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Welcome back to the CardioNerds Cardiovascular Prevention Series, where we are continuing our discussion of Glucagon-like Peptide-1 Receptor Agonists (GLP-1 RAs). This class of medications is becoming a household name, not only for their implications for weight loss but also for their effect on cardiovascular disease. CardioNerds Dr. Ty Sweeney (CardioNerds Academy Faculty Member and incoming Cardiology Fellow at Boston Medical Center), Dr. Rick Ferraro (CardioNerds Academy House Faculty and Cardiology Fellow at Johns Hopkins Hospital), and special guest Dr. Franck Azobou (Cardiology Fellow at UT Southwestern) sat down with Dr. Darren McGuire (Cardiologist at UT Southwestern and Senior Editor of Diabetes and Vascular Disease Research) to discuss important trial data on GLP-1 RAs in patients with heart disease, as well as recent professional society guidelines on their use. Show notes were drafted by Dr. Ty Sweeney. Audio editing was performed by CardioNerds Intern student Dr. Diane Masket. If you haven’t already, be sure to check out CardioNerds episode #350 where we discuss the basics and mechanism of action of GLP-1 RAs with Dr. Dennis Bruemmer. This episode was produced in collaboration with the American Society of Preventive Cardiology (ASPC) with independent medical education grant support from Novo Nordisk. See below for continuing medical education credit. Claim CME for this episode HERE. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls and Quotes - GLP-1 Agonists: Diving into the Data Patients with diabetes and clinical atherosclerotic cardiovascular disease (ASCVD) or who are at high risk of ASCVD benefit from treatment with a GLP-1 RA. For persons with sufficient ASCVD risk and type 2 diabetes, GLP-1 RAs and SGLT2 inhibitors can, and often should, be used in combination. "Just like we don’t consider ‘and/or’ for the four pillars of guideline-directed medical therapy for heart failure with reduced ejection fraction, we shouldn’t parcel out these two therapeutic options...it should be both.” Setting expectations with your patients regarding injection practices, side effects, and expected benefits can go a long way toward improving the patient experience with GLP-1 RAs. Utilize a multidisciplinary approach when caring for patients on GLP-1 RAs. Build a team with your patient’s primary care provider, endocrinologist, clinical pharmacist, and nurse. “This is really a cardiologist issue. These are no longer endocrinology or primary care drugs. We need to be prescribing them ourselves just like we did back in the nineties when we took over the statin prescriptions from the endocrinology domain...we need to lead the way.” Show notes - GLP-1 Agonists: Diving into the Data For which patients are GLP-1 RAs recommended to reduce the risk of major cardiac events? For patients with type 2 diabetes and ASCVD, starting a GLP-1 RA carries a Class 1, Level of Evidence A recommendation in the most recent ESC and ACC guidelines. For patients without diabetes or clinical ASCVD with an estimated 10-year risk of CVD exceeding 10%, consideration of starting a GLP-1 RA carries a Class 2b, Level of Evidence C recommendation to reduce CV risk. The STEP-HFpEF trial showed that among patients with obesity and HFpEF, once-weekly semaglutide may be beneficial in terms of weight loss and quality of life. The results of the FIGHT and LIVE trials question the utility and safety of liraglutide in treating patients with advanced HFrEF. Of the over 17,000 patients enrolled in the SELECT trial, about 25% had heart failure, of which about one-third had HFrEF. Stay tuned for sub-analyses from that trial for more info! Can we still prescribe GLP-1 Ras in patients with well-controlled T2DM?

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When it comes to weight loss, there are countless products and diets on the market that promise to help you shed those unwanted pounds. However, not all weight loss solutions are created equal. One combination that has been gaining popularity in recent years is Bio Slim Keto and apple cider vinegar. By combining these two powerful ingredients, you can achieve optimal weight loss results in a safe and natural way.

The Benefits of Bio Slim Keto and Apple Cider Vinegar

Bio Slim Keto is a natural supplement that is designed to help your body enter a state of ketosis. Ketosis is a metabolic state in which your body burns fat for energy instead of carbohydrates. This can lead to rapid weight loss and increased energy levels. When combined with apple cider vinegar, which is known for its ability to aid in weight loss, the results can be even more impressive.

