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Feb 13

Opinion: Weight-loss drugs like Ozempic can’t fix America’s obesity crisis alone : Shots – Health News – NPR

Amr Bo Shanab/Getty Images/fStop

Amr Bo Shanab/Getty Images/fStop

The headlines are compelling, with phrases like, "The Obesity Revolution," and "A new 'miracle' weight-loss drug really works." The before-and-after pictures are inspiring. People who have struggled for decades to shed pounds are finally finding an effective strategy.

The last few years saw breakthroughs in treatments for obesity, with new weight-loss medicines dominating recent news reports. The medicines, semaglutide (Ozempic, Wegovy) and tirzepatide (Mounjaro, Zepbound), work by slowing stomach-emptying and decreasing appetite. They're usually administered by weekly injection.

Clinical trials boasted success comparable to surgery. Celebrities like Oprah Winfrey shared encouraging personal stories.

The scientific literature behind the headlines is impressive as well. Those taking the medicines lose, on average, 10% to 20% of their body weight. Originally developed for Type 2 diabetes, the drugs are well known to improve control of blood sugar. In December, we also learned that in people with cardiovascular disease who are overweight or obese, semaglutide appears to reduce major adverse cardiac events by 20%.

For primary care doctors like me, who have counseled thousands of patients often unsuccessfully about their weight, this news is welcome. For many of those living with obesity, these medicines can feel like a game changer.

Excess body weight is tied to a range of medical problems, including diabetes, heart disease, osteoarthritis, sleep apnea and many types of cancer. It's linked to shorter life expectancy and higher rates of disability. With about 40% of U.S. adults now classified as obese and another 30% considered overweight many doctors and patients are embracing the new drugs as a solution.

Yet even as many may adopt the newest medications, we need to recognize and address their limitations, including a lack of long-term safety data and potential side effects like nausea, vomiting and, rarely, pancreatitis and gallbladder disease. Poison control centers are reporting an increase in calls due to medication overdoses, which can lead to low blood sugar and associated symptoms, like dizziness, irritability and in severe cases confusion and coma.

The high price of the weight-loss medicines usually over $1,000 per month for each patient is especially troubling in a nation that already far outspends the rest of the world in health care costs and faces major disparities in care. The cost concerns are amplified by studies showing that the drugs usually need to be taken long term to prevent weight regain.

"While these drugs are powerful and wonderful tools, they are not a panacea," said Jonathan Bonnet, a board-certified obesity, lifestyle, family and sports medicine physician who serves as program director of medical weight loss at the Palo Alto VA's Weight Management Center Clinical Resource Hub.

He is seeing positive results among his patients but recognizes cost as a significant barrier. "Treating everyone with obesity in the U.S. with medications will bankrupt the country and still not cultivate the type of health and vitality we actually want," he said.

More than half of employer insurance plans in the United States, as well as Medicare, don't cover the medicines for weight loss.

Medications also fail to address the root causes of the problem. Rates of obesity have increased substantially over the last few decades and have continued to climb since the COVID-19 pandemic. A Gallup survey released in December showed the obesity rate increased by 6 percentage points from 2019 to its current level of 38.4%. The prevalence of Type 2 diabetes a known consequence of obesity in many individuals increased from an estimated 10.3% of U.S. adults in the 2001-2004 time period to 13.2% in the 2017-2020 time period.

Our society's easy access to ultraprocessed, calorie-dense foods and our high levels of inactivity contribute to excessive weight gain and related health impacts. A health care system designed for "sick" care supported by a multibillion-dollar pharmaceutical industry that stands to benefit when we fall ill does not prioritize disease prevention.

And while we should embrace a culture of acceptance of all body types, we also can't ignore the fact that rising rates of obesity are part of a growing health crisis.

Enter lifestyle medicine. This burgeoning field focuses on prevention and treatment of chronic disease through adoption of healthy habits including a minimally processed diet rich in vegetables, fruits and whole grains; regular physical activity; restorative sleep; stress management; positive social connection; and avoidance of harmful substances.

