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Obesity expert Dr Holly Lofton reviews three alternatives to GLP-1s to help patients drop excess weight. https://www.medscape.com/viewarticle/1000474?src=soc_yt -- TRANSCRIPT -- Hi. I'm Dr Holly Lofton. I'm a board-certified obesity medicine specialist, and I direct the medical weight management program at NYU Langone Health. There is so much information about glucagon-like peptide 1 (GLP-1) agonists as anti-obesity medications. I bet you can't think of a single person who hasn't heard of them, and many of your friends or family members may have even tried them. However, we also have what we call the first generation of medications for weight management, and I'll talk about some of those today. Phentermine. If your patient is not able to tolerate a GLP-1 agonist or is unable to access these medicines for various reasons, one option is phentermine, which has been around for decades. It is an oral medication that's usually taken once a day in the morning. It is a classic appetite suppressant. Phentermine makes people feel less hungry. It also gives people a little more energy, so they're able to increase their activity while creating a caloric deficit, and this leads to weight loss over time. Phentermine differs from the GLP-1 agonists, which are intended for chronic weight management. The FDA has approved phentermine for short-term weight loss; its use is recommended for no more than 12 weeks at a time. The medication comes in doses ranging from 8 mg to 37.5 mg and is usually slowly titrated up depending on tolerance and effect. Side effects that are most often reported include a racing heart, insomnia, agitation, and dry mouth. This drug is not for everyone. Phentermine is contraindicated in those with uncontrolled hypertension, with cardiac disease (such as a history of heart attack), or who are at high risk for heart attack or stroke. Some drug interactions can occur, which should be considered on a case-by-case basis. Phentermine may be an option for your patients if an elevated appetite is keeping them from losing weight. It should be used as an adjunct to lifestyle recommendations, which means eating fewer calories and increasing activity. Phentermine-Topiramate. Another non–GLP-1 agonist medication indicated for obesity is phentermine-topiramate [Qsymia]. This is another oral medication. The idea behind combining these two medications is that they can generate more appetite suppression without the high potential for side effects of phentermine alone, such as agitation, increased heart rate, or increased blood pressure. Topiramate is used for migraine or seizure prevention. One side effect of topiramate is unintentional weight loss, so they decided to combine phentermine with topiramate in one pill. Phentermine-topiramate comes in four different doses and is usually titrated up from the lowest to the highest dose. People who can't tolerate the higher doses of phentermine are able to tolerate Qsymia because the dose of phentermine is lower. This medication came to the market in 2012, after the SEQUEL trial, which demonstrated its safety and efficacy, achieved about 12% weight loss, which for many years was the highest weight loss seen with any other anti-obesity medications on the market. Because this is a combination medication, it has some potential side effects and contraindications. For example, we don't give phentermine-topiramate to people with uncontrolled hypertension or anxiety, and it is contraindicated in those with glaucoma. We don't give this medication to anyone who has had adverse reactions or hypersensitivity to either of the ingredients. Because the combination contains topiramate, it should not be prescribed to anyone with childbearing potential unless they are using an effective form of hormonal contraception or even two effective forms. Topiramate can increase the risk of having a baby with a cleft palate by five times if they become pregnant while taking this medication. Phentermine-topiramate is dosed once daily. One commonly reported side effect is paresthesia: numbness and tingling of the fingers and toes that can manifest as feeling very cold when it's cold outside. Although some patients report paresthesia, most say that it's not so intolerable that they want to discontinue the medication. There have been reports of vision changes in people taking phentermine-topiramate; if severe vision changes occur, it is recommended to discontinue the medication. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/1000474?src=soc_yt6 Pack Keto And Acv Gummies Pack A Punch In Your Ketosis Effort

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Eine gesunde Lebensweise und regelmäßige Bewegung sind entscheidend, um fit zu bleiben und ein gesundes Gewicht zu erreichen. Wenn du nach einer Herausforderung suchst, um deine Fitnessziele zu erreichen und Gewicht zu verlieren, könnte die 30-Tage-Challenge zum Abnehmen genau das Richtige für dich sein. Diese Challenge ist eine großartige Möglichkeit, um deine Motivation zu steigern und diszipliniert zu bleiben.

