Transcript Keto Gummies Bhb Boost Your Ketosis NaturallyQuick fixes like Ozempic might seem like a miracle for weight loss, but let’s set the record straight. This medication is designed for managing type 2 diabetes, with weight loss being an unintended side effect. What happens when the injections stop? The weight often returns. In this video, we’re diving into why sustainable health beats temporary solutions, and why focusing on long-term lifestyle changes is the key to true wellness. Forget the shortcuts—let’s talk about lasting results! #Ozempic #WeightLoss #HealthJourney #SustainableLiving #iThriveAcademy #FunctionalNutrition #LongTermResultsGlp1 Weight Loss Update Week 32 Tirzepatidemounjaro Weight Loss Update YoutubeshortsLose fat and inflammation|daily exercise | improve mobility #shorts #workout #homeBest Weight Loss Gummies Which Brands Make The CutDrs Akshay Jain and Girish Joshi discuss clinical considerations to keep in mind when someone on GLP-1 therapy is undergoing elective procedures. https://www.medscape.com/viewarticle/glp-1-guidance-reduce-regurgitation-and-aspiration-risk-2024a1000d35?src=soc_yt -- TRANSCRIPT -- Akshay B. 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_ytKetofitastic Gummies Benefits And Reviews Miranda Lambert weight loss gummies have been gaining popularity in the health and wellness community as a natural and effective way to lose weight. These gummies are made with all-natural ingredients, including Garcinia Cambogia, green tea extract, and apple cider vinegar, which are known for their weight loss properties. Many users have reported positive results after incorporating Miranda Lambert weight loss gummies into their daily routine. 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Yes, Miranda Lambert weight loss gummies are made with all-natural ingredients and are considered safe for most individuals. However, it’s always recommended to consult with a healthcare professional before starting any new weight loss supplement. 2. How long does it take to see results with Miranda Lambert weight loss gummies? Results may vary, but many users have reported seeing noticeable changes within a few weeks of taking these gummies regularly. Consistency and healthy lifestyle choices can help enhance the effectiveness of these weight loss gummies. 3. Can Miranda Lambert weight loss gummies help with long-term weight management? While Miranda Lambert weight loss gummies can aid in short-term weight loss goals, maintaining a healthy diet and regular exercise regimen are essential for long-term weight management. These gummies can be a helpful tool in supporting your overall weight loss journey. 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Navigating the Keto Lifestyle with Chrissie Swan Many people have heard of the ketogenic diet, also known as the Keto diet, which is a high-fat, low-carb eating plan that has gained popularity for its potential weight loss benefits and positive effects on overall health. Chrissie Swan has been vocal about her struggles with weight and body image in the past, and she has found success with the Keto diet in managing her weight and improving her energy levels. One of the key aspects of the Keto diet is that it encourages the body to burn fat for fuel instead of carbohydrates, which can lead to more stable energy levels and decreased cravings for unhealthy foods. Chrissie Swan has found that following a Keto diet has helped her feel more satisfied after meals and has reduced her desire to snack on high-carb foods throughout the day. Chrissie Swan has also found that following a Keto diet has helped her break free from the cycle of yo-yo dieting that she has experienced in the past. By focusing on eating whole, nutrient-dense foods that are low in carbohydrates and high in healthy fats, she has been able to achieve lasting results and maintain a healthier lifestyle long-term. Benefits of the Keto Diet There are many potential benefits to following a ketogenic diet, including weight loss, improved energy levels, better blood sugar control, and reduced inflammation in the body. Chrissie Swan has experienced these benefits first-hand and has shared her story to inspire others to consider trying a Keto diet for themselves. Another benefit of the Keto diet is that it can help improve cognitive function and focus, as the brain thrives on ketones produced during ketosis. Chrissie Swan has found that following a Keto diet has helped her stay sharp and focused throughout the day, which has been especially helpful during her busy schedule of work and family responsibilities. In addition to the physical and mental benefits of the Keto diet, Chrissie Swan has found that following this lifestyle has helped her develop a healthier relationship with food. By focusing on whole, real foods that nourish her body and mind, she has been able to break free from emotional eating habits and find a sense of balance and peace around food. Tips for Success on the Keto Diet If you are considering trying a Keto diet like Chrissie Swan, there are a few tips to keep in mind to set yourself up for success. First, it’s important to focus on eating whole, nutrient-dense foods that are low in carbohydrates and high in healthy fats, such as avocados, olive oil, nuts, seeds, and fatty fish. It’s also important to stay hydrated and drink plenty of water throughout the day to help support your body’s natural detoxification processes and keep your energy levels up. Chrissie Swan makes sure to always have a water bottle with her to remind her to stay hydrated, especially when she’s on the go. Another tip for success on the Keto diet is to plan ahead and prepare your meals and snacks in advance to avoid temptation when cravings strike. Chrissie Swan recommends meal prepping on the weekends and having healthy, Keto-friendly snacks on hand to grab when hunger strikes, such as cheese sticks, olives, or hard-boiled eggs. Conclusion In conclusion, Chrissie Swan has found success with the Keto diet in managing her weight, improving her energy levels, and developing a healthier relationship with food. By focusing on whole, nutrient-dense foods that are low in carbohydrates and high in healthy fats, she has been able to achieve lasting results and maintain a healthier lifestyle long-term. 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Non- Profit, educational or personal use tips the balance in favor of FAIR USE.5 Fast Weight Loss Dinner Recipes In Hindi 5 Easy Dinner Lose 20 Kg Weight Fast Drshikha Singh🔥 Lose Fat in Seconds! 😂 (Not Clickbait… kinda 😆) Tired of long workouts? Well, here’s the ultimate instant fat loss trick… 😜 Watch till the end for the secret! 👉 Don’t forget to LIKE 👍, SUBSCRIBE 🔔, and COMMENT if you’ve ever tried this "method"! 😂 #LoseFatFast #FitnessHack #FunnyShortsLet S Reduce Belly Fat Slim Body Weightloss Fat Loss Reduce WeightBurning body fat and losing weight is easy if you have the right knowledge. Watch my full video to learn three actionable steps to dramatically burn fat naturally. Burning fat as fuel for the body offers many benefits, including: 1) Hunger and cravings go away naturally. 2) Decreased inflammation. 3) Improved cognitive function. 4) Better overall mood and mental well-being. 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