Semaglutide/Tirzepatide Users: 11 Things to Avoid! // Dr. G Explains
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- Опубліковано 25 чер 2024
- Semaglutide/Tirzepatide Users: 11 Things to Avoid! // Dr. G Explains
Learn how Tirzepatide and Semaglutide can jumpstart your weight loss journey with this insightful video by Dr. G, a trusted doctor that specializes in weight loss. These 11 key tips about Semaglutide/Trizepatide/GLP-1 will help you maximize the benefits of these medications while steering clear of potential pitfalls.
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Dr. Gerard Acloque Jr., MD
Hollywood, FL
00:00 Intro
1:24 Don't Neglect Exercise
2:36 Don't Overeat
3:01 Don't Eat Fatty/Fried Food
3:36 Don't Eat Spicy Foods
4:05 Don't Eat Refined Carbohydrates
4:35 Don't Eat Cauliflower, Broccoli, or Asparagus
5:32 Don't Allow Yourself to Get Dehydrated
6:25 Get the Medication from a Professional
7:26 Don't Go Fast
9:31 Don't Avoid Proteins
9:55 Don't Push The Dosage Faster Than Needed
12:36 Weight Loss Medication Summary
#semaglutide #tirzepatide
This channel (Florida Concierge Medicine & Wellness/Dr. Gerard Acloque), its content, and the opinions expressed by Dr. G are intended for informational purposes only and do not constitute medical advice. The content provided on this channel, including videos, comments, and other materials, is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified and trusted health provider with any questions you may have regarding any medical condition. Never disregard professional medical advice or delay in seeking it because of something you have seen or read on this channel. Reliance on any information provided by this channel is solely at your own risk.
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Are you taking new patients?
@@debbieKelly-lh4wh yes!
@@GoodDrGhave you had patience who have had joint, body and muscle pain? And being really cold? I took my first dose 3 days ago and about 10 hours later I woke up freezing and had terrible body and joint pain. I tossed and turned all night for 2 nights and just felt achy last night I slept a little better but today I feel really tired and my body just hurts all over.
Also drinking 100oz of water a day. Tried to go for a walk yesterday but my muscles ached to much (only walked 4,000 steps and couldn’t continue.) is this normal and will it go away?? I’m almost too scared to take the second shot.
@@annamcgonigle2712 Hey! I have not had any of my patients with an experience like yours. Aside from the medications did you start a new workout exercise program? If so, what was your activity prior to the new program?
@@GoodDrG thank you for responding. No I didn’t start any new exercise routine. The only thing that changed was me getting the injection. Everything else has been the same. I did find on another group that lots of other people are having the same symptoms so that’s interesting. It’s been five days since I had my first injection and I feel normal today so that’s good. I’m scared to take the next injection though because that was awful! The bone pain was the worst.
Currently on Wegovy 1.7 and I want to back to 1.0. The nausea is awful. As someone who has been on this medication for a few months, I can say that EVERYTHING he is saying is spot on.
Hey! I really hope the nausea subsides for you! Thanks for stopping by the channel!
I’ve been on Ozempic for 7 weeks. I eat blueberries, raspberries, almonds, chicken, salads with oil and vinegar dressing, fish, KETO friendly bread and vegan butter. That is it. I’ve lost 27 lbs Within 14 lbs of my goal. Drink lots of water and decaf tea.
I LOVE IT!! You mind sharing your choice of physical activity if any?
Im starting tomorrow 😊
Will you get off it eventually ? What will happen then?
@@jooxumja be healthy
@@jooxumja Great Question! The answer is, it's totally up to you. As of today, there is nothing that says patients cannot stay on it indefinitely if they choose. I personally coach my patients toward making the necessary lifestyle changes to maintain their desired weight so they can come off the meds. This means learning to eat healthier, place themselves in winning situations, and move their bodies more often in order to maintain. In my opinion, the medication can and should be used as a tool to accomplish the goal and not a fix to the bigger problem. I hope that helps!
I wish this brother was my doctor. His facial expressions and mannerisms would make me get my ass in the gym 💪🏽
HAHA! Whatever it takes to get my patients right!!
One week and a half, lost four pounds. I’ve increased my water intake, and mild exercise. Thanks so much! You’re awesome I’d fly to Florida to have a doctor like you.
@@Black_Queen1908 GREAT WORK!!! Keep it going!
I would like him too!
