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Drs Piña and Kosiborod discuss semaglutide in obesity-related HF with and without diabetes. Both STEP HFpEF trials show similar HF benefits despite less weight loss in patients with diabetes. https://www.medscape.com/viewarticle/semaglutide-benefits-hfpef-take-step-beyond-weight-loss-2024a10006z2?src=soc_yt -- TRANSCRIPT -- Ileana L. Piña, MD, MPH: Hello, and welcome to my blog. Today, I'm at the American College of Cardiology in Atlanta. I want to introduce and welcome Dr Kosiborod: from the Mid America Heart Institute, who has presented a very impactful paper, STEP HFpEF DM, that is in The New England Journal of Medicine right now. This is about semaglutide. A lot of patients ask me to give them that pill that makes them lose weight. I see primarily patients with heart failure (HF). So, Mikhail, congratulations on your presentation. Give us a little synopsis of what the trial is about. The STEP HFpEF Program Mikhail N. Kosiborod, MD: First of all, it is always a pleasure to be with you. Maybe a quick word about the STEP HFpEF program that included two trials: The first is STEP HFpEF, which was a trial of patients with obesity-related HF with preserved ejection fraction (HFpEF) who did not have diabetes, which we presented and published at European Society of Cardiology in August last year. The second installment of the program is the STEP HFpEF diabetes trial, which is essentially the same population of patients except they also have type 2 diabetes. I guess your question would be why we did two trials instead of just doing one trial that included patients, both with and without diabetes. I'll come back to that shortly. The crux of the hypothesis behind the program is that we all know the prevalence of HFpEF has increased dramatically in the past couple of decades. When I was a fellow in training, it was rare for me to see a patient with HF who had preserved EF. A majority of patients had HF with reduced EF. Now, the majority of people we see have HFpEF: Why did that happen? There are a lot of different reasons for the dramatic change in epidemiology. But certainly, one of them, at least in our opinion, is that the obesity epidemic has a lot to do with it. In fact, if you look at the population of patients with HFpEF in the United States, 80% of them are living with overweight or obesity. The hypothesis behind the program was that obesity is not just a comorbidity. It doesn't just happen to coexist by accident in this patient population, it may in fact be causing their HF. It may be a critical factor in the development and progression of HFpEF. In order to test our hypotheses, patients were randomly assigned to semaglutide, with the target dose of 2.4 mg once a week or matching placebo and treated for 52 weeks, or 1 year. The reason we did two separate trials is because part of that hypothesis was that if obesity is in fact the cause of HF, then certainly, weight loss would be probably not the only factor but "an important factor in the potential benefits of semaglutide in this patient population, provided that semaglutide is beneficial which of course we ultimately demonstrated. But what we knew from weight-loss trials — not HF trials but weight-loss trials of medications like semaglutide and also other anti-obesity medications like tirzepatide and others — is that people with diabetes tend to lose a lot less weight. With these medications, there's about a 40% less weight loss in people with type 2 diabetes. Lots of theoretical reasons why that could be the case. Nobody really knows for sure. We knew from the beginning that the weight loss likely was going to be different. Then, of course, there are other things that happen in people with diabetes: They have more severe HFpEF phenotype, and people with more severe disease sometimes don't respond to treatment the same way as those with less severe disease. Finally, we knew when we started the trial, which was back around 2019, 2020, that people with diabetes would be more likely to be treated with sodium-glucose cotransporter 2 (SGLT2) inhibitors. At the time, we didn't have the data for SLT2 inhibitors in HFpEF, but we knew that were going to be tested. There was, of course, an expectation that they may well be beneficial. For all of these reasons, we said, "You know what, the treatment effects may well be different between the patient population, but let's study them separately." Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/semaglutide-benefits-hfpef-take-step-beyond-weight-loss-2024a10006z2?src=soc_yt

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20 kg abnehmen ist ein Ziel, das für viele Menschen erschreckend erscheinen mag, aber mit dem richtigen Plan und der richtigen Herangehensweise durchaus erreichbar ist. In diesem umfassenden Leitfaden werden wir verschiedene effektive Strategien und Techniken vorstellen, die Ihnen helfen können, langfristig erfolgreich Gewicht zu verlieren.

