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What I envision is for physicians to embrace a comprehensive approach to metabolic health, especially when treating adolescents. It is crucial to be open to all available treatments and to initiate conversations about GLP-1 receptor agonists. By doing so, we can begin to address insulin resistance and type 2 diabetes more effectively in this young population. Physicians need to expand their knowledge about these medications and consider their potential benefits. For instance, the TODAY2 study provides valuable insights into type 2 diabetes in adolescents and highlights the efficacy of these treatments. It’s important for us as medical professionals to stay informed and proactive, given that our training may not have covered these newer developments extensively. Furthermore, assessing your patients thoroughly is essential. Obtain their lab results and avoid assumptions that they will simply outgrow their conditions. Don't shy away from discussions about potential treatments out of fear of causing harm. Many teens are struggling significantly with metabolic health issues, and their parents often feel lost in how to support them. As physicians, we must take the lead in ordering labs, discussing insulin resistance, exploring medication options, and considering prescriptions when appropriate. Karla Lester is a pediatrician, certified life and weight coach, and diplomate, American Board of Obesity Medicine. Link in bio or visit https://kevinmd.com/podcast #TeenHealth #MetabolicHealth #GLP1Medications #InsulinResistance #AdolescentDiabetes #DiabetesCare #TODAY2Study #PhysicianTips #TeenDiabetes #HolisticHealth SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RATE AND REVIEW → https://www.kevinmd.com/rate FOLLOW ON INSTAGRAM → https://www.instagram.com/kevinphomd FOLLOW ON TIKTOK → https://www.tiktok.com/@kevinphomd

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******** July 28 2009 ****** I found something even better than fasting to lose weight. Check out my video Getting Younger III Just by drinking the water I have lost 10 pounds with out even paying attention or fasting ********Using yoga and science discover the ancient method of rejuvenation. Learn how to cure type II diabetes in less than a year Feb.7 - 262 lbs. Feb. 28 - 255 lbs Check back later for other weights. march 4 -253 march 11 -253 march 21 - 257 oops weight went up. I have started eating whatever I want now, just to see how I feel. I feel wonderful, even though I started eating things like pizza again( almost a whole pie at one sitting). The taste of food is much better, even during the whole week - not just after the fast is broken. I had three bagels with cream cheese and butter this morning. Delicious. It is comforting to know that even though I eat whatever I want, whenever I want when I an not fasting, the weight does not balloon like it did when I did other diets. If I want, I could fast a second day during the week and the weight will go down. April 29, 2008 Weight was 254.5 after fast on Monday. I am now fasting two days during the week for last 2 weeks. Weight has come down, but slowly. I am still eating very high caloric food, such as whipped cream, birthday cake, etc. It is some kind of karmic thing, I guess. But my waistline continues to contract. I had to drill some holes in my belts, as they no longer held up my pants. Two other facts stand out.My stomach has shrunk considerably. I cannot eat two baked potatoes at a sitting, as I could before. I was extremely full after 1. So I guess this is the cheap alternative to stomach stapling. The second thing I noticed was my skin texture changed to a much smoother feel. I did not notice this effect with the weekly fast. I do know that the skin does get rid of toxins through the skin. Perhaps this effect is due to the continued fasting rather than the 2 days per week. May 25, 2008. - I am still at the same weigth, in spite of fasting two days a week. I have noticed that I am finally now decreasing the total amount of food I am now eating, so I know the calorie count is now going down. I am going to now start a Hatha Yoga regimen, to enhance the further loss of weight. I do feel much better, even if I still have the same weight. My blood pressure seems to have normalized at 120/80. I have come across a wonderful free book on fasting, which covers some of the points made, plus a great deal more. The link is; http://quickfasting.com/index.html Nathaniel Bronner Jr. has taken a scientific look at fasting. I highly recommend it.

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