Transcript Fast Keto Acv Gummies Speeding Up Your Journey Into Ketosis#berberine #diabetes #cholesterol Is Berberine the next miracle supplement? What does the evidence show? This video is NOT sponsored. Some links on this channel are affiliate links, meaning, at NO additional cost to you, I may earn a commission if you click through and make a purchase and/or subscribe. Thank you for your support! Find me on: Instagram: http://www.instagram.com/leonidkimmd TikTok: http://www.tiktok.com/@leonidkimmd Amazon Storefront (affiliate links): https://www.amazon.com/shop/leonidkimmd Dr Kim is a physician, board-certified in Internal and Obesity Medicine, with a passion for preventive health, weight loss, metabolic health, and longevity. DISCLAIMER: This video is for general information and educational purposes only and does NOT constitute the practice of medicine or other professional health services, including giving of a medical advice. NO doctor-patient relationship is formed. The use of this information and the materials provided in the video is at user’s own risk. The contents of the video are NOT intended to be a substitute for professional medical advice and are NOT intended to treat, diagnose, cure or prevent disease. You should NOT delay or disregard obtaining medical advice for any medical condition you have and you should first seek the assistance of your healthcare professional(s) for any such condition(s). You should NOT make any changes in your health regime, diet, medications, or supplements, before first consulting your physician or healthcare provider and before first obtaining a medical exam, diagnosis, and prescription/recommendation from your physician or healthcare provider. Leonid Kim MD will not assume any liability for any direct or indirect losses or damages that may result from use of the information contained in this video, including but not limited to, economic loss, injury, illness, or death. Furthermore, all content in the video is subject to change without notice, so the content creator assumes no responsibility for the accuracy of information contained. Please review all information regarding any medical condition or use of medications and/or supplements with your physician or healthcare provider. The contents of this video are my personal opinion and do not represent that of my employer(s).The Truth About Green Tea Pills For Weight Loss User ReviewsSmoothie King has teamed up with wellness expert Ashley Turner for tips on mind-body weight loss. For more about healthy choices at Smoothie King, go to http://www.smoothieking.com. For more about Ashley, go to http://AshleyTurner.orgOzempic Weight Loss Drug Welcome to your ultimate guide to the Official ACV Keto Gummies website! Our website is your one-stop destination for all things related to ACV Keto Gummies, a popular weight loss supplement that combines the benefits of apple cider vinegar and the keto diet. 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Jain, MD: Welcome back to ADA 2024 updates. I'm endocrinologist Dr Akshay Jain from Vancouver in Canada, and today we've got a very special guest. We've got Professor Dr Girish Joshi. Dr Joshi is a professor of anesthesiology and pain medicine at UT Southwestern in Dallas, Texas. He was one of the speakers at a very impactful session that was talking about the postoperative and intraoperative considerations for people who are on GLP-1 therapy. He's here to talk with us about clinical considerations that one needs to keep in mind when someone on glucagon-like peptide 1 (GLP-1) receptor agonist therapy is undergoing elective procedures. Welcome, Dr Joshi. Girish P. Joshi, MD: Thank you, Akshay. It's an honor. Jain: I was attending your session, and I found it very clinically impactful. This is something that we are seeing more and more in clinical practice. For our viewers today, can you share with us, as an anesthesiologist, the potential risks for aspiration and the rates of aspiration that you're seeing in people who are on GLP-1 therapy? Joshi: We don't know the exact rate of aspiration with GLP-1 therapy because there are no good studies, but there are several anecdotal reports, including several personal communications where people have contacted me and the American Society of Anesthesiologists (ASA). I'm the chair of the task force for these GLP-1 recommendations developed by the ASA. To give an example, one of the cases reported to me was from a colleague in Dallas where a patient, otherwise completely healthy, came in for a shoulder arthroscopy — a simple outpatient procedure in a freestanding ambulatory surgery center. Surgery went fine. At the end of the procedure, she regurgitated gastric content and aspirated, and then had to be taken to the intensive care unit (ICU) and she spent 7 days in the ICU. Retrospectively, it was recognized that she was on GLP-1 therapy for weight loss, which was not disclosed. This was just before the ASA came up with the guidance, basically, so people didn't know that GLP-1 receptor agonists do increase the risk for aspiration. Jain: That's a really good point straight from your clinical practice. For our viewers who may not be familiar with the guidelines, could you tell us, in a nutshell, for people on GLP-1 therapy who are going in for an elective procedure that requires general anesthesia, what would be the recommendations for holding GLP-1s? Joshi: I have to first emphasize that currently, the evidence to provide