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In this video, Dr. Sue Decotiis, a leading weight loss doctor, discusses the development and function of weight loss drugs like liraglutide (Saxenda, Victoza), trulicity, and ozempic. She explains how these drugs work on the GLP-1 receptor system to delay gastric emptying, create a feeling of satiety, and inhibit appetite from the brain. Dr. Decotiis highlights the importance of optimizing insulin for effective fat burning, especially for diabetics and those struggling with weight management. Transcript: "Then they they develop something called liraglutide, which is saxenda and victoza. And then there was trulicity, which is true lucide. And and then they finally came out with ozempic. Um, and what they are is they work on the GLP one receptor system in the body. And what that does is it delays gastric emptying and also creates a tremendous feeling of satiety. So patients feel really, really full. It also works on the brain and inhibits appetite from the brain. And the most important thing is that it optimizes insulin. That's why it's so important for diabetics. And even most of us who are overweight have a problem with insulin. So when insulin can be optimized, people can start burning fat." #WeightLoss #DrDecotiis #GLP1Receptors #Satiety #InsulinOptimization #Saxenda #Victoza #Trulicity #Ozempic #HealthTips #MedicalAdvice #WeightManagement #Diabetes #FatBurning #Fitness #Wellness #HealthyLiving #NYCDoctor #Nutrition #EndocrineHealth #Weightlossnyc #nyc
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Are you struggling to lose weight and looking for a more effective way to shed those extra pounds? Look no further than Keto Weight Loss Gummy! These delicious gummies are specifically formulated to enhance your weight loss efforts while providing you with a tasty treat. With the power of keto-friendly ingredients, these gummies can help you reach your weight loss goals faster and more efficiently than ever before.
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Keto Weight Loss Gummies work by utilizing the power of ketogenic ingredients to help your body enter a state of ketosis. Ketosis is a natural metabolic state where your body uses stored fat for energy instead of carbohydrates. By consuming these gummies, you can help kickstart the ketosis process in your body, leading to increased fat burning and weight loss. Additionally, these gummies help curb cravings and suppress appetite, making it easier for you to stick to your weight loss plan.
The key ingredient in Keto Weight Loss Gummies is beta-hydroxybutyrate (BHB), a ketone that helps your body produce energy from fat. By supplementing with BHB, you can increase your body’s ketone levels and support the ketosis process. This can lead to accelerated weight loss and improved energy levels. In addition to BHB, these gummies are packed with essential vitamins and minerals to support overall health and well-being.
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There are several benefits to using Keto Weight Loss Gummies as part of your weight loss regimen. Firstly, these gummies are convenient and easy to incorporate into your daily routine. Simply take a few gummies each day, and you can enjoy the benefits of ketosis without the need for restrictive diets or complicated meal plans. Additionally, these gummies are delicious and satisfying, making it easier to stick to your weight loss goals without feeling deprived.
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While Keto Weight Loss Gummies can be a powerful tool for enhancing your weight loss efforts, there are several tips you can follow to maximize your results. Firstly, be sure to maintain a healthy and balanced diet while using these gummies. Focus on consuming whole, nutrient-dense foods that support your weight loss goals and provide essential nutrients for your body.
In addition to eating well, be sure to stay hydrated and get regular exercise. Hydration is key to supporting your body’s natural detoxification processes and can help boost your metabolism. Exercise, whether it’s cardio, strength training, or yoga, can help accelerate weight loss and improve overall fitness levels. By combining Keto Weight Loss Gummies with a healthy lifestyle, you can achieve your weight loss goals more quickly and effectively.
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In conclusion, Keto Weight Loss Gummies are a delicious and effective way to enhance your weight loss efforts. By incorporating these gummies into your daily routine, you can support ketosis, burn fat, and achieve your weight loss goals faster than ever before. With the added benefits of essential vitamins and minerals, these gummies can also support your overall health and well-being. So why wait? Try Keto Weight Loss Gummies today and experience the benefits for yourself!
Now that you’ve learned about the benefits of Keto Weight Loss Gummies, you may have some questions about how to use them effectively. Below, we’ve compiled a list of frequently asked questions to provide you with more information about these powerful gummies:
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A: Keto Weight Loss Gummies are formulated to be keto-friendly and gluten-free, making them suitable for most dietary restrictions. However, we recommend checking the ingredient list to ensure compatibility with your specific needs.
