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Host: Obesity and diabetes management are seeing a seismic shift, Dr. Lankarani, with GLP-1 agonists like semaglutide making headlines. Is metabolic surgery becoming obsolete, or do these drugs complement existing surgical interventions? 1.2. Guest: It's a critical juncture. While GLP-1 drugs offer noninvasiveness and 15–22% weight loss, bariatric surgery still outperforms in durability—delivering over 25% weight loss and diabetes remission in 80% of patients, as shown in STAMPEDE trial's 10-year data, which all these databases gatheredby by Dr Reza Lankarani, General Surgeon and Surgical Innovation Lead, Curator and Founder of Surgical Pioneering Newsletter and Podcast Series. 1.3. Host: Yet, for some patients—especially those with BMI 30–35 or unwilling to undergo surgery—GLP-1s seem transformative. Real-world studies like SURMOUNT-4 highlight better adherence and lower complication rates. How should clinicians weigh these benefits against surgical options? 1.4. Guest: Patient selection is key. Surgery addresses metabolic drivers beyond appetite suppression, but GLP-1s provide a cost-effective, accessible route for those at lower risk. The real challenge lies in balancing short-term drug trial data with proven surgical longevity. 1.5. Host: So, as these therapies evolve, will we see more combination protocols or a clearer division between surgical and pharmacologic candidates? 1.6. Guest: Combination strategies may soon emerge, particularly as we integrate longer-term GLP-1 outcomes. Ultimately, multidisciplinary teams must tailor approaches based on comorbidities, prior weight loss attempts, and patient preference. #generalsurgerycontroversies #surgicalethicsdebates #medicalmalpracticecases #invasivevsminimallyinvasivesurgery #surgicalinnovationcontroversies #patientsafetyinsurgery #surgicalguidelinesdebate #surgeonaccountabilityissues #healthcarepolicysurgery #surgicaltrainingcontroversies #postoperativecomplicationissues #surgicaltechnologydebates #surgeon-patientcommunication #surgicalriskmanagement #recentsurgicalscandals #surgicalPioneering glp-1 agonists #metabolic surgery #obesity management #weight loss strategies #type 2 diabetes treatment #bariatric procedures #gut hormones #semaglutide #liraglutide #wegovy #satiety regulation #appetite control #diabetes and obesity #future of obesity treatment #surgical vs medical obesity optionsLessons From Glp1 Medication Weight Loss Without Comparison Glp1 WegovyHey everyone! My name is Mary, and welcome to my new YouTube channel. I’m so excited to share my GLP-1 journey with you all. After struggling with weight my entire life, facing ovarian cancer, and hitting my highest weight of 449 lbs, I knew I needed to make a change. In this video, I’m sharing my story—my past weight loss struggles, my experience with Ozempic & Mounjaro, and my goals for a healthier future. I also talk about why I’m moving from TikTok to YouTube (thanks to all the uncertainty!), and what you can expect from my channel moving forward. If you’re on a similar journey, I’d love to connect with you. Let’s support each other and make this a positive, motivating space. Leave a comment below with an emoji that makes you happy! 🐶 Timestamps: 0:00 Intro 1:11 Previous YouTube Channels 4:00 History of Weight & Health Issues 9:02 Rock Bottom 13:00 Ozempic 14:47 Mounjaro 18:03 Inflammation is gone! 18:51 The reason for this channel 20:59 Outro _____________________________________ Find me other places online below: https://www.maryellenquigleyauthor.com/linksChoice Is Important During Weight Loss Calories Caloriedeficit Weightloss WeightlossdietSkładniki: - 4 jajka - 2 łyżki śmietany 18% - szczypiorek - sól, pieprz, papryka wędzona Pozostałe składniki wedle uznania. Ja użyłam: - ugotowany brokuł - kiełbasa - papryka - ser feta - cheddar Pieczemy w 180st 20 minut - termoobieg + górna grzałka. Smacznego!Energee Weightloss Preview Der Morgenkaffee ist für viele Menschen nicht nur ein beliebtes Getränk, um wach zu werden, sondern auch ein wichtiger Bestandteil ihres Abnehmplans. Kaffee wird oft als Hilfsmittel beim Abnehmen beworben, da er den Stoffwechsel ankurbeln und den Appetit unterdrücken kann. Aber stimmt das wirklich? Kann Ihr geliebter Morgenkaffee Ihnen tatsächlich beim Abnehmen helfen? Stoffwechselanregung durch Kaffee Eine Tasse Kaffee am Morgen kann tatsächlich dazu beitragen, dass Ihr Stoffwechsel angekurbelt wird. Koffein, das in Kaffee enthalten ist, kann die Thermogenese (die Wärmeproduktion im Körper) steigern und somit den Stoffwechsel beschleunigen. Ein schnellerer Stoffwechsel bedeutet, dass Ihr Körper mehr Kalorien