Wegovy – New Diet Drug
Wegovy – New Diet Drug 121 Dietitian is excited by the launch of the New Diet Drug Wegovy for weight loss and obesity. A game changer for weight loss, but not without consequences. If you decide this is for you, you need to ensure you get the maximum results possible. As weight loss experts 121 Dietitian wants the best for you, we are seeing a massive push on online prescribing. What support do you get with this????? In most cases, it is lip service and not personalised. These drugs are not a quick fix, they are expensive, require 18 months of time commitment and stop working when you don’t inject. So what can you do? How to get maximum results with Wegovy- new diet drug If you decide Wegovy is for you. You may be surprised to read that the only way to get maximum results is by working with a Specialist. Dietitians like us here at 121 being the gold standard! Wegovy is not the golden ticket to weight loss. We know and have many years of experience assisting thousands of people with optimising their diet and health for life. Wegovy what you need to know As a Dietitian for nearly 30 years, I have watched many drugs come and go regarding weight loss. Wegovy is one of the newer kids on the block. Big breakthroughs have been the headlines over the years and many people eager to get their hands on the latest launch, pay big bucks for something they know nothing about. Creating drugs to allow for a substantial amount of weight loss without serious side effects is the dream for many pharmaceutical companies and many attempts have been made. In this blog, I hope to provide you with all you need to know about these medications the positives and negatives of taking these drugs and what alternative may work better for you long term. How Do These Anti-Obesity Drugs Work? In normal digestion, the gut secretes hormones after food intake, stimulating insulin secretion. These pharmaceutically created peptides (Wegovy) mimic these same gut hormones and provide more GLP-1 to flood the system and allow for additional weight loss. Wegovy and Mounjaro work differently in the body but both keep you fuller for longer by delaying gastric emptying, increasing insulin sensitivity, decreasing glucagon, and reducing high glucose levels. Both drugs reduce triglycerides, LDL and raise HDL cholesterol, along with reducing blood pressure. Who is eligible for Wegovy? Wegovy is intended for use by adults aged 18-75 who have a BMI of 30 or above, or a BMI of 27 or above AND a weight-related health condition such as (asthma, cardiovascular disease, depression, diabetes, fatty liver disease, gallbladder disease, high blood pressure, a history of certain cancers, osteoarthritis or gout, or polycystic ovary syndrome (PCOS). Side effects of Wegovy – New Diet Drug Something that is often overlooked or underplayed is the side effects of drugs. For Wegovy and Mounjaro (Tirzepatide) include nausea vomiting abdominal pain constipation diarrhoea There is a concern of 4.5 x higher intestinal obstruction in 25,000 people studied. Fatigue and headache are also very common, mainly as doses increase. Other common side effects include: feeling lightheaded excess passing wind gastroesophageal reflux injection site reactions hair loss hypoglycemia in patients with type 2 diabetes Less common side effects have been noted with these drugs including allergic reactions gallstones (which can occur with a large amount of weight loss) the potential of medullary thyroid cancer You are also at risk of acute kidney injury. In rare cases, there can be serious side effects, such as pancreatitis or anaphylaxis. A list NOT to be ignored. How is Wegovy Given and Practical Considerations Wegovy (Semaglutide), is in a prefilled self-injection delivered under the skin in the arm, abdomen or thigh. 0.25 mg for a month, increasing monthly to a maximum dose of 2.4 mg in the 5th month. It takes a year to 18 months to have full effect. As with any medication, there are positives and negatives and I have spent most of the last 15 years in my clinics trying to reduce my patient’s medication lists where possible! I am aware however that some medications are beneficial, and it is a major hope that these drugs will genuinely assist in weight loss for the select individual. One thing for sure is that they do seem to be a better option than bariatric surgery which is a blog for another day! Currently, the hype is big and no doubt we will find out more as time goes by, but for now, I prefer to recommend you don’t get swept up too soon and spend extortionate amounts of money without doing the following first. Wegovy -Work with a Dietitian Obesity is a complex, chronic disease with multifactorial causes, and taking a drug and expecting life-changing weight loss is too simplistic. For those seeking to improve their health and lose weight and really stuck these drugs may be a short sharp kickstart but no more. It is clear from the research that when people stop taking Wegovy/Ozempic, they rapidly regain the weight. It is very expensive and there are important issues that need to be highlighted regarding everyday considerations like how alcohol impacts blood sugar control, fasting, health risks and other medication interactions. Verdict on Wegovy – New Diet Drug As a Dietitian, I have been asked repeatedly about weight loss drugs. I always consider all options and for the greater good of all who may be thinking about using these and believe in working on lifestyle, diet and fitness interventions first or alongside any targeted medication. I am concerned that vulnerable people who are really in need of significant weight loss may need to stay on Wegovy indefinitely in order to maintain any weight loss achieved, and this definitely raises concerns about long-term use. As 121 Dietitian offer weight loss services it is something for you to consider. You can invest in a 121 Dietitian programme, the
