Semaglutide/Tirzepatide Users: 10 Things You Should Be Doing! // Dr. G Explains
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- Опубліковано 25 чер 2024
- Semaglutide/Tirzepatide Users: 10 Things You Should Be Doing! // Dr. G Explains
Are you using Semaglutide or Tirzepatide? In this video, I share my top 10 essential tips every user should follow to get the most out of these medications and stay healthy. From monitoring blood glucose levels to ensuring a balanced diet, and discussing plateaus..I hope you find this video to be helpful!
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Dr. Gerard Acloque Jr., MD
Hollywood, FL
00:00 Intro
00:31 Tip #1: Monitor Blood Glucose Levels
1:16 Tip #2: Be Vigilant of Side Effects
2:18 Tip #3: Stay Hydrated
3:44 Tip #4: Alcohol in Moderation
4:51 Tip #5: Balanced Diet with Protein
6:20 Tip #6: Monitor Your Weight
7:51 Tip #7: Monitor Your Workouts
9:20 Tip #8: Celebrate Your Plateaus
11:07 Tip #9: Be Patient
12:59 Tip #10: Ask Questions
#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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Hi Dr. G, I just started Mourjano. I look forward to the group! Dr. Shez Kennedy
Hey I just realized that my doctor is Doc G too 😅 I am almost 60lbs down, weight lifted at home for 5 months, and joined the gym today with my gym girl that goes! Gotta pack on that protein and lift heavier as I am now dosing down!
HEY!!!! This is a great success story! But let’s not get it confused there’s only one real Dr. G!! 😂😂😂 tell your “Doc G” they are AMAZING!!! Keep up the phenomenal work!!! 💪🏾💪🏾💪🏾
Yesterday saw my doc an I am officially 48 pounds down since March 13th...more to go. I'm only on the lowest dosage and for weeks it has been wearing off quite a bit, but I am still eating as I was while it was more effective at shutting off the food voice in my head. I track every morsel I eat.
Oh yeah and my A1c dropped from a 6.9 in March to a 5.8 as of yesterday. I really feel this is more about my current food choices more than anything so far. I test so much I'm going to need more fingers.
HEY!! Be careful! You are sounding a lot like a SUCCESS STORY in the making! Keep up the good work. Pro-tip* If you can get your hands on a continuous glucose monitor like "Freestyle Libre" which will save you from having to stop to do a capillary glucose test and gives great "real time" info on your glucose levels in response to different foods. Thanks for checking out the channel and please continue to share your progress. Your story will help others to continue to push through on their journey!! KEEP UP THE AWESOME WORK 💪🏾!
Congratulations on your success! You should be proud of your focus on lowering food noise and taking a lower dose with success! Yay!
Thanks! I look forward to shocking my doctor again in three months.
Good job ❤
Wow! 24 lbs a month! That’s amazing! I wish I were getting those kind of results
Thank you…very helpful 👍
I’ve been on Wegovy since February. I’ve lost 30-38 pounds so far. Started at 296 I’m now at 258 and I’ve been on 1.00 dosage since April. I feel like I’m hitting a plateau. I’m considering going up to 1.7 mg. I have Crohns. This med have caused nausea constipation dehydration. I only want to be on this for 6 months max as I needed a boost to loose weight. I’m just now starting to feel like I can walk and exercise safely without asthma and joint issues. I take miralax for constipation. I feel the difference overall though I can actually paint my toes and do my own pedicure without any help. I eat very healthy but I need more tips. I’m glad I stumbled upon your videos it’s been very helpful. Thank you and continued blessings to you.
AMAZING STORY!!! I hope you can unlock what you need to help with the constipation just so you can get to your target and come off the meds!! Please keep us posted on your progress, wins and setbacks! You will win!!! 👍🏾✊🏾
Great video Dr G!
Glad you enjoyed it
Greetings from Germany, very helpful videos on your chanel.
I started with my first 0.25 shot Mounjaro for weight loss last Saturday, absolutely no appetite, nit hungry at all, have to force myself to eat but fortunately no side effects for now.
I am trying to eat small portions of a low carb high protein diet at noon and diner and have a coffee with almond milk and weigh protein for breakfast plus plan regular sports 5 days a week (7 second workout, cycling, nordic walking, hiking). A similar program without magic injections helped me to losse 20 kilo 6 years ago - unfortunately i was obviously able to keep my weight mostly through a changed attitude towards eating and sports and increased muscle mass. So in principle i know what to do.
But since last summer i gained 15 kilos after a broken leg, Covid, a broken rib … with little to no sports from August to now and by now a bad fat to muscle ratio. My knees and feet are hurting because of the additional weight and I also have cravings until now unknown to me. According to my doctor i am pre-diabetic again with an insuline resistance, meaning as little carbs as possible for a while until this is back to normal.
