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GLP-1 Agonists for Obesity in Non-Diabetic Patients: Game Changer or Overhyped? | A Critical Clinical Review GLP-1 receptor agonists are reshaping the treatment landscape for obesity—even in patients without diabetes. But are they truly a game-changing intervention or an overhyped pharmacologic trend with major limitations? In this comprehensive analysis, we critically examine the clinical efficacy, cardiovascular outcomes, safety profile, real-world limitations, and economic impact of GLP-1 agonists—drawing from major trials like SELECT, SURMOUNT, and recent meta-analyses. We compare leading agents including semaglutide, tirzepatide, and emerging triple agonists such as retatrutide. You'll learn: How GLP-1 RAs affect appetite, energy homeostasis, and cardiovascular risk Differences in weight loss efficacy among GLP-1 agents in non-diabetic populations Long-term adherence challenges and the risks of weight regain The emerging safety landscape, including GI side effects and perioperative risks Cost-effectiveness concerns, access barriers, and global policy considerations Who is this for? This lecture is designed for physicians, pharmacists, endocrinologists, obesity specialists, and healthcare leaders seeking a balanced, evidence-based perspective on the role of GLP-1s in modern obesity treatment. Whether you're prescribing these agents or designing treatment protocols, this session offers vital insights into optimizing use and anticipating future directions. 🎯 Is it a breakthrough or just hype? We present the evidence—so you can decide. 📌 Subscribe to GlobalRPh for more in-depth clinical content on pharmacotherapy, metabolic health, and practice-changing evidence.
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DIET KETO BAGI PEMULA Diet keto adalah golongan pola makan rendah karbohidrat, moderat protein dan tinggi lemak. Komposisi makronutrisi dalam diet keto adalah 10% karbohidrat, 20% protein dan 70% lemak. Jumlah karbohidrat dalam makanan benar-benar dibatasi hanya 20 g- 50g. Pada beberapa kelompok diet keto bahkan membatasi hanya 20 gram karbohidrat perhari. Melalui diet ini diharapkan tubuh dapat menggunakan keton sebagai sumber bahan bakar untuk energi tubuh. Bila biasanaya tubuh menggunakan karbohidrat sebagai bahan bakar utama maka pada diet keto ini, tubuh akan menggunakan keton sebagai bahan bakar utama. Hampir semua sel tubuh manusia dapat menggunakan keton sebagai sumber energinya. Sel yang menggunakan keton adalah sel yang memiliki mitokondria yang berfungsi baik. Mitokondria adalah pabrik produksi energi dari sel. Sel darah merah yang matang adalah sel yang tidak memiliki mitokondria karena itu dia hanya bisa menggunakan glukosa untuk bahan bakarnya, tidak bisa menggunakan keton. Saat kadar gula darah sangat rendah dan sel darah merah membutuhkan gula maka tubuh akan memproduksi gula melalui proses glukoneogenesis. Bahan untuk membentuk gula dalam proses terdebut adalah protein, asam lemak, trigliserida, bahkan keton sendiri bisa diubah menjadi gula darah. Ini membuktikan bahwa karbohidrat bukan nutrisi esensial karena bisa diproduksi oleh tubuh sendiri tanpa mengandalakan asupan karbohidrat dari luar. Hal ini tentunya berbeda dengan makronutrisi lainnya, lemak dan protein. Lemak dan protein memiliki jenis lemak esensial dan asam amino esensial yang hanya didapat dari makanan karena tubuh tidak bisa memproduksinya. Sel lain yang tidak bisa menggunakan keton sebagai sumber energinya adalah sel kanker karena terjadi kerusakan pada mitokondrianya. Bila yang tersedia adalah keton maka sel kanker tidak akan mendapat makanan dan akhirnya akan mati. Diet keto dapat menjadi salah satu alternative untuk pengobatan kanker ataupun untuk pencegahan kanker. Lalu mengapa harus diet keto? Jawabannya berhubungan dengan fungsi keton sebagai bahan bakar pengganti dari glukosa. Dengan demikian maka insulin tidak terpancing keluar karena tidak ada peningkatan glukosa dalam darah. Dampak selanjutnya adalah terjadi perbaikan terhadap resistensi insulin dengan ujung akhir mengendalikan sindroma metabolik. Manfaat diet keto adalah 1. Mengendalikan sindroma metabolik 2. Mengurangi rasa lapar dalam melakukan intermitten fasting. Kombinasi diet keto dan IF dapat mempercepat ketosis sebagai adaptasi terhadap metabolisme lemak. IF is the healer. Puasa itu menyembuhkan. Keto diet is the keeper, menjaga agar dapat terus ber-IF.
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