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Apr 18

Keto Gummies For Weight Loss: Safety And Alternatives – Forbes

Keto gummies claim that they can promote energy, focus and weight loss, but there isnt any scientific evidence to support these claims, says Woods. The safety and efficacy of the use of exogenous ketones in the form of beta-hydroxybutyrate (D-BHB) has not been documented in scientific literature.

While there isnt much out there in terms of research on specific keto gummies and the different forms and doses of exogenous ketones they contain, there have been a few small studies done on D-BHB supplements in general, and other foods that can increase ketones in the body.

In a small 2020 pilot study looking at how the body metabolizes exogenous ketones like those included in some keto gummies, people taking D-BHB supplements had higher blood levels of ketones right after consumption (though ketone levels came back to a normal baseline a few hours later). While the brain uses ketones instead of glucose as an alternate fuel source, when ketone concentrations are increased, this study found that the heart and kidney utilized exogenous ketones more than the brain .

Another small study from 2019 found that people with mild cognitive impairment who consumed 30 grams of medium-chain triglycerides, molecules that are metabolized into ketones, for six months experienced improvements in cognition, including memory, language, executive function and processing speed .

However, more research is needed to understand the effects of D-BHB in keto gummies on the body.

Its also important to note that no singular form or dosage has been used across the board when it comes to D-BHB supplements, making it even harder to understand the benefits of taking them.

While a review of studies around apple cider vinegaran ingredient thats often added to keto gummiesshows this ingredient may help lower total cholesterol and blood sugar levels , its hard to know if the amount of apple cider vinegar in these supplements provides any sort of benefit .

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Keto Gummies For Weight Loss: Safety And Alternatives - Forbes


Mar 31

How To Lose Water Weight: Causes, Treatment, Prevention – Women’s Health

Water is essential for your overall health. But retaining too much water can also cause

Water weight typically occurs because your body is trying to balance out hydration levels, so if you're trying to reduce water retention, it's important to do so as safely as possible. That means avoiding risky methods like diuretics (a kind of drug that causes you to pee frequently to shed excess fluids) which can dry out the kidneys and lead to damage, says Ana Maria Kausel, MD, an endocrinologist at Mount Sinai.

Still, experiencing bloating isn't enjoyable, and it's understandable to want relief fast. Here are the potential reasons behind your water weight, plus how to lose it safely, according to experts.

Meet the experts: Ana Maria Kausel, MD is an endocrinologist at Mt. Sinai and the co-founder of Anzara Health. Frances Largeman-Roth, RDN, is a Brooklyn-based nutritionist and co-author of The Carb Lovers Diet cookbook. Jessica Cording, RD, is a dietitian and the author of The Little Book Of Game-Changers: 50 Healthy Habits For Managing Stress and Anxiety.

In most cases, water retention is a result of too much sodium (salt) in the body. Essentially, your body holds onto water to try and keep your hydration levels stable, Dr. Kausel says. "Eating too much sodium pushes water out of the blood vessel into the tissue. The intravascular volume (the blood inside the vessels) depletes, and the kidneys sense theres a lack of fluid, therefore retaining more," Dr. Kausel explains.

Because your brain senses excess salt in the body, it then sends a signal to the kidney to retain water until the balance between water and sodium is established, she says. This can cause extra puffiness and bloat.

Water retention from medicine is fairly common and is typically a side effect of medications for high blood pressure, chemotherapy, antidepressants, and birth control. If you think your puffiness might be a result of medication, speak with your doctor to see if there's another med you can switch to that won't cause fluid accumulation, says Brooklyn-based nutritionist Frances Largeman-Roth, RDN.

You probably hear "PMS" and cringe at its association with cramps, bloating, acne, and mood swings. Period bloating is typically due to changes in estrogen and progesterone levels, and you may retain more water in the days leading up to your period. But once your period starts, the bloating should slowly go away.

"As blood volume increases by 50 percent during pregnancy, you will also experience mild swelling throughout your body, face, hands, and feet," says Largeman-Roth. While this is completely normal, extreme swelling in the face and hands could be a sign of preeclampsia, which is high blood pressure that can occur after 20 weeks of pregnancy, she notes.

If you're set on losing water weight, doing it safely should be your number one priority. Here are 10 tips for shedding excess fluids.

