When you stop eating (start fasting) all the energy that has been used to gain energy from food is now being used for flushing toxins out of the system and boost the natural healing mechanism of the body. How to Water Fast Water fasting is simple, but that doesn’t mean it’s easy. During a water fast, you can’t consume anything but water. If you’ve never done a water fast before, you might want to prepare your body by gradually decreasing your calorie consumption for a few days leading up to your fast. If you do engage in a water fast, try to resist the urge to eat a big meal. After restricting yourself from calories for an extended period of time, consuming large amounts of food can cause digestive discomfort or nausea. At worst (though it’s unlikely), you are at risk for refeeding syndrome, a potentially fatal condition that involves rapid metabolic changes, usually in people who are extremely malnourished. Instead, start by adding caloric beverages like milk or juice, and work your way up using snacks and small meals. By the third day post-fast, you should be able to eat normally again. How much water should I drink? The first thing to remember is that 60 – 70% of our body is WATER. So, it’s crucial that you drink enough quantity of water, which should not be less than 8 – 10 glasses daily, to support the cleansing process. Drinking not enough water is during water fasting is the problem we observe the most. The body gets dehydrated, as a result, it becomes more acidic, and the cells don’t get hydrated enough to keep the blood alkalized. Who can benefit from water fasting? Everyone can benefit from water fasting. Either you are seeking for a periodic, or you suffer from different conditions; obesity, chronic disease, autoimmune disorders, food addictions, digestive disorders, mental and physical exhaustion, etc. Benefits of water fasting: Improves Body Composition and Fitness Boosts Your Metabolism Supports Fat Loss and Ketosis Improves Cardiovascular Health Lowers Blood Pressure Decreases Blood Sugar Promotes Heart Health May Slow Aging and Enhance Longevity Decreases Inflammation Improves Cell Recycling Promotes a Healthy Stress Response Supports Healthier Collagen in Skin Dangers of Water Fasting Nutrient Deficiencies Any fasting protocol can put you at risk for nutrient deficiencies. By restricting calories, you are also restricting essential vitamins, minerals, fatty acids, amino acids, and electrolytes—all things your body needs to function properly. Dehydration Even though you drink water during a water fast, you can be at risk for dehydration. For most people, at least 20 percent of daily water consumption comes from the foods you eat. If you don’t increase your water intake during the fast, you will actually end up consuming much less water than usual. Hypotension Hypotension is extremely low blood pressure—the opposite of hypertension, or high blood pressure. It can cause dizziness and lightheadedness. Hyponatremia You shouldn’t exercise during a water fast because you will lose salt through perspiration and won’t be able to replace it by eating food or drinking sports beverages. Use electrolytes every day in your water. Dizziness, Fatigue, and Trouble Focusing Dizziness, fatigue, and brain fog are all symptoms of extreme calorie restriction. When you don’t consume the number of calories your body needs, your body will struggle to perform at an optimal level. It may become difficult to focus at work or school during a water fast. Fasting can also cause mild-to-severe headaches. Binge Eating Fasting—and dieting or restricting calories in general—often leads to binge eating. Fasting can also lead to obsessive or intrusive thoughts about food, which may cause you to binge eat when your water fast is over.

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