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The 5 nutrients you should consider if you’re taking a GLP-1 are the following: If you’re taking Ozempic, Mounjaro, or Wegovy, you NEED these 6 nutrients. GLP-1 meds help with weight loss by slowing digestion and reducing appetite—but that also means fewer nutrients and lower absorption. Here are the 6 essential nutrients to support your body: • Multivitamin for overall balance • Vitamin B12 for energy and focus • Omega-3s for heart and brain • Magnesium for muscle and digestion • Probiotics to support gut health • Digestive Enzymes for nutrient absorption Get them all in one daily pack from Planet 3 Vitamin Packs — no guessing, no bottles, just results. #ozempic #mounjaro #wegovy #glp1 #glp1support #weightlossjourney #essentialnutrients #b12 #omega3 #probiotics #digestiveenzymes #magnesium #dailyvitamins #planet3vitaminpacks #healthhack

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★★★★★ Let me share with you Keto for women over 40 but if you want to 𝐣𝐮𝐦𝐩𝐬𝐭𝐚𝐫𝐭 𝐲𝐨𝐮𝐫 𝐨𝐩𝐭𝐢𝐦𝐚𝐥 𝐡𝐞𝐚𝐥𝐭𝐡 𝐚𝐧𝐝 𝐰𝐞𝐢𝐠𝐡𝐭 𝐥𝐨𝐬𝐬 𝐣𝐨𝐮𝐫𝐧𝐞𝐲 then, maybe a 𝟏-𝟏 𝐅𝐚𝐭 𝐁𝐮𝐫𝐧𝐢𝐧𝐠 𝐖𝐨𝐦𝐚𝐧 𝐅𝐨𝐫𝐞𝐯𝐞𝐫 call would be a better option. You may donate, $30 for a 30 minute call here: 𝐩𝐚𝐲𝐩𝐚𝐥.𝐦𝐞/𝐭𝐡𝐚𝐭𝐚𝐦𝐛𝐞𝐫𝐤𝐡𝐚𝐧 In this video we talk specifically about Keto For Women (over 40) and a 5 step dietary plan for them. If you are a woman over 40, looking to go Keto then I urge you to start slow. The reason being that Keto is a lifestyle change (which doesn’t happen overnight). It is not just another FAD diet that you try hardcore for 4 weeks & boom transform into a Kardashian… na aaah… I’m sorry to burst your wishful thinking bubble but that’s not how it works. Also, as women our bodies work on a 28 day hormonal cycle or pre-menopausal or menopausal. So there’s a lot going on compared to a male life-long 1 day hormone cycle. This means that taking drastic measures may cause some sort of imbalance which we definitely want to avoid. You see, Keto for women over 40 is mainly about improving our hormonal imbalance & healing our damaged cells so that, we can protect our bodies from age related illnesses, extensive weight gain and loss of energy/sleep. So first off, if you are just starting on the Keto journey (as a woman over 40) then experts suggest that instead of going hardcore from day 1 that is going cold turkey on all carbs and sugar, start slow. Follow the 5 steps shared in the video. Then start looking into your macro-nutrients ratios. That is your meals should now consist of say 70-75% fat, 15-20% protein and 5-10% carbs. Now some women over 40 can reach ketosis eating upto 50gm of carbs a day & some with lower metabolism may struggle to get in ketosis or even shift weight until they reduce it down to just 20gm a day. Again, you can gradually try this. Start with 50gm a day & if that isn’t working, lower it to 40, 30 & then 20gm a a day. As for the dietary health fat amount. For women over 40, just starting their Keto journey, the recommended fat intake is between 20gm to 40gm of fat per meal (depending how active or sedentary your lifestyle is). You see, the fats will allow you to go for longer periods of time without feeling hungry and it won’t spike your insulin. A positive double whammy for sure. Now if you are interested to learn more about Keto, real life stories and what is the best Keto for women, please give our channel some gooey Keto chocolaty love by liking & subscribing to it and leave your burning questions in the comments section. Here are some other videos in the series that you may enjoy - Is keto bad for you? - https://youtu.be/nNftojNfSmo - Keto for women over 40 - https://youtu.be/0fReqG6AHYI - Keto while pregnant - https://youtu.be/x_CFsi7HGwA - Keto for vegans - https://youtu.be/Vmcqc5VWmtU - How much fat per day on keto - https://youtu.be/MGhePfRM3Ug - How many calories to stay in ketosis - https://youtu.be/lZ_ySa9xv4I - How long does it take to get into ketosis - https://youtu.be/IzGE0YmNNYQ - How to stop sugar cravings on keto - https://youtu.be/ROixDQGr9IM - Cheat meal on keto - https://youtu.be/t6zkERurols - Keto vs Atkins - https://youtu.be/vi3h011Fd48 - Keto and Fasting - https://youtu.be/IzGE0YmNNYQ - The Magic Pill Review - https://youtu.be/Xe4eFxPHcUs - Keto Headache - https://youtu.be/Mswrr9I7ot0 Thank you for the support! 𝟏-𝟏 𝐂𝐚𝐥𝐥 𝐃𝐞𝐭𝐚𝐢𝐥𝐬: During this powerful, one-on-one "Fat Burning Woman Forever "coaching session, we'll work together to... 1) Create a crystal clear vision for the ideal life you'll be living in your inflammation free, healthy & confident body. 2) Uncover hidden challenges that may be sabotaging your health, wellness & weight loss efforts and keeping you fat. 3) Leave this session with your mind blown, eyes twitching & toes itching (not literally of course ;-) to get your health plans moving in the right direction. Once again, if you want to jumpstart your optimal health and weight loss journey then, maybe a 𝟏-𝟏 𝐅𝐚𝐭 𝐁𝐮𝐫𝐧𝐢𝐧𝐠 𝐖𝐨𝐦𝐚𝐧 𝐅𝐨𝐫𝐞𝐯𝐞𝐫 call would be a better option. You may donate, $30 for a 30 minute call here: 𝐩𝐚𝐲𝐩𝐚𝐥.𝐦𝐞/𝐭𝐡𝐚𝐭𝐚𝐦𝐛𝐞𝐫𝐤𝐡𝐚𝐧

