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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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Strength session number two of my program. Basically exactly the same as my Wednesday workout. Upped the weight a little today. Still easy..

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The weight loss journey has become easier recently thanks to a wide range of products that promise to make your weight loss goals a reality. There are thousands of products on the market today offering guaranteed results, but it’s hard to discern if you’re getting what you’ve paid for, or if the product is simply hype. But there is one product that is at the top of every dieter’s list in recent days, gaining massive popularity since it was featured on Shark Tank, taking the weight loss industry by storm. And the product is the Via Keto Gummies, a weight loss supplement that has undergone unimaginable reviews by its users.

The Shark Tank Approval

VIA KETO GUMMIES first wowed the world on the hit TV show Shark Tank, earning interest from the show’s illustrious investors (known as ‘sharks’) within minutes of the pitch. The entrepreneurs there to showcase their product, VIA KETO GUMMIES, were met with excitement as the sharks flipped through the docs detailing the background and scientific research into how this groundbreaking product interacts with the body to boost the metabolism, allowing people to reach their fitness goals. They then went on to hear direct anecdotal accounts of real people who had tried VIA KETO GUMMIES themselves and were astounded by its efficacy. In fact, one shark even expressed their firm belief that they were holding in their hands a product that could save lives before — upon hearing the soft crunch of one of the gummies — reminding people to potentially brush their teeth after consuming this product. Eventually, the sharks came to a unanimous agreement, unleashing a frenzied bidding war that, in the end, pitted them against each other; the VIA KETO GUMMIES creators ultimately accepted a bid of investment from multiple sharks whoanjeered in the face of their competitor’s attempts to outbid them. Sensing that this could be a potentially lucrative groundbreaking product, the sharks on Shark Tank put the money where their mouths were and sunk their teeth into VIA KETO GUMMIES.

Multi-talented TV personality Jennifer Hudson endorses the product, and on the show Shark Tank, Via Keto Gummies achieved immense popularity with dieters who are finally getting the safe, perfect weight loss experience. The secret to its effectiveness lies in the gummies’ unique combination of all-natural ingredients that give your metabolism a powerful kick, boost energy levels, and suppress appetite, so you can burn fat more effectively and see results faster than ever before.

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A main component in Via Keto Gummies is BHB (Beta-Hydroxybutyrate)–the ketone that allows the body to quickly enter ketosis, which is the natural metabolic process that enables your body lose weight by helping it burn fat instead of carbs. When BHB is in the bloodstream, it interacts with tiny enzymes in the body, and helps make up a portion of the blood, which tells your brain to burn fat–a process known as being “in ketosis.” By ingesting BHB, it can help users bypass the challenging process of fasting or changing their diet, and start the ketosis process in their body. This science-backed approach to weight loss is a big part of how it helps users lose weight.

Its additional natural ingredients include green tea extract, apple cider vinegar and lemon extract. These are expertly proven to support overall health and wellness as they trigger ketosis for weight loss. Green tea extract is rich in antioxidant properties and boosts metabolism, while apple cider vinegar maintains normal blood sugar levels and improve digestion. Lemon extract adds a refreshing citrus flavor to the product and supplies the body with vitamin C that is essential for a healthy immunity.

Why Choose Via Keto Gummies?

The primary motivation behind dieters choosing Via Keto Gummies as their go-to weight loss supplement is that it has the prime stamp of approval from Shark Tank. this weight loss supplement has gained massive popularity as the product helped users lost weight in quick time without following any complex regimen or a long list of instructions users have spoken highly of Via Keto Gummies on social media about the vitality that they have received by taking this supplement and how they felt less food cravings throughout the day and how they were additionally able to shed a significant amount of weight which they never though could be a possibility for them that too without adverse side effects Via Keto Gummies is safe , purely natural and there are no reported“

Unlike the current fat loss supplements which are difficult and expensive to use, Via Keto Gummies are perfect to add to your routine. Take the recommended dose in a day and forget the stress while the ingredients do their magic. Eat it daily to witness your pounds disappear with a boost in your confidence. Wave to fad diets and punishing workout routines on the floor and try the pack of Via Keto Gummies to get yourself in shape.

FAQ

Q: How do Via Keto Gummies work?

Q: How do Via Keto Gummies work? A: In simple terms, Keto Gummies put your body into a ketosis state, where your body burns fat, rather than carbs to get energy. As such, it is an extremely versatile weight-loss supplement that can help you cut more fat and quicker than diet and exercise alone.

Q: Are there any side effects of taking Via Keto Gummies?

Q: – Is It consisted of any side effects in those people who use Via Keto Gummies? – A: It is far reported that there could be side effects of using Via Keto Gummies. It is safe and made out of natural ingredients and work perfectly for all the people except for their allergies to certain ingredients used in its making.

Q: How long does it take to see results with Via Keto Gummies?

