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Weight Loss Doctor in NYC discusses Zepbound (tirzepatide) approval - Dr. Decotiis - Fox and Friends: Fox News New York A popular new weight loss drug now officially getting FDA approval. The weekly injectable, called Zepbound, suppresses appetite hormones to make you feel fuller longer. Zepbound is the only drug besides wegovy specifically approved for weight loss, but with greater results, making it the most effective weight loss medication on the market. So how does it work and what are the risks? We're going to ask our weight loss physician, Dr. Sue Decotiis. Good morning to you, Dr. Decotiis. Good to see you again. So why do you like this one? This is one of your favorites, right? It's comparable to mounjaro. It is exactly mounjaro, except that it's FDA approved for weight loss. So that makes some insurance companies and doctors and patients feel more comfortable because the FDA is giving it its stamp and said, you know, we believe this is effective and safe for weight loss patients. So it's mounjaro and it works by inhibiting appetite, by enhancing satiety. But the reason why this is better than Ozempic is that it works on two appetite regulatory centers in the gut that signal back to the brain, and over time, it resets your fat thermostat, which is pretty incredible. And it really helps the way insulin works when we have trouble losing weight as we get older, hormonal changes or people that are chronically obese have always had trouble with their weight. Many times insulin isn't working well. Insulin has to work well in order for you to be able to burn fat. That's why it's so important. Any side effects with this? There are mild GI side effects in the beginning, but the thing that most patients don't understand, they're not being told, is that they have to be really well hydrated. Because when you burn fat, you lose water. So hydration is really important. In my practice, I follow every patient with a body composition scale. And that's so I know where their body fat is when they're starting out. And I watch their progress. So it's basically how they're burning fat that helps me determine how to dose them and how to taper them off the drug. So many of my patients have lost a tremendous amount of weight, even more than the studies have shown, and they've been able to keep it off. And that's wonderful. But there are a couple of caveats here. I mentioned hydration. Also. There are national shortages. So that's a problem too. So sometimes people get desperate and they're searching online and they may go to an online platform. And that's scary because they might be buying from a bad source. It could be totally bogus. There could be fentanyl in it. Totally. It could be anything in it. So don't do that. And compounding companies that are able to sell this should not be selling directly to the patient. That's a big warning sign. That's a no. It's illegal. And those sites are going to get shut down. They're just going to take your money. What do you say to the patients that say, you know what, I want to lose like 5 pounds for my daughter's wedding or I just need to lose a few pounds. Is it safe? I know that a lot of, you know, maybe obese people might want to take this. Or if they're diabetics, they say that this is good, but if you just need to lose 5 or 10 pounds for a special event. Well, my feeling is that it's also about your metabolism. If you're having trouble losing it on your own, it's something to look at. Okay? It's not something just to say, oh, this is not important. I think it can be used for very short periods of time for minimal weight loss. If you can't take it off yourself. Of course, you always start with diet and exercise, so it's really important. Okay. What's your favorite out of all of these? Is it the mounjaro or the. I think it's mounjaro. And of course the name is Tirzepatide. Okay. But this new drug, Zepp bound is going to be the same thing. So Zepp bound and Manjaro are Tirzepatide. Ozempic is semaglutide. Is it changing your patients lives? It really is. I mean, people are looking better. We've gotten people off cholesterol medications, blood pressure medications. Also, some people feel they're less anxious. Some patients have been able to get off antidepressants, Xanax, Adderall. It's incredible. It's really incredible. Well, thank you so much for coming on and explaining all this to us. We're all interested in it. And there's one. New drug that's going to be coming out in a year also by Lily Cole retro to tried. And that's going to work on three receptor systems. I'm super excited about that. That's incredible. Sue Decotiis, MD 20 E 46th St., #1201 New York, NY 10017 Phone: (917) 261-3177 http://www.drdecotiis.com/ozempic-semaglutide-mounjaro-tirzepatide-weight-loss-doctor-manhattan-nyc #Ozempic #Mounjaro #Semaglutide #WeightLoss #weightlossnyc #WeightLossPrescriptions #MedicalWeightLoss #WeightLossDoctor #NYC #DR #MD #News #FoxNews #Zepbound