@@McNair39thNC I appreciate you all! Thanks for stopping by the channel!!
You must….. literally must…. eat small meals, hydrate is utmost importance! Healthy weight loss is important! Every physician should make a list of this and hand it out along with the medication. People are so anxious to lose weight they ignore the instructions which is essential to health weightloss! Love this!!! This is Golden!
TOTALLY AGREE!! I personally go over this on each and every Weight Loss consult I do but its something we make sure to reinforce for the entire time we are in contact with our patients. I am so happy you see the value in the video!
I'm 56 lbs down and at my goal weight after 48 weeks on compounded GLP-1s and Wegovy!🎉 Your tips are spot on and I hope more folks realize the importance of movement, hydration, solid nutrition, sleep, etc. For me, compunded Semaglutide then Wegovy simply flipped a switch that made my body start "listening" to all those healthy habits again and made it much easier to stay committed because I no longer had to suffer through chronic inflammation, my hypertension was no longer a hindrance and I could finally see/feel the outward effects!🥰
Finally someone who understands the physiology of medicines! I’ve been on Mounjaro for just over a year, for diabetes and have had no bad side affects! The weight loss is around 50 lbs. after listening to this, I can say the spicy food has caused a bit of trouble. I appreciate his encouraging exercise and mental presence of your diet. I will be following him and seeing what improvement I can do to this 76 year old body!
Welcome to the channel! I am happy I could provide some insight for you! Good luck on the journey to a healthier lifestyle!
Been on for 7 weeks 22lbs gone.I feel great!
HEY THERE!! 22 lbs is AMAZING WORK!! Keep getting it done
What dosage do you take weekly?
Love this Dr G! I recommend a walking treadmill for the house to avoid being discouraged during the hot summer and rainy season. A 30 minute walk goes by very quickly in front of the tv 😊
I love having my treadmill at home. I can’t make any excuses. Incorporating incline intervals during my walk has been a game changer in burning more calories.
One of the best videos I’ve seen. Been on “O” 1 mg for almost a year. I lose better NOT being on the highest dose. Weigh and measure my food. Age 66
Thank you! Been on MJ for 6 months, 47lbs down, 10 left! High protein, lower carbs, lots of veggies. I lift 3-4x week and get my steps in lots of movement!
Great job! You have the formula down!!! Right on schedule averaging 8lbs a month!!! I love it for you!!! 👍🏾✊🏾🫶🏾 Keep it up the goal is right there!
@@GoodDrG harder now I lost 5lbs this month so it gets slower I assume towards the end!
Nice, should be getting off drug soon 👍
I needed to hear this. Thank you. Have lost 40pds then nothing. Now I will try incorporating your suggestions
Are you getting off it eventually?
I am finishing 100 weeks on several GLP1 meds and everything you are saying is fully accurate. I spent a lot of it avoiding exercise and that was my biggest mistake. Once I hit 150 minutes a week exercising and weight training and focused on protein first for food… things changed for me for the better in a big way. Please listen to this doctor.
HELLO! Congratulations for putting it all together and getting the outcome you deserve! I appreciate you sharing your personal experience as well. It really does make a difference for folks to hear success stories since the bad experiences are shared much more often but honestly are much less frequent! Thank you!
I’m happy to share and appreciate the smart and honest info on your channel. I started a month after it was approved and a year later I was in the hospital with a quintuple bypass. Tirzepatide saved me since it helped increase circulation. Without it, I would have likely had a massive and fatal heart attack with 5 blockages. I’m very grateful that I had lost 65lbs before surgery. I may not have qualified a year earlier.
@@GoodDrGwhen used efficiently. These medications are amazingly effective. I’m dosing down now and I’m on Trulicity as I slowly phase out or at least go on a very low dose eventually. It did raise my heart rate in my case as my body fat reached 12-13%. I have to continue to dose down accordingly to avoid the increased (+10bpm or so) heart rate, but that seems unique to me in my cardiac recovery.
I was not able to exercise as I had a bad hip, which had a total hip replacement, which occurred May 6. so still not able to do much but walk a little bit
@@belindagrimm9261 I totally get it. Sometimes we just have to do what we can and follow your doctor’s advice for how to manage through.
I need this Dr. In my life! How many Dr.s have explained this topic in this way to me - NONE! You're a blessing to UA-cam University 🎓
Wow, thank you! I appreciate it!!
