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Holly Lofton, MD, an obesity expert at NYU Langone Health, discusses the differences between GLP-1 agonists for weight loss and glycemic control. https://www.medscape.com/viewarticle/995911?src=soc_yt -TRANSCRIPT- I'm Dr Holly Lofton, clinical associate professor of surgery and medicine at NYU Langone Health, and I direct the medical weight management program. My practice is solely based on chronic weight management for adults. Today I'll talk about the various doses of GLP-1 agonists that you may prescribe to your patients. Being that this is based around weight management, I'll start with the weight management medications, the first of which is Saxenda. This is liraglutide 3 mg for chronic weight management. The studies that were done with this medication were intended to get the patient to the 3-mg dosing, which is what's prescribed for weight management, and not the 1.8-mg dosing which is prescribed for type 2 diabetes. However, you may deliver different doses to your patients depending on your goal. You see that this makes a lot of clicking noise. When the patient starts Saxenda and has their pen, there will be this clear fluid. It's important to remind them that this is a multiuse pen and that they should use it over and over again until it's empty. This medication has various doses in the same pen. You want to increase weekly as long as the patient is tolerating it. And by that, I mean not having significant side effects such as nausea, constipation, or other stool changes. When a patient receives the pen, it will start with 0. In the first week, we do 0.6 mg daily. The next week we do 1.2 mg daily. The third week we do 1.8 mg daily. The next week we do 2.4 mg daily, and then the goal is to get the patient to 3 mg, which is the maintenance dose. Ideally, the patient would stay there for their chronic weight management. However, if a patient can't tolerate the dose, you can also have them go to a lower dose for 7 more days and try again. Wegovy, which is semaglutide 2.4 mg, is also prescribed for chronic weight management. This is a single-use cartridge, so the pen will deliver only the dose that you prescribe to the patient. This as well is intended to increase monthly as long as the patient is tolerating it and not having too many significant GI side effects such as nausea, constipation, or loose stool. With this pen, the doses are 0.25 mg, 0.5 mg, 1 mg, 1.7 mg, and 2.4 mg. You increase it monthly or every 4 weeks, depending on the patient tolerance. However, if a patient is not able to tolerate the highest dose, you can prescribe the maximally tolerated dose for that patient. The next new GLP-1 I'll talk about is Ozempic [semaglutide] prescribed for type 2 diabetes. The goals of titrating this medication really depend more on your patient's glycemic control, as this is used for glycemic management. Here we have the red labels and big pen, and this delivers either 0.25 mg or 0.5 mg. The recommendation for this medication is to use 0.25 mg for 4 weeks. Assess the patient's glycemic control, and if needed, increase to 0.5 mg after 4 weeks. Again, this pen delivers either 0.25 mg or 0.5 mg only. This blue-green–label Ozempic [semaglutide] delivers 1-mg dosing, so when your patient turns this one all the way to the end, the only number they will see will be 1. If your patient does not have optimal glycemic control with the lower doses, a 1-mg pen can be prescribed and the patient can continue on that, optimizing their glucose, or you can increase to a 2-mg pen [yellow label], which delivers only 2 mg. This is a single-use cartridge for Trulicity [dulaglutide]. The various doses of Trulicity are 0.75 mg, 1.5 mg, 3 mg, and 4.5 mg. This pen will deliver only the dose that's prescribed, and you can titrate up to optimize glycemic control for your patient. The higher the dose, the better the improvement in glucose and hemoglobin A1c. This is the pen for Mounjaro, which is tirzepatide. At the time of this recording, this medication is intended for type 2 diabetes management. It's a single-use cartridge, and the different doses vary from 2.5 mg, 5 mg, 7.5 mg, 10 mg, 12.5 mg, to the highest dose, 15 mg. Again, this should be titrated to optimize glycemic control for your patient, and you can increase or decrease the dose based on the patient's tolerance. https://www.medscape.com/viewarticle/995911?src=soc_yt

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00:00 - Intro 00:18 - Mounjaro Weight Loss: 5 Foods I AVOID To Stop Awful Side Effects (Sulphur Burps!) 07:03 - Mounjaro Hair Loss: What You Need to Know & How to Prevent It 09:42 - People on Mounjaro Could Lose Hair: Avoid This Major Mistake 1. Mounjaro Weight Loss: 5 Foods I AVOID To Stop Awful Side Effects (Sulphur Burps!) Thinking about starting Mounjaro (tirzepatide) or already on your weight loss journey? One user who lost over 4 stone shares the 5 types of food and drink she had to cut out to avoid horrible side effects like sulphur burps, diarrhoea, and major stomach cramps. Since GLP-1 medications like Mounjaro significantly slow down digestion, certain foods can cause major discomfort. In this video, we break down the foods to avoid based on real user experience. Foods & Drinks to Avoid on Mounjaro: 1. Fried & Greasy Foods: Find out why takeaways can feel like a 'fight in your stomach'. 2. Red Meat: Why steak and other red meats can be difficult to digest and cause issues. 3. Dense Carbs: The surprising effect of bread, chips, and jacket potatoes that can lead to eggy burps. 4. Spicy Food: Learn why the aftermath of a curry just isn't worth it for some users. 5. Fizzy Drinks: Discover why sugary, carbonated drinks can cause intense bloating. We also cover what you SHOULD eat! Learn why a 'lean and clean' diet focusing on lean protein, vegetables, fiber, and plenty of water is the best way forward to manage side effects and maximize your weight loss results on Mounjaro, Wegovy, or Ozempic. This video is for anyone curious about the real-life day-to-day of using weight loss jabs and how diet changes can manage common side effects. 2. Mounjaro Hair Loss: What You Need to Know & How to Prevent It Using Mounjaro for weight loss? While it's effective, some users report hair loss as a side effect. Don't panic! This video explains why it happens (rapid weight loss, nutritional deficiencies, stress) and shares expert tips from Dr. Donald Grant on how to prevent it. Learn about the importance of a balanced diet, key nutrients for hair health (protein, biotin, zinc), stress management, and gentle hair care practices. We'll also discuss when to consult your doctor. #Mounjaro #HairLoss #WeightLoss #politics 3. People on Mounjaro Could Lose Hair: Avoid This Major Mistake Discover the unexpected side effect of Mounjaro—hair loss. In this video, we dive into why some users are experiencing significant hair shedding while losing weight on this popular NHS-approved weight loss jab. Learn about the potential causes including rapid weight loss, nutritional deficiencies, and stress, and explore expert tips to maintain a balanced diet with essential nutrients like protein, biotin, and zinc to protect your hair. Get practical advice on managing stress and caring for your hair during your weight loss journey. Stay informed and ensure you're taking the right steps to enjoy weight loss without compromising your hair health.