5 Reasons to Eat your Green Vegetables!
“Eat your Greens” How many people are fed up hearing this in their lives!! Green vegetables are notoriously disliked by all age groups and this makes me sad, but I completely understand why. The data I gather from advising thousands of people gives me expert insight. And as you probably guessed, the largest percentage of dislikes stems from being forced to eat these as a child. Definitely, bland, boring over-cooked bitter vegetables do not appeal and should not be on the menu at any age! Green vegetables and especially green leafy vegetables are full of important health-improving benefits which we need to be serving daily – cooked nice. 5 Health Benefits of eating Green vegetables Green vegetables assist in feeding your good gut microbiome – essential for multiple benefits, especially if you have dysbiosis, irritable bowel syndrome, autoimmune conditions and much more. Green vegetables can assist your blood sugar levels – the nutrients are involved in numerous actions with the help of fibre, Vitamin C, magnesium, Vitamin K. If you are Diabetic, pre-diabetic or have metabolic syndrome it’s time for a rethink. Bones – Green vegetables are excellent providers of non-dairy calcium and vitamin K, boron, manganese all essential for strong and flexible bones. Check out my YouTube video on Osteoporosis Green vegetables can assist in weight loss – we know from studies that obesity is linked to diabetes, heart disease, high blood pressure and cancer. Eating good quality nutrients from your food is the key to long-term weight loss success and keeping healthy. Green vegetables provide a plethora of nutrients with fibre, phytochemicals, vitamins and minerals while providing very low amounts of energy. You can learn more by watching my weight loss for life series. Green vegetables for wrinkles. Vitamin E is an antioxidant we know protects skin cells from free radical damage from the environment and the sun. Folate is a vital nutrient for DNA repair and new cell growth. Green leafy vegetables are rich in these and beta-carotene which is a super antioxidant known to renew and repair the skin. Is it OK to eat fruit instead of vegetables? Fruits are amazing for multiple nutrients but should not take the place of vegetables. They should be consumed in moderation. Fruits contain natural sugars that if eaten to excess may derail your nutrient balance. What should I eat if I don’t like greens? Thankfully it is easy to re-establish or start to like eating greens! As a Dietitian I teach people how to be able to add 3-4 of these each day into their diets. It takes a little time and some great recipes but improving the gut bacteria allows for the brain and gut to work together and this is where the magic happens! What green vegetables are good for weight loss? All green and colourful vegetables are important for weight loss. Some green choices can include Spinach, Kale, Rocket/Arugula, Lettuce, Bok Choi, Pak Choy, Broccoli, Sprout, Asparagus, green peppers, Cucumber, cabbage, and watercress. What green vegetables can I eat every day? All! The more the merrier as long as you are getting sufficient good quality proteins, fats and carbohydrates. Should you eat green vegetables every day? Absolutely. If you take a blood thinner warfarin it is really important not to stop eating these if they are part of your normal diet. We know warfarin works best when the level of vitamin K in your body stays the same. So if you typically eat leafy greens, you can continue to eat your usual serving. Is drinking your greens the same as eating them? Blitzing vegetables is a useful way to add in greens just make sure you use the whole vegetable, stalks etc as this is the fibre-rich part. Powdered greens have been big business in recent years. If you have the money to spend on them they may assist you if needing more nutrients. But be mindful they do contain many add-ins that you may find change your gut bacteria. If these probiotics are not right for you or the amount of added fat-soluble vitamins are high, these may be stored in excess in the body if not required – not really what you want. In my professional opinion, sporting or highly active people are the ones who may find these helpful. And finally greens from top to bottom! Green vegetables for eyes Green leafy vegetables can assist with preventing age-related macular degeneration and cataracts. The human body cannot make lutein or zeaxanthin; they must be consumed. Spinach, kale and broccoli are leafy green vegetables rich in both lutein and zeaxanthin and vitamin C. These antioxidants act as a natural sunscreen for your eyes and they protect your eyes from harmful UV rays. Green Vegetables for Constipation Constipation- Green vegetables are essential as part of a healthy dietary intake each day as the expandable fibre absorbs water as it passes through the bowel and triggers a regular bowel motion relieving possible constipation. The softening action of the insoluble fibre decreases pressure inside the intestinal tract and may help diverticular disease/diverticulitis. Check out my YouTube Video on Constipation. So if you are still keen and green and … Need help optimising your foods or are unsure of how to change your eating habits? please contact us. We would love to help you or your family and friends with any nutrition-related queries big or small. In the meantime do please check out our 121Dietitian Shop for specially selected choices created for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