Even a short cardio session can help you de-puff. Exercise helps with digestionand one of the reasons that somebody might have more water weight is because theyre not eliminating efficiently or are a little backed up, says Jessica Cording, RD, author of The Little Book of Game-Changers: 50 Healthy Habits For Managing Stress & Anxiety.

Exercise also boosts endorphins, she says, which can help relieve stress and indirectly help reduce water weight. People who struggle with stress eating may be inclined to reach for highly processed snacks, which tend to be high in sodium. That can lead to water weight, Cording says.

It may seem counterintuitive, but drinking more water will help transport extra sodium out of your body. A lot of people are surprised by that one, Cording says. When were well-hydrated, the balance of sodium and potassium in our cells is at an optimal level. But if youre dehydrated, your body tries to fix the issue by drawing in sodium in a way that leads to more water retention, Cording explains. So, being adequately hydrated actually helps reduce bloating and water retention because the body is able to work more efficiently, Cording says.

The balance of sodium and potassium in our cells is important, Cording says. If the body doesnt have enough potassium, the balance is off with sodium levelsthey get too high. But when you have enough potassium, it helps your body regulate the levels of sodium in your body. (BTW, the recommended daily allowance of potassium is 2,500 to 2,900 milligrams, with amounts changing when youre pregnant and breastfeeding.) Potassium stars include bananas, oranges, celery, spinach, potatoes, peaches, and winter squash.

To reduce bloat, avoid high-sodium foods like frozen meals and fast food and replace with low-sodium snacks instead. The recommended sodium level per day is less than 2,300 milligrams, which sounds like a lot, but can add up quickly. For example, two slices of bread can have over 400 milligrams of sodium without any toppings. You need some sodium, but when you have too much sodiumespecially when you dont have enough potassium, tooyou are going to notice more water retention, Cording adds.

If you tend to feel puffy after drinking, it's because alcohol can also impact water weight. Alcohol tends to cause dehydration, and dehydration contributes to water retention, Cording says. Alcohol can also mess with your sleepand that, too, can raise your risk of retaining water, she says. Alcohol may even raise the odds youll dive into too many salty snacks, which can also cause you to hold extra water, she says. To reduce water retention, cut out alcohol for a while or make sure to alternate alcohol with a glass of water. Remember: The recommended intake for women is no more than one drink per day.

As tasty as they can be, many packaged and processed foods tend to be high in sodium. These foods also dont have much in the way of important minerals, including potassium, Cording says. Because of that high concentration of sodium and lack of other nutrients, its possible it can contribute to water retention.

Its a time investment, but cooking your own foodat least some of your mealsis a great way to moderate your sodium intake. Many restaurant and fast casual meals are packed with sodium, Cording says. When you do meal prep, you can decide what food youre eating. That puts you in a position of being able to include foods that provide the nutrients you need, even when youre in a rush, Cording says. Of course, its fine to eat out and order in sometimes, but youll deal with much less water weight gain by eating fresh foods.

Another low-lift hack? Rinse your food. For example, beans are a fantastic plant-based food rich in protein and fiber, but canned beans can be high in sodium, Cording says. I always tell my clients to rinse their beans to reduce sodium, Cording says.

If youre already working out regularly but youre still feeling puffy, try adding a 10- to 20-minute daily walk to your routine, perhaps after a big meal or whenever you're feeling bloated. Sitting at a desk all day can cause blood to pool in your legs, Cording adds. Walking helps boost circulation and is also a great mental break from stress and your computer screen, she adds.

Diuretics can help reduce the buildup of fluid in the body. These usually come in the form of medication, per Mayo Clinicbut some foods are diuretics, too, like cucumber (thanks to caffeic acid, which helps fight swelling). Other natural diuretics include watercress, artichoke, and asparagus, Cording says. These promote urination, Cording says. That can help with water retentionand theyre much safer than taking a diuretic pill.

The time it takes to lose water weight will mostly depend on the reason why you're retaining water to begin with. If you had a long night out and drank a lot, it should take roughly a day for the puffiness to go away, says Largeman-Roth.

But if your water weight is due to other reasons, it may take longer as you begin to implement changes to your lifestyle and daily habits. The heart, vessels, hormones, and kidneys are also working nonstop to help balance your water and salt levels, Dr. Kausel adds.

