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Last updated on 2025-11-18

2025-11-18

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Obesity specialist Dr Holly Lofton reveals how she chooses the right GLP-1 for each patient, and the importance of staying on label. https://www.medscape.com/viewarticle/1000524?src=soc_yt -- TRANSCRIPT -- Hi. I'm Dr Holly Lofton. I'm a board-certified obesity medicine specialist, and I direct the medical weight management program at NYU Langone Health. With all the excitement about GLP-1 agonists, I get many questions from providers about which antiobesity drug they should prescribe. I'll tell you the methods that I use to determine which drug is best for which patient. Of course, we want to make sure that we're treating the right condition. If the patient has type 2 diabetes, we tend to give them medication that is indicated for type 2 diabetes. Many GLP-1 agonists are available in a diabetes version and a chronic weight management or obesity version. If a patient has diabetes and obesity, they can receive either one. If a patient has only diabetes but not obesity, they should be prescribed the diabetes version. For obesity without diabetes, we tend to stick with the drugs that are indicated for chronic weight management. Let's go through them. Exenatide. In chronological order of approval, the first GLP-1 drug that was used for diabetes dates back to exenatide (Bydureon). Bydureon had a partner called Byetta (also exenatide), both of which are still on the market but infrequently used. Some patients reported that these medications were inconvenient because they required twice-daily injections and caused painful injection-site nodules. Diabetes drugs in more common use include liraglutide (Victoza) for type 2 diabetes. It is a daily injection and has various doses. We always start low and increase with tolerance and desired effect for A1c. Liraglutide. Victoza has an antiobesity counterpart called Saxenda. The Saxenda pen looks very similar to the Victoza pen. It is a daily GLP-1 agonist for chronic weight management. The SCALE trial demonstrated 8%-12% weight loss with Saxenda. Those are the daily injections: Victoza for diabetes and Saxenda for weight loss. Our patients are very excited about the advent of weekly injections for diabetes and weight management. Ozempic is very popular. It is a weekly GLP-1 agonist for type 2 diabetes. Many patients come in asking for Ozempic, and we must make sure that we're moving them in the right direction depending on their condition. Semaglutide. Ozempic has a few different doses. It is a weekly injection and has been found to be quite efficacious for treating diabetes. The drug's weight loss counterpart is called Wegovy, which comes in a different pen. Both forms contain the compound semaglutide. While all of these GLP-1 agonists are indicated to treat type 2 diabetes or for weight management, Wegovy has a special indication that none of the others have. In March 2024, Wegovy acquired an indication to decrease cardiac risk in those with a BMI ≥ 27 and a previous cardiac history. This will really change the accessibility of this medication because patients with heart conditions who are on Medicare are expected to have access to Wegovy. Tirzepatide. Another weekly injection for treatment of type 2 diabetes is called Mounjaro. Its counterpart for weight management is called Zepbound, which was found to have about 20.9% weight loss over 72 weeks. These medications have similar side effects in differing degrees, but the most-often reported are nausea, stool changes, abdominal pain, and reflux. There are some other potential side effects; I recommend that you read the individual prescribing information available for each drug to have more clarity about that. It is important that we stay on label for using the GLP-1 receptor agonists, for many reasons. One, it increases our patients' accessibility to the right medication for them, and we can also make sure that we're treating the patient with the right drug according to the clinical trials. When the clinical trials are done, the study populations demonstrate safety and efficacy for that population. But if we're prescribing a GLP-1 for a different population, it is considered off-label use. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/1000524?src=soc_yt

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With the rise in obesity rates and related health issues, more and more people are turning to medications like semaglutide to aid in their weight loss journey. Semaglutide is a type of medication known as a GLP-1 receptor agonist, which works by regulating appetite and helping to control blood sugar levels. The Semaglutide Weight Loss Program has been gaining popularity as a successful treatment option for individuals looking to shed excess weight and improve their overall health.

Setting Realistic Goals

One of the key components of a successful weight loss program with semaglutide is setting realistic goals. It’s important to work with your healthcare provider to determine a healthy target weight and develop a plan to reach it. This may involve making dietary changes, increasing physical activity, and taking your medication as prescribed. By setting achievable goals, you can stay motivated and track your progress along the way.