Die Vorteile der 30-Tage-Challenge zum Abnehmen

Die 30-Tage-Challenge zum Abnehmen bietet dir eine strukturierte Methode, um deine Ziele zu erreichen und gesunde Gewohnheiten zu entwickeln. Durch die täglichen Aufgaben und Ziele wirst du motiviert, kontinuierlich an deinem Gewichtsverlust zu arbeiten und positive Veränderungen in deinem Leben vorzunehmen. Diese Challenge kann dir dabei helfen, dein Selbstbewusstsein zu stärken und dich auf dem Weg zu einem gesünderen Lebensstil zu unterstützen.

Ein weiterer Vorteil der 30-Tage-Challenge zum Abnehmen ist, dass du dich nicht alleine fühlst. Indem du dich der Challenge anschließt, kannst du Teil einer Gemeinschaft werden, die sich gegenseitig motiviert und unterstützt. Du kannst Erfahrungen austauschen, Tipps geben und andere Teilnehmer inspirieren. Dieses Support-System kann besonders hilfreich sein, wenn du dich herausgefordert fühlst oder eine zusätzliche Motivation brauchst.

Außerdem bietet die 30-Tage-Challenge zum Abnehmen eine klare Struktur und einen festgelegten Zeitrahmen, was es einfacher macht, am Ball zu bleiben und die Challenge bis zum Ende durchzuziehen. Du musst dich jeden Tag auf eine neue Aufgabe oder ein neues Ziel konzentrieren, was dir hilft, den Fokus zu behalten und kontinuierlich an deinem Gewichtsverlust zu arbeiten. Diese Struktur kann dir auch dabei helfen, langfristige Gewohnheiten zu entwickeln, die über die 30 Tage hinausgehen.

Die täglichen Aufgaben und Ziele der Challenge

Während der 30-Tage-Challenge zum Abnehmen wirst du täglich neue Aufgaben und Ziele erhalten, die dich auf deinem Weg zum Gewichtsverlust unterstützen. Diese Aufgaben können von körperlichen Übungen über Ernährungstipps bis hin zu mentalen Übungen reichen. Indem du dich täglich einer neuen Herausforderung stellst, wirst du kontinuierlich an deinem Ziel arbeiten und positive Veränderungen in deinem Leben vornehmen.

Eine typische Aufgabe könnte beispielsweise sein, jeden Tag mindestens 30 Minuten Sport zu treiben oder eine gesunde Mahlzeit zuzubereiten. Diese täglichen Aufgaben und Ziele sollen dich dazu ermutigen, neue Gewohnheiten zu entwickeln und alte Gewohnheiten zu durchbrechen, die dein Gewichtsverlust behindern könnten. Indem du dich täglich auf eine neue Herausforderung fokussierst, wirst du deine Motivation steigern und feststellen, dass du zu viel mehr in der Lage bist, als du vielleicht gedacht hast.

Die täglichen Aufgaben und Ziele der Challenge sind darauf ausgerichtet, dich ganzheitlich zu unterstützen und sicherzustellen, dass du auf dem richtigen Weg bist, um deine Ziele zu erreichen. Indem du dich Tag für Tag einer neuen Herausforderung stellst, wirst du nicht nur an deinem Gewichtsverlust arbeiten, sondern auch an deinem mentalen Wohlbefinden und deiner emotionalen Gesundheit. Diese ganzheitliche Herangehensweise ist entscheidend, um langfristige Ergebnisse zu erzielen und dauerhaft abzunehmen.

Tipps für den Erfolg während der Challenge

Um während der 30-Tage-Challenge zum Abnehmen erfolgreich zu sein, ist es wichtig, ein paar Dinge im Hinterkopf zu behalten. Zunächst einmal solltest du realistische Ziele setzen und dir bewusst machen, dass Gewichtsverlust Zeit braucht. Es ist wichtig, geduldig zu sein und dir selbst die Zeit zu geben, die du brauchst, um deine Ziele zu erreichen.

Weiterhin ist es entscheidend, auf eine ausgewogene Ernährung zu achten und regelmäßig Sport zu treiben. Durch eine gesunde Ernährung und regelmäßige Bewegung wird es dir leichter fallen, Gewicht zu verlieren und dich fit zu fühlen. Außerdem solltest du ausreichend schlafen und Stress vermeiden, da dies ebenfalls wichtige Faktoren für einen erfolgreichen Gewichtsverlust sind.

Zusätzlich ist es hilfreich, einen Plan zu erstellen und dich an deine täglichen Aufgaben und Ziele zu halten. Indem du dir einen klaren Plan machst und dich an diesen hältst, wirst du sicherstellen, dass du auf Kurs bleibst und deine Ziele erreichen kannst. Es kann auch hilfreich sein, einen Trainingspartner oder eine Support-Gruppe zu finden, die dich auf deinem Weg zum Gewichtsverlust unterstützen können.

