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Lindsay Cohen talks about how using a GLP-1 to better manage her type 1 diabetes has been life changing for her. #type1diabetes #glp1fordiabetes

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In the journey of weight loss, everyone eventually reaches a plateau, even when using newer GLP-1 receptor agonists like semaglutide (Wegovy) and tirzepatide (Zepbound). This phase is where the body finds a new set point and weight. During this plateau, some individuals may experience a gradual increase in appetite or “food noise”, while others can maintain their current state. Other metabolic markers like blood pressure and A1c, stabilize or only fluctuate slightly. It’s important to remember that everyone will plateau. And it’s impossible to predict the specific timing, percentage of weight loss, or speed at which a person will reach their plateau when they start a GLP-1 agonist. What do the studies say? Clinical studies show that this plateau typically occurs a little over a year (about 60 weeks) into treatment with semaglutide. However, a common myth is that if you hit a weight loss plateau while using these medications, it means they are no longer working. And this myth can lead to unnecessary frustration and discontinuation of treatment. I like to remind patients that reaching a new set point is a common phenomenon in many health conditions. For example, a patient on blood pressure medication will not become hypotensive indefinitely, and similarly, blood glucose levels will not decrease indefinitely with diabetes medications. So it should be no surprise that you won’t lose weight indefinitely while taking a GLP-1 agonist. This evolutionary mechanism is essential for protecting the body against extremes. In this podcast, we’ll talk about strategies to move past the weight loss plateau if you haven’t yet met your weight loss goal. Understanding Weight Loss Plateaus A weight loss plateau occurs when you stop losing weight despite maintaining your diet and exercise routine. This is a common experience for many people on a weight loss journey, regardless of whether they are using GLP-1 agonists or not. Several factors can contribute to a plateau: Metabolic Adaptation: As you lose weight, your metabolism slows down because your body requires fewer calories to maintain a smaller body size. Reduced Caloric Deficit: You may lose weight quickly initially, but as you progress, the caloric deficit narrows, slowing down weight loss. Water Retention and Muscle Gain: Changes in water balance and muscle mass can temporarily affect weight measurements. Behavioral Factors: Over time, adherence to diet and exercise routines can wane, impacting progress. Why GLP-1 Agonists Are Still Effective During a Plateau GLP-1 agonists continue to work by regulating appetite, improving insulin sensitivity, and promoting satiety. These mechanisms support long-term weight management and metabolic health, even if weight loss temporarily stalls. Plateaus do not negate these ongoing health benefits. Strategies to Overcome a Weight Loss Plateau Reevaluate Your Caloric Intake: As you lose weight, your caloric needs decrease. Adjust your daily caloric intake to reflect your new body weight and activity level. Consider consulting a dietitian to ensure your nutrition plan is optimal. Increase Physical Activity: Incorporate more physical activity into your routine. Adding strength training can help build muscle, which can boost metabolism. When we lose weight, we lose both muscle and fat. Physical activity is crucial during a weight loss journey because it helps preserve lean muscle mass and boosts metabolism, ensuring that the weight loss is primarily fat rather than muscle. Monitor Macronutrient Balance: Ensure you are consuming the right balance of proteins, fats, and carbohydrates. Protein, in particular, can help preserve muscle mass and promote satiety. Stay Hydrated: Proper hydration is essential for overall health and can aid in weight loss. Sometimes, perceived plateaus are due to water retention, which can be mitigated by drinking adequate water. Manage Stress and Sleep: Stress and poor sleep can negatively impact weight loss. Incorporate stress-reducing activities such as mindfulness, yoga, or hobbies you enjoy, and aim for 7-9 hours of quality sleep per night. Review Medication Adherence: Ensure you are taking your GLP-1 agonist as prescribed. Consistency is key to reaping the full benefits of the medication. Both semaglutide and tirzepatide should be taken once weekly. Be Patient and Persistent: Understand that plateaus are a normal part of the journey. Patience and persistence are crucial. Celebrate non-scale victories, such as improved energy levels, better blood sugar and blood pressure control, and enhanced overall health. Increase Dose: Increasing the dose of a GLP-1 agonist may be necessary for some individuals, but it isn't always the solution. Some individuals may need dosage adjustments more frequently than every four weeks for optimal results. The goal is to find the optimal dose at which you...

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Are you looking to take your keto journey to the next level? Are you struggling to reach the apex of ketosis and achieve your weight loss goals? Look no further than Apex Keto ACV. This powerful supplement combines the benefits of ketosis with the proven health effects of apple cider vinegar to help you achieve maximum results. Say goodbye to stubborn fat and hello to a healthier, slimmer you!

The Science Behind Apex Keto ACV

Apex Keto ACV works by harnessing the power of ketosis to help your body burn fat more efficiently. Ketosis is a natural metabolic state where the body burns stored fat for energy instead of carbohydrates. By following a keto diet and supplementing with Apex Keto ACV, you can stimulate ketosis and kickstart your weight loss journey. In addition, the apple cider vinegar in Apex Keto ACV helps to regulate blood sugar levels, improve digestion, and boost metabolism, making it the perfect complement to a keto lifestyle.

