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The video version of this podcast can be found here: https://youtu.be/W0LL-1BwV3w?si=OT-GNCXaHoA7dcbs This podcast makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through a National Patient Safety Alert released on 3.1.2024 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only.  I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.    There is a podcast version of this and other videos that you can access here:  Primary Care guidelines podcast:   ·      Redcircle: https://redcircle.com/shows/primary-care-guidelines ·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK ·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here:  • The Practical GP YouTube Channel:  https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk  The PDF document related to the safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAttachment.aspx?Attachment_id=104161 The safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103245 The Central Alerting System Homepage can be found here: ·      https://www.cas.mhra.gov.uk/Home.aspx Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]  • Music provided by Audio Library Plus  • Watch: https://youtu.be/aBGk6aJM3IU (https://www.youtube.com/watch?t=0s&v=aBGk6aJM3IU)   • Free Download / Stream: https://alplus.io/halfway-through (https://www.youtube.com/redirect?event=video_description&q=https%3A%2F%2Falplus.io%2Fhalfway-through&redir_token=QUFFLUhqbVNpZlBNM0lCeDIxQzRkU29qUnJGQy15WEtTQXxBQ3Jtc0tuUUFSMkZwSEVuaHdUTWlYV21fZmpjWS1WRXI3R0hZU056MkpmRFpKdXdGYm1La3BlazhUemZ5SkVMTFdaWWRvSG9Ucy1neWpudTJ0MUIxNnl2NmhvR0lmdzduWXEwUUg0alduYkRNdjlWWTNsMnhzaw&v=aBGk6aJM3IU)   Transcript If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description. Hello and welcome, I am Fernando, a GP in the UK. In this episode I will go through a National Patient Safety Alert released on 3.1.2023 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only. If you want to access the safety alert website or the associated PDF document, the link is in the episode description. Right, let’s jump into it. You are probably aware that the supply of GLP-1 receptor agonists continues to be limited, with supplies not expected to return to normal until at least the end of 2024. The supply issues have been caused by an increase in demand for these products for licensed and off-label indications. The situation at the moment is that exenatide as Byetta® will be discontinued in March 2024. In addition, liraglutide as Victoza® continues to be out of stock and further stock is not expected until end of 2024. The supply of other agents such as injectable semaglutide as Ozempic® and Dulaglutide as Trulicity® may be unreliable and the shortages may cause significant issues. So, what is the solution? Well, oral semaglutide has come to the rescue. Semaglutide as Rybelsus® tablets are now available in sufficient quantities to support initiation of GLP-1 RA for type 2 diabetes in line with NICE guidance.  So let’s remind ourselves of what NICE recommends for type 2 diabetes.  NICE says that if triple therapy with metformin and 2 other oral drugs is not effective, not tolerated or contraindicated, we can consider triple therapy by switching one drug for a GLP‑1 receptor agonist if: ·      The BMI is 35 or higher and there are psychological or medical problems associated with obesity. We will adjust the BMI to 32.5 for people from Black, Asian and other minority ethnic groups or ·      For lower BMIs if: o  insulin would have occupational implications or o  weight loss would benefit other significant comorbidities.   NICE also says that we should only ...

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Semaglutide is not currently approved by the FDA for weight loss. However, some doctors may prescribe it off-label for this purpose. If you’re interested in trying semaglutide for weight loss, you should discuss this option with your healthcare provider. They can provide guidance on how to obtain semaglutide and monitor your progress while taking the medication.

It’s essential to obtain semaglutide from a reputable source to ensure the quality and safety of the medication. Your doctor can help you find a reliable pharmacy or supplier where you can purchase semaglutide. Avoid purchasing semaglutide from unauthorized or unregulated sources, as this can pose serious risks to your health.

Some online pharmacies may offer semaglutide for weight loss without a prescription. While this may seem convenient, it’s crucial to be cautious when buying medication online. Make sure to research the pharmacy thoroughly and verify that they are licensed and legitimate. It’s always best to obtain medication through a healthcare provider to ensure that it is safe and appropriate for your needs.

What to Know Before Starting Semaglutide Treatment

Before starting semaglutide for weight loss, there are a few essential things to keep in mind. First, it’s crucial to understand that semaglutide is a medication that works by mimicking the effects of a hormone called GLP-1. This hormone helps regulate blood sugar levels and appetite, leading to weight loss in some individuals.

