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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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K3to, the innovative ketogenic meal delivery service, recently made an appearance on the hit television show “Shark Tank.” The founders of K3to presented their unique business model to the panel of investors in hopes of securing funding to expand their operations. The Shark Tank episode focused on the benefits of the ketogenic diet and how K3to is providing a convenient solution for those looking to maintain a low carb, high fat lifestyle.

The Ketogenic Diet Craze

The ketogenic diet has gained immense popularity in recent years as a way to promote weight loss, improve overall health, and increase energy levels. This high-fat, low-carb approach to eating has been shown to help reduce inflammation, regulate blood sugar levels, and even prevent certain chronic diseases. By focusing on consuming foods that are rich in healthy fats and low in carbohydrates, adherents of the ketogenic diet are able to enter a state of ketosis where the body burns fat for fuel instead of glucose.

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Founded by a team of health-conscious entrepreneurs, K3to is on a mission to make the ketogenic diet more accessible to the masses. Their subscription-based service allows customers to choose from a variety of meal options and have them delivered on a weekly basis. The meals are made with high-quality, organic ingredients and are free from preservatives, additives, and artificial flavors.

In addition to their meal delivery service, K3to also offers a range of keto-friendly snacks and beverages to help customers stay on track with their diet goals. From keto granola to bone broth to collagen protein bars, K3to has everything you need to maintain a healthy ketogenic lifestyle. The company prides itself on providing delicious, convenient, and affordable options for those looking to improve their health through diet.

By appearing on Shark Tank, K3to has the opportunity to secure funding from a panel of seasoned investors who can help them scale their business and reach a larger audience. The exposure from being on the show will undoubtedly boost awareness of the benefits of the ketogenic diet and help K3to establish itself as a leader in the industry.

FAQs about K3to

Q: How much does K3to cost?

A: The cost of K3to meal plans varies depending on the number of meals and snacks you choose. Prices start at $X for a weekly subscription.

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