Ernährungsumstellung

Die Ernährung spielt eine entscheidende Rolle beim Abnehmen. Es ist wichtig, sich von einer ausgewogenen und gesunden Ernährung zu ernähren, die reich an frischem Obst und Gemüse, Vollkornprodukten, magerem Eiweiß und gesunden Fetten ist. Vermeiden Sie stark verarbeitete Lebensmittel, zuckerhaltige Getränke und Fast Food, da sie oft viele leere Kalorien enthalten.

Es ist auch wichtig, regelmäßige Mahlzeiten einzunehmen und nicht zu hungern, da dies zu Heißhungerattacken führen kann. Planen Sie Ihre Mahlzeiten im Voraus, um sicherzustellen, dass Sie stets gesunde Optionen zur Hand haben. Achten Sie darauf, genug Wasser zu trinken, da Dehydrierung oft mit Hunger verwechselt wird.

Ein Ernährungstagebuch zu führen kann Ihnen helfen, Ihre Essgewohnheiten zu überwachen und festzustellen, wo mögliche Verbesserungen vorgenommen werden können. Es ist auch eine gute Möglichkeit, sich bewusst zu machen, was und wie viel Sie wirklich essen, und Ihnen zu helfen, unnötiges Naschen zu vermeiden.

Bewegung und Sport

Neben der Ernährung ist regelmäßige körperliche Aktivität ein wichtiger Bestandteil eines erfolgreichen Abnehmplans. Es ist wichtig, eine Form der Bewegung zu finden, die Ihnen Spaß macht und die Sie gerne regelmäßig ausüben. Dies könnte alles von Spaziergängen, Joggen, Radfahren bis hin zu Fitnesskursen oder Krafttraining im Fitnessstudio sein.

Es ist empfehlenswert, mindestens 150 Minuten moderate körperliche Aktivität pro Woche durchzuführen, um Gewicht zu verlieren und die Gesundheit zu verbessern. Sie können auch gezielte Übungen wie Bauchmuskeltraining oder Yoga in Ihren Trainingsplan integrieren, um bestimmte Problemzonen anzusprechen.

Es ist wichtig, realistische Ziele zu setzen und sich nicht zu überfordern. Beginnen Sie langsam und steigern Sie die Intensität und Dauer Ihrer Workouts allmählich, um Verletzungen zu vermeiden. Denken Sie daran, dass jeder Fortschritt zählt, egal wie klein er scheinen mag.

Psychologische Aspekte

Beim Abnehmen spielen auch psychologische Aspekte eine wichtige Rolle. Es ist wichtig, sich mit Ihren individuellen Essgewohnheiten, Emotionen und Auslösern auseinanderzusetzen, um langfristige Veränderungen vornehmen zu können. Identifizieren Sie mögliche Stressfaktoren, die zu emotionalem Essen führen, und suchen Sie nach gesunden Bewältigungsstrategien.

Es kann auch hilfreich sein, Unterstützung von Freunden, Familie oder einem professionellen Ernährungsberater zu suchen, der Sie bei Ihrem Abnehmprozess unterstützt. Gemeinsam können Sie Herausforderungen überwinden, motiviert bleiben und positive Veränderungen vornehmen. Denken Sie daran, dass es völlig normal ist, ab und zu Rückschläge zu erleben, und dass Sie nicht perfekt sein müssen.

Eine positive Einstellung und Selbstakzeptanz sind entscheidend für Ihren Erfolg beim Abnehmen. Seien Sie geduldig mit sich selbst, geben Sie sich selbst Lob für Ihre Fortschritte und erinnern Sie sich daran, dass Gesundheit und Wohlbefinden wichtiger sind als eine bestimmte Zahl auf der Waage.

Schlaf und Entspannung

Ein weiterer wichtiger, oft vernachlässigter Aspekt beim Abnehmen ist ausreichender Schlaf und Entspannung. Schlafmangel kann zu Heißhunger und einem gesteigerten Verlangen nach ungesunden Lebensmitteln führen, da der Körper versucht, fehlende Energie zu kompensieren. Planen Sie ausreichend Zeit für regelmäßigen und erholsamen Schlaf ein, um Ihre Gesundheit und Ihr Gewichtsmanagement zu unterstützen.

