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What is Metabolism? Metabolism refers to the biochemical processes in which our bodies convert food and drink into energy. This energy is then used to fuel bodily functions such as breathing, circulating blood, and repairing cells. Metabolism is divided into two categories: Catabolism: Catabolism is the set of metabolic pathways that break down molecules into smaller units to release energy. It involves the breakdown of complex molecules such as carbohydrates, fats, and proteins into simpler ones like glucose, fatty acids, and amino acids. This breakdown process releases energy, which is captured in the form of adenosine triphosphate (ATP), the primary energy carrier in cells. In simple terms, catabolism is the breakdown of molecules to obtain energy. Anabolism: Anabolism is the set of metabolic pathways that construct molecules from smaller units. These biosynthetic processes require energy, which is often derived from ATP produced during catabolic reactions. Anabolism is responsible for the growth and repair of tissues, the storage of energy, and the production of molecules necessary for cellular functions. In simple terms, anabolism is the synthesis of compounds needed by the cells. How Does Metabolism Maintain Weight? Our body weight is determined by the balance between the calories we consume and the calories we expend. Metabolism plays an important role in this balance: Basal Metabolic Rate (BMR): This is the amount of energy expended while at rest. It accounts for about 60-80% of daily calorie expenditure and includes the energy required for vital functions like breathing and keeping the heart beating. Thermic Effect of Food (TEF): This is the energy required for digestion, absorption, and removal of ingested nutrients. It accounts for about 10% of daily energy expenditure. Physical Activity: This includes all movements, from exercise to daily activities like walking or cleaning. It can vary greatly among individuals and is the most variable component of our energy expenditure. What Happens to Our Metabolism When We Lose Weight? When we lose weight, several changes occur in our metabolism: Reduction in BMR: Loss of Lean Body Mass: During weight loss, especially if it’s rapid or involves severe calorie restriction, some of the weight loss can be from lean muscle mass. Since muscle tissue is more metabolically active than fat tissue, a decrease in muscle mass leads to a reduction in BMR. Smaller Body Size: A smaller body requires fewer calories to maintain. As you lose weight, your body mass decreases, and thus the energy required to sustain basic bodily functions also decreases. Adaptive Thermogenesis: Metabolic Adaptation: The body responds to caloric restriction and weight loss by becoming more energy-efficient. This means that for a given level of activity, the body will burn fewer calories. This adaptive thermogenesis is believed to be a survival mechanism developed during periods of food scarcity in human history. Decreased Energy Expenditure from Physical Activity: Reduced Body Mass: When you weigh less, the energy cost of physical activities decreases. For instance, walking or running requires less energy if you are lighter. Why Steady Weight Loss is Better than Rapid Weight Loss Steady, gradual weight loss is generally considered more effective and sustainable than rapid weight loss for several reasons we just mentioned: Preservation of Lean Muscle Mass: Slow weight loss helps preserve lean muscle mass, which is crucial for maintaining a higher metabolic rate. Sustainable Habits: Gradual weight loss encourages the development of healthy, sustainable habits rather than quick fixes that are difficult to maintain. Also, keep in mind that rapid weight loss can lead to nutrient deficiencies, as it often involves restrictive diets that may lack essential nutrients. This can cause deficiencies that may impact overall health, energy levels, immune function, and more. It’s imperative that we focus on adequate intake of lean proteins, healthy fats, and complex carbohydrates in addition to vitamins and minerals to maintain our metabolism. Also, slow, steady weight loss is associated with a lower risk of regaining the lost weight compared to rapid weight loss. How GLP-1 Receptor Agonists Affect Metabolism GLP-1 (glucagon-like peptide-1) receptor agonists, such as semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound) help with weight loss and affect metabolism. They work by: Increasing Insulin Secretion: GLP-1 agonists increase insulin secretion in response to meals, which helps regulate blood sugar levels. Reducing Appetite: These medications help reduce appetite and increase feelings of satiety, leading to lower calorie intake. Slowing Gastric Emptying: GLP-1 agonists slow the emptying of the stomach, which prolongs the feeling of fullness after...
