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How do I stop gaining weight after stopping Mounjaro or Ozempic? - Dr. Sue Decotiis on Pix11 News Mounjaro have been game changers for people with diabetes and obesity. But once the weight off, is it gone for good? Now, in an Eli Lilly study, when patients stopped taking medication like Mounjaro after 36 weeks, most regained about 14% of their body weight. Other findings were somewhat similar for Ozempic, where two thirds of the total weight loss was then regained. Now some are calling this the Ozempic rebound. So joining us now to talk about it is weight loss expert doctor Sue Decotiis. Welcome to the show. Thank you so much. Okay doctor I feel like everyone is talking about this weight loss journey for a lot of people. First of all, tell us, do you prescribe or recommend this for people and have you seen similar results with the weight coming back? Well, I practice here in Manhattan and my patients are pretty tough. You know, they don't want to regain that weight. As you know, this medication is very expensive. Okay. So what we do is we follow patients very carefully and we put them on a body composition scale every week, every other week. And we make sure they're actually losing fat. Okay. And their muscle is staying the same. They're drinking a lot of water. And we find that after we reach their ideal goal weight, I mean, body fat, not just total weight, okay. That's really important. Most of the doctors prescribing this medication are not even putting people on a body composition scale. And a lot of the studies done by Lilly and Novo Nordisk did not even include a body comp scale. It sounds like rather than just prescribing this medication, you also look at lifestyle changes. Exactly. We do. People, but. We watch that body fat, you know, because a lot of us are heavy, not because we overeat. Our metabolism slows down. Right. So that's what this drug does. It turns insulin on. The other issue that we have is there are a lot of shortages. I mean, I see patients in Connecticut, new Jersey, New York, they come in to see me all over the country. There are shortages all over the place. What the worst thing someone can do is stop the drug abruptly. Okay, so with my patients, I titrate the drug up and I taper it down. That makes such a difference. There's also something called. Touching base on that. How long is someone typically on these drugs? Because it sounds like you start them at one level and you kind of really depends on their metabolism. Exactly. So if I'm following your body composition scale, I'm seeing what's happening with your body fat as I'm taking the drug down. And when I do that, I'll see how well your body is holding. Some people can get off it pretty easily. Okay. We also know now that estrogen is really a positive modulator. See, this is where we're ahead, right? Most of the time women, we have trouble losing weight. We can't compete with men. Right. Estrogen tends to be a modulator for this drug. So women do very very well on this medication. So it really depends on the individual. But when we're monitoring you it's really important that we take you down okay. So if someone is coming off of the medication what other lifestyle changes or what do you suggest that they implement into their life to make sure that they're keeping. Well, if they haven't been? And many of my patients are, they do have a good lifestyle. But we encourage exercise. We don't encourage heavy aerobics, but we want them to build muscle. We want them to eat a lot of protein and vegetables. We measure the fiber in their diet. But again, if insulin isn't working, you can eat really, really well. And my patients are not the type of people that are just watching at home, watching TV and eating Oreos, right? These people are very active. So and these drugs like Mounjaro, Tirzepatide, ozempic, Semaglutide, they really have to be monitored very carefully. And my practice, for the most part, I love to use Tirzepatide. Are there any differences in the medication? There really. Are. So Manjaro is the newer drug okay. And that works by affecting two areas in the stomach, something called GIP as well as GIP one. In my practice, people have lost a lot more weight on Manjaro and Tirzepatide than they did on Ozempic, so that's pretty much my go to drug. There are also less side effects, and I feel that people are more easily tapered off that drug. And the Lilly studies have shown that people lost a lot more body fat on Mounjaro than they did in Ozempic, so realized it's not how much weight you lose. What's your body fat? That's really key, and most people are not getting that advice. Sue Decotiis, MD 20 E 46th St., #1201 New York, NY 10017 Phone: (917) 261-3177 www.drdecotiis.com/ozempic-semaglutide-mounjaro-tirzepatide-weight-loss-doctor-manhattan-nyc pix11.com #Ozempic #Mounjaro #Wegovy #Semaglutide #WeightLoss #weightlossnyc #WeightLossPrescriptions #MedicalWeightLoss #WeightLossDoctor #NYC #DR #MD #News #Pix11

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Nicola Coughlan is not just a talented actress known for her role in the hit series ‘Bridgerton’; she is also a remarkable individual who has inspired many with her recent weight loss journey. Coughlan’s story is one of resilience and determination, reminding us that transformation is possible with the right mindset and commitment to one’s health. For many years, she has openly discussed her struggles with body image and the importance of self-love and acceptance. With the pressures of the entertainment industry, Nicola’s journey shows us that it is not only important to pursue aesthetic goals but also to focus on overall health and well-being.

Beginning her journey, Nicola faced many challenges, including societal expectations placed on women regarding body shape and size. Her decision to embark on a weight loss journey stemmed from a desire to feel more comfortable in her own skin rather than succumbing to external pressures. She reported that her motivation was rooted in wanting to lead a healthier lifestyle, gain more energy, and enjoy life to the fullest. Coughlan embraced her journey with a positive attitude, aiming to make sustainable changes that would benefit her in the long run.

Throughout her weight loss, Nicola utilized various methods that not only transformed her physical appearance but also empowered her mentally. She discovered a newfound joy in exercise and began exploring different forms of fitness that resonated with her, such as dancing and cardio workouts. Along this journey, she connected with nutritionists who helped guide her in making healthier food choices. By sharing her experiences, Nicola became a beacon of hope for many, illustrating that one’s body can be an instrument of self-expression and health improvement, rather than simply a means of conforming to societal beauty standards.

