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The video version of this podcast can be found here: https://youtu.be/W0LL-1BwV3w?si=OT-GNCXaHoA7dcbs This podcast makes reference to guidelines produced by the "National Institute for Health and Care Excellence" in the UK, also referred to as "NICE". Please note that the content on this channel reflects my professional interpretation/summary of the guidance and that I am in no way affiliated with, employed by or funded/sponsored by NICE. My name is Fernando Florido and I am a General Practitioner in the United Kingdom. In this video I will go through a National Patient Safety Alert released on 3.1.2024 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only.  I am not giving medical advice; this video is intended for health care professionals; it is only my summary and my interpretation of the guidelines and you must use your clinical judgement.    There is a podcast version of this and other videos that you can access here:  Primary Care guidelines podcast:   ·      Redcircle: https://redcircle.com/shows/primary-care-guidelines ·      Spotify: https://open.spotify.com/show/5BmqS0Ol16oQ7Kr1WYzupK ·      Apple podcasts: https://podcasts.apple.com/gb/podcast/primary-care-guidelines/id1608821148 There is a YouTube version of this and other videos that you can access here:  • The Practical GP YouTube Channel:  https://youtube.com/@practicalgp?si=ecJGF5QCuMLQ6hrk  The PDF document related to the safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAttachment.aspx?Attachment_id=104161 The safety alert on GLP- RA shortage can be found here: ·      https://www.cas.mhra.gov.uk/ViewandAcknowledgment/ViewAlert.aspx?AlertID=103245 The Central Alerting System Homepage can be found here: ·      https://www.cas.mhra.gov.uk/Home.aspx Intro / outro music: Track: Halfway Through — Broke In Summer [Audio Library Release]  • Music provided by Audio Library Plus  • Watch: https://youtu.be/aBGk6aJM3IU (https://www.youtube.com/watch?t=0s&v=aBGk6aJM3IU)   • Free Download / Stream: https://alplus.io/halfway-through (https://www.youtube.com/redirect?event=video_description&q=https%3A%2F%2Falplus.io%2Fhalfway-through&redir_token=QUFFLUhqbVNpZlBNM0lCeDIxQzRkU29qUnJGQy15WEtTQXxBQ3Jtc0tuUUFSMkZwSEVuaHdUTWlYV21fZmpjWS1WRXI3R0hZU056MkpmRFpKdXdGYm1La3BlazhUemZ5SkVMTFdaWWRvSG9Ucy1neWpudTJ0MUIxNnl2NmhvR0lmdzduWXEwUUg0alduYkRNdjlWWTNsMnhzaw&v=aBGk6aJM3IU)   Transcript If you are listening to this podcast on YouTube, for a better experience, switch to the video version. The link is in the top right corner of the video and in the episode description. Hello and welcome, I am Fernando, a GP in the UK. In this episode I will go through a National Patient Safety Alert released on 3.1.2023 by the Department of Health and NHS England on the shortage of GLP1 receptor agonists, touching on sections of the NICE guideline on type 2 diabetes as well as relevant pharmaceutical information, always focusing on what is relevant in Primary Care only. If you want to access the safety alert website or the associated PDF document, the link is in the episode description. Right, let’s jump into it. You are probably aware that the supply of GLP-1 receptor agonists continues to be limited, with supplies not expected to return to normal until at least the end of 2024. The supply issues have been caused by an increase in demand for these products for licensed and off-label indications. The situation at the moment is that exenatide as Byetta® will be discontinued in March 2024. In addition, liraglutide as Victoza® continues to be out of stock and further stock is not expected until end of 2024. The supply of other agents such as injectable semaglutide as Ozempic® and Dulaglutide as Trulicity® may be unreliable and the shortages may cause significant issues. So, what is the solution? Well, oral semaglutide has come to the rescue. Semaglutide as Rybelsus® tablets are now available in sufficient quantities to support initiation of GLP-1 RA for type 2 diabetes in line with NICE guidance.  So let’s remind ourselves of what NICE recommends for type 2 diabetes.  NICE says that if triple therapy with metformin and 2 other oral drugs is not effective, not tolerated or contraindicated, we can consider triple therapy by switching one drug for a GLP‑1 receptor agonist if: ·      The BMI is 35 or higher and there are psychological or medical problems associated with obesity. We will adjust the BMI to 32.5 for people from Black, Asian and other minority ethnic groups or ·      For lower BMIs if: o  insulin would have occupational implications or o  weight loss would benefit other significant comorbidities.   NICE also says that we should only ...

