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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. 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After reviewing your information, one of their licensed healthcare providers will determine if Semaglutide is suitable for you. If approved, your medication will be discreetly shipped to you at no extra cost. With Bioverse, there are no membership fees, and your virtual consultations are free, making it a convenient and affordable option for many. The cost for Month 1 is $129 for compounded Semaglutide, with subsequent months priced at $289. While Bioverse sources all medications from US-based pharmacies, they don't accept insurance for the compounded Semaglutide, so you'll need to pay out of pocket. However, they do offer Wegovy and Ozempic prescriptions, which may be covered by insurance. Bioverse is LegitScript certified, offers free shipping, and provides unlimited access to medical professionals via their patient portal. While they are ranked 23rd out of 55 providers for affordability, their convenient, online-only consultations may appeal to those who prefer virtual care. For more details, check out my comparison chart in the description! #bioversesemaglutide #bioverseforweightloss #semaglutide #semaglutidesuccess #semaglutidejourney #semaglutideforweightloss #semaglutida #semaglutideweightloss #coumpound #weightloss #weightlosstips #weightlossjourney #weightlossmotivation #weightlosstransformation #weightlosschallenge #hers #hims #semaglutidecomparison #semaglutideprescription #semaglutidebeforeandafter * DISCLAIMER*: This post contains affiliate links, through which I may earn a small commission at no cost to you.Can Drugs Help In Weight Loss Dr Arunkumar2024 की 3 Best Weight Loss Supplements ; लेकिन 80% लोग इन्हें Use ही नहीं करते। .. .. .. .. 3 Best Weight Loss Supplements of 2024; But 80% people do not use them. 1. Guar gum - This is the world's best supplement for meeting calorie deficits by reducing your appetite naturally. When these supplements come in contact with water, they swell and become larger. Like a magic ball that fills your stomach and prevents you from eating too much. 2. Vitamin B complex - If you are a vegetarian then I highly recommend this supplement to you. Because, this supplement helps you in energy production hormone production, which indirectly helps you in weight loss. 3. Omega 3 - It has been seen in many studies that Omega 3 helps you in weight loss by increasing your metabolism. .. .. .. .. 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The primary principle behind this eating plan is a significant reduction in carbohydrate intake accompanied by an increase in fat consumption, leading the body to enter a metabolic state known as ketosis. While many people experience initial success on this restricted diet, transitioning away from keto can also lead to surprising outcomes, such as continued weight loss. This article explores five compelling reasons why quitting the keto diet can actually help with shedding pounds, countering the narrative that it is the ultimate solution for everyone. Many individuals begin their keto journey fueled by the allure of quick results, but the diet can come with its own set of challenges. From feelings of deprivation due to restricted food choices to the possible emergence of nutrient deficiencies, the long-term sustainability of a ketogenic lifestyle often comes under scrutiny. In some cases, the stresses associated with maintaining such a stringent regimen can cause individuals to experience emotional and physical fatigue, leading them to abandon the diet altogether. Interestingly, this very decision can result in unexpected weight loss. By embracing a more balanced and less restrictive dietary approach, individuals may find themselves developing healthier habits that align better with their overall lifestyle. Furthermore, quitting the keto diet encourages a reconnection with a broader spectrum of food choices. A diverse diet not only promotes nutritional balance but also helps in fostering a positive relationship with food. Individuals who leave the keto lifestyle may discover that they can enjoy a variety of foods in moderation without feeling guilty or deriving pleasure only from a select few items. This newfound flexibility can help mitigate binge-eating episodes that often stem from the rigid constraints of the keto diet. As such, the journey of quitting keto may open the gateway to sustainable weight loss, improved mental well-being, and a more enjoyable culinary experience. Reintroducing Carbohydrates Safely When exiting the ketogenic lifestyle, many people tend to fear carbohydrate consumption, associating it with weight gain. However, reintroducing carbs in a thoughtful manner can indeed foster weight loss rather than hinder it. Gradually adding complex carbohydrates—such as whole grains, fruits, and vegetables—while maintaining a balanced intake of fats and proteins can create a sustainable dietary pattern, full of variety and nutrients. These foods not only provide energy but are also rich in fiber, which has been shown to support digestive health and help maintain a healthy weight. The process of reintroducing carbohydrates should be gradual and mindful. Instead of diving into processed carbohydrates or excessive sugar intake, it is advisable to focus on nutrient-dense options that benefit the body. Whole foods, in particular, can ensure sustained energy levels and reduce the appetite by promoting satiety. A well-planned strategy around carb intake can help individuals strike a balance between enjoying their favorite meals while still being conscious of their overall health and fitness goals. Moreover, consuming carbohydrates post-keto can positively affect the body’s metabolism. The body’s adaptive response to carbohydrates can help in boosting essential functions such as hormonal balance and energy production. By strategically timing carb intake, individuals can optimize their metabolic rate and improve workout performance. This newfound flexibility may lead to a gradual