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Dr Sarah Barenbaum discusses medication-induced weight gain. https://www.medscape.com/viewarticle/how-do-you-approach-medication-induced-weight-gain-2025a10008jg?src=soc_yt -- TRANSCRIPT -- Hi. My name is Dr Sarah Barenbaum. Today, I’m going to be talking about medication-induced weight gain. Medications, both prescription and over the counter, commonly cause weight gain, and they can also make it really hard for people to lose weight. Anytime you see a patient, it’s important to do a thorough medication reconciliation, and don’t forget to ask them about over-the-counter medications. Some common classes of medications that cause weight gain include certain diabetes medications such as insulin or sulfonylureas, certain antidepressants, atypical antipsychotics, antiepileptics, mood stabilizers, antihistamines, hormonal contraceptives, glucocorticoids, and beta-blockers. Within all of these classes of medications, there are options that are weight losing or weight neutral, meaning they can help with weight loss or not have any impact on weight. Even though it might be an appropriate choice for weight, it doesn’t mean it will be the right medication for the other condition. How do you approach medication-induced weight gain? It’s important to choose weight-losing and weight-neutral medications when possible. Use a shared decision-making model with the patient. If you must start a medication that can cause weight gain, the patient needs to know they’re about to start a medication that could have an impact on their weight so that they can decide with you this is the right thing for them. Never, ever discontinue a medication prescribed by another provider without discussing it with that other provider. Patients should not stop their own medications because of weight gain, because this could be unsafe. If a weight-promoting medication must be used, try to use the lowest dose for the shortest amount of time to mitigate any weight gain. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/how-do-you-approach-medication-induced-weight-gain-2025a10008jg?src=soc_yt
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The popularity of the ketogenic diet has been on the rise in recent years, with many people turning to this low-carb, high-fat eating plan for weight loss and other health benefits. As part of this trend, more and more keto-friendly products are popping up on grocery store shelves, including keto gummies. One such product that has gained attention is the Let’s Keto Gummies available at Woolworths.
Accessibility at Woolworths
Let’s Keto Gummies have become a popular choice for those following a ketogenic lifestyle and looking for a convenient and tasty treat. One of the perks of these gummies is their availability at Woolworths, a major supermarket chain in Australia. This means that customers can easily pick up a pack of Let’s Keto Gummies while doing their regular grocery shopping, making it convenient to stay on track with their keto diet.
Woolworths has made an effort to cater to customers with different dietary needs, including those following the ketogenic diet. By stocking products like Let’s Keto Gummies, Woolworths is providing more options for people who are looking for low-carb, high-fat snacks that fit into their lifestyle. This accessibility at a mainstream grocery store like Woolworths makes it easier for those following a keto diet to find the products they need without having to search specialty stores.
Consumer Opinions
Feedback from consumers who have tried Let’s Keto Gummies at Woolworths has been largely positive. Many people appreciate the convenience of being able to pick up keto-friendly snacks while doing their regular grocery shopping. The gummies are praised for their taste and texture, with some consumers commenting that they are a satisfying treat that helps curb cravings without derailing their diet.
Some consumers have noted that Let’s Keto Gummies can be a bit pricey compared to traditional gummy snacks, but they see it as a worthwhile investment in their health and adherence to their keto diet. Overall, the consensus among consumers is that Let’s Keto Gummies at Woolworths are a convenient and tasty option for those following a ketogenic lifestyle.
Benefits of Let’s Keto Gummies
Let’s Keto Gummies offer a convenient and portable snack option for those following a ketogenic diet. These gummies are low in carbs and sugar, making them a suitable choice for keto dieters looking to satisfy their sweet tooth without compromising their dietary goals. The individual packaging makes it easy to grab a serving of gummies on the go, whether you’re at work, traveling, or running errands.
Another benefit of Let’s Keto Gummies is the variety of flavors available, which can help prevent flavor fatigue for those following a strict ketogenic diet. Flavors like strawberry, lemon, and raspberry offer a refreshing change from the usual savory keto snacks, making it easier to stick to the diet long-term. Additionally, the gummies are a good source of healthy fats, which can help keep you feeling satisfied and energized throughout the day.
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Drawbacks of Let’s Keto Gummies
While Let’s Keto Gummies offer many benefits for those following a ketogenic diet, there are some drawbacks to consider. One common concern among consumers is the presence of artificial ingredients and sweeteners in the gummies. Some people following a keto diet prefer to avoid artificial additives, so this may be a deterrent for them.