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GLP-1's have revolutionized healthcare (IMHO!) Here are my tips for success: 1️⃣ every patient starts at the lowest dose 2️⃣ no increasing the dose unless: have been on current dose for four weeks AND have plateaued with weight loss AND are no longer having side effects 3️⃣ make sure the provider is very well versed on these medications and is prescribing appropriately and has continuous follow ups 4️⃣ be focused on eating proteins and staying hydrated as to avoid constipation, hair loss and protein deficiency 5️⃣ just because someone is losing weight doesn't mean they don't have to work out. Maintaining muscle mass is extraordinarily important and lifting weights is key! I love being a part of changing lives!

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Welcome back! This is my 2nd week on Semaglutide. The side effects are starting, but has the weight loss?

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When it comes to weight loss, there are countless methods and products on the market that claim to help shed those unwanted pounds. From diet pills to fad diets, the options can be overwhelming. However, one natural and increasingly popular option for weight loss is CBD gummies. CBD, or cannabidiol, is a compound found in cannabis plants that has been shown to have a range of health benefits, including weight loss. In this article, we will explore the best CBD gummies for weight loss and how they can help you reach your fitness goals.

The Benefits of CBD Gummies for Weight Loss

One of the main reasons why CBD gummies are so effective for weight loss is their ability to reduce appetite. CBD interacts with the body’s endocannabinoid system, which plays a key role in regulating appetite, metabolism, and energy balance. By stimulating the endocannabinoid system, CBD can help decrease feelings of hunger and cravings, leading to reduced calorie intake and, ultimately, weight loss.

In addition to appetite suppression, CBD gummies can also help boost metabolism. A faster metabolism means that your body is able to burn calories more efficiently, even when at rest. This can lead to increased weight loss and improved overall health. Furthermore, CBD has been shown to have anti-inflammatory properties, which can help reduce inflammation in the body and promote weight loss.

Another benefit of CBD gummies for weight loss is their ability to reduce stress and anxiety. Stress and anxiety are common triggers for emotional eating and can sabotage weight loss efforts. CBD has been shown to have calming effects on the body, which can help reduce stress levels and prevent emotional eating. By incorporating CBD gummies into your daily routine, you may find it easier to stay on track with your weight loss goals.

Choosing the Best CBD Gummies for Weight Loss

When selecting CBD gummies for weight loss, it is important to look for products that are high quality and free from harmful additives. Opt for gummies that are made with organic, non-GMO hemp extract and have been tested by a third-party lab for purity and potency. Additionally, consider the CBD concentration of the gummies – higher concentrations may be more effective for weight loss purposes.

It is also recommended to choose CBD gummies that are infused with other natural ingredients that can enhance weight loss benefits, such as green tea extract, Garcinia Cambogia, or L-carnitine. These ingredients have been shown to support weight loss by boosting metabolism, increasing fat burning, and reducing appetite. By selecting gummies with these additional ingredients, you can maximize the weight loss benefits of CBD.

Lastly, consider the flavor and texture of the CBD gummies when making your selection. Since you will be consuming these gummies on a daily basis, it is important to choose a product that is enjoyable to eat. Look for gummies that come in a variety of flavors and have a chewy, tasty texture. This will make it easier to incorporate CBD gummies into your routine and stick to your weight loss plan.

Conclusion

In conclusion, CBD gummies can be a natural and effective tool for weight loss. By reducing appetite, boosting metabolism, and reducing stress, these gummies can help support your weight loss goals and improve your overall health. When choosing CBD gummies for weight loss, be sure to opt for high-quality products that are tested for purity and potency. Additionally, look for gummies that are infused with other natural ingredients that can enhance weight loss benefits. With the right CBD gummies, you can shed pounds naturally and achieve your fitness goals.

FAQ:

1. Are CBD gummies safe for weight loss?

Yes, CBD gummies are generally safe for weight loss when consumed in moderation. However, it is important to consult with a healthcare provider before incorporating CBD gummies into your weight loss plan, especially if you have any underlying health conditions or are taking medications.

2. How long does it take to see results with CBD gummies for weight loss?

The timeline for seeing results with CBD gummies for weight loss can vary from person to person. Some individuals may notice a difference in appetite and metabolism within a few weeks of consistent use, while others may take longer to see significant changes. It is important to be patient and stay consistent with your use of CBD gummies to achieve the best results.

3. Can CBD gummies help with stubborn belly fat?

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While CBD gummies can help support weight loss and overall fat reduction, targeting stubborn belly fat specifically may require additional lifestyle changes such as a healthy diet and regular exercise. Incorporating CBD gummies into your routine can be a helpful addition to your weight loss efforts, but it may not directly target belly fat without other lifestyle modifications.

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