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Sign up for our Nutrition program! It's available to anyone, anywhere: https://www.poundofcureweightloss.com/nutrition Managing Diabetes, Hair Loss, and GLP-1 Medication After Bariatric Surgery In the latest episode of the *Pound of Cure Weight Loss Podcast*, Dr. Matthew Weiner discussed key topics such as managing diabetes, hair loss after bariatric surgery, and the role of GLP-1 medications post-sleeve gastrectomy. The Best Diet for Diabetics Dr. Weiner corrected the misconception that diabetes is purely caused by carbohydrate overconsumption. He emphasized that the root cause is insulin resistance, not sugar intake. While cutting carbs can help, a plant-based diet rich in phytonutrients is ideal for managing diabetes. These nutrients, found in vegetables and fruits, improve insulin sensitivity, making them a critical component of a diabetic-friendly diet. Research also shows that consumption of animal fat is linked to insulin resistance, further stressing the need to prioritize a plant-rich diet over processed carbohydrates or animal protein. Addressing Hair Loss After Bariatric Surgery Hair loss is a common issue after bariatric surgery, typically occurring between three to six months post-op. Dr. Weiner explained that the rapid weight loss and nutritional deficiencies that follow surgery contribute to this. To minimize hair loss, it’s crucial to start taking bariatric multivitamins early, ideally as soon as the decision to undergo surgery is made. Iron and biotin (10,000 mcg daily) are particularly important in preventing hair loss. Additionally, Dr. Weiner recommended starting patients on minoxidil before surgery, as this can significantly reduce post-surgical hair thinning. Building up vitamin stores before surgery ensures that patients are less likely to suffer from deficiencies that can exacerbate hair loss. The Role of GLP-1 Medications After Sleeve Gastrectomy A major focus of the podcast was the use of GLP-1 medications, like semaglutide, after sleeve gastrectomy. Dr. Weiner explained that while sleeve surgery helps patients lose weight initially, up to 50% of patients experience weight regain. GLP-1 medications work by improving insulin sensitivity and lowering the body’s metabolic set point, which helps maintain weight loss. For many patients, especially those with higher BMIs, surgery alone is not enough. GLP-1 medications provide a long-term solution to weight maintenance by reducing insulin levels, which play a crucial role in fat storage. Dr. Weiner stressed that these medications should be seen as part of a lifelong treatment plan rather than a short-term fix. Conclusion Dr. Weiner emphasized that successful weight loss and diabetes management require a combination of treatments, including surgery, medication, and a plant-focused diet. Whether it’s preventing diabetes, minimizing hair loss, or maintaining weight loss with GLP-1 medications, a comprehensive, individualized approach is key to long-term success. Social Media: https://www.facebook.com/APoundofCure https://www.instagram.com/drmatthewweiner/?hl=en https://www.tiktok.com/creator-center/content Books: A Pound of Cure https://www.amazon.com/gp/product/B00AEYQYDE/ https://www.audible.com/pd/A-Pound-of-Cure-Audiobook/B09T777LSW How Weight Loss Surgery Really Works https://www.amazon.com/gp/product/1688128808/ The Bariatric Diet Guide and Cookbook https://www.amazon.com/Bariatric-Diet-Guide-Cookbook-Weight-Loss/dp/1615649875/ 00:00 Disclaimer 00:38 Introduction 1:04 How does a diet high in animal protein lead to diabetes? 4:43 How long should you be on the Metabolic Reset Diet? 7:31 Will all VSG patients need to be on GLP-1 medications at some point? 12:43 Is there anything I can do to minimize hair loss after surgery?
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Popular weight loss and diabetes drugs like Ozempic and Wegovy have been added to Medicare’s list of medications that will be negotiated directly between the government and drug manufacturers, the Biden administration said Friday.
The price negotiations for the additional 15 drugs selected will be handled by the incoming Trump administration and, if deals are reached, almost assure billions of dollars in savings for taxpayers.
Besides Ozempic and Wegovy, some of the other medications include Trelegy Ellipta, which treats asthma; Otezla, a psoriatic arthritis drug; and several that treat different forms of cancer.
The list is a first step in negotiations and, given the timing, the details and final pricing will be left to President-elect Donald Trump’s administration.
“For some people this is a big deal,” U.S. Health and Human Services Secretary Xavier Becerra said in a call with reporters on Thursday. “Some folks have to skip a dose in their prescription so they can make a prescription last longer.”
That brings the total to 25 drugs that will have lower price tags for Medicare enrollees.
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