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Creatine is an effective and safe supplement to help you build stronger and bigger muscles. But science also reveals that, when it comes to how to take creatine, there’s a specific way to use it (e.g., creatine before or after workout?) to maximize its benefits and save money while you’re at it. Today, I’ll show you how to do just that in 4 easy steps. But before that, what is creatine? And what creatine benefits can you expect? What is creatine? Creatine is a substance we naturally produce and use up as an energy source to power our muscles through the first 10 seconds or so of high intensity activities. Increasing our natural creatine levels through supplementation can provide a significant boost in power and strength during our workouts which overtime has been shown to translate to significantly greater muscle growth. But it’s very easy to waste a bunch of money on creatine without fully reaping its benefits. The first step to avoiding that is to make sure you pick the right type of creatine. Let's reference a 2021 review that analyzed 8 creatine types to determine which was most effective. It also broke down the costs per serving for the different forms of creatine, and found creatine monohydrate to be the cheapest. As it turns out, all 8 worked just as effectively at boosting muscle creatine levels. Meaning? Given that you could save over a dollar every single day from sticking to plain old creatine monohydrate, save your money and stick to that! The next step in understanding how to take creatine is its dosage. What I’d recommend is stick to 3g per day, a little less than the typical scoop size, as that’s going to be more than enough for the vast majority of people. Those on the heavier side may benefit from just a slightly higher dose based on your bodyweight. Now with that being said, when you first start taking creatine, you may actually want to consider bumping up the dose far above this. This is where step 3 comes into play. It takes time for creatine levels in your muscles to gradually increase and fully saturate. Depending on how fast you’d like to experience the benefits of creatine, there are 2 protocols you can use. The loading protocol saturates your muscles in 7 days, while the non-loading protocol takes about 3 to 4 weeks. The loading method is advantageous if you’d like to reap the benefits as quickly as possible. It’s also the protocol I’d recommend if you’re dieting. The only potential downside of a loading protocol could be some digestive distress from taking so much at once, but this seems to be mitigated if you space out your 20 grams over the day. Step 4: when to take it and what to avoid taking it with to maximize its benefit. So, creatine before or after workout? Well, remember that creatine doesn’t have an immediate effect. This means that taking it pre-workout doesn’t provide any unique benefit. As for what to take it with, there is some evidence that taking creatine with carbohydrates and protein increases saturation levels more than just taking creatine on its own, but this only really makes a difference during the initial saturation phase. That said, there is a small possibility that caffeine consumption may actually hinder the benefits of creatine. For now, the best recommendations are if you’re extremely concerned about the potential interference between caffeine and creatine, ditch regular caffeine consumption as creatine tends to provide greater benefits overtime. Instead, save your caffeine consumption just for times or workouts when you need it the most. But that can be a tough ask for many. In which case, a more suitable alternative is to simply avoid taking creatine and caffeine together. But again, research is far from conclusive. Here are the main key points to get the most bang for your buck. Using creatine monohydrate, follow either the loading protocol or non-loading protocol to saturate your muscles and then take about 3g of it whenever you wish every day to maintain it. Then, after a few weeks, there are a few signs you want to look for to see if it’s working for you. It won’t work for everyone. But don't worry, this is something I’m going to cover in a follow up video! All that said, guys, creatine, just like any other supplement, is not magic. It doesn’t do the work for you. But when paired with the right training and nutrition plan, can help give you a bit of an edge. And if you’re looking for a simple yet effective science-based program you can trust, that shows you exactly how to train and how to eat to transform your body as efficiently as possible, then take the analysis quiz to discover which science-based program would be best for you and where your body is currently at below: https://builtwithscience.com/your-potential-realized/?utm_source=YouTube&utm_medium=Video&utm_campaign=How+To+Use+Creatine+To+Build+Muscle+%285+Steps%29&utm_term=13%2F03%2F2022 Subscribe to my channel here: https://www.youtube.com/jeremyethier/?sub_confirmation=1

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