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Are you tired of struggling to lose weight and keep it off? Do you want a simple and effective way to get fit and stay fit? Look no further than Fit Today Keto Gummies! These delicious chewy gummies are packed with powerful ingredients that can help you achieve your weight loss goals and improve your overall health. Say goodbye to crash diets and endless hours at the gym – with Fit Today Keto Gummies, getting fit has never been easier.
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Fit Today Keto Gummies are a revolutionary new way to support your weight loss journey. These gummies are formulated with natural ingredients like green tea extract, garcinia cambogia, and apple cider vinegar to help boost your metabolism, curb your appetite, and increase your energy levels. Whether you are looking to shed a few pounds or maintain a healthy weight, Fit Today Keto Gummies can help you reach your goals.
One of the key benefits of Fit Today Keto Gummies is that they are easy to incorporate into your daily routine. Simply take one gummy a day, preferably before a meal, and let the powerful ingredients work their magic. No need to count calories or track macros – with Fit Today Keto Gummies, weight loss can be simple and stress-free.
Unlike other weight loss supplements on the market, Fit Today Keto Gummies are made with all-natural ingredients that are safe and effective. You can trust that you are putting only the best quality products into your body when you choose Fit Today Keto Gummies. Plus, with their delicious fruity flavor, taking your daily dose will feel more like a treat than a chore.
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The secret behind the success of Fit Today Keto Gummies lies in their powerful blend of ingredients. Green tea extract, for example, is known for its ability to boost metabolism and aid in fat burning. Garcinia cambogia is a popular weight loss supplement that can help suppress appetite and prevent fat storage. Apple cider vinegar has been shown to support weight loss by promoting feelings of fullness and reducing cravings.
When combined, these ingredients work synergistically to help you achieve your weight loss goals. By taking Fit Today Keto Gummies daily, you can experience faster fat burning, increased energy levels, and reduced cravings. Additionally, the natural ingredients in these gummies have been shown to have other health benefits, such as improved digestion and immune support.
Another key factor in the effectiveness of Fit Today Keto Gummies is their ability to support ketosis – a metabolic state where your body burns fat for fuel instead of carbohydrates. By keeping your body in ketosis, these gummies can help you burn more fat and lose weight more efficiently than diet and exercise alone.
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There are many weight loss supplements on the market, so why should you choose Fit Today Keto Gummies? The answer is simple – these gummies are not only effective, but they are also safe, convenient, and delicious. With Fit Today Keto Gummies, you can enjoy the benefits of a weight loss supplement without any of the hassle or unpleasant side effects.
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Can the Keto Diet Cause Headaches or Fatigue? Have you ever experienced headaches or fatigue while following a low-carbohydrate diet? In this informative video, we’ll discuss the effects of the ketogenic diet on your body and how it may lead to these symptoms. We’ll cover the transition phase into ketosis and the challenges that come with it, including electrolyte imbalances and how they can impact your overall well-being. Additionally, we’ll touch on the carnivore diet, an extreme version of low-carb eating that focuses solely on animal products, and how it compares to the ketogenic diet in terms of symptoms experienced during the adaptation phase. You’ll learn about the importance of managing electrolytes and hydration to help alleviate these symptoms. If you’ve been curious about the connection between the ketogenic diet and feelings of fatigue or headaches, this video will provide a clear understanding of what to expect and how to manage these challenges effectively. Remember, if symptoms persist, consulting with a healthcare professional is always a wise choice. Join us for this enlightening discussion, and don’t forget to subscribe to our channel for more helpful tips on diet and nutrition! ⬇️ Subscribe to our channel for more valuable insights. 🔗Subscribe: https://www.youtube.com/@CarnivoreHealthKitchen/?sub_confirmation=1 #KetoDiet #Headaches #Fatigue #CarnivoreDiet #Ketosis #Nutrition #Electrolytes #DietaryHealth #LowCarb #HealthyLiving #Wellness #Hydration #FatigueRelief #DietTransition #NutritionTips About Us: Welcome to Carnivore Health Kitchen! Our channel is dedicated to exploring the carnivore diet, providing you with essential information about meat-only meal plans and benefits of this dietary choice. Whether you’re curious about carnivore vs. keto, nutrient deficiencies that can arise, or how a high-protein diet affects your body, you'll find informative content tailored for your journey. We also cover topics like the best meats for carnivore eating, common mistakes, and the long-term health impacts of this lifestyle.
