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Meal replacement shakes are promoted as a healthy, quick solution for weight loss, but how efficacious are they in the short and long term? Subscribe to Nourishable at https://www.youtube.com/c/Nourishable Support Nourishable on Patreon! https://www.patreon.com/nourishable https://twitter.com/nourishable fb.me/nourishable.tv https://www.instagram.com/nourishable/ Hosting, Research, Writing & Post-Production by Lara Hyde, PhD http://www.nourishable.tv Music & Video Production by Robbie Hyde https://www.youtube.com/user/chedderchowder Opening Motion Graphics by Jay Purugganan https://www.c9studio.com/WP/ Script with in-text citations http://bit.ly/2BYknYr The information in this video is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this video is for general information purposes only. Meal replacement shakes are promoted as a healthy, quick solution for weight loss. They are a high protein powders with other nutrients from juice extracts, freeze dried plants or vitamin and mineral mixes. They’re blended with ice and water, or with milks, fruits and veggies. They’re recommended to replace 1-2 meals a day, with a 3rd low cal meal plus physical activity. There are many before and after pictures with testimonials of weight loss success. Anecdote is not evidence. Not many have been studied, but we get insight from other research with SlimFast or MediFast. Science says that partial MR programs yield slightly more weight loss than low cal meal plans for the short term. It’s easy to follow a restrictive program for a few months, but what about a year or two or more down the line? Researchers asked whether partial MR plans are more effective than diet alone after 1 year. They compiled 23 studies together. These partial MR programs included shakes, but also bars and pre-portioned whole food meals. After 1 year, partial MR programs yielded more weight loss than diet alone. Significantly more subjects achieved clinically meaningful weight loss using partial MR plus additional support. Weight loss greater than 5 or 10% of total body weight is considered clinically meaningful because it is accompanied by other health improvements like blood glucose control and insulin sensitivity. Additional support included individual and group weight loss sessions with dietitians and health educators. My takeaway is that MRs can yield greater weight loss than diet alone when used as one tool among many within a supported weight loss program. This interpretation is supported by the Academy of Nutrition and Dietetics, who stated MRs can be helpful for adherence to a low cal diet through portion control, convenience, limiting dietary variety and reducing problematic food choices. There are a few studies that can help address whether MRs in general are important in the long haul.The Look AHEAD study investigated a comprehensive weight loss program that introduced many strategies. Over 8 years, some maintained their weight loss whereas others regained. Both the maintainers and regainers said they used shakes the same amount, suggesting that shakes are not the key. The maintainers reported more physical activity, self-weight monitoring and more frequent low cal food intake. The National Weight Control Registry follows individuals who have maintained at least a 30 pound weight loss for a year or more. There's no one size fits all approach. However, only about 1/10 report using MRs, whereas 9/10 report keeping healthy foods at home, regular self weighing and physical activity. When making major dietary changes it is best to consult a registered dietitian for individualized advice. The best evidence we have shows that partial MR programs can enhance weight loss at 1 year, though the they seem to be less important than other strategies as time goes on. If you’re looking to shakes for weight loss, it’s important to incorporate additional healthy behaviors, like physical activity and healthy nutrient dense foods. Solely relying on shakes is not sustainable in the long haul. Images: Shutterstock, UConn Rudd Center for Food Policy & Obesity https://www.freepik.com/free-vector/people-background-design_1358449.htm Designed by Freepik https://www.freepik.com/free-vector/family-and-relationship-problems-counseling-and-therapy-with-support-group-flat-icons_2869412.htm Designed by Macrovector https://www.freepik.com/free-photos-vectors/food Designed by Freepik https://www.freepik.com/ from https://www.flaticon.com/ is licensed by http://creativecommons.org/licenses/by/3.0/ References https://www.ncbi.nlm.nih.gov/pubmed/12704397 https://www.ncbi.nlm.nih.gov/pubmed/30675990 https://www.ncbi.nlm.nih.gov/pubmed/24307184 https://www.ncbi.nlm.nih.gov/pubmed/26718656 https://www.ncbi.nlm.nih.gov/pubmed/22469954 https://www.ncbi.nlm.nih.gov/pubmed/24385447 https://www.ncbi.nlm.nih.gov/pubmed/18223628