Fatty liver how to fix NAFLD
Fatty Liver Did you know Fatty liver affects 1 in 3 of us and if you have diabetes this figure is higher again. Scarily the end result, if not addressed, can be a decompensated liver and even liver failure. So, if you have been thinking about losing weight and getting more active but really don’t feel the need, you may wish to think again. Many of us bury our heads in the sand and believe we are getting along fine. No aches no pains, enjoying our current way of eating, drinking and moving when we have to. So why change? Well, today, the most common cause of chronic liver disease is nonalcoholic fatty liver disease (NAFLD) AND…. 95% of people with NAFLD do not know they have it. I have many patients come to see me for weight loss, diabetes or healthy eating advice, and when we investigate their health further, we uncover blood markers that don’t read well. It is such a common problem and one that I fix daily so I feel it is important for you to be aware. I have been researching some information to help you further, and in this blog I have pulled a few interesting details from medical papers which I have added in below. So let’s dive in. What is non-alcoholic fatty liver disease NAFLD? It is a liver disease that is NOT caused by alcohol use. Characterized by fatty infiltration of the liver. What is the main cause of a fatty liver? Fat builds up in the liver by eating excess calories. This excess energy is too much for the liver to process and too much fat creates insulin resistance and can lead to inflammation. Fatty liver can occur if you have other conditions, such as obesity, diabetes, high triglycerides, and metabolic syndrome. What are the signs of a fatty liver? There are usually NO signs of fatty liver disease in the early stages. But you may feel fatigued and have pain in the right upper quadrant (upper right part of the abdomen)- it’s usually a dull discomfort and you may wish to investigate. How serious is a fatty liver? Early-stage NAFLD, if sorted early enough thankfully can be reversed, and doesn’t usually cause harm. But if not treated it can lead to serious liver damage, including cirrhosis. Having high levels of fat in your liver is also associated with an increased risk of problems such as diabetes, heart attacks, and strokes. What is liver cirrhosis? Cirrhosis is scarring (fibrosis) of the liver caused by long-term liver damage. The scar tissue prevents the liver from working properly. If cirrhosis (the most advanced stage) occurs, you can get more severe symptoms, such as yellowing of the skin and the whites of the eyes (jaundice), swelling in the legs, ankles, feet, or tummy (oedema) and itchy skin. How do you fix a fatty liver? Great news, diet and lifestyle are first and foremost the key to success. 121 Dietitian has years of experience treating fatty liver patients and would love to help you with any of the following: Lose weight Establish a healthy diet for fatty liver Create a personalized fatty liver meal plan Improve blood sugar control Create a personalized weight management programme Support your overall liver health if needing to be medicated Suggest foods, snacks, meals and recipes for optimum liver health Make recommendations for healthier food products and supplements as required In addition, we will recommend exercise and how to be more active Assist if you have diabetes or have been diagnosed with pre-diabetes Lower your cholesterol, triglycerides, LDL, HDL. … The bottom line recommendation: If you’re overweight or obese, the aim is to reduce the number of calories you eat each day and increase your physical activity in order to lose weight. Easier said than done. I know it’s not for the want of trying different diets or strict boot camp style workouts- sadly if they are too tricky they don’t last. So that is where we at 121 Dietitian can help you with no quick fixes. Interestingly, although obesity is described in 50% to 90% of patients diagnosed with NAFLD, the condition can also affect individuals with a normal weight and body mass index so if you are experiencing health issues or have a poor diet do get checked with your