That said, trying to lose water weight rapidly can be dangerous and even life-threatening. "Our bodies are designed to be made up by a certain percentage of water and anything less than that will put vital organs in jeopardy," explains Dr. Kausel. "When you lose water quickly, you get very weak and dizzy." So, always consult your provider about the best way to approach your bloat.

Holding onto water is a normal function of the body, but if you find yourself constantly feeling physically uncomfortable because of it, there are a few lifestyle changes you can make to keep it at a manageable level:

But if you notice youre having rapid shifts in fluid, Cording recommends checking in with a healthcare professional to get an evaluation. Its always a good idea to talk to your doctor if something isnt normal for you, she says.

And remember, depending on the reasons why you're retaining water, it may take longer than you expect to get rid of it. So, patience is key.

Korin Miller is a freelance writer specializing in general wellness, sexual health and relationships, and lifestyle trends, with work appearing in Mens Health, Womens Health, Self, Glamour, and more. She has a masters degree from American University, lives by the beach, and hopes to own a teacup pig and taco truck one day.

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How To Lose Water Weight: Causes, Treatment, Prevention - Women's Health


Jan 3

Experts give advice on safely losing weight in the new year – Western Massachusetts News

Experts give advice on safely losing weight in the new year  Western Massachusetts News

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Experts give advice on safely losing weight in the new year - Western Massachusetts News


Jan 3

Expert advice on safely losing weight in the new year – Western Massachusetts News

Expert advice on safely losing weight in the new year  Western Massachusetts News

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Expert advice on safely losing weight in the new year - Western Massachusetts News


Jan 3

How to lose weight safely in the new year, according to the NHS – Nottinghamshire Live

How to lose weight safely in the new year, according to the NHS  Nottinghamshire Live

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How to lose weight safely in the new year, according to the NHS - Nottinghamshire Live


Nov 19

Lilly To Build 1st Factory in Germany as Demand for Weight-Loss … – Investopedia

Key Takeaways

Pharmaceuticals maker Eli Lilly (LLY) is building its first facility in Germany in response to the booming demand for weight-loss drugs.

Lilly reportedly said that it would be spending 2.3 billion euros ($2.5 billion) to construct the high-tech factory in Alzey, Germany. The drug maker noted the plant will further expand its injectable product and device manufacturing network and support an increased demand for Lillys medicines, including its diabetes and obesity portfolio.

Lillys injectable diabetes drug, Mounjaro, has been shown to help patients lose weight, and a second medicine, Zepbound, containing the active ingredient in Mounjaro, last week received Food and Drug Administration approval for use as a weight-loss treatment. That news sent Lilly shares to an all-time high.

With the addition of the Alzey location, Lilly will have six manufacturing sites in Europe. The company said that it has announced $11 billion in investments in its worldwide manufacturing footprint over the past three years, Reuters reported.

Shares of Eli Lilly were up modestly Friday, and have added about two-thirds to their value this year.

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Lilly To Build 1st Factory in Germany as Demand for Weight-Loss ... - Investopedia


Nov 19

Toning down the hype over Ozempic’s impact on food sales – BakingBusiness.com

KANSAS CITY To judge by the buzz, the impact on the food industry of the growing popularity of GLP-1 drugs will be nothing short of seismic.

Numerous media outlets have published stories with menacing headlines for the food industry, including CNN: Ozempic is on the rise. That could be a problem for food companies; The Wall Street Journal: Americas Food Giants Confront the Ozempic Era; and Bloomberg: Ozempic is making people buy less food, Walmart says.

Its not just the media. One stock analyst recently slashed the price target for Krispy Kreme, Inc. because of the surging popularity of the drugs.

With brand names that include Ozempic, Wegovy, Trulicity, Rybelsus and Mounjaro, GLP-1 drugs are prescribed for type 2 diabetes and, more recently, for obesity and work by activating receptors in the pancreas leading to increased insulin production and reduced appetite.

Sales growth of the drugs has been and remains impressive. Novo Nordisk A/S, the market leader in the GLP-1 class of drugs with just over a 50% market share, said its obesity care sales were up 174% in the first nine months of 2023, mostly driven by US demand. US sales of GLP-1 drugs by Novo in the most recent quarter equated to about $2.5 billion per month.

Agitation over the potential impact of the medications has been exacerbated by surveys showing tens of millions of respondents expressing an interest in a drug that could help them lose weight safely, and by estimates that those on the medication may consume much less food. In one-peer reviewed study, subjects taking GLP-1 consumed 35% fewer calories than subjects given a placebo.

