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GLP-1 agonists are not only for weight loss but also for patients with diabetes. Anne Peters, MD, discusses the importance of monitoring dosing between insulin and GLP-1 agonists. https://www.medscape.com/viewarticle/997976?src=soc_yt -- TRANSCRIPT -- We've all been hearing about the weight loss benefits of glucagon-like peptide 1 (GLP-1) receptor agonists, but it's important to remember that they are also diabetes medications. If you have a patient who's on an insulin secretagogue and/or insulin, it's important to remember that you need to adjust those medications to avoid hypoglycemia as you start and uptitrate the GLP-1 receptor agonist. This isn't really cookbook, in the sense that you have to think about each patient, but I'll tell you what I do. First, I try to have most of my patients on continuous glucose monitors (CGM) because if they're on CGM, I can look at the trends to see what's happening as I'm adding a GLP-1 receptor agonist. If they're not on CGM, it's helpful if they test a fasting glucose level and perhaps a postprandial, though it's harder to get people to do, because you want to know whether to reduce the basal insulin or the prandial insulin. Regardless of testing, you need to review with the patient the signs and symptoms of hypoglycemia and how to treat it if it occurs. In a patient on insulin, you may want to make sure they have glucagon at home because there have been episodes of severe hypoglycemia when a GLP-1 receptor agonist was added to insulin. As a rule of thumb, I start by looking at the A1c. If the A1c is above 8%, I'm probably not going to do much reduction in the insulin secretagogue or the insulin right off the bat. I'll watch the patient as they begin to respond to the GLP-1 receptor agonist and then start tapering down the insulin if their glucose levels fall. I often reduce the prandial insulin levels first because you're going to start seeing the patient eating less and be at increased risk for hypoglycemia between meals. If I start seeing the fasting glucose fall, then I'll start reducing the basal insulin. Usually, I reduce the doses by 10%-20%. As I said, in somebody who starts out with a higher A1c, I don't right off the bat reduce the insulin. I watch what happens as the dose is increased. As the dose is increased in someone who's on an oral insulin secretagogue, I'll tend to cut that dose in half as I see glucose levels coming down. On the other hand, if someone's starting A1c is below 8%, I might start by reducing their prandial insulin by 50% and maybe their basal insulin by 10%-20%, depending on their glucose levels. I think patients who are closer to target on insulin and/or a sulfonylurea agent are going to be at increased risk for going low. Ideally, one can taper the patient off their insulin — and if not entirely off their insulin, off their prandial insulin — because it's much easier to give basal insulin and a once-weekly GLP-1 receptor agonist than to be on a multiple daily insulin regimen. Potentially, you'll be able to taper your patient off their insulin secretagogue as well. The important thing to remember is that there's more than one moving target. You're uptitrating the GLP-1 receptor agonist or the GIP/GLP-1 receptor agonist and you're downtitrating the insulin secretagogue and/or the insulin. You want to downtitrate in gradual steps to keep ahead of any risk for hypoglycemia. Usually, that is done in slow steps, say, 10%-20% at a time. It also means that you pay attention to your patients and that you may need to follow them every week or two, particularly if their A1c starts out below 8%, where they're likely to be at more risk for hypoglycemia. If you pay attention to this process, you should be able to get your patient to a better point, hopefully on less medication that can cause hypoglycemia, and onto a medication that not only improves glucose but also helps with weight reduction, improves cardiovascular outcomes, and may have a renal benefit. Thank you. https://www.medscape.com/viewarticle/997976?src=soc_yt

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Immer mehr Menschen suchen nach effektiven Methoden, um Gewicht zu verlieren und ihren Körper in Form zu bringen. Eine beliebte Option, die in letzter Zeit viel Aufmerksamkeit erhalten hat, ist die Verwendung von Creatin als Nahrungsergänzungsmittel zur Gewichtsreduktion. Aber kann Creatin wirklich bei der Gewichtsabnahme helfen? In diesem Artikel werden wir uns genauer damit befassen, wie Creatin funktioniert und ob es tatsächlich ein nützliches Werkzeug zur Unterstützung des Abnehmens sein kann.

Wie funktioniert Creatin?