Lifestyle medicine practitioners partner with patients to understand their core values and help them achieve goals whether it's to lose 20 pounds, control high blood pressure or boost mood and energy.

Lifestyle medicine is cheap and low risk. Its proven benefits extend far beyond weight loss and can be lifelong. Those who make positive lifestyle decisions, including exercising, eating well and not smoking, may reduce their incidence of coronary artery disease by over 80% and Type 2 diabetes by more than 90%. They take fewer medications. They live longer and experience improved mental health and lower rates of cancer, chronic disease and disability.

And a diet that emphasizes whole, plant-based foods is also better for our planet, reducing deforestation, air and water pollution and greenhouse gas emissions related to meat and dairy production.

Lifestyle medicine and the new weight-loss medications are not mutually exclusive. In fact, the package inserts explicitly state these drugs should be prescribed in combination with increased physical activity and a reduced-calorie diet.

Yet the lifestyle piece is usually glossed over. It's not a quick fix; it requires commitment and a reexamination of personal values. It encourages us to cut back on the ultraprocessed foods we like, high in added sugars and salt, that still raise the risk of heart disease, stroke and some cancers, even in those who aren't overweight.

According to the American Heart Association, fewer than 1% of U.S. adults and adolescents engage in all practices recommended to achieve ideal cardiovascular health, which include most tenets of lifestyle medicine.

New anti-obesity medicines are an important tool. But true health is not just about a number on the scale. Widespread adoption of the principles of lifestyle medicine would reduce health care costs, reverse recent declines in U.S. life expectancy and transform lives.

Because more than 82% of Americans see a health professional every year, incorporating lifestyle medicine into these visits is an obvious way to reach those who need support. But health care providers are often unprepared to offer the kind of intensive coaching that's required.

A 2017 survey indicated that 90% of cardiologists, for example, reported receiving minimal or no nutrition education during fellowship training.

Medical schools and residency programs need to teach the next generation of doctors to promote healthy behaviors and to implement those practices in their own lives.

Time is another constraint. In my years working in community clinics, I was routinely expected to see patients in 20-minute increments, leaving almost no opportunity to address lifestyle changes in a meaningful way. I might encourage patients with heart disease to eat more fruits and vegetables, but I didn't have time to understand the underpinnings of their dietary choices, often influenced by a complex combination of culture, finances and personal preferences.

Nor could I refer patients to supportive colleagues, such as dieticians, behavioral health counselors and health coaches my clinic didn't have them.

Doctors need time for difficult conversations to understand the drivers behind patient choices and what might motivate them to change. They need to be able to partner with other professionals who can offer support and expertise.

But even more important and more difficult is the need to adjust cultural norms and public policies to make it easier for individuals to adopt healthy behaviors.

For example, SNAP (Supplemental Nutrition Assistance Program), formerly known as food stamps, should be reformed to reduce taxpayer-subsidized consumption of sugar-sweetened beverages and ultraprocessed foods. Even small acts, like moving healthy foods to the front of the grocery store, can have an impact.

"Our environments are optimized for unhealthy living." Bonnet said. "Willpower will only get us so far." What we need, he told me, is to design communities that make healthy choices the default, less-expensive option.

Such communities would have more green space and walkable streets, easier access to fresh produce, plant-based entres in restaurants and increased opportunities for face-to-face social connections. By removing the reliance on willpower and financial resources to live well, we can reduce health disparities and improve quality of life for everyone.

This story comes from Public Health Watch, a nonprofit, nonpartisan investigative news organization that focuses on threats to America's well-being.

Lisa Doggett is a columnist for Public Health Watch, a family and lifestyle medicine physician at UT Health Austin's Multiple Sclerosis and Neuroimmunology Center and senior medical director of Sagility. She is the author of a new memoir, Up the Down Escalator: Medicine, Motherhood, and Multiple Sclerosis. The views expressed in her columns do not necessarily reflect the official policies or positions of Public Health Watch, UT Health or Sagility. Doggett can be reached through her website.