Doctor if you are concerned. Can fatty liver disease be cured? The good news is that fatty liver disease can be reversed—and even cured—if patients take action early, including a minimum 10% sustained loss in body weight and/or a change in the foods you eat. How long does it take for fatty liver to go away? An average period of 6 weeks to 2 months is an expected timeframe to recover from fatty liver disease. However, lifelong adherence to particular diet and lifestyle changes may be necessary to prevent relapse. What foods are good for fatty liver? Foods That Help Fatty Liver Disease include but are not limited to…. Fish and seafood. Vegetables and fruit. Whole grains. Olive oil. What are Liver superfoods? There are no superfoods as such, but fortunately hundreds of fabulous everyday foods that when combined in correct amounts and consumed regularly can provide you with the best macro and micronutrient intake for a healthy liver and life. What medication can I take for Fatty Liver? There are no direct medicines for non-alcoholic fatty liver disease. Losing weight, eating healthily, and regular exercise can help. If you have elevated lipids, type II diabetes, and high blood pressure with lifestyle changes you may be able to reduce some of the medication you take. Adopting a healthy lifestyle is the main way of managing NAFLD. For example, it can help to: lose weight – losing more than 10% of your weight can remove some fat from the liver eat a healthy diet – try to have a balanced diet high in vegetables, fruits, protein, and healthy carbohydrates, but low in pro-inflammatory fats, sugar, and processed
Metabolic syndrome – are you at risk?
Metabolic syndrome – It’s estimated that 25% of the world’s population has “Syndrome X.” Sounds like a spy code and sadly it can be as deadly if not dealt with. Syndrome X is the underlying factor for a whole host of common health problems we treat every day at our clinic. In a nutshell, Metabolic syndrome “Syndrome X” is a cluster of simple abnormalities leading to hyperglycemia, hyperinsulinemia, and glucose intolerance followed by reduced insulin sensitivity, further leading to hypertension, hypercholesterolemia, obesity, and T2 Diabetes. What’s going on in Metabolic Syndrome? Insulin resistance is a condition where your body produces insulin but doesn’t use it properly. Insulin (a hormone secreted by the pancreas) helps your body use glucose for energy. When you’re healthy, your digestive system breaks your food down into glucose. This is absorbed into the bloodstream and travels throughout your body. As your blood glucose level rises after eating, the pancreas releases insulin to help your cells take in and use the glucose. This is a normal process and all settles pretty quickly until the next time. But when someone is insulin resistant, the cells in their muscle, fat, and liver don’t respond like they should to insulin. They “lock the door” and won’t let the glucose in. As a result, their body needs MORE insulin to help glucose enter their cells. This increases stress on the pancreas which is trying to keep up with this increased demand for insulin, but eventually the pancreas fails. The excess glucose then builds up in your bloodstream, and you are on route to Type II diabetes. The hidden dangers of Syndrome X (insulin resistance) People with metabolic syndrome are at a greater risk for developing these medical problems as well: * High blood pressure * Elevated triglycerides * Coronary artery disease * Heart attack * Obesity How Metabolic Syndrome happens Insulin resistance is largely due to eating a daily diet of refined carbohydrates (sugars, white flour, white rice, pasta, bread, cake, biscuits and all products made with them. There are thousands of them you would never realise). This over time takes its toll on your body. Also important and needs more research is the role of genetics as well as a deficiency in Omega-3 essential fatty acids. We now know about eating too many refined carbohydrates, but do you know about Omega -3? Omega-3 Omega-3 fatty acids (EPA and DHA) are found at every level of your body. They’re a major part of your cell membranes where they help control cell signalling, immune responses, inflammation and other metabolic functions. Including the production and release of insulin. EPA and DHA are important building blocks of nearly every organ and organ system and play a crucial role in your health. Your body depends on having the appropriate balance of Omega-6 to Omega-3 fatty acids. Having an imbalance leads to inflammation, sickness and disease. An estimated 6 out of 10 in western societies have far too much Omega-6. They are also seriously low in Omega-3. This is because our typical diet of convenient processed foods and lots of processed meat is heavy in Omega-6 fatty acids. The studies prove it Many