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The ketogenic diet has become a popular weight loss approach in recent years, with many turning to this low-carb, high-fat diet to help shed excess pounds and improve overall health. Keto Fit Advanced Formula is a supplement that claims to support individuals following a ketogenic lifestyle by providing them with additional nutrients to help achieve their weight loss goals. This product was recently featured on the hit TV show Shark Tank, sparking curiosity and debate among viewers about its effectiveness and safety.
Product Overview
Keto Fit Advanced Formula is a dietary supplement that aims to enhance the benefits of the ketogenic diet. The ketogenic diet, commonly referred to as the keto diet, involves drastically reducing carbohydrate intake and replacing it with fat. This process induces a state of ketosis in the body, where it burns fat for fuel instead of carbohydrates. Keto Fit Advanced Formula contains a blend of ingredients that are intended to help support this metabolic state and promote weight loss.
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The supplement is designed to provide additional nutrients that may be lacking in a ketogenic diet, such as essential vitamins and minerals. It also includes ingredients that are believed to boost energy levels, suppress appetite, and improve mental focus. By taking Keto Fit Advanced Formula alongside a ketogenic diet, users may experience faster weight loss results and an overall improvement in their well-being.
On Shark Tank, the creators of Keto Fit Advanced Formula pitched their product to the panel of investors, highlighting its benefits and unique selling points. While some of the sharks expressed interest in the supplement, others raised concerns about its efficacy and safety. Ultimately, the creators were able to secure a deal and partner with one of the investors to bring their product to a wider audience.
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One of the key ingredients in Keto Fit Advanced Formula is beta-hydroxybutyrate (BHB), a ketone body that is produced by the liver during ketosis. BHB is believed to help jumpstart ketosis and enhance fat burning, leading to increased weight loss. Other ingredients in the supplement, such as medium-chain triglycerides (MCTs) and green tea extract, are thought to further support the body’s fat-burning processes and provide additional health benefits.
Users of Keto Fit Advanced Formula may experience a variety of benefits, including accelerated weight loss, increased energy levels, reduced cravings, and improved cognitive function. The supplement is also said to help maintain muscle mass while on a low-carb diet, preventing the loss of lean body mass during weight loss. These benefits make Keto Fit Advanced Formula an attractive option for individuals looking to maximize the results of their ketogenic diet.
It is important to note that individual results may vary, and not everyone may experience the same benefits from taking Keto Fit Advanced Formula. While some users report significant weight loss and improved well-being after using the supplement, others may not see the same effects. As with any dietary supplement, it is recommended to consult with a healthcare provider before starting a new regimen to ensure safety and effectiveness.
Side Effects and Considerations
While Keto Fit Advanced Formula is generally well-tolerated by most users, some individuals may experience side effects or discomfort when taking the supplement. Common side effects of ketogenic supplements like Keto Fit Advanced Formula include gastrointestinal issues, such as bloating, gas, and diarrhea. These symptoms are typically mild and temporary, resolving on their own once the body adjusts to the supplement.
It is important to follow the recommended dosage guidelines when taking Keto Fit Advanced Formula to minimize the risk of side effects and maximize the benefits of the supplement. Taking more than the recommended dose may not lead to faster weight loss or other benefits and could potentially cause harm to your health. It is also essential to stay hydrated and maintain a balanced diet while using the supplement to support overall health and well-being.
Individuals with underlying health conditions or those taking medications should consult with a healthcare provider before using Keto Fit Advanced Formula or any other dietary supplement. The ingredients in the supplement may interact with certain medications or exacerbate existing health issues, so it is essential to seek professional advice before starting a new regimen. Pregnant or nursing women should also avoid taking Keto Fit Advanced Formula, as the effects of the supplement on fetal development and breastfeeding are not well-studied.
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Nucentix Keto Gummies is a new addition to the quickly growing market of keto-friendly supplements. This fresh formula was developed to help people reach their weight goals through promotion of ketosis, a natural state in metabolism that involves utilization of stored fat in place of carbohydrates for energy generation. With the increasing demand for keto dieting, many people resort to using such products as Nucentix Keto Gummies among other weight loss aids.
The Science Behind Nucentix Keto Gummies
A blend of ingredients known to support ketosis and facilitate individuals in achieving their weight loss goals is what constitutes Nucentix Keto Gummies. A primary ingredient found in the formula is beta-hydroxybutyrate (BHB), which is a type of ketone produced by the body during ketosis. By providing exogenous BHB, Nucentix Keto Gummies can help initiate and increase the rate at which we burn fat when coupled with proper exercises. Another key component in this product’s formula is green tea extract and apple cider vinegar both having been associated with some weight loss benefits.