I changed my eating habits and the foods I eat. I started in feb bc I became really motivated to lose weight after watching my 600 lb life and so I’ve lost 29 lbs in 3 1/2 months. I started ozempic yesterday and I’m really hoping it will help me lose even more
Great info. Thank you
This doctor is no nonsense. 👍🏻
THANK YOU!!! I’m telling my wife I finally found someone who thinks so!!! 😂
excellent advice
Thank you very much. I plan on starting this journey.
Extremely helpful video. Thank you!
Very useful. Thanks for your honesty
Great advice.
This was great real advice ❤❤❤
I’m on Wegovy- for 5 months and have lost 30 lbs. I was so mad that it wasn’t dropping off quicker- but slow - really slow for me is frustrating- I feel better knowing this is common
SLOW is good! You are actually doing a bit better adapting slowly as you are you have time to settle into you new lifestyle routine! KEEP IT GOING!!
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I’ve been on it for 5 weeks. Just a bonus that it helps with weight loss, I’ve lost my appetite and so far I’ve lost 14lbs..
Yikes, 6 lbs a month will thrill me. I tried tirzipatide compounded and lost 4 lbs a month. Didn’t think fast enough, so gave up. Now trying semaglutide compounded, and have realistic expectations now. I had zero side effects on tirzipatide - been on semaglutide 20 mins, lol, hope same lack symptoms. Thanks Dr for this great advice.
Solid advice.👍
Thank you Doctor
Fantastic information. Thank you for your videos and caring like you do.
I just start my journey Sunday this sounds very helpful !!!!!
The best advice I've heard in regards to taking Mounjaro.! Thank you.
Thoroughly informative. Thank you.
You are welcome! I am glad you enjoyed it!
Thank you!
I love this video! You covered all of my questions. Thank you!!!
Glad it was helpful!
Excellent advice. Thank you, doc!
THANK YOU!!
Tysm for sharing this needed information.
My pleasure 😊
Exceptional video, thanks a ton for the info!
Hey! Glad you enjoyed it!
Thank you Dr.! This was so helpful! I appreciate your time and all the guidance and information! 😀🙌🙏🏼
You are so welcome! Thanks for stopping by the channel!!
Great information. Thank you.
Glad it was helpful! Tanks for Watching!
Thank you
Great advice. Thanks for all this great information 🎉
You're Welcome!!
Awesome video. Great information
Glad you enjoyed it!
“Don’t get your meds from the lady at the counter at the Dollar Store”. 😂
I have nothing against the Dollar Store!! LOL
Dr. G, what is your opinion on glp-1 meds causing Vagus nerve dysfunction…
@@IrishPrincess128this is high level question!!!! 👍🏾 There are papers that look into this. I do believe this is the mechanism causing some folks who do end up with severe gastroparesis to have longstanding issues. I have not seen extended gastroparesis in non-diabetics. Remember gastroparesis is a complication of diabetes. We do not know for sure if GLP1s are the direct cause of the vagus nerve dysfunction but it appears there are GLP1 receptors that may play a part in that pathway so it’s possible. To be determined…..
@@GoodDrGYou’re open mindedness is refreshing
You know people will though!
Love this!
Thanks!
Thanks Dr G....I needed that...🙂
You are so welcome! Thanks for stopping by!
Great video!!
Thank you! Glad you enjoyed it
great video !!
Glad you liked it! I appreciate you taking the time to watch’
Thank you! This information helps decrease my anxiety. ❤
HEY! I am so glad I could help reduce your cortisol level! GOOD LUCK!!
Teaching that everyone should get prior to using this medication! Thanks big time!
I'm starting Zepbound this weekend and I'm so glad it found this doctor! Thanks for your tips! Fingers crossed for success!
It ain't luck when you use a map!! GOOD LUCK!!
So much good information here
Thank you! Glad you found it valuable!
Great advice
Thank you!
Excelente explanations, thank you so much
You are welcome!
Omg! You are awesome!!! So glad I found you. Unfortunately I wish I had seen this episodey before I had Mexican food last week! 🙄 I didn’t have acid reflux bc I’ve never had it in my life, but it felt like someone had a vice in my intestines and twisting it which had me praying for the second coming.
You’re full of great help and tips and I adore your easy going manner. Thanks so much! New subscriber! I’m a few lbs from goal, so I’ll be going into maintenance soon!
