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Video tags
Subtitles
Russian
00:00:02
live broadcast, a live broadcast on the topic How00:00:06
to lose weight How to reduce insulin without00:00:10
drugs, that is, we will talk to you about00:00:12
how to remove00:00:14
insulin resistance without medications00:00:17
today We have a00:00:20
large number of natural00:00:22
plant substances that allow you to00:00:26
lose weight and reduce levels insulin and00:00:29
we’ll just talk about00:00:31
natural substances that are useful for00:00:34
weight loss and in the treatment of00:00:37
insulin resistance00:00:41
today join us now Our00:00:44
doctor Berlina Nikolaevna and she and I00:00:46
will conduct this live broadcast together,00:00:48
first let’s remember what are the main00:00:52
signs of00:00:53
insulin resistance to eat first00:00:56
In addition, not only do we have00:00:58
increased hunger, insulin resistance00:01:01
ensures more00:01:04
Nikolaevna good afternoon00:01:06
Good afternoon It’s still morning for us, yes00:01:11
morning Yes, it’s clearly audible, let’s00:01:14
turn off the comments in half an hour, as00:01:17
usual, we’ll turn on the comments and you’ll00:01:19
ask questions in the comments, so here are00:01:21
brief signs of insulin resistance00:01:24
increased feeling of hunger first of all00:01:26
for carbohydrates scientific for sweets00:01:29
secondly when we don’t eat, that is,00:01:33
the periods between meals we have less00:01:35
stable sugar, blood sugar00:01:37
drops faster That is, a person has weakness,00:01:40
headaches, dizziness between00:01:43
meals, that is, a person00:01:45
simply cannot stand hunger Which also00:01:47
provokes constant eating of00:01:49
carbohydrates. In addition, with00:01:52
insulin resistance, we00:01:54
gain weight faster and we experience00:01:58
swelling due to the fact that insulin affects the00:02:00
kidneys.00:02:03
We often have skin problems, that is,00:02:06
papillomas and warts; all other00:02:09
neoplasms, that is, a00:02:12
lot of problems. the main problem00:02:14
of resistance is the difficulty of losing00:02:17
weight because, firstly, there is a constant00:02:19
hunger for carbohydrates, and secondly, not only does00:02:22
hunger and faster00:02:32
pancake return to normal, which is what we will00:02:35
talk about today, we will start with berberine and00:02:37
then Nikolaevna will talk about00:02:40
various natural substances that00:02:53
each of you trade names Siofor00:02:56
Luke your Glucophage Long Magomed00:02:59
metforminformin hymen and so on, but00:03:02
if metformin is a00:03:04
drug that has side effects00:03:07
primarily on the gastrointestinal00:03:10
tract, that is, loose stools and so on, then00:03:13
berberine, unlike metformin, is00:03:16
much better tolerated Compared to00:03:19
medformin, it is milder, that is, yes, in00:03:22
terms of lowering insulin, it works00:03:24
more gently, but at the same time it does not give any side00:03:28
effects, in addition, we remember formin, we00:03:31
have a restriction on intake from the side of00:03:33
kidney function, that is, with a decrease in00:03:36
kidney function with a decrease in00:03:38
glomerular filtration rate. there is, when we00:03:40
see an increase in creatinine in blood biochemistry,00:03:42
we must reduce the dose and then remove the00:03:46
drugs.00:03:47
In Berlin, there is no such pattern, that00:03:50
is, we can introduce berberine, what is interesting to us. The first00:03:54
is an increase in00:03:56
insulin sensitivity, that is, the00:03:58
treatment of insulin resistance due to00:04:01
which we more actively decrease weight00:04:04
In addition, for type 2 diabetes mellitus,00:04:07
it is just an analogue; there is no formin in00:04:10
terms of sugar-lowering effect; second,00:04:12
berberine improves the absorption of Glucose by00:04:15
the liver and muscles, that is, a more active00:04:18
decrease in blood sugar; more active00:04:21