Following instructions on use, Nucentix Keto Gummies can enable an individual achieve Ketosis Faster and maintain it over long time frame . As a result more fats will be burnt increasing overall energy levels thereby leading to general weight reduction.\n The product easily fits into your keto meal plan making it easy for you to take it as prescribed without hassles. This makes it a convenient choice that offers great results when one wants to maximize his or her ketogenic diet journey.
Benefits of Nucentix Keto Gummies
There are numerous advantages that come with using Nucentix Keto Gummies throughout your journey towards losing weight. One major advantage is its capacity to induce ketosis leading to increased fat burning hence speeding up outcomes during the process of shedding excess pounds. Furthermore, this product does not have any artificial fillers or additives since all its contents are made from natural ingredients making it very safe and effective for supporting your keto diet.
Another upside to Nucentix Keto Gummies is how convenient it is. Take the gummies together with your meals without even noticing it. This reduces variations in consumption patterns hence maximising weight loss outcomes of using dietary supplements. Besides, they are available in berry flavor that makes them delicious as you consume one every day.
How to Incorporate Nucentix Keto Gummies into Your Routine
To get the best results from Nucentix Keto Gummies, ensure you follow the dosage guidelines provided by manufacturer. For maximum effects, take one or two gummies each day along with meal intake. It will guarantee that your body obtains all the necessary nutrients required for supporting ketosis and promoting fat burning on a large scale.
Moreover, maintain a balanced diet while observing exercise schedule after taking Nucentix Keto Gummies. With carbs being limited in keto diet then healthy fats should be included in more amounts than other food components since they will provide energy to the body.\n Additionally, engage yourself in regular workouts like cardio or weightlifting which can speed up weight loss process and improve general health.
Final Thoughts on Nucentix Keto Gummies
Nucentix Keto Gummies, is an innovative formula that is designed to support people in ketosis and realize their weight loss goals. The supplement helps the body get into ketosis easier by providing it with exogenous BHB and other natural ingredients. When combined with a healthy diet and regular exercise, Nucentix Keto Gummies can be a powerful tool for optimizing weight loss results and improving overall health.
Whether you are new to keto or have been on it before, Nucentix Keto Gummies could be helpful for you as you try to lose weight. Available as gummies which are easy to chew in your mouth, made of natural components and having a wonderful taste of berries, Nucentix Keto Gummies will assist you in fulfilling the goals of the keto diet. Try Nucentix Keto Gummies today and take the next step towards achieving the results you desire.
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The Truth About Keto ACV Gummies for Weight Loss | Reviews and Benefits | Supreme Keto Reviews 0:00 Keto ACV Gummies 0:32 Important Warning 1:44 Supreme Keto 3:11 Supreme Keto Reviews 4:05 Apple Cider Vinegar Keto Gummies Are you struggling to lose weight on a keto diet? Have you heard about ACV Keto Gummies and wonder if they're worth trying? In this video, we'll reveal the truth about Keto ACV Gummies and how they can help with weight loss. ACV Keto Gummies are a popular supplement for those following a ketogenic diet. They are made with apple cider vinegar, which is known to have many health benefits, including weight loss. These gummies are also infused with BHB (beta-hydroxybutyrate), a ketone that helps the body enter ketosis faster. But do they really work? We've done our research and read countless Keto ACV Gummies reviews to find out. Many users have reported significant weight loss while taking these gummies, with some even claiming to have lost over 10 pounds in just a few weeks. ACV Keto Gummies are also known for their ability to suppress appetite and reduce cravings, making it easier to stick to a low-carb, high-fat diet. Plus, they are a convenient and tasty way to get the benefits of apple cider vinegar without the unpleasant taste. If you're considering trying ACV Keto Gummies for weight loss, it's important to choose a high-quality brand. Supreme Keto Gummies are one of the best ACV Keto Gummies on the market, with thousands of positive reviews from satisfied customers. In addition to weight loss, ACV Keto Gummies also offer other health benefits, such as improved digestion, increased energy levels, and reduced inflammation. They are also suitable for those following a vegan or gluten-free diet. So, are ACV Keto Gummies worth trying? Based on our research and reviews, they can be an effective tool for weight loss and overall health. However, they should be used in conjunction with a healthy diet and exercise regimen for best results. If you're interested in trying ACV Keto Gummies, access our official site. And don't forget to share your Keto ACV Gummies reviews with us in the comments! Extra Tags: keto acv gummies,acv keto gummies,keto acv gummies reviews,acv keto gummies reviews,acv keto gummies reviews for weight loss,keto apple cider vinegar gummies,apple cider vinegar keto gummies,acv keto,keto acv,apple cider vinegar weight loss,acv,apple cider vinegar,acv keto reviews,keto acv reviews,supreme keto, supreme keto gummies,apple cider vinegar benefits,acv gummies,gummies acv,gummy bear,supreme keto acv gummies,best acv keto gummies,keto acv supplements,avc keto diet,supreme keto reviews
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The ketogenic diet has gained immense popularity in recent years for its ability to help people lose weight and improve their overall health. One of the challenges of following a keto diet is finding snacks and treats that are low in carbs and sugar but still satisfying. This is where keto gummies come in – they provide a convenient and delicious way to satisfy your sweet tooth while staying in ketosis. If you’re looking for the best keto gummies on the market, look no further. In this article, we will rank the top keto gummies available and help you choose the right one for your ketogenic lifestyle.
