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CardioNerds (Drs. Gurleen Kaur and Richard Ferraro) and episode FIT Lead Dr. Spencer Carter (Cardiology Fellow at UT Southwestern) discuss the clinical implementation of GLP-1 receptor agonists with Dr. Neha Pagidapati (Faculty at Duke University School of Medicine). In this episode of the CardioNerds Cardiovascular Prevention Series, we discuss the clinical implementation of glucagon-like peptide-1 (GLP-1) receptor agonists. We cover the clinical indications, metabolic and cardiovascular benefits, and potential limitations of these emerging and exciting therapies. Show notes were drafted by Dr. Spencer Carter. Audio editing was performed by CardioNerds Academy Intern, student Dr. Pacey Wetstein. This episode was produced in collaboration with the American Society of Preventive Cardiology (ASPC) with independent medical education grant support from Novo Nordisk. See below for continuing medical education credit. Claim CME for this episode HERE. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Clinical Implementation of GLP-1 Receptor Agonists GLP-1 agonists work through a variety of mechanisms to counteract metabolic disease. They increase insulin secretion, inhibit glucagon secretion, slow gastric motility, and increase satiety to limit excess energy intake. Patients with type II diabetes and an elevated risk for atherosclerotic cardiovascular disease should be considered for GLP-1 agonist therapy regardless of hemoglobin A1c. GLP-1 agonists offer significant ASCVD risk reduction even in the absence of diabetes. Newer data suggest a significant reduction in cardiovascular events with GLP-1 agonist therapy in patients who are overweight or obese and have a prior history of heart disease. GLP-1 agonists should generally be avoided in patients with a history of medullary thyroid cancer or MEN2. As these medications slow gastric emptying, relative contraindications include history of recurrent pancreatitis and gastroparesis. GLP-1 agonists should be initially prescribed at the lowest dose and slowly uptitrated to avoid gastrointestinal side effects. Show notes - Clinical Implementation of GLP-1 Receptor Agonists What were the groundbreaking findings of the STEP1 and SURMOUNT-1 trials and how these impact cardiovascular wellness? The STEP1 and SURMOUNT trials demonstrated sustained clinically relevant reduction in body weight with semaglutide and tripeptide, respectively, in patients with overweight and obesity. As obesity is an important risk factor for the development of cardiovascular disease, weight reduction meaningfully contributes to cardiovascular wellness. What were the findings of the LEADER trial and their implications for patients with type II diabetes and high cardiovascular risk? The LEADER trial demonstrated a significant reduction in the rate of cardiovascular death, nonfatal MI, or nonfatal stroke in patients with type II diabetes treated with liraglutide. GLP-1 receptor agonist therapy should be considered in all patients with type II diabetes and elevated ASCVD risk regardless of A1c or current hyperglycemic therapy. What are current indications for GLP1 agonists in the context of cardiometabolic disease. GLP-1 receptor agonists should be considered in patients with type II diabetes and high ASCVD risk OR patients without diabetes who are overweight/obese and have a history of cardiovascular disease. What are important side effects or contraindications to GLP1 agents when used for cardiovascular risk reduction and wellness? GLP-1 receptor agonists should be avoided in patients with a history of medullary thyroid cancer or MEN2. Relative contraindications include recurrent pancreatitis, gastroparesis,

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Semaglutide with B12 for weight loss has been making waves in the health and wellness industry, with many users reporting significant results. This combination of medications has been shown to aid in weight loss by controlling appetite, increasing metabolism, and promoting fat loss. If you’re considering trying Semaglutide with B12 for weight loss, it’s important to know what users are saying about their experiences. In this article, we’ll dive into reviews of Semaglutide with B12 for weight loss to help you make an informed decision.

Increased Weight Loss

Users have reported experiencing increased weight loss when using Semaglutide with B12. This combination of medications is designed to target different aspects of weight loss, making it easier for users to shed those stubborn pounds. By controlling appetite and boosting metabolism, Semaglutide with B12 can help users reach their weight loss goals more effectively.

Many users have noted that they were able to lose weight more quickly while taking Semaglutide with B12 compared to other weight loss methods they had tried in the past. The combination of appetite control and increased metabolism has helped users see results they never thought possible.

Some users have also reported that Semaglutide with B12 helped them break through weight loss plateaus. By incorporating this medication combination into their weight loss regimen, users were able to continue losing weight consistently, even when they had previously hit a plateau.

Improved Energy Levels

Another common theme among user reviews of Semaglutide with B12 is the improvement in energy levels. Many users have reported feeling more energetic and focused while taking these medications, which has helped them stay active and motivated throughout their weight loss journey.