studies have been performed that show when animals are fed a diet high in Omega-6 oils, they become insulin resistant and obese. But when the animals were given Omega-3 their metabolism became normal. Even when they continued to eat lots of Omega-6 fats. Prevent metabolic syndrome – What you can do To avoid being a Syndrome X statistic, it’s essential to ensure that you follow a suitable dietary intake for your health, take exercise, lose weight if required. Ensure where possible you are not elevating your blood sugars and creating insulin resistance. It is important your body has essential Omega-3 fatty acids and consciously avoid foods high in omega 6. You may require several supplements initially. This will ensure you are nutritionally optimal to allow your body to heal itself. Picking the correct supplement to your needs is crucial to get right. It can be a minefield and so if you have any concerns with: blood pressure, cholesterol and lipid levels, weight gain, excess weight around your abdomen, blood sugar control issues… we can help you so do get in touch. 121 Dietitian are the experts assisting you in turning the clock back on inflammatory health concerns. Nutritional programmes are completely created to suit you. They take into account your food likes and dislikes, your activity levels, your abilities to cook, if you have a family to include, if you travel with your job, your health parameters, your blood tests, body composition and much more…. The most worrying fact about metabolic syndrome: Even if you don’t have any of the associated health issues as mentioned at present in your body, it can still be showing normal while you have problems starting 10-15 years in advance. The body can store up problems and this is a certainty if you are eating incorrectly and slowly gaining weight. Don’t get to the stage where your body and bloods are showing ill health. Unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
Make October The Month Of Your New Year Resolution
When it comes to diet and lifestyle changes, there is now better time than right NOW to put your well intended plans in place. If you still haven’t made progress with your New Year Resolution, you’re not alone. A client came to me for help with her New Year resolution IN AUGUST! She was disappointed she had not yet achieved her personal goal of “being as healthy as possible.” Despite her good intentions, she had made disappointing progress and it was 8 months into the “new year”! Her weight was going up, not down. Many of us can relate to this. We have expectations for great changes and we feel motivated at the start, but events and responsibilities seem to work against us. We are left feeling frustrated and sometimes discouraged that the changes we want to see will never be accomplished. With this client, and many others, I’ve found a few simple strategies help to make significant changes in order to promote health, fitness, and control without the stress. I advised this client that October would be the perfect time to make her changes. The kids are back in school, the home routine is in place, and it is a long time until the Christmas rush. My client is now focused for October – she is prepared to make the time and energy to commit to her new plan. The following are a few of the goals we decided to focus on: Step 1: Start small In the case of my client, instead of her usual pattern of becoming a slave to the gym with no rewards, she has already started with two 30-minute walks per week. Over the past three weeks, these have lengthened and she now looks forward to her evening walks most nights of the week. This simple change should add years to her life and assist her food focus. Step 2: Be ‘SMART’ Identify specific, measurable goals. They must be realistic and linked to a period of time so you can assess your achievements. These goals are “SMART” goals (specific, measurable, achievable, realistic and timely.) My client’s goals were, I think, what we would all like to achieve; ‘eat better and be more active’, but how do we measure success with a goal like this? As a starting point, we broke down her goals into some straightforward, but significant, changes: Below are 2 examples: 1) Begin to eat breakfast within 30 minutes of waking, five out of seven days per week. 2) Keep records of your food intake and exercise for five days to promote self-awareness of your eating and activity patterns. Step 3: Get support Do ask for support from a friend, spouse or family member. In this case of this client, her husband has been a great supporter. He reminds her to sit down and eat breakfast with him instead of running around after the kids and he provides the motivation for her to be fit by walking with her in the evenings. He and the kids are enjoying the health changes too. They are eating better and their mum is