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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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When it comes to dietary supplements, it is crucial to pay attention to the ingredients and nutritional value of the product to ensure it aligns with your dietary goals. Takealot Keto Gummies are made with high-quality ingredients that are keto-friendly, such as gelatin, MCT oil, and collagen peptides.
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In addition to being a tasty and nutritious snack, Takealot Keto Gummies offer a range of potential health benefits for those following a ketogenic diet. The gummies are designed to support ketosis, a metabolic state in which the body burns fat for fuel, leading to weight loss and improved energy levels.
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Price and Availability
When considering a dietary supplement, it is essential to factor in the price and availability of the product to ensure it fits within your budget and lifestyle. Takealot Keto Gummies are competitively priced and readily available for purchase online, making them a convenient option for those looking to stock up on their favorite keto-friendly snacks.
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Additionally, Takealot offers discounts and promotions on their Keto Gummies from time to time, providing an opportunity for customers to save money on their purchase. The gummies are also available in different pack sizes to cater to individual needs and preferences.
Overall, Takealot Keto Gummies offer a cost-effective and convenient option for those looking to incorporate a tasty and nutritious snack into their ketogenic diet.
Customer Reviews and Feedback
Before making a purchase decision, it is helpful to consider the feedback and reviews from other customers who have tried the product. Takealot Keto Gummies have received positive reviews from customers, with many praising the taste, texture, and effectiveness of the gummies in supporting their ketogenic diet.
Customers have reported increased energy levels, weight loss, and improved overall well-being after incorporating Takealot Keto Gummies into their daily routine. Many customers also appreciate the convenience and portability of the gummies, making them a popular choice for those with busy lifestyles.
Overall, customer reviews and feedback indicate that Takealot Keto Gummies are a well-received and effective supplement for those looking to maintain ketosis and optimize their health and wellness goals.
Summary and FAQ
In conclusion, Takealot Keto Gummies are a tasty, nutritious, and convenient option for those looking to support their ketogenic diet and overall health and wellness goals. With a range of flavors, high-quality ingredients, and potential health benefits, Takealot Keto Gummies are a well-rounded supplement for those following a low-carb lifestyle.
Below are some frequently asked questions about Takealot Keto Gummies:
Q: Are Takealot Keto Gummies suitable for vegetarians?
A: Takealot Keto Gummies contain gelatin, which is derived from animal sources, making them not suitable for vegetarians.
Q: How many gummies should I consume per day?
A: The recommended dosage of Takealot Keto Gummies may vary depending on your individual needs and dietary goals. It is advisable to follow the serving size instructions on the product packaging or consult with a healthcare professional for personalized guidance.
Q: Can Takealot Keto Gummies help with weight loss?
A: Takealot Keto Gummies are designed to support ketosis, which may aid in weight loss by promoting fat burning for energy. However, individual results may vary, and it is essential to maintain a balanced diet and regular exercise routine for optimal weight management.
Overall, Takealot Keto Gummies offer a delicious and effective way to enhance your ketogenic diet and achieve your health and wellness goals. Whether you are looking to boost your energy levels, support weight loss, or simply enjoy a tasty snack, Takealot Keto Gummies may be a suitable option for you.
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