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Professor Barry Borlaug presents the SUMMIT trial on the use of the GIP / GLP-1 receptor dual agonist in patients with obesity-associated Heart-Failure with Preserved Ejection Fraction, which has been published in New Engl J Med 2024 and elected the most important study in cardiology and lipidology 2024 by MARKUS at HOMe. Dr. Borlaug is Professor of Medicine and Director, Circulatory Failure Research, Division of Cardiovascular Diseases, and Chair for Research, Division of Circulatory Failure, Department of Cardiovascular Medicine at the Mayo Clinic, Rochester, Minnesota. He is a global leader in studies on mechanisms, diagnosis and treatment of heart failure, particularly heart failure with preserved ejection fraction (HFPEF). The interview was recorded on January 16th, 2025. Moderators: Prof. Dr. Dr. Stephan Schirmer (Kaiserslautern, Germany), Prof. Dr. Florian Custodis (Saarbrücken, Germany) and Prof. Dr. Gunnar Heine (Frankfurt, Germany). Articles discussed: GLP-1 receptor agonists are promising but unproven treatments for alcohol and substance use disorders. Leggio L, Hendershot CS, Farokhnia M, Fink-Jensen A, Klausen MK, Schacht JP, Simmons WK. Nat Med 2023 doi: 10.1038/s41591-023-02634-8 Tirzepatide Reduces LV Mass and Paracardiac Adipose Tissue in Obesity-Related Heart Failure: SUMMIT CMR Substudy. Kramer CM, Borlaug BA, Zile M MR, Ruff D, DiMaria JM, Menon V, Ou Y, Zarante AM, Hurt KC, Murakami M, Packer M; SUMMIT Trial Study Group. J Am Coll Cardiol 2024 doi: 10.1016/j.jacc.2024.11.001 Tirzepatide for Heart Failure with Preserved Ejection Fraction and Obesity. Packer M, Zile MR, Kramer CM, Baum SJ, Litwin SE, Menon V, Ge J, Weerakkody GJ, Ou Y, Bunck MC, Hurt KC, Murakami M, Borlaug BA; SUMMIT Trial Study Group. N Engl J Med 2024 doi: 10.1056/NEJMoa2410027 Effects of tirzepatide on circulatory overload and end-organ damage in heart failure with preserved ejection fraction and obesity: a secondary analysis of the SUMMIT trial. Borlaug BA, Zile MR, Kramer CM, Baum SJ, Hurt K, Litwin SE, Murakami M, Ou Y, Upadhyay N, Packer M. Nat Med 2024 doi: 10.1038/s41591-024-03374-z Evidence Supporting the Existence of a Distinct Obese Phenotype of Heart Failure With Preserved Ejection Fraction. Obokata M, Reddy YNV, Pislaru SV, Melenovsky V, Borlaug BA. Circulation 2017 doi: 10.1161/CIRCULATIONAHA.116.026807 An evidence-based screening tool for heart failure with preserved ejection fraction: the HFpEF-ABA score. Reddy YNV, Carter RE, Sundaram V, Kaye DM, Handoko ML, Tedford RJ, Andersen MJ, Sharma K, Obokata M, Verbrugge FH, Borlaug BA. Nat Med 2024 doi: 10.1038/s41591-024-03140-1 A Simple, Evidence-Based Approach to Help Guide Diagnosis of Heart Failure With Preserved Ejection Fraction. Reddy YNV, Carter RE, Obokata M, Redfield MM, Borlaug BA. Circulation 2018 doi: 10.1161/CIRCULATIONAHA.118.034646 How to diagnose heart failure with preserved ejection fraction: the HFA-PEFF diagnostic algorithm: a consensus recommendation from the Heart Failure Association (HFA) of the European Society of Cardiology (ESC). Pieske B, Tschöpe C, de Boer RA, Fraser AG, Anker SD, Donal E, Edelmann F, Fu M, Guazzi M, Lam CSP, Lancellotti P, Melenovsky V, Morris DA, Nagel E, Pieske-Kraigher E, Ponikowski P, Solomon SD, Vasan RS, Rutten FH, Voors AA, Ruschitzka F, Paulus WJ, Seferovic P, Filippatos G. Eur J Heart Fail 2020 doi: 10.1002/ejhf.1741 Dapagliflozin Enhances Arterial and Venous Compliance During Exercise in Heart Failure With Preserved Ejection Fraction: Insights From the CAMEO-DAPA Trial. Tada A, Burkhoff D, Naser JA, Harada T, Pourmussa B, Reddy YNV, Jensen MD, Carter RE, Demmer RT, Testani JM, Chirinos JA, Borlaug BA. Circulation 2024 doi: 10.1161/CIRCULATIONAHA.124.068788 Cardiac and Metabolic Effects of Dapagliflozin in Heart Failure With Preserved Ejection Fraction: The CAMEO-DAPA Trial. Borlaug BA, Reddy YNV, Braun A, Sorimachi H, Omar M, Popovic D, Alogna A, Jensen MD, Carter R Circulation 2023 doi: 10.1161/CIRCULATIONAHA.123.065134