When you take Apex Keto ACV regularly, you can expect to experience increased energy levels, improved mental clarity, and reduced cravings for unhealthy foods. The synergistic combination of ketosis and apple cider vinegar helps to suppress appetite, control cravings, and enhance fat burning, making it easier than ever to stick to your weight loss goals. Plus, the all-natural ingredients in Apex Keto ACV are safe and effective, so you can feel confident in your journey to a healthier, happier you.

How to Incorporate Apex Keto ACV into Your Routine

To get the most out of Apex Keto ACV, it is recommended to take two capsules daily with a glass of water. For best results, take one capsule in the morning and one in the evening before meals. Pairing Apex Keto ACV with a keto-friendly diet and regular exercise can further enhance your results and help you reach the apex of ketosis. Consistency is key, so be sure to take Apex Keto ACV as directed to maximize its benefits.

As with any supplement, it’s important to consult with your healthcare provider before starting a new regimen. While Apex Keto ACV is safe for most individuals, it’s always a good idea to make sure it’s the right choice for you. By incorporating Apex Keto ACV into your daily routine and staying dedicated to your weight loss goals, you can finally reach the apex of ketosis and achieve the results you’ve been dreaming of.

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The Benefits of Apex Keto ACV

There are numerous benefits to incorporating Apex Keto ACV into your keto lifestyle. Not only can it help you reach the apex of ketosis and burn fat more efficiently, but it can also improve your overall health and well-being. The apple cider vinegar in Apex Keto ACV has been shown to support digestion, regulate blood sugar levels, and boost metabolism, making it a powerhouse supplement for anyone looking to improve their health.

Furthermore, Apex Keto ACV can help to increase energy levels, enhance mental clarity, and reduce cravings for unhealthy foods. By supporting your body’s natural fat-burning processes and promoting a healthier metabolism, Apex Keto ACV makes it easier than ever to stick to your weight loss goals and see real results. Say goodbye to yo-yo dieting and hello to a sustainable, healthy approach to weight loss with Apex Keto ACV.

Keto Diet by Shark Tank: The Endorsed Path to Shedding Pounds

This Harvard Medical School Continuing Education video examines these key questions: What role do GLP1 receptor agonists (GLP1 RA) play in weight loss? What are the risks and benefits of using GLP1 RA for weight loss? Lee-Shing Chang, MD, an endocrinologist at Brigham and Women’s Hospital, identifies FDA-approved medications for weight loss and explains GLP1 and the role GLP1 receptor agonists play in weight management. Key studies including the SCALE and STEP trials are highlighted and the efficacy of the GLP-1 receptor agonists liraglutide and semaglutide are compared. 00:00 | Introduction 00:37 | Pharmacotherapy for weight management 01:25 | What is GLP1 and what does it do? 02:35 | Clinical trials of liraglutide and semaglutide for weight loss This video was peer reviewed by Dr. Jonathan Salik, TMD, MHPEd, Instructor of Medicine, Massachusetts General Hospital; and Dr. Sugantha Sundar, MD, Assistant Professor of Anesthesia, Beth Israel Deaconess Medical Center, to validate the quality and accuracy of the content. References: Muskiet MHA, Tonneijck L, Smits MM, et al. GLP-1 and the kidney: from physiology to pharmacology and outcomes in diabetes. Nat Rev Nephrol. 2017;13(10):605-628. doi:10.1038/nrneph.2017.123 Pi-Sunyer X, Astrup A, Fujioka K, et al. A Randomized, Controlled Trial of 3.0 mg of Liraglutide in Weight Management. N Engl J Med. 2015;373(1):11-22. doi:10.1056/NEJMoa1411892 Wilding JPH, Batterham RL, Calanna S, et al. Once-Weekly Semaglutide in Adults with Overweight or Obesity. N Engl J Med. 2021;384(11):989. doi:10.1056/NEJMoa2032183 Rubino DM, Greenway FL, Khalid U, et al. Effect of Weekly Subcutaneous Semaglutide vs Daily Liraglutide on Body Weight in Adults With Overweight or Obesity Without Diabetes: The STEP 8 Randomized Clinical Trial. JAMA. 2022;327(2):138-150. Rubino D, Abrahamsson N, Davies M, et al. Effect of Continued Weekly Subcutaneous Semaglutide vs Placebo on Weight Loss Maintenance in Adults With Overweight or Obesity: The STEP 4 Randomized Clinical Trial. JAMA. 2021;325(14):1414-1425. doi:10.1001/jama.2021.3224 Notice: At this time, the content in this video is not accredited.

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If you would like to fix the *one BIG thing* interfering with your weight loss goals, I can help you with that. To schedule a consult call: https://calendly.com/weightmedicinemd I'm a doctor and a life coach, and I help people with their weight. Fix The ONE BIG THING: https://youtu.be/qCJ5xSswJeo?si=tJsIGTFRZm6Zbwtu If you are confused about your weight, if you have questions about weight medicine, and if you want fact-based answers to your weight questions, you are in the right place. Not Affiliate Links, Just a Fan: Blazer: @tibi Candle: @kristinabraly www.aembr.co 0:00 - Welcome & What This Channel Covers 0:28 - Why GLP-1 Side Effects Happen 1:10 - Track Your Body Like a Science Project 1:54 - Foods That Trigger Side Effects on GLP-1 4:18 - Final Tips & How to Get Help The information in this video is intended to serve as educational information and 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 in this video is for general information purposes only and does not replace a consultation with your own doctor. There is no patient-doctor relationship created in this video.