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This is why your belly fat is still here even after you've lost weight! Work with me 👉 https://bit.ly/Coach-Adam Free Fat Loss course 👉 bit.ly/Free-Nutrition-Course Get my course 👉 https://bit.ly/Learn-Nutrition Here’s the hard truth about fat loss: you can eat better, train harder, and still wonder why the belly fat won’t budge. You’re not broken. And no, it’s not just “getting older.” In this video, we’ll unpack why that stubborn weight around your belly is often the last to go—even after you’ve lost weight everywhere else. It can feel as though belly fat is so hard to lose. So, if you're tired of doing everything right and still not seeing the abs you’ve earned, this will flip how you think about fat loss, belly fat, and what it really takes to get lean. No gimmicks. Just the truth most people never hear. Studies: https://www.nejm.org/doi/full/10.1056/NEJM199212313272701 https://pmc.ncbi.nlm.nih.gov/articles/PMC6226075/?fbclid=IwAR33JrN7npz8zDk02sOUTpS1xrP5xwVRQZfoaystc3mAfa8LLbqd7E7YCIk https://www.tandfonline.com/doi/abs/10.1080/02701367.1984.10609359 https://pubmed.ncbi.nlm.nih.gov/15102614/#:~:text=Nonexercise%20activity%20thermogenesis%20,The https://pubmed.ncbi.nlm.nih.gov/36404495/#:~:text=Results%3A%20%20After%20sleep%20deprivation%2C,with%20obesity%20after%20sleep%20loss ------------------------------------------------------------------------------------------------------------------------ **DISCLAIMER** The information in this video is merely the opinion of me based on my research and studies. The research and information covered in this video is open to public domain for discussion and in no way breaches or breaks the boundaries of the law in the United Kingdom where I live. I am not a doctor, nor do I claim to have any formal medical background. I am not liable, either expressly or in an implied manner, nor claim any responsibility for any emotional or physical problems that may occur directly or indirectly from watching this video! ------------------------------------------------------------------------------------------------------------------------ ⏱️ Chapters & timestamps 00:00 – Why Belly Fat Won’t Budge You’ve lost weight—but the belly’s still there. Here’s what’s going on. 00:30 – PART 1: The Real Reason Belly Fat Is Last to Go Two types of fat. One drops quickly. The other? Built to survive. 01:42 – The Big Misconception Why visible abs aren’t “just a few pounds away”… even when it feels like they should be. 02:55 – PART 2: How Long It Actually Takes Getting lean is slower than you think—but not for the reason you think. 03:53 – Client Case Study Meet Dave! 4:58 - Everything changes here You rarely hear this. 05:48 – PART 3: What Actually Works No gimmicks. Just the 5 things that make fat loss stick long-term. 06:19 – How structure your diet No fads, just what works. 07:58 – Why You Need to Lift Weights This isn’t about bulking. It’s about keeping the muscle while the fat drops. 08:36– Walk More. Seriously. The lowest-effort, highest-upside tool in fat loss. 09:06 – Sleep Smarter, Not Perfect What changes when you stop sleeping like it’s optional. 09:59 – Should You Train Abs? Here’s what ab training really does (and doesn’t) do. 10:38 — The Reframe Most people tap out way too early, not YOU! 11:40 – Ready to Finally Lose the Belly Fat? If you’re done guessing—here’s what to do next. #losebellyfat #bellyfatloss #losefat