verbrennt, auch in Ruhephasen. Allerdings ist der Effekt nicht so signifikant, dass Kaffee alleine ausreicht, um Gewicht zu verlieren. Ein beliebter Trick ist es, vor dem Training eine Tasse Kaffee zu trinken, da das Koffein dabei helfen kann, die Fettverbrennung während des Trainings zu steigern. Es ist jedoch wichtig zu beachten, dass Kaffee alleine keine Wunder bewirken kann. Um erfolgreich abzunehmen, ist eine gesunde Ernährung und ausreichend Bewegung unerlässlich. Appetitzügelung durch Kaffee Ein weiterer Vorteil von Kaffee beim Abnehmen ist die mögliche Appetitzügelung. Koffein kann das Hungergefühl vorübergehend unterdrücken und somit dazu beitragen, dass Sie weniger Kalorien zu sich nehmen. Dies kann besonders nützlich sein, wenn Sie versuchen, Ihre Kalorienzufuhr zu reduzieren, um Gewicht zu verlieren. Es ist wichtig zu beachten, dass zu viel Kaffee zu Nebenwirkungen wie Nervosität, Schlaflosigkeit und erhöhtem Herzschlag führen kann. Um die Vorteile von Kaffee zu nutzen, ohne die Nachteile zu erleben, sollten Sie Ihren Kaffeekonsum moderat halten und gegebenenfalls auf entkoffeinierten Kaffee umsteigen. Verwendung von Kaffee als Teil eines gesunden Abnehmplans Wenn Sie Kaffee als Teil Ihres Abnehmplans verwenden möchten, sollten Sie darauf achten, dass Sie Ihren Kaffee ohne zusätzlichen Zucker oder Sahne trinken. Diese können die Kalorienzufuhr erhöhen und den Nutzen von Kaffee beim Abnehmen zunichte machen. Stattdessen können Sie auf natürliche Süßstoffe wie Stevia oder Zimt zurückgreifen, um Ihren Kaffee zu süßen. Es wird empfohlen, Ihren Kaffee nicht auf leeren Magen zu trinken, da dies zu Magenreizungen führen kann. Trinken Sie Ihren Kaffee am besten während einer Mahlzeit oder zumindest mit einem Snack, um Nebenwirkungen zu vermeiden. Tipps für die optimale Nutzung von Kaffee beim Abnehmen Um die Vorteile von Kaffee beim Abnehmen optimal nutzen zu können, sollten Sie darauf achten, Ihr Koffeinkonsum im Auge zu behalten. Wenn Sie zu viel Kaffee trinken, können Sie anfällig für Nebenwirkungen wie Kopfschmerzen, Nervosität und Schlafprobleme sein. Es wird empfohlen, nicht mehr als 400 mg Koffein pro Tag zu konsumieren, was etwa vier Tassen Kaffee entspricht. Zusätzlich zum Koffein können bestimmte Stoffe in Kaffee wie Chlorogensäure und Polyphenole ebenfalls dabei helfen, den Stoffwechsel anzukurbeln und die Fettverbrennung zu steigern. Achten Sie darauf, hochwertigen Kaffee zu trinken, der diese natürlichen Verbindungen enthält, und vermeiden Sie zuckerhaltige Kaffeegetränke wie Frappuccinos oder Eiskaffee. Zusammenfassung Der Morgenkaffee kann durchaus dazu beitragen, dass Sie beim Abnehmen unterstützt werden. Kaffee kann den Stoffwechsel ankurbeln, den Appetit unterdrücken und die Fettverbrennung während des Trainings steigern. Allerdings ist es wichtig, Kaffee als Teil eines gesunden Abnehmplans zu betrachten und nicht als Wundermittel zum Gewichtsverlust zu betrachten. Um die Vorteile von Kaffee beim Abnehmen optimal nutzen zu können, sollten Sie Ihren Kaffee moderat und ohne zugesetzten Zucker oder Sahne trinken. Achten Sie darauf, Ihren Koffeinkonsum im Auge zu behalten und hören Sie auf Ihren Körper, um Nebenwirkungen zu vermeiden. Mit einer ausgewogenen Ernährung, ausreichend Bewegung und einem vernünftigen Kaffeekonsum können Sie auf gesunde Weise Gewicht verlieren und Ihre Ziele erreichen. Start Your Weightloss Journey Today Glp1 Semaglutide TirzepatideWhy is keto so effective for weight loss—and is it really better than other diets? 🥓🔥 In this video, Dr. Eric Westman reacts to a breakdown by Dr. Mike (Renaissance Periodization) on the four major reasons keto seems to help so many people lose fat. Dr. Westman weighs in with over 25 years of clinical experience, clarifying myths, highlighting where Dr. Mike gets it right, and where important context is missing—especially for people with obesity, insulin resistance, or diabetes. 👁️ Seen a video you'd like me to react to? Leave a comment below or join the YouTube membership for priority comments where your video recommendation will be seen first and any questions you may have will be answered 🎬 🟣 If you enjoy my channel and would like to support what I do there are a few different ways you can show your support listed below: 🟣BECOME A CHANNEL MEMBER ON YOUTUBE Receive priority comments, early access to new videos and join livestreams twice a month to ask me anything live! 