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@dietqueen6601 https://youtu.be/5dCUtLrgBDw वजन घटाने के इंजेक्शन/ Weight Loss Injections/ Weight Loss drugs in 2024/Weight Loss Pills in India - these are the most searched titles on Google, YouTube and across the internet. Every new year people make new resolutions, and the commonest is weight loss. In this video, we are talking about weight loss drugs - injections and tablets which are currently in vogue in the USA and will be available everywhere in the world, including India in some time. वजन घटाने के इंजेक्शन/2024 में वजन घटाने की दवाएं/भारत में वजन घटाने की गोलियाँ - ये Google, YouTube और इंटरनेट पर सबसे अधिक खोजे जाने वाले शीर्षक हैं। हर नए साल पर लोग नए संकल्प लेते हैं और उनमें सबसे आम है वजन कम करना। इस वीडियो में, हम वजन घटाने वाली दवाओं - इंजेक्शन और गोलियों के बारे में बात कर रहे हैं जो वर्तमान में संयुक्त राज्य अमेरिका में प्रचलन में हैं और कुछ समय में भारत सहित दुनिया भर में हर जगह उपलब्ध होंगी। आइए समझते हैं 1. क्या है ये नई अजूबा दवा? 2. यह आपके वजन घटाने में कैसे मदद करेगा, 3. दवा की कीमत क्या है? 4. क्या यह भारत में उपलब्ध है, 5. इसके दुष्प्रभाव क्या हैं? और और और...क्या यह स्थायी वजन घटाने की गारंटी देता है? (मेरा मतलब है कि क्या दवा बंद करने के बाद आपका वजन वापस बढ़ जाता है। और वीडियो के अंत में, मैं इस दवा का सरल विकल्प बताऊंगा। Let's understand 1. What is this new wonder drug? 2. How is it going to help you in your weight loss, 3. What is the cost of medicine? 4. Is it available in India, 5. What are its side effects? And.....does it guarantee permanent weight loss? (I mean whether you gain your weight back after you stop the medicine. And at the end of the video, i will reveal the simpler option for this medicine. “Semaglutide is a GLP-1 RA-based therapy for people living with Type-2 diabetes. Ozempic (once weekly injectable semaglutide) is not available in the country. However, semaglutide in oral form (available as once daily tablet) for treating Type-2 diabetes is available in India. People in the country tend to prefer tablets over injectables1 and oral semaglutide provides the benefits of the GLP-1 RA therapy with the convenience of a tablet," GLP 1 Agonist - A class of drug that mimics the action of a hormone called Glucagon-like Peptide 1. How it works - 1. When your blood sugar starts to rise, these drugs stimulate the body to produce more insulin, which helps to lower the blood sugar. 2. These drugs help to lower hunger by slowing down the food movement from the stomach to the small intestine, hence making you feel full early. 3. Helps in fatty liver, reduces sugar, and blood pressure, and helps in deranged lipid profile which ultimately helps in cardiovascular diseases. References - Listen to Dr. Rob Lustig, and Harvard Medical School for details on this topic, the videos are on YouTube. Tips for weight loss diet for weight loss vajan kaise kam kare weight loss diet weight loss tips weight loss treatment easy weight loss simple weight loss #vajankamikara #vajankamikasekarayche #womensweightlossdiet Dr. Kiran Rukadikar Founder DietQueen 9697 314 314 9637 914 314

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Obesity, a driver of inflammation, is prevalent in patients with HFpEF. Ileana Pina asks Ambarish Pandey about GLP-1 inhibitors and SGLT2 inhibitors in HFpEF. Are these drugs anti-inflammatory? https://www.medscape.com/viewarticle/993980?src=soc_yt -TRANSCRIPT- Ileana L. Piña, MD, MPH: Hello, everyone. I'm Ileana Piña, professor of medicine at Jefferson University Hospital in Philadelphia. I'm the chief of quality. This is my blog. We have been hearing a lot of conversation about obesity. It's coming out of our endocrine division and our weight management division. And the patients are asking for things like bariatric surgery and maybe a holistic program of weight loss. A lot of the primary care doctors are starting to recommend glucagon-like peptide-1 (GLP-1) receptor agonists for those patients. But we deal with patients with heart failure with preserved