Another drawback of Let’s Keto Gummies is the potential for overconsumption. Since the gummies are tasty and convenient, it can be tempting to eat more than the recommended serving size, which could lead to consuming excess calories and carbs. It’s important for keto dieters to practice portion control and moderation when enjoying these gummies to avoid hindering their progress towards their health goals.
Verdict
Let’s Keto Gummies at Woolworths offer a convenient and tasty snacking option for those following a ketogenic diet. The accessibility of these gummies at a mainstream grocery store like Woolworths makes it easier for keto dieters to stay on track with their dietary goals. While there are some drawbacks to consider, such as the presence of artificial ingredients and the potential for overconsumption, many consumers find that the benefits of Let’s Keto Gummies outweigh the drawbacks. Overall, these gummies are a popular choice for those looking for a low-carb, high-fat snack to enjoy while adhering to their keto lifestyle.
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If you struggle with your weight -- you're not alone. More than 40% of people are considered obese. While the FDA has approved new drugs to treat obesity, most insurers won't cover them.
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Wenn Sie abnehmen möchten, ist es wichtig, Ihren Grundumsatz zu berechnen und Ihren Kalorienverbrauch zu optimieren. Der Grundumsatz ist die Menge an Energie, die Ihr Körper benötigt, um in Ruhe zu funktionieren, wie die Atmung, die Kreislauffunktionen und die Körpertemperatur aufrechtzuerhalten. Indem Sie Ihren Grundumsatz berechnen und Ihren Kalorienverbrauch optimieren, können Sie effektiv abnehmen und Ihr Zielgewicht erreichen.
Wie berechnet man den Grundumsatz?
Es gibt verschiedene Methoden, um Ihren Grundumsatz zu berechnen. Eine der gängigsten ist die Harris-Benedict-Formel, die Ihren Grundumsatz basierend auf Ihrem Geschlecht, Alter, Gewicht und Größe schätzt. Eine andere Methode ist die Mifflin-St Jeor-Formel, die ähnliche Variablen berücksichtigt, aber etwas genauer sein kann.
Um Ihren Grundumsatz zu berechnen, können Sie auch Online-Rechner verwenden, die diese Formeln automatisch anwenden. Einfach Ihre Daten eingeben und den berechneten Grundumsatz erhalten.
Es ist wichtig zu beachten, dass der Grundumsatz nur die Energie berücksichtigt, die Ihr Körper benötigt, um in Ruhe zu funktionieren. Ihr tatsächlicher Kalorienbedarf kann je nach Aktivitätsniveau und Lebensstil variieren.
Tipps zur Optimierung Ihres Kalorienverbrauchs
Eine Möglichkeit, Ihren Kalorienverbrauch zu optimieren, ist, regelmäßig Sport zu treiben. Sportliche Aktivitäten wie Cardio, Krafttraining oder Yoga können dabei helfen, mehr Kalorien zu verbrennen und gleichzeitig Ihre Fitness zu verbessern.
Es ist auch wichtig, auf Ihre Ernährung zu achten. Eine ausgewogene Ernährung mit vielen frischen Früchten, Gemüse, Vollkornprodukten und magerem Eiweiß kann dazu beitragen, Ihren Stoffwechsel anzukurbeln und Ihren Kalorienverbrauch zu steigern.
Zusätzlich können Sie versuchen, Ihren Alltag aktiver zu gestalten, z.B. indem Sie öfter zu Fuß gehen, Treppen steigen anstelle des Aufzugs benutzen oder kleine Übungen in Ihren Tagesablauf integrieren. Jede Aktivität zählt und kann Ihren Kalorienverbrauch erhöhen.
Wie kann ich meinen Fortschritt verfolgen?
Um Ihren Fortschritt beim Abnehmen und der Optimierung Ihres Kalorienverbrauchs zu verfolgen, können Sie ein Ernährungstagebuch führen. Notieren Sie, was Sie essen und trinken, sowie Ihre sportlichen Aktivitäten und Ihren Grundumsatz. Auf diese Weise können Sie sehen, ob Sie Ihre Ziele erreichen und gegebenenfalls Anpassungen vornehmen.
Eine weitere Möglichkeit, Ihren Fortschritt zu verfolgen, ist die Verwendung von Fitness-Apps oder Wearables, die Ihre Aktivitäten und Ihren Kalorienverbrauch automatisch messen und aufzeichnen. So haben Sie jederzeit einen Überblick über Ihre Leistung und können motiviert bleiben, Ihr Abnehmziel zu erreichen.