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Opinion: Weight-loss drugs like Ozempic can't fix America's obesity crisis alone : Shots - Health News - NPR

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Feb 13

Run to reduce long term fat gain – Runner’s World UK

Perhaps you set yourself the New Years resolution to

This research, published in Frontiers in Sports and Active Living, has shown that people who continue to run are more likely to keep off the weight in later life. It compared the lean mass and fat mass of males aged 20-39 and 70-89, who were then further grouped as sprinters, endurance runners, strength athletes or fit, athletic individuals who did not necessary take part in competitive sports.

The results demonstrated that fat mass was significantly lower in sprint and endurance athletes compared to strength athletes across both age groups. In other words, consistent running helps to prevent weight or fat gain in subsequent years so, if you havent done so already, theres no better time to weave regular running into your routine.

'Our data clearly shows that lifelong running exercise, be it long distance or repeated short distance sprinting, maintains lower fat mass levels than a typical physically active lifestyle and also more than participating in competitive strength sports,' says Dr Simon Walker, a Docent in Exercise Physiology at the University of Jyvskyl who co-led the research. 'Absolutely, this result motivates me to continue running. I'd certainly be happy with a fat percentage of 16-18% when I'm in my 70s and 80s.'

On the flip side and perhaps unsurprisingly the same study found that the participants who engaged in long term strength training preserved more muscle mass than their sprinting or long distance-running counterparts. In fact, of those studied, weight-wielders in the older group even had a similar amount of muscle mass as the younger strength trainers.

As such, for maximum long term physical benefit, Walker suggests supplementing running activities with plenty of strength training sessions. 'In terms of enhancing body composition through both heightened muscle mass and maintenance of a non-health affecting fat mass, it seems that a combined approach is recommendable,' he says.

Whether you prefer to do bodyweight exercises at home or strength-based work at the gym, regular resistance training of this kind can greatly improve both your current running performance and the overall shape and wellness of your body in later years.

While this new study considered only males, Walker believes that similar results would be shown for females, too, especially considering age-related effects such as the menopause. He believes that the most important finding from this research is that exercising now will do wonders for your future self, no matter what your gender.

'The key is perhaps to prevent a rise in fat mass or loss in muscle mass in the first place and maintain exercise throughout the lifespan,' he says. 'Thus, lifelong engagement in regular exercise does help to maintain a healthy body composition. That is no myth.'

If you want to lose a bit of weight or simply safeguard a lean, strong body, you can be assured that running will stimulate good health for the long haul. As per the findings of this study, running is as beneficial for your future physiological state as it is for your present one so keep going.

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Feb 13

Try This 5-Minute Mental Exercise the Next Time You Feel Crappy About Your Body – Self

No matter how much work you do to unlearn diet cultures brainwashing or feel comfortable in your skin, there are going to be days when you feel bad about your body. Think about it: We live in a society that constantly tells us smaller is better, and that getting as close as possible to the thin ideal will earn you love, acceptance, and dignified treatment.

Humans are deeply relational and need to feel a secure sense of belonging, Amber Stevens, PsyD, clinical director of Galia Collaborative in Cincinnati, Ohio, tells SELF. The constant pursuit of shrinking our bodies through dieting has historically been one of the more effective ways to reduce the threat of judgment from others.

But the reality is that dieting rarely leads to long-term weight loss (in fact, it tends to cause weight gain, research shows). In my experience as a dietitian who helps people recover from eating disorders, Ive seen firsthand how food restriction tends to do far more harm than good. Ive also seen how easy it is for folks to fall for the big promises of every new weight-loss fad and dive in headfirst, forgetting about all the ways diets have failed (and hurt) them in the pastor believing that this time will be different.

