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A 61-year-old man with diabetes, heart failure (EF 25–30%), obesity, and CKD—how do you decide the next step in therapy? In this powerful episode of Case by Case, three expert clinicians dissect a post-hospitalization case involving a patient with multiple overlapping chronic conditions: Type 2 diabetes, HFrEF, obesity, and impaired renal function. The team weighs the benefits and limitations of SGLT2 inhibitors vs. GLP-1 receptor agonists—and the nuances of when to use both. 🎙️ Topics covered include: • Dapagliflozin in heart failure with reduced EF • Semaglutide and emerging data from the FLOW trial • GLP-1 risks in HFrEF: What the evidence (and gaps) suggest • Clinical nuance: when A1C is good but the patient still needs help • How to argue your case with payers using evidence-based trials 🎓 Meet the Experts: • Dr. Marie E. McDonnell (Harvard / Brigham), Endocrinologist and outcomes researcher focused on complex diabetes care. • Dr. Jan N. Basile (MUSC), Clinical hypertension and primary care expert with decades of CME leadership. • Dr. Nihar R. Desai (Yale), Cardiologist and health systems leader pioneering value-driven care. 💬 “It’s not about A1C—it’s about total disease control: renal preservation, CV death, and survival.” 🔗 Register to claim CME for this panel discussion plus more: https://www.cmemeeting.org/online-cme-courses/10th-diabetes-spring-conference 👍 Like, comment, and subscribe for more expert-level clinical cases each episode.

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Clinical Nutritionist Keith Klein, CN, CCN is the creator of the only online clinically proven fat loss program which pairs you with your own 1 on 1 coach : LeanBodyCoaching.com Welcome back everybody. My guest today has been on the Lee Labrada show before and I’m excited to have him back. Keith Klein has over 40 years in the weight loss industry, and is one of the country’s most successful nutritionists and consumer advocates. His program can be found at www.leanbodycoaching.com Today we’re going to be talking about the psychology behind successful weight loss; you’ll learn how you can avoid food binges; how you can reprogram your dietary habits by reframing; and we’ll discuss the psychology behind things you MUST do, to NOT feeling deprived when you’re dieting. Keith is also going to be talking about the new weight loss drugs coming out on the market and gastric bypass surgery. I hope you’ll join us, and if you enjoy this podcast, please hit the SUBSCRIBE BUTTON, and share with a friend. -------------------------------- Keith Klein is the creator of the Lean Body Coaching Program. Helping people lose weight. You can find him here: www.leanbodycoaching.com

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