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00:00 - Ozempic Makeovers Explained: Tackling Loose Skin After Weight Loss with Dr. Gruber 06:44 - The Shocking Truth About 'Ozempic Face' and the Cosmetic Surgery Boom 10:46 - Ozempic Face, Hair Loss, and Muscle Weakness: What You Need to Know 1. Ozempic Makeovers Explained: Tackling Loose Skin After Weight Loss with Dr. Gruber Explore the growing trend of 'Ozempic makeovers' as rapid weight loss medicines leave patients seeking solutions to excess skin. Dr. Meegan Gruber explains how awake body contouring helps restore confidence post-weight loss. Learn about: ✅ Why Ozempic/Wegovy-users face skin laxity ✅ Differences between awake surgery & traditional methods ✅ Real patient experiences with tummy tucks/arm lifts ✅ Timing your surgery after weight loss ✅ Combining procedures with skin tightening treatments Gruber Plastic Surgery shares insights into the 40% boom in post-Ozempic consultations and innovative solutions to complete transformation journeys. 2. The Shocking Truth About 'Ozempic Face' and the Cosmetic Surgery Boom Discover the dark side of rapid weight loss with GLP-1 medications like Ozempic and Wegovy. Learn how these drugs are causing a surge in cosmetic surgeries as users face 'Ozempic face' and other unwanted side effects. We dive into the shocking stories of patients who have undergone extreme procedures to reverse the aging effects of these weight loss drugs. From facelifts to fat transfers, find out how celebrities and everyday people are spending thousands to fix their 'Ozempic face'. This video exposes the hidden dangers of these popular weight loss solutions and the desperate measures people are taking to maintain their youthful appearance. Don't miss this eye-opening look at the cosmetic surgery boom driven by Ozempic and other GLP-1 medications. 3. Ozempic Face, Hair Loss, and Muscle Weakness: What You Need to Know In this video, we explore the effects of Ozempic and other GLP-1 medications on your body. Learn about the controversial Ozempic face, hair loss, and muscle weakness that some users are experiencing. We discuss the science behind these side effects, including telogen effluvium and muscle loss due to rapid weight loss. Discover expert advice on how to manage these issues, including dietary recommendations and exercise tips to preserve muscle mass. Don't miss out on essential information for anyone considering or currently using Ozempic!

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Dewberry discusses our work on the Carlisle Road Diet—a complete streets and traffic calming initiative project—in Cumberland County, Pennsylvania. Transcript: The Carlisle Road Diet in Cumberland County, Pennsylvania, was a complete streets and traffic calming initiative, completed in 2011. As a result of our comprehensive traffic study, we made several recommendations for traffic pattern changes that were in line with PennDOT's Smart Transportation Initiative. Two streets were converted from four vehicular lanes to three, with a dedicated bike lane in each direction. The bike lanes also provide easier parallel parking and a safer space to enter and exit parked cars. Additional improvements were accomplished through curb extensions; ADA curb ramps; pedestrian signals enhancements; and major traffic signal upgrades, including the first full implementation of the InSync® adaptive signal system in Pennsylvania. All of these improvements enhance Carlisle's small town feeling; reduce accidents; promote walking and bicycling; maximize downtown business success; improve parking access; and reduce truck traffic in the downtown area.

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GLP-1 agonists are not only for weight loss but also for patients with diabetes. Anne Peters, MD, discusses the importance of monitoring dosing between insulin and GLP-1 agonists. https://www.medscape.com/viewarticle/997976?src=soc_yt -- TRANSCRIPT -- We've all been hearing about the weight loss benefits of glucagon-like peptide 1 (GLP-1) receptor agonists, but it's important to remember that they are also diabetes medications. If you have a patient who's on an insulin secretagogue and/or insulin, it's important to remember that you need to adjust those medications to avoid hypoglycemia as you start and uptitrate the GLP-1 receptor agonist. This isn't really cookbook, in the sense that you have to think about each patient, but I'll tell you what I do. First, I try to have most of my patients on continuous glucose monitors (CGM) because if they're on CGM, I can look at the trends to see what's happening as I'm adding a GLP-1 receptor agonist. If they're not on CGM, it's helpful if they test a fasting glucose level and perhaps a postprandial, though it's harder to get people to do, because you want to know whether to reduce the basal insulin or the prandial insulin. Regardless of testing, you need to review with the patient the signs and symptoms of hypoglycemia and how to treat it if it occurs. In a patient on insulin, you may want to make sure they have glucagon at home because there have been episodes of severe hypoglycemia when a GLP-1 receptor agonist was added to insulin. As a rule of thumb, I start by looking at the A1c. If the A1c is above 8%, I'm probably not going to do much reduction in the insulin secretagogue or the insulin right off the bat. I'll watch the patient as they begin to respond to the GLP-1 receptor agonist and then start tapering down the insulin if their glucose levels fall. I often reduce the prandial insulin levels first because you're going to start seeing the patient eating less and be at increased risk for hypoglycemia between meals. If I start seeing the fasting glucose fall, then I'll start reducing the basal insulin. Usually, I reduce the doses by 10%-20%. As I said, in somebody who starts out with a higher A1c, I don't right off the bat reduce the insulin. I watch what happens as the dose is increased. As the dose is increased in someone who's on an oral insulin secretagogue, I'll tend to cut that dose in half as I see glucose levels coming down. On the other hand, if someone's starting A1c is below 8%, I might start by reducing their prandial insulin by 50% and maybe their basal insulin by 10%-20%, depending on their glucose levels. I think patients who are closer to target on insulin and/or a sulfonylurea agent are going to be at increased risk for going low. Ideally, one can taper the patient off their insulin — and if not entirely off their insulin, off their prandial insulin — because it's much easier to give basal insulin and a once-weekly GLP-1 receptor agonist than to be on a multiple daily insulin regimen. Potentially, you'll be able to taper your patient off their insulin secretagogue as well. The important thing to remember is that there's more than one moving target. You're uptitrating the GLP-1 receptor agonist or the GIP/GLP-1 receptor agonist and you're downtitrating the insulin secretagogue and/or the insulin. You want to downtitrate in gradual steps to keep ahead of any risk for hypoglycemia. Usually, that is done in slow steps, say, 10%-20% at a time. It also means that you pay attention to your patients and that you may need to follow them every week or two, particularly if their A1c starts out below 8%, where they're likely to be at more risk for hypoglycemia. If you pay attention to this process, you should be able to get your patient to a better point, hopefully on less medication that can cause hypoglycemia, and onto a medication that not only improves glucose but also helps with weight reduction, improves cardiovascular outcomes, and may have a renal benefit. Thank you. https://www.medscape.com/viewarticle/997976?src=soc_yt