Executives from some of the largest food companies have been asked about the effects of the drug on their businesses, and many have weighed in on the subject. Robert B. Quincey, chairman and chief executive officer of Coca Cola Co., said It is an area that we are very focused on. He projected confidence, concluding that Coke is well positioned with what he called a total beverage strategy that includes both caloric and sugar-free beverages.

Ulf Mark Schneider, CEO of Nestle SA, similarly said its brands such as Boost and Optifast may benefit from a possible increase in the number of consumers seeking fortified foods because they are consuming fewer calories. At the same time, he cautioned that demand for confectionery products and perhaps ice cream may be adversely affected.

Like most executives asked about the subject, neither Mr. Quincey nor Mr. Schneider tried to quantify the effects the medications may have.

One executive who offered a sense of the prospective effects of GLP-1 drugs on his companys business, particularly snacks, was Dirk Van de Put, chairman and CEO of Mondelez International, Inc.

Saying he has examined the topic closely, Mr. Van de Put in a Nov. 1 conference call concluded the subject has been overblown.

We do estimates, we do projections, we talk to pharmaceutical companies, we talk to consumers and so on, he said. So, were staying close to the subject.

In the long run, 10 years down the road, he said current analysis suggests a worst-case scenario would be an adverse effect on volume of between 0.5% and 1%.

That assumes quite significant adoption rates of the drug, he said.

The market for the medications is still developing, and Mr. Van de Put conceded the possibility that the impact may be greater than Mondelezs current forecasts. As of late 2022, it was estimated that fewer than 3% of Americans were taking GLP-1. While growth remains strong, it is far from clear how many people will be able to afford and will choose to take the drug, which has some undesirable side effects, and how many fewer calories they will consume. For food executives to closely monitor this developing makes good sense. Overreacting does not.

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Toning down the hype over Ozempic's impact on food sales - BakingBusiness.com


Nov 19

The Smoothie Diet Reviews: Fake or Legit? 21 Day Weight Loss … – The Jerusalem Post

Losing weight can be a challenging task, but with the right program, it becomes much easier. One such program is The Smoothie Diet: 21 Day Rapid Weight Loss Program. Created by fitness coach Drew Sgoutas, this program offers a natural and effective way to shed those extra pounds in just three weeks. By incorporating specially formulated smoothie recipes into your daily routine, you can achieve rapid weight loss and improve your overall health. In this article, we will explore the key components, benefits, and user experiences of The Smoothie Diet: 21 Day Rapid Weight Loss Program.

The Smoothie Diet is a 21-day regimen designed to help individuals lose weight in a healthy and sustainable way. The program involves replacing two meals per day with nutrient-rich smoothies and enjoying one regular meal. This approach allows you to increase your intake of fruits and vegetables while reducing the consumption of processed foods.

Drew Sgoutas, a renowned fitness coach and nutritional expert, created The Smoothie Diet based on his extensive experience working with clients. He carefully analyzed the dietary habits of his clients and combined his findings with his coaching expertise to develop a program that delivers effective weight loss results.

The Smoothie Diet focuses on providing the body with essential nutrients while promoting healthy eating habits. By following the program for 21 days, you can establish a foundation for long-term weight management and improved overall well-being.

The Smoothie Diet Presentation (credit: PR)

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The Smoothie Diet provides a detailed daily schedule for the entire three-week program. Each day, you will be assigned specific smoothie recipes that are easy to customize according to your preferences. The program also allows for two low-calorie snacks per day in addition to one regular meal. This comprehensive plan ensures that you stay on track and achieve optimal results.

To make your grocery shopping experience hassle-free, The Smoothie Diet includes weekly shopping lists for all the smoothie recipes. By having a well-organized list, you can ensure that you have all the necessary ingredients on hand, avoiding last-minute trips to the store. The program also provides alternative ingredient options, making it easy to adapt the recipes to your specific needs and preferences.

The Smoothie Diet program offers step-by-step instructions on how to prepare each smoothie recipe. This eliminates the need for trial and error, allowing you to start making delicious and nutrient-dense smoothies right away. The recipes are designed to be quick and easy, making them perfect for individuals with busy lifestyles.