HEY!! I’m so glad you are here now and I’m sure the Mexican food was amazing! lol thank you for the follow and I’ll do my best to keep providing valuable information! Take care of your self and congratulations on your weight loss! 👍🏾👍🏾👍🏾
Changing my relationship to food was made really easy by Tirzepatide. Fortunately I am already exercising by going every distance between 2-10km by bicycle.
So glad to have come across this video! My doc has had me on Mounjaro for a few months now but didn't explain any of this to me. In fact she pushed to have me take the higher dose, but I was so wiped out from side effects I requested to remain on the low dose. I still suffer from exhaustion and feeling frequently thirsty, but at least my appetite is suppressed. Just started walking every other day a week ago, now have an ankle injury but will return to walking at the earliest opportunity. 😊
Hey! I am glad I could add some insight. Your fatigues May actually be lower blood sugar than your body likes for now. I would have you monitor your levels for a bit until your body adjusts. Good Luck!!
Excellent video! I'm from Broward also!!!! Now on the West Coast. I've been on the compound for 6 weeks. Making sure I exercise and drink lots of water ! And try to eat as clean as possible. It's takes all of the things to be successful in my opinion!! Also no issues with cruciferous veggies! Thanks Doc!!!!
hey I am from miami just moved to tx from broward county i want to start i lost 13.5 pounds by prayer and fasting i wanna start one of these
Very informative. If and when I can get my script for Zepbound pending insurance approval, I will remember these don'ts for sure.
Thank you! I’m so happy you found value in the information I shared! Good luck with your health and weight loss journey!!!
Great video 👏 thanks
Glad you enjoyed it
This sounds like great advice I agree with the water and veggies and round it out with exercise!!
Glad you liked it!!
Excellent video. Solid presentation. I have just started my journey. Really well balanced. Smart and easy to understand. Thank you very much!
Thank you for taking the time to watch and leaving a comment! Good luck on your journey! ✊🏾👍🏾
Excellent video, you did a great job explaining !
Thank you for taking the time to explain how to operate on these medications and for explaining the fatigue factor. It make perfect sense that since my blood sugar is low I’m always tired. Just finished eating Brussel sprouts right before I watched this video (oops). Explains a lot in retrospect.
Hey There! I am happy you found the information in the video helpful! Yes, keeping 2-3 servings of fruit in rotation is definitely key! Good luck on your journey!
This was a great informative video! Thank you
Hey There! Glad it was helpful!
@@GoodDrGYes! Thank you 🙏🏽
@@GoodDrGI have a quick question - what about alcohol, like Bourbon, Scotch, etc…? And, lastly, I did one of your don’ts and had fatty foods and now I’m constipated. What can I take? Miralax? Stool softener? Thanks in advance.
Man, Doc, you give good info in a straight to the point fashion. Thank you! Learned three things I hadn't heard: what too much fat in the diet does; cause of constipation; what can cause gastric pain (cauliflower/broccoli due to slower gatric emptying).
Thank you! Good info.
Hey! Thank you! I am happy to know you learned a couple things and I appreciate your support!
Can I do this after gastric rny 20 years ago
Thank you for the last point! So many people are taking the cheap route with these meds and it's so dangerous!
Hey! Yes, cheap meds from an unverified source is not it!!
I have been on Mounjaro for 7 weeks tomorrow. I was put on it for weight loss, but my last blood tests in March shows that I went from prediabetes to T2. In June of last year I was still prediabetic so this is new to me. The good news is that I've lost about 34 pounds so far, but I have a long way to go. I have completely changed my food habits, but this med is amazing at shutting off the food voice (averaging about 1500-1800 calories a day) in my head. That and the gym plus walking as much as I can has a been a big help. My goal is to control T2 with diet and at some point get off this drug, but in the meantime it has been a godsend.
Hey There! Your story is amazing! Those A1C number will absolutely do a U-Turn in the very near future! Stick with it and keep me posted! 👍🏾👍🏾👍🏾
Excellent video! I was just prescribed Mounjaro and the detailed pamphlet that the pharmacy provided really didn't cover anything I should avoid. This was great information and will help do the right things to be successful here BTW - Glad to see that you were a NYMC graduate!
HELLO!! I am glad you were able to get some guidance/info from the video! All of this is in there but honestly they do a very bad job making it easy for non-medical people to easily understand. I think You are the first to notice the NYMC!!!! 👍🏾😁
MPH '93
@@charlienostrand3862 NIIIIIIICE!!!!
