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Welcome back to the CardioNerds Cardiovascular Prevention Series, where we are continuing our discussion of Glucagon-like Peptide-1 Receptor Agonists (GLP-1 RAs). This class of medications is becoming a household name, not only for their implications for weight loss but also for their effect on cardiovascular disease. CardioNerds Dr. Ty Sweeney (CardioNerds Academy Faculty Member and incoming Cardiology Fellow at Boston Medical Center), Dr. Rick Ferraro (CardioNerds Academy House Faculty and Cardiology Fellow at Johns Hopkins Hospital), and special guest Dr. Franck Azobou (Cardiology Fellow at UT Southwestern) sat down with Dr. Darren McGuire (Cardiologist at UT Southwestern and Senior Editor of Diabetes and Vascular Disease Research) to discuss important trial data on GLP-1 RAs in patients with heart disease, as well as recent professional society guidelines on their use. Show notes were drafted by Dr. Ty Sweeney. Audio editing was performed by CardioNerds Intern student Dr. Diane Masket. If you haven’t already, be sure to check out CardioNerds episode #350 where we discuss the basics and mechanism of action of GLP-1 RAs with Dr. Dennis Bruemmer. This episode was produced in collaboration with the American Society of Preventive Cardiology (ASPC) with independent medical education grant support from Novo Nordisk. See below for continuing medical education credit. Claim CME for this episode HERE. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - GLP-1 Agonists: Diving into the Data Patients with diabetes and clinical atherosclerotic cardiovascular disease (ASCVD) or who are at high risk of ASCVD benefit from treatment with a GLP-1 RA. For persons with sufficient ASCVD risk and type 2 diabetes, GLP-1 RAs and SGLT2 inhibitors can, and often should, be used in combination. "Just like we don’t consider ‘and/or’ for the four pillars of guideline-directed medical therapy for heart failure with reduced ejection fraction, we shouldn’t parcel out these two therapeutic options...it should be both.” Setting expectations with your patients regarding injection practices, side effects, and expected benefits can go a long way toward improving the patient experience with GLP-1 RAs. Utilize a multidisciplinary approach when caring for patients on GLP-1 RAs. Build a team with your patient’s primary care provider, endocrinologist, clinical pharmacist, and nurse. “This is really a cardiologist issue. These are no longer endocrinology or primary care drugs. We need to be prescribing them ourselves just like we did back in the nineties when we took over the statin prescriptions from the endocrinology domain...we need to lead the way.” Show notes - GLP-1 Agonists: Diving into the Data For which patients are GLP-1 RAs recommended to reduce the risk of major cardiac events? For patients with type 2 diabetes and ASCVD, starting a GLP-1 RA carries a Class 1, Level of Evidence A recommendation in the most recent ESC and ACC guidelines. For patients without diabetes or clinical ASCVD with an estimated 10-year risk of CVD exceeding 10%, consideration of starting a GLP-1 RA carries a Class 2b, Level of Evidence C recommendation to reduce CV risk. The STEP-HFpEF trial showed that among patients with obesity and HFpEF, once-weekly semaglutide may be beneficial in terms of weight loss and quality of life. The results of the FIGHT and LIVE trials question the utility and safety of liraglutide in treating patients with advanced HFrEF. Of the over 17,000 patients enrolled in the SELECT trial, about 25% had heart failure, of which about one-third had HFrEF. Stay tuned for sub-analyses from that trial for more info! Can we still prescribe GLP-1 Ras in patients with well-controlled T2DM?

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Semaglutide is a medication that has gained popularity for its potential to aid in weight loss. This drug, originally approved for the treatment of type 2 diabetes, has shown promising results in promoting weight loss in individuals who are obese or overweight. However, like any medication, semaglutide comes with a list of potential side effects that users should be aware of. In this article, we will explore the side effects of semaglutide for weight loss and provide a comprehensive overview of the risks and benefits associated with this medication.

Common Side Effects

While semaglutide is generally well-tolerated, like any medication, it can cause side effects in some individuals. Common side effects of semaglutide for weight loss include nausea, vomiting, diarrhea, constipation, and abdominal pain. These gastrointestinal side effects are typically mild to moderate in severity and tend to improve over time as the body adjusts to the medication. If these side effects persist or worsen, it is important to consult with a healthcare provider.

Another common side effect of semaglutide is a decreased appetite, which can lead to weight loss. While this may be a desired effect for individuals seeking to lose weight, it can also cause potential concerns for individuals who struggle with maintaining a healthy weight. It is important to monitor changes in appetite while taking semaglutide and discuss any concerns with a healthcare provider.





