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In this video, obesity experts Holly Lofton, MD, and Marina Kurian, MD, discuss how clinicians can use the new weight loss medications to improve their patients' outcomes after bariatric surgery. https://www.medscape.com/viewarticle/996479?src=soc_yt -- TRANSCRIPT -- Holly Lofton, MD: Hello. I'm Dr Holly Lofton. I'm an obesity medicine specialist at NYU Langone Health in Manhattan. 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_yt
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Peanuts On Keto. So can you eat peanuts on keto diet and should you? In this video we look at their good and bad points and also some other keto friendly nuts you might want to consider. Check out my reviews of low carb & Keto products here : https://www.youtube.com/playlist?list=PLtrmkf301PI0GdUaQriAgayv4mNKGxA_D If your following a low carb or Keto lifestyle then why not click the link below to subscribe for more reviews, tips and info 🙂 Subscribe here ➡️ https://www.youtube.com/channel/UC54cOaXYHqn10K-obGWLD_w?view_as=subscriber Also don’t forget to turn notifications on 🔔 so you never miss an upload from me 👍🏻 If you enjoy my channel why not buy me a coffee ☕️ to help me continue to provide you with reviews, tips and info to help you lead your best low carb life, any donations would be most appreciated and I love coffee! 😊 Buy me a Coffee ☕️ ➡️ https://www.buymeacoffee.com/jonslowcarblife Follow me on Instagram for regular updates Instagram Link ➡️ https://www.instagram.com/jonslowcarblife/?hl=en Connect with me by Email, always happy to help if you have a question My Email ➡️ [email protected] Disclaimer: I am not a dietitian or nutritionist so please consult a medical professional before making changes to your diet. #jonslowcarblife
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Unveiling the Transformation: The Journey of Ro Co
In a world captivated by the pursuit of health and wellness, stories of personal transformation resonate deeply with many. One such remarkable narrative is that of Ro Co, a talented individual known not just for their artistry but also for an astounding weight loss journey. Ro Co’s 50-pound weight loss exemplifies the struggles and triumphs that many face on their quest for better health, self-image, and confidence. It’s not merely about shedding pounds; it’s a profound journey of self-discovery that can inspire anyone striving for change.
Ro Co, who rose to fame through a combination of musical talent and on-screen charisma, faced numerous pressures associated with public perception and professional demands. Like many celebrities, Ro found themselves at a crossroads, grappling with personal insecurities exacerbated by the fast-paced entertainment industry coupled with societal beauty standards. The journey to weight loss began not with a singular focus on diet or exercise, but rather as an intimate exploration of self-worth, health, and a desire to cultivate a more gratifying lifestyle.
This article delves deep into Ro Co’s transformation, uncovering the strategies, challenges, and victories along the way. It offers insights into the methods that enabled Ro to lose 50 pounds while revealing the holistic shifts in mindset that bolstered their confidence. From battling emotional eating to embracing a supportive community, every facet of this journey is woven into the fabric of Ro’s life, and it serves as a beacon of hope for those navigating similar challenges. Together, let us explore the key elements that shaped Ro’s transformation and the inspiring lessons learned through the process.
The Initial Challenge: Confronting Obstacles
Understanding the initial hurdles Ro Co faced is crucial in framing their journey toward weight loss and self-improvement. Initially, Ro struggled with body image issues stemming from years of industry pressure. As a public figure, the media scrutiny added a layer of complexity to their relationship with food and exercise. This harsh spotlight often led to unhealthy coping mechanisms, including emotional eating, where food became both a comfort and a source of guilt. Over time, these patterns compounded, making it difficult for Ro to see a path forward.
Another significant challenge involved the lifestyle demands intrinsic to Ro’s profession. The erratic work schedule, extensive travel, and relentless production timelines often left little room for regular exercise and healthy meal planning. Food options were frequently limited to fast foods or quick snacks, which, while convenient, contributed to unwanted weight gain. Acknowledging this cycle was pivotal; it became clear that change was necessary and that it would require commitment, support, and compassion toward oneself.
Ultimately, the first step in Ro’s transformation was recognizing the need for change and acceptance. This realization led to the decision to seek help from nutritionists and fitness experts who understood the unique pressures associated with life in the spotlight. Finding professionals who could tailor recommendations to Ro’s lifestyle was invaluable in creating an achievable plan that matched their individual needs and goals. This pivotal moment marked the beginning of a transformative journey toward reclaiming their health and self-confidence.
Embracing a New Lifestyle: The Path to Health
With a clear understanding of the challenges ahead, Ro Co embarked on a comprehensive lifestyle overhaul. The journey was defined less by restricted eating and more by a commitment to nourishing the body with whole, vital foods. Ro started a personalized diet plan that emphasized fresh fruits, vegetables, lean proteins, and whole grains, laying the foundation for a balanced lifestyle. A significant aspect of this new approach included the concept of mindful eating, where Ro became more conscious of hunger cues and the emotional connections to food.
Exercise also became a cornerstone of Ro’s transformation. Initially daunting, finding a physical activity that Ro enjoyed made a significant difference. Instead of traditional gym workouts, Ro explored diverse fitness avenues, embracing dance classes and outdoor adventures that aligned with their love for movement and artistry. This engagement in enjoyable activities transformed exercise from a chore to a fulfilling self-expression, making consistency achievable and sustainable.
