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Welcome to Half Size Me Podcast Episode 680! 🎙️ Today, Coach Heather shares insights from working with clients on GLP-1 medications, including how to manage expectations, build sustainable habits, and avoid common pitfalls.
If you're considering GLP-1 medications (such as Wegovy or Ozempic) or currently using them, this episode will help you understand the importance of protein intake, meal planning, and realistic weight loss expectations. Plus, learn how your habits—not just the medication—are the key to long-term success.
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📢 Disclaimer: Heather is not a doctor, nurse, or certified health professional. What works for her or her guests may, or may not, work for you. Please consult your doctor, dietitian, or another certified health professional before making decisions about your weight loss or weight maintenance plan. All information included in The Half Size Me™ Podcast, YouTube channel, social media, and on HalfSizeMe.com is for informational and inspirational purposes only.
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Mark discusses his experience using semaglutide (aka Ozempic or Wegovy) after bariatric surgery.
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Do these drugs work? Are there side effects and who can get them? We actually have the perfect guest for you, doctor Decotiis, who specializes in medical weight loss. She has a private practice in New York City. And doctor, some of the brand names. We all know them. Ozempic Wegovy Mounjaro assume for a moment there is no such thing as a side effect. Do these drugs work?
Absolutely. And the studies that came out were blew everybody away, especially when Mounjaro came out because Ozempic was already such a hit. And then when they did the Lilly study, they found that patients lost 5 to 7% more weight than patients that were on Mounjaro on Ozempic. So that was like thrilling for everybody. Um, and if these drugs are used properly and perhaps for a certain length of time, they really can re-regulate someone's metabolism so they can get off these drugs and they're going to find that they're burning more fat, burning more calories. Exercise gets easier and they start craving healthy foods. So it was almost too good to be true. It's actually true if these drugs are used properly. And I see that in my practice every single day.
So now let's talk about the side effects. And I want to play for you what a doctor told Scripps News. Take a listen.
I would say it's a risk versus benefit situation. I think pharmacology is a tricky business. I think if you open up any label on any drug, you could pick Tylenol, aspirin, things that we've taken for years. Well, if you open up to the Side effect pamphlet, there's a litany of items listed there.
So Doctor Decotiis's the makers of these drugs saying there could be some gastrointestinal or GI issues. What should people know?
Well. The most common side effect are these GI symptoms, such as nausea, vomiting and some reflux. Reflux where you feel like you're tasting your food again, a little constipation as well. However, most of these side effects can be mitigated with drinking enough water, and many doctors are not telling their patients that they might need to drink upwards of a gallon a day. Now, there are more serious side effects where the stomach goes into a real spasm and doesn't process food. That's highly unusual. And then there's also pancreatitis, which is also highly unusual. I've never seen a case, and I've been using these medications now for quite a while in my New York City weight loss practice. Doctor.
Realistically, how much should someone expect to lose if they start on these drugs?
You can lose up to 20 or 25% of your body weight, which is pretty amazing. And I keep I know I keep eating this to death about using these drugs properly, but when someone is hydrated and monitored, they do not cause muscle to be burned. So you're able to preserve or actually increase your muscle mass. So you hear all these people concerned about Ozempic face and they've lost muscle. I don't really believe that occurs if a patient is using the drug properly, because these drugs not only curtail appetite, they enhance the way insulin functions. And insulin is your major fat burning hormone. If your insulin is not working well, then you're not going to be able to burn fat. You're also not going to be able to lose weight at the gym after a certain age either. So once we turn insulin on, it's like flipping a switch and the body starts burning fat once. That's the mechanism of action.
Once you start taking a medication like this, how hard is it to stop?
It can't.
Well, the thing is, it doesn't get you high, so you're not really you're not really getting any real highs from this. It's not an addictive drug, but I think you want to get off it once your body fat is down substantially, you don't want to stop it before your body fat is down. So let's say Dell, you wanted to lose 30 pounds. You were on these drugs, you lost 30 pounds. And then the doctor said, okay, Dell, we don't need to give this to you anymore, but you're going to gain the weight back because we really have to be sure that, number one, that you actually burned body fat. Okay, that's number one. Number two, we want to kind of support insulin while it adjusts to its new body set. So after you lose a lot of weight your body metabolism resets and it may reset at a lower rate than it was before initially.
