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Podcast episode for Sleep, Diet, Exercise and GLP-1 Drugs. DWAtV Podcast is a listener-supported podcast. To receive new posts and support the cost of creation, consider becoming a free or paid subscriber. DWAtV Podcast is a listener-supported podcast. To receive new posts and support the cost of creation, consider becoming a free or paid subscriber. https://open.substack.com/pub/thezvi/p/sleep-diet-exercise-and-glp-1-drugs?r=67y1h&utm_campaign=post&utm_medium=web&showWelcomeOnShare=false Get full access to DWAtV Podcast at dwatvpodcast.substack.com/subscribe (https://dwatvpodcast.substack.com/subscribe?utm_medium=podcast&utm_campaign=CTA_4)

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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.

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Keto Vita Gummies are a popular supplement that offers vital support for individuals following a ketogenic diet. These gummies provide a convenient and delicious way to enhance your diet and support your health and wellness goals. Whether you are new to the keto lifestyle or a seasoned pro, Keto Vita Gummies can help you stay on track and reach your desired results.

Benefits of Keto Vita Gummies

1. Increased Energy Levels: Keto Vita Gummies are specially formulated to provide a quick and lasting energy boost. The combination of key ingredients such as BHB salts and MCT oil helps your body enter a state of ketosis faster, leading to increased energy levels throughout the day.

2. Appetite Suppression: Maintaining a ketogenic diet often requires strict control over your food intake. Keto Vita Gummies can help curb cravings and keep hunger pangs at bay, making it easier for you to stick to your diet plan and avoid unnecessary snacking.

3. Improved Mental Clarity: The ketogenic diet is known for its cognitive benefits, including improved focus and mental clarity. Keto Vita Gummies support brain health by providing essential nutrients that promote optimal cognitive function, helping you stay sharp and focused throughout the day.

How to Incorporate Keto Vita Gummies Into Your Routine

1. Start with a Balanced Diet: While Keto Vita Gummies can enhance your ketogenic diet, it is important to have a solid foundation of healthy, keto-friendly foods in your meal plan. Focus on consuming adequate amounts of protein, healthy fats, and low-carb vegetables to support your nutritional needs.

2. Take Recommended Dosage: To experience the full benefits of Keto Vita Gummies, it is crucial to follow the recommended dosage instructions provided on the product label. Consistency is key, so make sure to take your gummies at the same time each day for optimal results.

3. Stay Hydrated: Proper hydration is essential for overall health and well-being, especially when following a ketogenic diet. Make sure to drink plenty of water throughout the day to support proper digestion and nutrient absorption, and to help your body stay in ketosis.

Are Keto Vita Gummies Safe to Use?

1. Natural Ingredients: Keto Vita Gummies are made with natural ingredients that are safe for consumption. These gummies do not contain any artificial additives, fillers, or preservatives, making them a safe and effective supplement for supporting your ketogenic diet.

2. Consult Your Healthcare Provider: If you have any pre-existing health conditions or concerns, it is always best to consult with your healthcare provider before adding a new supplement to your routine. Your doctor can provide personalized advice and guidance to ensure that Keto Vita Gummies are a suitable option for you.

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3. Side Effects: While Keto Vita Gummies are generally well-tolerated, some individuals may experience minor side effects such as gastrointestinal discomfort or mild digestive issues. If you experience any adverse reactions, discontinue use and consult with your healthcare provider.

Where to Buy Keto Vita Gummies

1. Online Retailers: Keto Vita Gummies are available for purchase online through various retailers and e-commerce platforms. Be sure to buy from reputable sources to ensure that you are getting a genuine product that meets quality standards.

2. Specialty Stores: Some specialty health food stores and supplement shops may carry Keto Vita Gummies in their inventory. Check with your local retailers to see if they stock this popular supplement, or inquire about ordering options if it is not currently available in-store.

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Semaglutide is a medication that has been approved by the FDA for weight loss in recent years. It is a glucagon-like peptide-1 (GLP-1) receptor agonist that works by increasing feelings of fullness, reducing hunger, and slowing down the emptying of the stomach. This unique mechanism of action makes semaglutide an effective tool for individuals who are struggling to lose weight through diet and exercise alone.