Creatin ist eine natürliche Substanz, die in unserem Körper vorkommt und hauptsächlich in Muskeln gespeichert ist. Es spielt eine entscheidende Rolle bei der Energieversorgung der Muskeln während intensiver körperlicher Aktivitäten wie Krafttraining oder Sprinten. Durch die Einnahme von Creatin als Nahrungsergänzungsmittel kann der Creatinspiegel im Muskel erhöht werden, was die Leistungsfähigkeit steigern und die Erholungszeit verkürzen kann.

Darüber hinaus hat Creatin auch eine stark wasserbindende Wirkung, die zu einer kurzfristigen Gewichtszunahme führen kann. Dies geschieht, weil Creatin das Wasser in den Muskeln speichert, was zu einer sichtbaren Zunahme des Muskelvolumens führen kann. Dieser Effekt kann jedoch dazu führen, dass sich die Zahl auf der Waage vorübergehend erhöht, was viele Menschen fälschlicherweise als Fettzunahme interpretieren.

Es ist wichtig zu beachten, dass Creatin kein direktes „Fettverbrennungs“-Nahrungsergänzungsmittel ist und nicht dazu gedacht ist, Fettzellen zu zerstören oder den Stoffwechsel zu beschleunigen. Stattdessen wirkt Creatin auf eine andere Weise, die zur Verbesserung der Trainingsleistung und zur Förderung von Muskelaufbau beitragen kann.

Die Rolle von Creatin bei der Gewichtsreduktion

Obwohl Creatin kein direktes Mittel zur Gewichtsabnahme ist, kann es dennoch eine unterstützende Rolle spielen, wenn es um das Abnehmen geht. Indem es die Trainingsleistung verbessert und die Erholungszeit verkürzt, kann Creatin dazu beitragen, dass Sie intensiver und effektiver trainieren, was wiederum zu einem erhöhten Kalorienverbrauch führen kann.

Ein weiterer potenzieller Vorteil von Creatin bei der Gewichtsreduktion ist seine wasserbindende Eigenschaft. Durch die Zunahme von Wasser in den Muskeln kann Creatin dazu beitragen, dass Ihr Körper straffer und muskulöser aussieht, was Ihnen ein zusätzliches Motivationsschub geben kann, um Ihr Trainingsprogramm fortzusetzen.

Es ist jedoch wichtig zu beachten, dass die Wirkung von Creatin bei der Gewichtsreduktion von Person zu Person variieren kann. Nicht jeder wird die gleichen Vorteile erleben, und es gibt keine Garantie dafür, dass Creatin allein ausreicht, um signifikante Gewichtsabnahme zu erreichen. Es sollte daher als Teil eines umfassenden Gewichtsreduktionsprogramms angesehen werden.

Die richtige Dosierung und Anwendung von Creatin

Wenn Sie sich dazu entscheiden, Creatin als Nahrungsergänzungsmittel zur Unterstützung Ihrer Gewichtsreduktion zu verwenden, ist es wichtig, die richtige Dosierung und Anwendung zu beachten. Die empfohlene Tagesdosis für die ersten Tage der „Ladephase“ beträgt in der Regel 20 Gramm Creatin, die auf mehrere Dosen aufgeteilt werden sollten, um die Magenverträglichkeit zu verbessern.

Nach der Ladephase wird eine Erhaltungsdosis von 3-5 Gramm Creatin pro Tag empfohlen, die am besten nach dem Training eingenommen wird, um die Muskelaufnahme zu maximieren. Es ist auch wichtig, viel Wasser zu trinken, wenn Sie Creatin verwenden, da es zu einer Dehydratation führen kann, wenn nicht genügend Flüssigkeit konsumiert wird.

Es wird empfohlen, Creatin für 8-12 Wochen zu verwenden, gefolgt von einer Pause von mindestens 4 Wochen, um eine mögliche Abhängigkeit zu vermeiden und sicherzustellen, dass Ihr Körper nicht negativ beeinflusst wird. Wenn Sie sich nicht sicher sind, wie Sie Creatin am besten verwenden sollen, konsultieren Sie am besten einen Arzt oder Ernährungsberater.