New subbie 🙋🏽♀️love your channel! I start semaglutide tomorrow and u give great info . Bless up 🙏🏾
WELCOME!! I hope the content is helpful And good luck on your journey!
Thank you so much! My internist reccommended I consider taking Wegovy, but I didn't want to lose weight too quickly, and I wanted to make food and lifestyle changes (because the pandemic was not so great for exercise or eating well.)I feel so much better informed--although my family lives on broccoli so that will have to change. I feel mich more confident that my treatment will go well, and that I will come out the other side not just thinner but healthier.🦋
🙏🏾🙏🏾🙏🏾
This is such great practical advice on how to use these drugs to the greatest, healthiest effect. The trials on the drugs involved both exercise and dietitian guidance. People should not expect to continue on an unhealthy diet without exercise when using these drugs. But the drugs make it so much easier, even possible to stick to a healthy diet
THANK YOU!! I totally agree with you. As a clinician the first thing I saw was finally a chance to quiet down the food noise we can concentrate on the real work!! These meds are great in that regard and looks like the science continues to uncover more benefits as well. Thanks for stopping by the channel! 💪🏾
Well I just started my journey 2 weeks ago , and have been overweight for the past 2 decades. I've done Keto & exercise in the past with little success, very frustrating. I finally decided to try Wegovy , happy to say I've lost 6lbs . & look forward to finally get the excess weight off for good . Thank you for your video
You are most welcome! Congrats on the progress so far and good luck on your new healthy lifestyle journey!
Good info. When should one incorporate resistant training? At the beginning or later in the journey?
Great Question! The answer is as early as possible but make sure you don’t over do it too soon. Reason being one of the reasons folks quit on their weight loss journey is they make too many changes all at once. If you weren’t a workout warrior yesterday you won’t suddenly be one tomorrow. Add in the new nutrition plan and changing your relationship with food and it can all become overwhelming leading to a failed attempt at changing toward a healthier lifestyle. With that being said I typically recommend body weight resistance exercise at the very least by week 5-6. If you have been doing weight training prior to starting the meds/lifestyle modification journey then start on day 1!
On modified Keto with higher protein, ultra low carb and not having any issues with constipation on Mounjaro. No gas, indigestion either. I eat cauliflower, purple cabbages, broccoli or green lettuces. I Keep my gut healthy eating fermented foods. I drink probiotic brine, or have a generous serving of fermented probiotic sauerkraut every single day.
NICE! I am happy its working out for you! I know if I tried that my family would need to wear gas masks just to step in the house. GOOD LUCK!!
Legend 🥃☝️
🙏🏾
He is funny dude I likes his sense of humor
No one said learning had to SERIOUS!! LOL I am so glad you enjoyed the video and I do hope you learned something!
As therapist AND someone who has had wonderful success on this Zepbound. I eat a BALANCED diet and DO NOT DEMONIZE any food because this is actually disordered eating. Every person is different and the best thing to do is collect data about how food feels in your body. I don't think it's sustainable to AVOID foods if you don't need to. Focus on adding things into your diet (fruits, veggies, eat the rainbow).
I think we are saying the same things! Great Advice!
I’m 1.5 weeks in. Lost 5lbs the first week. Wish I would have seen this video earlier. I had lunch with a co-worker today and I’m so nauseous. This makes sense that’s it’s just sitting there. Ugh, I will not do that again!! Thanks for these tips. It really put things into perspective!
Better Late!!! No worries. You will find what works for you! Take it easy at lunch!
@@GoodDrG Thanks!
Not a magic bullet is SO important and something that I wish the non-obese community could wrap their brain around. I'm not just sticking a shot in and sitting on the couch eating pizza and watching the fat melt away. I've made MASSIVE changes to my eating habits, I go to the gym 3-4 times a week, I've greatly reduced the amount of alcohol I put in my face etc and so on. Yes, I'm seeing great results. Yes, I'm getting the assist of being able to not feel full. But I'm still the one putting in the effort!
JUST KEEP GRINDING! That message is for my colleagues and I to educate the message! You just focus on the goal!!!
Would be great if you done a video on what to do when you reach your weight loss goal. Do you stay on the dose your in or drop back?
That's a question for the professional that prescribed u the medication. They coukd easily answer that question for u. This doctor has no ckue of your medical history.