ejection fraction (HFpEF), and a lot of our phenotypes are patients with obesity who happen to have hypertension and/or diabetes, and they are difficult to manage. Inflammation, Obesity, and HFpEF Piña: For today's conversation, there is nobody better than Dr Ambarish Pandey, who has a HFpEF program at the University of Texas Southwestern. Ambarish, welcome. Give me your thoughts overall about the link between obesity, inflammation, and HFpEF. Ambarish Pandey, MD: Thank you, Dr Piña. I'm excited to be on your blog and I'm glad that we are discussing such an important topic. The burden of heart failure, particularly HFpEF, has been increasing and is not just affecting older individuals. We see more younger folks with obesity in our HFpEF clinic coming in with symptoms of shortness of breath and fluid buildup. Our understanding of HFpEF has evolved quite a bit over the past two or three decades. Initially, it was thought to be a disease of largely impaired myocardial relaxation. And then Walter Paulus was one of the pioneers who proposed the concept of inflammation leading to HFpEF, and obesity being one of the important drivers of the inflammation that leads to the development of HFpEF. Now our understanding of HFpEF has evolved to it being a multisystem disorder that leads to dysfunction in different organ systems. One of the cardinal features that drives this dysfunction is upregulation of inflammatory pathways, increased inflammatory burden — and a lot of that is driven by obesity. Obesity is one of the most important modifiable risk factors for HFpEF. Piña: It is so common. In my clinic the other day, probably 3 out of 4 patients were obese. Pandey: Up to 75% of patients that we see in our program are over the 30 BMI cut-off, and a lot of the literature that has come from US HFpEF cohorts shows a very high average BMI in these patients. Piña: When we talk about inflammation, what are the chemical pathways of inflammation? For example, a long time ago, we tried to block TNF-alpha and it didn't quite work out. So, what pathways are we talking about? Pandey: I think a lot more work needs to be done to really understand the key drivers of inflammation and what pathways are being upregulated. As we know, inflammation is most commonly identified by elevation in levels of C-reactive protein (CRP), which serves as a marker of increased inflammation, but the upstream upregulation in IL-1– and IL-6–mediated pathways has been implicated in inflammation that drives development of diseases like HFpEF. There is an ongoing trial of ziltivekimab, which is an IL-1 inhibitor in patients with HFpEF. That's the HERMES trial led by Paul Ridker, one of the pioneers of inflammatory therapies in heart disease. We are starting to understand more about the key molecular pathways that are driving it. And now we're starting to target them, with the hope that we can actually halt the progression of HFpEF and improve the symptom burden as well as the risk for adverse outcomes in these patients. Are GLP-1 Inhibitors Anti-inflammatory? Piña: Do you think that the GLP-1s, or even now the SGLT2 inhibitors, are anti-inflammatory since we really don't know all the pathways? Pandey: I do think that GLP-1s, by virtue of causing weight loss and reduction in visceral adiposity and the bad fat depots that exist in our body, have a significant anti-inflammatory effect. And if you look at the data from the STEP trials that were done, looking at weight loss effects of semaglutide, a commonly used GLP-1 inhibitor, there was a good 30%-40% reduction in CRP levels, and that suggests that there is a significant anti-inflammatory effect. Now, whether it's a direct effect on anti-inflammatory pathways or is related to weight loss is a matter of debate. Piña: Are you using GLP-1 inhibitors in your HFpEF clinic? And what trials can we look forward to seeing concerning the use of these agents? https://www.medscape.com/viewarticle/993980?src=soc_yt

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