Semaglutide Dose for Weight Loss in Units

When it comes to determining the appropriate dose of semaglutide for weight loss, it is important to consult with a healthcare provider. The recommended starting dose for weight loss is 0.25 mg once weekly, which can be increased to 0.5 mg, 1.0 mg, and finally 1.7 mg if needed. The dose should be administered via subcutaneous injection in the abdomen, thigh, or upper arm.

Individuals who are taking semaglutide for weight loss should also follow a reduced-calorie diet and engage in regular physical activity to maximize the effectiveness of the medication. It is important to note that semaglutide is not a standalone treatment for weight loss and should be used in conjunction with lifestyle modifications for optimal results.

It is essential to monitor blood sugar levels regularly while taking semaglutide, especially for individuals with diabetes. Semaglutide may cause hypoglycemia (low blood sugar) when used in combination with other diabetes medications, so close monitoring is necessary to prevent any adverse effects.

Side Effects of Semaglutide Dose for Weight Loss

Like any medication, semaglutide can cause side effects in some individuals. Common side effects of semaglutide for weight loss may include nausea, vomiting, diarrhea, constipation, abdominal pain, and decreased appetite. These side effects are usually mild and tend to improve over time as the body adjusts to the medication.If You Can T Lose Weight Watch This Ultimate Guide To Fat Loss Dieting

In rare cases, semaglutide may cause more severe side effects such as pancreatitis, gallbladder disease, kidney problems, and thyroid tumors. It is important to contact a healthcare provider immediately if you experience any unusual symptoms while taking semaglutide for weight loss.

Overall, semaglutide is a promising option for individuals who are struggling to lose weight and improve their overall health. By working with a healthcare provider to determine the appropriate dose and closely monitoring for any side effects, individuals can safely incorporate semaglutide into their weight loss plan.





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Semaglutide is a prescription medication that has gained popularity for its effectiveness in weight loss. It belongs to a class of drugs called glucagon-like peptide-1 (GLP-1) receptor agonists, which work by mimicking the effects of a hormone that regulates blood sugar levels and appetite. One of the key factors in determining the success of semaglutide therapy is getting the right dosage.

Semaglutide Weight Loss Dosage Chart in Units

Understanding the different levels of semaglutide dosage is essential for achieving optimal weight loss results. The dosage of semaglutide is measured in units, with each unit representing a specific amount of the medication. It is crucial to follow the prescribed dosage recommended by your healthcare provider to ensure safe and effective weight loss.

Here is a breakdown of the semaglutide weight loss dosage chart in units:

Starting Dose:

The typical starting dose of semaglutide for weight loss is 0.25 mg once a week. This low dose allows your body to adjust to the medication gradually. Your healthcare provider may increase the dosage based on your response to the treatment and any side effects you may experience.

Low Dose:

If the starting dose is well-tolerated, your healthcare provider may increase the dosage to 0.5 mg once a week. This dosage has been shown to be effective in promoting weight loss in clinical trials. It is important to continue monitoring your progress and informing your healthcare provider of any changes in your weight or health.

Maintenance Dose:

Once you have reached your desired weight loss goal, your healthcare provider may recommend a maintenance dose of 1.0 mg once a week. This dosage helps to sustain the weight loss results you have achieved and prevent weight regain. It is essential to continue following a healthy diet and exercise routine while on the maintenance dose of semaglutide.





Maximum Dose:

The maximum recommended dose of semaglutide for weight loss is 2.4 mg once a week. This dosage is reserved for individuals who have not achieved adequate weight loss with lower doses of the medication. It is crucial to follow your healthcare provider’s guidance closely when on the maximum dose to avoid any potential side effects.

Adjusting the Dosage:

Your healthcare provider may adjust your semaglutide dosage based on various factors, including your weight loss progress, any side effects you may experience, and your overall health status. It is essential to communicate openly with your healthcare provider and follow their recommendations to optimize the benefits of semaglutide therapy for weight loss.

Summary and FAQ

In conclusion, understanding the semaglutide weight loss dosage chart in units is crucial for achieving successful weight loss results. It is essential to follow your healthcare provider’s recommended dosage and make any necessary adjustments based on your individual response to the medication. By working closely with your healthcare provider and maintaining a healthy lifestyle, you can maximize the benefits of semaglutide therapy for weight loss.

If you have any questions or concerns about semaglutide dosage or weight loss, consult with your healthcare provider for personalized guidance and support. Remember that everyone’s response to medication can vary, and it is essential to prioritize your overall health and well-being throughout your weight loss journey.

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