Another aspect of setting realistic goals is understanding that weight loss takes time. It’s important to be patient and stay committed to your treatment plan, even when progress may seem slow. Remember that sustainable weight loss is a gradual process, and the most important thing is making healthy lifestyle changes that you can maintain long-term.

When setting your weight loss goals, it’s also important to consider how Semaglutide can help you achieve them. This medication has been shown to significantly reduce body weight in clinical trials, making it an effective tool for those struggling to lose weight through diet and exercise alone. By using Semaglutide as part of your treatment plan, you can enhance your weight loss efforts and improve your overall health.





Creating a Balanced Meal Plan

Another key aspect of the Semaglutide Weight Loss Program is creating a balanced meal plan that supports your weight loss goals. Your healthcare provider can help you develop a nutrition plan that is tailored to your individual needs and preferences. This may involve reducing portion sizes, choosing nutrient-dense foods, and limiting processed foods and added sugars.

Incorporating a variety of foods from all the food groups is important for meeting your nutritional needs while on the Semaglutide Weight Loss Program. Focus on including plenty of fruits, vegetables, whole grains, lean proteins, and healthy fats in your meals and snacks. This will help you feel satisfied, stay energized, and support your weight loss efforts.

In addition to creating a balanced meal plan, it’s important to pay attention to your eating habits and behaviors. Mindful eating, such as paying attention to hunger and fullness cues, can help you develop a healthy relationship with food and avoid emotional eating. By making mindful food choices and listening to your body’s signals, you can support your weight loss journey with Semaglutide.

Staying Active and Moving Your Body

Physical activity plays a crucial role in any weight loss program, including the Semaglutide Weight Loss Program. Regular exercise not only helps burn calories and support weight loss but also has numerous health benefits, including improving cardiovascular health, boosting mood, and increasing energy levels. Aim to incorporate a variety of activities into your routine, such as cardio, strength training, flexibility exercises, and outdoor activities.

Your healthcare provider can help you create an exercise plan that aligns with your fitness level, goals, and any physical limitations you may have. Start slowly and gradually increase the intensity and duration of your workouts as your fitness improves. Remember that any amount of physical activity is beneficial, so find activities that you enjoy and make them a regular part of your routine.

Staying active doesn’t have to mean hitting the gym every day – there are plenty of ways to move your body and stay active throughout the day. Take the stairs instead of the elevator, go for a walk during your lunch break, or join a dance class with friends. By finding fun and engaging ways to stay active, you can support your weight loss goals and improve your overall health with Semaglutide.

Building a Support System

Building a strong support system is essential for success in any weight loss program, including the Semaglutide Weight Loss Program. Surround yourself with friends, family members, or healthcare professionals who can offer encouragement, accountability, and motivation as you work towards your goals. Share your progress, challenges, and victories with your support network, and lean on them for support when needed.

In addition to seeking support from others, it’s important to cultivate self-compassion and kindness towards yourself throughout your weight loss journey. Celebrate your successes, no matter how small, and learn from your setbacks without being too hard on yourself. Remember that making lasting lifestyle changes takes time and effort, and it’s okay to ask for help and support along the way.

By building a supportive environment and surrounding yourself with positive influences, you can stay motivated, committed, and focused on your weight loss goals with Semaglutide. Whether it’s joining a support group, working with a healthcare provider, or sharing your journey with loved ones, having a strong support system can make a significant impact on your success.

FAQs

Q: Is Semaglutide safe for everyone to use for weight loss?

A: Semaglutide is FDA-approved for use in individuals with a BMI of 30 or higher, or a BMI of 27 or higher with at least one weight-related health condition. It’s important to consult with your healthcare provider to determine if Semaglutide is a safe and appropriate treatment option for you.

Q: How much weight can I expect to lose with the Semaglutide Weight Loss Program?

A: Clinical trials have shown that individuals taking Semaglutide can achieve significant weight loss, with many participants losing over 10% of their body weight. The amount of weight you may lose can vary depending on factors such as diet, exercise, and individual response to the medication.

