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DO’s and DON’Ts regarding skin surgery and skincare products. After significant weight loss, excess skin can be an issue. This video discusses approaches to the skin and skincare cosmetic market. We breakdown the gimmicks, wallet biopsies and help you develop an effective strategy to look good after you’ve lost the weight. Research Discussed... NO research today. These are the objective opinions of a Doctor who practices in the field. Ask and answer the right questions to optimize your health! Whether you agree or disagree with our content, if we’ve made you think and ask questions, we’ve done our job. Leave comments below. Websites: https://www.obesityunderstood.com https://www.weighlitepro.com We try to keep this content free. If our content resonates and you can afford a buck or more: Become a PATRON ▶ https://bit.ly/2Xj0gBm INSTAGRAM: @carbaddictiondoc FACEBOOK: https://www.facebook.com/carbaddictiondoc/ ROBERT CYWES M.D., PhD is a clinically practicing doctor and surgeon in Florida and Idaho. The mission of our media content is educating the public about a CARBOHYDRATE ADDICTION approach to treating obesity, diabetes and metabolic syndrome. Understanding the importance of replacing carbs in your diet with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a more effective diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and well-being. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using obesity surgery and devices as tools along the way, and helping people who have had bariatric surgery stay healthy and not relapse Set up a consultation if you are looking for more sustainable ways to treat obesity, diabetes, metabolic syndrome, cholesterol issues and thyroid disease. TEXT, WHATSAPP or CALL to leave a message on our “batphone” +1 561 517-0642 from anywhere in the world. We do secure telehealth, Zoom and Whatsapp phone and video consults all over the world. Please always feel free to record your consult as long as you inform Dr Cywes and Jane For Collaborations please email me: [email protected] #excessskin #weightlosssurgery #weightloss **DISCLAIMER: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition. This site and these videos exist to provide information and support about nutritional health and do not provide medical advice and should not be thought to provide medical advice. We can only give medical advice if you establish yourself as a registered patient and consult with us in our medical practice - JSAPA. We always recommend working with a team of knowledgeable and experienced practitioners, including a physician such as Dr Cywes and a certified nutrition specialist such as Jane Brown in our practice. Do not self-diagnose. Always seek medical guidance when you have a medical condition. Although all measures are taken to ensure that the contents of the YouTube channel is accurate and up-to-date, all information contained on it is provided ‘as is’. We make no warranties or representations of any kind concerning the accuracy or suitability of the information contained on this channel. Robert Cywes and his team may at any time and at their sole discretion change or replace the information available on this channel. To the extent permitted by mandatory law, Robert Cywes shall not be liable for any direct, incidental, consequential, indirect or punitive damages arising out of access to or use of any content available on this channel, including viruses, regardless of the accuracy or completeness of any such content.

