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http://www.DoctorsToTrust.com @doctorstotrust presents episode 2743 | Dr JASON FUNG w/JORGE CRUISE When insulin rises, in response to blood glucose, it does two things: 1-stores body fat; 2-stops body from breaking down fat Only when insulin falls can you burn your body fat If eat 2000 cal & burn 2000 cal, no weight gain or loss If eat 1500 cal, cut out fat in diet, eat often: insulin still HIGH: those calories are sucked into body fat AND rest of body, organs have nothing— Your Hunger goes UP, you EAT gain weight? yes, Why? INSULIN Example: shop at Costco, buy lots of food, put all in fridge… Now, you have all this food stored, but nothing outside to eat! Eating carbs is the same: you eat food, it is STORED, you are soon hungry again--all driven by high insulin Contrast: Eat healthy fats & proteins--insulin low Therefore: those calories AREN'T STORED Your body can use all that energy and: You Do Not Get Hungry So SOON Trying to lose weight? Eat 1500 calories, insulin high, burning 2000 calories--cannot access your own body fat, why? Insulin blocks fat burning Body must reduce its energy expenditure to 1500 -this is lower basal metabolic rate But IF YOU KEEP INSULIN LOW, via intermittent fasting [or similar approach] your body will burn 1500 incoming cals and 500 cals of body fat |||||||||||||||||||||||||||||||| doctorstotrust.com thefastingmethod.com jorgecruise.com original video here: https://youtu.be/yO6_IdCFUFQ?si=uiqaRYHe5Hw6ZMJb We do not use corruptible, epidemiological survey research as causal science. For each short/sharable video, the original Youtube links are provided above. None of this content is intended to be individual, personalized medical advice. We hope you find value for yourself in these videos & find them easy to share with loved ones! DISCLAIMER The DoctorsToTrust videos are for general informational purposes only and do not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

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Understanding GLP-1 Medications

Glucagon-like peptide-1 (GLP-1) medications have gained significant traction in recent years as effective treatments for Type 2 diabetes and obesity. These medications mimic the action of the naturally occurring hormone GLP-1, which plays a crucial role in regulating blood sugar levels and appetite. By enhancing insulin secretion, reducing glucagon release, and slowing gastric emptying, GLP-1 receptor agonists help patients manage their blood glucose levels more effectively. Alongside their benefits, many patients may encounter side effects that can sometimes hinder their treatment experience. Recognizing and managing these side effects is essential for maintaining adherence to therapy and achieving optimal health outcomes. Each individual may respond differently to these medications, prompting the need for personalized management strategies.

The rise in the popularity of GLP-1 medications can be attributed to their multifaceted approach in treating obesity and Type 2 diabetes. Not only do they assist in lowering blood glucose, but they also promote significant weight loss, which is especially beneficial for individuals struggling with obesity-related complications. Patients often experience a range of physiological changes that can motivate them in their health journey. However, the transition to a new medication regimen can be challenging, as side effects can affect their quality of life. Common side effects might include gastrointestinal disturbances, such as nausea, vomiting, diarrhea, and abdominal pain. Understanding these side effects is key for patients as they embark on a new treatment pathway.

It is imperative for both healthcare providers and patients to maintain an open line of communication regarding side effects experienced during treatment. Early identification and management of side effects can prevent discontinuation or non-adherence to medication. As research continues to deepen our understanding of GLP-1 medications, healthcare professionals must remain vigilant in educating their patients about potential outcomes, including adverse effects. This preemptive approach ensures that patients are well-informed and empowered to make decisions about their treatment options. As we delve further into the common side effects associated with GLP-1 medications and provide strategies for managing them, it is our hope to create a clearer path toward successful management of diabetes and obesity that takes into account the individual experiences of each patient.

Nausea: The Most Common Side Effect

Nausea is frequently listed as one of the most common side effects of GLP-1 medications, affecting a significant proportion of individuals who start this therapy. The incidence of nausea can be attributed to the impact these medications have on gastric processing and gastrointestinal motility. When starting on a GLP-1 medication, the body needs time to adapt to the drug, and nausea often presents itself as a temporary side effect. This distressing sensation can vary from mild to severe and can significantly impact daily life, often leading to concerns about nutrition and weight management.

Patients experiencing nausea may find it helpful to initiate treatment with a lower dosage of the medication, allowing their body to adjust gradually. Taking the medication at bedtime can also minimize the impact of nausea during waking hours. Small, frequent meals rather than three large meals can further help manage this side effect; bland foods may be particularly beneficial during periods of heightened nausea. Furthermore, staying hydrated is crucial—considering gentle rehydration solutions can aid recovery from the unpleasant sensation of nausea.

Should nausea persist or worsen, it is important to seek guidance from healthcare providers. In some cases, adjunctive medications may be prescribed to alleviate nausea, or the provider may consider transitioning to an alternative medication. Additionally, maintaining a symptom diary can help both patients and healthcare providers understand triggers and responses, facilitating more tailored management strategies. Over time, many individuals find that nausea diminishes as their body becomes accustomed to the GLP-1 medication, ultimately leading to improved adherence and better overall outcomes.

