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SUMATRA SLIM BELLY TONIC REVIEW: Does It REALLY WORK for Weight Loss? | HONEST TRUTH! Official Website: https://tinyurl.com/5cn4aspj Hey everyone, my name is Julia, and I decided to record this video to tell you the truth about Sumatra Slim Belly Tonic. Does it really work? Is it actually good? Why has Sumatra delivered incredible results for some people but not for others? After all, it’s becoming a huge success on the market. So stay with me until the end of this video, because I have some important truths to share with you about Sumatra Slim Belly Tonic. First of all, I did some digging and found the official website of the manufacturer, and I’ll leave it as the first link in the description of this video. But don’t click just yet — what I’m about to tell you might completely change the way you see weight loss. Sumatra Slim Belly Tonic is a 100% natural supplement made with a patented blend of 8 superfoods that help your body enter an ideal fat-burning state — and it does all of this by improving your sleep quality. That’s right, new scientific discoveries show that the real villain behind stubborn belly fat might actually be the lack of deep, restorative sleep. And even if you think you’re sleeping well, your body might not be entering the proper sleep stages — which slows down your metabolism, increases hunger, and even speeds up aging. Sumatra was created specifically to solve that. It optimizes your sleep quality so your body can start truly recovering overnight, turning into a natural fat-burning machine — literally helping you lose weight while you sleep. So why does Sumatra work for some people and not for others? The answer is simple: because of the product’s huge success, counterfeits started appearing on the market. Fake products that don’t deliver any results and may even cause side effects. That’s why it’s so important to buy only from the official website, which you’ll find in the first link of this video’s description. The real Sumatra Slim Belly Tonic not only helps you lose weight in a healthy way, but it also gives you: More energy during the day Reduced pain and inflammation Clearer thinking and improved focus Healthier, more radiant skin Fewer cravings and less emotional eating And of course, deep and restorative sleep Among the natural ingredients in Sumatra are: valerian root, berberine, hops, blue spirulina, 5-HTP, cimicifuga, lutein, and inulin. All of them have proven effects in improving sleep, boosting metabolism, and promoting long-term weight loss — without the dreaded yo-yo effect. It’s super easy to use: just take the capsules daily before bed and follow the recommended treatment. The most recommended kits are the 3 to 5 bottle options, so you don’t interrupt your progress. And one detail that really gave me confidence: the manufacturer offers a 60-day money-back guarantee. That’s right — if you don’t get results or just don’t like the product, they’ll refund 100% of your money. No fine print. So here’s my warning: beware of fakes — only buy the original. The official link is right here in the video description. Check it out, read real user testimonials, and see everything Sumatra can do for you. I truly hope you reach your goals. Big hug, and see you in the next video. God bless!
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Dr David Johnson highlights new preoperative recommendations to protect against consequences of some diabetes and weight loss drugs that delay gastric emptying. https://www.medscape.com/viewarticle/994762?src=soc_yt -- TRANSCRIPT --- Hello. I'm Dr David Johnson, professor of medicine and chief of gastroenterology in Eastern Virginia Medical School in Norfolk, Virginia. Recent national media attention has focused on the gastrointestinal (GI) side effects of glucagon-like peptide-1 (GLP-1) receptor agonists. These drugs are used to treat type 2 diabetes and weight loss. The GI side effects include nausea, vomiting, and gastroparesis-like symptoms. I wanted to emphasize two key points especially important to clinicians providing this class of therapy. One: Clinicians need to be increasingly aware of the potential GI side effects and inform their patients when they start to prescribe these medications. And two: The American Society of Anesthesiologists (ASA) has recently released consensus-based recommendations for preoperative assessment and management of adults and children undergoing surgery who are taking these medications. The recommendations also apply to endoscopic procedures whereby anesthesia will be delivered. Gastric Impact of GLP-1 Agonists What are these GLP-1 agonists? The drugs for weight loss include liraglutide (Saxenda and Victoza) and semaglutide (Ozempic, Wegovy, Rybelsus, among others). The type 2 diabetes medications include semaglutide, dulaglutide (Trulicity), and exenatide (Byetta, Bydureon BCise), among others. They can be taken daily or by injection once a week. The GLP-1 agonist drug class works at the GI level to increase insulin secretion and decrease glucagon release, both of which mediate glycemic control, particularly postprandially. The drugs slow the gastric motility through decreased peristalsis and increased tonic contractility of the pylorus, essentially causing a delay in gastric emptying. Dr Michael Camilleri and his colleagues at the Mayo Clinic, in Rochester, Minnesota, conducted a small randomized, placebo-controlled double-blind study of the GLP-1 agonist liraglutide to investigate the mechanism of weight loss in patients who were overweight. They showed that there was a diminution in gastric emptying over 16 weeks in patients taking liraglutide. They found evidence of tachyphylaxis, but the rate of gastric emptying of solids remained slow compared with placebo, even at 16 weeks. Despite the observed waning of the gastric impact, we just don't know how long significant side effects persist when patients stop the drug for good. There are some reports of patients with protracted symptoms a year or more after they've stopped their GLP-1 agonist medications. Guidance for Preoperative Management These drugs would commonly be reviewed before patients go through procedures, and we need to be better aware as we start to see these patients for endoscopy. The ASA recommendations address the potential consequences of delayed gastric emptying and provide guidance for preoperative management of these drugs to prevent regurgitation and pulmonary aspiration of gastric contents. In patients on daily dosing, the ASA recommends holding these agents the day prior to the procedure. For patients on weekly dosing, the recommendations suggest withholding the dose a week before the procedure. Importantly, this should be in consultation with their diabetologist, just to assess any need for a bridging therapy to avoid hypoglycemia. On the day of the procedure, if GI symptoms, such as severe nausea, vomiting, retching, abdominal pain, and bloating, are present, clinicians should consider delaying the elective procedure and discuss the risks of the potential risks for aspiration. If the patient has no symptoms and the GLP-1 agonist has been withheld as advised, then you should proceed as usual. But if the patient has no symptoms and has not held their GLP-1 agonist, you should proceed with what the anesthesiologists call the "full stomach" precaution, which considers patients at potentially high risk for aspiration. There's a way of checking for that. Some centers can do a quick ultrasound on the stomach and see if there's food, debris, or liquid, and if that is not the case, they could proceed with no delay. But if there is no way to check gastric contents, then you should manage accordingly, which may require intubation or postponing an elective procedure for another day. These are new and changing issues. In our world as gastroenterologists, we should be considering — very strongly — mitigating strategies to protect the patients on this wonderful class of therapy. Sometimes these drugs can have significant side effects that we need to at least be aware of. Nothing is perfect, but let us be better informed. https://www.medscape.com/viewarticle/994762?src=soc_yt
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