Thats where a little self-reflection can help: Remembering your past experiences is a powerful tool for resisting the (understandable) temptation to follow food rulesand working toward the food and body peace you deserve. The next time youre feeling like crap about your body and thinking a diet might be the answer, try the exercise below to see the full picture of how this same scenario has played out in the past.

Reflect on your previous experiences with diets to remind yourself that they ultimately didnt deliver on their promises. Maybe you went on a low-carb plan that left you dreaming of baguettes every nightand eventually binging on chocolate chip cookies every weekend. Maybe you had some success with calorie counting for a couple of months several years ago, only to find yourself obsessed with your tracking app, turning down dinner invitations with friends, and back at your starting weight a few months later.

The more we look at the evidence that diets have failed us, the more we can come to terms with the fact that theyre a money-making ruse, Dr. Stevens says. We have been sold a bill of lies that eventually dieting will work, and that if it doesnt result in permanent weight loss, its our fault rather than the fact diets are designed to fail. The shame that this creates can be incredibly difficult to climb out of. Use your list of the ways diets have failed you as proof that theyre to blame, not you.

Equally important is thinking about all the things you could gain from unlearning diet cultures BS, which can be hard to imagine if youve never actually given yourself a chance to experience them. So heres another quick exercise to try:

Think about what youd do differently in your day-to-day life if you werent worried about what would (or wouldnt) happen to your body as a result. If people have spent countless hours trying to adhere to strict eating or exercise rules, they realize they have a lot more free time when they give these things up, Abby Chan, RD, co-owner of Evolve Flagstaff in Flagstaff, Arizona tells SELF.

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Try This 5-Minute Mental Exercise the Next Time You Feel Crappy About Your Body - Self

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Feb 13

The Impact of Weight Loss and Glycemic Control on Diabetic Retinopathy – Medriva

Diabetic retinopathy, a common complication of diabetes, has long been a subject of study in medical research. Recent studies have focused on the possible impacts of rapid weight loss and glycemic control on this condition. However, these studies present conflicting evidence, leading to insufficient conclusions. In some cases, rapid blood sugar correction has been linked to a temporary worsening of retinopathy, while other studies indicate no connection between weight loss drugs and the condition.

Despite the potential temporary worsening of retinopathy, the long-term benefits of weight loss and glycemic control cannot be overstated. An 18-month longitudinal study found that rapid weight loss can lead to a significant reduction in the risk of developing diabetic retinopathy, especially in patients with poorly controlled diabetes. This highlights the importance of weight management in the treatment of type 2 diabetes mellitus.

Another critical aspect of managing this condition is glycemic control. It has been proven to reduce microvascular and macrovascular complications. Different organizations recommend varying HbA1c targets, but the underlying theme is the necessity of maintaining controlled blood sugar levels. This can be achieved through a combination of lifestyle modifications and the use of glucose-lowering pharmacotherapy.

GLP-1 agonists have emerged as a crucial tool in the battle against diabetes and its complications. Some studies have shown cardiovascular benefits associated with these drugs. However, theres also a link to retinopathy complications. In particular, semaglutide has been associated with worsening diabetic retinopathy.

Weight loss drugs, on the other hand, have been shown to have no direct link to retinopathy. The new generation of weight-loss drugs is anticipated to be valuable in decreasing the long-term implications of diabetic retinopathy. This does not negate the need for caution, however. Baseline retinal examinations and continued monitoring are recommended for patients undergoing rapid weight loss and glycemic control.

Brittle diabetes, a particularly difficult form of the disease to manage, can cause severe swings in blood sugar levels. This can lead to hospitalizations and an increased risk of complications. Treatment depends on the underlying cause and may require certain tests. In severe cases, a pancreas transplant may be an option. Regular healthcare provider visits are important to manage brittle diabetes, and with proper treatment and support, many cases are manageable.