Wie du die Challenge in deinen Alltag integrieren kannst

Die 30-Tage-Challenge zum Abnehmen kann eine großartige Möglichkeit sein, um positive Veränderungen in deinem Leben vorzunehmen und Gewicht zu verlieren. Wenn du die Challenge in deinen Alltag integrieren möchtest, solltest du dir zunächst Zeit nehmen, um deine Ziele und Motivation zu reflektieren. Überlege dir, warum du an der Challenge teilnehmen möchtest und welche Ziele du erreichen möchtest.

Weiterhin ist es wichtig, einen Plan zu erstellen und diesen konsequent umzusetzen. Plane deine täglichen Aufgaben und Ziele im Voraus, um sicherzustellen, dass du genügend Zeit für Bewegung, Ernährung und mentale Übungen einplanst. Es kann hilfreich sein, einen Kalender oder eine App zu verwenden, um deine Fortschritte zu verfolgen und motiviert zu bleiben.

Es ist auch wichtig, flexibel zu sein und auf deine Bedürfnisse einzugehen. Wenn du einen Tag verpasst oder Schwierigkeiten hast, eine Aufgabe abzuschließen, ist es okay. Sei freundlich zu dir selbst und erinnere dich daran, dass Rückschläge Teil des Prozesses sind. Wichtig ist, dass du immer wieder aufstehst und weitermachst, egal was passiert.

Zusammenfassung und häufig gestellte Fragen

Die 30-Tage-Challenge zum Abnehmen ist eine großartige Möglichkeit, um deine Fitnessziele zu erreichen und Gewicht zu verlieren. Durch die tägliche Arbeit an Aufgaben und Zielen wirst du motiviert, kontinuierlich an deinem Gewichtsverlust zu arbeiten und positive Veränderungen in deinem Leben vorzunehmen. Indem du dich ganzheitlich unterstützt und eine klare Struktur hast, wirst du auf dem richtigen Weg sein, um deine Ziele zu erreichen.

Eine häufig gestellte Frage ist, ob man die Challenge alleine oder mit anderen zusammen absolvieren sollte. Es hängt von deinen persönlichen Vorlieben ab. Einige Teilnehmer bevorzugen es, die Challenge alleine zu absolvieren, um sich auf sich selbst zu konzentrieren und ihre persönlichen Ziele zu erreichen. Andere wiederum schätzen die Unterstützung und Motivation, die eine Gruppe bieten kann. Es ist wichtig, dass du das auswählst, was am besten zu dir passt und dir hilft, erfolgreich zu sein.

Weitere häufig gestellte Fragen beinhalten die Auswahl der täglichen Aufgaben und Ziele sowie die Dauer der Challenge. Es ist wichtig, dass die Aufgaben und Ziele zu deinen persönlichen Bedürfnissen und Zielen passen, um erfolgreiche Ergebnisse zu erzielen. Die Challenge dauert typischerweise 30 Tage, kann aber je nach Bedarf verlängert oder verkürzt werden. Wichtig ist, dass du die Challenge so anpasst, dass sie für dich funktioniert und dir hilft, deine Ziele zu erreichen.

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The ketogenic diet has gained immense popularity in recent years for its ability to help individuals lose weight, improve overall health, and boost energy levels. However, starting a keto lifestyle can be overwhelming, especially with all the conflicting information out there. That’s where “Kickin’ Keto: A Lively Approach to Ketogenic Living” comes in. This book offers a refreshing and lively take on the traditional keto diet, making it easier than ever to stick to your goals and enjoy the process.

Why Kickin’ Keto?

Unlike other keto resources that focus solely on what you can’t eat, “Kickin’ Keto” takes a different approach by highlighting all the delicious foods you can enjoy on the ketogenic diet. With mouthwatering recipes, creative meal ideas, and helpful tips and tricks, this book will inspire you to get creative in the kitchen and truly enjoy the process of living a keto lifestyle.

One of the biggest challenges of following a ketogenic diet is feeling restricted and deprived. With “Kickin’ Keto,” you’ll never have to worry about feeling like you’re missing out. The book offers a wide variety of recipes for every meal of the day, from breakfast to dessert, all designed to keep you satisfied and energized while staying in ketosis.