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Drs Piña and Borlaug discuss the CMR substudy from the SUMMIT trial of tirzepatide in HFpEF/obesity. How does weight loss affect pericardial fat and skeletal muscle? https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt --TRANSCRIPT-- Ileana L. Piña, MD, MPH: Hello. I’m Ileana Piña, from Thomas Jefferson University in Philadelphia, Pennsylvania, and this is my blog. It’s a little bit different blog because I’m really interviewing a good friend about these glucagon-like peptide 1 (GLP-1) inhibitors. Some of our heart failure patients are getting their GLP-1 inhibitors from their primary care physicians, but many questions have arisen with the trial called SUMMIT. With us today is Barry Borlaug, who is in charge of the research section with the cardiovascular section of Mayo, and that is Mayo, Rochester, where it must be much colder even than here in Philadelphia. Barry, congratulations on that trial. Tell our audience a little bit about how the trial was structured because it’s important how we get into your information. SUMMIT Recap Barry A. Borlaug, MD: Thanks, Ileana. SUMMIT was a randomized, double-blind, placebo-controlled trial, testing the GLP-1/glucose-dependent insulinotropic polypeptide (GIP) agonist tirzepatide vs placebo in patients with heart failure with preserved ejection fraction (HFpEF). Unlike some other trials, this was real HFpEF with an ejection fraction of 50% or above. Patients were randomized 1:1 to tirzepatide, titrated up to 15 mg once weekly, or placebo and treated for a minimum of 52 weeks. The dual primary endpoints were worsening heart failure or cardiovascular death and quality of life by the Kansas City Cardiomyopathy Questionnaire (KCCQ) clinical summary score. The median duration of follow-up was 2 years. We continued follow-up until the last patient enrolled completed the full 52-week period of treatment. We found that, as compared to placebo, tirzepatide reduced the risk of worsening heart failure or cardiovascular death by 38%, which was statistically significant, and also improved the KCCQ clinical summary score. In addition to that, we also looked at other patient-centered outcomes like 6-minute walk distance and biochemical markers like C-reactive protein (CRP). We saw that there was also a significant improvement in exercise function measured by 6-minute walk distance and about a 40% decrease in CRP levels. Piña: How long did the total trial last, including the time that the drugs were being administered? Borlaug: The longest duration of follow-up was 3 years, and the median follow-up was 2 years. Piña: Were any of these patients also on sodium-glucose cotransporter 2 ( SGLT2) inhibitors ? Borlaug: Yeah, a minority of patients were also on SGLT2 inhibitors, about 17%. Piña: What was the baseline KCCQ score? Borlaug: Very poor. A s you know, physician-reported heart failure severity often doesn’t agree with patient reports. Overall, 72% of the patients were judged by their physicians to have class II heart failure, but the mean KCCQ score was just over 53, so pretty severe patient-reported limitations or severe HFpEF. Despite this — and this is often the case in HFpEF and obesity-related HFpEF — the median N-terminal pro-B-type natriuretic peptide ( NT-proBNP) was only 175. Piña: I was very surprised at that. Very surprised. That really is low. That was NT-proBNP. That wasn’t BNP. Transcript in its entirety can be found by clicking here: https://www.medscape.com/viewarticle/how-do-glp-1s-affect-cardiac-structure-and-skeletal-muscle-2025a10001qm?src=soc_yt

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