1. Best Overall: Purely Optimal Keto Gummies
When it comes to keto gummies, Purely Optimal Keto Gummies are unmatched in terms of taste and quality. These gummies are made with premium ingredients, including exogenous ketones and MCT oil, to help you stay in ketosis and boost your energy levels. They are also free of artificial flavors and sweeteners, making them a healthier option for your keto diet. Each gummy is packed with essential nutrients and antioxidants to support your overall health while satisfying your sweet cravings.
Purely Optimal Keto Gummies are a convenient and delicious way to support your ketogenic lifestyle. Whether you’re looking for a snack to enjoy on the go or a treat to indulge in after a meal, these gummies are the perfect choice. With their great taste and powerful ingredients, Purely Optimal Keto Gummies are sure to become a staple in your keto diet.
If you’re looking for the best overall keto gummies to support your ketogenic journey, look no further than Purely Optimal Keto Gummies. These gummies are a delicious and convenient way to satisfy your sweet cravings while staying in ketosis and reaching your health goals.
2. Best Budget-Friendly: VitaRaw Keto Gummies
For those on a budget, VitaRaw Keto Gummies are the perfect option. These gummies are affordable without compromising on quality or taste. Made with natural ingredients and zero sugar, VitaRaw Keto Gummies are a guilt-free treat that won’t break the bank. Each gummy is infused with exogenous ketones and BHB to help you stay in ketosis and boost your energy levels.
VitaRaw Keto Gummies are a cost-effective solution for those looking to enjoy a delicious and satisfying snack while following the keto diet. With their great taste and powerful ingredients, these gummies are a smart choice for anyone looking to support their ketogenic lifestyle without spending a fortune.
If you’re looking for budget-friendly keto gummies that are still high in quality and taste, VitaRaw Keto Gummies are the perfect choice. These gummies are affordable, delicious, and packed with essential nutrients to help you stay on track with your keto diet.
3. Best for Weight Loss: Nutriana Keto Gummies
When it comes to weight loss on the keto diet, Nutriana Keto Gummies are the ideal choice. These gummies are specially formulated to help you burn fat and lose weight more effectively. Made with premium ingredients such as BHB and green tea extract, Nutriana Keto Gummies are designed to support your metabolism and promote fat-burning. Each gummy is also packed with vitamins and antioxidants to support your overall health.
Nutriana Keto Gummies are a powerful tool for anyone looking to achieve their weight loss goals on the keto diet. With their potent ingredients and great taste, these gummies are a convenient and effective way to support your weight loss journey while staying in ketosis.
If you’re looking for keto gummies that can help you reach your weight loss goals faster, Nutriana Keto Gummies are the perfect choice. These gummies are specifically designed to support fat burning and boost your metabolism, making them an essential addition to your keto diet.
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4. Best Vegan Option: New Age Keto Gummies
For those following a vegan or plant-based diet, New Age Keto Gummies are the top choice. These gummies are made with natural ingredients and are completely vegan-friendly. Made with organic apple cider vinegar and pomegranate, New Age Keto Gummies are a delicious and nutritious option for anyone looking to support their ketogenic lifestyle.
New Age Keto Gummies are not only vegan-friendly but also gluten-free and non-GMO, making them a healthy and guilt-free treat for anyone following a strict diet. With their great taste and powerful ingredients, these gummies are a satisfying snack that you can feel good about enjoying.
