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Dr Anne Peters discusses the need for lifestyle changes in combination with antiobesity medications for weight loss. https://www.medscape.com/viewarticle/maintaining-weight-loss-glp-1s-needs-lifestyle-changes-2024a1000ld0?src=soc_yt -- TRANSCRIPT -- Nearly every patient I start on incretin therapy for weight loss asks me the same question, which is, will I have to stay on this forever? The answer is probably yes, but I think it’s much more nuanced than that because A) forever is a long time and B) I think there are various ways to approach this. I want people to start just saying, let’s see how this works, because not everyone’s going to lose the same amount of weight or respond in the same way. I say let’s try it, but don’t stop it suddenly. If we decide at some point you don’t need quite the same dose, we can reduce the dose and maybe even reduce the frequency of giving it, but you don’t want to stop cold turkey because you may well regain the weight, and that’s obviously not our desired outcome. There have been multiple clinical trials in which people started on an incretin hormone, either a glucagon-like peptide 1 (GLP-1) receptor agonist or a dual hormone, and they’ve actually shown that stopping it and then continuing patients on a placebo vs active drug results in continued weight gain over time vs either weight maintenance or weight loss when they remain on the incretin hormone. Clearly, on average, people will regain the weight, but that isn’t always true. One of the things I think is really important is that, from the get-go on starting on these hormones, people start working with a lifestyle plan, whether it’s working with a coach or an online program. However they approach this, it’s important to start changing habits and increasing exercise. I can’t say how important this is enough, because people need to increase their physical activity to enhance the benefits of these agents and also to help retain lean body mass. I don’t want people losing a large amount of lean body mass as they go through the process of weight loss. I set the stage for the fact that I expect people to adhere to a lifestyle program, and maybe losing weight with the medications is going to help them do even better because they’re going to see positive outcomes. When they get to the point of weight maintenance, I think we need to reinforce lifestyle. I either go down on the dose given weekly or I start having patients take the dose every other week, for instance, as opposed to every week, and then sometimes every month. Depending on the patient, I get them potentially to a lower dose, and then they’re able to maintain the weight as long as they improved their lifestyle along with the changes in the medication. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/maintaining-weight-loss-glp-1s-needs-lifestyle-changes-2024a1000ld0?src=soc_yt

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Gastric Bypass post-ops Van and Pete answer the question: "What aftercare support group/program do you have? How helpful or important is this?" Van 1 year post-op Duodenal Switch Open Gastric Bypass Peak weight was x lbs. Weight at interview: 218 lbs. Pete 2 years post-op Duodenal Switch Open Gastric Bypass Peak weight was x lbs. Weight at interview: x lbs. www.obesityhelp.com

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Get My Diet & Workout Program ► http://bit.ly/SFINNERCIRCLE Subscribe for More Videos ► http://bit.ly/jordansyattyoutube ---- HOW TO USE CARB CYCLING FOR FAT LOSS ---- 💥CARB CYCLING💥 Before you read anything below it's important to clarify one major point: the fitness industry LOVES to overcomplicate stuff. The bigger the word and fancier the name the better it sounds and the more it can sell. Carb Cycling, for example, *sounds* fancy. And a lot of coaches come up with elaborate schemes and explanations to make it sound way more impressive than it really is. (Similar to how many overcomplicate Intermittent Fasting as well). Here's the deal. At it's core, carb cycling is simply this: some days you eat higher carb/lower fat. Other days you eat lower carb/higher fat. That's it. Period. End of story. Yes, there are ways to manipulate it based on individual needs and preference. But the big rocks are simply a mix of high carb/low fat and low carb/high fat days throughout the week. Most important of all, carb cycling is NOT a replacement for calories. In other words, calories still count regardless of whether or not you carb cycle. So if you're struggling to lose weight and are thinking of carb cycling, that's amazing and I support you and will help you. But FIRST you need to get your calorie intake in check. Having said all of that, my preferred carb cycling schedule is EITHER 3 high carb + 4 low fat days OR 4 high carb + 3 low fat days. Both options are totally fine and work just as well. The key is to find what YOU enjoy most so you can stick with it long-term. Also, I usually prefer to have my high carb days on training days because they give me more energy for working out. BUT you do NOT need to do that so long as total calorie intake is in check at the end of the week. Want to try it? Awesome! First get your cals in check, then your protein. Once those are in order you can establish the carb cycling schedule that works best for you and plug & play from there. Remember, there's no "right" or "wrong" way to do this. Find what you enjoy most, makes you feel the best, and stick with that. And if anyone tells you otherwise...we'll...you can tell them to 🖕off. I hope this helps and, as always, any questions leave em below ---- Do NOT subscribe unless my videos are actually helpful. The point of this channel is to help you, not promote me. So if my videos don't give you value...don't subscribe. If they do, though, please hit the sub button (it helps a lot!). - You and I are going to drink a lot of coffee together. Like, borderline dangerous amounts of coffee. So, first things first. Pour yourself a mug and I’ll introduce myself real quick. My name’s Jordan — but everyone calls me “J” — and I’m a 27th degree black belt in chugging coffee. I’m also strength & nutrition coach, I hold several powerlifting world records, and I’ve been fortunate enough to have my writing featured in a variety of outlets like CNN, the Huffington Post, and Schwarzenegger.com. But listen. This channel isn’t for fame, publicity, cash, props, fist bumps, likes, pings, pows or whatever else there is. It’s a place where you and I can chat. I’ll never sugar coat, lie, or beat around the bush. I’ll tell you everything exactly as I see it. Some stuff you might like. Others you might not. And that’s totally cool. Either way, my goal here is to create a discussion. A place where you and I can get together, exchange ideas, and motivate each other to be better every day. Like I said, we’re gonna drink a lot of coffee together — borderline dangerous amounts — but I’m excited. Because there aren’t too many online communities in which the sole purpose is to inspire and motivate one another. And that’s exactly what you and I are going to do here. To your success, -J - #carbcycling #carbcyclingdiet #carbcyclingforfatloss

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