In conclusion, while there is conflicting evidence about the impact of rapid weight loss and glycemic control on diabetic retinopathy, the long-term benefits are undeniable. The medical community continues to explore the balance between managing diabetes and its complications, with a focus on overall patient health and quality of life. The emergence of new weight-loss drugs and treatments offers hope for the future, but careful monitoring and management remain essential.

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Feb 13

The 1200-Calorie Diet Plan: Definition, Safety, Meal Ideas – Women’s Health

When youre on a

As the name suggests, a 1,200-calorie diet is a type of low-calorie diet plan that restricts daily caloric intake to approximately 1,200 calories a day, says Diala Alatassi, MD, a board-certified internal and obesity medicine physician at Endeavor Health Medical Group. The goal of a 1,200-calorie diet is to create a calorie deficit, which can, in theory, lead to weight loss.

That said, 1,200 calories a day is generally not enough to support your overall health, especially if you include any sort of exercise into your lifestyle, says Alex Larson, RD, a registered dietitian and founder of Alex Larson Nutrition. We'll get into why in just a sec.

Meet the experts: Diala Alatassi, MD, is a board-certified internal and obesity medicine physician at Endeavor Health Medical Group. Alex Larson, RD, is a registered dietitian and founder of Alex Larson Nutrition. Kim Shapira, RD, is a registered dietitian and founder of the Kim Shapira Method.

Curious how many calories you really need in a day? Keep scrolling for everything you need to know about calculating your caloric needs and how to create a balanced, weight loss-friendly meal.

In most cases, no. Prolonged calorie restriction can actually slow metabolism because your body senses that food is scarce and lowers the rate in which it burns existing calories, says Dr. Alatassi. And while you may initially lose weight from a 1,200-calorie diet, transitioning out of this eating plan can lead to rebound weight gain, she explains.

Plus, excessive calorie restriction can lead to bone and muscle loss, brain fog, constipation, dizziness, fatigue, headaches, hormone imbalances, and poor immune function. Read: It throws off your whole bod.

As a result, if youre going to try a 1,200-calorie diet, you *need* to talk with your healthcare provider first, says Dr. Alatassi. Why? Its generally not sustainable for long-term health for the average person and you may run the risk of nutritional deficiencies, she explains. Consulting with a registered dietitian or healthcare professional is crucial to assess individual needs, monitor risks, and ensure the diet is safe and appropriate while prioritizing overall health and well-being.

The number of calories you need in a day depends on your age, sex, weight, activity level, overall health, and basal metabolic rate (BMR), says Dr. Alatassi. FYI: Your BMR is the number of calories you need to maintain basic physiological functions like thinking, going to the bathroom, and taking deep breaths.

On average, a typical adult woman needs about 1,800 calories a day, says Kim Shapira, RD, a registered dietitian and founder of the Kim Shapira Method. Consuming less than that can lead to nutritional deficiencies, a lack of energy, gastrointestinal distress, anxiety, and reduced cognitive function, she adds.

Its always best to consult a physician or dietitian to determine your exact caloric needs, but two nifty formulasknown as the Mifflin-St. Jeor or Harris-Benedict equationscan provide a rough estimate. If your goal is to lose weight, you then subtract around 500 calories per day to theoretically lose one pound per week, adds Larson.

The most popular formula is the Mifflin-St. Jeor equation which calculates your BMR.

For women, the Mifflin-St. Jeor equation is:

BMR = (10 x weight in kg) + (6.25 x height in cm) (5 x age in years) 161.

So, for a 25-year-old woman who is 54 and weighs 150 pounds, this would be: BMR= (10 x 68) + (6.25 x 163) (5 x 25) 161 = about 1,413 calories.

The Harris-Benedict equation is also used for estimating your caloric needs, and may even be more accurate than the Mifflin-St. Jeor method.

For women, the Harris-Benedict equation is:

BMR = 655.1 + (9.563 x weight in kg ) + (1.850 x height in cm) (4.676 x age in years).