An integral part of embracing this new lifestyle was the surrounding support system. Ro found community among fellow fitness enthusiasts and friends who shared similar goals. This network not only provided motivation but also accountability and encouragement. The journey was far from linear, with obstacles and moments of doubt along the way. Nevertheless, with a strong support group and a well-rounded lifestyle shift, Ro was able to cultivate resilience and commitment to their goals.
The Role of Mental Health: Nurturing the Mind
Ro Co’s weight loss journey underscores a crucial aspect often overlooked in discussions about physical transformation: mental health. Navigating the emotional landscape that accompanies significant lifestyle changes is paramount. Through therapy and self-reflection, Ro began confronting the deeper issues tied to their relationship with food and self-image. This journey into mental health helped in breaking the cycle of emotional eating and offered new tools to cope with stress and anxiety.
Mindfulness practices were introduced as part of Ro’s daily routine, fostering a sense of presence and self-acceptance. Techniques such as meditation and journaling allowed Ro to explore feelings and thoughts that previously held them back. These practices cultivated resilience, enabling better emotional regulation and a healthier response to life’s pressures. By prioritizing mental wellness, Ro empowered themselves to make more thoughtful choices around food and exercise, rooted in self-love rather than self-criticism.
The transformation was as much about the mind as it was about the body. With improved mental clarity and emotional stability came elevated confidence levels. Ro began to see themselves beyond the numbers on a scale, recognizing the beauty in their growth and the progress made. This shift in perspective not only contributed to their physical transformation but also allowed Ro to reconnect with their passions and purpose, enriching both their personal and professional life.
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Celebrating Milestones: A New Perspective
As Ro Co progressed on their weight loss journey, it became increasingly important to celebrate milestones along the way. Each pound lost was marked not just by a number on the scale but by small victories that shaped their evolving relationship with themselves. Celebrating these moments, regardless of size, fostered a sense of self-worth that old patterns had almost erased. Whether it was sticking to a workout routine for consecutive weeks or cooking a healthy meal from scratch, each achievement was a step toward reclaiming power over their life.
Visualizing progress through journaling and photography helped Ro acknowledge physical and emotional changes. These tangible reminders served as a reflection of the growth experienced at every stage of the journey. Embracing versatility in celebrating milestones also meant sharing successes with their community, whether through social media or personal gatherings. By openly discussing challenges and achievements, Ro inspired others, and even attracted a following of individuals navigating similar paths.
Ultimately, this newfound perspective not only redefined how Ro viewed their weight but also created a fulfilling lifestyle characterized by joy and celebration. No longer tied solely to numbers, success became synonymous with happiness, health, and community. The journey was and remains an ongoing process—one that thrives on the celebration of life, understanding that each step taken leads to a more confident, vibrant self.
A Journey of Confidence: An Ongoing Commitment
Ro Co’s remarkable 50-pound weight loss journey is not simply a conclusion; it represents a continued commitment to health, wellness, and self-acceptance. The ideals achieved through this journey—mindfulness, positive body image, emotional strength—are not confined to a single achievement but serve as a foundation for an ongoing lifestyle. With the support of friends, family, and a community that values authenticity, Ro continues to inspire and uplift those around them.
Maintaining the weight loss while nurturing both physical and mental wellness has been an evolving process filled with learning and adjustment. Ro remains attuned to the fluctuations of life and how they impact health choices. This awareness has armed Ro with strategies to navigate challenges without reverting to old habits, reinforcing the importance of flexibility and responsiveness in a health journey. The knowledge that health is an ongoing process helps counter the pressures of perfectionism, creating room for grace in moments of struggle.
As Ro Co looks toward the future, they embody a strong message of self-discovery and empowerment. Their journey highlights that health is a personal and individual experience, shaped by personal values, struggles, and commitments. By sharing their story, Ro inspires others to embrace their unique journey, cultivate self-confidence, and strive for personal growth, no matter the challenges faced. The narrative extends beyond weight loss; it encapsulates a life enriched by self-love and authenticity, affirming that anyone can forge a path toward transformation.
Reflections and Insights: Answers to Common Questions
In light of Ro Co’s inspiring weight loss journey, many may have questions regarding the various aspects of transformation and sustainability. Understanding the intricacies involved can provide valuable insights to those embarking on similar paths. One common question centers around the motivation behind the initial weight loss. For Ro, the motivation stemmed from a desire for better health, improved self-esteem, and the pressure of public scrutiny. Recognizing this desire for change is often the critical first step toward success.
Another area of inquiry revolves around maintaining a new lifestyle post-transformation. This is an essential consideration; many individuals lose weight but struggle to sustain these changes long-term. Ro emphasizes the importance of viewing health as a lifelong journey rather than a finite goal. By incorporating enjoyable and flexible approaches to both diet and exercise, Ro has crafted a well-rounded lifestyle that accounts for personal preferences and the natural ebb and flow of life. This adaptability helps in navigating challenges while promoting long-term adherence to health goals.
Lastly, individuals often ask about the role of support systems in achieving weight loss and lifestyle changes. Ro’s experience underscores the necessity of having a strong support network. Whether through friends, family, or community groups, surrounding oneself with positive influences can significantly impact motivation and accountability. Sharing struggles and victories with others fosters a sense of connection and empowerment. Ultimately, Ro’s journey is a testament to the idea that personal transformation is not undertaken in isolation; it is enriched through shared experiences and collective support.
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