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Originally presented at Carilion Children's Grand Rounds by Violet Swanson, DO, Pediatric Resident, PGY-3, Carilion Children’s Faculty Advisor: Virginia Powel, MD, MPH, FAAP, Chief Pediatric Intensivist, Carilion Children’s Learning objectives include:​ 1. Describe the pillars of pediatric obesity management. 2. Review current pharmacotherapy for pediatric obesity. 3. Recognize the mechanism of action of GLP-1 RAs. 4. Review current evidence on the efficacy and safety of GLP-1 RAs in children and adolescents. 5. Identify clinical considerations for initiating GLP-1 RAs in pediatric patients. 6. Discuss access & insurance coverage challenges. Category 1 CME credit has been approved for this enduring material from January 1 through December 31, 2025.​ ​ To receive CME credit for watching this video, please complete the survey posted below. Note you will need to answer 2 content questions that are listed at the end of this video in the survey​ https://carilion.ca1.qualtrics.com/jfe/form/SV_eWMxee5wyTY92yp

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Unlock the power of apple cider vinegar! 🍎✨ Boost your metabolism, balance blood sugar, and curb appetite naturally with this golden elixir. Add it to your daily routine and fuel your weight loss journey while nurturing your overall wellness. 💧🌿 Stay inspired, stay healthy! 🌟 ================================ About Inspire Maze ® 💚 Life is a maze. 💚 Discover your path to inspire others along the way! 💙 Do you have an urge to discover your true path? 💙 The journey starts with health of mind, body, and soul. 💚You must feel your best to be your best! 💚 Start now by subscribing and clicking the bell so you don’t miss any future uploads. Join our 90 Day Whole Foods Challenge! 💙 A manifestation journal for health of mind, body, and soul. 💙 Book Link: https://www.amazon.com/dp/B0BSWPMKJS/ref=sr_1_1?crid=GBYOM12N2VBK&keywords=90+day+whole+foods+challenge&qid=1674605316&sprefix=90+day+whole+foods+challenge%2Caps%2C87&sr=8-1 ================================= Medical Disclaimer The materials and the information contained on Inspire Maze channel are provided for general and educational purposes only and do not constitute any legal, medical or other professional advice on any subject matter. These statements have not been evaluated by the FDA and are not intended to diagnose, treat or cure any disease. Always seek the advice of your physician or other qualified health provider prior to starting any new diet or treatment and with any questions you may have regarding a medical condition. If you have or suspect that you have a medical problem, promptly contact your health care provider. Always consult your physician or healthcare provider before beginning any nutrition, wellness, or exercise program. If you choose to use this information without prior consent of your physician, you are agreeing to accept full responsibility for your decisions and agreeing to hold harmless Inspire Maze, its agents, employees, contractors and any affiliated companies from any liability with respect to injury or illness to you or your property arising out of or connected with your use of the information contained within this channel, other programs, or any affiliated sites. The materials and content contained in this channel, other programs, or any affiliated sites are for general health information only and are not intended to be a substitute for professional medical advice, diagnosis or treatment. Users of this channel, other programs, or any affiliated sites should not rely exclusively on information provided in this channel, other programs, or any affiliated sites for their own health needs. All specific medical questions should be presented to your own health care provider and you should seek medical advice before starting any type of nutrition, wellness, weight loss or workout program. Inspire Maze, its agents, employees, contractors and any affiliated companies reserves the right to update or change information contained in this channel, other programs, or any affiliated sites at any time. Exercise, nutrition, and wellness programs are not without its risks and this or any other exercise, nutrition, and wellness programs may result in injury. As with any program, if at any point during your participation you begin to feel faint, dizzy or have physical discomfort, you should stop immediately and consult a medical professional. You should rely on your own review, inquiry and assessment as to the accuracy of any information made available within this channel or via materials and content contained in this program, other programs, or any affiliated sites. ================================= Copyright © 2023 by Inspire Maze All rights reserved. No portion of this video may be reproduced in any form without prior permission from the copyright owner of this video. #applecidervinegar #weightloss #applecidervinegarbenefits #weightlosstips #naturalweightloss #healthylifestyle #metabolismboost #appetitecontrol #bloodsugarbalance #fatburningfoods #wellnesstrends #applecidervinegartips #healthyhabits #healthydrinks #diettips #weightmanagement #naturalremedies #healthbenefits #superfoods #healthytips #applecidervinegarrecipes #digestionhealth #healthychoices #goldenelixir #healthandwellness #sustainableweightloss #wellnesstips #naturalhealth #detoxdrink #healthylivingtips #weightlossjourney #metabolismboostingfoods #applecidervinegarweightloss

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Oprah Winfrey, a media mogul, philanthropist and an influential figure in the entertainment industry is known for her many qualities such as genuineness, persistence and self-improvement. She has always been open about her battles with weight and body image which led to different lifestyle changes over the years aimed at achieving good health. One of those has been keto diet, also referred to as low carb high fat (LCHF) eating plan which has gained popularity due to its potential health advantages.

Exploring Oprah’s Journey with Keto

Oprah Became interested in ketogenic diet when she interviewed Dr. Josh Axe who is an author advocating for keto based diet on her TV show. She readjusted herself by applying the principles of ketosis by doing away with carbs and increasing intake of healthy fats instead. Since then she has spoken out about her experiences related to the diet and shared both the challenges faced as well as triumphs encountered during this process.

One of the main reasons that made Oprah opt for a keto diet was its ability to reduce weight and improve metabolic markers. By significantly reducing carbs while consuming more healthy fats, Oprah found that cravings were reduced significantly while energy levels remained more stable throughout the day. This newfound control over her eating habits motivated Oprah to stick with keto for longer term results on overall wellness.