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Start a FREE 2-week plan with the BWS+ app to start burning fat fast: https://bws.plus/e1 The belly fat you know is visible, and you can literally pinch it. But that’s just one type of belly fat. While everyone focuses on how to lose belly fat, there's a hidden layer of belly fat called visceral belly fat. It can not only make your gut look bloated but it wraps around your organs, pumping out inflammatory molecules linked to heart disease and even early death. You might be like, ‘Well Jeremy, if it’s so bad, I’ll just zap it with liposuction.’ Nope. Even a surgeon can’t get to it. But, you can! Visceral fat is actually easier to get rid of. With the right plan, you can see and feel visceral fat loss in just 30 days, just like my brother-in-law, Dayton. Here’s how you can get rid of visceral belly fat. Click below to subscribe for more videos: https://www.youtube.com/jeremyethier/?sub_confirmation=1 Dayton is not visibly overweight, but his DEXA scan showed 33% body fat with 1,200 grams of visceral fat hiding in his gut. That’s more than Kevin, who had 38% body fat and 50x more than what I have. But after following the plan I share in this video, his visceral fat dropped by 50% in just 12 weeks. Unlike normal belly fat, visceral fat can be increased by specific foods even if calorie intake stays the same. First food: saturated fat. In a 2014 study, 2 groups were overfed by 750 calories/day from muffins. Group 1: Muffins made with polyunsaturated fat. Group 2: Muffins made with saturated fat. Result: Group 2 gained DOUBLE the visceral belly fat. Not only that, but Group 1 gained less fat and built more lean mass. How much saturated fat is too much? Experts recommend keeping saturated fat intake under 20–30 grams per day. But Dayton’s favorite ribeye steak dinner? ~50g of fat, nearly half of it saturated. Add breakfast and lunch, and he sometimes exceeded 50 g of saturated fat per day. You don’t need to cut out fatty foods completely. Just balance them. E.g., Ribeye → once or twice a week; swap with fatty fish (rich in unsaturated fats and choose leaner cuts like top sirloin (saves 15g saturated fat). Even grass-fed meats are slightly better, though the difference is small. Some people store more visceral fat due to genetic. But cultural diets packed with added sugar are also to blame. Case in point: bubble tea can have up to 50g of sugar, and the average Taiwanese adult takes 43g/day (vs recommended 25g). The type of sugar also matters. In a 2009 study, researchers gave participants drinks with equal calories, with one sweetened with pure fructose and the other with glucose. After 10 weeks, only the fructose group saw a significant increase in visceral fat. They also had worse insulin sensitivity. Now, don’t worry about fructose in fruit (it has fiber + water). The real problem: table sugar, high-fructose corn syrup, and foods like cereal, granola, sweetened yogurt, juice, jam, and even condiments like ketchup. Instead of just cutting sugar to get rid of visceral belly fat, replace it with protein. A 2005 study found that simply doubling protein intake led participants to naturally eat fewer calories and lose over 10 pounds in 12 weeks, with most of it coming from fat (ideal for reducing visceral fat). E.g., my mom’s coffee habit: she swapped 2 spoonfuls of sugar + cream for ½ scoop French Vanilla Built With Science protein mixed with a splash of milk. Result (per month): -750g sugar, -45g saturated fat, +450g protein. As for Dayton’s Chicago mix popcorn? It’s now made with plain popcorn, salted caramel protein, sugar-free syrup, and cheddar seasoning. Result: -100g sugar, +29g protein. This is just the nutrition side of the 30-day plan. For real visceral fat loss, you also need to eat in a calorie deficit. Good news: Visceral fat is the first fat to go when you’re in a deficit. Even 10 lbs lost = up to 30% reduction in visceral fat. My app found my sweet spot is 2,300 calories/day. Dayton’s is 2,000. It adjusts as you go. Finally, if you’re wondering how to lose belly fat, the truth is you can’t spot-reduce belly fat.But you CAN target visceral fat with the right kind of cardio. A 2023 study found that all exercise helps, but moderate-to-high intensity cardio and interval training work best. Why? These raise catecholamines, a fat-mobilizing hormone that visceral fat responds to directly. While this might make it sound like you need to kill yourself with endless all-out sprints, that’s not the case. The exercise types that torched visceral fat in the study required getting above 75% of your max heart rate: not a walk in the park, but far from an all-out sprint. Here’s how you can do it: Warm-up: 5 minutes Work: 30 seconds high intensity Recover: 90 seconds Repeat: 6–10 rounds Do this 2–3× per week. Good options include running, cycling, rowing, and using an elliptical machine. And on your rest days? Aim for 8,000+ steps. It’s low-impact and still chips away at visceral fat.

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In this presentation from CKD Update 2024, Dr. Satinath Mukhopadhyay explores the renal benefits of combining SGLT2 inhibitors and GLP-1 receptor agonists in patients with type 2 diabetes. He discusses the additive and possibly synergistic effects of this combination in improving renal outcomes, reducing eGFR decline, and enhancing cardiovascular and metabolic control. The session highlights key trials such as FLOW, and explains the underlying mechanisms of action, including inflammation reduction, fibrosis regulation, and improved sodium handling in the kidneys. Key points covered: * A case study showing renal improvement with SGLT2 inhibitors and GLP-1 receptor agonists * The FLOW trial outcomes and benefits of the combination therapy * The mechanisms of action, including effects on blood pressure, weight, and glycemic control * The importance of combination therapy in improving renal outcomes in type 2 diabetes * Proposals for optimal renal protection therapies in diabetic patients Dr. Mukhopadhyay also addresses the practical considerations of this therapy, including the potential challenges due to costs and coverage.

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