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In this weight loss update, I share how being taken off blood pressure medications has impacted my progress in April, and what has happened since starting back on medications. I also share how I've been doing with meeting my goals. I started taking Mounjaro/GLP-1 in March of 2023. I have been diagnosed to be Pre-diabetic, have PCOS, have high blood pressure, and asthma. I am in my mid (pushing late) 40's and I am starting what I hope to be a life changing journey to live a healthy and happy 2.0 stage of life. I started documenting my weight loss and health journey immediately, but only recently gained the courage to share my video diaries with the world. In my videos I discuss my results, side effects I experienced, what I ate throughout the week, and what tips and tricks I learned to assist me along the way. Since I started down this road, there have certainly been ups and downs. My hope is that by sharing my experiences, I can be a help to others who might be just getting started or who continue on a journey of weight loss and healthy living, just as others have been for me on this platform. Thank you for watching and please, like, subscribe, and leave me a comment in the chat! Must haves that have aided me throughout my journey: Fiber Powder - I get mine from Costco but you can use any generic brand Collogen Peptides - I use Orgain or Vital Proteins and get it from Costco Liquid IV - typically purchased from Costco when on sale AG1 - This has been a complete game changer for me when it comes to the constipation. Use my link and get a one year supply of Vitamin D3+K2, plus 5 free travel packs. - https://fbuy.io/ag/dpaige23 Edited using: https://www.blackmagicdesign.com/products/davinciresolve Music from: https://www.epidemicsound.com/

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In this episode, Dr. Tyna shares her personal and professional insights into the groundbreaking potential of GLP-1 agonists for addressing chronic pain, joint health, and musculoskeletal conditions. Drawing on over a decade of experience in pain management and regenerative medicine, she explains how these peptides go beyond weight loss to support bone, muscle, and even the nervous system. 🚨 What You’ll Learn: 1️⃣ How GLP-1 agonists protect muscle and bone, supporting long-term health 2️⃣ The role of GLP-1 in restoring balance between bone-building and bone-resorbing cells 3️⃣ Why GLP-1 can help prevent unhealthy fat infiltration into joints, muscles, and bones 4️⃣ The connection between GLP-1, central nervous system inflammation, and chronic pain relief 5️⃣ Mind-blowing findings from rodent studies showing up to 90% pain reduction with GLP-1 therapies 💡 Key Takeaway: GLP-1 agonists represent a revolutionary approach to treating not only metabolic dysfunction but also chronic pain and musculoskeletal health challenges. 👉 This is a must-watch for anyone curious about innovative solutions for pain management and joint health. _____________________________________________________________________________________________ 𝐈𝐧𝐬𝐭𝐚𝐠𝐫𝐚𝐦 - https://www.instagram.com/drtyna/ 𝐖𝐞𝐛𝐬𝐢𝐭𝐞 - https://www.drtyna.com/ 𝐒𝐭𝐨𝐫𝐞 - https://store.drtyna.com/ 𝐂𝐨𝐮𝐫𝐬𝐞𝐬 - https://www.drtyna.com/store 𝐌𝐞𝐭𝐚𝐛𝐨𝐥𝐢𝐜 𝐑𝐞𝐯𝐚𝐦𝐩 𝐓𝐨𝐨𝐥𝐤𝐢𝐭 - https://bit.ly/drtynametabolicrevamp 𝐅𝐑𝐄𝐄 𝐆𝐮𝐢𝐝𝐞 - Assess Your Metabolic Health - https://www.drtyna.com/metabolism 𝑶𝒛𝒆𝒎𝒑𝒊𝒄 𝑼𝒏𝒄𝒐𝒗𝒆𝒓𝒆𝒅 𝑭𝑹𝑬𝑬 4 𝑷𝒂𝒓𝒕 𝑽𝒊𝒅𝒆𝒐 𝑺𝒆𝒓𝒊𝒆𝒔 https://www.drtyna.com/ozempicuncovered 𝑺𝒖𝒃𝒔𝒄𝒓𝒊𝒃𝒆 𝒕𝒐 𝑻𝒉𝒆 𝑫𝒓. 𝑻𝒚𝒏𝒂 𝑺𝒉𝒐𝒘: 🍎Apple Podcasts: https://apple.co/4bm3R3m 🎵Spotify: https://spoti.fi/3OtOps7 🎙️Substack: https://drtyna.substack.com/ _____________________________________________________________________________________________ 𝗗𝗜𝗦𝗖𝗟𝗔𝗜𝗠𝗘𝗥: Information provided in this podcast is for informational purposes only. This information is NOT intended as a substitute for the advice provided by your physician or other healthcare professional, or any information contained on or in any product. Do not use the information provided in this podcast for diagnosing or treating a health problem or disease, or prescribing medication or other treatment. Always speak with your physician or other healthcare professional before taking any medication or nutritional, herbal or other supplement, or using any treatment for a health problem. Information provided in this blog/podcast and the use of any products or services related to this podcast by you does not create a doctor-patient relationship between you and Dr. Tyna Moore. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent ANY disease.