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One of the primary selling points of The Smoothie Diet is its customizability. The program provides a variety of smoothie recipes, allowing you to choose the ones that suit your taste preferences and dietary requirements. If a particular ingredient is not suitable or readily available, you can easily swap it out with an alternative from the provided list. This flexibility ensures that you can enjoy the program while still meeting your individual needs.

The Smoothie Diet program is reasonably priced, considering the wealth of resources it offers. For just $37, you gain access to the complete program, including the 21-day schedule, shopping lists, and smoothie recipes. Additionally, a money-back guarantee is provided to give you peace of mind. The program is a cost-effective solution for those looking to lose weight without breaking the bank.

The Smoothie Diet Pricing (credit: PR)

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Unlike many other weight loss programs that solely focus on shedding pounds, The Smoothie Diet takes a holistic approach to health. By increasing your intake of fruits and vegetables, you not only support weight loss but also provide your body with essential nutrients. Many individuals who have followed The Smoothie Diet have reported improvements in their skin, energy levels, and overall well-being.

The Smoothie Diet program is entirely digital, making it accessible to everyone. You can easily download the materials to your preferred device and have them at your fingertips. This eliminates the need for physical copies and allows for convenient access wherever you go. All you need is a blender and a few dollars to get started on your weight loss journey.

The Smoothie Diet is suitable for individuals who are looking for a natural and effective way to lose weight. It is important to note that this program is not intended for long-term use or as a complete meal replacement. It is recommended to consult with a healthcare professional before starting any weight loss program, especially if you have any underlying health conditions.

To achieve the best results with The Smoothie Diet, it is essential to follow the program guidelines. While you have the flexibility to customize the recipes, it is recommended to replace two meals per day with smoothies and enjoy one balanced meal. The number of smoothies consumed each day depends on the number of meals you substitute. It is important to listen to your body and adjust the program according to your individual needs.

Many individuals have experienced success with The Smoothie Diet: 21 Day Rapid Weight Loss Program. Users have reported significant weight loss, increased energy levels, improved digestion, and enhanced overall well-being. The program has received positive feedback for its simplicity, effectiveness, and delicious smoothie recipes. However, it is important to note that individual results may vary.

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1. What is The Smoothie Diet?

The Smoothie Diet is a 21-day rapid weight loss program that involves replacing two meals per day with smoothies. The smoothies are made with fresh fruits, vegetables, and protein powder, and they are designed to be both nutritious and delicious.

2. How does The Smoothie Diet work?

The Smoothie Diet works by helping you to reduce your calorie intake and increase your nutrient intake. Smoothies are typically low in calories and high in fiber, which can help you to feel full and satisfied. Additionally, the smoothies contain all of the essential vitamins and minerals that your body needs to function properly.

3. How much weight can I lose on The Smoothie Diet?

The amount of weight that you lose on The Smoothie Diet will vary depending on your individual circumstances. However, many people report losing 5-10 pounds in the first week of the program, and up to 20 pounds or more over the entire 21 days.

4. What are the benefits of The Smoothie Diet?

There are many benefits to The Smoothie Diet, including:

5. What are the risks of The Smoothie Diet?

The Smoothie Diet is generally safe for most people. However, it is important to talk to your doctor before starting any new diet program, especially if you have any underlying health conditions.

6. What do I eat on The Smoothie Diet?

On The Smoothie Diet, you will replace two meals per day with smoothies. The smoothies are made with fresh fruits, vegetables, and protein powder. You can find a variety of smoothie recipes on the program's website.

7. What do I do if I get hungry between meals?

If you get hungry between meals, you can eat healthy snacks such as fruits, vegetables, nuts, and yogurt. You can also drink smoothies or protein shakes.

8. What do I do when I finish The Smoothie Diet?

Once you finish The Smoothie Diet, you should gradually transition back to a normal diet. It is important to continue eating healthy foods and exercising regularly to maintain your weight loss.

9. What are some common side effects of The Smoothie Diet?

Some common side effects of The Smoothie Diet include:

These side effects are usually mild and go away on their own within a few days. If you experience any severe side effects, stop the diet and talk to your doctor.

10. Who should not follow The Smoothie Diet?

The Smoothie Diet is not recommended for pregnant women, breastfeeding women, people with diabetes, or people with any other underlying health conditions. If you have any questions about whether or not The Smoothie Diet is right for you, talk to your doctor.