🟣Support the channel via PayPal if you don't want anyone taking a chunk of what you send me and you can set up a recurring payment https://www.paypal.com/donate/?hosted_button_id=ZDZK4SN7DJYXC 🟣Vist Adapt Your Life Academy https://adaptyourlifeacademy.com/ 🟣Adapt Your Life Academy Online Courses: https://adaptyourlifeacademy.com/all-courses/ 🟣Bestselling Book – END YOUR CARB CONFUSION: https://www.amazon.com/Your-Carb-Confusion-Eric-Westman 🟣END YOUR CARB CONFUSION COOKBOOK: https://www.amazon.com/End-Your-Carb-Confusion 🟣FREE QUIZ to determine your personal carb threshold: https://adaptyourlifeacademy.com/carb-threshold-bonus/ ======================================================================== 🟣MY SOCIAL MEDIA 🟣Like my Facebook Page ➡️ https://www.facebook.com/AdaptYourLifeAcademy 🟣Follow me on Instagram ➡️ https://www.instagram.com/adaptyourlifeacademy/ 🟣Follow me on X ➡️ https://x.com/drericwestman ======================================================================== 🟣Dr. Eric Westman, Associate Professor of Medicine at Duke. He is Board Certified in Obesity Medicine & Internal Medicine, & founded the Duke Keto Medicine Clinic. He is a Fellow in The Obesity Society. He is the author of The New Atkins for a New You, Cholesterol Clarity, and Keto Clarity, and End Your Carb Confusion & co-founder of Adapt Your Life. Disclaimer: Nothing on our channel is medical advice. Dr. Westman and the Adapt Your Life team do not diagnose, treat, cure, or prevent any medical conditions online. We provide education to help people better understand their own health and support their well-being. Make sure you are working with YOUR licensed provider to monitor your health and medications. These posts and videos are not designed to and do not provide medical advice, professional diagnosis, opinion, treatment, or services to you or to any other individual. We do not promote or endorse affiliate links and/or products unless they are our own.Apple Cider Vinegar Weight Loss ProgramWith the rise of Ozempic, plastic surgery and toxic societal expectations, how does American celebrity culture shape us? In this episode of Cageless, I explore what I’ve learned as an American woman who has healed from an eating disorder and now lives in Europe. Let's stop letting body image, self-worth, and male validation control your life once and for all. If you're tired of chasing ever-changing ideals and ready to find peace, this is for you. Subscribe to Cageless for weekly conversations about self-trust, womanhood, and healing in a world that wants you to shrink. 🫂 Get your Future Self Template: https://thejennijohnson.gumroad.com/l/future-self 📚 Subscribe on Substack: https://thejennijohnson.substack.com/ 📸 Instagram: https://www.instagram.com/jennijohnson 🎤 Follow the Pod on SPOTIFY: https://open.spotify.com/show/08EIuaBXtwtCYSJBhHQAJb?si=29327a4ad944439e Weight loss stats from Hims & Hers 2024 report, “The Shape of America,” : https://www.hims.com/forhims/image/upload/v1726056665/reports/The_Shape_of_America_Report_Final_2024.pdfKeto Collagen Gummies Understanding Keto Gummies: A Gateway to Ketosis In recent years, the popularity of ketogenic diets has surged, with enthusiasts touting its remarkable ability to promote weight loss, enhance mental clarity, and boost energy levels. One of the most accessible and enjoyable ways to tap into the benefits of the keto diet is through keto gummies. These small, chewy treats are formulated to support those following a low-carb, high-fat diet, making it easier to adhere to ketogenic principles without the stringent restrictions often associated with traditional dieting. But what exactly goes into these gummies, and how do they work to support the body during the ketosis process? Keto gummies are designed to mimic the effects of traditional ketogenic diets while providing a delicious alternative to other supplements. They typically come packed with a selection of ingredients that not only cater to the dietary restrictions of a keto lifestyle but also enhance the gummies’ flavor and overall effectiveness. The combination of elements found in these products can significantly influence how the body metabolizes energy and processes nutrients. As we delve into the specific components of keto gummies, it is crucial to understand not only their individual roles but also how they synergistically work together to promote a state of ketosis. Ketosis is a metabolic state in which the body utilizes fat as its primary fuel source instead of carbohydrates. Achieving this state can lead to rapid weight loss, increased energy, and improved mental function. Success on a keto diet involves depleting the body’s glycogen stores and transitioning it to using fat-derived ketones for energy. Keto gummies play a vital role in this transition by supplying the body with essential nutrients and compounds that facilitate this metabolic shift. In the forthcoming sections, we will