increase in activity levels, which can subsequently result in additional weight loss. Boosting Psychological Well-being Transitioning away from a rigid diet like keto can significantly enhance one’s psychological well-being. Psychological impacts of dieting are often profound, and extremely restrictive eating patterns can lead to feelings of anxiety, depression, and a distorted relationship with food. Quitting keto may provide mental relief, allowing for a more balanced approach to nutritional intake. When individuals feel liberated from strict dietary rules, they often find joy in food again, leading to improved mental health and well-being. Furthermore, the emotional journey of quitting keto can help individuals gain a constructive perspective on their body image and self-worth. Many people are caught in the cycle of comparing their results with others, often leading to negative self-talk and dissatisfaction. By adopting a more holistic view and appreciating their bodies for what they can do rather than how they look, individuals can foster a healthier mindset. This psychological shift is crucial in supporting long-term weight maintenance, as it encourages consistency over obsession. Lastly, engaging in community or support groups during the transition period can serve as a catalyst for positive change, offering both motivation and accountability. Hearing others’ experiences and sharing triumphs and struggles can help alleviate feelings of isolation and foster connections. Additionally, focusing on non-diet-related aspects of well-being—such as enhanced physical activity, hobbies, and social engagement—can contribute to a more fulfilling lifestyle that supports ongoing weight loss and overall health. Embracing a Flexible Eating Pattern One of the key reasons individuals find success after quitting keto is the transition to a flexible eating pattern. Rather than adhering to strict rules, flexible eating encourages choices based on personal preference, hunger cues, and nutritional needs. This approach allows individuals to enjoy their favorite foods without guilt while remaining mindful of portion sizes and overall nutrition. A flexible eating pattern promotes sustainability and enjoyment of the dietary experience, minimizing the feeling of deprivation often associated with restrictive diets. As individuals start to include a wider variety of foods, they may naturally gravitate towards healthier options, helping to create a well-rounded diet. This shift reduces the likelihood of bingeing, as it lessens the sense of restriction and encourages moderation. Moreover, this adaptable approach extends beyond food choices. A flexible eating pattern aligns well with lifestyle factors, such as social occasions and travel, where rigid adherence to certain food types may be impractical. By cultivating a balanced mindset towards nutrition, individuals can navigate any situation without feeling anxious about their choices. This adaptability can foster a healthier relationship with food and lifestyle, which ultimately supports continuing weight loss in a more enjoyable manner. Improving Physical Activity Levels Leaving the keto diet may also lead to a renewed focus on physical activity and fitness. As individuals abandon the restrictive eating habits of keto, they may begin to explore a broader array of nutritional options that fuel their workouts and improve their overall exercise experience. With more energy and better mood regulation due to a balanced diet, many individuals find that they are more motivated to engage in physical activities regularly. As the body receives a wider range of nutrients, recovery from exercise can also improve significantly. Individuals may experience less fatigue and muscle soreness, leading to increased activity levels. For many, this uplifts their physical performance, allowing them to push their limits in the gym and engage in a variety of workouts. Increased physical activity often correlates positively with weight loss, as engaging in regular exercise helps maintain a healthy metabolic rate and enhances overall fitness. Lastly, integrating exercise into a balanced lifestyle forms a crucial part of long-term weight management. When individuals find enjoyment in their physical activities, they are more likely to remain consistent. Pairing a flexible eating pattern with an active lifestyle not only aids in weight loss but also fosters holistic health improvements. From muscle strength to cardiovascular health, regular exercise cultivates resilience and well-being, reinforcing a positive cycle of health for those who moved beyond keto. Frequently Asked Questions As more individuals consider quitting the keto diet, several questions arise about the implications of this decision for weight loss and overall health. One common concern is whether it’s possible to gain weight after quitting keto. While it is true that carbohydrates may cause an initial increase in water weight, leading to concerns about gaining fat, it is essential to understand that lasting weight gain largely depends on one’s overall lifestyle. With mindfulness toward portion control and quality food choices, it is possible to maintain or continue losing weight even after transitioning away from keto. Another frequently asked question pertains to how long it typically takes for individuals to adjust after quitting keto. Adjusting to a more flexible eating pattern can vary from person to person, but generally, it might take a few weeks for the body and mind to adapt. As one reintroduces carbohydrates and enjoys a varied diet, it is crucial to be patient and allow the body to recalibrate its hunger signals and energy levels. Listening to internal cues and fostering a positive mindset towards food can help facilitate this transition. Finally, some individuals wonder about the best approach for reintroducing carbs safely. A helpful guideline is to gradually include whole grains, legumes, fruits, and vegetables into meals while closely monitoring how the body reacts. Tracking food intake can provide insight into how various foods affect energy