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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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Melting off a few pounds is a popular goal for most who try but finding a method to do it is not easy. The market for weightloss has become a very dynamic industry, especially with new products and technologies arriving to facilitate the public to lose unnecessary fats. One of the latest development in the weightloss medication is the diet drugs was featured in several tv show contest, such as the Shark Tank.

Diet Drug on Shark Tank: Innovations in Weight Loss Medication

As a popular TV show, Shark Tank offers a platform for ‘entrepreneurs to make their best pitch to a panel of five tycoons and try to convince them to invest in their companies’. Shark Tank has showcased diet drugs these past few seasons that purport to cause weight loss by different methods. These products are disruptive approaches for potential patients, as well as medical professionals, to manage obesity through weight loss.

One of the most talked-about diet drugs on Shark Tank is an all-natural supplement that boosts the metabolism and suppresses the appetite without any side effects. The diet drug represents cutting-edge technology, with clinical trials and studies to back up claims that it can help you lose weight in a safe and effective way. Located in your cells’ mitochondria, sirtuins apparently play a unique role in metabolism that will allow you to control your appetite.

The Science Behind Weight Loss Medication

Weight loss medication works in many ways to help the individual lose weight. For instance, there are diet drugs that work by elevating metabolism which allows the blood to process calorie-rich food better. Some drugs suppress appetite where an individual can better regulate his/her food intake or what they eat. Drugs will never work in replacement to a proper diet and exercise.

Second, diet medication directly attacks biological pathways that govern appetite or metabolism. It manipulates different uncontrolled hormones or enzymes in the body that regulate the way people feel full, the way they break down food in the gut to absorb it, or how fat is burned for energy. Manipulating these biological processes allows someone to overcome some of the natural barriers to permanent weight loss. By getting those hormones and enzymes to act appropriately, diet drugs help someone stay healthy long-term. Proper weight loss medication gives its users what no diet and exercise programme could: a tailor-made solution for the way their body naturally copes with obstacles to weight loss.

Potential Benefits and Risks of Diet Drugs

Even with considerable advancement in diet drugs as a real alternative to lose weight, there are pros and cons to consider. Weight loss medication can help people looking to lose weight by having a jumpstart in actual weight management as well as overcoming plateaus. For example, someone grappling with a disease or having metabolism issues can try diet drugs for faster recovery.

But diet drugs aren’t without their risks, and you should speak with a doctor before starting any new medication regimen. Your diet med can cause stomach upset, sleeplessness and a racing heart, and it might interact with other medicines or other health problems you have.

Evaluating the Efficacy of Weight Loss Medication

The bottom line here is no different than when evaluating any commercial weight loss product or program; you need to examine their scientific efficacy and tolerance (‘does it really work, and does it do so in a healthy way?’) in relation to your requirements. Seek a product that is clinically tested and proven to do what it says it will and to do so in a manner that is not harmful to your overall health and wellbeing. Consider consulting with a healthcare provider or nutritionist to determine if weight loss medication is a suitable option to include in your weight loss journey.

Overall, diet drugs on Shark Tank have finally brought innovation to weight loss medication. These products aim to provide new ways to conquer common obstacles to losing weight and fiver people the opportunity to live healthier, more enjoyable lives. However, if you are considering using weight loss medication to achieve your weight loss goals, you should do so with caution and seek information on the possible benefits and risks associated with them before incorporating them into your routine.

Summary: Frequently Asked Questions

Q: Are diet drugs safe for long-term use?

A: Since these medicines can have side-effects as well as complications from long-term use, anyone considering use of diet drugs should discuss them with a healthcare provider first.

Q: Do diet drugs work for everyone?

A: The diet does drugs and the drugs do the diet … but sometimes all three of us need to take a break. They work when they work; but sometimes it’s better just to change your diet and explore other avenues of weight loss.

Q: How can I ensure the effectiveness of weight loss medication?

A: If you choose to incorporate an over-the-counter diet drug into your treatment strategy, it should be combined with a sensible diet and regular exercise, and lifestyle changes should also be made based on your doctor’s professional advice and consideration of what is right for you.

Q: What are the potential risks of using diet drugs?

A: Some side effects of weight loss medication include gastrointestinal problems, insomnia and increased heart rate. Those candidates with occult and even overt medical conditions or contraindications should use diet drugs with caution.

Q: Where can I find more information about weight loss medication?

A: If you want more information and guidance on using medication for weight loss, talk to your GP or other healthcare provider, a nutritionist or other health and wellness experts.

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The ketogenic diet has gained immense popularity in recent years for its ability to help individuals lose weight, improve their overall health, and boost energy levels. One of the latest trends within the keto community is the use of keto science gummies, which are specially formulated to support a keto lifestyle. These gummies are not only delicious but also packed with essential nutrients that can aid in maintaining ketosis and provide various health benefits.Do Fat Burners Work How Do They Work Are Fat Burners Safe Fatburners Caffeine Weightloss

Understanding the Science Behind Keto Gummies

Keto science gummies are made up of a unique blend of ingredients that are specifically chosen to support a ketogenic diet. These gummies typically contain high amounts of healthy fats, such as coconut oil or MCT oil, which can help the body stay in ketosis. Additionally, they often include electrolytes like magnesium, potassium, and sodium, which are essential for maintaining proper hydration levels while on a low-carb diet.