I'm not on any weight loss, but I am on GAC injections for strengthening my bones, which seems to help me with weight loss. I am 72 years young with no health challenges, and I wanted something to aid with bone health. Amino acids is my go-to, which is GAC. Love the fact you are talking about the things that you shouldn't do because everyone is taking this medication as a way out when it's and assist to better health. We still have to do our part, which we should want to, it makes you feel good about yourself
Could you please speak about the GAC? I’m not very familiar with it but I have Osteoporosis I’m wondering if that’s some thing that may help
I have osteopenia and would love to know as well! Hope the person responds soon! I’m going to start googling.
I just started, I give myself my first shot tomorrow, for weight loss, I'm vegetarian now.
First time giving myself a shot😮
I just did my first shot today. Stared at it for 10 min before I got the courage. Couldn't even feel it lol pressed it in slow
Biggest thing is increase your protein. Shakes or start including fish like my vegetarian brother did.
The Flossy Carter of Doctors! DocG 😇
HAHAHAHAHHAHAHAA HILARIOUS!! Thanks, I think...
Great points, although I eat low carb with a ton of broccoli and cauliflower almost daily
NICE!! You are a testament to "everyone is unique"!! Most folks cant get away with it! Were you a big broccoli/cauliflower person prior to the meds?
@GoodDrG yes, I was, but not for a long time. I didn't start eating broccoli and cauliflower until I was in my late 30s or early 40s. Before that I didn't like them and rarely ate them.
I really love your videos. I had to tell a friend that is not a magic injection. I still have to work out. I still have to watch my ache of calories and I still have to as well monitor pasta, rice, etc. refined sugars, and things that you have to do if you weren’t on an injection solike I said it’s not a magic bullet all of a sudden gonna take the injection and everything’s gonna fall off I’ve been losing weight. I’m down 50 pounds but it’s taking me like eight months so keep your habits. Your behavior modifications are really important for continued weight loss as well as we’re gonna maintenance that you’re gonna need after the injection stop.
You definitely get it!!! Great JOB!! Thanks for stopping by the channel!!
Coaching info, please.
Hello! Just head to this link:
floridaconciergemed.com/groupcoachingcallwaitlist
Middle of week 5 (5th injection of tirzepatide, first week on 5mg)….down 13 lbs. No nausea but I’m already an old pro with intermittent fasting and longer fasts and have found this medication really assists with extending your fast. But yes, definitely noticed that along with my MIA hunger cues….my thirst cues have also become blunted. Force yourself to “fill up” on calorie free fluids and protein. Otherwise your muscle will go bye-bye along with that weight.
Best of luck!
I was advised by the doctor prescribing tirzepatide for me to set out my daily ration of water in the morning and drink small amounts throughout the day. Setting out an amount of water in the morning is to ensure that I get enough fluids during the day because, as you said, the drug not only cuts food cravings but also cuts thirst
@@lokipokey Great plan! Some people aren’t the “water carrying” type so this presents a problem at times but I like it!
I'm on Zepbound for weight loss and have taken up walking and some light weights at home. I've worked very hard on changing eating habits and have done very well. I'm wondering if this weight loss may help my "Pre-diabetic" diagnosis
Hey!! Absolutely!!! Even without the medication you would see an improvement with weight loss greater than 10%. With the medication AND healthy changes in lifestyle you should see a decrease in A1C of up to 2.8%-3%!!! That’s major! Do not wonder! KNOW you are making a huge difference in your health by committing to this! 👍🏾👍🏾👍🏾
I agree with most of what you said. I've lost 115 lbs in 8 months. Sill have about 50 to go. I was heavy... 3 months on Mounjaro, 1 month on nothing (washout) and 4 months on retatrutide. I'll say that reta is the future and if you're interested, I can go into the details why. Buy Eli stock now. When that stuff get's out of phase 3, it's going to be the primary tool for t2d, obesity and fatty liver. Probably throw some hypertension in there also
Hey there! I’m a clinical researcher so unfortunately no stocks for me. I do happen to know a bit about the super promising triple receptor retatrutide and I’m excited for that one as well! I’m just hoping the side effects don’t increase with efficacy. What parts of the video don’t you agree with? Congrats on the weight loss! Those are life changing numbers!!!👍🏾👍🏾👍🏾
How did u get retatrutide?
@@janemarx1321 no one is getting retatrutide right now outside of clinical trials.