Q: Are there any common side effects of Semaglutide that I should be aware of?

A: Some common side effects of Semaglutide may include nausea, vomiting, diarrhea, and constipation. These side effects are usually mild to moderate in severity and may improve over time. It’s important to talk to your healthcare provider about any side effects you may experience while taking Semaglutide.

Q: How long should I stay on the Semaglutide Weight Loss Program?

A: The duration of treatment with Semaglutide can vary depending on individual goals, progress, and response to the medication. Your healthcare provider can help determine the appropriate length of treatment for you and make adjustments to your plan as needed.

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Semaglutide, marketed under the brand name Ozempic, has been making waves in the weight loss community due to its remarkable success stories. Many individuals have shared their before and after pictures, showcasing the incredible transformations they have experienced with the help of this medication. In this article, we will explore some real success stories of people who have used Semaglutide/Ozempic for weight loss, highlighting their journeys and results.

Success Story #1: Sarah’s Journey

Sarah struggled with her weight for years, trying various diets and exercise routines without much success. Frustrated and feeling defeated, she decided to give Semaglutide a try after hearing about its effectiveness from a friend. Within a few months of starting the medication, Sarah noticed significant changes in her body.

Her before and after pictures tell the story of a confident, determined woman who finally found a solution that worked for her. Sarah’s transformation is not just physical; it is also emotional and mental. She credits Semaglutide for giving her the motivation and tools she needed to make lasting changes in her life.

Today, Sarah is happier and healthier than ever, thanks to Semaglutide/Ozempic. Her journey serves as an inspiration to many others who are struggling with their weight and looking for a sustainable solution.

Success Story #2: John’s Transformation

John had always been overweight, but it wasn’t until his doctor expressed concerns about his health that he decided to take action. After researching various weight loss options, John chose to try Semaglutide/Ozempic, hoping it would help him achieve his goals.

His dedication to following a healthy diet and exercise routine, coupled with the support of Semaglutide, led to remarkable changes in his body. John’s before and after pictures speak volumes about his commitment and hard work throughout his weight loss journey.

Today, John is not just physically healthier; he also has more energy and confidence to tackle any challenges that come his way. Semaglutide played a significant role in John’s transformation, showing him that it is never too late to make a change for the better.My First Day Trying Goli Apple Cider Vinegar Gummies

Success Story #3: Maria’s Struggles and Triumphs

Maria had been battling obesity for most of her adult life, facing numerous health issues as a result of her weight. Feeling hopeless and trapped in a cycle of yo-yo dieting, Maria was skeptical when she first heard about Semaglutide/Ozempic.

However, after seeing the incredible results of others who had used the medication, Maria decided to give it a chance. The before and after pictures of Maria showcase her remarkable transformation, both inside and out.

Today, Maria is thriving, enjoying a newfound sense of freedom and confidence that she never thought possible. Semaglutide has been a game-changer for Maria, helping her break free from the chains of obesity and embrace a healthier, happier life.

Success Story #4: James’ Weight Loss Journey

James had struggled with his weight since childhood, facing constant struggles with self-esteem and confidence. After years of failed attempts to lose weight, James discovered Semaglutide/Ozempic and decided to give it a try.

His commitment to the medication, combined with a dedication to making healthier lifestyle choices, led to a significant transformation in his body. James’ before and after pictures reveal a newfound sense of pride and accomplishment in his eyes.

Today, James is in the best shape of his life, thanks to the support of Semaglutide. His weight loss journey serves as a reminder that with determination and the right tools, anyone can achieve their desired results.





Success Story #5: Emily’s Empowering Transformation

Emily had struggled with her weight for years, trying every fad diet and workout plan with little success. Feeling defeated and lost, Emily was on the verge of giving up when she came across Semaglutide/Ozempic.

With nothing to lose, Emily decided to give the medication a chance, and it turned out to be the best decision she ever made. The before and after pictures of Emily showcase a confident, empowered woman who has taken control of her health and well-being.

