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Douglas Miller, M.D.

Evaluating Semaglutide as an Effective Medical Weight Loss Option

Is semaglutide worth it for weight loss? In a world where obesity is a growing health crisis, a silver bullet for weight loss is the holy grail for many. Semaglutide, originally developed to treat diabetes, has shown promising results in the battle of the bulge. Obesity is not just about appearance; it’s a precursor to […]

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Frequently Asked Questions about Semaglutide

Frequently Asked Questions about Semaglutide and Weight Loss In weight management, Semaglutide represents a significant advancement, offering hope to those struggling with obesity or Type 2 Diabetes. Recognized for its dual role in diabetes care and weight reduction, Semaglutide operates on three pivotal fronts: it boosts insulin secretion, curtails appetite, and decelerates gastric emptying. We

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Understanding Semaglutide for Weight Management

Initially developed to treat type 2 diabetes, Semaglutide has recently gained attention for its weight management potential. This medication, functioning as a glucagon-like peptide-1 (GLP-1) receptor agonist, effectively mimics the hormones that play a key role in regulating hunger and caloric consumption. The FDA’s approval of semaglutide for weight loss came on the heels of

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Understanding Semaglutide and Its Role in Weight Loss

Understanding Semaglutide and Its Role in Weight Loss When it comes to weight loss, simply adjusting your exercise routine or nutrition can feel unrealistic for many. For those over 30 dealing with hormonal shifts of perimenopause, menopause or andropause, the advice often fails to account for the complex biology of metabolism. As we age, the

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Could Exercise Be the Secret to a Healthy Gut Microbiome?

The gastrointestinal tract contains trillions of microbes – collectively known as the gut microbiota – that play essential roles in physiology and health. More recently, the scientific community has begun paying more attention to the human gut as a complex ecosystem of bacteria, archaea, eukaryotes, and viruses with robust connections to the rest of the

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The Impact of Alcohol Consumption on Longevity and Lifespan

Even though drinking alcohol is common among the population, current research has not provided a definitive answer as to the health benefits and consequences of drinking alcohol. On the one hand, drinking alcohol has been repeatedly discussed in scientific papers as protective against certain diseases, such as cardiovascular disease, and light-to-moderate alcohol intake has even

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National Nutrition Month: 5 Myths about Fasting and Fasting Diets, Debunked

Fasting diets have witnessed a surge in popularity in recent years due partly to celebrity endorsement, increased awareness of fasting benefits, and a growing body of research that supports this dietary intervention. These nutritional protocols come in many variations, including 5:2 – during which five days of unrestricted eating are followed by two days of

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Where Are Endocrine Disruptors? How to Reduce Chemical Exposure

There are approximately 85,000 man-made chemicals in the world, many of which the general population comes into contact with on a daily basis. However, only about 1% of these compounds have been evaluated for safety despite having a high potential of being noxious to human health. Mounting evidence points to the harmful nature of a

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5 Surprising Menopause Symptoms — According To Dr. Felice Gersh

While menopause is predominately considered to impact the reproductive system with hormonal fluctuations causing hot flashes, night sweats, and other undesirable symptoms, it is a whole-body transition that involves many different systems. As a result, many women may not be aware that their symptoms are tied to endocrine imbalances, leaving them overlooked and untreated. “This

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How Meal Timing and Intermittent Fasting Improve Longevity

Plant-based diets have long been the focal point of longevity research as they have proven to stave off chronic disease, improve biological markers of aging, and aid in weight management, among many other benefits. Current dietary interventions primarily encourage the consumption of plant-based foods and the elimination of processed ingredients. However, emerging research suggests that

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Exercise for Longevity: Aerobic Activity or Strength Training?