The Smoothie Diet: 21 Day Rapid Weight Loss Program is a comprehensive and customizable weight loss program designed to help individuals achieve their health and fitness goals. With its focus on natural ingredients and balanced nutrition, this program offers a sustainable approach to weight loss. By incorporating nutrient-rich smoothies into your daily routine, you can experience rapid weight loss and improved overall well-being. Follow the guidelines, listen to your body, and enjoy the journey towards a healthier you.

Disclaimer: The information provided in this article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any weight loss program.

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The Smoothie Diet Reviews: Fake or Legit? 21 Day Weight Loss ... - The Jerusalem Post


Nov 19

Is It Safe to Skip an Ozempic Shot Before a Special Meal or Trip? – Everyday Health

If youre taking semaglutide (Ozempic, Wegovy) or tirzepatide (Mounjaro, Zepbound), certain food-focused holidays like Thanksgiving and Christmas are probably very different for you now. After all, these powerful appetite-suppressing drugs can make indulging in rich foods an uncomfortable experience.

You might be tempted to skip or delay a dose in advance of a special occasion, whether thats a big holiday meal, an expensive anniversary or birthday dinner, or some other celebration. Or maybe youre planning a vacation and considering missing a dose in order to really get your moneys worth from an all-inclusive resort.

An informal review of social media forums dedicated to the use of weight loss injectables suggests that people are very much split on the issue of skipping doses. Some report they have happily delayed or missed doses for holidays and vacations and will do so again. Others have tried the technique and experienced poor results. Some people reject the idea entirely.

So, is it really safe to skip a dose once in a while? And is it a good idea?

The new weight loss injectables, nicknamed GLP-1s, mimic the actions of hormones that the body naturally releases after meals, resulting in complex metabolic effects that work together to curb hunger.

Theyve become a global phenomenon for one big reason: They are extraordinarily effective appetite suppressants. A 12-week study, for example, found that semaglutide users consumed 24 percent fewer calories and enjoyed additional benefits like fewer food cravings and enhanced self-control during eating. Participants even had a diminished interest in fatty foods.

Thats great news for weight loss and diabetes management. But using these drugs means learning how to navigate celebrations that involve being surrounded by loved ones deliriously gorging themselves on delicious foods.

Katherine Saunders, MD, an assistant professor and obesity specialist at Weill Cornell Medicine in New York City and a cofounder of Intellihealth, says that while missing the occasional dose of weight loss medication is technically safe, she doubts it will allow patients to enjoy a large meal.

Dr. Saunders has seen patients underestimate how slowly these drugs leave their system. People can get into trouble with this habit given semaglutide and tirzepatides long half-lives, she says. If someone skips medication for one week in order to eat larger portions, they might get sick if they assume the medication is out of their system and they eat more than they can handle.

She explains that even if appetite seems to return after a delayed or skipped dose, big meals can still provoke punishing side effects: Eating heavy foods or large portions while on semaglutide or tirzepatide can lead to heartburn, nausea, and vomiting. Sometimes people feel fine while theyre eating and even afterwards for a while, but then they vomit out of nowhere several hours later, she says.

Andrew Kraftson, MD, the director of the weight navigation program at Michigan Medicine in Ann Arbor, agrees. Just because you skipped a dose doesnt mean you arent at any risk of side effects. Individuals should still be counseled to chew very thoroughly, eat slowly, and moderate their portions to avoid getting into trouble, he says.

Dr. Kraftson speculates that people who routinely experience gastrointestinal side effects from their medications may be at higher risk of having more pronounced symptoms if they skip a dose.

Kraftson adds that while delaying a dose to create hunger may be unwise, there are other valid reasons for changing your injection schedule around the holidays or a trip.

Many people experience their worst digestive issues during the first day or two after their weekly injection, and have learned to delay their shot on days when vomiting or diarrhea would be particularly inconvenient, such as during job interviews, air travel, or holiday parties. Kraftson calls these short delays totally reasonable.

If your usual injection is scheduled to occur immediately before a big holiday meal, its probably safe to wait a day or two it could reduce the risk that you spend too much of the party in the bathroom.

Sean Hashmi, MD, the regional director of clinical nutrition and weight management for Kaiser Permanente Southern California and a medical reviewer for Everyday Health, says that delaying or skipping a single dose of your medication is medically harmless in the short term. But he strongly cautions against the practice for a second reason. Dr. Hashmi is concerned that overindulging while on a medication vacation can do deep damage to the habits that GLP-1s help you build habits that will be critical for weight maintenance if you ever need to discontinue the medication.