explore five key ingredients commonly found in keto gummies and elucidate their specific functions in the body. MCT Oil: A Powerful Ketone Source MCT oil, or medium-chain triglycerides, is a saturated fat that is rapidly absorbed and metabolized by the body. Unlike long-chain fatty acids, MCTs do not require bile to digest, making them a quick source of energy. When consumed, MCTs convert into ketones, offering an immediate and efficient fuel source that aligns perfectly with the goals of a ketogenic diet. This quality is particularly beneficial for those transitioning into ketosis as it helps to accelerate the metabolic shift. The inclusion of MCT oil in keto gummies allows individuals to experience heightened energy levels, improved athletic performance, and even enhanced cognitive function. For those adjusting to a low-carb lifestyle, MCT oil can mitigate the common side effects of the “keto flu,” a temporary condition some people experience as their bodies adapt to the new metabolic pathway. Moreover, research indicates that MCTs may promote feelings of fullness and reduce appetite, aiding in weight management. Furthermore, MCT oil is not only a fantastic energy source but also boasts potential therapeutic benefits. Studies have suggested that MCTs may have a role in improving gut health and reducing inflammation. By incorporating MCT oil into keto gummies, manufacturers provide an accessible way for consumers to enjoy the benefits without worrying about complex cooking methods or meal prep associated with high-fat diets. Exogenous Ketones: Boosting Ketosis Exogenous ketones are supplemental ketones that are consumed from outside the body. These compounds help individuals quickly achieve or maintain a state of ketosis, especially useful for those who may struggle to reach this metabolic state through diet alone. By providing the body with an instant supply of ketones, exogenous ketones can enhance energy levels, promote fat loss, and support overall mental clarity. The presence of exogenous ketones in keto gummies serves to amplify their effectiveness, allowing users to feel the benefits of ketosis without strictly adhering to a low-carb diet. For many, this represents an appealing option when faced with cravings for carbohydrates, facilitating easier adherence to dietary goals. They serve as an excellent tool for maintaining energy levels during workouts or busy daily activities. Moreover, exogenous ketones may also offer cognitive benefits. Many users report increased focus and mental clarity after consuming ketone supplements. This can be especially advantageous for individuals looking to enhance their productivity or athletic performance. By including exogenous ketones in gummy form, consumers can easily administer an effective dose on the go, creating a practical solution for busy lifestyles. Electrolytes: Essential for Ketogenic Health One often overlooked aspect of the ketogenic diet is the importance of maintaining proper hydration and electrolyte balance. As the body transitions into ketosis, it excretes more water and electrolytes, which can lead to deficiencies if not properly managed. This is where electrolytes come into play. Electrolytes, which include minerals like sodium, potassium, and magnesium, are vital for numerous bodily functions, including muscle function, hydration, and nerve signaling. Including electrolytes in keto gummies can help combat the symptoms of the keto flu, such as fatigue, dizziness, and muscle cramps. These symptoms are often a result of electrolyte imbalances, particularly low sodium or potassium levels. By providing a convenient source of electrolytes in gummy format, users can enjoy a tasty way to support hydration and maintain optimal bodily function during their ketogenic journey. Moreover, electrolytes have been shown to play a role in muscle recovery and performance. For those who incorporate exercise into their daily routine, having adequate electrolyte levels can directly influence their ability to perform at their best. By integrating electrolytes into keto gummies, manufacturers address a crucial aspect of a successful ketogenic lifestyle while ensuring consumers have a flavorful and enjoyable way to maintain their health. Vitamins and Minerals: Supporting Overall Wellness A balanced diet is essential for maintaining overall health and wellness, and this holds true even for those following a ketogenic diet. Many individuals may struggle to obtain all the necessary vitamins and minerals while adhering to a low-carb lifestyle. This is where the strategic inclusion of vitamins and minerals in keto gummies becomes paramount. Essential vitamins, such