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How to Lose 15 pounds in 1 month on Low Dose Wegovy/Ozempic

The glucagon-like polypeptide 1 (GLP 1) neurotransmitter is a molecule that causes insulin to work better, increase insulin receptor density/amount, and slows down gut motility, especially in the stomach, where the pacemeaker of the gastrointestinal tract (GI) reside in a location in the stomach, called the cardia.

The GLP-1 has revolutionized the weight loss/metabolic medicine field, by being a magic pill that causes impresssive weight loss, and is a potent anti-inflammatory mediator. The GLP-1 agonist is akin to a medical version of the gastric bypass Surgery. The GLP-1 family of drugs also centrally causes the inhibition of the reward pathway in the brain, especially the pre-frontal cortex, and the limbic system areas. The side effects usually occur secondary to GLP-1 effects on the gut, such as, nausea, vomiting, gallstones/cholelithiasis/cholecystitis, pancreatitis, stomach paralysis, small bowel paralysis with bowel obstruction, and, ultimately dead gut. The risk ratio for these complication is very small 1.1 % or 0.01 chance, or a 1 patient/client in 100 patients chance of occurring.

Although, there is a 0.01 chance of a side effect happening with this magic pill, the benefits of Ozempic/Wegovy far outweighs any GI tract side effect risk of 1.1%. However, this is still 1 patient too many, and a very tangible/real number.

Adjunctively, the benefits of Ozempic/Wegovy include; decreased mortality relative to decreasing the deadly metabolic syndrome disease due to overweight and obesity epidemic, improvement of heart disease/improved functionality of the heart muscles, a marked reversal of chronic kidney disease, reversal of fatty acid of the liver, and are widely represented in current Empirical studies. Of utmost importance is that a systemic, comprehensive and holistic approach to weight is needed, and as the drug manufacturer opines, the weight loss drugs are adjuncts in overall medical health, and are not a silver bullets. The four pillars of weight loss strategy, that slao allows for a 15 pound weight loss in 1 month is:

1. Nutrition Management (green MIND diet with Probiotics),

2. Stress Management (using You Tube for dialectic behavioral therapy, thought field therapy, hypnotherapy and Reiki),

3. Exerciste Therapy Management (using You Tube for exercsie videos with weights, and resistance bands),

4. Excellent Sleep Hygiene, the last and most impactful weight loss pillar, secondary to the human body mostly healing in the rapid eye movement (REM) phase of the sleep wave spectrum. Thus, poor sleep hygiene results in weight gain, and a persistent high cortisolic resting/ or baseline state.

Consequently, Telemedicine is the only modality of medicine, that is cost effective/affordable, accessible, high quality, and relatable. Telemedicine, also delivers outstanding academic medical care regarding the obesity epidemic, and opioid use disorder epidemic. Regarding this point of view of the medical field, the trifecta of medicine therefore includes the following three pronged approach; Revenue Cycle Management/Billing & Coding, Accounting/Business Administration, and last but not least, the Art and Science of Medicine, where the patient must always experience, “nil non nocere”, that is, first do no harm, or in lay man’s terms, safety.

Nattydread

The Medical Gastric Bypass: Ozempic/Wegovy and Mounjaro/Zepbound Medications

The Surgical gastric bypass procedure, also called a Roux-en-Y bypass cuts up the gastrointestinal (GI) tract, and then anastomosis the Roux limb-small intestine back to a stomach pouch. All this cutting of the stomach, and small bowel can cause a lack of motility/movement of the gastrointestinal tract (GI) that does not show up until after the Surgical procedure. The preoperative motility studies are often within normal limits.

The current weight loss medications Ozempic/Wegovy and Mounjaro/Zepbound, via peptide and polypeptide neurotransmitter pathways, slows down, and sometimes completely stop movement of the GI tract. This inhibition of movement/peristalsis mimics the Surgical gastric bypass anatomically, as well as, imitate the metabolic results of the Surgical gastric bypass. Thus, resulting in vitamin, and micronutrient deficiencies, such as, vitamin B12, vitamin B1, vitamin A, vitamin D, iron (anemia), and calcium.

These vitamin and micronutrient deficiencies are also very likely to appear with the aforementioned weight loss medications. Therefore, when prescribing the weight loss medications, one has to make sure that patients are placed on a nutrition management protocol that account for the high possibility of these deficiencies occurring.

