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Last updated on 2025-11-18

2025-11-18

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In this episode, I reconnect with Dr. David Fieno, MD, PhD, a board-certified surgical cardiologist, and a former residency colleague from our days at Cedars-Sinai. Though we've both moved away from Los Angeles, we remain lifelong friends. In this episode, Dr. Fieno shares his personal and professional journey with GLP-1 drugs, discussing the profound impact these medications have had on the health of his cardiac and obese patients. As a specialist in a variety of cardiology-related procedures, including pacemakers and defibrillators, Dr. Fieno also delves into his role as a vein specialist and his experiences founding an obesity clinic at Heart South Cardiovascular Group, PC, in Alabama. Under his guidance, the clinic has seen remarkably successful outcomes. Tune in to hear Dr. Fieno's story of innovation and care in the field of cardiology, and learn about the transformative potential of GLP-1 therapies in managing obesity and enhancing cardiac health. He is a seasoned public speaker and heart health advocate, and if you would like to learn more about him, please visit: https://heartsouthpc.com/staff/fieno/ https://www.davidfieno.com/insidethemedicine-aboutme Timestamps: 00:00 - Introduction with Dr. Alison Kole and Dr. David Fieno 00:22 - Reconnecting with Dr. Fieno: Journey to Surgical Cardiology 00:54 - Dr. Fieno's Specialization and Innovations in Cardiology 01:20 - Link between Heart Health, Sleep, and Obesity 02:57 - Introduction to GLP-1 Receptor Agonist Therapies 04:04 - The Epidemic of Obesity and its Cardiac Complications 05:03 - Collaborative Care Approaches in Medicine 06:53 - Broad Medical Benefits of GLP-1 Drugs 08:52 - Addressing Side Effects and Broad Applications of T2 Inhibitors 11:08 - Personal and Clinical Success Stories with GLP-1 Drugs 14:38 - Sustainable Practices in Cardiology and Patient Empowerment 17:33 - Break and Promotional Segment 20:32 - Personalized Medicine: Dosing and Patient Care Strategies 26:08 - Long-term Impacts and Future Directions in GLP-1 Drug Use 31:19 - Ensuring Comprehensive Care: Evaluations and Patient Commitment 35:53 - Addressing Lifestyle and Medication Compliance in Treatment 39:13 - Conclusion and Disclaimer _____ 🌙 About Me 🌙 I'm Dr. Alison Kole, a fellowship-trained and Board Certified Sleep Medicine specialist, as well as a chronic insomniac turned sleep biohacker. My mission is to empower you to naturally improve your sleep for a healthier life. 🎧 Listen to Season 4 on: Apple Podcast: podcasts.apple.com/us/podcast/sleep-is-my-waking-passion/id1684976379 Spotify: open.spotify.com/show/3kSqlAoEC7tFmFj0Pms0hw 📷 Connect with Me Website: www.askthesleepmd.com Instagram: www.instagram.com/askthesleepmd Facebook: www.facebook.com/askthesleepmd LinkedIn: www.linkedin.com/in/alison-kole-md-mph-fccp-faasm-b6a26715

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Hola a todos: El vídeo de esta semana interesa especialmente a personas con diabetes tipo 2 y obesidad y una especial repulsión a los pinchazos ; ya que os hablo de un fármaco, el semaglutide oral, perteneciente al grupo farmacológico de los agonistas del receptor de GLP-1 , de los que hasta ahora no había formas farmacéuticas orales sino que eran todas parenterales. El semaglutide oral supone una gran revolución en el tratamiento de la diabetes porque hasta ahora todos los agonistas del receptor de GLP-1 que había en el mercado se administraban por vía parenteral subcutánea. Consulta a tu endocrino si el Rybelsus podría ser interesante para ti si tienes diabetes tipo 2 y obesidad. Espero que os resulte de interés.

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Following a ketogenic diet can be challenging, especially when trying to stick to strict macronutrient ratios and avoid high-carb foods. With the rise in popularity of the keto diet, many people are looking for convenient ways to support their ketosis journey. That’s where ketosis gummies come in. These delicious treats are specifically formulated to help keep you in ketosis while satisfying your sweet tooth. In this article, we’ll explore the benefits of ketosis gummies and how they can make your keto lifestyle easier and more enjoyable.

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Ketosis gummies are a convenient and tasty way to supplement your ketogenic diet. Unlike traditional supplements that come in pill form, ketosis gummies are easy to take on the go and can be enjoyed as a treat throughout the day. These gummies are specifically formulated to support ketosis by providing your body with exogenous ketones or other ingredients that help promote fat burning and energy production.

One of the biggest challenges of the keto diet is managing cravings for high-carb foods. Ketosis gummies can help satisfy your sweet cravings without derailing your progress. By enjoying a ketosis gummy instead of reaching for a sugary snack, you can stay on track with your keto diet and avoid the dreaded carb crash that comes with indulging in traditional sweets.

In addition to supporting ketosis, ketosis gummies may also provide other benefits such as increased energy, improved mental clarity, and enhanced athletic performance. These gummies are designed to give your body the fuel it needs to perform at its best while following a ketogenic diet. Whether you need a quick energy boost before a workout or a mental pick-me-up during a busy day, ketosis gummies can help you power through any challenge that comes your way.

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When it comes to incorporating ketosis gummies into your keto lifestyle, the possibilities are endless. You can enjoy a gummy as a mid-morning snack, a pre-workout pick-me-up, or a dessert after dinner. These gummies are a versatile and convenient way to support your keto journey without sacrificing taste or convenience.

It’s important to remember that ketosis gummies are just one tool in your keto toolbox. While these gummies can help support ketosis and provide additional benefits, they should be used in conjunction with a well-rounded ketogenic diet and lifestyle. Be sure to continue following your macros, eating whole foods, and staying hydrated to maximize the benefits of ketosis gummies and ensure long-term success on the keto diet.

With the help of ketosis gummies, you can take your ketogenic journey to the next level. Whether you’re looking for a convenient way to support ketosis, satisfy your sweet cravings, or enhance your performance, these gummies have you covered. Try incorporating ketosis gummies into your daily routine and experience the benefits for yourself.

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Q: Are ketosis gummies safe to consume on a ketogenic diet?

A: Yes, ketosis gummies are safe to consume on a ketogenic diet. These gummies are specifically formulated to support ketosis and provide your body with the nutrients it needs to thrive on a low-carb, high-fat diet.

Q: How many ketosis gummies should I consume per day?

A: The recommended dosage of ketosis gummies may vary depending on the brand and formulation. It’s best to follow the instructions on the product label or consult with a healthcare professional to determine the right serving size for you.

Q: Can ketosis gummies help me lose weight?

A: While ketosis gummies can support your ketogenic journey and help keep you in ketosis, they are not a magic weight loss solution. To achieve weight loss on a ketogenic diet, it’s important to focus on maintaining a caloric deficit, eating whole foods, and staying active.