Serious Side Effects

In addition to common side effects, semaglutide can also cause more serious side effects that require immediate medical attention. These include pancreatitis, kidney problems, allergic reactions, and thyroid tumors. Pancreatitis is a rare but severe side effect that can cause abdominal pain, nausea, vomiting, and fever. Kidney problems may manifest as changes in urine output, swelling in the legs or feet, or fatigue. Allergic reactions to semaglutide may cause rash, itching, swelling, or difficulty breathing. Thyroid tumors are a rare side effect that may present as a lump in the neck, difficulty swallowing, or changes in voice.

It is important to seek medical attention if any of these serious side effects occur while taking semaglutide. These side effects may require immediate treatment to prevent further complications and ensure the safety of the individual taking the medication.

Long-Term Risks

While semaglutide has shown promise in promoting weight loss and improving metabolic health, there are also potential long-term risks associated with this medication. Some studies have suggested a possible increased risk of retinopathy with the use of GLP-1 receptor agonists, such as semaglutide. Retinopathy is a condition that affects the blood vessels in the retina and can lead to vision loss if left untreated.

In addition, there have been concerns raised about the potential cardiovascular risks of semaglutide, particularly in individuals with pre-existing heart conditions. It is important for individuals considering the use of semaglutide for weight loss to discuss the potential risks and benefits with their healthcare provider and undergo regular monitoring to ensure the medication is safe and effective for them.

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In conclusion, semaglutide is a medication that can be effective in promoting weight loss in individuals who are obese or overweight. However, like any medication, semaglutide comes with a list of potential side effects that users should be aware of. Common side effects of semaglutide include gastrointestinal symptoms and decreased appetite, while serious side effects may include pancreatitis, kidney problems, allergic reactions, and thyroid tumors. It is important for individuals considering the use of semaglutide for weight loss to discuss the potential risks and benefits with their healthcare provider and undergo regular monitoring to ensure the medication is safe and effective for them.

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The ketogenic diet, commonly known as the keto diet, has taken the health and wellness world by storm in recent years. This high-fat, low-carb diet has been touted for its numerous health benefits, including weight loss, improved energy levels, and better mental clarity. While the keto diet has gained popularity among health enthusiasts and celebrities alike, it has also caught the attention of investors and entrepreneurs on the hit TV show Shark Tank.

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The keto diet involves drastically reducing carbohydrate intake and replacing it with healthy fats, leading the body to enter a state of ketosis. In this metabolic state, the body becomes efficient at burning fat for fuel, resulting in weight loss and other health benefits. Whether it’s through social media influencers, celebrity endorsements, or success stories shared online, the keto diet has garnered a large following and changed the lives of many individuals.

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Another successful keto business that appeared on Shark Tank is Peak Yogurt, a company that makes high-fat, low-carb yogurt for keto followers. After receiving an investment from Mark Cuban on the show, Peak Yogurt has experienced a surge in demand for their products and has been able to expand into new markets. The exposure and credibility gained from appearing on Shark Tank have helped these keto businesses scale and thrive in a competitive market.

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While appearing on Shark Tank can be a game-changer for keto entrepreneurs, it’s essential to remember that success is not guaranteed. The Sharks are seasoned investors who carefully evaluate each pitch and business opportunity before deciding to invest. To stand out on the show, keto entrepreneurs must have a compelling product or service, a solid business plan, and a strong pitch that highlights the unique value proposition of their keto business.

Ultimately, the synergy between keto and Shark Tank demonstrates the power of innovation, entrepreneurship, and investment in the health and wellness industry. As the keto diet continues to gain popularity and evolve, we can expect to see more keto-related businesses making a splash on Shark Tank and beyond, inspiring others to pursue their entrepreneurial dreams in the ever-growing keto market.

FAQ

1. What are some popular keto products that have appeared on Shark Tank?

Several keto businesses, such as Nui and Peak Yogurt, have experienced success after appearing on Shark Tank and securing deals with the Sharks. These companies offer keto-friendly snacks and foods that cater to individuals following a low-carb lifestyle.

2. How can keto entrepreneurs increase their chances of success on Shark Tank?

To succeed on Shark Tank, keto entrepreneurs must have a unique product or service, a solid business plan, and a compelling pitch that showcases the value of their keto business. It’s essential to demonstrate market potential, differentiation, and scalability to attract the interest of the Sharks.

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3. What lessons can be learned from the synergy between keto and Shark Tank?

The success of keto businesses on Shark Tank highlights the power of innovation, entrepreneurship, and investment in the health and wellness industry. By leveraging the exposure and expertise of the Sharks, keto entrepreneurs can scale their businesses and make a lasting impact in the competitive market.

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