Also, patients should be encouraged to increase the presence of good bacteria in the gut microbiome by drinking probiotics with about 50-70 billion colony forming units (cfu), and juicing to prevent the side effects of pancreatitis, gut paralysis, bowel obstruction, and ultimately dead gut.

Ultimately, the weight loss medications are safer than Tylenol and Motrin if these precautions are implemented. Additionally, the lowest dose to maintain a weight loss of about 1 to 3 pounds (lbs) per week should be achieved, and avoid the maxium dose of these medications. Patients who are considering weight loss drugs to treat obesity, and metablic syndrome should be placed on a nutrition management protocol, an exercise therapy protocol consisting of weight training, and resistance bands, as well as, a stress management therapy protocol.

Nattydread

A Potential Cure for Schizophrenia-Schizoaffective Disorders: Therapeutic Medical Cannabis, Indica Preferred

Medical Cannabis has been so stigmatized over the years. One of the few effective treatments for Schizophrenia and Schizoaffective phenotype of mental illness is, Therapeutic Medical Cannabis.

Prior to the war on drugs by President Richard Nixon, when he was trying to cover up the Watergate scandal, medical cannabis was used instead of Morphine for pain management. Today, medical cannabis is villified as the “gateway to illict drug use”.

Actually, medical cannabis is the “Oh, Oh, it’s magic” medicinal for behavioral health/mental health care. It has impressed me with it’s breadth of therapeutic effectiveness, and efficacy. I use it clinicallly, instead of Ozempic/Semaglutide drugs for weight loss, because, I can also treat the co-occurring behavioral health disorders, in tandem/simultaneously with Metabolic Syndrome. Therapeutic Medical Cannabis, is the best treatment for high blood pressure/hypertension, and high blood glucose/diabetes, secondary to improvement of the gut brain axis, cross talk, as well as, the hypothalamic-pituiatry-adrenal axis cross talk/communications.

In the future, mainly Therapeutic Medical Cannabis, and/or the Psychedelic medicinals will be first line therapeutics, as Psychiatric treatment modalities. Of note, there is intravenous/IV medical cannabis, which can be used in the field, in emergencies, when mental health crises are encountered.

It’s all hands on deck when it comes to the mental health crises in the United States, and the opioid epidemic in our youths. Behavioral Health Telemedicine in tandem with National Detoxification Acupuncture Association (NADA) protocol, and Battlefield with Trench Auricular Acupuncture protocols will revolutionalize behavioral health/mental health wellness/care nationally, as well as, globally.

Nattydread

Alcoholism: An Epidemic in Women’s Health

When I started treating hyposexual desire disorder (HSDD) in women with the pink pill, Addyi, I was shocked by how much women of childbearing age were drinking. They were consuming way more than 3 glasses of alcoholic beverages per week. When I tried to inform them that this was too much, and extremely cardiotoxic, I got an immense amount of push back.

Then COVID happened, and things got exponentially worse, now women are showing up in severe liver failure with hepatic alcholic steatosis in emergency rooms from acute alcoholic intoxication. Additionally, primary care clinicians are dealing with a surge in liver damage from the huge amount of alcohol that is consumed by women to self-medicate, keep them mellow, and I dare say, function, post pandemic.

We must use Telemedicine to increase comprehensive wrap around care in Women’s Health, and once there is a mild elevation in liver function test laboratories, such as, AST, ALT, GGPT, LDH and T. Bili, send the patient for a liver ultrasound, and or fibroscan. A MRI of the liver may be needed, even a MRCP, may be needed. Ultimately, a liver biopsy may have to be checked.

Ultimately, primary care physicians must currently be on high alert during clinical encounters, and perform a complete physical examnination, even with Telemedicine, which would be accomplished with a video consult, not just an audio consult. Also, the follow up on the diagnostic test results is of utmost critical and clinical importance, in the continuity of care in Women’s Health.

Nattydread

The purpose of a Woman, is to be a human being, not an incubator for a child: The Abortion Debacle

The abortion debacle currently facing the United States (US) Supreme Court, a third of the US Government, that is the Judicial Branch, the check and balance for the Legislative, and Executive branches of the Government, occurs because; once again, the Judicial branch, has to decide the humaneness of being a Woman, a creation of God. A spark of God. A Goddess Athena/Aphrodite/Medusa, until Adonai Echad/Hashem, returns to his greatest creation, the species of Man.