Another reason to choose “Kickin’ Keto” is its emphasis on balance and flexibility. While some keto plans can be overly strict and rigid, this book encourages you to listen to your body and make choices that work for you. Whether you’re new to the ketogenic diet or a seasoned pro, “Kickin’ Keto” offers a fresh perspective that will help you find success on your journey.

The Kickin’ Keto Lifestyle

When you embrace the Kickin’ Keto lifestyle, you’ll discover a whole new world of flavors and possibilities. Say goodbye to boring, bland meals and hello to delicious, nutritious dishes that will leave you feeling satisfied and content. Whether you’re a meat lover, a vegetarian, or somewhere in between, there’s something for everyone in the pages of this book.

With the help of “Kickin’ Keto,” you’ll learn how to make smart choices when it comes to eating out, social events, and cravings. Armed with practical tips and expert advice, you’ll feel confident navigating any situation while staying true to your keto goals. No more feeling like an outsider or having to explain your dietary choices – with “Kickin’ Keto,” you’ll fit right in and thrive.

One of the most exciting aspects of the Kickin’ Keto lifestyle is the community that comes with it. Join a supportive network of like-minded individuals who share your passion for delicious food and healthy living. Swap recipes, share success stories, and cheer each other on as you embark on this exciting journey together.

FAQ

Q: Is Kickin’ Keto suitable for beginners?

A: Absolutely! “Kickin’ Keto” is perfect for beginners who are looking to start their ketogenic journey on the right foot. With easy-to-follow recipes and practical advice, this book will guide you every step of the way.

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Oprah Winfrey has long been known for her inspiring journey to health and wellness. Over the years, she has been open about her struggles with weight loss and body image, and how she has worked hard to achieve a healthier lifestyle. Recently, Oprah has been making headlines for her success with the popular ketogenic diet, a high-fat, low-carb eating plan that has helped many people shed pounds and improve their overall health.

Oprah’s Decision to Try Keto

For Oprah, the decision to try the keto diet came after years of struggling with her weight and feeling frustrated with traditional diet plans that hadn’t given her the results she wanted. She had heard about the success stories of others who had tried keto and decided to give it a chance. With the help of her nutritionist and personal trainer, Oprah embarked on her own keto journey, determined to finally find a sustainable way to achieve her weight loss goals.

As Oprah started following the keto diet, she quickly noticed changes in her body and energy levels. She began to feel more focused and alert, and found that she wasn’t as hungry as she had been on other diets. The high-fat, low-carb foods she was eating were satisfying and delicious, making it easier for her to stick to the plan and avoid temptation.

One of the biggest challenges Oprah faced when starting keto was giving up her beloved bread and pasta. As a self-proclaimed carb lover, she had to retrain her taste buds and find creative ways to enjoy her favorite foods without the carbs. However, with the help of her nutritionist, Oprah discovered new keto-friendly recipes and alternatives that satisfied her cravings and made the transition easier.

Oprah’s Results and Success with Keto

As Oprah continued to follow the keto diet, she began to see significant results in her weight loss and overall health. She lost pounds and inches, and her energy levels soared. She also noticed improvements in her blood sugar levels and cholesterol, which were major wins for her health. Oprah was thrilled with the progress she was making and felt more empowered and in control of her body than ever before.

In addition to the physical benefits, Oprah found that keto had a positive impact on her mental health as well. She felt more confident and happier in her own skin, and her self-esteem soared. The support and encouragement she received from her fans and followers only motivated her to continue on her keto journey and inspire others to make positive changes in their own lives.

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Overall, Oprah’s success with the keto diet has been nothing short of remarkable. She has proven that with dedication, hard work, and the right support system, achieving your health and weight loss goals is possible. Her journey serves as a powerful reminder that it’s never too late to make a change and prioritize your well-being. Oprah’s story is not just about weight loss, but about self-love, determination, and the importance of taking care of yourself inside and out.

FAQ: Everything You Need to Know About Oprah’s Keto Journey

Q: How much weight has Oprah lost on the keto diet?

A: While Oprah has not publicly disclosed the exact amount of weight she has lost on keto, she has shared that she has seen significant changes in her body and overall health since starting the diet.

Q: Is the keto diet safe for everyone to try?

A: The keto diet may not be suitable for everyone, especially those with certain medical conditions or dietary restrictions. It’s always best to consult with a healthcare provider before starting any new eating plan.

Q: What are some tips for success on the keto diet?

A: Some tips for success on the keto diet include meal planning, finding delicious keto-friendly recipes that you enjoy, staying hydrated, and listening to your body’s hunger cues.

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