Doctor Decotiis, we have a lot more to discuss, like supply shortages and whether the government should be paying for them. We'll be joined by a reporter who specializes in her coverage of these issues as we continue this episode of Scripps News reports.
Weighing the cost.
Sue Decotiis, MD
20 E 46th St., #1201
New York, NY 10017
Phone: (917) 261-3177
www.drdecotiis.com/ozempic-semaglutide-mounjaro-tirzepatide-weight-loss-doctor-manhattan-nyc
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Dallas Fort Worth Weight Loss Specialist Dr. Theresa Garza on weight loss surgery versus weight loss programs.
Dr. Theresa Garza is a board-certified obesity medicine specialist. She specializes in obesity medicine (Bariatrics), the branch of medicine that deals with the causes, prevention, and treatment of obesity. Her medical (nonsurgical) weight management program is located in Plano, Texas at the Texas Health Center for Diagnostics and Surgery. She does not perform surgery.
All board-certified obesity medicine specialists hold active certification in an American Board Specialty Medical (ABMS) Board (Dr. Garza holds this in Family Medicine). However, she is not a primary care provider or general practitioner. She sees patients for weight loss and weight management only.
Dr. Garza has three experienced advanced nurse practitioners who manage patients and have successfully helped multiple patients reach and maintain healthier weights.
The program focuses on learning healthy behavior modifications, improving quality nutrition, implementing practical exercise/activity, and using FDA-approved weight loss medications when indicated. Her philosophy centers around eating the food of good quality, in moderation, and not depriving you. She also believes in regular visits to encourage patients on weight progress, improve accountability, monitor medications, and make necessary modifications in a patient’s ever-changing lifestyle.
Dr. Garza is board-certified by the American Board of Family Medicine (ABFM) and board-certified by the American Board of Obesity Medicine (ABOM). She is committed to continual education through medical lectures and meetings about current and new weight management and anti-aging practices. As a member of various professional associations such as the American Academy of Family Physicians, Obesity Medicine Association (formerly American Society of Bariatric Physicians), Dallas County Medical Society, Texas Medical Association, and Obesity Action Coalition, she stays abreast of the need and growth for bariatric medicine. She is an affiliate physician member of the American Society of Metabolic and Bariatric Surgery.
Dr. Garza and her staff understand your weight loss struggles and commend you for taking this crucial step to improving your health. They strive to give personalized, attentive care to each and every patient. Dr. Garza believes a weight management strategy is a collaboration of both patient and physician/provider and has to be practical for the patient to achieve and maintain success.
We look forward to seeing you in our office! Visit Dr. Thresa Garza for more information or to schedule your appointment today! http://weightmanagemedical.com/
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Are you struggling to lose weight and looking for a reliable solution? Dr. Juan Rivera Keto Blast Gummies might be the answer you’ve been searching for. These gummies are designed to help individuals achieve their weight loss goals by promoting ketosis in the body. But before you jump on the bandwagon, it’s essential to understand how these gummies work and whether they are right for you. In this detailed analysis, we will delve into the science behind Dr. Juan Rivera Keto Blast Gummies, explore their potential benefits, and address some common questions and concerns.
The Science Behind Dr. Juan Rivera Keto Blast Gummies
Dr. Juan Rivera Keto Blast Gummies are formulated with a blend of natural ingredients that are known to support ketosis, a metabolic state where the body burns fat for energy instead of carbohydrates. This process is achieved by restricting the intake of carbs and increasing the consumption of healthy fats and protein. The key ingredient in these gummies is Beta-Hydroxybutyrate (BHB), a ketone body that helps kickstart ketosis and accelerate fat burning. By supplementing with BHB, individuals may experience increased energy levels, enhanced mental clarity, and improved weight loss results.
Additionally, Dr. Juan Rivera Keto Blast Gummies contain other ingredients such as MCT oil, green tea extract, and apple cider vinegar, which have been shown to support weight loss and overall health. These gummies are designed to be convenient and easy to incorporate into your daily routine, making it simpler to stay on track with your weight loss goals.
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One of the main benefits of Dr. Juan Rivera Keto Blast Gummies is their ability to promote ketosis without the need for strict dietary restrictions. Many individuals struggle to maintain a ketogenic diet due to its restrictive nature, but these gummies offer a more flexible approach to achieving fat loss. By taking these gummies regularly, you may experience increased fat burning, reduced cravings, and improved energy levels.
