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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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The Intersection of Keto and OMAD: Unlocking New Levels of Fat Burning

The ketogenic diet, commonly referred to as the keto diet, has gained immense popularity in recent years. This diet is characterized by a significant reduction in carbohydrates and a substantial increase in fats, which puts the body in a state of ketosis. During ketosis, the body becomes adept at burning fat for fuel instead of carbohydrates, leading to significant weight loss and an array of potential health benefits. On the other hand, One Meal A Day (OMAD) represents an extreme form of intermittent fasting where individuals consume all their daily caloric intake in just one meal, typically within a one-hour window. When combined, the synergy of keto and OMAD seems to propel fat burning into overdrive, making this duo appealing for those looking to maximize their weight loss efforts.

The primary reason that the combination of keto and OMAD is so effective lies in their respective mechanisms in affecting metabolism and energy utilization. When one adheres to a keto diet, the body relies predominantly on fat stores for energy. This transition from carb-based energy to fat-based energy can be smoothened through fasting or time-restricted eating, as practiced in OMAD. By incorporating OMAD with keto, individuals not only limit their eating window but also heighten their fat-burning potential by staying in ketosis for longer periods. With a single meal containing a high-fat, low-carb profile, the combination can lead to the optimization of hormones related to appetite control and metabolism, enhancing overall fat loss.


<pFurthermore, this synergy doesn't just enhance fat burning but also has implications for health markers such as insulin sensitivity and inflammation. Many adherents of the keto diet combined with OMAD report heightened energy levels, improved mental clarity, and reduced cravings, all of which contribute to a sustainable weight loss approach. As people remain less preoccupied with food throughout the day, they can concentrate their efforts on other aspects of their lives, such as fitness, work, or personal development. In the sections that follow, we will delve deeper into three specific mechanisms by which the keto diet and OMAD combination amplifies fat burning, offering insights and evidence to support these claims, and ultimately empowering readers to harness the full potential of both dietary strategies.

Enhancing Ketosis Through Extended Fasting

To understand how the combination of keto and OMAD accelerates fat burning, one must first grasp the significance of ketosis. Ketosis is a metabolic state where the body shifts from burning carbohydrates to fat as its primary energy source. Achieving and maintaining ketosis is essential for those on the keto diet, and integrating extended periods of fasting, as practiced in OMAD, can solidify this state and enhance fat oxidation. When the body is fasted, insulin levels drop, encouraging fat cells to release stored fatty acids that can be utilized for energy. This is particularly effective when one is already in a state of ketosis, as the availability of ketones in the bloodstream provides an efficient fuel source.

Additionally, when one practices OMAD, eating only one meal per day leads to significant reductions in overall caloric intake. This caloric restriction often enhances fat loss due to an energy deficit. Notably, when this meal is rich in healthy fats and low in carbohydrates, individuals can further promote ketogenesis while continuing to keep insulin levels low. The prolonged fasting period not only facilitates the breakdown of fat stores but also helps the body adapt quicker to the use of fat for fuel, reinforcing both the principles of keto and the efficacy of OMAD.

Moreover, the combination encourages several hormonal adaptations that favor fat loss. Growth hormone levels can elevate during fasting, promoting fat breakdown while preserving lean muscle mass. Education on the mechanisms behind this dual approach can empower individuals seeking weight loss while maintaining muscle. In essence, by merging keto and OMAD, dieters can create a powerful tool for enhancing ketosis, leading to heightened fat burning, improved metabolic flexibility, and long-term weight loss success.

Regulating Hunger Hormones for Improved Satiety

The regulation of hunger hormones plays a pivotal role in weight management. One of the main challenges many encounter during weight loss is managing cravings and hunger pangs that can lead to overeating. The combination of keto and OMAD offers a profound impact on controlling hunger hormones such as ghrelin and leptin. Ghrelin, often referred to as the “hunger hormone,” increases sensations of hunger and is typically elevated in states of caloric restriction. Conversely, leptin is known as the “satiety hormone,” aiding in signaling fullness to the brain and regulating energy balance.

By adhering to a keto diet, individuals consume meals that are typically high in healthy fats and protein. These macronutrients have a proven track record of inducing feelings of fullness and satiety. Fats, in particular, are slow to digest, which can prolong the sensation of being satisfied after a meal. When this high-fat meal is consumed during a restricted eating window like OMAD, individuals often find themselves more equipped to fight off cravings, as their bodies are adapting to a new hunger pattern based on fat utilization.