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My psychiatrist gave me the OK to reduce my antipsychotic medication again from 40mg to 20mg. This puts me below a therapeutic dose. In this video, I bring you along with me through the process of this medication reduction and experience of withdrawal. Timestamps: 00:00 - Important disclaimers 03:28 - Intro to med taper 04:17 - Why I waited to start tapering 06:48 - Where I started with my medication 07:38 - Birthday party! 09:02 - First 20mg dose 10:35 - How I'm feeling on the first day 11:28 - Starting to struggle with withdrawal? 14:02 - Rainy soccer game 14:13 - Taking the second dose of 20mg and reflecting 16:32 - I'm super irritable 19:20 - Another soccer game :) 19:54 - Reflection on first few days 21:00 - What I've been doing to help get through this taper 22:40 - No symptoms! 24:19 - Going for a run 24:44 - Closing thoughts on how this taper has gone 25:42 - Cooking multiple meals for family 26:07 - Important reminders and my thoughts on needing meds in the future Video I mention 'Tapering Psychiatric Medications on Keto' - https://youtu.be/dUy_1VW797k?si=bZnfQ8ONt1GDt9id MEDICAL KETO RESOURCES You can learn more about medical keto for mental illnesses on the Metabolic Mind YouTube channel (@metabolicmind) and on their website https://www.metabolicmind.org/ You can find more about my keto coach Nicole Laurent and her work on her website: https://www.mentalhealthketo.com/ You can also learn more about metabolic health and mental illness from the book 'Brain Energy' by Dr. Christopher Palmer - https://brainenergy.com/ HOW TO TEST YOUR KETONES (important for medical keto!) • The Keto Mojo blood glucose and ketone monitor is a finger prick blood test to accurately measure ketone and glucose levels. You can save 10% off monitor kits purchases and help support this content by using our affiliate link, thanks!: https://bit.ly/ketomojolivingwell • The SiBio continuous ketone monitor is a wearable device we have been using to get accurate and continuous ketone levels. You can save 15% using the coupon code “LIVINGWELL15” and help support this content by using our affiliate link, thanks!: https://bit.ly/sibio HELP SUPPORT THE CHANNEL We depend on the support of our audience to create this valuable resource. If you have found our content helpful, please consider supporting us today. Your contribution can make a huge difference and enable us to continue providing valuable resources to those living with mental illness. • One-time donation: https://donate.stripe.com/9AQ6oV5S0eft5568ww • Monthly donation: https://www.patreon.com/livingwellwithschizophrenia JOIN OUR COMMUNITIES Join a free online community of people using metabolic therapies to treat their mental illness. • Metabolic Therapies for Mental Disorders: https://www.metabolictherapysupport.com We also have a peer support community specifically for people living with psychosis spectrum illnesses. • Schizophrenia Peer Support Community: https://www.schizophreniapeersupport.com MENTAL HEALTH APPAREL Wear your support for mental health! Our t-shirts, sweaters, and mugs not only spread awareness but also help support this channel. Pick up some mental health apparel today and make a statement while making a difference. https://livingwell.myspreadshop.com/ SPEAKING & CONSULTING Looking for an expert speaker or consultant for your upcoming event or project? With years of experience and a passion for mental health advocacy, I can provide the insight and inspiration you need to make a positive impact. Visit my speaking website to learn more! https://www.laurenkennedywest.com/ SOCIALS Instagram: https://www.instagram.com/livingwellwithschizophrenia/ TikTok: https://www.tiktok.com/@livingwellschizophrenia Twitter: https://twitter.com/LWSchizophrenia Website: https://www.livingwellwithschizophrenia.org #schizophrenia #schizoaffective #schizoaffectivedisorder #mentalhealth #mentalillness #metabolichealth #keto #metabolichealth #medicalketo #medication

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