For the same 150-pound woman, this would be: BMR= 655.1 + (9.563 x 68) + (1.850 x 163) (4.676 x 25) = about 1,490 calories.

With that in mind, just remember that any equation is meant to provide a ~loose~ estimate on your caloric needs and is not a hard-and-fast rule. In fact, your results may be slightly different depending on which formula you use, as seen above.

Your caloric needs may also change from one day to the next based on your activity, stress, and overall health, says Shapira. Listening to your body and adjusting your intake accordingly will help with long-term weight loss and management, she explains.

Once you determine your caloric needs, the following tips can help you craft a healthy, weight loss-friendly meal.

Eating high-protein foods can help support muscle maintenance, enhances satiety, and aids in weight loss, so incorporate lean protein like fish, poultry, beans, legumes, tofu, or soy into every meal, says Dr. Alatassi.

Aim to fill up half your plate with fruits and vegetables, says Larson. They are filling to eat, lower in calories, and high in micronutrients such as vitamins, minerals, and fiber, she explains.

Opt for healthy fats such as olive, grapeseed, avocado, or sunflower oil when cooking, says Larson. Not only can healthy fats lower the risk of developing heart disease, but research out of UCLA Health suggests they can also improve cholesterol levels, control blood sugar, and reduce inflammation.

When choosing carbohydrates, Larson recommends looking for whole-grain complex carbs such as quinoa, brown rice, and whole-grain pasta or breads. Theyre more filling since they take longer to digest, are high in fiber, and less likely to cause spikes in your blood sugar.

Base your meals on whole, minimally processed foods, says Dr. Alatassi. Think: lean protein, fruits, veggies, beans, nuts, and legumes. These foods provide essential nutrients and contribute to a feeling of fullness, ultimately supporting weight loss, she adds.

Its easier said than done, but Dr. Alatassi recommends listening to your body's hunger and fullness cues to avoid overeating and choose nutrient-dense options to maximize essential nutrients without excess calories. Using smaller plates can also help manage portion size, she adds.

Practice mindful eating by savoring flavors and chewing slowly, says Dr. Alatassi. Its also best to avoid distractions during meals, like watching TV or scrolling TikTok, as this enhances awareness of satiety signals and prevents overeating, she explains.

Youve likely heard it before, but its crucial to drink at least eight cups of water every day, says Shapira. We need to hydrate to help our cells detox, and water is the secret sauce, she explains. And no, coffee doesnt count! Whenever possible, choose water as your primary bev.

Weight loss does not need to be rooted in restriction. Eat what you love when you are hungry, says Shapira. This can help move away from the notion that foods are either good or bad and sets you up for a long-term healthy lifestyle, she adds.

Ultimately, the 1,200-calorie diet may not be the most sustainable weight loss approach since 1,200 calories is too few for most people. Enjoying nourishing, well-balanced meals is likely more helpfulbut always consult your healthcare provider or a dietitian to determine what's best for you and your body.

Andi Breitowich is a Chicago-based writer and graduate student at Northwestern Medill. Shes a mass consumer of social media and cares about womens rights, holistic wellness, and non-stigmatizing reproductive care. As a former collegiate pole vaulter, she has a love for all things fitness and is currently obsessed with Peloton Tread workouts and hot yoga.

Diala Alatassi, MD,is a board-certified internal and obesity medicine physician atEndeavor Health Medical Groupwith a specialty in diabetes,cholesterol management,high blood pressure, and obesity medicine.