Die Bedeutung einer ausgewogenen Ernährung und regelmäßigen Bewegung

Es ist wichtig zu betonen, dass Creatin allein nicht ausreicht, um Gewicht zu verlieren und einen gesunden, fitten Körper zu erreichen. Eine ausgewogene Ernährung, die reich an Obst, Gemüse, magerem Eiweiß und Vollkornprodukten ist, sowie regelmäßige körperliche Aktivität sind unerlässlich, um langfristige Erfolge bei der Gewichtsreduktion zu erzielen.

Daher sollte Creatin nur als Ergänzung zu einer gesunden Lebensweise betrachtet werden und nicht als Ersatz für eine ausgewogene Ernährung und Sport. Wenn Sie sich unsicher sind, wie Sie Ihre Gewichtsabnahmeziele am besten erreichen können, sprechen Sie mit einem Fachmann, der Ihnen dabei helfen kann, einen maßgeschneiderten Plan zu erstellen, der auf Ihre individuellen Bedürfnisse zugeschnitten ist.

Insgesamt kann Creatin eine nützliche Ergänzung sein, um Ihre Trainingsleistung zu verbessern und Ihren Körperbau zu optimieren, aber es ist wichtig, realistische Erwartungen zu haben und es als Teil eines umfassenden Ansatzes zur Gewichtsreduktion zu betrachten. Mit der richtigen Dosierung, Anwendung und Unterstützung können Sie möglicherweise von den potenziellen Vorteilen von Creatin profitieren und Ihren Zielen näherkommen.

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Get ready for one of the most well-rounded and effective chair workouts available on YouTube! This 45-minute full body seated workout is designed to help you burn fat, tone muscles, and improve flexibility — all while keeping it gentle on the joints and accessible for all fitness levels. We start with seated cardio exercises to raise your heart rate and boost metabolism for effective weight loss and cardiovascular health — all with low-impact movements ideal for sensitive joints, arthritis, or injury recovery. Next, we move into seated strength training using just your body weight. You'll target key upper body muscle groups including the chest, shoulders, arms, biceps, triceps, and back, with a focus on rotator cuff support and posture correction. These movements also help with arm toning and functional strength for daily activities. We also include gentle leg strengthening exercises and core-focused movements to help with waistline toning, pelvic floor health, and low back support — all while remaining seated. Finally, we transition into a calming chair yoga flow to gently stretch and lengthen the muscles, improving mobility, joint health, and leaving you feeling refreshed and relaxed. This workout is perfect if you are: Looking for a low impact workout Recovering from injury or dealing with chronic pain Managing conditions like arthritis, carpal tunnel, or back pain Seeking senior-friendly exercises that are safe and effective Wanting to improve balance, posture, and coordination Today's Benefits Include: Low impact cardio for fat burning Seated upper body strength training Rotator cuff and shoulder stability Leg and core toning for better mobility Waist slimming and pelvic floor support Joint-friendly exercises for arthritis and injury recovery Chair yoga for flexibility, stress relief, and spinal health Great for seniors, beginners, and all fitness levels No equipment needed — just your chair! Time will fly today with these three fun workout segments. Be sure to let me know how you do! Let's get started - Jessica #seatedworkout #chairworkout #lowimpactexercise #seatedexercise #seniorfitness #seniorworkout #seatedcardio #chaircardio #chairyoga #gentleyoga #chairstrengthworkout #armtoning #postureexercises #jointhealth #healthyaging #rotatorcuffexercises #corestrength #pelvicfloor #waisttoning #lowbackpainrelief #arthritisfriendlyworkout #noequipmentworkout #indoorworkout #exerciseathome #beginnerworkout