Furthermore, fasting also influences the levels of these hunger hormones. When engaging in OMAD, the body undergoes a resetting of its hunger signals, often leading to a natural appetite suppression. Studies show that intermittent fasting, such as OMAD, can result in lower levels of ghrelin and higher levels of leptin over time. This shift leads individuals to experience diminished hunger pangs throughout the day, supporting the overall weight loss goals of keto and OMAD practitioners. By aesthetic appetite control through this combined approach, one not only enhances fat burning but also creates a sustainable lifestyle that does not center around constant food consumption.

Accelerating Metabolic Rate and Energy Expenditure

Another compelling reason to marry keto with OMAD lies within the realm of metabolic rate and energy expenditure. The metabolic rate refers to the number of calories the body burns at rest and during activity. Engaging in a high-fat, low-carb diet while incorporating an intermittent fasting regimen such as OMAD can lead to increased metabolism due to a phenomenon known as the thermic effect of food (TEF). High-protein and high-fat foods require more energy for digestion, absorption, and processing compared to carbohydrates, resulting in an upward effect on total daily energy expenditure.

Additionally, the combination of keto and OMAD promotes an energy-efficient metabolism through hormonal adaptations that favor fat loss. The elevation of norepinephrine and epinephrine during fasting stimulates lipolysis, facilitating the breakdown of stored fats to be used as energy. Furthermore, when one is in ketosis, the switch from glucose to ketones as a primary energy source allows the body to be more efficient in how it utilizes fats for fuel. This translates to greater energy expenditure throughout the day, even while in a calorie deficit.

Beyond hormonal influences, adopting OMAD can also inspire individuals to engage in high-intensity workouts that can significantly elevate metabolic rates. With ketogenic energy supplies ready to fuel workouts, many report improved performance and endurance, resulting in greater caloric burn during exercise sesions. The synergy of increased energy expenditure from both dietary practices provides powerful compounding effects, amplifying fat loss while allowing individuals to maintain and often increase their lean muscle mass — a crucial element for those navigating weight loss journeys. By enhancing metabolic rate, dieters are equipped along their paths, potentially unlocking new levels of fat burning in ways they never thought possible.

Optimizing Health and Wellness Beyond Just Fat Loss

While the primary focus often lies on fat loss when discussing diets like keto and OMAD, the health benefits that accompany these dietary strategies extend far beyond mere weight reduction. One of the most significant advantages of this combination is the potential for improved metabolic health. The keto diet is well-documented in its ability to improve insulin sensitivity and lower blood sugar levels, which is particularly beneficial for individuals grappling with type 2 diabetes or prediabetes. Integrating OMAD enhances these benefits further, as frequent fasting can reduce insulin resistance and promote better regulation of blood glucose levels.

Moreover, the anti-inflammatory properties found in a ketogenic diet, coupled with the cellular repair processes stimulated by fasting, can lead to a healthier internal environment. Various studies suggest reduced markers of inflammation, contributing to an overall sense of well-being and a decreased risk of chronic diseases. The benefits of improved gut health, which often results from a reduced intake of processed carbohydrates, contribute positively to various aspects of health, from mood stability to immune function.

Lastly, many adherents of the keto and OMAD lifestyle report heightened mental clarity and focus. The brain thrives on ketones for energy, which can lead to superior cognitive function and mood elevation. This is especially significant during the fasting window in OMAD, where individuals often experience a state of mental sharpness devoid of the sluggishness that can accompany high-carb diets. The combined benefits of enhanced physical vitality and mental acuity create an environment that goes far beyond fat loss alone, establishing a holistic approach to better health. Consequently, as individuals embark on this journey, they often discover they are not just losing weight but transforming their overall lifestyle and health outlook.

Wrapping Up Insights and Addressing Common Queries

In summary, the combination of the ketogenic diet and One Meal A Day (OMAD) presents a unique approach for individuals aiming to supercharge fat burning and embrace a new level of health. By leveraging the key mechanisms of extended fasting to enhance ketosis, regulate hunger hormones, stimulate metabolic rates, and optimize overall health, this pairing can lead to remarkable results. While one must always pay attention to their unique health needs and consider consulting with a healthcare professional before making significant dietary changes, countless individuals have found success in adopting these strategies.

New practitioners of the keto and OMAD combination may wonder about the practicalities of implementing this approach. It’s crucial to focus on the quality of the one meal consumed. Ensuring that this meal is nutrient-dense, rich in healthy fats, moderate in protein, and free of carbohydrates can ensure the body remains in ketosis while providing the necessary vitamins and minerals to support health.