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One of the pivotal aspects of Nicola Coughlan’s weight loss journey was her commitment to exercise. Early in her transformation, Nicola realized that incorporating physical activity into her routine was essential for achieving her goals. She explored various fitness activities, from high-energy dance classes to more serene and meditative practices like yoga. This multifaceted approach kept her engaging with fitness and allowed her to discover what she truly enjoyed, making the journey more sustainable and enjoyable.

Moreover, Coughlan emphasized that exercise should not feel like a chore but rather a celebration of movement. She found that when she approached fitness with a playful mentality, it became easier to stay consistent. In her journey, she shared insights about how finding a workout routine that suits one’s personality can dramatically influence overall success. Whether joining a bustling dance class or taking a quiet solo workout in nature, her passion for movement became a crucial component of her transformation.

As she progressed, Nicola also focused on setting realistic goals. Rather than aiming for drastic changes within an unrealistic timeframe, she broke her journey down into smaller, attainable milestones. This strategy not only kept her motivation high but also allowed her to celebrate each small victory along the way, reinforcing her commitment to herself and her health. Coughlan’s approach serves as a reminder that fitness is a personal pilgrimage, and meeting oneself where one currently stands in terms of health can lead to profound change.

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Nutrition is another key element that played a significant role in Nicola Coughlan’s weight loss journey. As she sought to redefine her relationship with food, Coughlan took the time to learn about the benefits of a balanced diet. Instead of resorting to restrictive dieting, she opted for a holistic approach, focusing on integrating whole, nutritious foods into her daily meals. This shift allowed her to maintain her energy levels, enhance her mood, and support her body throughout her weight loss.

Additionally, she partnered with nutritionists and meal prep experts who helped her understand portion control and mindful eating. By learning to listen to her body’s hunger cues and recognizing the importance of nourishing foods, she found that eating could be both a pleasurable and healthful experience. This newfound relationship with food fueled her commitment to sustain her journey long-term, moving away from the cycle of dieting and deprivation that so many experience.

Moreover, Nicola became an advocate for balance rather than perfection. She encourages others to allow for occasional indulgences while treating themselves with kindness in every phase of their journey. Coughlan’s approach illustrates that nourishment is not just about what one eats but also about how one feels towards food, reinforcing the notion that maintaining a balanced diet can be a crucial factor in overall well-being.

Building a Support System: The Role of Community

Throughout her remarkable transformation, Nicola Coughlan highlights the impact of having a supportive community. From sharing her journey on social media to connecting with friends and family, she emphasized that surrounding oneself with positivity can make a world of difference. Coughlan’s transparency in sharing her highs and lows fostered connections with fans and followers who resonated with her experience, showing others that they are not alone in their struggles.

Moreover, having a network of uplifting individuals can encourage accountability and motivation along the way. Whether running with a friend or attending a fitness class together, building a community can provide the needed support to stay on course during challenging times. Nicola found that the camaraderie shared in group workouts or healthy cooking sessions further ignited her passion for health, creating lasting bonds and shared goals.

In sharing her journey, Nicola Coughlan became a source of inspiration for many others who are navigating their weight loss stories. By promoting body positivity and openly discussing the importance of mental health in conjunction with physical changes, she offered a refreshing perspective on what it means to be healthy. This approach cultivates an environment of support and resilience, fostering a culture where everyone can celebrate each other’s achievements regardless of the size of their goals.

Empowerment Through Self-Acceptance: Nicola’s Philosophy

Central to Nicola’s weight loss journey is her philosophy of self-acceptance and empowerment. While achieving her fitness and health goals was important, she made it clear that the journey should begin with a foundation of love for oneself. Coughlan believes that true transformation comes from within, and embracing one’s uniqueness is crucial for a sustainable path to growth. Through her triumphs and trials, she has advocated that each individual should honor their personal journey without adhering to societal pressures.

Furthermore, Nicola’s open conversations about body image serve to challenge the unrealistic standards often perpetuated by the media. By addressing her own experiences with self-doubt and acceptance, she emphasizes that self-love is key to achieving happiness and confidence. This message has resonated with many of her fans, motivating them to look beyond the number on the scale and recognize their inherent worth.

Ultimately, Nicola Coughlan’s story is a testament to the power of resilience, kindness, and determination. By empowering others to embrace their journeys, define their goals, and cultivate a supportive environment, she has become an inspiration to many. Her commitment to self-acceptance reminds us that achieving one’s dreams starts with loving ourselves and acknowledging that transformation is a continuous journey, not a destination.

Understanding the Journey: Summary and Common Questions

Nicola Coughlan’s inspiring journey of losing 28 pounds emphasizes a holistic approach to health and wellness, focusing on physical fitness, nutritious eating, emotional well-being, and community support. For those interested in her journey, it is vital to understand that transformation does not happen overnight. It requires patience, dedication, and a desire for self-improvement. Coughlan’s story teaches us the essence of self-acceptance, urging everyone to appreciate their bodies while seeking to improve their health.

Many people may wonder about the specific strategies she employed. Nicola’s exercise routine varied, emphasizing joy in movement rather than rigorous regimens. Her nutritional transformation focused on integrating whole foods and maintaining balance, allowing room for enjoyment rather than restriction. It underscores a crucial understanding that one’s relationship with food and exercise should be characterized by respect and enjoyment rather than punishment.

Incorporating a strong support system is another common query. Whether through friends, family, or online communities, surrounding oneself with like-minded individuals can enhance motivation and accountability. Nicola exemplifies the importance of sharing one’s journey openly, allowing mutual support that fosters personal growth. Ultimately, the collective message from Coughlan’s journey is about embracing oneself, creating sustainable habits, and preparing to face the challenges that may arise along the way. As her story unfolds, she continues to inspire countless individuals to embark on their journeys with hope and positivity.

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