The idea is that i take the lowest dose of Mounjaro until inhave lost enough weight to be able to walk / hike / workout without a hurting body, build up muscles again and stay on the lowest dose as long as possible. Once the muscles are back and the (last week) uncontrollable craving for sugar and carbs is gone, i hope to keep my diet without injections. It used to work for 5 years.
Do you think this is enough to prevent a jojo effect?
Should i phase out with shots every 2 weeks / once a moth or change from the pen to injections and only use half a dose of the 0.25?
Greetings from Munich and many thanks for the helpful information, Sabine
HELLO!!!! Thank you for visiting the channel! I want to say this is the most complete summary I have ever seen from a patient. It shows you and your doctor have taken the time to map out the course and makes your success almost guaranteed. There is nothing I would change in your plan. AMAZING JOB!! Please keep me posted with your wins along the way!!✊🏾💪🏾
@@GoodDrG will do for sure!
Mounjaro is only starting as obesity medicine here in Germany and there is very little information available, so i will point people to your channel.
❤❤❤❤😊
great advice..thanks for this video, it does help to stay focused on that final weight goal number and health indicators. I have been on Zep since 1/28, and lost 22 lbs, with 18 to go for the ideal 'BMI'. It goes up and down as I weigh myself daily, and have dealt with the plateaus...thanks for shifting the mindset to see them as a celebration, makes sense to understand our bodies holding on to the weight to keep us alive. Keep these coming, they are very helpful in our journeys. ❤
AWESOME!!! You are most welcome!! CELEBRATE!!!
I am shocked that people are losing 5-6 lbs a week! Makes me feel a bit bad about myself, I’m on week 5 on .5 and am only down 11 lbs. I cannot eat less. In fact, I have a hard time eating anything. Trying to drink protein shakes to at least get some protein in and am walking 45 minutes plus weight training 5 days a week. I do have a thyroid issue so my metabolism is shot. Just feeling like I’m on the low end of this spectrum
5-6 lbs isn’t the norm so don’t feel bad. Im not gonna say 2 lbs a week is healthy blah blah blah. You might not be eating enough. 3 lbs is a big win. Be patient it will come off.
Excellent advice!
Are you maybe building up muscle? Muscle is heavier than fat and that would explain a slower weight loss. Do you track changes in your bodie’s muscle to fat ratio as well as measuring with hopefully some inches less?
@@sabineacahaya2980 great advice! When you are on plateau and you feel the changes you are looking for aren’t happening then something is wrong. Re-evaluate the whole process. The solution is usually there.
The only med my insurance would pay for is Byduereon BCise today is my 4th injection . I’ve lost about 8lbs but my weight goes up and down by 3 to 5 lbs constantly. I do still feel hungry but when I eat I know when I’m done because I just can’t eat another bite and I am eating less. I would like to know how much protein I should eat and how many calories and what about carbs? I need some numbers to follow. Your videos are so helpful.
HEY! Thanks for this inciteful and very common question I get during my consults. The long answer to how much protein you need per day would require a consult has everything to do with your current height, age, weight and level of activity. The short answer I have noted in practice patient typically need between 1.2-1.5g per kg body per day while on these medications in order to BUILD muscle. Protein intake of 1.0-1.2g/kg/day seems to keep most of the muscle mass on most patients and may build some muscle. Intake of less than 1.0g/kg/day tends to drop some lean muscle mass. Hey is to get as close as you can to the goal as possible. Obviously there is more to it to personalize it for each patient but that is the basics. Check out this really cool TDEE calculator I use all the time when helping patients figuring this out while on their journey. tdeecalculator.net/
Good Luck and thanks for stopping by the channel!
I love the lady at the $.99 store! 🤣
She's a doll but a terrible pharmacist!!!
@@GoodDrG You have a great sense of humor! 😝🤣
I have been on a compounded Trizepatide for 5 weeks and I am down 16 pounds! Took my 6th shot today and move from 40 units to 60 units. Not sure if that means 2.5 to 5 BUT the increase was necessary as after my 5th shot I had minimal appetite suppression. I used that week to really stay focused on what I was eating and my portions. I work out 4-5 days a weeks with 3 days of strength training. I have lost a total of 14 inches!
Hey! Sounds like you are doing great so far! As for how much you are taking. How many total milligrams of medication are in the vial?
I was given to inject (0.5mg) of compounded Semiglutide once every week for 30days. The pharmacist said to draw up 25 units in a insulin syringe that goes to 100 units. I looked at the vial and doesnt look like it has enough in it for 4 injections once a week for 30 days. Does the vial have enough for an injection 4 times?