Furthermore, keto gummies may also contain collagen, a protein that can support joint health, improve skin elasticity, and promote hair growth. Collagen is especially beneficial for individuals following a keto diet, as it can help offset the potential loss of muscle mass that may occur during the initial stages of ketosis.

Moreover, keto science gummies are usually sweetened with natural sugar alternatives like stevia or erythritol, making them a healthier option compared to traditional sugary snacks. These gummies are also free from artificial colors, flavors, and preservatives, making them a safe and nutritious choice for individuals looking to support their keto lifestyle.

Benefits of Incorporating Keto Gummies Into Your Diet

There are several benefits to incorporating keto science gummies into your diet, especially if you are following a ketogenic lifestyle. Firstly, these gummies can help curb cravings for sugary snacks and desserts, making it easier to stick to your low-carb diet. The sweet taste of the gummies can satisfy your cravings without causing a spike in blood sugar levels, making them a great option for maintaining ketosis.

Additionally, keto gummies can provide a convenient and portable source of nutrients that are essential for a healthy keto diet. They are easy to take on the go, making them ideal for busy individuals who may not have time to prepare a keto-friendly meal or snack. By incorporating keto gummies into your daily routine, you can ensure that you are getting the nutrients you need to support your overall health and well-being.

Moreover, keto science gummies can help improve digestion and gut health due to the presence of prebiotic fibers like inulin or chicory root. These fibers can promote the growth of beneficial gut bacteria, which are essential for maintaining a healthy digestive system and supporting overall immune function. By including keto gummies in your diet, you can promote better digestion and encourage a healthy gut microbiome.

How to Choose the Best Keto Gummies for Your Needs

When selecting keto science gummies, it is essential to look for products that are made with high-quality ingredients and free from any harmful additives. Choose gummies that contain a good balance of fats, proteins, and fiber to help you stay full and satisfied throughout the day. Additionally, opt for gummies that are sweetened with natural sugar alternatives and do not contain any artificial colors or preservatives.

It is also important to consider the taste and texture of the gummies, as you want to enjoy consuming them regularly. Look for gummies that have a pleasant flavor and chewy texture, making them a satisfying treat that you look forward to eating. Reading reviews and checking the ingredients list can help you make an informed decision when selecting the best keto gummies for your needs.

Furthermore, consider the nutritional profile of the keto gummies, including the amounts of fats, proteins, and carbs per serving. Choose gummies that align with your daily macronutrient goals and support your overall health and wellness. By selecting the best keto gummies for your needs, you can enhance your ketogenic lifestyle and enjoy the benefits of these convenient and delicious snacks.

Integrating Keto Gummies Into Your Daily Routine

There are many ways to integrate keto science gummies into your daily routine to support your ketogenic lifestyle. You can enjoy them as a mid-morning or afternoon snack to help curb cravings and keep you on track with your low-carb diet. Additionally, you can incorporate them into your pre-workout or post-workout routine to provide a quick source of energy and nutrients to fuel your exercise sessions.

You can also use keto gummies as a dessert alternative to satisfy your sweet tooth without derailing your diet. Enjoy them as a guilt-free treat after dinner or as a late-night snack to satisfy your cravings for something sweet. By incorporating keto gummies into your daily routine, you can enjoy the benefits of a ketogenic diet while still satisfying your taste buds and enjoying delicious snacks.

Moreover, you can use keto science gummies as a convenient and portable source of nutrients when you are on the go or traveling. Pack them in your bag or purse to have a healthy snack option readily available whenever you need a quick energy boost. By making keto gummies a part of your daily routine, you can support your ketogenic lifestyle and enjoy the many benefits that these tasty snacks have to offer.

In conclusion, keto science gummies are a delicious and nutritious option for individuals following a ketogenic diet. Packed with essential nutrients, beneficial fats, and prebiotic fibers, these gummies can help support ketosis, curb cravings, improve digestion, and promote overall health and well-being. By selecting high-quality keto gummies and integrating them into your daily routine, you can enhance your ketogenic lifestyle and enjoy the many benefits that these convenient snacks have to offer.

FAQ

Q: Are keto science gummies suitable for everyone?

A: Keto gummies are generally safe for most individuals, but it is essential to read the ingredients list carefully and consult with a healthcare professional if you have any dietary restrictions or health concerns.

Q: Can keto gummies help with weight loss?

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A: While keto gummies can help curb cravings and support a ketogenic diet, they should be consumed as part of a balanced diet and active lifestyle to achieve weight loss goals.

Q: How many keto gummies should I eat per day?

A: The recommended serving size of keto gummies can vary depending on the brand and product. It is best to follow the serving suggestions on the packaging and adjust based on your individual dietary needs and goals.

Q: Are there any side effects of consuming keto gummies?

A: Some individuals may experience digestive discomfort or changes in bowel habits when consuming keto gummies, especially if they contain high amounts of certain sugar alcohols like erythritol. It is important to monitor your body’s response and make adjustments as needed.

Q: Can I make my own keto gummies at home?

A: Yes, there are many recipes available online for making homemade keto gummies using natural and low-carb ingredients. This can be a fun and creative way to customize your snacks and ensure that they align with your dietary preferences and goals.