Another common question revolves around the sustainability of this approach. Many individuals find that after the initial adjustment period, the lifestyle becomes far less cumbersome, often resulting in a more straightforward relationship with food. Over the long term, it can promote a mindful eating habit fostering a more significant sense of fulfillment and self-control around food choices. By understanding the science behind the keto and OMAD combination, individuals can let go of complex counting and tracking methods, allowing a more intuitive style of eating to take shape. In the pursuit of weight loss and health, this strategy not only supports effective fat burning but encourages a lasting legacy of well-being.

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Are you looking to elevate your keto diet with a touch of luxury? Look no further than Luxe Gummies, a unique and delicious way to support your health and wellness goals. These gourmet gummies are specially crafted to provide high-quality ingredients that complement your keto lifestyle. With a blend of premium ingredients and mouth-watering flavors, Luxe Gummies offer a decadent treat that you can feel good about indulging in.

Indulge in Luxury

Luxe Gummies are not your average gummy bears. With a focus on quality and taste, these gummies are designed to elevate your snacking experience. Each bite is packed with flavor and texture, creating a truly indulgent treat that will satisfy your sweet cravings while supporting your keto diet. Whether you’re looking for a post-meal dessert or a mid-day pick-me-up, Luxe Gummies are the perfect option for those who want to treat themselves to something special.

One of the key features of Luxe Gummies is their commitment to using only the finest ingredients. Each gummy is made with high-quality, all-natural ingredients that are carefully sourced to ensure maximum freshness and flavor. From premium gelatin to organic sweeteners, every component of Luxe Gummies is thoughtfully chosen to provide you with a delicious and wholesome snack that you can enjoy guilt-free.

Support Your Keto Lifestyle

For those following a keto diet, finding delicious snacks that align with your dietary goals can be a challenge. Luxe Gummies make it easy to stay on track while still enjoying a luxurious treat. These gummies are low in carbs and sugar, making them the perfect guilt-free option for those looking to satisfy their sweet tooth without derailing their keto progress. Whether you’re at home or on the go, Luxe Gummies are a convenient and tasty way to support your keto lifestyle.

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In addition to their keto-friendly ingredients, Luxe Gummies are also packed with essential nutrients that can help support your overall health and wellness. Each gummy is infused with vitamins and minerals that are beneficial for a variety of bodily functions. From immune support to skin health, Luxe Gummies offer a holistic approach to snacking that goes beyond just satisfying your taste buds.

Elevate Your Snacking Experience

With Luxe Gummies, you can elevate your snacking experience to a whole new level. These gourmet gummies are designed to provide a sensory delight with every bite, from the satisfying chew to the burst of flavor. Whether you’re craving something sweet or just need a little pick-me-up, Luxe Gummies are sure to hit the spot. Treat yourself to a taste of luxury with these decadent gummies and experience a snack that is truly exquisite.

Don’t settle for ordinary snacks when you can enjoy the luxury of Luxe Gummies. Indulge in a treat that not only tastes amazing but also supports your keto lifestyle and overall well-being. With premium ingredients, delicious flavors, and essential nutrients, Luxe Gummies are the perfect way to satisfy your cravings while staying on track with your health goals. Treat yourself to something special and experience the difference that luxury support can make in your keto diet journey.

FAQs about Luxe Gummies

1. Are Luxe Gummies suitable for those following a keto diet?

Yes, Luxe Gummies are perfect for individuals following a keto diet as they are low in carbs and sugar, making them a guilt-free snack option.

2. What sets Luxe Gummies apart from other gummy products on the market?

Luxe Gummies stand out due to their use of premium ingredients, gourmet flavors, and essential nutrients that cater to both taste and health-conscious consumers.

3. How can Luxe Gummies benefit my health and wellness?

These gummies are packed with vitamins and minerals that support various bodily functions, providing a holistic approach to snacking that goes beyond just satisfying your sweet cravings.

4. Where can I purchase Luxe Gummies?

You can buy Luxe Gummies online through their official website or at select retailers that carry luxury health food products.

5. What flavors are available in the Luxe Gummies product line?

Luxe Gummies come in a variety of delicious flavors, including strawberry, raspberry, and orange, offering a delectable taste experience with each gummy.

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Fat loss weight loss exercises at home #yoga #ytshorts #weightloss #home #exercise #yoga #routines #goals #diet #daily #shorts #youtubeshorts #morning Disclaimer: - video is for educational purpose only. Copyright Disclaimer: - Under section 107 of the copyright Act 1976, allowance is mad for FAIR USE for purpose such a as criticism, comment, news reporting, teaching, scholarship and research. Fair use is a use permitted by copyright statues that might otherwise be infringing. Non- Profit, educational or personal use tips the balance in favor of FAIR USE.

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