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The 1200-Calorie Diet Plan: Definition, Safety, Meal Ideas - Women's Health

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Feb 13

Understanding the Role of New Weight Loss Drugs in Managing Obesity and Blood Pressure – Medriva

A New Era of Weight Loss Medication

The landscape of weight loss treatments has seen remarkable innovations in recent years. New weight loss drugs such as Wegovy, Zepbound, Ozempic, and Mounjaro, which work by mimicking the hormone glucagon-like peptide 1 (GLP-1), have been approved to treat obesity and type 2 diabetes. These drugs are game changers, helping to decrease appetite, slow down the movement of food through the gut, and prompt the body to release more insulin. Notably, these drugs are specifically indicated for people diagnosed with obesity or type 2 diabetes. They have been effective in helping many people lose weight, with an average weight loss close to 15% for semaglutide and up to 21% for tirzepatide. While these drugs have a relatively long track record for safety, they also come with side effects like nausea, constipation, and acid reflux. Thus, their usage must be carefully monitored.

Interestingly, these new weight loss medications have also been found to significantly lower systolic blood pressure in adults with obesity. For instance, the medication tirzepatide, which mimics two metabolic hormones in the body, has shown to regulate blood sugar levels, slow down digestion, and reduce appetite. In the SURMOUNT 1 weight loss study, significant reductions in systolic blood pressure were observed across different participant subgroups. This reduction in blood pressure was found to rival that of many hypertension medications. However, there are limitations to these studies, and further research is needed to determine the long-term impact on cardiovascular events and the effects of discontinuing the medication.

In two other studies, significant reductions in blood pressure were noted in adults who underwent certain weight loss treatments. One study highlighted the effect of weekly injections of the drug tirzepatide, while the other contrasted the outcomes of participants who underwent bariatric surgery with those who only took hypertension medications. Tirzepatide was shown to significantly lower blood pressure in adults with overweight or obesity who took it for nine months. Furthermore, more than 80% of those who had bariatic surgery were able to reduce the number of blood pressure medications they were taking compared to 14% of those who were only on medications, and almost 50% achieved hypertension remission.

Despite the promising results, questions remain about the long-term impact of these GLP-1 drugs on cardiovascular events and whether the improvements in blood pressure will remain if people stop taking the drug. More studies are needed to provide these answers. Additionally, there are concerns about whether these findings will lead to increased insurance coverage for weight loss drugs like Zepbound and Wegovy. Nonetheless, these new drugs have already made a significant impact on the management of obesity and type 2 diabetes, and their potential blood pressure-lowering effects add another arrow to the quiver in the fight against these widespread health issues. However, experts underline that while these drugs can be beneficial, they should not replace a balanced diet and regular exercise in the pursuit of weight loss and improved health.

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Understanding the Role of New Weight Loss Drugs in Managing Obesity and Blood Pressure - Medriva

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Feb 13

The Abdulhamid Han Mosque is starting to attract fitness-conscious faithful from other houses of worship – MDJOnline.com

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Feb 13

Harris, As Biden Faces Doubts Over Mental Fitness, Says She’s ‘Ready’ To Be President – The Daily Wire

Vice President Kamala Harris said in a recent interview published this week that as doubts grow over President Joe Bidens ability to continue to serve as commander-in-chief amid questions about his mental fitness, she is ready to step up and be president.

The remarks from Harris come after Special Counsel Robert Hur concluded in his criminal investigation into Bidens handling of classified material that Biden willfully retained and disclosed classified materials, but no criminal charges were warranted, adding that prosecutors also considered that, at trial, Mr. Biden would likely present himself to a juryas a sympathetic, well-meaning, elderly man with a poor memory.

The report said that Biden could not remember basic details about major events in his life, including when he served as vice president in the Obama administration, and he could not remember within several years when his son died, even though he talks about his sons death often.

Biden then held a press conference to demonstrate his mental fitness for office and ended up yelling at reporters and forgetting numerous key details.

The report and the subsequent press conference ignited alarm bells among top Democrats who are privately panicking over Bidens electability, as a recent poll found that 86% of Americans believe he is too old to be president again, and 76% have concerns about his mental fitness.

In an interview with The Wall Street Journal, Harris was asked if voters concerns about Bidens age and mental fitness meant she must convince them that she is ready to take over.

I am ready to serve. Theres no question about that, Harris responded. She claimed that everyone who sees her on the job walks away fully aware of my capacity to lead.