Q: Is there any side effect of using Via Keto Gummies? A: The effects of Via Keto Gummies are different for different people. This is an extraordinary offer for our customers to lose weight, and gain energy. The more you take it regularly, the sooner you will start to see the results.

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Lose The Belly Fat For Your Six Pack Abs: http://go.sixpackshortcuts.com/sixpafe47 ---------------- What's going on, Six Pack Shortcuts? Today we have Connor and Kelly here to show you guys a super fast, at-home cardio routine that actually takes just 3 minutes! This routine involves doing full-body movements and high-intensity interval training, or HIIT. Instead of having to run miles and miles on a treadmill or bike on an elliptical, this is a much more efficient way to incorporate your cardio, elevate your heart-rate into a fat-burning zone, and keep yourself in that zone for up to 48 hours after. That's called the Afterburn Effect. Here's the workout breakdown: 0:58 - Alternating High Knee Taps for 30 seconds: Standing in place, put your arms to your side and bend at your elbows to a 45-degree angle, so your forearms and palms are facing down and parallel to the ground. While in place, you're going to keep your arms in that position and alternate your knees going up and taping each hand. Make sure you do this for 30 seconds. Now rest for 20 seconds. 1:10 - Broad Jumps for 30 seconds: Standing in place with your head looking forward to the horizon, squat down. With your weight in your heels, jump forward to a comfortable yet safe distance from your start position and land. Make sure not to fall forward; if you are, then shorten the distance you are jumping. Rest for 20 seconds 1:23 - Ab Stars for 30 seconds: Laying flat on your back, have your legs and arms spread out with your body making a "star" shape. With your arms and legs straight, the goal is to tap the end of yoru opposite foot with your fingers. If you cannot reach all the way to your toes, it's not a problem, because the point of the exercise is to have your arms and legs both be straight and travel towards one another to connect. So, for example, take your right arm and look to touch the toes on your left foot. Alternate this exercise for 30 seconds. And that's it! 1:50 - f you're ready to workout, then keep up with Connor and Kelly here. Like Kelly says, this is a great workout to start your day out, making sure to elevate your heart-rate and get you in that fat-burning zone for the rest of the day and up to 48 hours after you're done! It's great since the workout requires no equipment at all, so you can get going right at home. Did this get your heart-rate up and you moving? What other kinds of quick home workouts are you guys looking for? Let us know by dropping us a comment below. And don't forget - Like, share, and subscribe to Six Pack Shortcuts.We'll see you next time! ---------------- Get The Six Pack You Deserve Today: http://go.sixpackshortcuts.com/sixpafe47 ---------------- P.S. If you really felt this workout and know someone who could use the watch, make sure to like and share it here: http://youtu.be/poUQC0Gl-1Q

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Best Appetite Suppressants for Weight Loss: Ultimate Guide (Our Best List). Welcome to our detailed buying guide of the best Appetite Suppressants for Weight Loss. Check out Burn-XT Thermogenic Fat Burner: https://www.amazon.com/Burn-XT-Thermogenic-Fat-Burner-Suppressant/dp/B08BWV4YBL/?tag=jstand-20 Check out ACEWORKZ 100% Pure Saffron Extract: https://www.amazon.com/100-Pure-Saffron-Extract-Supplement/dp/B07W8S6TC3/?tag=jstand-20 Check out Lean PM Night Time Fat Burner: https://www.amazon.com/Lean-Melatonin-Free-Burner-Sleep/dp/B082YFHHVY/?tag=jstand-20 ►Amazon Affiliate Disclosure◄ Fit Lab is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to Amazon.com. As an Amazon Associate I earn from qualifying purchases. This video also contains affiliate links. I earn through amazon associates from qualifying purchases.

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Best Diet Plan To Lose Belly Fat in 4 Weeks, Top & Best 9 Fat Loss Foods. These foods kill belly Fat fast. How to Lose belly fat in 4 Weeks is a dream of every men, women and teenager. While exercise is important for loosing belly fat fast at home but along with workout you should modify your diet plan to include foods which burn belly fat and body fat to give to flat tummy/stomach/abdomen and also help to lose body weight. Here is list of 9 top performing foods which help to melt belly fat and make you look slim and smart. To get rid of belly fat you should also avoid diet which is bad for fat loss. If you take these diet foods regularly then surely you will get flat tummy in about 4 weeks even without workout and vigorous exercise. Make a diet chart with these foods included in your diet chart and follow regularly for 4 weeks. This is one of top diet plan/chart to lose weight fast in few weeks. ----------------------------------------------------------------------------------------------------------- Subscribe to My Channel for More Amazing Videos: https://www.youtube.com/user/harnam02 Like My Facebook Page for More Cool Health Stuff: https://www.facebook.com/naturalhomeremedies Follow me On Pintrest https://www.pinterest.com/HealthSecrets4u/ Visit My Blog For More Updates: http://natural-remedies-4u.blogspot.com/

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