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Pediatric and adolescent mental health challenges, including anxiety, depression, and ADHD, are reaching alarming levels and affecting millions worldwide. While the causes are still being explored, one potential contributing factor is the rising metabolic health epidemic, fueled by a harmful food environment.
With current treatment options often coming with challenging side effects and failing to provide lasting relief, many families are turning to innovative, evidence-based solutions to support their children’s well-being and long-term development.
In this interview, Dr. Lori Calabrese, a board-certified psychiatrist, shares her pioneering work in youth mental health care and discusses her experiences implementing ketogenic therapies in children and young adults.
In this interview, you’ll learn:
- What’s the difference between ketogenic therapy for adults vs. children?
- How to introduce ketogenic therapy to children and young adults
- The importance of having families on board with ketogenic therapy
- How to help children and young adults adhere to ketogenic therapies
Everyone deserves access to better mental health care, especially the young minds that hold the future to our society.
*Expert Featured:*
Dr. Lori Calabrese
X: @loricalabresemd
https://www.loricalabresemd.com/
Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry.
Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/
*About us:*
Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them.
Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications.
*Timestamps:*
0:00 - Is a Ketogenic Diet Effective For Youth Mental Illness?
1:12 - Using Ketogenic Therapies in Adults vs. Adolescents
3:25 - How to Introduce Ketogenic Therapies to Kids and Young Adults
5:10 - Is Ketogenic Therapy as Effective in Adolescents as Adults?
6:28 - Which Mental Conditions Can Ketogenic Therapy Help With?
8:44 - The Importance of Dietitian Support
10:22 - Can Kids Stick With a Ketogenic Diet?
13:11 - How Much Resistance Do Clinicians Have to Kids Using Ketogenic Therapy?
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Understanding GLP-1 and Its Role in Weight Loss
GLP-1, or glucagon-like peptide-1, is a hormone that plays an essential role in regulating appetite, insulin secretion, and overall metabolism. It is secreted in response to food intake and has several beneficial effects on weight management. In recent years, GLP-1 receptor agonists have gained popularity as a treatment for obesity and weight loss, especially in individuals who struggle to shed pounds through traditional methods such as diet and exercise alone. This interest has led to an increasing number of individuals seeking GLP-1-based therapies to help achieve their weight loss goals.
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Research indicates that GLP-1 receptor agonists not only help reduce body weight but also improve glycemic control, making them a dual-purpose solution for individuals with type 2 diabetes. These medications mimic the action of the body’s natural GLP-1, enhancing the feeling of fullness and decreasing appetite, thereby facilitating a caloric deficit necessary for weight loss. As more people embark on this journey, it’s crucial to understand what one can realistically expect in terms of weight loss results over different time frames, particularly in the 30, 60, and 90-day markers.
For those considering GLP-1 therapy, it is essential to note that results can vary significantly based on several factors, including individual metabolism, adherence to prescribed guidelines, lifestyle choices, and underlying health conditions. In the following sections, we will delve deeper into what to expect when beginning GLP-1 therapy for weight loss at these specific intervals, providing insights into the physiological changes, emotional aspects, and overall efficacy of this approach to weight management.
Expected Changes at the 30-Day Mark
As individuals begin their journey with GLP-1 receptor agonists, the first 30 days can be an exploratory phase filled with both hope and adjustments. During this initial month, many individuals may start to notice some changes in their appetite and food intake. One of the hallmark effects of GLP-1 is its ability to enhance satiety, which can lead to a natural reduction in caloric consumption. For those who previously battled hunger and cravings throughout the day, this newfound sense of control over appetite can be incredibly motivating.
It’s important to understand that while some may experience noticeable weight loss in the first 30 days, the rate of weight loss can vary significantly from person to person. Factors such as starting weight, age, gender, and metabolic rate can all influence results. On average, individuals might see a weight loss of around 3-6 pounds during this period, but this number can be lower or higher based on the previously mentioned factors. Several patients report an early plateau after a week or two as the body starts to adjust to the medication, leading to potential frustration; however, this is a normal part of the process.
Alongside weight loss observations, many individuals also report experiencing side effects during the first month, including nausea, gastrointestinal discomfort, or changes in bowel habits. These reactions are typically short-lived and lessen as the body adapts to the medication. It is crucial for anyone starting GLP-1 therapy to maintain open communication with their healthcare provider, especially during this adjustment period when monitoring side effects and overall progress can lead to more tailored treatment plans.
Progress and Adaptations at 60 Days
Once individuals reach the 60-day point of their GLP-1 journey, more significant changes in body composition often become apparent. Many users begin to feel more comfortable with their new eating patterns and are often better at identifying hunger cues. By this time, the initial onset of side effects typically lessens, and individuals may notice that their cravings and desires for high-calorie foods are diminished. This positive shift in mindset can be a powerful motivator to continue embracing healthier eating habits.