More than just a vital component of maintaining optimal health, regular physical exercise is one of the most impactful lifestyle interventions for longevity. Compared to being inactive, studies have found that exercising can reduce all-cause mortality by up to 30%. Experts have deemed the benefits of transitioning from a sedentary lifestyle to an active exercise

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The Role of Hormones in Immunocompetence

The growing importance of hormonal health is becoming an integral component of modern medicine especially as the focus shifts toward maintaining and boosting immunocompetence in the population. Many plausible benefits of hormonal factors on autoimmunity have received growing attention in recent years from the scientific community. Research has been conducted investigating the relationship between immune

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Understanding How Hormones Affect Eating Habits and Appetite Control

While there are over 200 hormones in the body – estrogen, testosterone, cortisol, insulin, leptin, and thyroid hormones are the most commonly known and closely linked to metabolism, fertility, mood, and other vital functions. Changes in hormone production, such as under- or over-production, or interferences in signaling pathways contribute to the development of hormonal imbalances,

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Healthy Aging Myths: Physical Deterioration and Impairment are Inevitable

As a result of incredible technological and scientific advances, human life expectancy has now doubled. According to data from the World Health Organization, the proportion of the world’s population over the age of 60 is expected to double from 11% to around 22% by the year 2050. With an increasing aging population at hand, it

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The Health Dangers of Low Testosterone

Is Having Low Testosterone Dangerous? Testosterone is the male sex hormone produced primarily by the testes. Testosterone plays a vital role in the physical development of those characteristics that make men “men”. From athletic builds to facial hair and deeper voices, the influence of testosterone can be easily identified.  Aside from physical characteristics, testosterone impacts

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Understanding Hypogonadism and the Causes of Low Testosterone

What is Hypogonadism? According to Boston University School of Medicine, low testosterone (also known as “low T”) impacts between 4-5 million adult men in the United States alone. Male hypogonadism, the scientific name for low T, is a medical condition in which the testicles fail to produce adequate testosterone.  Although testosterone is often glamorized for

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How Low Testosterone Increases Risk of Severe COVID 19 in Men

Low Testosterone, a Risk Factor for Bad Outcome with Coronavirus in Males Sex hormones, such as testosterone, estrogen and progesterone are the bodies endogenous anti-inflammatories steroids.  Deficient hormone levels can predispose us to inflammation and cytokine storm which is one of the most devastating endgame processes of the immune system’s response to coronavirus causing, fulminant

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Fasting and autophagy

How to renew your body: Fasting and autophagy Yoshinori Ohsumi On October 3rd, the Nobel Assembly at Karolinska Institutet has awarded the Nobel Prize in Physiology or Medicine to Yoshinori Ohsumi for his discoveries of mechanisms for autophagy. But what is autophagy? The word derives from the Greek auto (self) and phagein (to eat). So

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Lipids Summary Attia

Millions of Americans schedule an annual physical health examination. During their visit, many can expect to get their blood drawn for a standard lipid panel, which ultimately provides the patient with a readout of total cholesterol (TC), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), and triglycerides (TGs). What virtually nobody among them will get

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Economist womens HRT article

Managing menopause Millions of women are missing out on hormone replacement therapy This much-maligned treatment could save many lives Print edition | International Dec 12th 2019 It was a combination of things. An unusual feeling of depression. Constant forgetfulness. An irregular menstrual cycle. Lucy, a British woman in her early 40s, knew that something was

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Stevia

Q. Are there any downsides to the sweetener stevia? Is it associated with negative effects or gastrointestinal symptoms? Does it cause sugar cravings if you’ve given up sugar? A. Major health and food safety organizations generally regard stevia, a sweetener made from a plant native to South America, as safe. But some researchers warn that

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Supplement Recommendations

We use an organized, common sense approach to decipher the myriad of available and touted supplements.    Is there scientific evidence showing benefit (ie. Fish Oil, Vitamin D3, B Vitamins)? Does it make physiologic sense? Could there be any harm (ie. Folate dose, Selenium, St. John’s Wart)? Do you know the exact ingredients (ie. Herbs)? Must

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Understanding Adrenal Fatigue, Cortisol, and Adrenal Insufficiency

Is there such a thing as Adrenal Fatigue? The providers at Spartan Medical Associates practice sound medicine with an open minded, progressive approach and we pride ourselves on accepting new therapies when science supports efficacy but also weeding out pseudoscientific treatments. Adrenal fatigue is a term applied to a collection of nonspecific symptoms such as

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