Increased energy levels can be a game-changer when it comes to weight loss, as it allows users to engage in more physical activity and burn more calories. Users have noted that the combination of Semaglutide with B12 has helped them stay active and make healthier choices throughout the day.

By feeling more energetic and focused, users have been able to stay on track with their weight loss goals and maintain a healthier lifestyle overall. The boost in energy provided by Semaglutide with B12 has been a key factor in helping users see success in their weight loss journey.

Positive Mood and Mental Clarity

In addition to increased weight loss and improved energy levels, users have also reported experiencing a more positive mood and mental clarity while taking Semaglutide with B12. Many users have noted feeling happier, more focused, and less stressed since incorporating these medications into their routine.

Improved mood and mental clarity can play a significant role in weight loss success, as it can help users stay motivated and committed to their goals. Users have found that the combination of Semaglutide with B12 has helped them stay positive and focused on their weight loss journey, even when faced with challenges.

By feeling happier and more mentally clear, users have been able to make healthier choices, stay active, and see better results in their weight loss efforts. The positive impact on mood and mental clarity from Semaglutide with B12 has been a key factor in helping users achieve their weight loss goals.

Side Effects and Considerations

While many users have reported positive experiences with Semaglutide with B12 for weight loss, it’s important to note that there may be potential side effects and considerations to keep in mind. Some users have reported experiencing mild side effects such as nausea, diarrhea, or constipation while taking these medications.

It’s important to consult with a healthcare provider before starting Semaglutide with B12 for weight loss to discuss any potential side effects or considerations. Your healthcare provider can help determine if this medication combination is right for you and provide guidance on how to manage any side effects that may arise.

Overall, user reviews of Semaglutide with B12 for weight loss have been overwhelmingly positive, with many users reporting increased weight loss, improved energy levels, and a more positive mood and mental clarity. If you’re considering trying Semaglutide with B12 for weight loss, it’s important to consult with a healthcare provider to determine if this medication combination is right for you and to discuss any potential side effects or considerations.

Conclusion

In conclusion, user reviews of Semaglutide with B12 for weight loss have highlighted the effectiveness of this medication combination in aiding weight loss. Users have reported increased weight loss, improved energy levels, and a more positive mood and mental clarity while taking Semaglutide with B12. While there may be potential side effects and considerations to keep in mind, many users have found success with this medication combination in achieving their weight loss goals. If you’re considering trying Semaglutide with B12 for weight loss, be sure to consult with a healthcare provider to determine if this medication combination is right for you.

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Many of you have asked me to break down the pros and cons of Metformin vs. Berberine. Jump in here as I address each for Type 2 Diabetes, weight loss and overall longevity. Many biohackers out there are using both Metformin and Berberine for reduction of cancer, for brain protection from Alzheimer's, Parkinson's, Dementia, neurological diseases of aging and other various diseases of aging. Here we go one by one... Research studies mentioned in episode: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6351883/ https://ijhs.shmu.ac.ir/index.php/ijhs/article/view/610 https://www.researchgate.net/publication/341607228_The_Aerobic_Training_and_Berberine_Chloride_Intervention_on_Pancreatic_Tissue_Antioxidant_Enzymes_and_Lipid_Peroxidation_in_Type_1_Diabetic_Rats Shop ALL of Dr. Amie's Fixxr Supplements: Fixxrsupps.com (https://dramiehornaman.com/collections/supplements) Subscribe to my Text Club: Text DRAMIE to 8332631365 LET'S GET YOUR LIFE BACK...Connect with Dr. Amie Hornaman Book a free discovery call: https://dramiehornaman.com/pages/book-a-call FREE DOWNLOADS… Are My Labs Optimal? What Do I Do? (https://dramie.ac-page.com/get-these-labs) Don't know where to start...don't know which labs are useful? And what to do when you get your results? Heal Your Hashi with Keto a 7 Day Challenge: (https://amie-hornaman.mykajabi.com/pl/146617) 7 daily tasks to implement if you are looking for that nutritional change, and a challenge that can help get you on the road to healthier, dietary choices!  CONNECT WITH ME ON SOCIAL MEDIA: Join my exclusive Facebook Group, Dr. Amie…The Thyroid Fixer®...Love Your Mirror, for a Community of HOPE and Support in your thyroid journey. https://www.facebook.com/groups/dramie/ Like me on Facebook: Amie Hornaman Nutrition and Functional Medicine (https://www.facebook.com/amiehornamannutrition/) Subscribe on Youtube: Dr. Amie Hornaman (https://www.youtube.com/c/dramiehornaman) Follow me on Instagram: @dramiehornaman (https://www.instagram.com/dramiehornaman/)

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