@@GoodDrG Im sorry but that not accurate. I've been on reta since Jan. I started on 2, went to 4 then 6mg per week. I'll be going to 8 in 3 weeks. It has been remarkable for my bp, a1c and weight loss. I also sleep so well now that I'll be asking the sleep doctor for a re-evaluation on my sleep apnea. It's been a remarkable experience for me.
@@SHlTHEADJOE HEY! On my channel I provide evidence based medical information. Retatrutide although showing great promise in phase 2 and now phase 3 RCT, has not yet been presented for FDA approval for any indication (diabetes or weight loss). Therefore although I have access to the compounded form I won’t be giving it to any of my patients until it goes through the normal processes established here in the US. I don’t have to tell you the issues that could arise by skipping the necessary steps in such a delicate process involving health and welfare of human beings. Safety is number 1 when it comes to me. I’m definitely waiting until the data comes out before I make recommendations on starting retatrutide. As of today’s date, you are quite literally taking an experimental compound. In the meantime I am pretty sure you will be just fine. I’ll feel better once the science support my assumption. TAKE CARE!
Thank you DOC this is good information. I am on 2.5 and I have only lost 13 pounds in 7 weeks. I'm willing to stay on the 2.5 if I can, I don't want to lose to fast.. is that alright
Hey There! That sounds like a good plan to me. In my office, As long as you are losing weight appropriately you don't to increase the dose but I would definitely check with your Doc as they may have another reason they want you to move up! Good LUCK!
Given the high risk of muscle loss on these drugs, I think resistance training should be much higher up your list. In the UK we are told to start resistance training as soon as we start Mounjaro.
AGREED! I typically recommend resistance training at week 5 (before folks lose a lot of weight) and beyond. Muscle wasting doesn’t happen that quickly in my experience. If they come to me with a history of weight training they are encouraged to do so from day 1. In my opinion the problem with starting resistance training (in patients who are currently couch potatos) is they quit. Too much change all at once plus the aches and pains of starting a new resistance training at the very beginning causes “failure of the medication”. It’s like all the people who start a New Year’s resolution and are back to square one by February.
What do you mean by resistance training?
@@bettertoaster Hey there! Resistance training = weight training. This could be body weight exercises like air squats or pushups or pull ups etc. Alternatively with actual weights. The point is to maintain as much lean body mass (muscle) while losing the most body fat as possible. If you neglect building muscle you run a high risk of losing too much lean body weight during your weight loss, which is not desirable. I hope that explains it. Good luck!
@@GoodDrGdoes water aerobic count as resistance training??
@@ro066 I guess to some extent it does! Depending on what movement you are doing. Great question and I love the way your mind works!!
The biggest issue I have is getting enough water in..I used to drink 128oz a day and I'm barely getting in 40oz. I have to force myself. And when I do I feel so so much better
I have to force myself too! I don’t like it in the first place but it’s even worse when you’re not at all hungry.
HEY! The water takes up space in the stomach making you feel full. Try breaking up you water intake throughout the day!
make sure you work out as much as you take in water weight is real if you are active
Get a big 40 oz tumbler or 2 for water! I drink 2 of these every day. I add ginger root, mint leaves & or fresh lemon, most importantly add 1/2 electrolyte powder stick in each fill. Been on Zepbound since Jan 13, lost over 30 lbs so far.🙋♀️
Damn, exercise at #1! I was hoping it was WAY down the list!
That makes 2 of us!!
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Good information! Started a few days ago on Saxenda and had horrible nausea & indigestion after a meal of a large portion of kale salad & some chicken. Could still taste the salad the next day....now I know why. Will be a long time before I have that again! Bring on the pizza!! (kidding lol) Excited to where this journey will take me.
😂 We live and learn!! Yes overeating even “good and healthy” foods can and will still make you nauseous. We are using this time to help reset portions and reestablish a new relationship with food! I can’t wait to hear about your journey! Keep me posted! 👍🏾👍🏾✊🏾
@@GoodDrG Will do Doc!
I just finished my last dose of Mounjaro 5/21/2024. In January, 2024 I joined a program BrightLine Eating. No sugar, flour, watch quantities, weigh & measure foods.
Praying I don’t get the craving/hunger with a-vengeance. I haven’t started exercise yet.
Do not give into the fear! You have time to start the exercise! Good luck
@@GoodDrG thank you so much! I made a routine to start next week, 3times a week swim & 2 times a week lower/upper body workout.
