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El uso de agonistas del receptor del péptido similar al glucagón-1 (arGLP-1) está en auge debido a su eficacia en el manejo de la diabetes tipo 2 y el control del peso. Sin embargo, su seguridad en el período perioperatorio sigue siendo incierta, particularmente por el riesgo de vaciamiento gástrico retardado que podrían conllevar. Un estudio reciente evaluó a pacientes que utilizan arGLP-1, mostrando que tienen una mayor prevalencia de contenido gástrico residual en comparación con un grupo control (56% frente a 19%). Este hallazgo sugiere un riesgo potencial de aspiración pulmonar durante procedimientos quirúrgicos bajo anestesia. Hallazgos Clave Prevalencia de Contenido Gástrico Residual: Los usuarios de arGLP-1 presentaron una mayor prevalencia de contenido gástrico residual, lo que podría aumentar el riesgo anestésico. Recomendaciones: Se sugiere considerar la suspensión de la última dosis preoperatoria de arGLP-1 y personalizar los riesgos para cada paciente. Colaboración Interdisciplinaria: Es crucial mejorar la comunicación entre internistas, anestesiólogos y cirujanos para optimizar la seguridad perioperatoria. Conclusiones Este estudio destaca la necesidad de reevaluar los protocolos prequirúrgicos para pacientes que usan arGLP-1, particularmente en una población creciente con diabetes y obesidad. Aunque los resultados son preliminares, subrayan la importancia de anticipar riesgos y ajustar la práctica clínica a los avances farmacológicos. BIBLIOGRAFIA. 1. Sen Set al. Glucagon-like peptide-1 receptor agonist use and residual gastric content before anesthesia.JAMA Surg 2024 Jun; 159:660. https://jamanetwork.com/journals/jamasurgery/fullarticle/2815663

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Dr. Philip Ovadia is a heart surgeon who established Ovadia Heart Health, a telehealth practice that focuses on the prevention and treatment of metabolic and heart disease through lifestyle and dietary modification. In an effort to overcome his lifelong struggle with obesity, Phil adopted a low-carbohydrate focused way of eating in 2015 and - since March 2019 - has maintained a mostly carnivorous way of eating. After decades of yo-yo dieting, he has maintained a weight loss of nearly 100 pounds. Phil is the author of Stay Off My Operating Table, where he discusses the principles of optimizing metabolic health to prevent heart disease and other chronic diseases. He also hosts the Stay Off My Operating Table podcast. If you’re looking to fix your metabolic health and you want to shed some extra body fat, stick around to hear what Phil has to say. As a heart surgeon and someone who’s lost almost 100 pounds himself, he knows what he’s talking about. Subscribe to The Ultimate Health Podcast on YouTube: https://www.youtube.com/@JesseChappus (And be sure to hit the 🔔 to get notified when new videos are released!) In this episode, we discuss: 00:00 - Intro 00:28 - Lack of metabolic health is the root cause of chronic disease 04:22 - 5 ways to measure metabolic health 10:29 - LDL cholesterol is not the culprit for heart disease 18:07 - Fasting insulin levels can show insulin resistance 21:38 - What is insulin resistance? 25:10 - The healthcare system is overwhelmed 27:49 - Stop treating type 2 diabetes with insulin 31:49 - Diet is the foundation of metabolic health 34:19 - The link between metabolic health & mental health 39:00 - It’s never too late to make changes 43:41 - You don’t need to eat carbs 47:31 - Are all carbohydrates the same? 51:26 - Phil’s thoughts on net vs. total carbs 57:01 - Can you reverse insulin resistance on a vegan diet? 1:03:19 - Eliminate vegetable & seed oils from your diet 1:09:18 - How to navigate dining out in a healthy way 1:12:14 - The carnivore diet is a heart-healthy diet 1:17:35 - Phil’s weight loss journey (losing nearly 100 pounds) 1:22:25 - The carnivore diet makes you less hungry 1:26:51 - Intermittent fasting improves metabolic health 1:29:41 - Phil’s thoughts on quality vs. cheap meats 1:33:19 - Choose low-carb vs. high-carb vegetables 1:36:24 - How to eat carnivore with your family 1:38:10 - Learn how to advocate for your health 1:47:16 - Challenges with the standard of care 1:52:38 - Phil’s typical day of eating Show notes: https://ultimatehealthpodcast.com/540 Listen & subscribe to The Ultimate Health Podcast ✩ Apple Podcasts: https://bit.ly/tuhpapple ✩ Spotify: https://bit.ly/tuhpspotify Connect with The Ultimate Health Podcast ✩ Website: https://ultimatehealthpodcast.com ✩ Instagram: https://www.instagram.com/ultimatehealthpodcast #drphilipovadia #jessechappus #metabolichealth About the Podcast Jesse Chappus has in-depth conversations with health and wellness leaders from around the world. Topics include lifestyle, nutrition, fitness, self-help, sleep, meditation, spirituality and so much more. Tune in weekly to take your health to the next level!

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🔥 Why You're NOT Losing Fat 🔥 Studies show 80% of people fail at fat loss... but it’s not because of genetics. It’s because of THESE mistakes: 🚫 Underestimating calories 🥄 Forgetting oils, condiments, & liquid calories 🍗 Not eating enough protein (which kills your metabolism) 🏃‍♀️ Overdoing cardio instead of lifting 😴 Ignoring sleep, stress, and hormones 📉 Not tracking anything (aka flying blind) If you're tired of spinning your wheels, this is your wake-up call. Watch the full video now on our YouTube channel👇 https://vist.ly/3mypxey ✅ Drop a fire emoji if you're DONE making excuses and ready to lock in. #FatLossFails #FatLossTips #HerculesTraining #MetabolicAdaptation #ProteinMatters #SleepToLose #TrackEverything #RealCoachingResults #HerculesCoaching #NoMoreExcuses

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