Why are old white men in the business of Women’s reproductive organs, and rights? This is the patriarchal/sexist/masochistic aspect of Medicine, and Man’s attempts to rule, and control Women, that ideology/ethos must die, immediately/suddenly.

Women, rise up, and vote out this tyranny of the Constitution of the United States of America (USA). All this old white men stupidity, is innately/inherently Unconstitutional, relative to the 13th Amendement, which abolished slavery, and involuntary servitude, except as a punishment for a crime. Yes, this is where the Prison’s Military Complex slavery mentality, and slavery wages originates from. It is a continuation of slavery in the USA. It is summarily, the new/modern Jim Crow. On the other hand, the 14th Amendment is supposed to give Women, equal protection/rights under the rule of law, which is the Constitution of the USA.

The USA is not a Democracy, it is a Constitutional Republic. I agree with the Founding Fathers, that this is the best, and most evolved form of Government, that has the potential to prevent anarchy, circa January 6, and the attempted coup. Ultimately, Karl Marx died poor and miserable, secondary to him believing, that the goodness/kindness of the heart of Man would always prevail, and perform Socialism in the intellectual/ideal apogee/way he perceived; the veneration of the proletariat/the working class, in perpetuity. This did not occur. Thus, Red October occurred, he was devastated. Ultimately, the heart of man is innately/inherently wicked, as per the Tanach, in Jeremiah chapter 16 verse 12. Know that, Man the species, will fail you, everytime.

However, the Founding Fathers did a great job modeling the USA after the Republic of Julius Caesar, the Roman Empire. They relied on the checks and balances of humanity, the three arms of the US Government, the Legislative branch/Congress, the Judicial branch, and last, but not least, the Executive branch. The Executive branch must be checked/balanced, since that is the potential seat for Anarchy, and Dictatorship. The Founding Fathers were prescient, and brilliant, in their foresight of the great USA. As Benjamin Franklin said, when asked if the 13 colonies meeting in New York had decided upon being a Republic, as the form of Goverment for the US, he said, “aye it is, if you can keep it”. Benjamin Franklin was a great stateman, and scientist. He was the first Nikolai Tesla, with his electricity energy kite experiments. He is one of the Giants shoulders I stand on, to create Wakanda/Hogwarts. We can do it. We are the current Founding Fathers, we must not fail our ancestors.

Nattydread

High Functioning Depression is just Depression:Best Treatment Modality is Dialectic Behavioral Therapy and Therapeutic Medical Cannabis

As someone who practices Jungian and Freudian psychology with a focus on the wounded child being the part of our psyche that is having Mood Disorders/symptoms, such as, panic attacks, flashbacks, nightmares, rages/emotional outbursts, persistent negative thoughts, and persistent harmful intrusive thoughts; the actual viewpoint is that, the wounded child and the patient are in dissociative fugue, that is, they are split, there are now 2 people trying to control/take over the life of the cognitvely healing evolved adult psyche. The broken, wounded child, crying out for help is normally the winner in that situation/scenario, since the patient’s coping mechanisms, have temporarily abysmally failed.

From a Jungian perspective, this is the collective unconscious primitive archetype of the patient’s wounded child cognitive psyche in arrested development, basically trapped in an Oedipal Complex, psychological Willie Wonka black hole factory, going around and around, on a primitive instinctive 3 Stygian witches “double, double, toil and trouble/mayhem cauldron”, of a psychological carousel, unsuccesfully trying to flee the circus grounds of his extremely wounded mine/mind field of explosively painful triggers/memories of woeful events, that the unconscious psyche has buried, or forgotten to prevent a major depressive episode/nervous breakdown.

The unconscious primitive mind does such an amazaing job, that the patient stays in a limbo stasis trying to become a barely there functional member of society. Which ultimately, leads to a never ending circuitous cognitive spiral of hopelessness and despair, that can result in attempts to stop the nightmarish and overwhelming/excruciating hyperbolic psychological pain, and may result in suicide, or a mass shooting event in an attempt to cease, and desist the psychologically painful perpetual torture.

Consequently, the pathway to mental healthcare equity is Telemedicine, to eliminate borders and boundaries in medicine/healthcare. We are asking the patient to be Jack, in Jack and the Beanstalk. The barriers to entry for affordable/accessible academically driven psychotherapy, are actually insurmountable in the current medical/healthcare economy.