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Would you want to try Let’s Keto Gummies but cannot determine if they are worth a sum of money? In this cost vs. benefits analysis, we will look at the efficacy of Let’s Keto Gummies and if the price justifies the benefits. Let’s explore further to help you make a better decision.

Advantages of Let’s Keto Gummies

Let’s Keto Gummies are trendy supplements for those on a ketogenic diet. They are crafted to help users achieve and stay in ketosis, where fats are burnt instead of carbohydrates. Here are some main benefits that come with using Let’s Keto Gummies:

1. Enhanced Energy Levels: Numerous consumers report feeling more rejuvenated and vigilant after ingesting Let’s Keto Gummies. This is because ketones (which can be derived from when in ketosis) are, indeed, a superior energy source compared to glucose.

2. Weight Loss Support: By promoting fat oxidation and reducing carbohydrate cravings, Let’s Keto Gummies could aid weight loss efforts. Such an outcome makes it simpler for an adherent of keto to stick to a given meal plan and reach their weight goals.

Possible Side Effects Associated with Let’s Keto Gummies

While there may be numerous advantages from consuming these products by Let’s Company; meanwhile one may suffer some other health problems It is important for people to note that not every person can use these dietary supplements as sometimes it is mentioned on the site that “This product might not work well with everyone.” Here are some possible side effects:

1. Digestive Issues: Some people have reported having diarrhea, stomach bloating or cramping after taking them; however, over time these symptoms commonly go away as your body adapts itself to this new substance.

2. Bad Breath: The bad breath or fruity smell resembling acetone which accompanies being in nutritional ketosis comes from exhaled ketones which can easily be managed through keeping good oral hygiene.

Cost Analysis for Let’s Keto Gummies

Now let us consider the cost of purchasing Let’s Keto Gummies with respect to what they have to offer. The price of this product may differ depending on where you buy it, but typically, one month’s worth could set you back anywhere from $50-$70. However, when looking at the benefits that can come with it, this might seem like a reasonable expense:

1. Ease: Therefore, if you’re too busy to make such drastic changes in your diet while still wanting to enjoy a ketogenic life making this investment would be worthwhile.

2. Health Advantages: Thus, given the potential health benefits of being in ketosis–increased focus and weight loss as well as more energy–this cost can be justified by many users who buy these products Let’s keto gummies are not really that expensive if you look at it from the point of view of someone who is trying to lose weight or increase their energy levels through eating goods that are processed (Ghosh et al., 2018).

For vegetarian/vegan enthusiasts, Yes, Let’s Keto Gummies are ideal because they do not consist of any animal-derived contents.

2. Can I take Let’s Keto Gummies if I have a medical condition?

It is always recommended to consult with a healthcare professional before starting any new supplement, especially if you have a medical condition or are taking medication.

3. Are Let’s Keto Gummies safe for long-term use?

While broadly safe for most people, it is better to cycle on and off the supplement so that your body gets a reprieve from ketosis all the time. Consult with a healthcare professional for personalized advice.

4. How soon should I start seeing results while using Let’s Keto Gummies?

Results may differ from one person to another but many clients confess having noticed positive changes within some weeks after constant usage of the product. It will be best pairing such gummy bears with balanced diet plus regular exercise.

5. Where can I buy Let’s Keto Gummies?

Let’s Keto Gummies can be bought online through official website or various retailers where ensure buying from reputable sources to get genuine ones.

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Slimlex GLP-1 Capsules (CA, Canada) have gained attention as a potential weight loss aid in Canada. Marketed as a natural supplement, Slimlex GLP-1 Capsules Reviews often highlight their role in appetite suppression and metabolic support. The Slimlex GLP-1 Capsules Ingredients reportedly include herbal extracts designed to mimic GLP-1 hormone effects, promoting fullness and fat reduction.

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