Denken Sie daran, dass das Abnehmen ein Prozess ist, der Geduld, Ausdauer und Disziplin erfordert. Indem Sie Ihren Grundumsatz berechnen und Ihren Kalorienverbrauch optimieren, legen Sie den Grundstein für einen gesunden und nachhaltigen Gewichtsverlust. Bleiben Sie dran und geben Sie nicht auf!

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Understanding the Keto Diet and Its Relevance to Multiple Sclerosis
The ketogenic diet, often referred to as the keto diet, has gained significant popularity in recent years, particularly among those seeking to manage their weight or improve their overall health. Characterized by a high-fat, low-carbohydrate intake, the diet aims to induce a state of ketosis whereby the body shifts its primary fuel source from carbohydrates to fats. While the keto diet has been widely studied for its impact on conditions such as obesity and type 2 diabetes, its potential applications extend beyond these realms, attracting the attention of individuals grappling with chronic neurological conditions, including Multiple Sclerosis (MS).
Multiple Sclerosis is a complex and often debilitating autoimmune disease where the immune system mistakenly attacks the central nervous system, causing widespread neurological symptoms. The quest for effective dietary interventions for MS is driven by the recognition that nutrition plays a vital role in managing inflammation, neuroprotection, and overall health. Given the potential for the keto diet to modulate metabolic pathways and reduce inflammation, researchers and healthcare professionals have begun to explore its benefits for those living with MS. However, like any other dietary intervention, the keto diet presents both potential advantages and risks, necessitating a balanced examination.
This article aims to explore three potential benefits and risks of the keto diet specifically within the context of Multiple Sclerosis. By focusing on how this dietary approach may influence symptoms, enhance nutritional status, and affect medication efficacy, we aim to provide a comprehensive overview for individuals considering the keto diet. Furthermore, it is crucial to address the risks and challenges associated with this restrictive eating pattern, helping individuals make informed dietary choices in their effort to manage MS effectively. As we delve deeper into this topic, we will consider clinical research findings, anecdotal evidence, and practical implications that can guide decision-making for individuals with MS and their healthcare providers.
Potential Benefits of the Keto Diet for MS: Inflammation and Immune Function
The connection between diet and inflammation is a central theme in the management of Multiple Sclerosis. The keto diet, with its low carbohydrate content, potentially has implications for reducing inflammation. By limiting the intake of glucose, which can exacerbate inflammation, individuals may experience a reduction in the overall inflammatory response within the body. This switch can positively affect symptom management, reducing flare-ups and offering a new avenue for relief to those with MS.
Research indicates that the metabolic state achieved through ketosis may significantly influence immune function. In cases of autoimmune diseases like MS, where the immune system becomes dysregulated, a diet that promotes ketosis can have a balancing effect. Ketogenic diets may encourage the production of ketone bodies, which are not only efficient fuel sources but could also possess anti-inflammatory properties that help modulate immune responses. Such dietary changes may ultimately contribute to longstanding neurological health, benefitting individuals who are often seeking out means to manage their condition more effectively.
In addition to reducing inflammation, the keto diet has the potential to improve mitochondrial function. Mitochondria serve as the powerhouse of cells, including neurons, converting nutrients into energy. A dysfunctional energy metabolism is a noted characteristic of several neurological diseases, including MS. By providing an alternative substrate for energy production—specifically ketones—the ketogenic diet may promote better energy availability for neural tissues. This improvement could enhance cognitive function and overall neurological integrity, which are critical components for those affected by MS.
Exploring Neurological Protection: The Role of Ketones in MS
One of the intriguing aspects of the ketogenic diet is the way in which ketones may provide neuroprotective benefits, potentially altering disease trajectories in MS. Ketones, such as beta-hydroxybutyrate, are known to exert neuroprotective effects on brain cells through various mechanisms, including reducing oxidative stress and inflammation. This neuroprotection could be crucial for individuals with MS, who often experience degeneration of neurons as a result of the disease.
Additionally, the ketogenic diet may promote autophagy, a cellular cleaning process that removes damaged components within cells. In the context of MS, enhancing autophagy through a ketogenic approach could help in mitigating cellular damage and promoting cellular repair mechanisms. By clearing out waste products, the brain could function more efficiently, potentially restoring some of the lost capabilities in affected individuals and contributing to an improved quality of life.