In my role as the solution, and not a factor in the problems in healthcare equity, I can only say, access and affordable psychotherapy and therapeutic psychiatric medicinal, begins with Dialectic Behavioral Therapy/Reiki/Hypnotherapy/Thought Field Therapy on a free modality, such as You Tube, in tandem with fast acting Therapeutic Medical Cannabis gummies.

Nattydread

A Potential Cure for Attention Deficit Hyperactivity Disorder: Therapeutic Medical Cannabis

Attention Deficit Hyperactivity Disorder (ADD/ADHD) is severely misdiagnosed as anxiety, and bipolar disorder. The American Association of Psychiatry is currently developing a diagnosis protocol secondary to their being none for adults, but one in existense for children, and adolescents.

Currently, there has a been a shortage of Adderall, and generic stimulants in the United States (US) since October 2022. To alleviate this unfortunate shortage of medications for an extremely debilitating mental illness, I think the better therapeutic medicinal for ADD/ADHD, is Therapeutic Medical Cannabis. The precision medicine that is required to properly-appropriately treat this disease with Therapeutic Medical Cannabis, would be to perform a deep dive into the co-occurring symptoms for specific granularity for treatment regimens, relative to the right/correct strain and terpene of Therapeutic Medical Cannabis.

I personally do not recommend smoking or vaping, but rather fast acting gummies with microdosing during the day while awake in an effort to maintain a steady state of endocannabinoid system (ECS) curative receptor and neurotransmitter covering, with formation of accurate neurobiochemical circuitry firing to heal-cure ADD/ADHD. The supporting scaffolding/foundation for this treatement protocol is Preventive Medicine, with an organic/non-GMO/no gluten green decaffeinated Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet/nutrition with 750-1,000 ml of probiotic daily, to fill in the pot holes in the gut/leaky gut syndrome, and the brain/disordered/chaotic neurobiochemial firing of brain electric circuitry.

My theory is that mental illness is an arrythmia/dysarrythmia of the brain electric circuitry, just like, atrial fibrillation or ventricular fibrillation, and we have to shock it with Therapeutic Medical Cannabis back into normal sinus rhythm, that is, cognitive resonance, to break the cogntive dissonance/chaos/psychopathy of the neurobiochemical electric circuitry.

Ultimately, Therapeutic Medical Cannabis with Preventive Medicine behavioral health protocol, should be the first line therapeutic medicinal choice, in the standard of care treatment for ADD/ADHD mental illness disease.

Nattydread

Oh, Oh It’s Magic: Therapeutic Medical Cannabis

So apparently in Obesity Medicine, Ozempic is all the craze. The catchy jingle says, “Oh, Oh, it’s magic, you know”. Actually, for me the magical medicinal IS Therapeutic Medical Cannabis. I personally, don’t use Ozempic for weight loss and type 2 diabetes management. Instead, I use Medical Cannabis fast acting gummies, with a daily microdosing protocol while awake, with a Preventive Medicine weight loss regimen I developed secondary to knowledge gleaned from Surgical Residency Bariatric Surgery rotations in the Northwell Health medical educational ecosystem, as well as, a minimally invasive surgery (MIS) adolescent Bariatric Surgery Fellowship training, which I completed at Nationwide Children’s Hospital, many moons ago.

This Obesity Medicine protocol I deployed while being the Medical Director of a Rehabilitation Center on Utica Avenue in the East Flatbush underserved area community. My patients reported that they lost 3-5 pounds (lbs) per week on this weight loss, wound healing-repair regimen. The recommended weight loss methodology in Obesity Medicine is half (1/2) a pound (lb) a week. My patients lost 6-10 times the weekly recommended weight loss in Obesity Medicine.

The main issue in Obesity Medicine is the co-occurring behavioral health diseases/disorders, such as, anxiety, depression, body dysmorphic disorder, anorexia-bulimia disorder, and gut motility syndrome diseases/disorders, that are often overlooked when evaluating for Ozempic therapy. Therapeutic Medical Cannabis is the only plant medicinal I know with 600 innate/intrinsic compounds, that I can use to treat all these co-occurring disorders, by practicing precision medicine, and treating each disease/disorder with the specific strain and terpene that is required. Additionally, the added benefit of microdosing during the day, makes Therapeutic Medical Cannabis, a safer medicinal relative to side effect profile, as well as, it’s way more efficacious (works exponentially better).

