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Hone your obesity medicine skills in primary care! We discuss overcoming barriers, patient counseling, obesity pathophysiology, motivational interviewing, tools and tips from a weight loss program, and how to discuss medications for weight loss including phentermine/topiramate, bupropion/naltrexone, orlistat, oral superabsorbent hydrogel, and GLP1 agonists. We’re joined by obesity medicine expert, Dr. Kimberly Anne Gudzune of @HopkinsMedicine, recorded @SocietyGIM #SGIM23 in Denver, Colorado Claim free CME for this episode at https://curbsiders.vcuhealth.org! Show Segments Intro Barriers to treating medicine in primary care Patient counseling and obesity pathophysiology Motivational Interviewing Telemedicine for obesity Tools and tips for a weight loss program Medications for Obesity GLP1 agonist prescribing tips Outro Credits Written and Produced by: Matthew Watto MD, FACP Show Notes: Matthew Watto MD, FACP Cover Art and Infographic: Matthew Watto MD, FACP Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP Reviewer: Leah Witt MD Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP In-studio Technical Production: Chris Chiu MD, FACP, FAAP Technical Production: PodPaste Guest: Kimberly Anne Gudzune MD, MPH

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Levels Advisor Robert Lustig, MD, explains how low-carb diets may affect cholesterol. Low-carb diets, including the ketogenic diet, reduce carbohydrate intake while increasing fat intake. These diets may elevate your low-density lipoprotein (LDL), so-called “bad” cholesterol, on your metabolic panel. However, dietary fat only raises large buoyant LDL (lbLDL), which doesn’t have an effect on your cardiovascular health. “On the lab slip,” Lustig says, “it looks like the bad guy because of these reference ranges that make no sense.” What is the bad guy? Small dense LDL (sdLDL) particles can lead to atherosclerosis. Lustig’s point is that it’s not the total LDL that’s concerning, it’s high sdLDL. However, doctors typically test for total LDL. If you have a high LDL level, you might be prescribed a statin. “But ultimately, the goal is to get the small dense LDL down, and statins don’t touch those,” Lustig explains. About 20% of people who take statins end up with rhabdomyolysis (muscle inflammation), or they develop hyperglycemia (high blood sugar), or even diabetes. ✅ What you can do: One test that can give you a better indication of your sdLDL level is apolipoprotein B (ApoB). #metabolichealth #cholesterol #lowcarb #keto 👋 WHO WE ARE: Levels helps you see how food affects your health. With real-time, personalized data gathered through biosensors like continuous glucose monitors (CGM), you learn which diet and lifestyle choices improve your metabolic health so you can live a longer, fuller, healthier life. 🔗 LINKS: Become a Levels member: https://levels.link/shorts Subscribe here on YouTube: https://youtube.com/levelshealth?sub_confirmation=1

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First fitness advice video for guys looking to get in shape. This topic is basics for losing weight in general or more specifically bodyfat percentage. TDEE Calculator: http://iifym.com/tdee-calculator/

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