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Latisa S. Carson, M.D. is a board-certified physician in Obstetrics and Gynecology and a medical weight loss specialist and is board-certified in Obesity Medicine and is a member of the Obesity Medicine Association. She is the only female African American obstetrician-gynecologist in solo private practice in San Diego County. Her residency training was completed at Southern Illinois University, Springfield, Illinois and her internship year was spent at King/Drew Medical Center in Los Angeles, California. Dr. Carson is a University of Kansas School of Medicine graduate, from Kansas City, Kansas. She has a special interest in helping her community achieve a healthier weight and active lifestyle and offers physicians supervised, medically supported weight loss programs that include nutrition, behavior management, weight loss medication, and exercise guidance. Together Dr. Carson and I dive into all things weight loss from GLP-1 receptors to the incredibly popular Ozempic and semaglutide compounded medicines. Dr. Carson shares her experience with using GLP-1 receptor antagonists with her patients and offers her wisdom regarding the pillars of health that must be supported by practitioners to optimize lasting patient success. She highlights both the negative and positive side effects associated with weight loss medicines, offers guidelines for effectively tapering off medication, and shares insights into the slow but steady functional medicine changes that are coming into traditional medicine. Her advice is both encouraging and pragmatic, and our conversation is filled with insights for any practitioner who is interested in successfully incorporating today’s hottest weight loss medications into their practice. I’m your host, Evelyne Lambrecht, thank you for designing a well world with us. *Episode Resources:* Dr. Latisa Carson https://www.uniquelyfitmedicalweightloss.com/ *Design for Health Resources:* Designs for Health - https://www.designsforhealth.com/ Nutrition Blog: Muscle Tone Matters: The Key to Optimal Body Composition and Metabolic Health - https://www.casi.org/muscle-tone-matters-key-optimal-body-composition-metabolic-health Nutrition Blog: The Hidden Effects: Medications and Their Impact on Your GI Tract - https://www.casi.org/medications-and-their-impact-on-gi-tract Research Blog: Influence of Probiotics on Weight Management in Obesity - https://www.casi.org/node/1557 Research Blog: The Stomach-Brain Axis: Hunger’s Not All in the Mind - https://www.casi.org/node/971 Visit the Designs for Health Research and Education Library which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education *Chapters:* 00:00 Intro 03:18 Dr. Carson recalls her mother’s experience as a nurse, her own introduction to weight loss medicine, and her initial connection with Designs for Health. 07:20 Defining GLP-1 and GLP-1 receptor agonists and the role of drugs including Ozempic and dual agonist drugs such as Terzepitide in obesity management. 10:30 Key differences between brand names and semaglutide compounded medicines, as well as injected versus oral medicines. 14:10 Semaglutide success rates, adherence rates, and average weight loss goal timelines. 15:15 Dr. Carson’s individualized approach to dosing and titration at every stage of a weight loss journey. 21:30 Dr. Carson’s comprehensive support program includes weekly visits, medicines, diet plans, and frequent patient engagement. 25:35 Muscle mass loss and management of other extreme side effects and complications from these medications. 33:42 Dr. Carson’s experience with favorable side effects in managing other addictions with these medicines. 36:14 Guidelines for tapering off medication and successfully keeping the weight off. 39:00 Addressing the mindset of a patient and past trauma in ways that will be most helpful. 43:25 Dr. Carson shares her desire to integrate functional medicine into her traditional medicine OB practice earlier in her career. 45:35 Detox pathways are a critical first step to weight loss. 51:23 Dr. Carson shares what she has changed her mind about over the course of her career, her personal favorite supplements, and her favorite health practices.

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This video includes effective ways to avoid losing muscle and lose fat. What it takes to lose fat To lose fat, you need to consume fewer calories than you burn each day and exercise regularly. Frequent physical activity helps get rid of fat. If you lose weight without exercise, you’re more likely to lose both muscle and fat. While it’s not possible to lose fat on particular areas of your body, you can work on lowering your overall body fat percentage. Go slowly. Losing weight quickly may contribute to muscle loss. It’s best to lose a small amount of weight each week over a longer period. How to maintain muscle To keep the muscle you have while losing fat, you’ll need to strike a balance between limiting yourself and pushing yourself as much as you can. Each person will have different results. Listen to your body, and adjust your workout and eating plan accordingly. Schedule recovery time Give yourself enough time to recover between workouts. This is especially important if you’re eating fewer calories and doing intense workouts. Get plenty of sleep, which helps restore your energy levels. Don’t restrict Avoid any type of eating plan that’s too drastic or restrictive. It will be harder to keep up with long term. Avoid overtraining, and stay away from any workout plan that has the potential to drain you or cause injury. Pushing yourself too hard or fast may result in missing workouts due to fatigue or injury. Remember, rest days are important. Exercise Exercise is another important aspect of maintaining muscle mass. Research from 2018Trusted Source examined the effect of calorie restriction combined with resistance, endurance, or both types of training in older adults with obesity. The researchers found that when individuals followed an eating plan and did some type of exercise, they were able to prevent muscle loss due to calorie restriction. Most of the eating plans consisted of 55 percent carbohydrates, 15 percent protein, and 30 percent fat. More research is needed to determine which type of exercise is most effective in preventing muscle loss. Eat healthy Change up your eating plan to include healthy proteins and fewer unhealthy fat sources. In a 2016 reviewTrusted Source of 20 studies, researchers found older adults retained more lean mass and lost more fat when consuming higher protein diets. Try a supplement Consider taking a supplement, such as chromium picolinate, which is said to have a positive effect on weight loss, hunger, and blood sugar levels. Research from 2018Trusted Source points to the importance of reducing body weight without losing lean body mass. Along with taking chromium picolinate, you can do this by: eating the right amounts of macronutrients, such as proteins, fats, and carbohydrates managing calorie intake doing resistance exercise Before taking any supplement, it’s a good idea to check in with your doctor. Some supplements may negatively interact with certain medications or conditions. Exercise plans Follow a few of these tips to help you exercise smarter to hit your goals. Do cardio To lose fat and gain or maintain muscle mass, do moderate- to high-intensity cardio for at least 150 minutes per week. Example of cardio exercises include: cycling running boxing soccer basketball volleyball Healthy eating To optimize fat loss while maintaining muscle mass, follow a healthy diet that meets your nutritional and energetic needs. Carbohydrates that are ideal to eat after exercise include: fresh fruit sweet potatoes whole wheat pasta dark, leafy vegetables milk oatmeal legumes grains Protein options for gaining lean muscle include: lean meats, such as turkey and chicken seafood nuts eggs low fat dairy products beans quinoa buckwheat brown rice protein shakes You can also include healthy fats in your postworkout meals, including: avocado nuts nut butters chia seeds trail mix dark chocolate whole eggs olive and avocado oil fatty fish cheese Disclaimer: This video is for general informational purposes only. The content presented is based on the creator's knowledge and research at the time of production. However, the information provided may become outdated or subject to change. Viewers are encouraged to supplement this material with additional sources and consult experts in the relevant field for the most current and accurate information. The creator of this video is not liable for any loss or damage arising from the use of the information presented in this video. This content seen, heard or read should NOT be used as medical advice. No doctor - patient relationship is formed. Use of information on this video or channel are to be used at the users own risk. This information does NOT substitute medical advice, diagnosis or treatment. Please seek professional medical advice, diagnosis or treatment for any medical concerns big or small, please do not delay seeking such help based on content of this video or channel, thank you.

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