The three vegetables that he mentioned I have nothing but those vegetables because those are the only vegetables that I can really eat to get my veggies in those and then salads. I wish I could share with him my freezer and refrigerator. The good thing is, fatty fried foods are really not my problem at all. I eat a lot of baked and broiled and grilled fish and things of that nature. I eat a lot of salmo, tuna, chicken, lamb and turkey. I eat black beans lima beans lentils and Black Eyed Peas. Now on the fruit spectrum is kind of hard for me also because I'm really not into a lot of oranges or apples and things like that. I do eat a lot of watermelon, cherries, grapes and grapefruit. I use grape seed or olive oils. I will have an occasional two slices of whole wheat toast with my white egg whites and my turkey bacon or sausage in the morning. I will occasionally have a cup of cream of wheat or oatmeal. Now I'm a "Pepsiholic" but I will say I've only had maybe one or two cups of Pepsi within the last 4 or 5 months. And when I did have it I poured it over a cup of ice just enough to get the flavor. My daughter was laughing at me because she was saying that I was wasting more Pepsi than anything and I told her I just needed the taste over the ice I didn't need to drink it so technically I don't drink it but I do have the flavoring over the ice in my mind is like shaved ice with flavoring. Now I have swept the Pepsi out for ice tea or hot tea. The purpose of me having the grapes is because I will get a cup of grapes and I will eat that when I have a sugar attack like when I really really want some type of sugary some type of candy or something like that, that's what I'll do and when I want chips and things like that I'll eat seaweed. I went through my pantry got rid of all the soups and stuff and gave that to my friend and my daughter. I also threw away every piece of candy cookie cake anything like that that I know that I didn't have before my mom died I threw it all in the trash. I didn't bother to try to give it away because I knew the longer it took for them to come and get it nine times out of 10 I would say all I'll just have one. So as my niece said to me I have no excuse because I know what to do and I was just playing out being lazy and didn't have a handle on my depression. So even though she said some very mean things she probably saved my life.
Thanks for being vulnerable and sharing. Good luck on your big healthy lifestyle change!
Hi Doc. What’s your recommendation for social drinking. Is it still ok to have a few drinks every week or every other week? How does tirzepitide react to alcohol consumption? Thanks.
NICE Question!. There is no specific recommendation for social drinking and while I don't see a glaring reason while you shouldn't have a SINGLE drink in a sitting most patients report the medication definitely curbs their appetite for alcohol.
Very helpful video, thank you. How does one calculate how many grams of protein one needs a day while cutting calories to loose weight?
Thank you and Excellent Question!! I do not expect my patients to become "Nutritionists" over night so I recommend free apps like, my fav, "Lose It" to do the calculating.
It literally does all the work. Just punch in your goals. They don't pay me....maybe they should!! LOL
I just joined LA fitness but im thinking about natural first. Maybe i won't need it Blessings 💜
You got this!
I can’t wait because of knee problems
I am pretty sure the data will show weight loss promoted by GLP1 agonists are beneficial for patients with osteoarthritis!
Do I really have to give up all spicy foods? I love spice in my cooking. And I don’t have any reflux.
If you do spicy on the regular and have no issues you should be ok but there is only one way to find out!!👀
@@GoodDrGThanks so much!
What are the lab test that I need to start this medication?
Love this question!! In my office I do CBC, BMP, TSH, HGA1C, and Cholesterol Panel! Each Doc will have their own approach and should e able to explain why!! Thanks!
What are you seeing from patients who had bypass surgery a long time ago that are now on glp-1 meds? any advice. Thanks doc!
Great Question!! I actually currently have 2 patients who had previous bariatric surgery who are doing quite well. Of course its necessary to stay on top of hydration and making sure not to overeat. Generally they are having the same success as everyone else. Thanks for this question and good luck on your weight loss journey!
@@GoodDrG Thanks so much! xo
I work nightshift 12am to 10or 11am. I blame my schedule on a lot of my weight gain. I have too push myself hard to get exercise. I just got Zepbound and want to try it but I’m nervous. Plus my insurance doesn’t pay for it so I am paying out of pocket.
Hey! 3rd shift workers have it tough but it can still be done. Reimagining what constitutes each meal of the day is key. Getting your workout later in the evening before going to work also seems to help a few of my 3rd shifters!