Furthermore, research suggests that the ketogenic diet may enhance synaptic plasticity, a vital process for learning and memory involving the strengthening or weakening of synapses. For individuals with MS, the enhancement of synaptic plasticity could relate to improved neurological function, reframing how the disease is experienced daily. The cumulative benefits of these outcomes may significantly affect the overall prognosis and lifestyle management strategies for individuals living with MS.
The Challenge of Dietary Adoption: Practical Risks of the Keto Diet
While the potential benefits of the ketogenic diet for MS are compelling, the adoption of this high-fat, low-carbohydrate eating pattern presents distinct practical risks that must be acknowledged. First and foremost is the risk of nutritional deficiencies. Transitioning to a keto diet often requires significant changes in food choices, which can lead to the reduction of food groups, especially fruits and whole grains that are typically rich in vitamins, minerals, and fiber. This limitation may lead to deficiencies that can further complicate an already complex condition like MS.
Another critical risk is the initial adaptation phase, commonly referred to as the “keto flu.” During this phase, individuals may experience flu-like symptoms, including headaches, fatigue, and nausea, as their bodies adjust to processing fats for fuel instead of carbohydrates. For someone managing MS, experiencing additional symptoms during this transitional phase can exacerbate their condition and undermine their motivation to stick with the diet. Understanding and anticipating these challenges may help individuals better prepare for and navigate the initial adjustment period.
Compliance and sustainability of the keto diet also present significant challenges. The restrictive nature of the diet can lead to feelings of deprivation, which might result in episodes of binge eating or relapse into previous eating habits. For individuals with MS who may already be facing diverse challenges in self-management, maintaining adherence to such a stringent dietary program could become overwhelming and counterproductive. It is essential for both healthcare providers and individuals to consider how sustainable these dietary changes are in the long term.
Medication Interactions and Impact on Treatment: Navigating the Risks
Another layer of complexity in exploring the keto diet for individuals with MS is the potential interactions with prescribed medications. Many individuals with MS take medications that may significantly depend on patient nutrition to achieve optimal efficacy. Changes in dietary patterns, particularly macronutrient ratios and caloric intake, can potentially alter the way certain medications are absorbed or metabolized. Therefore, it’s crucial for individuals navigating dietary changes to maintain open communication with their healthcare providers to ensure a well-coordinated approach in managing their condition.
The ketogenic diet may also influence the effectiveness of certain disease-modifying therapies used to manage MS. Some treatments operate by influencing metabolic pathways that the keto diet itself also affects. Consequently, individuals following a ketogenic approach may need to be closely monitored by their healthcare team to detect any shifts in their symptom management or potential alterations in medication effectiveness.
A fundamental aspect of addressing these interactions lies in understanding the dose-response relationship of dietary fat as it pertains to drugs. Individuals with MS must consider how the increased intake of saturated fats from the keto diet may impact cholesterol levels and cardiovascular health over time, raising concerns about the potential need for dosage adjustments in certain medications. Evaluating these medications in conjunction with dietary choices is vital to achieving long-term health and wellness in individuals with MS.
Addressing Common Questions and Considerations for Individuals with MS
In considering the keto diet for Multiple Sclerosis, individuals often have numerous questions regarding its safety and efficacy. One of the most common inquiries is whether the keto diet can replace conventional medical therapies. While some may experience benefits that lead to noticeable symptom relief, it is important to recognize that dietary approaches should complement, rather than replace, a physician-approved treatment regimen. The integration of proper nutritional practices alongside prescribed medications can create a synergistic effect, enhancing overall management and improving health outcomes.
Another prevalent concern involves the long-term sustainability of the keto diet, particularly in relation to social interactions and lifestyle factors. Individuals with MS may find that strict adherence to such a diet complicates social dining experiences, travel, and family meals. Creative adaptations and open dialogues with friends and family can help mitigate these social barriers, permitting individuals to retain a sense of normalcy in their dietary practices while still prioritizing their health.
Finally, the importance of individualized dietary guidance cannot be overstated. Each person with MS presents a unique clinical picture, influenced by factors such as age, severity of the disease, and other comorbid conditions. Consulting with a registered dietitian, who can provide tailored advice, can enable individuals to bridge the gap between dietary theory and practical implementation. By promoting adaptive eating patterns and developing meal plans that consider personal preferences and nutritional needs, individuals are more likely to thrive on dietary interventions such as the keto diet while effectively managing their MS.
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