In terms of weight loss, individuals may find themselves shedding an average of 6-10 pounds in total by the end of two months, depending on adherence to dietary recommendations and exercise routines. The fluctuations in weight loss experienced at the 30-day mark tend to stabilize, and individuals are often more aware of their bodies and caloric restrictions. Some find that they can now indulge occasionally without losing control, thanks to improved satiety signals and reduced cravings.
Furthermore, by this stage, many feel a surge in their energy levels, which can be attributed to a combination of weight loss, improved metabolic function, and the psychological benefits of progressing towards weight management goals. Individuals may also feel more confident in their ability to sustain these new behaviors long-term. Engaging in regular physical activity can further amplify results, enhancing their fitness levels while continuing to boost weight loss efforts. The key at this point is to focus on consistency; sustaining progress requires ongoing commitment to lifestyle changes.
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Transformational Experiences by 90 Days
Reaching the 90-day milestone in GLP-1 therapy often culminates in significant transformations in both physical appearance and overall well-being. Many individuals may have lost an average of 15-20 pounds or more, which can result in noticeable changes in body shape and health status. Clothes may fit differently, and there can be improved mobility and energy throughout their daily routines. The body continues to adapt to lower calories, and many individuals report feeling lighter and more active in their everyday lives.
By this point, individuals are generally more attuned to healthy eating patterns and may have established a routine that incorporates balanced meals and regular physical activity. Emotional and psychological benefits are also substantial; improved self-esteem and body image are common outcomes, which may further encourage adherence to a healthy lifestyle. Many begin to recognize how sustainable habits foster long-term weight management, sparking a positive feedback loop that enhances motivation.
However, it is important to note that individual results may vary widely, and some may find that their weight loss starts to taper off as they approach their goal. This plateau is normal in many weight loss journeys. Hence, it may require additional strategy alterations, such as varying exercise intensity or exploring dietary changes, to reignite progress. Continuous support from healthcare providers and possible adjustments to the GLP-1 regimen can greatly influence future results, helping individuals maintain their hard-won achievements in weight stability and health.
Navigating Challenges and Support Systems
While GLP-1 treatments offer encouraging weight loss results, users may face various challenges throughout their journey. One common hurdle is managing expectations—weight loss does not always happen linearly or within a specific timeframe. It’s essential for individuals to understand that fluctuations in weight can occur for several reasons, including water retention, muscle gain, or changes in fat distribution. Embracing a realistic approach and focusing on overall wellbeing rather than solely on the scale can foster a healthier relationship with food and body image.
Social support plays a significant role in maintaining motivation and commitment to treatment. Individuals undergoing GLP-1 therapy can greatly benefit from enlisting friends, family, or support groups that understand the respect for personal struggles that come with weight loss. Sharing experiences and challenges can create a sense of community and accountability, making it easier to stay on track and adhere to dietary and lifestyle modifications.
Additionally, ongoing communication with healthcare professionals remains crucial. Regular check-ins with providers not only allow for adjustments in therapy but also provide opportunities for education and skill-building in areas such as meal planning and exercise. Learning how to navigate social situations and deal with stress in healthier ways can further enhance the chances of success in one’s weight loss journey with GLP-1 therapies.
Answering Common Questions About GLP-1 Weight Loss
GLP-1 therapies have sparked numerous inquiries about their efficacy and long-term impact on weight management. One common question revolves around how GLP-1 medications compare to other weight loss strategies. It is essential to recognize that while GLP-1 receptor agonists can lead to significant weight loss for many, they are most effective when used as part of a comprehensive approach that includes healthy eating, physical activity, and behavior modification. The combination of medical support and lifestyle changes maximizes weight loss results and promotes overall health improvement.
Another frequently asked question pertains to the sustainability of weight loss achieved with GLP-1 therapies. Although many individuals experience considerable weight reduction in the short term, the long-term maintenance of weight loss ultimately depends on continued lifestyle adjustments and potentially ongoing use of the medication. Establishing sustainable eating patterns and regular physical activity is crucial to prevent regaining lost weight. It is important for individuals to set realistic goals and focus on gradual changes rather than seeking quick fixes.
Finally, potential side effects often surface as concerns for individuals exploring GLP-1 treatments. Nausea, gastrointestinal discomfort, and potential pancreatitis are among the risks considered. Each person’s experience varies, so a thorough discussion with a healthcare provider can help mitigate risks and develop personalized strategies for addressing any adverse effects. Overall, while GLP-1 therapies present exciting avenues for weight loss, informed decision-making, realistic expectations, and sustained lifestyle changes remain paramount to achieving lasting success.
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