as B vitamins, play a key role in energy metabolism, while others, like vitamin D and calcium, are vital for bone health. The vitamins and minerals present in keto gummies provide a convenient solution to help individuals prevent deficiencies that could arise from restricted dietary patterns. For instance, vitamin D is crucial for immune function, bone density, and mood regulation; its inclusion ensures that individuals following a ketogenic diet do not compromise their overall nutritional intake. Furthermore, B vitamins are instrumental in converting food into usable energy, which pairs perfectly with the goal of maximizing fat combustion during ketosis. Additionally, the presence of antioxidants in vitamins and minerals can enhance the gummies’ appeal by promoting overall wellbeing. Antioxidants aim to combat free radicals in the body, which are implicated in aging and various chronic diseases. Therefore, incorporating essential vitamins and minerals into keto gummies not only supports the dietary needs of individuals on a low-carb regimen but also fosters a comprehensive approach to health that benefits the body in many ways. Natural Sweeteners: A Tasty and Health-Conscious Choice To ensure that keto gummies are palatable while adhering to a ketogenic lifestyle, natural sweeteners are often utilized. These sweeteners are essential in creating a delightful flavor profile without the addition of sugar, which can hinder the process of ketosis. Common natural sweeteners found in keto gummies include stevia, erythritol, and monk fruit extract. These alternatives provide sweetness without contributing to net carbs, making them ideal for those strictly monitoring their sugar intake. Natural sweeteners not only enhance the flavor of keto gummies but also often have additional health benefits. For instance, stevia has been shown to have a zero glycemic index, meaning it does not spike blood sugar levels, making it suitable for diabetics. Erythritol, another common sweetener, is low in calories and has also been associated with improved dental health, rendering it a suitable choice for those concerned about their oral hygiene while enjoying sweet treats. Incorporating natural sweeteners into keto gummies exemplifies a commitment to health-conscious decision-making. As health food enthusiasts, consumers seek alternatives to sugar-laden snacks that are easy to consume on the go. By offering a gummy experience that is both satisfying and compliant with keto principles, manufacturers help to ensure that individuals can enjoy their snacks without jeopardizing their dietary goals. Common Questions Regarding Keto Gummies Keto gummies have garnered immense popularity in the health and wellness community, leading to numerous questions from potential users. One of the most frequently asked questions is, “Do keto gummies actually work?” The answer largely depends on their formulation and the individual’s adherence to a ketogenic lifestyle. If gummies are formulated with the right ingredients—such as MCT oil, exogenous ketones, electrolytes, vitamins, and natural sweeteners—they can indeed support the journey into ketosis and help individuals maintain a low-carb diet. Another common inquiry centers around the idea of cravings. People often wonder if consuming keto gummies can help curb cravings for sweets or carbs. The inclusion of natural sweeteners makes these gummies a satisfying option for individuals seeking a sweet fix without derailing their dietary goals. Many users report that the flavor and texture of keto gummies can serve to alleviate the desire for traditional desserts, thus aiding in adherence to the keto diet. Users also express concern over potential side effects. While keto gummies are generally considered safe, some individuals may experience digestive discomfort due to ingredients like MCT oil or sugar alcohols used as sweeteners. It is advisable to start with a small serving size and gradually increase as tolerated. Moreover, individuals should always check the ingredient list for any allergens or other components that may not align with their dietary needs. In summary, keto gummies offer a practical and enjoyable solution for individuals seeking to integrate the benefits of a ketogenic diet into their daily routine. By understanding the various ingredients typically found in keto gummies, users can make informed choices that support their health goals while indulging in delicious treats. Whether seeking weight loss assistance, energy enhancement, or simply a satisfying snack, keto gummies may provide an effective addition to a low-carb regimen. 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