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Tips and Tricks for Semaglutide, Ozempic and Wegovy Hi, I am Dr. Craig Primack, and today I'm coming to you from Scottsdale Weight Loss Center. It has been quite some time since I've done a medical minute. Semaglutide So this weight loss drug is called semaglutide. It is a GLP-1 style drug. What does that mean? So semaglutide comes in two forms. The first form is something called Ozempic, in this blue pen. And the other one is called Wegovy, in the white pen. It is the same drug, although it is a different delivery system. You and I both have a hormone called GLP-1. It comes from the small intestine, the ileum, the area right past the stomach. The way I think about it is as food goes through the stomach and gets to the small intestine, the body is absorbing it. Even though that's not exactly what it's doing, it kind of says that "I'm full" and sends a hormonal signal to the brain that tells your body "I'm full" so you don't go out and get more food right away, because it's working on absorbing that food right then and there. The half life, so the amount of time that this hormone lasts in your system, half of it is gone in two minutes. And another quarter of it would be gone in a little bit later. So in a couple minutes, let's call it 10 minutes or less, that hormonal signal is completely gone. This is an artificial form of the drug GLP-1 called semaglutide. And the half life is a week long. It lasts in your system for a week at a time. So your body fuels fullness all the time. That is a great benefit for many of us in weight loss. Tips and Tricks So I'm going to show you a few tips and tricks I've learned throughout the last year. The first part is when should I take this drug? It is a once a week drug. When you read the package insert, it takes between one and three days to fully kick in. So I love to have my patients use this drug on a Wednesday. Why on a Wednesday? Because it takes between one and three days, so by Friday night, it's fully kicked in. It's fully kicked in through the rest of your... If there is social eating on the weekend, social eating. And then in the beginning at the lower doses, it may start to wear off before the end of your week. So maybe that's one day before on a Tuesday. Tuesday's typically not a big eating day. So first thing is Wednesday. Ozempic So the first one, Ozempic, you actually have to put a needle on. And what I'll show you is it has a cap on it right now. You take the cap off, you take this little needle and there's two pieces of plastic on the needle. You screw it on very simply. There's this first cap you take off right there. There's a second cap that you take off right there. And you guys can't see it, but this is a 32 gauge tiny, tiny needle. The next you do is you look at this little window where there's a zero. The first time you ever use the pen, you prime it by putting it to these first two little dots and you push the button and it goes back down to zero. That's before you even give yourself a dose. The next time you do it, you turn it all away, let's do it that way, to 0.25, which is about 18 clicks here. These little clicks. That may come into use in the future if we decide to try to adjust your dosing at all. But you put it at 0.25. You put this tiny little needle usually in your abdomen. It can go also in your thigh or arm and you push the button down. And as you can see, it goes all the way back to zero. When it goes back to zero, you then count to 5. 1, 2, 3, 4, 5, and you are done. Find a Sharps container. Or what I tell a lot of people is take an old medicine bottle, the yellow with the safety cap that's empty. Take this little needle off. Just like that. And throw it in your safety container. When it is full, then take it back to your pharmacy. So you do have to use, or at least touch the outside part of the needle on this one. Wegovy On Wegovy, another version of this, this is an auto injecting needle. You can see there's a little window here. What I have found is the best place to put this one, even though it can be in your abdomen or your arm, it is in your thigh when you're sitting in a chair. So you pull the plunger out and I'm going to show you the little window and pretend my thigh is my arm right here. And you push it down, you're going to hear two clicks. You're going to hear a click right away. You're going to see this little yellow bar. It's going to go about three quarter. Click again, and then move a little bit more. When it is done moving after the second click you are done, you never saw a needle and you have the full dose in you. Both of these medicines are adjusted somewhat differently, so please ask your medical professional what is the best way to do that. Hopefully this has helped you a little bit learn something about semaglutide, a great drug for many of us here in weight loss. I will be back soon with another medical minute.

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In the rapidly evolving landscape of dietary supplements, Bliss Keto ACV Gummies have gained popularity as a convenient and tasty way to support weight loss and overall wellness. The blend of ketosis-enhancing ingredients with apple cider vinegar (ACV) offers a dual-action approach to weight management. Ketosis is a metabolic state in which the body burns fat for fuel instead of carbohydrates, leading to more effective weight loss. Meanwhile, apple cider vinegar is celebrated for its myriad health benefits, including appetite suppression and improved digestion. By combining these two elements, Bliss Keto ACV Gummies promise a synergistic effect that can help individuals shed unwanted pounds while also enjoying a flavorful treat.

Many people struggle with weight loss due to various factors such as hormonal imbalances, emotional eating, or sluggish metabolism. Bliss Keto ACV Gummies can address these challenges by providing a functional approach to dieting. These gummies are designed to be a part of a larger weight management plan that includes proper diet and exercise. The ease of consumption—unlike traditional pills or capsules—makes them more accessible to a broader audience. Furthermore, the delicious flavor of the gummies can satisfy sweet cravings without the guilt that comes with sugary snacks, making the weight loss process more enjoyable.

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In addition to their weight loss benefits, Bliss Keto ACV Gummies may also contribute to other aspects of health. Regular consumption of apple cider vinegar is linked to improved gut health, better blood sugar regulation, and enhanced heart health. However, while these gummies can offer numerous advantages, potential users should also be aware of possible side effects and consult healthcare providers when necessary. Understanding the full scope of Bliss Keto ACV Gummies’ benefits and risks can help individuals make informed choices about incorporating them into their daily routine.