When taking semaglutide, you may experience side effects such as nausea, vomiting, diarrhea, and constipation. These side effects usually improve over time as your body adjusts to the medication. However, if you experience severe or persistent side effects, you should contact your doctor for further guidance.





It’s also essential to follow your doctor’s instructions carefully when taking semaglutide. They will recommend an appropriate dosage based on your individual needs and monitor your progress throughout treatment. Be sure to attend all follow-up appointments and communicate any concerns or changes in your health to your healthcare provider.

Managing Expectations and Goals with Semaglutide

While semaglutide can be effective for weight loss, it’s essential to manage your expectations and set realistic goals. Not everyone will experience the same results with this medication, and individual outcomes may vary. It’s crucial to focus on overall health and well-being rather than just the number on the scale.

In addition to taking semaglutide, incorporating healthy lifestyle habits such as a balanced diet and regular exercise can enhance the results of your weight loss journey. Your doctor can provide guidance on making healthy choices and developing a sustainable plan for long-term weight management.

If you have any questions or concerns about semaglutide treatment, don’t hesitate to reach out to your healthcare provider. They can provide personalized advice and support to help you reach your weight loss goals safely and effectively.

Summary and FAQs

In summary, semaglutide is a medication that shows promise for weight loss when used in higher doses than for diabetes management. If you’re considering trying semaglutide for weight loss, it’s essential to consult with your healthcare provider to obtain the medication from a reputable source and receive proper guidance on dosage and monitoring.

Some frequently asked questions about semaglutide for weight loss include:

1. Is semaglutide FDA-approved for weight loss?

2. What side effects can I expect when taking semaglutide?

3. How long does it take to see results with semaglutide?

4. Can I buy semaglutide online without a prescription?

5. What lifestyle changes should I make while taking semaglutide for weight loss?

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Frühstück ist die wichtigste Mahlzeit des Tages, insbesondere wenn man abnehmen möchte. Ein gesundes und ausgewogenes Frühstück kann den Stoffwechsel ankurbeln, Heißhungerattacken verhindern und dir Energie für den Tag geben. In diesem Artikel werden wir dir einige Ideen für Frühstück zeigen, die nicht nur satt machen, sondern auch beim Abnehmen helfen können.

Avocado Toast mit Ei

Avocado Toast ist ein beliebter Frühstückstrend, der nicht nur lecker ist, sondern auch viele gesundheitliche Vorteile bietet. Die Avocado liefert gesunde Fette und Ballaststoffe, die dich lange satt halten. In Kombination mit einem Spiegelei erhältst du auch eine gute Proteinquelle, die dir dabei hilft, Muskeln aufzubauen und Fett zu verbrennen.

Um dieses Gericht zuzubereiten, brauchst du einfach nur eine reife Avocado und ein paar Eier. Zerdrücke die Avocado auf getoastetem Vollkornbrot und brate das Ei nach deinem Geschmack. Würze das Ganze mit etwas Salz, Pfeffer und optional etwas Chili für einen zusätzlichen Kick.

Avocado Toast mit Ei ist ein einfaches und nahrhaftes Frühstück, das dich lange satt halten wird und dir dabei hilft, abzunehmen.

Quinoa-Frühstücksschale

Quinoa ist ein proteinreiches Getreide, das viele wichtige Nährstoffe wie Eisen, Magnesium und Ballaststoffe enthält. Eine Quinoa-Frühstücksschale ist eine köstliche Möglichkeit, um deinen Tag mit Energie zu starten und gleichzeitig das Abnehmen zu unterstützen.

Um diese Schale zuzubereiten, koche einfach etwas Quinoa nach Anleitung und serviere es mit deinen Lieblingsfrüchten, Nüssen und einem Schuss Honig oder Ahornsirup. Quinoa-Frühstücksschalen sind vielseitig und du kannst sie nach Belieben anpassen, um sie zu deinem neuen Lieblingsfrühstück zu machen.

Diese Schale ist reich an Protein, Ballaststoffen und gesunden Fetten und bietet dir die nötige Energie, um aktiv und konzentriert durch den Tag zu gehen.