happier and healthier. The walk also has the added benefit of keeping away from tempting snacks. In addition to her family support, my client has benefited from professional support. In working with a dietitian it has helped her make appropriate goals, identify obstacles and help overcome challenges. My client laughs now when she recalls her fears of attending to see me. She expected I would stop her eating normal foods and she would be miserable, but instead she admits she enjoys the one-to-one online consultations when she can’t get to my clinic and the programme she is following. She is already feeling much healthier and fitter (see our google reviews). Step 4: Get accurate information As a Dietitian, I spend a lot of time correcting people’s myths. Most of my clients come in expecting they will be told to only eat salads and slave away on a treadmill seven days a week. We know from countless studies, that healthy eating does not mean dieting. While there are specific dietary requirements for many conditions, such as high blood pressure, diabetes and IBS, most people do not have to cut anything out – they just need assistance in finding the right balance. Obtaining professional guidance ensures you learn which strategies are appropriate for you. Accurate nutrition information is easier and more accessible than you may think… If you are unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop this has been specially created for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed]
Obesity Statistics and Health Risks
While obesity stats might be shocking, the good news is that there is still time to do something about it. Here, we get clear on the obesity statistics and share how 121 Dietitian has been successfully helping patients to lose weight for good. A person with obesity (BMI – Body Mass Index of 30 and above) is: 6 times more likely to develop high blood pressure 4 times more likely to develop diabetes 2 times more likely to develop arthritis 6 times more likely to suffer gall bladder disease More likely to be infertile More likely to suffer from back and joint problems More likely to have problems with asthma exacerbated Increased risk of suffering depression More likely to suffer sleep problems such as sleep apnoea Increased risk of heart problems and stroke And have a shortened lifespan (1 in every 11 deaths in the UK is linked to obesity related problems) More likely to have nutritional deficiencies Reverse these obesity statistics This is not a scare tactic message, but rather, we feel, an important message to highlight the negative health implications associated with obesity that we treat every day. It may surprise you to know that many of the men and women who come to our clinics are unaware of the risks associated with obesity. When informed they are so grateful they could do something about it before their problems became irreversible. If you wish to reverse the risks as mentioned above, the good news is something can be done. Losing weight and lowering your BMI (body mass index) to normal or lower levels, or with a 5-10% reduction in weight as a starting point will significantly reduce your likelihood of developing these potentially serious medical conditions. Significant weight loss can resolve many pre-existing conditions associated with obesity. Of course there are also many, many psychological benefits in losing excess weight. People become more confident, feel less isolated, feel more attractive and feel more assertive as well as the obvious benefits associated with feeling healthy like a new wardrobe! HOW TO LOSE WEIGHT AND ENJOY DOING SO! Our team are highly skilled weight management Dietitians, providing a unique evidence based programme, tailored to each individual. Over the years, we have helped many people to successfully lose weight, when they have struggled in the past. You will learn how to enjoy foods and how to manage your diet, weight and health for life. No kcal counting, macros…. If you need to lose more weight, then you can safely do so, as you will know exactly how to do it safely for optimizing health for life. Unsure of how to change your eating habits, or need help optimising the foods you eat please do contact us. We would love to help you or your family and friends with any nutrition related queries big or small. In the meantime do please check out our 121Dietitian Shop this has been expertly created for you. If you have enjoyed this blog we would love you to share this with your family and friends on your social media channels. Why not visit our YouTube Channel for more on keeping your health optimal. How can a Dietitian help Book a consultation via our Online Portal About Gillian Killiner Check out our tailored dietary programmes Gillian x [instagram-feed] Information checked & correct on 16th May 2018 rechecked Jan 2021.