Es ist auch wichtig, Stress abzubauen und Entspannungstechniken wie Meditation, Yoga oder Atemübungen in Ihren Alltag zu integrieren. Stresshormone wie Cortisol können zu einer Gewichtszunahme führen, indem sie den Stoffwechsel verlangsamen und die Fettverbrennung hemmen. Indem Sie Stress reduzieren und Ihre geistige Gesundheit fördern, können Sie Ihren Abnehmerfolg unterstützen.

Vergessen Sie nicht, dass Gewichtsabnahme ein langfristiger Prozess ist, der Geduld, Disziplin und Selbstfürsorge erfordert. Seien Sie stolz auf sich für jeden Schritt, den Sie machen, und bleiben Sie motiviert, auch wenn es mal schwierig wird. Mit der richtigen Herangehensweise und einem starken Willen können Sie Ihr Ziel von 20 kg Abnahme erreichen und langfristig glücklicher und gesünder leben.

Zusammenfassung und FAQ

Um das Ziel von 20 kg Gewichtsabnahme zu erreichen, ist es wichtig, eine ganzheitliche Herangehensweise zu verfolgen, die Ernährung, Bewegung, psychologische Aspekte, Schlaf und Entspannung umfasst. Durch eine ausgewogene Ernährung, regelmäßige körperliche Aktivität, die Auseinandersetzung mit psychologischen Herausforderungen und ausreichend Schlaf können Sie Ihren Abnehmzielen näherkommen.

Es ist wichtig, realistische Ziele zu setzen, sich nicht zu überfordern und sich selbst liebevoll zu behandeln. Seien Sie stolz auf Ihre Fortschritte, auch wenn sie klein erscheinen, und bleiben Sie motiviert durch die Unterstützung von Freunden, Familie oder Experten. Mit der richtigen Einstellung und einem Plan, der zu Ihnen passt, können Sie langfristig erfolgreich Gewicht verlieren und ein gesünderes, glücklicheres Leben führen.

Für weitere Informationen zu spezifischen Themen wie Ernährung, Trainingstipps oder psychologische Unterstützung lesen Sie gerne unsere FAQ unten oder kontaktieren Sie einen professionellen Ernährungsberater, Trainer oder Psychologen. Wir sind hier, um Ihnen auf Ihrem Weg zum Erfolg zu helfen und freuen uns darauf, Ihre Fragen zu beantworten und Sie zu unterstützen.

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Hey guys, I am on my weightloss journey. I started with 66kgs and now I am down to 54 and also I have loose this all 12 kgs in just 60 days, had my breaks between, cheat meals and also attended a wedding too. Due to sinus I was not able to diet or workout properly but then again we are so back just because of your love and support 💖. I am extremely greatful that you guys are so motivating that keeps me going on this fat burning weight loss journey and I have been consistent just because of you. It's not my discipline but you guys support. Thanks for lots of love my family 💓 Love you all rians 💖💓✨ Also if you want any link or recipe then do comment on this video, If you like it then do hit like and subscribe 😊 Day -1 of my weightloss after loosing 12 kgs in just 60 days ✨💗 . . . . . . #weightlossjourney #weightlosstranformation #weightlossforwomen #whatieatinadaytoloseweight #fatlosstips #pcoddiet #diet #pcod #fitness #fitnessroutine #manifestation #consistency #discipline #nosugar #viral #dietplan #desidiet #aesthetic #desiaesthetics✨️ #ａｅｓｔｈｅｔｉｃ #explorepage #trendingnow

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As society becomes increasingly health-conscious, people are constantly on the lookout for ways to improve their well-being. One approach that has gained significant popularity in recent years is the combination of apple cider vinegar (ACV) and the ketogenic diet (keto). Both ACV and keto have been shown to offer a range of health benefits on their own, but when used together, they can create a powerful synergy that enhances overall health and well-being. SimplyHealth ACV Keto is a unique approach that combines the benefits of SimplyHealth’s high-quality ACV with the principles of the keto diet to help individuals achieve optimal health.

Understanding ACV and Keto

Apple cider vinegar has long been touted for its numerous health benefits. It is rich in acetic acid, which has been shown to have antimicrobial properties and may help regulate blood sugar levels and promote weight loss. ACV is also a good source of antioxidants, which can help protect the body against oxidative stress and inflammation. When consumed regularly, ACV can support gut health, improve digestion, and boost overall immunity.