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Drs Akshay Jain and Girish Joshi discuss clinical considerations to keep in mind when someone on GLP-1 therapy is undergoing elective procedures. https://www.medscape.com/viewarticle/glp-1-guidance-reduce-regurgitation-and-aspiration-risk-2024a1000d35?src=soc_yt -- TRANSCRIPT -- Akshay B. Jain, MD: Welcome back to ADA 2024 updates. I'm endocrinologist Dr Akshay Jain from Vancouver in Canada, and today we've got a very special guest. We've got Professor Dr Girish Joshi. Dr Joshi is a professor of anesthesiology and pain medicine at UT Southwestern in Dallas, Texas. He was one of the speakers at a very impactful session that was talking about the postoperative and intraoperative considerations for people who are on GLP-1 therapy. He's here to talk with us about clinical considerations that one needs to keep in mind when someone on glucagon-like peptide 1 (GLP-1) receptor agonist therapy is undergoing elective procedures. Welcome, Dr Joshi. Girish P. Joshi, MD: Thank you, Akshay. It's an honor. Jain: I was attending your session, and I found it very clinically impactful. This is something that we are seeing more and more in clinical practice. For our viewers today, can you share with us, as an anesthesiologist, the potential risks for aspiration and the rates of aspiration that you're seeing in people who are on GLP-1 therapy? Joshi: We don't know the exact rate of aspiration with GLP-1 therapy because there are no good studies, but there are several anecdotal reports, including several personal communications where people have contacted me and the American Society of Anesthesiologists (ASA). I'm the chair of the task force for these GLP-1 recommendations developed by the ASA. To give an example, one of the cases reported to me was from a colleague in Dallas where a patient, otherwise completely healthy, came in for a shoulder arthroscopy — a simple outpatient procedure in a freestanding ambulatory surgery center. Surgery went fine. At the end of the procedure, she regurgitated gastric content and aspirated, and then had to be taken to the intensive care unit (ICU) and she spent 7 days in the ICU. Retrospectively, it was recognized that she was on GLP-1 therapy for weight loss, which was not disclosed. This was just before the ASA came up with the guidance, basically, so people didn't know that GLP-1 receptor agonists do increase the risk for aspiration. Jain: That's a really good point straight from your clinical practice. For our viewers who may not be familiar with the guidelines, could you tell us, in a nutshell, for people on GLP-1 therapy who are going in for an elective procedure that requires general anesthesia, what would be the recommendations for holding GLP-1s? Joshi: I have to first emphasize that currently, the evidence to provide any guidance is sparse, and whatever studies are available are basically questionable or of poor quality. With that said, the reason why the ASA came up with the guidance was to inform our colleagues, anesthesiologists, as well as our colleagues from surgery and other proceduralists of this concern about increased regurgitation and aspiration in patients on GLP-1 receptor agonists. That was the primary aim. Because the evidence is sparse, we basically came up with different approaches to decrease or mitigate the risk for regurgitation and aspiration. It starts with having a collaborative discussion, including the patients, or shared decision-making with the physicians and the patient regarding the potential risks, so mention to the patient that there is a potential risk. Then, avoid the elective procedures in patients at high risk. Examples of patients at high risk would be those who are basically in the escalation phase of the GLP-1 therapy, patients with prior history of gastroparesis, or patients on drugs that can cause gastroparesis. I don't know whether you remember I had an algorithm I developed and presented at the American Diabetes Association (ADA) meeting, where I presented the potential risk factors. If the patients are at risk for regurgitation and aspiration, that's the patient population we've got to be extra careful with. Maybe start off withholding the drug if the patients are on, say, a weekly therapy, then 1 week before, though the evidence is minimal. Nevertheless, more importantly, avoid elective procedures during that escalation phase in this patient population. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/glp-1-guidance-reduce-regurgitation-and-aspiration-risk-2024a1000d35?src=soc_yt

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