The endocannabinoid system (ECS) and it’s effects on the hypothalamic-pituitary-adrenal axis should be more aggressively studied after rescheduling of Therapeutic Medical Cannabis from a Schedule 1 drug to a Schedule 3 drug. The future medicinal treatment modalities for behavioral health diseases/disorders, and obesity medicine is bright indeed, we have a safe medicinal therapeutic, Medical Cannabis, which is exceptionally magical.

Nattydread

The Magical Pharmaceutical: The Panacea for All Disease: Therapeutic Medical Cannabis

When I first hatched a strategy to enter the medical cannabis physician recommendation marketplace in 2017, I thought I just needed to complete the continuing medical education (CME) credits, and find a virtual platform to perform clinical medical cannabis physician encounters. Unfortunately, that was a very simplistic view of the jurisprudence medical cannabis landscape, which was actually other worldly convoluted, complicated and complex.

The mangled nightmarish harsh mountainous terrain of medical cannabis laws can be daunting, if not outright seizure producing. Cannabis is illegal at the Federal level, and also is a Schedule 1 drug, meaning NO medicinal benefits, and has the potential to be deadly. However, at the state level, I have to be excused-waivered, secondary to the Ryan Haight Act to be able to “prescribe” what is called a medical cannabis recommendation. I have to be uber educated, to be credentialed by each state’s medical marijuana program. Ohio’s program said I could complete the course in about 3-6 hours. The program had about 98 educational modules to complete. I exist to learn, so it took me about 3 weeks to fully grasp the endocannabinoid system (ECS), and it’s 600 available compounds.

I am absolutely impressed with this Therapeutical Medicinal called Medical Cannabis. It’s efficacy, ability to heal, and provide benefit is unparalled, and the side effects are minimal, as long as the THC ratios are kept at low levels, which for me, is a less than 10:1 THC:CBD ratio. However, for Schizophrenia and Schizoaffective behavioral health disorders, I do not go above a 5:1 THC:CBD ratio, and additonally, I normally err on the side of a 1:1 THC:CBD ratio. Thus, Primum Non Nocere, (first, do no harm), is the mantra I live/exist by.

The future of medicinal Pharmaceuticals belong to Medical Cannabis, and will be dominated in the Pharmaceutical marketplace by said Therapeutic Medical Cannabis. In the very near future Therapeutic Medical Cannabis, WILL, be the first line drug therapy for every disease in the DSM V. The Psychedelics-Mushrooms-Psilocybins cannot compare by a long shot. Thus, Therapeutic Medical Cannabis exist in its own galaxy, not just the Milky Way, and is the medicinal drug of the Cosmic Universe, in my Thanos voice.

Nattydread

Spirituality in Medicine: A Messianic Judaism View Point

My Mom recently challenged me that if I talk about God to my patients, it is unethical. I totally disagree. I don’t proselytize, which we don’t practice in Messianic Judaism. At my Synagogue, Simchat Yisrael, you must choose the narrow gate that leads to life, Yeshua Hamashiach. Your existence as the light of Adonai Echad, is what draws the person to the narrow gate, but the person must choose the highway, the narrow gate, and not the Broadway, as my Rabbini, Paul (Yaacov) August would say. He reminds our Shabbat Bible study every Shabbat, that Judaism is la familia, the way of the family of B’nai Israel. It’s very grounding and humbling.

My Rabbi, Joshua Brumbach, during membership classes emoted that all we have to do, to imbue the light, is always practice mercy, Tikkun Olam (repair the world) and Shalom (peace, tranquility, wholeness, completeness and wealth), everything else, is noise/commentary/irrelevant, as per the great sage Rabbi Hillel.

Currently, in the United States there is so much anxiety and loneliness, secondary to the valuation of ourselves as capitalistic wage slaves on the military complex plantation of rampant capitalism. I am a capitalist myself, but I practice symbiotic/commensalitic capitalism, in other words societal corporate governance promoting Shalom fiscal health. Thus, all fiscal policy negotiations must be mutually beneficial, as per Game Theory.

Ultimately, we have to regress towards the mean of our Godliness, that is, the image of God, in the Tanach. That is our inherent/innate identity, nothing more, nothing less, and all else is commentary, as per Rabbi Hillel. Shalom.