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Dr. Frank Maddux discusses the potential impact of GLP-1 Receptor agonists and SGLT-2 Inhibitors on chronic kidney disease care. Franklin W. Maddux is global chief medical officer for Fresenius Medical Care, overseeing the delivery of high-quality, value-based care for the world’s most expansive kidney care organization. His distinguished career encompasses more than three decades of experience as a physician, expert nephrologist, technology entrepreneur, and healthcare executive. Dr. Maddux joined Fresenius Medical Care’s North America region in 2009 after the company acquired Health IT Services Group, a leading electronic health record (EHR) software company, which he founded. He developed one of the first laboratory electronic data interchange programs for the US dialysis industry and later created one of the first web-based EHR solutions, now marketed under Acumen Physician Solutions. He previously served as chief medical officer and senior vice president for Specialty Care Services Group and is the former president of Virginia’s Danville Urologic Clinic, where he was a practicing nephrologist for nearly two decades. His writings have appeared in leading medical journals, and his pioneering healthcare information technology innovations are part of the permanent collection of the National Museum of American History at the Smithsonian Institution. An alumnus of Vanderbilt University, Dr. Maddux earned his medical degree from the School of Medicine at the University of North Carolina at Chapel Hill, where he holds a faculty appointment as clinical associate professor.

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Without these 3 things, you will NEVER transform your body. Once you start implementing these 3 things, you will start losing body fat that you never lost before. Just like how I did. Plus the bonus tip at the end - that's what will ACTUALLY MOVE THE NEEDLE. Instagram: @nas.effect

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Should you listen to your body to lose fat? ➡️ Many nutrition coaches and fitness experts online will tell you to "listen to your body" when it comes to eating and nutrition. The idea is that the more you tune into how you feel when you're eating, you'll be better able to understand how emotions and stress affect your eating choices. While this is a good concept overall... If you're focused on losing fat, you need to be paying attention to the objective factors when it comes to eating... Like calories, cooking your own meals, and paying more attention to what you're actually putting into your nutrition. Combining these factors with body awareness is what's going to help you reach your health and fitness goals. Hope this helps! #nutritioncoaches #nutritionconsulting #onlinenutritionprogram #onlinenutritioncoaching #onlinenutritioncourse #nutritioncertification

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In this video, you'll learn why you're not losing weight despite putting in a good effort. Check out my free masterclass at https://go.tomic.com/free-masterclass ► If you found this video helpful Subscribe to the channel https://www.youtube.com/subscription_center?add_user=shockingfit People will blame their slow metabolism, genetics or say eating the wrong types of foods or maybe they need to change their workout. In 99% of cases, it's not a metabolic adaptation, although in rare cases it might be something like thyroid or zinc deficiency. The answer is almost always the simplest and most obvious one. The daily intake of calories isn't as low as you think it is or the expenditure is not as high as they think. Basically, there's NO DEFICIT. And most often is the case where the person is ingesting more calories than they realize. Sit down with a client and we break down everything it turns out that they're eating closer to their maintenance calories without even knowing. We're bad at estimating calories. Few reasons: - You're either not tracking properly or you're trying to eyeball portions without prior experience. - You're adding a few snacks here and there that wipe out that caloric deficit - Or you're just making errors with measurements Common errors: - Not tracking their cooking oil, that's a couple of hundred calories there. - Tracking 1 tablespoon of peanut butter but it's close to 2. That's a 100 kcal there. - An extra glass of natural fruit juice. - Healthy salad with high-calorie dressing - A handful of nuts you grabbed off the table as you walked by. - People stick to their calorie goal for 5 days and then for the weekend end up wiping out their weekly deficit in 2 days. Or simply thinking that eating "clean" will keep you low calories. There's nothing wrong with eating the foods you love but you need to incorporate them into your caloric intake while having the deficit. Bottom line: It doesn't matter how healthy you think you eat or how hard you train without a deficit there's not gonna be any fat loss. You can train 6-7 times a week, do a couple of hours of Cardio and have NO PROGRESS. REMEMBER: It's easier to consume 500 kcal than to burn off 500 kcal (30-40 minutes of jogging) vs a few snacks. Even if you follow what you think is healthy or "clean" if the calories are coming into your body isn't forced to burn fat storages. Someone eating ice cream, cereal and pop tarts in a caloric deficit will be losing weight regardless of how "dirty" their diet is. 1st law of thermodynamics Energy can be converted from one form to another, but cannot be destroyed or created. How that applies to the body? - We can't just store calories from no-where. - We can't just expend calories from no-where. They have to come from somewhere: Food or Fat stories. Bottom line: 1. You need to have an idea of how many calories you're consuming per day. You can waste weeks, months and years getting nowhere. 2. If you're maintaining current weight figure out how many calories you're eating and then just reduce that by 15-20%. That's gonna be enough to put you in a deficit. What if you're doing this already? - Maybe it's water retention and you simply need patience for your body to flush out water so the scale shows. - Maybe you're using the scale wrong. I made a video on that. Description. The rate of calories stored per day = Rate of calories ingested per day - Rate of energy expenditure The rate of calories stored per day = Glycogen Storage Changes + Fat-Free Mass Storage Changes (Water, Mineral, Bone, and MUSCLE) + Fat Mass Storage Changes So this is how calories are partitioned. The rate of calories ingested per day = Your food intake. Calories with different macros. The rate of energy expenditure = Dietary Induced Thermogenesis + PA (Physical activity) + BMR (Basal Metabolic Rate) + NEAT (Non-Exercise Activity Thermogenesis) As you can see Caloric input affects caloric output, so it's not simply a math problem. Scientific references: https://www.ncbi.nlm.nih.gov/pubmed/18313427 https://www.ncbi.nlm.nih.gov/pubmed/20010905 https://www.ncbi.nlm.nih.gov/pubmed/17197279 https://www.ncbi.nlm.nih.gov/pubmed/9741036 Website: https://www.tomic.com Client Results: https://www.tomic.com/clients/ Free Facebook Group: https://www.tomic.com/group/ Instagram: https://instagram.com/mariotomich Facebook Page: https://www.facebook.com/MarioTomicOfficial Music Used: Alan Walker - Spectre https://www.youtube.com/watch?v=AOeY-nDp7hI https://www.youtube.com/user/DjWalkzz