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CardioNerds (Drs. Gurleen Kaur and Richard Ferraro) and episode FIT Lead Dr. Spencer Carter (Cardiology Fellow at UT Southwestern) discuss the clinical implementation of GLP-1 receptor agonists with Dr. Neha Pagidapati (Faculty at Duke University School of Medicine). In this episode of the CardioNerds Cardiovascular Prevention Series, we discuss the clinical implementation of glucagon-like peptide-1 (GLP-1) receptor agonists. We cover the clinical indications, metabolic and cardiovascular benefits, and potential limitations of these emerging and exciting therapies. Show notes were drafted by Dr. Spencer Carter. Audio editing was performed by CardioNerds Academy Intern, student Dr. Pacey Wetstein. This episode was produced in collaboration with the American Society of Preventive Cardiology (ASPC) with independent medical education grant support from Novo Nordisk. See below for continuing medical education credit. Claim CME for this episode HERE. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - Clinical Implementation of GLP-1 Receptor Agonists GLP-1 agonists work through a variety of mechanisms to counteract metabolic disease. They increase insulin secretion, inhibit glucagon secretion, slow gastric motility, and increase satiety to limit excess energy intake. Patients with type II diabetes and an elevated risk for atherosclerotic cardiovascular disease should be considered for GLP-1 agonist therapy regardless of hemoglobin A1c. GLP-1 agonists offer significant ASCVD risk reduction even in the absence of diabetes. Newer data suggest a significant reduction in cardiovascular events with GLP-1 agonist therapy in patients who are overweight or obese and have a prior history of heart disease. GLP-1 agonists should generally be avoided in patients with a history of medullary thyroid cancer or MEN2. As these medications slow gastric emptying, relative contraindications include history of recurrent pancreatitis and gastroparesis. GLP-1 agonists should be initially prescribed at the lowest dose and slowly uptitrated to avoid gastrointestinal side effects. Show notes - Clinical Implementation of GLP-1 Receptor Agonists What were the groundbreaking findings of the STEP1 and SURMOUNT-1 trials and how these impact cardiovascular wellness? The STEP1 and SURMOUNT trials demonstrated sustained clinically relevant reduction in body weight with semaglutide and tripeptide, respectively, in patients with overweight and obesity. As obesity is an important risk factor for the development of cardiovascular disease, weight reduction meaningfully contributes to cardiovascular wellness. What were the findings of the LEADER trial and their implications for patients with type II diabetes and high cardiovascular risk? The LEADER trial demonstrated a significant reduction in the rate of cardiovascular death, nonfatal MI, or nonfatal stroke in patients with type II diabetes treated with liraglutide. GLP-1 receptor agonist therapy should be considered in all patients with type II diabetes and elevated ASCVD risk regardless of A1c or current hyperglycemic therapy. What are current indications for GLP1 agonists in the context of cardiometabolic disease. GLP-1 receptor agonists should be considered in patients with type II diabetes and high ASCVD risk OR patients without diabetes who are overweight/obese and have a history of cardiovascular disease. What are important side effects or contraindications to GLP1 agents when used for cardiovascular risk reduction and wellness? GLP-1 receptor agonists should be avoided in patients with a history of medullary thyroid cancer or MEN2. Relative contraindications include recurrent pancreatitis, gastroparesis,

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💉 Today, we need to discuss the pros and pitfalls of Ozempic and why it isn't the miracle cure it's suggested to be for binge eating. What is Semaglutide? What are its side effects? And why do we need to use this medication with caution? ______________________________ 📝 Research on Ozempic, Obesity, and Binge Eating https://pubmed.ncbi.nlm.nih.gov/35441470/ https://drc.bmj.com/content/8/2/e001649 https://pubmed.ncbi.nlm.nih.gov/32998732/ https://pubmed.ncbi.nlm.nih.gov/32998732/ https://pubmed.ncbi.nlm.nih.gov/33239067/ https://www.theguardian.com/society/2023/feb/13/weight-loss-jabs-to-be-sold-via-high-street-chemists https://www.theguardian.com/society/2023/feb/05/new-diabetes-drugs-do-not-tackle-root-causes-of-obesity-experts-warn ______________________________ 👱🏻‍♀️ I'm Ruth, an Eating Disorder Specialist and registered Trauma Counsellor. Find me at; www.eatingdisordersedinburgh.co.uk www.tiktok.com/@ruthrmicallef 🏥 Please always contact your own health professionals for guidance on your individual eating disorder recovery journey. #bingeeating #binge #binging #ozempic #ozempicweightloss #wegovy #wegovyweightloss #semaglutide #rybelsus #bingeeatingrecovery #bingeeatingdisorder

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