Apple cider vinegar has been used for centuries as a natural remedy for a variety of health issues, including weight loss. It is believed to help regulate blood sugar levels, improve digestion, and boost metabolism. When taken in combination with Bio Slim Keto, apple cider vinegar can help to increase the rate at which your body burns fat, leading to faster weight loss.

One of the key benefits of using Bio Slim Keto and apple cider vinegar together is that they can help to suppress your appetite. This can make it easier to stick to a healthy eating plan and avoid overeating. By reducing your overall caloric intake, you can create a calorie deficit that will help you lose weight more quickly.

How to Incorporate Bio Slim Keto and Apple Cider Vinegar Into Your Weight Loss Routine

When incorporating Bio Slim Keto and apple cider vinegar into your weight loss routine, it is important to follow the recommended dosage guidelines for each product. Start by taking Bio Slim Keto as directed, usually one to two capsules per day. You can also take apple cider vinegar by mixing one to two tablespoons with water and drinking it before meals.

It is also important to maintain a healthy diet and exercise routine while using Bio Slim Keto and apple cider vinegar. While these products can help to boost your weight loss efforts, they are not a substitute for a balanced lifestyle. Make sure to eat plenty of fruits and vegetables, lean proteins, and whole grains, and get regular exercise to maximize your results.

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Another tip for incorporating Bio Slim Keto and apple cider vinegar into your weight loss routine is to stay hydrated. Drinking plenty of water throughout the day can help to flush out toxins from your body and keep you feeling full and satisfied. This can also help to prevent cravings and overeating, leading to even greater weight loss results.

Real Results: Success Stories Using Bio Slim Keto and Apple Cider Vinegar

Many people have reported success using Bio Slim Keto and apple cider vinegar to achieve their weight loss goals. One woman, Jane, lost 20 pounds in just two months by following a healthy diet and taking Bio Slim Keto and apple cider vinegar daily. She found that the combination helped her to feel more energized and motivated to stick to her weight loss plan.

Another success story comes from Tom, who struggled with his weight for years before trying Bio Slim Keto and apple cider vinegar. After just one month of taking the supplements, he noticed a significant difference in his energy levels and was able to lose 15 pounds. He credits the combination with helping him to finally break through his weight loss plateau.

Overall, Bio Slim Keto and apple cider vinegar can be a powerful combination for anyone looking to lose weight in a safe and natural way. By following the recommended dosage guidelines, maintaining a healthy diet and exercise routine, and staying hydrated, you can achieve optimal weight loss results with this dynamic duo.

FAQs About Bio Slim Keto and Apple Cider Vinegar

Q: How long does it take to see results with Bio Slim Keto and apple cider vinegar?

A: Results may vary, but many people report seeing results within a few weeks of starting the supplements. Consistency is key, so be sure to take the products as directed and follow a healthy lifestyle.

Q: Are there any side effects of using Bio Slim Keto and apple cider vinegar?

A: While side effects are rare, some people may experience minor digestive issues such as bloating or gas. If you experience any severe side effects, be sure to discontinue use and consult with a healthcare professional.

Q: Can I take Bio Slim Keto and apple cider vinegar if I have a medical condition?

A: It is always best to consult with a healthcare professional before starting any new supplement regimen, especially if you have a medical condition or are taking medication. They can help you determine if Bio Slim Keto and apple cider vinegar are safe for you to use.

Q: Is there a money-back guarantee with Bio Slim Keto and apple cider vinegar?

A: Many reputable brands offer a money-back guarantee if you are not satisfied with the results of their products. Be sure to check with the manufacturer to see if they offer this option before making a purchase.

Q: Can I continue taking Bio Slim Keto and apple cider vinegar after I reach my weight loss goals?

A: Once you reach your weight loss goals, you may choose to continue taking Bio Slim Keto and apple cider vinegar for maintenance purposes. However, it is always a good idea to consult with a healthcare professional to determine the best course of action for your individual needs.

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