Today, Emily is thriving, enjoying a newfound sense of freedom and joy that she never thought possible. Semaglutide has given her the tools she needed to make lasting changes and embrace a healthier, happier lifestyle.

In conclusion, Semaglutide/Ozempic has proven to be a game-changer for many individuals struggling with weight loss. The real success stories shared by Sarah, John, Maria, James, and Emily are just a few examples of the transformative power of this medication. If you are looking for a sustainable solution to your weight loss journey, consider talking to your doctor about Semaglutide/Ozempic and see the incredible results for yourself.

Whether you are just starting your weight loss journey or have been struggling for years, Semaglutide/Ozempic could be the answer you have been looking for. Don’t wait any longer; take the first step towards a healthier, happier you today.

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I avoided taking any drugs for insulin resistance for over two years. Diet and exercise were creating extremely slow results in my numbers and few results in my weight loss. I kept hitting a wall and regaining the few pounds I had lost. I was so frustrated. Thats when I researched the drug options. The GLP-1 drugs like Ozempic cause weight loss with 50-70% in loss of muscle mass. Nope, not doing that! Menupause and age make building and keeping muscle hard as it is! Metformin has been helping people avoid diabetes since 1995 in the US and was discovered 100 years ago. Metformin works well to lower hemoglobin A1C (HbA1C or A1C), or your average blood glucose levels over 3 months. I am in my 3rd month taking it and my numbers just reduced to normal. This will allow the lower carb/Mediterranean diet, weight lifting and exercise to begin working. The only way to fail is to quit and that is not an option. I either do nothing and keep gaining weight or I work at finding the best combination of food, fitness and exercise with some temporary help from metformin! I am sharing my journey and my results. I hope some of this is helpful for you too!🌻

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Weight loss can be a challenging journey for many individuals, and finding the right resources and support can make all the difference. One tool that has gained popularity in recent years is Semaglutide, a medication that has been shown to aid in weight loss for those struggling with obesity. However, one common question that arises is whether Medicare covers Semaglutide for weight loss. Understanding insurance policies and coverage can be complex, but with the right information, individuals can navigate this process more effectively.

The Importance of Understanding Medicare Coverage for Weight Loss Medications

Medicare is a federal health insurance program that provides coverage for individuals aged 65 and older, as well as certain younger individuals with disabilities. Medicare coverage can vary depending on the type of plan individuals have, such as Original Medicare (Part A and Part B), Medicare Advantage (Part C), or Medicare Part D (prescription drug coverage). Understanding what medications are covered under Medicare, including weight loss medications like Semaglutide, is crucial for individuals seeking to manage their health and well-being.

Factors Influencing Medicare Coverage for Semaglutide

When it comes to Medicare coverage for weight loss medications like Semaglutide, several factors come into play. Medicare typically covers medications that are deemed medically necessary for the treatment of an individual’s health condition. In the case of Semaglutide, its approval for weight loss by the Food and Drug Administration (FDA) may influence whether Medicare will provide coverage. Additionally, the specific Medicare plan an individual has, as well as any guidelines or restrictions set by Medicare, can impact coverage for Semaglutide.

Options for Obtaining Coverage for Semaglutide

For individuals seeking coverage for Semaglutide under Medicare, there are a few options to explore. One option is to work with a healthcare provider to determine if Semaglutide is an appropriate treatment option based on the individual’s health needs and weight loss goals. Healthcare providers can also assist in documenting the medical necessity of Semaglutide for weight loss, which may be required for Medicare coverage. Additionally, individuals can reach out to their Medicare plan provider to inquire about coverage options and any steps needed to request coverage for Semaglutide.

Navigating the Complexities of Insurance Policies for Weight Loss Medications

Understanding insurance policies, including Medicare coverage for weight loss medications like Semaglutide, can be a complex and overwhelming process. Individuals may encounter challenges such as navigating coverage guidelines, dealing with paperwork and documentation requirements, and communicating effectively with healthcare providers and insurance carriers. Seeking assistance from knowledgeable professionals, such as healthcare providers, insurance specialists, or patient advocacy groups, can help individuals navigate this process more effectively and make informed decisions about their healthcare.