The ketogenic diet, on the other hand, is a high-fat, low-carb eating plan that has been shown to promote weight loss, improve metabolic health, and increase energy levels. By reducing carbohydrate intake and increasing fat consumption, the body is forced into a state of ketosis, where it burns fat for fuel instead of glucose. This can lead to rapid weight loss, improved insulin sensitivity, and enhanced cognitive function.

When combined, ACV and keto can complement each other’s effects and amplify their respective benefits. ACV can help support digestion and gut health, which is essential when transitioning to a high-fat diet like keto. Additionally, the acetic acid in ACV may help improve insulin sensitivity, making it easier for the body to enter ketosis and burn fat for energy. The anti-inflammatory properties of ACV can also help reduce inflammation in the body, which is often a side effect of the keto diet.

The Benefits of SimplyHealth ACV Keto

SimplyHealth ACV Keto takes the combination of ACV and keto to the next level by providing high-quality ACV in a convenient supplement form. SimplyHealth’s ACV is made from organic, non-GMO apples and is raw, unfiltered, and unpasteurized to preserve its natural enzymes and nutrients. Each serving of SimplyHealth ACV Keto is carefully formulated to provide the optimal amount of ACV needed to support ketosis and overall health.

One of the key benefits of SimplyHealth ACV Keto is its ability to support weight loss. ACV has been shown to help increase feelings of fullness, reduce appetite, and boost metabolism, all of which can aid in weight loss when following a ketogenic diet. By incorporating SimplyHealth ACV Keto into their daily routine, individuals may experience faster and more sustainable weight loss results.

In addition to weight loss, SimplyHealth ACV Keto can also help improve digestion and gut health. The acetic acid in ACV acts as a natural probiotic, promoting the growth of beneficial gut bacteria and supporting overall digestive function. This can help prevent digestive issues such as bloating, gas, and constipation, which are common when transitioning to a high-fat diet like keto.

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How to Incorporate SimplyHealth ACV Keto into Your Routine

Adding SimplyHealth ACV Keto to your daily routine is easy and convenient. Simply take the recommended dose of SimplyHealth ACV Keto supplement once or twice a day, either on its own or mixed with water or your favorite beverage. For best results, it is recommended to take SimplyHealth ACV Keto before meals to help support digestion and metabolism.

For those following a ketogenic diet, SimplyHealth ACV Keto can be a valuable addition to their nutritional plan. The combination of ACV and keto can help individuals achieve and maintain ketosis, reduce cravings, and improve energy levels. By incorporating SimplyHealth ACV Keto into their routine, individuals can maximize the benefits of both ACV and keto and enhance their overall health and well-being.

FAQs About SimplyHealth ACV Keto

1. Can SimplyHealth ACV Keto help with weight loss?

Yes, SimplyHealth ACV Keto is formulated to support weight loss by boosting metabolism, reducing appetite, and promoting fat burning. When used in conjunction with a ketogenic diet, SimplyHealth ACV Keto can help individuals achieve their weight loss goals more effectively.

2. Are there any side effects of using SimplyHealth ACV Keto?

SimplyHealth ACV Keto is made from natural, organic ingredients and is generally well-tolerated by most individuals. However, some people may experience minor side effects such as digestive upset or allergic reactions. It is always recommended to consult with a healthcare professional before starting any new supplement regimen.

3. How long does it take to see results with SimplyHealth ACV Keto?

The timeline for experiencing results with SimplyHealth ACV Keto can vary depending on individual factors such as diet, exercise, and overall health. Some people may notice improvements in digestion and energy levels within a few days, while weight loss results may take longer to manifest. Consistency and patience are key when using SimplyHealth ACV Keto for optimal results.

4. Can SimplyHealth ACV Keto be used by individuals with dietary restrictions?

SimplyHealth ACV Keto is suitable for individuals following a wide range of dietary restrictions, including gluten-free, dairy-free, and vegetarian diets. The supplement is free from artificial ingredients, fillers, and preservatives, making it a safe and effective choice for those with specific dietary needs.

5. Where can I purchase SimplyHealth ACV Keto?

SimplyHealth ACV Keto is available for purchase directly from the SimplyHealth website and select online retailers. By ordering from the official website, customers can ensure they are getting a genuine, high-quality product that is backed by the SimplyHealth guarantee of purity and potency.

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