any guidance is sparse, and whatever studies are available are basically questionable or of poor quality. With that said, the reason why the ASA came up with the guidance was to inform our colleagues, anesthesiologists, as well as our colleagues from surgery and other proceduralists of this concern about increased regurgitation and aspiration in patients on GLP-1 receptor agonists. That was the primary aim. Because the evidence is sparse, we basically came up with different approaches to decrease or mitigate the risk for regurgitation and aspiration. It starts with having a collaborative discussion, including the patients, or shared decision-making with the physicians and the patient regarding the potential risks, so mention to the patient that there is a potential risk. Then, avoid the elective procedures in patients at high risk. Examples of patients at high risk would be those who are basically in the escalation phase of the GLP-1 therapy, patients with prior history of gastroparesis, or patients on drugs that can cause gastroparesis. I don't know whether you remember I had an algorithm I developed and presented at the American Diabetes Association (ADA) meeting, where I presented the potential risk factors. If the patients are at risk for regurgitation and aspiration, that's the patient population we've got to be extra careful with. Maybe start off withholding the drug if the patients are on, say, a weekly therapy, then 1 week before, though the evidence is minimal. Nevertheless, more importantly, avoid elective procedures during that escalation phase in this patient population. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/glp-1-guidance-reduce-regurgitation-and-aspiration-risk-2024a1000d35?src=soc_ytWeight Loss Journeyweek 2 Low Calorie SnackHow to lose Belly Fat with Knee Pain | Weight loss exercises at home | Weight loss exercises | Belly Fat workout | Belly Fat Workout at home | How Can I lose weight when my knee hurt | How to lose belly fat with knee injury | How to lose belly fat with bad knees | In this video I have shown exercises to lose belly fat with knee pain or knee injury. I hope you find the video useful & beneficial. 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These gummies are easy to take, delicious, and most importantly, effective. I have lost inches off my waist and feel more confident than ever. If you are struggling to lose weight, give these gummies a try – you won’t be disappointed!” – Emily D. How to Incorporate Shark Tank Keto Gummies Into Your Routine Ready to experience the benefits of Shark Tank Keto Gummies for yourself? Here’s how to incorporate these gummies into your daily routine: fat melting shark tank gnc keto shark tank simpli health shark tank keto diet on shark tank keto now shark tank Start by taking one or two gummies each day, preferably with a meal. This will help your body absorb the nutrients more effectively and maximize the benefits of ketosis. Make sure to drink plenty of water throughout the day to stay hydrated and support optimal bodily function. Consistency is key, so be sure to take your gummies daily to see the best results. In addition to taking Shark Tank Keto Gummies, be sure to follow a healthy, balanced diet and engage in regular physical activity. This will help enhance the effects of the gummies and support overall health and well-being. Remember, these gummies are meant to supplement a healthy lifestyle, so be sure to make smart choices throughout the day. If you have any underlying health conditions or are pregnant or nursing, be sure to consult with your healthcare provider before starting Shark Tank Keto Gummies. While these gummies are generally safe for most individuals, it’s always best to err on the side of caution and seek professional advice if needed. Your health and well-being should always come first. FAQ Still have questions about Shark Tank Keto Gummies? Check out our frequently asked questions below: Q: Are Shark Tank Keto Gummies safe to use? A: Yes, Shark Tank Keto Gummies are made with all-natural ingredients and are generally safe for most individuals. However, if you have any concerns or underlying health conditions, it’s best to consult with your healthcare provider before starting these gummies. Q: How quickly will I see results with Shark Tank Keto Gummies? A: Results may vary, but many customers report seeing noticeable changes within a few weeks of starting Shark Tank Keto Gummies. Consistency is key, so be sure to take your gummies daily and follow a healthy lifestyle to maximize your results. Q: Can I take Shark Tank Keto Gummies if I am not following a keto diet? A: While Shark Tank Keto Gummies are designed to support ketosis, you can still enjoy the benefits of these gummies even if you are not following a strict keto diet. These gummies can help boost your energy levels, curb cravings, and support weight loss, regardless of your dietary preferences. Overall, Shark Tank Keto Gummies are a powerful tool to help you reach your weight loss goals and enhance your overall well-being. With their convenient format, delicious taste, and effective ingredients, these gummies are a must-have for anyone on a keto diet or looking to improve their health. Give them a try today and see the amazing results for yourself! Essential Keto Gummies Eware Essential Keto Gummies Au Essential Keto Gummies ReviewFat Burning Abs Workout At Home #shorts #shortvideo #youtubeshorts #short #motivation