Jennifer Palmieri, who worked in the Obama and Clinton administrations and for Hillary Clintons failed 2016 campaign, told the Journal that Hurs report has really brought Harris ability to serve into the spotlight as she could be needed sooner rather than later.

There was always going to be a lot of scrutiny and pressure on her in the 2024 campaign, and that moments here now, she said. I think that the special counsels report has sort of accelerated that moment.

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A recent Harvard CAPS / Harris poll found that if Biden decided not to run again, Harris would be the top choice among Democrat voters at 15%. After Harris, 8% of voters wanted Hillary Clinton, 7% wanted Sen. Bernie Sanders (I-VT), 7% wanted Sen. Joe Manchin (D-WV), 5% wanted California Governor Gavin Newsom, and the list thins out from there.

An NBC News poll from last year found that Harris was the lowest-rated vice president in the history of the survey, with a -17 rating. Other vice presidents that were rated included Dick Cheney (+23), Al Gore (+15), Biden (+1), and Pence (-4).

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Feb 13

Start your fitness regime with wall exercises – Sportskeeda

Whether you are an artist or a fitness freak, it does not matter. What matters is whether you have tried wall exercises yet. We are all surrounded by walls. Some walls are physical structures and some are metaphorical created by us also known as boundaries. Today we are going to talk about wall exercises you can do while you are at home if you do not want to invest in equipment.

Post-COVID, most of us have started working from home. Sitting and working the whole day can cause obesity, back pain, and other diseases. However, if you are not lazy and try not to find excuses, you can try wall workouts. It can be easily done in your room or inside the four walls of your house. Utilize the space that you have and make the wall your support for a healthy life.

Let us look at the different types of wall exercises that you can do:

1. Wall Push-ups: Although not as beneficial as normal push-ups, this variation is an easy one to begin with. It will strengthen your chest, your biceps, and other muscles. Although it is low-impact exercise, it can help you lose weight.

2. Wall situps: To do this exercise, you have to stand with your back pressed against the wall. After that, you have to move your legs forward, bend them, and hold the position for some time. You can do 10 reps of 4-5 sets.

3. Mountain climbers: You just need to put your hands on the wall and stand at a distance. Now raise one leg at a time and imagine that you are climbing a mountain. Slowly increase the pace when you think you have built enough endurance.

4. Calf raises: You can do calf raises just by holding a wall and talking support. This will build your legs stronger and bigger and also improve your jumping ability.

5. Planks: If you are looking to do a plank for toned abs then wall planks are the correct exercise to choose from. In this form of plank, you use a vertical surface like a wall for support. It enhances your core and gives you a strong back.

6. Standing wall hamstring stretch: You can stand facing a wall and then place your leg on the wall straight with your toes in front. Now you can slowly bend forward touch your feet and stretch your hamstrings. After 10-15 reps you can change the leg and try the same for the above leg. This will increase your flexibility.

There are a lot of wall exercises to choose from other than the ones above. Like an empty canvas that is filled with possibilities, the same goes for a wall if you want to exercise. Make your own exercises.

1. They can be done anywhere. Whether you are at home or on vacation, you can still do them.

2. No equipment is needed for wall exercises. Therefore, you do not have to worry about spending money on all types of gym equipment. This makes it quick and hassle-free.

3. You can build your endurance at home with the help of wall exercises. Exercise like mountain climbers can be very effective and can increase your stamina if you do it every day in the proper form. You do not have to go out in the heat and cycle or run.

4. Makes your body more flexible. Builds muscles and enhances your core. Helps in better digestion and decreases menstrual cramps in women.

In the end, it will depend on you and your fitness goals. If you have access to a gym or equipment and you have invested in them, then you can always use them and train your muscles individually. If you are looking to save time and money and want a quick workout, try the wall workout and become fit.

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Feb 13

Five ways to make your fitness routine more fun and engaging – The Mountaineer

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