Transcript Opdag Den Transformative Kraft Af People S Keto Gummies In Denmarkofficial✅ OMÃN : https://cutt.ly/ketoguru-oman ✅ Saudi Arabia : https://cutt.ly/ketoguru-SA ✅ United Arab Emirates: https://cutt.ly/ketoguru-AE كل ما تحتاج لمعرفته KETO GURU - GURU KETO استعراض مرحبا ، أنا فاطمة... واليوم سأخبركم بكل ما تحتاجون لمعرفته عن كيتو غورو قبل أن تشتروا هذا المنتج. بعد أن سألني العديد من الناس في الشبكات الإجتماعية عن كيتو غورو قررت تسجيل هذا الفيديو و التعمق في التحقيقات ، سألت أطباء متخصصين و أخصائيي التغذية و المنتديات و العديد من الأشخاص الذين يأخذون كيتو غورو بالفعل. لذلك لدي اثنين من التنبيهات الهامة جدا ، لذلك انتبه عن كثب إلى ما يجب أن أقول لكم. أول شيء يجب أن تعرفه عن كيتو غورو هو: كن حذرا مع الموقع سوف تشتري المنتج لأن كيتو غورو يباع فقط على الموقع الرسمي. ولمساعدتك تركت رابط الموقع الرسمي هنا أدناه في وصف هذا الفيديو لكم للوصول بأمان... الآن سأخبرك ما هو (كيتو غورو) وإذا نجح الأمر... كيتو جورو: وهو نوع جديد من منتجات فقدان الوزن التي يستطيع المستخدمون أن يخفضوا وزنهم الزائد بشكل دائم ، ليس فقط بسرعة ، بل وقبل كل شيء. ويبشر الصانع بالنجاح السريع والدائم من خلال مزيج فعال من الأقراص المؤثرة ذات المكونات النشطة الخاصة ونظام غذائي كيتوجيني. وبهذه الطريقة ، من المفترض أن يحرق الجسم احتياطيات الدهون ويحولها إلى طاقة لوحدها. ولكن هل يمكن حقا فقدان الوزن مع هذا المنتج ؟ لقد ألقينا نظرة فاحصة على حمية كيتو وحمية كيتو غورو وبعد العديد من الفحوصات المختبرية ، حدد الباحثون أن هناك صيغة طبيعية ذات مكونات مركزة ، كيتو غورو تجارب كيتو جورو وتقييماته ما رأي الزبائن الآخرين في الأقراص المؤثرة ؟ كما نظرنا في هذا السؤال وبحثنا في الإنترنت عن خبرات كيتو غورو واستعراضاته. لقد اخترنا ثلاثة من هذه التقارير لكم. لذا نعم ، أنت يُمْكِنُ أَنْ تَأتمنَ هذا المنتجِ... حتى ، هناك العديد من الناس لديهم نتائج عظيمة مع كيتو غورو ويمكنك الحصول على نتائج أيضا... شيء مهم جدا هو أن كيتو جورو لديه ضمان ويمكنك في الواقع اختبار المنتج ، وإذا كان لسبب ما كنت لا تحب ذلك ، فإنها تعيد أموالك... 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Today I have a special guest, Dr Marina Kurian, who is a clinical professor of surgery at NYU Langone Health and the president of the American Society for Metabolic and Bariatric Surgery. Welcome, Dr Kurian. Marina Kurian, MD: Thank you so much for having me. Holly. Thank you. Lofton: Today, I want to discuss a very hot topic, which is the combined use of bariatric surgery and antiobesity medications, because we know there are so many different modalities that are being used to treat overweight and obesity right now. Those include lifestyle interventions, antiobesity medications, and bariatric metabolic surgery. However, some patients need multiple modalities to achieve success. I want to ask you first: What are some of the more common metabolic bariatric surgeries that are performed today? Kurian: I'd say the two most common currently in the United States are the sleeve gastrectomy and the Roux-en-Y gastric bypass. In the sleeve gastrectomy, we remove a portion of the stomach, whereas in the gastric bypass, we make the stomach small and then reroute the intestines — so we don't remove any stomach in that procedure. With the sleeve gastrectomy, we expect patients to lose about 30%-35% of total body weight. And with the bypass, it can be slightly more — maybe 35%-40% of total body weight. Lofton: Have you seen patients who don't achieve this expected weight loss? Kurian: Absolutely. And when that occurs, something that we both do in our practices is to add antiobesity medication to that regimen. But first, of course, I look to see what type of diet they're on, what their caloric intake is, and what is their level of activity before I just say, "Hey, take this medication." Lofton: What would you say are other potential benefits of using antiobesity medications after bariatric surgery vs a revisional surgery or a second metabolic or bariatric surgery? Kurian: It's a complex answer. Some of the benefits obviously are if the medication can get the patient to their goal, then we're saving them an operation. I frequently do this with my patients first to see if they really would benefit from a revision. I'll start them on medication after their initial bariatric surgery to see how well they do with dietary modification and behavioral modification. And then I add the medication as well. If they lose enough weight, they don't need a bariatric revision. But if they don't lose or there's some other reason — like sometimes it's about access to the medications — then I will consider them for a revisional procedure, depending on what their initial operation was, of course. Lofton: Is there scientific evidence that antiobesity medications are better for patients after bariatric surgery than, say, just seeing a dietitian to get more results? Kurian: Absolutely. As you know, and I believe you've written some of that literature, there are plenty of articles out there that look at the use of antiobesity medications vs lifestyle change and dietary changes. Antiobesity medication along with that will really have the maximum results for patients. This is if they have weight recurrence after the initial procedure, or if they have inadequate weight loss and they're not following the trajectory that I usually feel that they should be on — based on my experience with so many patients. Lofton: That's a really good point, and I want to talk more about that for the audience. If you're a primary care physician and you're seeing someone with a previous bariatric surgery, even if it was 5 or 10 years ago, a very common practice was to refer them to a dietitian and have them log and track calories and things like that. But if the evidence is stating that they may be better managed by either seeing their bariatric surgeon for medication or revisional options, or seeing an obesity medicine specialist or even the primary care doctor prescribing medications, if the evidence is there, then that may change some of the current practices and help our patients get more success. Kurian: I think that's absolutely true. If you look at the landscape of obesity treatments that are out there, because we've had so many medications added to our arsenal, I know that many of our colleagues around the country are getting more familiar with using them in patients. I think the key to it is to try to identify who would benefit, and it is completely appropriate for the patient to be evaluated for the use of antiobesity medication, even if they've had surgery. https://www.medscape.com/viewarticle/996479?src=soc_ytGreen Fast Keto Keto Trim Diet Pills With Shark TankHow to Transform Your Meals for Weight Loss Success | Indian Weight Loss Diet by Richa 🍴 Love Roti but Want to Lose Weight? 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