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Frank Melidona, DO of The Villages Health®, explains how weight loss is about 20% exercise and 80% nutrition. This video is just one of many that offers health and wellness tips at http://bit.ly/2j1jiqn "When you’re trying to lose weight, pay attention to your nutrition more than your exercise level. Weight loss is only about 20% exercise; the other 80% is nutrition. You can’t out-run or out-exercise your fork. "There are two different types of exercise levels: NEAT (Non-Exercise Activity Thermogenesis) and EAT (Exercise Activity Thermogenesis). NEAT is the voluntary and unconscious stuff that you can do that’s not really exercise but helps your body burn calories. You can add a little bit of activity, like standing, which burns more calories than sitting. So, if you have a desk job consider doing some of your work standing. "How about strolling? When you get to Publix, try parking farther away from the front door so you’re adding a little bit of exercise. "The worst modern invention that ever came about was the remote control. Remember getting up from your chair to change the TV? We don’t do that anymore; we just point and click. Then there's the dishwasher: you'll burn more calories standing at the sink and washing dishes rather than throwing them in the dishwasher. "Doing these little things on a daily basis, you would burn about 200 extra calories without even thinking about it. That’s going to come into play when you’re starting to lose weight." Learn more about weight management: http://bit.ly/2iBYKFu Disclaimer: This content is for entertainment purposes only and it is not meant to be relied on as medical advice, diagnosis, or treatment. Consult your physician before starting any exercise or dietary program or taking any other action respecting your health. In case of a medical emergency, call 911. Subscribe to the Evergreen Wellness channel now: https://www.youtube.com/c/MyEvergreenWellness?sub_confirmation=1 Socialize with us. It’s good for you! https://www.facebook.com/MyEvergreenWellness/ https://twitter.com/evergreentoday https://www.linkedin.com/company/evergreen-wellness/ https://www.pinterest.com/evergreenwellne/ https://www.instagram.com/evergreenwellness/ https://plus.google.com/+Myevergreenwellness

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Drs Piña and Borlaug discuss the CMR substudy from the SUMMIT trial of tirzepatide in HFpEF/obesity. How does weight loss affect pericardial fat and skeletal muscle? https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt --TRANSCRIPT-- Ileana L. Piña, MD, MPH: Hello. I’m Ileana Piña, from Thomas Jefferson University in Philadelphia, Pennsylvania, and this is my blog. It’s a little bit different blog because I’m really interviewing a good friend about these glucagon-like peptide 1 (GLP-1) inhibitors. Some of our heart failure patients are getting their GLP-1 inhibitors from their primary care physicians, but many questions have arisen with the trial called SUMMIT. With us today is Barry Borlaug, who is in charge of the research section with the cardiovascular section of Mayo, and that is Mayo, Rochester, where it must be much colder even than here in Philadelphia. Barry, congratulations on that trial. Tell our audience a little bit about how the trial was structured because it’s important how we get into your information. SUMMIT Recap Barry A. Borlaug, MD: Thanks, Ileana. SUMMIT was a randomized, double-blind, placebo-controlled trial, testing the GLP-1/glucose-dependent insulinotropic polypeptide (GIP) agonist tirzepatide vs placebo in patients with heart failure with preserved ejection fraction (HFpEF). Unlike some other trials, this was real HFpEF with an ejection fraction of 50% or above. Patients were randomized 1:1 to tirzepatide, titrated up to 15 mg once weekly, or placebo and treated for a minimum of 52 weeks. The dual primary endpoints were worsening heart failure or cardiovascular death and quality of life by the Kansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score. The median duration of follow-up was 2 years. We continued follow-up until the last patient enrolled completed the full 52-week period of treatment. We found that, as compared to placebo, tirzepatide reduced the risk of worsening heart failure or cardiovascular death by 38%, which was statistically significant, and also improved the KCCQ clinical summary score. In addition to that, we also looked at other patient-centered outcomes like 6-minute walk distance and biochemical markers like C-reactive protein (CRP). We saw that there was also a significant improvement in exercise function measured by 6-minute walk distance and about a 40% decrease in CRP levels. Piña: How long did the total trial last, including the time that the drugs were being administered? Borlaug: The longest duration of follow-up was 3 years, and the median follow-up was 2 years. Piña: Were any of these patients also on sodium-glucose cotransporter 2 ( SGLT2) inhibitors ? Borlaug: Yeah, a minority of patients were also on SGLT2 inhibitors, about 17%. Piña: What was the baseline KCCQ score? Borlaug: Very poor. A s you know, physician-reported heart failure severity often doesn’t agree with patient reports. Overall, 72% of the patients were judged by their physicians to have class II heart failure, but the mean KCCQ score was just over 53, so pretty severe patient-reported limitations or severe HFpEF. Despite this — and this is often the case in HFpEF and obesity-related HFpEF — the median N-terminal pro-B-type natriuretic peptide ( NT-proBNP) was only 175. Piña: I was very surprised at that. Very surprised. That really is low. That was NT-proBNP. That wasn’t BNP. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt