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One of the primary benefits of Bliss Keto ACV Gummies lies in their ability to support the process of ketosis. Ketosis occurs when the body depletes its carbohydrate stores and begins to burn fat for energy. This metabolic shift can lead to significant weight loss over time. The formulation of Bliss Keto ACV Gummies includes exogenous ketones, which can expedite the entry into ketosis, allowing users to experience the weight-loss benefits more swiftly without having to strictly follow a ketogenic diet. This accessibility can appeal to a broader range of users, including those who may find it difficult to adhere to strict dietary restrictions.

Incorporating Bliss Keto ACV Gummies into a balanced diet can provide an additional layer of support. The gummies help to curb cravings and maintain energy levels throughout the day. This may reduce the likelihood of impulse snacking on high-carb or high-sugar foods that can derail weight loss efforts. Moreover, by providing a sweet treat that satisfies the taste buds, individuals may find it easier to stick to their dietary goals, making weight loss feel less like a chore and more an achievable lifestyle change.

Furthermore, enjoying Bliss Keto ACV Gummies may enhance motivation for exercise. When individuals witness tangible results from their weight loss efforts, they are often more inclined to engage in fitness activities, contributing to a positive feedback loop where exercise and weight loss support one another. This means that not only do the gummies assist with sliming down, but they can also foster a healthier, more active lifestyle overall.

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A secondary benefit of Bliss Keto ACV Gummies is their potential to support digestive health. Apple cider vinegar has been used for centuries as a natural remedy for various digestive issues. It is believed to promote a healthy gut environment by aiding digestion, reducing bloating, and enhancing the absorption of nutrients. The inclusion of ACV in these gummies provides an easy and tasty way to incorporate these benefits into a daily routine without the harsh taste that pure vinegar presents.

Many users report experiencing less gastrointestinal discomfort after consuming apple cider vinegar regularly. It is thought to stimulate digestive enzymes, helping to break down food more efficiently, which can lead to a reduction in bloating and gas. Additionally, improved digestion can enhance overall nutrient absorption, ensuring that the body receives the essential vitamins and minerals it needs to function optimally.

Moreover, a healthy gut microbiome is crucial for weight management and overall well-being. Some studies suggest that apple cider vinegar might positively affect gut bacteria, promoting a balanced microbiome and potentially supporting weight loss efforts as well. By incorporating Bliss Keto ACV Gummies into a diet, individuals may be contributing not only to their weight loss goals but also to their long-term digestive health.

Blood Sugar Regulation

Another promising benefit of Bliss Keto ACV Gummies is their potential role in regulating blood sugar levels. Fluctuations in blood sugar can lead to cravings, energy crashes, and difficulty sticking to a diet, all of which can hamper weight loss efforts. Consuming apple cider vinegar is associated with improved insulin sensitivity, which can help to stabilize blood sugar levels after meals. For individuals trying to manage their weight, this can be a game-changer.

Stable blood sugar levels can lead to less frequent hunger pangs, making it easier to resist unhealthy snacks and stay compliant with a healthy eating plan. Bliss Keto ACV Gummies can be particularly beneficial for those experiencing carbohydrate cravings or for anyone with insulin resistance. By moderating blood sugar spikes, these gummies help in maintaining a more consistent energy level throughout the day, supporting focus and productivity without the mid-afternoon slumps that high-carb diets can cause.

Additionally, using Bliss Keto ACV Gummies may provide long-term health benefits by reducing the risks related to chronic conditions associated with blood sugar dysregulation, such as diabetes and metabolic syndrome. By proactively managing blood sugar through a daily intake of ACV combined with other keto-friendly ingredients, users can directly impact their overall health and weight loss journey.

Potential Side Effects and Considerations

While Bliss Keto ACV Gummies provide promising benefits, it is essential to consider potential side effects. Not everyone may react favorably to the active ingredients, and some users might experience gastrointestinal discomfort such as bloating, gas, or nausea, especially when first incorporating apple cider vinegar into their diets. It is crucial to start with a small dose to gauge personal tolerance levels and gradually increase the intake.

Additionally, individuals taking certain medications, particularly those affecting blood sugar levels or diuretics, should exercise caution. Apple cider vinegar can influence the effectiveness of medications, leading to unintentional side effects. Those with underlying health conditions, such as gastroparesis, esophageal problems, or kidney disease, should consult a healthcare provider before using these gummies to avoid any adverse reactions.

Lastly, while Bliss Keto ACV Gummies can be an excellent tool for weight management, they should not be viewed as a magic solution. Successful weight loss usually requires a comprehensive approach that includes a balanced diet and regular exercise. Users should set realistic expectations and view these gummies as a supplementary aid rather than a quick fix.

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As the popularity of Bliss Keto ACV Gummies grows, many questions arise regarding their effectiveness and safety. One common question is, “How do these gummies fit into a weight loss plan?” Users can incorporate them as a part of a balanced diet and exercise routine, ideally taking them at times when cravings tend to strike. This approach helps to reinforce dietary choices, making it easier to stick to goals.

Another frequently asked question is, “Are there any dietary restrictions?” While the gummies are keto-friendly, individuals should be mindful of their overall caloric intake and nutritional needs. Those following a strict ketogenic diet should check the ingredient label for any hidden sugars or carbs. Additionally, users with allergies or sensitivities should thoroughly review the ingredients to avoid any adverse reactions.

Lastly, many potential users wonder, “When can I expect to see results?” Individual experiences will vary based on various factors, including one’s diet, level of physical activity, and metabolic rates. Most users may start to notice changes in appetite and energy levels within a few weeks of consistent use. However, it’s essential to remain patient and persistent, as lasting weight loss typically involves gradual lifestyle changes rather than quick results.

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