This concept that we can stop this medicine to do something that we know isnt good for us, it sets us up for failure in the long run, says Hashmi. From a medical perspective its fine, but just remember that if you were an alcoholic, I wouldnt tell you to go have a drink every Saturday night.

In the online weight loss community, theres a contingent that agrees wholeheartedly with Hashmis perspective, and plans to stick to their regular dosing schedules throughout the holiday season. Some users are proud to enjoy only small portions of holiday fare and know that theyre keeping their health on track. And more than a few voices online have reported that when weight loss drugs quiet their food noise, it just makes it easier to appreciate everything else the holidays stand for.

Experts agree that the best strategy for people on weight loss drugs is to manage your expectations about what and how much you can eat, rather than skipping your doses.

Saunders suggests three simple tips for those still interested in partaking in rich foods now and then:

If youre considering making a temporary change to your dosing schedule, the manufacturers of semaglutide and tirzepatide provide official guidelines:

For short delays, there is no need to worry about dosage strength. If its only a week or two, you go right back to the original dose, says Hashmi.

Longer pauses may be more difficult to accommodate. There are no official guidelines on how to restart your GLP-1 drug regimen after missing two or more weeks. Nobody really knows yet, because the data is still coming out on varied practice patterns, says Hashmi.

The big question is whether or not you can go back to the dosage you were previously using, or if you need to step back down to a smaller dose.

New users of GLP-1 drugs always begin with small starter doses before gradually titrating up (increasing) their dosage. It takes the body some time to adjust to these potent medications, and those infamous gastrointestinal side effects tend to be at their very worst in the first few days of a new higher dose. With longer pauses, the worry is that your body might lose some of the tolerance that originally allowed you to step up your dosage. Going back to a high dose after a wait of several weeks could be more than your body is ready to handle, resulting in extremely uncomfortable side effects.

In the absence of clear guidance, Hashmi says that his clinic has taken a conservative approach: When we stop patients for a month or so, we will restart them at a lower dose for safety reasons and then quickly ramp them back up. We do that to avoid any nasty side effects of nausea, vomiting, diarrhea, or constipation. But at the moment that protocol is based only on educated guesswork. Thats not evidence-informed. Right now, we just dont have the expert opinion.

Saunders takes a similarly cautious strategy with her patients. When our patients are off medication for an extended period, we generally recommend starting back at the lowest dose and titrating up gradually.

If youve missed more than two regular doses, it might be unwise to start back on your prior dosage. Call your healthcare provider, who can provide a recommendation based on your unique situation.

Skipping or delaying one dose of your weight loss medication is unlikely to let you truly indulge in rich foods. These potent drugs stay in your system for longer than one week, and even if your hunger seems to return, large fatty meals can still result in ugly gastrointestinal side effects.

Longer medication breaks skipping doses for two weeks or more raise new issues to deal with, as you may need to go back to a lower starter dose in order to comfortably transition back to your current level.

The better plan is to manage expectations around special meals and vacations. Embrace your diminished appetite, and if you want to partake in heavy foods, do so in moderation.

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Is It Safe to Skip an Ozempic Shot Before a Special Meal or Trip? - Everyday Health


Nov 19

How To Lose One Pound a Week Without Ever Exercising – Eat This, Not That

While the number on the scale isn't the end-all-be-all for good health, losing just one pound per week can help give you the mental boost and mindset required for achieving long-term weight loss. Once you figure out how to sustainably lose that one pound, you are better able to keep your weight in check and set yourself up for success on the path to a slimmer, healthier you. The good news is losing one pound a week doesn't just mean doing rigorous workouts that leave you exhausted or depriving yourself of your favorite foods. We spoke with an expert who shares exactly how to lose one pound a week without exercising.

You can incorporate small, manageable adjustments into your daily routine without crash diets or crazy workout routines. This thoughtful weight loss approach will help you achieve a healthy, balanced lifestyle that you can maintain in the long term.