Advocating for Coverage and Access to Weight Loss Medications

Advocating for coverage and access to weight loss medications like Semaglutide is essential for individuals seeking to improve their health and well-being. By understanding Medicare policies and coverage guidelines, advocating for the medical necessity of weight loss medications, and seeking support from healthcare providers and insurance specialists, individuals can increase their chances of obtaining coverage for Semaglutide and other valuable treatments. Through education, empowerment, and collaboration, individuals can work towards better health outcomes and a higher quality of life.

Summary

As individuals navigate the complexities of insurance policies and coverage for weight loss medications like Semaglutide, understanding Medicare guidelines and options for obtaining coverage is essential. By working closely with healthcare providers, Medicare plan providers, and other knowledgeable professionals, individuals can advocate for coverage and access to valuable treatments that can support their weight loss journey. With the right information and resources, individuals can make informed decisions about their health and well-being, leading to improved outcomes and a higher quality of life.





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Welcome to our guide on the best keto gummies for weight loss in 2022. If you’re following a keto diet and looking for a delicious way to supplement your weight loss journey, keto gummies might be the perfect option for you. These gummies are low in carbs, sugar-free, and often packed with ingredients that support fat burning and appetite control. In this article, we’ll explore some of the top picks for keto gummies available this year, helping you make an informed decision about which ones are right for you.

The Year’s Top Picks for Keto Gummies

When it comes to choosing the best keto gummies for weight loss, there are several factors to consider. You’ll want to look for gummies that are not only delicious but also effective in supporting your weight loss goals. Here are some of the top picks for keto gummies in 2022:

1. Best Overall: KetoWise Keto Gummies

KetoWise Keto Gummies are a popular choice for those following a ketogenic diet. These gummies are made with high-quality ingredients like MCT oil, collagen, and electrolytes to support fat burning and overall health. They come in delicious flavors like raspberry and lemon and are perfect for curbing cravings and staying on track with your weight loss goals.

2. Most Affordable: Nutriana Keto Gummies

If you’re looking for an affordable option that doesn’t skimp on quality, Nutriana Keto Gummies are a great choice. These gummies are made with BHB salts, which help put your body into ketosis faster, leading to increased fat burning and weight loss. They also contain vitamins and minerals to support your overall health while on a keto diet.

3. Best for Appetite Control: Nature’s Craft Keto Gummies

If you struggle with cravings and overeating while on a keto diet, Nature’s Craft Keto Gummies might be the perfect solution for you. These gummies are infused with Garcinia Cambogia, a natural appetite suppressant that can help reduce hunger cravings and prevent overeating. They also contain green tea extract, which boosts metabolism and aids in weight loss.

4. Best for Energy: Nutracure Keto Gummies

For those looking for a little extra energy to power through their workouts and daily activities, Nutracure Keto Gummies are a top pick. These gummies are packed with caffeine, green coffee bean extract, and B vitamins to provide a natural energy boost without the crash that comes with sugary energy drinks. They’re perfect for staying energized and focused on your weight loss journey.

5. Best for Digestive Health: DACHA Nutrition Keto Gummies

Optimizing your digestive health is crucial for weight loss, and DACHA Nutrition Keto Gummies are here to help. These gummies are formulated with prebiotic fiber, which supports a healthy gut microbiome and improves digestion. They also contain probiotics to promote a healthy balance of gut bacteria, leading to better nutrient absorption and overall wellness.

Summary and Frequently Asked Questions

Overall, keto gummies can be a tasty and convenient way to support your weight loss goals while following a ketogenic diet. Whether you’re looking for appetite control, energy support, or digestive health benefits, there’s a keto gummy out there for you. Remember to choose gummies that are low in carbs, sugar-free, and made with high-quality ingredients for the best results.

If you have any questions about keto gummies for weight loss or would like more information on any of the products mentioned in this article, please refer to the following frequently asked questions:

1. Are keto gummies safe for weight loss?

2. How do keto gummies support weight loss?

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3. Can I eat keto gummies on a non-keto diet?

4. Are there any side effects of consuming keto gummies?

5. How should I choose the best keto gummies for my weight loss goals?

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