@@rosalindwashington7376 I would need to know how many milligrams were supposed to be in the vial and how much fluid in milliliters. In order to give you enough for what you just mentioned there would need to be a total of 2mg in the vial and the fluid would need to be 1 milliliter. I hope that helps.
Do you recommend adding Lipostat in conjunction with the tirzepatide injections?
Hey! Not at all necessary if you are eating a diet with the correct nutrition. But also remember everything we put into our system has the potential of side effects. Lipotstat shots ( which are a mixture of various vitamins and sometimes even phentermine!) can cause GI issues much like GLP1 agonists. It is not common but they CAN HAPPEN. So let's say you do have a side effect. Now we do not know if this side effect is from the lipostat or from the GLP1 agonist!. 😬 Besides the weight loss benefits from the lipostat is miniscule in comparison to what you can get form the GLP1 agonist. I question the risk versus reward with a GLP1 agonist + Lipostat weight loss plan. I like to make the process simple as possible. That way trouble shooting is a lot easier. Thanks for this question and good luck!!
@@GoodDrG thank you for this great explanation!
You're Welcome!
Celebrate plateaus.
ABSOLUTELY!!!!
I’ve been taking Tirzepatide for 2 months and I’ve just lost 3 pounds and my hunger appetite is still the same so I just eat healthy foods
Something isn’t right. Go through the list of variables. Also, you lost weight!!! Celebrate that cause that’s the goal, right!?
I think we’re in the same slow go boat! 11 lbs in 5 weeks for me. It’s disheartening when you see so many putting up big numbers. You think you’re doing what you’re supposed to as well. Hang in there
Since there is a shortage i take it you haven’t increased your dose?
You could ask the doctor to increase the dose!
I had hyperglycemia prior to starting Wegovy. What do I need to do to control symptoms. I don't feel as hungry with the meds
Hey there! For clarification You had HYPER-glycemia(high) or HYPO-glycemia(low)?
Can I take semagutide while on Coumadin?
Hey! It looks like no known interactions. If you do decide to start it this would be a situation I would check my INR weekly for several weeks to be sure the numbers don’t fall out of therapeutic range. The meds don’t depend on the same enzymes in order to be cleared from the body.
Question. I am seeing a lot of oral vs injectable. What are your thoughts? Trying to make my best decision.
HEY THERE! As of today, No oral GLP-1 agonists are currently approved for obesity. Only oral semaglutide (Rybelsus), is approved for type 2 diabetes. IN have seen some compounding pharmacies market an oral form of semaglutide for weight loss but I have no personal experience for that use. I will say I have had several patient on branded Rybelsus for diabetes control and the weight loss was significant. I hope that helps!
Hi Doc G .. If I stop taking wegovy after taking it for 1 or 2 year . Will I regain my weight back . ?
Hey!! Only you can answer that question. What bad habits have you cut and healthy habits have you started? How has your relationship with food evolved? The meds are do not cause weight loss all by themselves. They quiet “food noise” so you can concentrate on doing the things to lose weight and maintain your goal weight. If you think you need lifestyle modification coaching feel free to sign up on our list. The links are in the descriptions of most of our videos. THANK YOU!!
What is the difference in taking the shot and just not eating. I know that the shot suppresses your appetite but could you just limit your calorie intake for the day and do the same thing? I just cannot get myself to give myself a shot.
This also works. It’s called calorie restriction. Many folks fail because of food noise and bad habits but there is no reason you cannot try it instead of medical weight loss. I would definitely look for a lifestyle modification coach to help if you’ve tried and failed to lose weight before.
What about my having cirrhosis of the liver 4th stage? Should I take mounjaro?
Hey! Whether or not you should is something you will need to speak to the doc that knows you best (should include a liver specialist) but there is no known contraindication for patients with liver disease. I hope that helps!
My Dr is the one who suggests that I take it, so I can be less likely to have a heart attack or a stroke. I am on so many medications that I would like to get off of. My liver specialist thinks it's ok for me to take also.
@@ritachristian6777 The SURMOUNT-1 Trial shows significant reduction in the risk of cardiovascular event in Overweight or Obese patients so I agree with your docs. It should provide protection to you. But if you do not want to take another med then at least get more activity on a weekly basis.
Yes I agree, thanks Doc for your words of wisdom!
I’ve been taking Tirzepatide for 2 months and I’ve just lost 3 pounds and my hunger appetite is still the same so I just eat healthy foods what do you recommend doctor? 😏
Interesting! Maybe your dose is too low and/or you are a non-responder. Id definitely sit with your doctor and work through it. unusual for a patient not to feel anything in 8 weeks,
I’m dealing with the same problem! I just started though so I’m praying it kicks in.
Anyone had shakes from it, my body has been vibrating/jittery for a while now, been drs had tests done but they found nothing
I’ve seen zero cases like this. Check your blood glucose levels.