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In this video, obesity experts Holly Lofton, MD, and Marina Kurian, MD, discuss how clinicians can use the new weight loss medications to improve their patients' outcomes after bariatric surgery. https://www.medscape.com/viewarticle/996479?src=soc_yt -- TRANSCRIPT -- Holly Lofton, MD: Hello. I'm Dr Holly Lofton. I'm an obesity medicine specialist at NYU Langone Health in Manhattan. Today I have a special guest, Dr Marina Kurian, who is a clinical professor of surgery at NYU Langone Health and the president of the American Society for Metabolic and Bariatric Surgery. Welcome, Dr Kurian. Marina Kurian, MD: Thank you so much for having me. Holly. Thank you. Lofton: Today, I want to discuss a very hot topic, which is the combined use of bariatric surgery and antiobesity medications, because we know there are so many different modalities that are being used to treat overweight and obesity right now. Those include lifestyle interventions, antiobesity medications, and bariatric metabolic surgery. However, some patients need multiple modalities to achieve success. I want to ask you first: What are some of the more common metabolic bariatric surgeries that are performed today? Kurian: I'd say the two most common currently in the United States are the sleeve gastrectomy and the Roux-en-Y gastric bypass. In the sleeve gastrectomy, we remove a portion of the stomach, whereas in the gastric bypass, we make the stomach small and then reroute the intestines — so we don't remove any stomach in that procedure. With the sleeve gastrectomy, we expect patients to lose about 30%-35% of total body weight. And with the bypass, it can be slightly more — maybe 35%-40% of total body weight. Lofton: Have you seen patients who don't achieve this expected weight loss? Kurian: Absolutely. And when that occurs, something that we both do in our practices is to add antiobesity medication to that regimen. But first, of course, I look to see what type of diet they're on, what their caloric intake is, and what is their level of activity before I just say, "Hey, take this medication." Lofton: What would you say are other potential benefits of using antiobesity medications after bariatric surgery vs a revisional surgery or a second metabolic or bariatric surgery? Kurian: It's a complex answer. Some of the benefits obviously are if the medication can get the patient to their goal, then we're saving them an operation. I frequently do this with my patients first to see if they really would benefit from a revision. I'll start them on medication after their initial bariatric surgery to see how well they do with dietary modification and behavioral modification. And then I add the medication as well. If they lose enough weight, they don't need a bariatric revision. But if they don't lose or there's some other reason — like sometimes it's about access to the medications — then I will consider them for a revisional procedure, depending on what their initial operation was, of course. Lofton: Is there scientific evidence that antiobesity medications are better for patients after bariatric surgery than, say, just seeing a dietitian to get more results? Kurian: Absolutely. As you know, and I believe you've written some of that literature, there are plenty of articles out there that look at the use of antiobesity medications vs lifestyle change and dietary changes. Antiobesity medication along with that will really have the maximum results for patients. This is if they have weight recurrence after the initial procedure, or if they have inadequate weight loss and they're not following the trajectory that I usually feel that they should be on — based on my experience with so many patients. Lofton: That's a really good point, and I want to talk more about that for the audience. If you're a primary care physician and you're seeing someone with a previous bariatric surgery, even if it was 5 or 10 years ago, a very common practice was to refer them to a dietitian and have them log and track calories and things like that. But if the evidence is stating that they may be better managed by either seeing their bariatric surgeon for medication or revisional options, or seeing an obesity medicine specialist or even the primary care doctor prescribing medications, if the evidence is there, then that may change some of the current practices and help our patients get more success. Kurian: I think that's absolutely true. If you look at the landscape of obesity treatments that are out there, because we've had so many medications added to our arsenal, I know that many of our colleagues around the country are getting more familiar with using them in patients. I think the key to it is to try to identify who would benefit, and it is completely appropriate for the patient to be evaluated for the use of antiobesity medication, even if they've had surgery. https://www.medscape.com/viewarticle/996479?src=soc_yt
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Losing weight involves many supplements and programmes on the market, all promising fast and sleeve results. Among these options is the popular Weight Watchers Weight Loss Gummies that has become the dieting lollipop to help maintain weight loss. Interestingly, it comes with a few benefits and as many drawbacks. Whoever decides to give it a try, a close look must be taken into account to understand whether the formula is actually effective and safe or not. In the following lines, we’ll explore all there is to know about Weight Watchers Weight Loss Gummies, including its formula, effectiveness, and side effects.
Ingredients
Weight WAtchers Weight Loss Gummies Ingredients include: green coffee bean extract, chromium, BalancesLeptin elements, African mango extract, conjugated linoleic acid (CLA), white kidney bean extract, New Carb Blocker – white bean extract, Garcinia cambogia, Banaba extract, Decaffeinated Green Tea Polythenols, green tea extract (EGCG), L-Tyrosine, alpha lipoic acid, glucomannan root, L-Theanine. green coffee bean extract:The key weight loss ingredient in Weight Watchers Gummies is green coffee bean, a coffee bean that has not been roasted, therefore retaining more of the beans natural compounds, like chlorogenic acid. a health benefits claim for coffee is centered around this acid, which is claimed to have many health benefits, including weight loss via the reduction of carbohydrates absorption and metabolism enhancement.
Garcinia cambogia extract. Garcinia cambogia, first developed as an herbal remedy, is a fruit native to Southeast Asia that contains hydroxycitric acid (HCA). It is also used in many weight loss supplements because it is purported to suppress appetite and block the production of fat from stored carbohydrates.
Weight Watchers Weight Loss Gummies also include green coffee bean extract and garcinia cambogia extract, plus prominent amounts of vitamins and minerals, including vitamin B6, vitamin B12 and folic acid. These nutrients are important for your overall health and wellness — and can also help support your body as you work to achieve your weight management goals.
Effectiveness
Therefore, does a can of Weight Watcher’s Weight Loss Gummies really work? These weight loss gummies may work for calorie control for some people, while others may not experience changes in weight from consuming these gummies.
Weight Watchers Weight Loss Gummies are not the magical cure for your weight loss problems. To see the best results, it is recommended that you take these gummies in conjunction with a healthy diet and regular exercise. These gummies should aid in your weight loss efforts, not replace them.
It is strongly recommended to speak to a health professional before starting any new weight loss supplement, including Weight Watchers Weight Loss Gummies, to help determine if these gummies are a good fit for you, your goals, and how to integrate the gummies into your weight loss plan.
Side Effects
Weight Watchers Weight Loss Gummies are generally safe for most people to consume, but there are a few potential side effects to keep in mind. Some users can experience stomach upset, including gas, bloating, and other types of stomach discomfort. However, if you experience any unpleasant side effects from using Weight Watchers Weight Loss Gummies, you should stop usage immediately and seek medical care.
It is likewise significant to take Weight Watchers Weight Loss Gummies exactly at the recommended dosage. Taking significantly more medication than recommended dosage escalates the risk of experiencing side effects, and if your aim is to lose weight more effective, there is no evidence that supports this. So, you must be able to read and strictly abide by the instructions that are written on the product’s packaging.
To sum up, Weight Watchers Weight Loss Gummies could be helpful to fight obesity. It’s made with helpful ingredients to boost weight loss. Weight Watchers Weight Loss Gummies could help when combined with a healthy diet and regular exercise. But it is essential to get a doctor’s advice before starting with a weight loss supplement and it’s also important to recognise the possibilities of its side effects.
Any further questions regarding these Weight Watchers Weight Loss Gummies you can ask us on our FAQ section of our website.
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