Haferflocken mit Beeren

Haferflocken sind ein altbewährtes Frühstück, das nicht nur lecker ist, sondern auch gut für deine Gesundheit ist. Sie sind reich an Ballaststoffen, die dich lange satt halten und helfen, deinen Cholesterinspiegel zu senken. In Kombination mit frischen Beeren erhältst du auch eine gute Portion Antioxidantien, die gut für deine Haut und dein Immunsystem sind.

Um Haferflocken zuzubereiten, gieße einfach kochendes Wasser oder Milch darüber und lass sie ein paar Minuten quellen. Toppe sie dann mit deinen Lieblingsbeeren wie Erdbeeren, Blaubeeren oder Himbeeren. Wenn du magst, kannst du auch noch etwas Zimt oder Honig hinzufügen, um dem Ganzen eine süße Note zu verleihen.

Haferflocken mit Beeren sind ein einfaches und nahrhaftes Frühstück, das dich lange satt hält und dir dabei hilft, abzunehmen.

Griechischer Joghurt mit Nüssen und Honig

Griechischer Joghurt ist reich an Protein und probiotischen Kulturen, die gut für deine Verdauung und dein Immunsystem sind. Wenn du ihn mit Nüssen und Honig kombinierst, erhältst du auch eine gute Portion gesunder Fette und Antioxidantien, die dich lange satt halten und dir dabei helfen, abzunehmen.

Um dieses Frühstück zuzubereiten, nimm einfach etwas griechischen Joghurt und toppe ihn mit einer Handvoll Nüssen deiner Wahl und einem Schuss Honig. Du kannst auch etwas Zimt oder Vanille hinzufügen, um dem Ganzen eine zusätzliche Note zu verleihen.

Griechischer Joghurt mit Nüssen und Honig ist nicht nur lecker, sondern auch ein nahrhaftes Frühstück, das dich lange satt hält und dir dabei hilft, deine Ziele beim Abnehmen zu erreichen.

Smoothie-Bowl

Smoothie-Bowls sind eine einfache Möglichkeit, um verschiedene Vitamine, Mineralien und Nährstoffe in einer Mahlzeit zu kombinieren. Du kannst sie nach Belieben anpassen und mit deinen Lieblingsfrüchten, Gemüse und Superfoods füllen, um ein nahrhaftes und köstliches Frühstück zu genießen.

Um eine Smoothie-Bowl zuzubereiten, mixe einfach deine Lieblingsfrüchte, etwas grünes Blattgemüse wie Spinat oder Grünkohl, und eine Flüssigkeit deiner Wahl wie Mandelmilch oder Wasser zusammen. Gieße die Mischung in eine Schüssel und toppe sie mit Nüssen, Samen, Kokosraspeln oder Früchten nach Belieben.

Smoothie-Bowls sind nicht nur erfrischend und lecker, sondern auch eine gute Möglichkeit, um deine tägliche Portion Obst und Gemüse zu bekommen und beim Abnehmen zu unterstützen.

FAQ

1. Sind diese Frühstücksideen wirklich hilfreich beim Abnehmen?

Ja, diese Frühstücksideen sind gesund, nahrhaft und können dir dabei helfen, dein Gewicht zu reduzieren. Sie enthalten wichtige Nährstoffe wie Proteine, Ballaststoffe und gesunde Fette, die deinen Stoffwechsel ankurbeln und dir helfen, länger satt zu bleiben.

2. Kann ich diese Frühstücksideen an meine Vorlieben anpassen?

Absolut! Du kannst diese Rezepte nach Belieben anpassen und mit verschiedenen Zutaten experimentieren, um sie an deinen Geschmack und deine Ernährungsbedürfnisse anzupassen. Füge zum Beispiel zusätzliches Gemüse, Obst oder Gewürze hinzu, um die Gerichte interessanter zu gestalten.

3. Wie oft sollte ich diese Frühstücksideen ausprobieren?

Es ist empfehlenswert, diese Frühstücksideen regelmäßig in deine Ernährung einzubauen, um von ihren gesundheitlichen Vorteilen zu profitieren. Du kannst sie als Teil eines ausgewogenen Ernährungsplans genießen, um deinen Körper mit wichtigen Nährstoffen zu versorgen und dich beim Abnehmen zu unterstützen.

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