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Ketogenic therapy, commonly in the form of a keto diet, is often known for having more “side benefits” than “side effects.” However, it is a powerful medical intervention and, as such, not entirely without risks. In some instances, individuals transitioning onto a keto diet to treat a mental health condition, like bipolar or schizophrenia, can experience symptoms of hypomania. There are many strategies to increase the safety of keto and mitigate potential risks, including slowly easing into a ketogenic diet, monitoring sleep, having a bridge medication available, and always having expert guidance from a clinical care team. In this interview, Dr. Bret Scher discusses the risk of hypomania with two experts in the metabolic psychiatry field: Harvard-trained psychiatrist and author of the groundbreaking book, Change Your Diet, Change Your Mind, Dr. Georgia Ede, and Nicole Laurent, LMHC, a counselor who trains non-prescribers on assisting patients with ketogenic therapy. According to Dr. Ede, hypomania and other unwanted psychiatric symptoms are uncommon when implementing ketogenic therapy. She recommends that people not allow these risks to dissuade them from trying this form of treatment. Featured in this video: Georgia Ede, MD https://www.diagnosisdiet.com/ Twitter: @georgiaedemd Order Change Your Diet, Change Your Mind: https://www.diagnosisdiet.com/change-your-diet-change-your-mind Nicole Laurent, LMHC https://www.mentalhealthketo.com Twitter @KetoCounselor Follow our channel for more information and education from Bret Scher, MD, FACC, including interviews with leading experts in Metabolic Psychiatry. Learn more about metabolic psychiatry and find helpful resources at https://metabolicmind.org/ About us: Metabolic Mind is a non-profit initiative of Baszucki Group working to transform the study and treatment of mental disorders by exploring the connection between metabolism and brain health. We leverage the science of metabolic psychiatry and personal stories to offer education, community, and hope to people struggling with mental health challenges and those who care for them. Our channel is for informational purposes only. We are not providing individual or group medical or healthcare advice nor establishing a provider-patient relationship. Many of the interventions we discuss can have dramatic or potentially dangerous effects if done without proper supervision. Consult your healthcare provider before changing your lifestyle or medications. Timestamps 0:00 Introduction 2:38 How often does hypomania occur with ketosis? 3:55 What the science says about a ketosis causing hypomania 5:03 Signs of hypomania to look for 6:14 How quickly should you transition to a keto diet? 7:54 Using bridge medications while transitioning to keto 10:25 Talking to your doctor about ketogenic therapy 11:49 Conclusion #MetabolicMind #KetoForMentalHealth #MetabolicPsychiatry #BipolarDisorder #MetabolicNeuroscience #KetogenicMetabolicTherapy #NutritionalKetosis #MentalIllness #AlternativeTreatment #Obesity #MedicationSideEffects #Schizophrenia #Hypomania

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Semaglutide is a relatively new drug in the weight loss market that has been making waves for its effectiveness in helping people shed unwanted pounds. Originally developed as a treatment for type 2 diabetes, semaglutide has been found to have the added benefit of promoting weight loss in individuals struggling with obesity. However, like any medication, it is essential to understand how to use semaglutide effectively to maximize its weight loss benefits while minimizing potential side effects.

Choosing the Right Dosage

One of the most crucial aspects of using semaglutide for weight loss is determining the right dosage for your individual needs. Semaglutide is typically prescribed in doses ranging from 0.25mg to 2.4mg, with higher doses typically being more effective for weight loss. However, it is essential to work closely with your healthcare provider to find the dosage that is both safe and effective for you. Starting at a lower dose and gradually increasing it over time can help minimize side effects while still achieving significant weight loss results.

Additionally, it is essential to follow your healthcare provider’s instructions carefully when it comes to taking semaglutide. Depending on the brand of semaglutide prescribed, it may need to be injected weekly or daily, so understanding the proper administration technique is crucial for achieving optimal results.

It is also essential to be patient when starting semaglutide for weight loss. While some individuals may see rapid weight loss results, others may take longer to experience significant changes. Consistency with taking the medication as prescribed and following a healthy diet and exercise plan will be key to long-term success.

Managing Side Effects

Like any medication, semaglutide can cause side effects in some individuals. Common side effects of semaglutide include nausea, diarrhea, and constipation. These side effects usually subside as your body adjusts to the medication, but if they persist or become severe, it is essential to contact your healthcare provider.

In rare cases, semaglutide can also cause more serious side effects such as pancreatitis or thyroid tumors. It is essential to be aware of the potential risks associated with semaglutide and to contact your healthcare provider immediately if you experience any concerning symptoms.





To help manage side effects and improve the effectiveness of semaglutide for weight loss, it is essential to stay hydrated, eat a balanced diet, and engage in regular physical activity. These lifestyle changes can help support your weight loss journey while minimizing any unwanted side effects of the medication.

Monitoring Your Progress

Regular monitoring of your weight loss progress is crucial when using semaglutide. Your healthcare provider may recommend frequent check-ins to track your weight loss, assess any side effects, and make any necessary adjustments to your treatment plan. Keeping a food diary, tracking your physical activity, and monitoring your overall health can also help you stay on track with your weight loss goals.

It is also essential to communicate openly with your healthcare provider about any challenges or concerns you may have while taking semaglutide. Your healthcare provider can offer support, guidance, and resources to help you navigate your weight loss journey successfully.

Remember that weight loss is a journey, and it is essential to celebrate your successes along the way, no matter how small they may seem. With the right mindset, support system, and treatment plan, you can achieve your weight loss goals with the help of semaglutide.

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