Vomiting: A Severe Extension of Nausea

While nausea may be a common side effect, vomiting represents a more severe reaction that can occur, prompting further concern for both patients and their healthcare teams. There are many potential triggers for vomiting when undergoing GLP-1 therapy, often stemming from the intensity of nausea or gastrointestinal distress. For some patients, even mild nausea may escalate to vomiting, thereby interfering with treatment adherence and overall well-being.

To mitigate the risk of vomiting, patients are usually encouraged to take their medications with caution. Starting on a lower dose, as previously mentioned, can help avoid triggering severe gastrointestinal reactions. Additionally, it’s advised to avoid particularly spicy or heavy foods that can put additional strain on the digestive system. Patients may also find success in taking the medication just before or after meals, depending on individual tolerance, which can help balance gastric emptying with medication efficacy.

In instances where vomiting becomes recurrent, it’s crucial for patients to consult their healthcare provider for alternative management strategies. They may evaluate the dosage of the current GLP-1 medication or consider switching to a different agent within the same therapeutic class. Overall, monitoring and communicating experiences surrounding vomiting can guide both patients and providers in minimizing this side effect and ensuring that treatment continues to be safe and effective.

Diarrhea: A Distressing Gastrointestinal Response

Diarrhea is another prevalent side effect linked with GLP-1 medications, stemming from alterations in gut motility and transit time. Many patients report experiencing loose stools or increased bowel movements, which can be inconvenient and distressing. Like nausea, diarrhea typically occurs during the initial stages of treatment as the body adjusts to the medication, but in some cases, it can persist longer than anticipated.

To manage diarrhea effectively, patients can adopt practical dietary modifications. Incorporating binding foods such as bananas, rice, applesauce, and toast—often referred to as the BRAT diet—can provide relief. Staying hydrated is equally essential, as diarrhea can lead to dehydration. Drinking clear liquids and electrolyte solutions can help maintain hydration and balance electrolytes lost during episodes of diarrhea.

If diarrhea persists or worsens significantly, it is imperative to seek medical guidance. Healthcare professionals can assess whether the GLP-1 medication continues to be appropriate or if it is necessary to adjust the therapy. In addition, healthcare providers may suggest over-the-counter medications designed to alleviate diarrhea symptoms. Understanding that diarrhea may be a transient side effect can help mitigate anxiety as patients navigate through treatment. Continued communication between the patient and healthcare provider can facilitate timely adjustments to enhance comfort while reaping the benefits of GLP-1 therapy.

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Abdominal Pain: Discomfort in the Digestive Tract

Abdominal pain can manifest itself as a common and often uncomfortable side effect of GLP-1 medications. Patients may experience various types of pain, including cramping, bloating, or general discomfort. This discomfort can vary in intensity and duration, sometimes correlating with dietary changes or medication timing. Understanding abdominal pain as a potential side effect can help patients better manage their health and expectations during treatment.

To alleviate abdominal pain, a holistic approach may be beneficial. Patients should consider examining their diet closely; some may respond poorly to specific food types, including high-fat or fibrous foods. Eating smaller portion sizes and frequent meals can also ease digestive strain. Furthermore, gentle activities such as walking may help stimulate digestion and relieve cramps.

If abdominal pain is severe or persistent, consulting with a healthcare professional becomes essential. They can conduct a thorough evaluation to rule out other potential causes of pain unrelated to GLP-1 therapy. This allows for adjustments in medication or diet that can enhance a patient’s comfort during treatment. Since abdominal pain can complicate the experience of GLP-1 medications, ensuring clear communication and regular feedback with healthcare providers will support a positive treatment journey.

Addressing Concerns and FAQs About GLP-1 Medications

As patients embark on GLP-1 therapy, concerns about potential side effects and how to manage them naturally arise. Many individuals wonder whether these side effects are an inevitable part of treatment or temporary phases that will subside. Indeed, many side effects tend to ease with time as the body adjusts. Therefore, patience and ongoing communication are critical. Keeping a log of symptoms, meals, and medication timing can empower patients to identify patterns and discuss them with their healthcare team effectively.

Some may feel apprehensive about confronting their healthcare providers regarding side effects. However, discussing all experiences openly is crucial for optimal care. Healthcare professionals are trained to support patients through their treatment journeys, and early intervention can prevent exacerbation of side effects. This open dialogue can lead to a more tailored treatment approach that aligns with individual needs and preferences, ensuring that patients are well-informed regarding the therapeutic path ahead.

Ultimately, understanding that GLP-1 medications can bring forth beneficial outcomes as well as manageable side effects empowers patients to commit to their treatment regimens. Those starting on these medications should be encouraged to maintain a balanced perspective, take proactive measures against side effects, and prioritize their health and well-being. By being mindful of their experiences and actively engaging with their healthcare providers, patients can navigate the challenges of GLP-1 therapy while embracing its potential for improving metabolic health.

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