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Key Points: - GLP-1 is the first-line injectable for poorly controlled type II diabetes, preferred over insulin due to its favorable metabolic profile. - When adding a GLP-1 to a patient already on insulin: - If blood sugar is well controlled (Hgb A1c less than 8% or time in range greater than 50%), reduce insulin by 20%. - If blood sugar is not well controlled (Hgb A1c greater than 8% or time in range less than 50%), start GLP-1 without adjusting insulin. - As GLP-1 dosage increases, insulin needs typically decrease. - SGLT2 inhibitors have a less potent effect on glucose but may warrant insulin dose reduction. Core IM interviews Dr. Tom Martens who explains how he goes about adjusting insulin regimens as he adds GLP-1 or SGLT2is to diabetes regimens. Although he explains that GLP-1 therapy is now first line therapy for type 2 diabetes, he provides insight on how to add on these treatments in patients previously prescribed insulin while mitigating risk of hypoglycemia. Credits: Discussant: Dr. Tom Martens Interview: Dr. Rebecca Easly-Merski Video: Jason Krastein & Dr. Alice Kennedy #continuousglucosemonitor, #cgm, #insulin, #glp1, #endocrinology, #diabetes, #prevention, #primarycare, #internalmedicine, #medicaleducation, #residency, #CoreIM, #IMcore
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7 Day Beginner Pilates Challenge for Weight Loss | DAY 5 | Full Body Workout #pilatesforbeginners #pilateshomeworkout #pilateschallenge Welcome to my newest 7 Day Pilates Challenge! In this challenge I introduce you to simple, Pilates and Pilates-inspired moves, with the goal of building strength, endurance, and having a sustainable routine that supports weight loss. See below for the challenge calendar and playlist with all 7 workouts! Check out my Pilates Challenges! 7 Day Pilates for Weight loss (this challenge): Video Playlist: https://www.youtube.com/playlist?list=PL6F8elYp4eOFQq1Cz_W8ohx7PSxdk1wdW Free Calendar Download: https://rachelsfitpilates.myflodesk.com/7daypilateschallengeweightloss 28 Day Pilates for Weight loss and Strength: Video Playlist: https://www.youtube.com/playlist?list=PL6F8elYp4eOFCIMT4EzJbWX8llDIRqtyq Free Calendar Download: https://rachelsfitpilates.myflodesk.com/28daypilatesforweightloss If you have a weight loss goal, I also recommend taking measurements before beginning. Measurements can help us see progress in body recomposition that the scale may not be able to capture. I typically do chest, smallest part of waist, and hips, but you can also take additional measurements as well. Here is a resource for how to take measurements: https://www.verywellfit.com/how-to-take-your-body-measurements-1231126 Have a weight loss goal and don't know how many calories to eat to lose weight? Try Carbon Diet coach app! See how many calories you need, how much protein, carbs, and fats.. app includes weekly check-ins with changes to your calories/macros based on your progress. My community gets a 5% off discount ( monthly, 6 month or annual subscription) by signing up with my link here: https://web.joincarbon.com/?via=rachel Additional resources: What is THE best way to lose fat? (article and video) https://mennohenselmans.com/what-is-the-best-way-to-lose-fat/ How to stick to a diet or workout plan, according to science: https://mennohenselmans.com/john-fawkes-psychology/ Need equipment? Shop my Amazon Storefront! https://www.amazon.com/shop/rachelsfitpilates/list/2KRU0210CPLWL?ref_=aip_sf_list_spv_ons_mixed_d Community discounts: Whoop discount (Free Band included +1 month free subscription) http://join.whoop.com/rachelsfitpilates SHEFit bras: code rachelsfitpilates for 15% off Shop my outfits: https://shopmy.us/rachelsfitpilates Music: www.epidemicsound.com Find me on Instagram: https://www.instagram.com/rachelsfitpilates DISCLAIMER: Check with your doctor before beginning any fitness program. Should you experience pain or discomfort at any time while performing the exercises, you should stop immediately. By performing these exercises, you understand and agree that Rachel's Fit Pilates will not be responsible or liable for any injury or harm you may sustain as a result of exercises performed in these videos.
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Japanese Mounjaro Recipe for Weight Loss – SCAM or Legit? ⚠️ Recently, I’ve been seeing tons of ads about a “Japanese Mounjaro” weight loss recipe that claims you can lose up to 10 pounds in a week without exercise, dieting, or any medication. Sounds too good to be true, right? 😳 So I clicked one of those ads to find out what’s really going on… and what I discovered was shocking 😐 They say it’s a secret 4-ingredient recipe that mimics the effect of Mounjaro – the weight loss drug. But instead of showing the recipe, they redirect you to a super long video filled with unbelievable claims and emotional stories. And guess what? At the end, it’s just a trick to sell you a supplement! 😠 Here are some 🚨 Red Flags you should know: ❌ Claims of losing 10–17 pounds in just a few days ❌ No actual ingredients shown in the ad ❌ Fake emotional stories (like a husband shaming his wife) ❌ “Fat comes out in stool” – highly unrealistic and misleading ❌ They never tell you the recipe — only sell you a supplement ❌ Different ads lead to different supplements with same story ❌ Urgency tricks like “millions of views” and “site unstable” Don’t fall for these manipulative ads. Always be careful before trying any product or recipe that sounds magical. 🧪💊 And if you're trying to lose weight, talk to your doctor or a real health expert first. 💬✅ 📌 If you’ve seen these ads too or clicked on one, share your experience in the comments below! 👇 Copyright Disclaimer: - Under section 107 of the Copyright Act 1976, allowance is made for FAIR USE for purposes such as criticism, comment, news reporting, teaching, scholarship, and research. Fair use is permitted by copyright statutes that might otherwise be infringing. Non-profit, educational, or personal use tips the balance favor of FAIR USE.
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Researchers discovered a compound produced during intense exercise that travels to the brain to dampen appetite. The molecule named, lac-phe, comes from the combination for lactate and phenylalanine. Now research shows that metformin, the anti-diabetes medication, stimulates the production of lac-phe as well.