Destini Moody, RDN, CSSD, LD, a registered dietitian and sports dietitian with Garage Gym Reviews, shares with us her expert insights on how to lose one pound a week without exercising. Regardless of your motivation to lose weight, join us on this journey toward a healthier and more balanced life. The best part is it's free from drastic measures, focusing instead on creating sustainable habits that align with your health and fitness goals. Keep reading to learn how you can achieve sustainable weight loss and lose one pound a week without exercising, according to Moody. And, when you're done, don't miss the 7 Best Ways To Burn 500 Calories, According To Personal Trainers.

Moody states that there are around 3,500 calories in one pound of body fat. That means you must have a caloric deficit of approximately 3,500 weekly to lose one pound every seven days. To simplify things, aim to torch 500 calories a day. However, Moody cautions this recommendation isn't suitable for everyone. 6254a4d1642c605c54bf1cab17d50f1e

"If you have a low body weight or are inactive, your resting metabolic rate (RMR) is probably quite low," she explains. "Your resting metabolic rate is how many calories you burn at rest. So, say your individual RMR is only 1,600 calories, and you cut 500 calories from your daily diet. If you only eat 1,100 calories a day, this can be dangerous. Dietitians strongly discourage any diets that are 1,200 calories or less as diets this low tend not to provide enough food to give the body all of the nutrients it needs to stay healthy and operate optimally."

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Keeping a food journal or using a mobile app to record your meals and snacks can be a total game-changer for reaching your weight loss goals. This practice helps you stay within your calorie goals while providing insights into your eating habits that you can tweak and adjust.

Moody says, "Use a tracking app or a food journal to track how many calories you're currently consuming, and then determine what you can eliminate from your diet. This is one of the most efficient ways of creating a calorie deficit. After all, how can you figure out how many calories to cut if you have no idea how many you're consuming?"

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Not all calories are created equal. Identify and cut back on calorie-dense foods that pack a high caloric punch without offering substantial nutritional benefits. For example, swap out processed snacks like chips and sodas for nutrient-rich options like fruit or nuts to keep you satiated without the unnecessary calorie load.

"Examine your daily diet to see if there are any high-calorie foods that are unnecessary," recommends Moody. "If you're having toast with a whole avocado (250 calories), consider switching it with toast and a fried egg (70 calories). Foods like avocado, nuts, seeds, peanut butter, and hummus are healthy foods and snacks, but they also pack a lot of calories without filling much stomach space, resulting in you eating way more calories than you probably realize."

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Snacking can be a slippery slopeespecially if it involves mindlessly munching while sitting in front of the TV. To achieve your one-pound-a-week goal, consider scaling back on snacks, particularly those high in added sugars and unhealthy fats. Instead, eat mindfully and go for whole, unprocessed snacks like fruits, veggies, or a handful of nuts when hunger strikes.

"There's nothing inherently wrong with snacking, but for most people, it's a source of extra calories that can be easily cut when you start pursuing a calorie deficit," says Moody. "Most people feel the need to snack in the first place because they're not having balanced meals. You may find that, by balancing your meals with high amounts of protein, moderate carbs, and a fruit or vegetable, you can easily reduce your calories by eliminating snacking."

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Non-starchy vegetables like asparagus, artichokes, and leafy greens are low in calories, high in fiber, and loaded with essential nutrients. Incorporate a variety of colorful veggies into your meals to increase volume without significantly increasing calorie intake.

"Non-starchy vegetables are high-fiber, low-calorie vegetables like leafy greens, cabbage, broccoli, carrots, bell peppers, and so on. These foods add a lot of water, fiber, and volume to your stomach without adding many calories," says Moody. "Your stomach only feels full when it's full, so if you can pack it with low-calorie foods that take up space, this can be an effective tactic at creating a calorie deficit without feeling like you're starving."

According to the National Institutes of Health, inadequate sleep can lead to weight gain by disrupting your metabolism and increasing cravings for high-calorie foods. That's why it's essential to prioritize a consistent sleep schedule and create a conducive environment for rest to support your weight loss journey.

"Studies have shown that people who consistently get less than seven hours of sleep a day produce more ghrelin, the body's hunger hormone," Moody states. "Scientists believe that lack of sleep causes the body to seek other fuel sources during waking hours. Also, if you don't sleep well, you've probably noticed your sugar cravings becoming more frequent, which makes losing weight that much more difficult. Aim to sleep eight to nine hours each night to keep hunger at bay and support your weight loss efforts."

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How To Lose One Pound a Week Without Ever Exercising - Eat This, Not That



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