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This is a 20 minute workout that is a high intensity cardio HIIT workout focused on fat burn and weight loss. We have 10 moves, 40 seconds work followed by 20 seconds rest. We will do 2 rounds of these 10 exercises. We are going to be using large muscles groups and jumping exercises to raise the heart rate to facilitate fat burning and weight loss. The exercise in the video will work most of the body including legs, glutes, shoulders, abs (belly) etc. The jumping version of the workout is advanced and NOT suitable to complete beginners. There are no-jumping modifications for each exercise that will get you a workout, but not raise the heart rate as much as the jumping exercises. If you're looking to lose weight and burn fat, especially belly fat, a combination of strength workouts, cardio workouts and diet is the most effective. At Home Workout Videos. Get Fit At Home! Website - https://www.bodyfittv.com/ Business Email - [email protected] Instagram - https://www.instagram.com/body_fit_tv/ Diet & Wellness Videos - https://www.youtube.com/c/TheDietChannel Warm Up Playlist: https://youtube.com/playlist?list=PLaGTYQUDoFydzpu2ZuQiMfXPThJIIw4N9 Cool Down Playlist: https://youtube.com/playlist?list=PLaGTYQUDoFydmZPXotSYvW7o8IQh5E-ov Some Other Workouts You Might Enjoy: 10 Minute Flat Belly Workout: https://youtu.be/vT9Lmpmc5ak 15 Minute Toned Legs Workout: https://youtu.be/4tUr3wHVAyM 10 Minute Upper Body Workout: https://youtu.be/Vs-863RpNbY 10 Minute Belly Burn Workout: https://youtu.be/Kzj_EQKdqic 15 Minute Cardio Workout: https://youtu.be/RShIdGxTxCs 30 Minute Full Body Toning Workout: https://youtu.be/wXEVLRFA8So 15 Minute Full Body Workout: https://youtu.be/A0ZMcG9mJj8 5 Minute Ab Workout: https://youtu.be/xrv6JmYlJH0 #fitness #workout #homeworkout #exercise #rheashroffekhlas #bodyfittv Disclaimer: Not all exercises are suitable for everyone and this or any other exercise program may result in injury. Please always consult your doctor before beginning this or any other exercise video or program. By performing any of the exercises in this exercise video or program, you assume all risks of injury from doing so. Body Fit TV, its associates and Rhea Shroff are not responsible or liable for any injury or loss you may sustain by participating in this exercise video or program. Always warm up before beginning any workout and never exercise beyond the level at which you feel comfortable. Make sure to prioritize your health and safety. The videos and programs is what works for me and my views and not meant to be advise to you. You can consult with a fitness and nutrition professional to help you figure out what works for you. Always prioritize your health and safety above all else.

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You can watch the full interview right here on Hustle Hard Sports Media or listen on the go wherever you get your podcasts: EPISODE INFO: It's that time again where we all promise to turn over a new leaf and get in the best shape of our lives. But a lot of us don't know what we're doing when it comes to nutrition. Want to know the answers to these questions... What should I eat pre or post workout? How many meals should I eat a day? How can I combat cravings and what triggers them? Are cereals, bagels, chocolate & demonised foods as bad as people say? Are carbs the enemy, will I lose weight if I eat them? Does fasting work? Does frozen food have the same benefits as fresh food? What supplements should I take, do fat burners work? Then tune in, because performance nutritionist at Sheffield Wednesday Football Club and nutrition consultant for athletes at the University of Liverpool - Danny Webber - joins Hustle Hard: The Podcast to explain everything you need to know about food and how it can help you maximise your performance and smash goals in 2025. Follow us on Instagram: https://www.instagram.com/hustlehard_sportsmedia/ Get in touch: [email protected]

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How To Lose Belly Fat In 1 Week? This is the last video about losing body fat, that you ever need! #bellyfat #fatloss #homeworkout Full Home program schedule at http://igorvoitenko.com/ My Instagram: https://www.instagram.com/igorvoitenkofitness/ Don’t wait for tomorrow guys, start now! If you like the video please make sure to subscribe! Its a big support for me: https://www.youtube.com/channel/UC_nfjMmJlJXrhl2xbP9wgRA?sub_confirmation=1 Also, check out my other videos: My CRAZY Life Transformation Story: https://www.youtube.com/watch?v=OW9OobfJj8s How to get wider in 10 min: https://www.youtube.com/watch?v=gdXLJiFfR6M Push-ups from level 1 to level 80! https://www.youtube.com/watch?v=OwFP0FWhR3c 6 min Chest Workout at Home: https://www.youtube.com/watch?v=G2XrGztOTi0 Get 6 PACK ABS in 28 Days: https://www.youtube.com/watch?v=TIMghHu6QFU Music: Neffex

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