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Prescribing weight loss medications in primary care is SUCH a common challenge for new nurse practitioners. It feels like there are so many options and things to keep track of. This week’s video is a follow up video from last week’s video about weight management counseling-- all about weight loss medications in primary care. You can find last week's video here: https://youtu.be/aLRtc_E5tUE This week I cover: ✅ Which patients are candidates for weight loss medication ✅ The three main types of medications, side effects to watch out for ✅ Goal setting and what to expect with patients ✅ Monitoring of patients and how often to have them come back to clinic PS. I said most of the studies are heterogeneous but I meant to say that the studies are too homogeneous-- they’re not reflective of the diverse communities of patients we serve. ----------------------- Chapter Breakdown: 0:00 Introduction 0:17 MEDICATION MANAGEMENT WEIGHT MANAGEMENT PART 2 1:15 WEIGHT MANAGEMENT TAKES TIME 3:27 WHO CAN BE PRESCRIBED WEIGHT LOSS MEDICATIONS? 4:51 GLP RECEPTOR AGONIST 6:12 SEMAGLUTIDE 7:05 ORLISTAT 9:47 PHENTERMINE ----------------------- Don't forget to grab your free Ultimate Resource Guide for the New NP at https://www.realworldnp.com/guide Sign up for the Lab Interpretation Crash Course: https://www.realworldnp.com/labs Grab your copy of the Digital NP Binder: https://www.realworldnp.com/binder Get your medication management right with the Diabetes Medication Workshop: https://www.realworldnp.com/diabetes ------------------------ Come follow along for even more tips and inspiration: Instagram: https://instagram.com/realworldnp Facebook: https://facebook.com/realworldnp © 2021 Real World NP. For educational and informational purposes only, see realworldnp.com/disclaimer for full details.

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What happens to your body if you simply walk 30 minutes everyday? Most people would assume that walking has its benefits, but most would dismiss walking as a viable form of exercise to lose weight and reduce belly fat. Learn how to see daily results from simply walking. 🔥 FREE 6 Week Shred: https://GravityTransformation.com 📲Fat Loss Calculator: http://bit.ly/2TKsjlQ Walking is something that we all do everyday, but most people don't look at walking as a legitimate way to lose weight, burn fat, and maintain a healthy weight. And I used to think the same way. After all "a walk in the park" by defnitiion is something that sounds very easy. and usually when we picture somebody doing whatever it takes to lose weight we don't imagine someone walking, instead we usually picture someone running as hard as they can on a tredmill covered in sweat. But the truth is that walking consistently throughout the week can make a big difference in how you look and how you feel. This is especially true if you're currently not exercising and you can't seem to find the motivation to start working out. Since most people are undervaluing the benefits that walking can have on their body, today I want to go over exactly what you can expect to happen if you simply take a 30 minute walk everyday. And I'm sure the first thing you're wondering is can doing something as simple as walking actually help you lose weight. Well even though walking is not as hard as running or even jogging it's still considered a low to moderate form of aerobic exercise and if you walk ethier at a faster pace, or for long distances, or you walk very often like everyday, in all of these cases you'll be adding a good amount of extra calories to your deficit. Now most of you have heard of the saying that you can't out run a bad diet so you're probably thinking that it's very unlikely that you'll be out walking a bad diet anytime soon. But this is taken out of context, even though a really bad diet will make it physically impossible to lose any weight at all, exercise happens to be just as important specifically for long term success. And when people say things like 80 percent of your results come from your diet, it devalue's the powerful effects that consistent exercise brings to the table. The reason why people think this way to begin with is because a lot of the studies that compare the effects that diet and exercise have on weight loss end up coming to the conclusion that dieting alone usually results in more weight lost than just exercising alone. But after reviewing a bunch of these studies researchers realized that the calories burnt from diet and exercise were not matched in most of these studies. Sometimes the diet only group would be cutting away 1700 extra calories per day, and that would be compared to an exercise only group that was only burning 200 extra calories per day. Obviously with a flawed setup like that the diet group will always come out on top. But researchers found that when calories are actually matched weight loss is matched, and by finding this they were able to conclude that exercise alone without any form of diet restriction can be an effective strategy for losing weight. Again even though you won't be outwalking a horrible diet, as long as you have a descent diet walking everyday can definitely move the scale in the right direction. Walking burns about 100 calories per mile. If you walk at a fast pace you can burn anywhere from 150 to 200 calories in 30 minutes. If you walk at that same fast pace for an hour we're looking at up to 400 calories. 200 to 400 calories per day can definitely make a big difference. In one study participants were instructed to only add 1,000 steps per day without Research: Exercise Alone Is Enough For Effective Weight Loss: https://www.ncbi.nlm.nih.gov/pubmed/11064850 1,000 Extra steps per day can help you lose weight and body fat: https://www.ncbi.nlm.nih.gov/pubmed/12213351 Walking Can Help Elicit Reductions in Abdominal Fat https://www.ncbi.nlm.nih.gov/pubmed/25566464 Walking Enhances The Effect Of Your Diet: https://academic.oup.com/jn/article/147/10/1875/4727967 25% Lower Chance of Injury from Walking instead of running: www.ncbi.nlm.nih.gov/pubmed/11086751 Running produces much higher (double) ground reaction forces then walking www.ncbi.nlm.nih.gov/pubmed/2782094 Exercise is paramount for weight loss maintenance: www.ncbi.nlm.nih.gov/pubmed/15561636 Biggest Loser's 6 years later - Most Successful Continued Exercising www.ncbi.nlm.nih.gov/pubmed/29086499 Govt Guidelines For Activity: health.gov/paguidelines/second-edition/pdf/Physical_Activity_Guidelines_2nd_edition.pdf Reduced Risk Of All Cause Mortality Just By Walking: www.ncbi.nlm.nih.gov/pubmed/25844730

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In this brief video Dr Covington discusses tirzepatide, brand name, Zepbound along with how the medication works, the most common side effects, comparison to similar drugs like Ozempic, Wegovy, and Mounjaro and how to administer the once weekly injection. Zepbound is the newest FDA approved weight loss medication, approved in November 2023 for long term weight management for BMIs over 27 with weight related ailments or BMI over 30. In clinical trials, adults who were titrated up to the highest dose (15 mg weekly injection) lost on average 50 lbs. Dr Covington is a board certified physician who specializes in both internal medicine and bariatric medicine. She is the medical director and owner of Abundant Health & Vitality Associates located in Charlotte NC. 🎬▶️Video for administering GLP1 via vials and syringes - https://youtu.be/QhwkVEqnW3Q Social media accounts: https://www.instagram.com/abundanthealthvitality/ https://www.facebook.com/abundanthealthvitality/ Website 🌐https://abundanthealthvitality.com/ #zepbound #tirzepatide

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