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When it comes to weight loss supplements, there are countless options available in the market. One such product that has gained popularity in recent years is ACV Plus Keto. Combining the benefits of Apple Cider Vinegar (ACV) and the ketogenic diet, ACV Plus Keto is touted as a powerful formula for achieving weight loss goals. But with so many supplements claiming to offer quick and easy weight loss solutions, it’s important to separate the facts from the hype. In this article, we will explore the benefits and potential side effects of ACV Plus Keto to help you make an informed decision.

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1. Weight Loss: One of the main benefits of ACV Plus Keto is its ability to promote weight loss. ACV is known for its potential to suppress appetite and increase feelings of fullness, which can help in reducing calorie intake. When combined with the ketogenic diet, which focuses on consuming high-fat and low-carb foods to put the body in a state of ketosis, ACV Plus Keto can enhance the fat-burning process and promote weight loss.

2. Improved Metabolic Health: ACV Plus Keto may also help improve metabolic health by increasing insulin sensitivity and reducing blood sugar levels. The combination of ACV and the ketogenic diet can help regulate insulin levels, which is beneficial for individuals with insulin resistance or diabetes.

3. Boosted Energy Levels: Many users of ACV Plus Keto report experiencing increased energy levels and improved physical performance. The ketones produced during ketosis can provide a steady source of energy for the body, which may result in better endurance during workouts and daily activities.

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1. Digestive Issues: Some users may experience digestive issues such as bloating, gas, or diarrhea when taking ACV Plus Keto. This can be attributed to the high-fat content of the ketogenic diet or the acidity of ACV, which may not agree with everyone’s digestive system.

2. Nutritional Deficiencies: Following a strict ketogenic diet may lead to nutritional deficiencies if not properly balanced. It’s important to ensure adequate intake of essential nutrients such as vitamins, minerals, and fiber while on ACV Plus Keto to avoid any deficiencies.

3. Keto Flu: Some individuals may experience symptoms of the “keto flu” when starting ACV Plus Keto, which can include headaches, fatigue, and irritability. This is a temporary phase as the body adapts to the changes in diet and transitions into ketosis.

Is ACV Plus Keto Right for You?

Before starting any new supplement or diet regimen, it’s essential to consult with a healthcare professional to ensure it’s safe and suitable for you. ACV Plus Keto may offer benefits for some individuals looking to lose weight and improve metabolic health, but it may not be the right choice for everyone. Consider your health goals, medical history, and any existing conditions before incorporating ACV Plus Keto into your routine.

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In conclusion, ACV Plus Keto has the potential to be a helpful tool in achieving weight loss and improving metabolic health when used correctly. However, like any supplement or diet plan, it’s important to be informed of the benefits and potential side effects before trying it. By understanding how ACV Plus Keto works and consulting with a healthcare professional, you can make an educated decision about whether it’s the right choice for you.

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