Furthermore, Dr. Juan Rivera Keto Blast Gummies are formulated with natural ingredients and are free from artificial additives and fillers. This makes them a safe and effective option for individuals looking to jumpstart their weight loss journey without compromising their health. Additionally, these gummies are easy to take on the go, making them ideal for busy individuals who need a convenient solution for staying in ketosis.
Common Questions and Concerns About Dr. Juan Rivera Keto Blast Gummies
As with any supplement, it’s essential to address some common questions and concerns about Dr. Juan Rivera Keto Blast Gummies. One common question is whether these gummies are suitable for everyone, including individuals with pre-existing health conditions. It’s always recommended to consult with a healthcare provider before starting any new supplement regimen, especially if you have underlying health issues or are taking medication.
Another concern that individuals may have is the potential for side effects when taking Dr. Juan Rivera Keto Blast Gummies. While these gummies are generally well-tolerated, some individuals may experience minor digestive issues such as bloating or constipation in the beginning stages of supplementation. These side effects are usually temporary and can be minimized by staying hydrated and adjusting your dosage as needed.
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00:00 - Welcome and Introduction
01:37 - Agenda
02:57 - What You’ll Walk Away With
05:01 - Sublingual GLP-1 Patient Benefits
06:30 - Best Practices
07:24 - Patient/Case Scenario
10:14 - FAQ’s From First Webinar
15:09 - Dosing Strategies
25:20 - Affordable Clinic Pricing
26:30 - Clinic Pricing Calculator
31:35 - How to Prescribe Sublingual GLP-1 in Life File
37:55 - FAQ Session
38:18 - Does one bottle last for three months with this titration schedule?
39:28 - What is the purpose and benefit of the 5 days on, 2 days off dosing schedule?
40:38 - Is it possible to have this compounded with methylcobalamin or hydroxocobalamin?
41:28 - For injection dosing, can patients store both Semaglutide and Tirzepatide at room temperature?
42:45 - A lot of people have MFTHR with cyanocobalamin
44:13 - For Sublingual GLP-1 it is compounded with cyanocobalamin
44:39 - How is this compounded different with injectable compounded with pyridoxine vs cyanocobalamin?
45:44 - Can I switch from the injectable to the same maintenance dose of the sublingual formulation?
49:45 - This financial calculation is based on a monthly fee. Is it possible to charge based on the size of each vial instead?
52:18 - Do you provide services for California?
53:49 - Shipping costs? ($30 per shipment)
54:54 - Do patients each receive their own vial? I'm unclear about the vial size in relation to the dosing. Can we ship directly to patients?
57:47 - Processing time for orders?
58:23 - Does it need to be kept refrigerated?
58:34 - Is local pick-up available for same-day orders?
58:52 - Do you offer combined shipping for orders from multiple patients to our office?
1:00:06 - When will each vial expire?
1:00:30 - Have you heard of IButton? This small device monitors the temperature of product in transit.
1:01:24 - Can you make a dose comparison between the injection vs subligual?
1:03:21 - I'm trying to understand the cost structure. Did the CFO mention that we cannot upcharge the medication and instead need to implement a membership plan?
1:04:36 - What are the “symptoms” that we need to be looking for that suggest dosing is adequate?
1:06:31 - I would love for the next webinar to be about HRT and treatment options especially topical applications like unodose.
1:07:24 - If a package has been exposed to heat for 5 days and then refrigerated, does this affect the beyond-use date (BUD)? Can the patient leave it out again for another 5 days after refrigerating it?
1:08:08 - Closing Remarks
1:10:29 - Pharmacy Updates
Join Southend Pharmacy as we unveil the future of GLP-1 therapy in our latest webinar, "The Future of GLP-1 Therapy (Part 2)." This session covers key topics including dosing strategies, affordable pricing, and the use of Life File for seamless prescriptions. Learn about the benefits of our non-invasive, fast-absorbing sublingual GLP-1, designed to reduce gastrointestinal side effects and offer flexible dosing options. Our experts provide practical insights to help you confidently prescribe and tailor treatments, ensuring optimal patient outcomes. Watch now to elevate your practice with cutting-edge solutions from Southend Pharmacy.