Nevertheless, there have been hurdles along while traversing through this journey namely; meal plans being too restrictive; finding sustainable ways in order to stay in ketosis like other dieters have faced so far. Despite these difficulties, she admits that understanding science behind keto still dominates her thoughts because it would be helpful to integrate it into life patterns.

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When trying out a ketogenic diet, Oprah advises people that it is important to pay attention to what their bodies are saying and go for nutrient-dense foods that make them feel great too. Her approach is not focused on counting macros or cutting down on calories but rather, emphasizing whole and unprocessed foods that promote overall body health. This involves adding leafy greens, avocados, nuts, seeds and good sources of proteins in her diets.

Moreover, there have been times when she has tried out intermittent fasting which is a practice that alternates between eating and not eating at regular intervals. She claims that adopting this lifestyle within her keto routine has enabled Oprah to gain better concentration levels as well as improved digestion and increased weight loss. Through these techniques combined Oprah can make the ketogenic process hers for long-term objectives.

Generally, Oprah’s keto journey emphasizes two fundamental things: everyone is different; therefore you must listen to your body and make informed choices about what will be the best fit for you. By recounting her experiences with keto, Oprah continues to inspire others to seek new ways of eating while putting their health first.

Key Takeaways from Oprah’s Keto Journey

While Oprah gets better acquainted with the ketogenic diet, there are several critical lessons that we can learn from her journey. First and foremost, it is important to start any dietary change with a flexible mind and an experimental attitude towards finding out what actually works for your own body. What may work for one person may not necessarily work for another; therefore, it would be crucial to pay attention to your body’s signals in order to adjust eating habits accordingly.

In addition, long-term success in any diet or lifestyle change requires consistency and patience. Setbacks and difficulties along the way are normal, but sticking to set objectives while making small changes that can be sustained over time will make a difference in health and wellness outcomes. This is why Oprah never gave up on keto despite the tortuous process of getting her body adapted.

Lastly, Oprah’s example highlights how important it is to strike a balance between having structure in one’s eating routine while still being flexible enough when needed. It would guarantee that we have our food prepared according to certain plan as well as guiding principles though we must allow some measure of chance together with pleasure into such food experiences thereby ensuring its continuity over an extended period of time. Through prioritizing whole nutrient-rich foods as well as including activities such as intermittent fasting you can optimize your health without giving up individual preferences or lifestyle requirements.

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Metformin is one of the most commonly prescribed medications for managing type 2 diabetes, but do you really know how it works and what to expect? Understanding this drug is key to managing your condition effectively. In this video, we’ll cover: - How Metformin helps control blood sugar - Common side effects and how to manage them - Myths and misconceptions about Metformin - Tips for using Metformin as part of a comprehensive diabetes management plan Stay informed and empowered—watch now to uncover the essential facts about Metformin and take control of your diabetes journey. Essential Facts About Metformin Every Diabetic Should Know #MetforminFacts #DiabetesManagement #BloodSugarControl #Type2Diabetes #DiabetesTips #HealthyLiving How Metformin Works Metformin is unique among diabetes medications in its approach to managing blood sugar levels. Metformin acts by suppressing this glucose production, thereby directly addressing one of the primary sources of high blood sugar in diabetic patients. Long-Term Benefits Metformin isn't just about the day-to-day control of glucose levels; it also plays a significant role in reducing the risk of several serious health conditions, making it a valuable tool in the broader management of type 2 diabetes. These conditions are common complications for those with diabetes because high blood sugar over time can damage blood vessels and the nerves that control the heart. Weight Loss Effects Metformin stands out by potentially aiding in weight loss, an effect that, while typically modest, can be significantly advantageous for those managing both diabetes and weight concerns. Metformin’s weight loss effects are not fully understood, but several theories have been proposed to explain how it might help reduce weight. Side Effects and Management While metformin is widely recognized for its efficacy and safety, like all medications, it can cause side effects, particularly gastrointestinal issues, which are among the most commonly reported. The reason for these digestive issues is not fully understood, but metformin's action on the liver and intestines, which alters glucose production and absorption, may play a role. B12 Deficiency Metformin is highly effective in managing type 2 diabetes, but its impact on vitamin B12 absorption can lead to deficiencies if not properly monitored. Vitamin B12 is crucial for nerve function, red blood cell production, and DNA synthesis. It is absorbed in the small intestine, but metformin has been shown to interfere with this process. Not for Everyone Metformin's primary contraindication is its use in those with severe kidney dysfunction. The kidneys play a vital role in clearing metformin from the body, and when kidney function is impaired, metformin can accumulate, significantly increasing the risk of lactic acidosis. Metformin is not a one-size-fits-all solution. Careful consideration helps maximize the benefits of diabetes treatment while minimizing potential adverse effects. Disclaimer: Our videos are meant for informational purposes only and should not be used for self-diagnosis. Although they offer valuable insights, they are not a replacement for expert medical guidance. Since each person's health journey is distinct, it is essential to seek advice from a healthcare professional for any health-related concerns. ▶️ More Videos You Might Like: ▪ 5 Impressive Oils That Reduce Nerve Pain And Blood Sugar ► https://youtu.be/Z3FkmRkGwwA ▪ 5 Worst Vegetables For Diabetics ► https://youtu.be/fcyh6aW9skU ▪ 10 Worst Foods For Diabetics ► https://youtu.be/KMaoDQmepRc ▪ 8 Silent Prediabetes Symptoms You Must Know ► https://youtu.be/cGDXHwxu9cg ▪ 8 Common Signs of Diabetes on the Skin ► https://youtu.be/BRbXQVfd4Nk

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