levels and satiety. Additionally, focusing on enjoying meals with friends and family, rather than solely concentrating on caloric content, can create a more positive relationship with food and enhance the overall eating experience. In summary, quitting the keto diet has the potential to yield surprising benefits for weight loss. Through a thoughtful approach towards reintroducing carbohydrates, enhancing psychological well-being, embracing flexibility in eating, and increasing physical activity, individuals may discover improved health and sustainable weight loss. By prioritizing balance over restriction, individuals can cultivate a fulfilling lifestyle that leads to long-term success. Weight Loss With Chromium Supplement By Boosting Fat Metabolism Chromium Pharmacist Pharmacy When it comes to weight loss, finding a safe and effective method can be challenging. However, recent studies have shown that Semaglutide, a medication typically used to treat type 2 diabetes, may also aid in weight loss. This has sparked interest among individuals looking to shed excess pounds and improve their overall health. If you are considering Semaglutide for weight loss, it is essential to understand the key factors involved to make an informed decision. How Semaglutide Works for Weight Loss Semaglutide works by mimicking the natural hormone GLP-1 (glucagon-like peptide-1) in the body, which helps regulate blood sugar levels and appetite. By activating GLP-1 receptors in the brain, Semaglutide can help reduce hunger and increase feelings of fullness, leading to decreased food intake and, ultimately, weight loss. Additionally, Semaglutide has been found to slow down the emptying of the stomach, further promoting satiety and reducing calorie consumption. This dual mechanism of action makes Semaglutide a valuable tool in weight management for individuals struggling to lose weight through diet and exercise alone. It is important to note that Semaglutide is not a magic pill for weight loss and should be used in conjunction with a healthy diet and regular physical activity for optimal results. It is not recommended for everyone, so consulting with a healthcare provider is crucial to determine if Semaglutide is a suitable option for you. Potential Side Effects of Semaglutide Like any medication, Semaglutide may cause side effects in some individuals. Common side effects include nausea, vomiting, diarrhea, and constipation, which typically subside as the body adjusts to the medication. However, more serious side effects, such as pancreatitis and thyroid tumors, have been reported in rare cases. It is essential to be aware of the potential side effects of Semaglutide and discuss any concerns with your healthcare provider before starting treatment. Monitoring for any adverse reactions and addressing them promptly can help ensure a safe and effective weight loss journey with Semaglutide. If you experience severe or persistent side effects while taking Semaglutide, it is crucial to seek medical attention immediately and discontinue the medication if advised by your healthcare provider. Cost and Accessibility of Semaglutide One of the factors to consider when exploring Semaglutide for weight loss is the cost and accessibility of the medication. Semaglutide is available in injectable form and is typically prescribed in specific doses for weight management. However, Semaglutide can be expensive, and insurance coverage may vary depending on your provider and policy. Some individuals may need to pay out of pocket for the medication, which can be a significant financial burden for long-term use. It is essential to research the cost of Semaglutide and explore options for financial assistance or alternative treatments if affordability is a concern. Your healthcare provider or pharmacist can also provide guidance on accessing Semaglutide and managing associated costs. Long-Term Effects and Sustainability of Semaglutide Use While Semaglutide has shown promising results in weight loss clinical trials, the long-term effects and sustainability of its use are still being studied. It is essential to consider the potential risks and benefits of Semaglutide before committing to long-term treatment. Some individuals may experience weight regain once they discontinue Semaglutide, highlighting the importance of incorporating lifestyle changes to maintain weight loss results. Sustainability is key to long-term success in weight management, and Semaglutide should be viewed as part of a comprehensive approach to health and wellness. Consulting with your healthcare provider regularly and monitoring your progress while taking Semaglutide can help ensure that you are on the right track towards achieving your weight loss goals safely and effectively. … Summary In conclusion, Semaglutide can be a valuable tool for weight loss when used in conjunction with a healthy diet and regular exercise. Understanding how Semaglutide works, potential side effects, cost considerations, and long-term effects are essential factors to consider before starting treatment. Consulting with a healthcare provider to determine if Semaglutide is suitable for you and monitoring your progress throughout the weight loss journey can help you achieve your goals safely and effectively. If you have any questions or concerns about Semaglutide weight loss therapy, it is best to seek advice from a qualified healthcare professional who can provide personalized guidance based on your individual needs and circumstances. Remember that weight loss is a journey, and having the right support and information can make all the difference in achieving long-term success. Unleash Your Mounjaro Weight Loss Potential By Going Back To Basics Episode 1The United States has experienced a major health transition in the last 150 years, which has included an increase in the prevalence of obesity, diabetes and coronary heart disease. As these conditions are heavily influenced by food choices, it is important to understand how the American diet has changed over this time period. 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