If you’re looking for vegan keto gummies that are both delicious and nutritious, look no further than New Age Keto Gummies. These gummies are a convenient and tasty way to support your ketogenic lifestyle while following a plant-based diet.
5. Best for Energy: Nutracure Keto Gummies
When it comes to boosting your energy levels on the keto diet, Nutracure Keto Gummies are the top choice. These gummies are specially formulated to provide a quick and sustained energy boost, thanks to their high content of exogenous ketones and MCT oil. With ingredients like caffeine and green tea extract, Nutracure Keto Gummies are perfect for giving you a natural energy kick whenever you need it.
Nutracure Keto Gummies are a convenient and delicious way to support your energy levels and stay focused throughout the day. Whether you need a pick-me-up in the morning or a mid-afternoon boost, these gummies are the perfect solution for staying alert and energized on the keto diet.
If you’re looking for keto gummies that can help you stay energized and focused throughout the day, Nutracure Keto Gummies are the ideal choice. With their powerful ingredients and great taste, these gummies are a must-have for anyone looking to boost their energy levels on the ketogenic diet.
Overall, keto gummies are a convenient and delicious way to support your ketogenic lifestyle while satisfying your sweet cravings. Whether you’re looking for a snack to enjoy on the go or a treat to indulge in after a meal, there is a keto gummy option for everyone. We hope this article has helped you discover the top keto gummies available and choose the right one for your needs. With the right keto gummies, you can enjoy all the benefits of the ketogenic diet while still indulging in a tasty treat.
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Semaglutide is a medication that has recently gained popularity for its potential in aiding weight loss. It is a glucagon-like peptide-1 (GLP-1) receptor agonist, which means it works by mimicking the effects of the GLP-1 hormone that is naturally produced in the body. Originally developed for the treatment of type 2 diabetes, semaglutide has been found to have significant effects on weight loss when used at higher doses. This has sparked interest in its potential as a treatment for obesity, especially in individuals who have struggled to lose weight through diet and exercise alone.
How does Semaglutide work for Weight Loss?
Semaglutide works by acting on the brain’s appetite control centers to help regulate food intake and reduce cravings. It also slows down the emptying of the stomach, which can lead to feelings of fullness and reduced hunger. Additionally, semaglutide may increase the body’s energy expenditure, leading to greater calorie burn. These combined effects can result in significant weight loss over time.
Studies have shown that semaglutide can lead to an average weight loss of around 15-20% of initial body weight when used in conjunction with a reduced-calorie diet and increased physical activity. This is a substantial amount of weight loss compared to traditional methods, making semaglutide an attractive option for individuals struggling with obesity.
It is important to note that semaglutide is not a magic pill and should be used as part of a comprehensive weight loss plan that includes healthy eating habits and regular exercise. It is typically prescribed for individuals with a body mass index (BMI) of 30 or higher, or for those with a BMI of 27 or higher with obesity-related comorbidities such as high blood pressure or diabetes.
Potential Side Effects of Semaglutide
Like any medication, semaglutide can cause side effects in some individuals. The most common side effects include nausea, vomiting, diarrhea, and constipation. These side effects are usually mild and tend to lessen over time as the body adjusts to the medication. In rare cases, more serious side effects such as pancreatitis or thyroid tumors may occur, so it is important to monitor for any unusual symptoms and report them to your healthcare provider.
It is also important to note that semaglutide should not be used in individuals with a personal or family history of thyroid cancer or in people with a history of pancreatitis. It is always important to discuss the risks and benefits of any medication with your healthcare provider before starting treatment.
Overall, semaglutide shows promising results as a treatment for weight loss in individuals struggling with obesity. Its unique mechanism of action, combined with lifestyle modifications, can lead to significant and sustained weight loss over time. As with any medication, it is important to use semaglutide under the guidance of a healthcare provider to ensure safe and effective treatment.
Conclusion
Semaglutide is a medication that has shown great promise in aiding weight loss in individuals with obesity. By mimicking the effects of the GLP-1 hormone, semaglutide helps regulate appetite, reduce cravings, and increase energy expenditure, leading to significant weight loss over time. While it is not a magic pill and should be used in conjunction with diet and exercise, semaglutide offers a new option for individuals struggling to lose weight through traditional methods. With proper guidance and monitoring from a healthcare provider, semaglutide can be a valuable tool in the fight against obesity.