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Thinking about Ozempic, Wegovy, or Mounjaro for weight loss or blood sugar control? This video explores the lesser-known long-term side effects of GLP-1 receptor agonists—medications that have surged in popularity but come with significant concerns over time. Here’s what you’ll learn: -📉 Muscle Loss Risk: Learn how up to 40% of rapid weight loss from GLP-1 drugs can be from muscle—affecting mobility, metabolism, and joint health. -🥴 Digestive Problems: Understand how conditions like gastroparesis can develop from prolonged use, leading to bloating, pain, and slow digestion. -⚠️ Cancer and Pancreatic Concerns: Get the latest insights on potential links between GLP-1 usage and risks like pancreatitis and pancreatic or thyroid cancer. -😔 Mood Side Effects: Discover why feelings of sadness, anxiety, or emotional shifts might happen with these medications. -🦠 Gallbladder & Hormonal Health: Learn how long-term use may impact gallbladder function and why bariatric surgery includes proactive measures to reduce these risks. -🔁 Weight Regain: See how stopping the medication can cause rebound weight gain and inconsistent long-term results. -🩺 Better Long-Term Solution: Understand how bariatric surgery offers more consistent, long-standing results with built-in support systems, better muscle retention, reduced cancer risk, and improved overall health outcomes. For anyone weighing the pros and cons of GLP-1 medications versus bariatric surgery, this video offers a side-by-side look at the risks, benefits, and what makes surgery a potentially safer, more effective long-term strategy. 👉 Read the full blog for an in-depth breakdown: https://nevadasurgical.com/blog/uncovering-long-term-risks-of-glp-1/ Don't forget to like, comment, and subscribe for more expert-backed health insights.

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Use Code THOMAS for 10% off Timeline Nutrition’s MitoPure: http://timelinenutrition.com/thomas This video does contain a paid partnership with a brand that helps to support this channel. It is because of brands like this that we are able to provide the content that we do for free. Click HERE to Subscribe: https://www.youtube.com/c/ThomasDeLauerOfficial?sub_confirmation=1 Please check out the new Shorts channel, DeLauer Clips and Workouts, here: https://www.youtube.com/channel/UCQPQImPsw74KhO0Zy2-leyA/videos Please Subscribe to my Email Newsletter Here: https://www.thomasdelauer.com/life-optimization-tactics/ Follow More of My Daily Life on Instagram: http://www.Instagram.com/ThomasDeLauer References https://pubmed.ncbi.nlm.nih.gov/33549435/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235588/#B40-ijms-22-06623 https://pubmed.ncbi.nlm.nih.gov/29402406/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6715624/ https://diabetesjournals.org/diabetes/article/63/12/4186/40422/GLP-1-Receptor-Activation-Modulates-Appetite-and https://scijournals.onlinelibrary.wiley.com/doi/abs/10.1002/jsfa.12464 https://www.sciencedirect.com/science/article/pii/S2225411023000871 https://diabetesjournals.org/diabetes/article/52/2/380/26654/The-Influence-of-GLP-1-on-Glucose-Stimulated Timestamps ⏱ 0:00 - Intro 1:13 - 10% off Timeline Nutrition’s MitoPure 2:36 - Sacha Inchi 5:28 - Prolonging the Effect of GLP-1 7:56 - Foods to ConsumeCumin Jeera Zeera For Anemia Diabetes Weight Loss And Good Digestion

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