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Dr. G and Bri break down all there is to know about weight loss meds, from what to expect during a consultation to why a plastic surgery office is the place to go for them. They also share their own personal experiences with these meds: the benefits, the side effects, and how their cravings have done a total 180. Dr. G & Bri cover: - The differences between semaglutide and tirzepatide - The headache of medication shortages - Risks of unregulated compounding pharmacies - Why medical oversight makes all the difference - Bonus perks of weight loss meds (beyond the scale) - What happens if you overindulge while on these meds - The importance of sourcing meds from legit providers - Why lab work is a must before you start - Whether you need to stay on the meds after reaching your goal - Tips for managing loose skin after weight loss Trending stories: Forbes, Plastic Surgeons Predict The Top Aesthetic Procedures For 2025 https://www.forbes.com/sites/jessicaourisman/2024/12/16/plastic-surgeons-predict-the-top-aesthetic-procedures-for-2025/ Yahoo, "I Went To The Wrong Guy To Put My Face Back Together": 7 Male Celebrities Who Opened Up About Their Cosmetic Surgery Regrets https://www.yahoo.com/entertainment/7-famous-men-regretted-cosmetic-113103303.html Weight loss-related articles: Daily Mail, Demand for Ozempic and Wegovy will soar in New Year - as people keen to lose weight say they'll enjoy one final festive feast before starting obesity drugs https://www.dailymail.co.uk/femail/article-14189787/Ozempic-Wegovy-sales-soar-New-Year-Christmas-dinner.html Daily Mail, Sports Illustrated Swimsuit model Brooks Nader admits she 'really liked' Ozempic https://www.dailymail.co.uk/femail/article-14186091/sports-illustrated-model-brooks-nader-really-liked-ozempic.html ScienceNews, The benefits of Ozempic and its kin may extend far beyond weight loss https://www.sciencenews.org/article/benefits-ozempic-weight-loss-glp1 Links Learn more about our prescription weight loss program https://restoresdplasticsurgery.com/procedures/prescription-weight-loss-program/ Hosted by San Diego plastic surgeon Dr. Kat Gallus and her trusty sidekick scrub tech Bri, this is a podcast for women who have always wished they had a slightly snarky, super experienced, and totally unintimidating female plastic surgeon as their BFF to help sort through the what, where, and why of the available cosmetic treatment options. All the B’s covers aesthetics and plastic surgery through the lens of trending pop culture stories and celebrity gossip. Who are the B’s? The all-female team working closely with Dr. Gallus every day at Restore SD Plastic Surgery in La Jolla, California. Getting plastic surgery is a big deal, and they go the extra mile to make sure you feel super comfortable and know exactly what's going on. To learn more about the practice or ask a question, go to https://restoresdplasticsurgery.com/ Follow Dr. Gallus and the team on Instagram @restoresdplasticsurgery (https://www.instagram.com/restoresdplasticsurgery/) Watch Dr. Gallus and Bri on YouTube @restoresdplasticsurgery7487 (https://www.youtube.com/channel/UChuFFMd4bauIfHr1wgIRTQA) Got a question for us? Send us a message or leave us a voicemail at https://itsthebs.com/ Co-hosts: Dr. Katerina Gallus & Brianna Lempe Producer: Eva Sheie Assistant Producers: Mary Ellen Clarkson & Hannah Burkhart Engineering: Aron Devereaux Theme music: Rear View, Nbhd Nick Cover Art: Dan Childs All the B’s is a production of The Axis: https://www.theaxis.io/ Contents of this video: 00:00 - 2024 wrapped 01:35 - Lindsay Lohan’s whole new face 02:40 - Regenerative aesthetics 08:10 - The early intervention facelift 11:20 - Post weight loss body procedures 12:20 - Male celebrities with cosmetic surgery regrets 25:05 - Demand for Ozempic and Wegovy in 2025 27:30 - Brooks Nader admits she “really liked” Ozempic 30:45 - Why was there so much controversy with semaglutide? 33:30 - Semaglutide & tirzepatide shortages 37:00 - Why is lab work important for weight loss meds? 38:40 - Benefits of semaglutide 40:15 - Our experiences on weight loss meds 52:40 - Our patients’ weight loss results 53:40 - Maintenance on weight loss medications 56:10 - Staying active on weight loss meds 57:48 - Getting rid of loose skin after weight loss 59:20 - Getting to your goal weight to be eligible for surgery 1:01:10 - Scheduling your weight loss consultation 1:03:40 - Does the skinny shot hurt? 1:04:16 - The most common GLP-1 injection sites 1:04:40 - Takeaways