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Obesity, a driver of inflammation, is prevalent in patients with HFpEF. Ileana Pina asks Ambarish Pandey about GLP-1 inhibitors and SGLT2 inhibitors in HFpEF. Are these drugs anti-inflammatory? https://www.medscape.com/viewarticle/993980?src=soc_yt -TRANSCRIPT- Ileana L. Piña, MD, MPH: Hello, everyone. I'm Ileana Piña, professor of medicine at Jefferson University Hospital in Philadelphia. I'm the chief of quality. This is my blog. We have been hearing a lot of conversation about obesity. It's coming out of our endocrine division and our weight management division. And the patients are asking for things like bariatric surgery and maybe a holistic program of weight loss. A lot of the primary care doctors are starting to recommend glucagon-like peptide-1 (GLP-1) receptor agonists for those patients. But we deal with patients with heart failure with preserved ejection fraction (HFpEF), and a lot of our phenotypes are patients with obesity who happen to have hypertension and/or diabetes, and they are difficult to manage. Inflammation, Obesity, and HFpEF Piña: For today's conversation, there is nobody better than Dr Ambarish Pandey, who has a HFpEF program at the University of Texas Southwestern. Ambarish, welcome. Give me your thoughts overall about the link between obesity, inflammation, and HFpEF. Ambarish Pandey, MD: Thank you, Dr Piña. I'm excited to be on your blog and I'm glad that we are discussing such an important topic. The burden of heart failure, particularly HFpEF, has been increasing and is not just affecting older individuals. We see more younger folks with obesity in our HFpEF clinic coming in with symptoms of shortness of breath and fluid buildup. Our understanding of HFpEF has evolved quite a bit over the past two or three decades. Initially, it was thought to be a disease of largely impaired myocardial relaxation. And then Walter Paulus was one of the pioneers who proposed the concept of inflammation leading to HFpEF, and obesity being one of the important drivers of the inflammation that leads to the development of HFpEF. Now our understanding of HFpEF has evolved to it being a multisystem disorder that leads to dysfunction in different organ systems. One of the cardinal features that drives this dysfunction is upregulation of inflammatory pathways, increased inflammatory burden — and a lot of that is driven by obesity. Obesity is one of the most important modifiable risk factors for HFpEF. Piña: It is so common. In my clinic the other day, probably 3 out of 4 patients were obese. Pandey: Up to 75% of patients that we see in our program are over the 30 BMI cut-off, and a lot of the literature that has come from US HFpEF cohorts shows a very high average BMI in these patients. Piña: When we talk about inflammation, what are the chemical pathways of inflammation? For example, a long time ago, we tried to block TNF-alpha and it didn't quite work out. So, what pathways are we talking about? Pandey: I think a lot more work needs to be done to really understand the key drivers of inflammation and what pathways are being upregulated. As we know, inflammation is most commonly identified by elevation in levels of C-reactive protein (CRP), which serves as a marker of increased inflammation, but the upstream upregulation in IL-1– and IL-6–mediated pathways has been implicated in inflammation that drives development of diseases like HFpEF. There is an ongoing trial of ziltivekimab, which is an IL-1 inhibitor in patients with HFpEF. That's the HERMES trial led by Paul Ridker, one of the pioneers of inflammatory therapies in heart disease. We are starting to understand more about the key molecular pathways that are driving it. And now we're starting to target them, with the hope that we can actually halt the progression of HFpEF and improve the symptom burden as well as the risk for adverse outcomes in these patients. Are GLP-1 Inhibitors Anti-inflammatory? Piña: Do you think that the GLP-1s, or even now the SGLT2 inhibitors, are anti-inflammatory since we really don't know all the pathways? Pandey: I do think that GLP-1s, by virtue of causing weight loss and reduction in visceral adiposity and the bad fat depots that exist in our body, have a significant anti-inflammatory effect. And if you look at the data from the STEP trials that were done, looking at weight loss effects of semaglutide, a commonly used GLP-1 inhibitor, there was a good 30%-40% reduction in CRP levels, and that suggests that there is a significant anti-inflammatory effect. Now, whether it's a direct effect on anti-inflammatory pathways or is related to weight loss is a matter of debate. Piña: Are you using GLP-1 inhibitors in your HFpEF clinic? And what trials can we look forward to seeing concerning the use of these agents? https://www.medscape.com/viewarticle/993980?src=soc_yt
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