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Relazione presentata duranti i lavori del XXVI Congresso Nazionale della SINPF (Societร  Italiana di NeuroPsicoFarmacologia) tenutosi a Milano dal 22 al 24 gennaio 2025 Abbonati a questo canale per sostenere il lavoro di Volontariato Culturale e Scientifico di Psychiatry on line Italia. Si parte da 10 centesimi al giorno per farlo. Contiamo sul tuo sostegno, segui il link: https://www.youtube.com/channel/UC2PUzR2-4eTBwucYhVXuSOw/join

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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 havenโ€™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 donโ€™t consider โ€˜and/orโ€™ for the four pillars of guideline-directed medical therapy for heart failure with reduced ejection fraction, we shouldnโ€™t parcel out these two therapeutic options...it should be both.โ€ 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 patientโ€™s primary care provider, endocrinologist, clinical pharmacist, and nurse. โ€œThis 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.โ€ 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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Join me as I share my week 8 Mounjaro journey results! As a 49-year-old, 5'10" woman, I started at 216.4 pounds. I'm now on a 5mg dose. This video reveals my progress, including measurements and weight loss. Watch to see how the medication, along with diet and exercise, has impacted my journey. I will share my measurements, how my clothes fit, and most importantly, the weight scale reading! I explain the difference between last week and this week, emphasizing the importance of staying on course!#MounjaroJourney #WeightLoss #HealthUpdate #Transformation #WeightLossMedication

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Gunna, the Atlanta-based rapper known for his melodic flow and infectious beats, has recently embarked on a mission to improve his health and lose weight. With his busy schedule and demanding lifestyle, Gunna has decided to prioritize his well-being and make positive changes to his diet and exercise routine. In this article, we will explore Gunnaโ€™s journey to weight loss and how he is using his platform to inspire others to prioritize their health.

Healthy Lifestyle Choices

Gunnaโ€™s decision to focus on his health and well-being goes beyond just physical appearance. He understands the importance of making healthy lifestyle choices to ensure longevity and overall well-being. By incorporating nutritious foods into his diet and staying active through exercise, Gunna is setting a positive example for his fans and followers.

Additionally, Gunna has been vocal about the mental health benefits of taking care of oneself. He acknowledges that staying physically active and eating well can greatly impact oneโ€™s mental state and overall mood. By prioritizing his health, Gunna is not only improving his physical well-being but also his mental and emotional wellness.

Motivation for Change

Gunnaโ€™s motivation for change stems from a desire to lead a healthier and more balanced lifestyle. As a prominent figure in the music industry, Gunna recognizes the influence he has on his fans and the importance of setting a positive example. By sharing his weight loss journey and the changes he is making to his lifestyle, Gunna hopes to inspire others to prioritize their health and well-being.

Moreover, Gunnaโ€™s motivation for change comes from a personal drive to feel better and improve his overall quality of life. By making small changes to his daily routine and committing to a healthier lifestyle, Gunna is taking control of his well-being and setting himself up for long-term success.

Support from Fans and Followers

Since going public with his weight loss journey, Gunna has received overwhelming support from his fans and followers. Many have praised his dedication to improving his health and have expressed admiration for his transparency and honesty. Gunnaโ€™s willingness to share his journey with others has created a sense of community and camaraderie among those who are also working towards better health.

Furthermore, Gunnaโ€™s fans have been inspired by his authenticity and vulnerability in discussing his struggles and challenges. By being open about his journey to weight loss, Gunna has encouraged others to be more open about their own health goals and aspirations.

Impact on the Music Industry

Gunnaโ€™s dedication to his health and well-being is not only inspiring his fans but also making waves in the music industry. As a successful rapper and influential figure, Gunnaโ€™s commitment to a healthier lifestyle is reshaping the narrative around self-care and wellness. By using his platform to promote positive change, Gunna is challenging stereotypes and encouraging others in the industry to prioritize their health.

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Additionally, Gunnaโ€™s focus on his well-being is setting a new standard for health and wellness within the music industry. His willingness to openly discuss his weight loss journey and the changes he is making to his lifestyle is sparking important conversations about the importance of self-care and prioritizing oneโ€™s health.

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Shark Tank has been known for its innovative and groundbreaking products that have revolutionized various industries. One such product that has been making waves is the Keto BHB Capsules, which have been dubbed as the โ€œCapsule Revolution.โ€ These capsules have taken the weight loss industry by storm, with their unique formulation and effectiveness in promoting fat loss and overall health.

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The Keto BHB Capsules work by putting the body in a state of ketosis, where it burns fat for fuel instead of carbohydrates. This is achieved through the use of exogenous ketones, specifically Beta-Hydroxybutyrate (BHB), which is the most abundant ketone body produced during ketosis. By increasing the levels of BHB in the body, the capsules help kickstart the fat-burning process, leading to rapid weight loss.

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How to Use Keto BHB Capsules

Using Keto BHB Capsules is simple and convenient. Just take the recommended dosage of capsules with a glass of water, preferably on an empty stomach. It is advised to take the capsules in the morning to maximize their effectiveness throughout the day. For best results, it is recommended to follow a ketogenic diet, which is high in fats, moderate in protein, and low in carbs. This will help ensure that your body stays in ketosis and continues burning fat for fuel.

It is important to note that while Keto BHB Capsules can help accelerate weight loss, they are not a magic solution. They should be used in conjunction with a healthy diet and regular exercise for optimal results. It is always recommended to consult with a healthcare professional before starting any new supplement regimen, especially if you have any underlying medical conditions or are taking any medications.

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Many users of Keto BHB Capsules have reported significant weight loss results in a short amount of time. Some have even dubbed the capsules as a โ€œmiracle pillโ€ for their ability to help shed excess pounds and improve overall health. Users have reported feeling more energized, focused, and confident after incorporating the capsules into their daily routine. With numerous success stories and positive testimonials, itโ€™s no wonder that the Keto BHB Capsules have gained popularity among those looking to transform their health and wellness.

Overall, the Keto BHB Capsules have proven to be a game-changer in the weight loss industry, offering a safe and effective solution for those looking to achieve their health and fitness goals. With their unique formulation, science-backed ingredients, and real results, itโ€™s no wonder that they have been endorsed by Shark Tank and hailed as the โ€œCapsule Revolution.โ€

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FAQ

1. Are Keto BHB Capsules safe to use?

Yes, Keto BHB Capsules are generally considered safe for most individuals. However, it is always recommended to consult with a healthcare professional before starting any new supplement regimen, especially if you have any underlying medical conditions or are taking any medications.

2. How long does it take to see results with Keto BHB Capsules?

Results may vary from person to person, but many users have reported seeing noticeable results within a few weeks of consistent use. For best results, it is recommended to follow a ketogenic diet and incorporate regular exercise into your routine.

3. Can I take Keto BHB Capsules if Iโ€™m not following a ketogenic diet?Chemist Warehouse Weight Loss Gummies Are They Effective

While following a ketogenic diet can enhance the effects of Keto BHB Capsules, you can still experience benefits from taking the capsules even if youโ€™re not following a strict keto diet. However, for optimal results, it is recommended to follow a low-carb, high-fat diet alongside taking the capsules.

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