weight loss. In addition, it improves,00:04:38
resulting in improved digestion00:04:41
and decreased feelings hunger Why00:04:44
Because the intestinal microbiota greatly00:04:46
affects hunger, that is, in fact, as we00:04:49
see, the real effect is similar to metformin00:04:53
with the drug, plus the00:04:55
important advantage of berberine is that00:04:58
berberine improves bile outflow. That is,00:05:00
if you go to the pharmacy and say Give me00:05:03
that more often we see berberine00:05:06
in the department of choleretic drugs; they are00:05:08
hypoglycemic drugs; this is precisely a00:05:11
feature of our country. Because if, for00:05:13
example, you look at American or00:05:15
European pharmacies, then of course they00:05:18
will have berberine in the department of drugs00:05:21
that increase00:05:23
insulin sensitivity, that is,00:05:27
exactly those drugs that are00:05:30
reduction in sugar since berberine00:05:33
improves bile outflow, then accordingly00:05:35
we understand it is useful for people with00:05:37
diseases of the liver and gall bladder.00:05:39
However, there are restrictions if we have00:05:42
large stones in the gall bladder or00:05:46
we periodically have biliary colic, and that is, the00:05:49
stones move, then of course00:05:51
we should consult before taking with a00:05:54
gastroenterologist Because if you start to00:05:56
actively choleretic a person who00:05:59
has large stones, then the stone can become the00:06:01
lumen of the gallbladder there will be a bile00:06:03
field for people with stones First, ultrasound of the00:06:06
abdominal organs, consultation with a00:06:08
gastroenterologist only after00:06:12
considering the use of berberine in00:06:15
gastroenterology. These are usually low doses00:06:17
if considering use in gastroenterology.00:06:20
endocrinology, that is, when00:06:22
insulin is reduced when sugar is reduced, these are00:06:25
quite high doses of 500 or 100000:06:28
milligrams twice a day, that is,00:06:31
essentially doses similar to the dosage of00:06:34
metformin. And of course, first of all,00:06:36
when we take it, we give it to those people to whom00:06:38
we or not we want to give metforming, for00:06:40
example, there is a slight00:06:42
insulin resistance Yes, there is no00:06:43
type 2 diabetes yet, or if a person00:06:46
cannot tolerate metformin group drugs,00:06:48
or If there is another option We want to00:06:51
work on bile from electric shock, for example,00:06:53
a person has a disorder, high cholesterol,00:06:57
high insulin is just perfect,00:07:05
I continued the marathon00:07:09
lipoic acid00:07:12
can very often be found in the00:07:15
treatment protocols of endocrinologists,00:07:18
cosmetologists, neurologists, vascular00:07:21
surgeons because alpha-lipoic00:07:23
acid is also called00:07:26
this vitamin-like substance, it has a00:07:30
powerful antioxidant effect, it is00:07:34
widely used in anti-aging00:07:36
medicine and its main effect is so00:07:40
global, if we say this effect is00:07:43
directed to neutralize free00:07:46
radicals that accumulate with00:07:49
age due to oxidative stress and00:07:52
can destroy the cell. In addition, it00:07:56
itself activates its own00:07:59
antioxidant resources that are located inside the00:08:02
cell00:08:04
at the end of the blonde 10, thereby00:08:07
preventing the development of aging and00:08:11
prolonging life, which is why00:08:13
we like to prescribe00:08:15
alpha-lipoic acid by endocrinologists00:08:18
thanks its ability to improve the00:08:21
sensitivity of cells to insulin,00:08:24
thereby correlating the level of glucose,00:08:27
the level of insulin in the blood is00:08:31
quite good in terms of reducing the00:08:34
appetite of patients who are on00:08:37
weight loss protocols and it has such an00:08:41
effect as a decrease, improvement in00:08:44
fat burning,00:08:46
which has a beneficial effect on lipid00:08:49
metabolism by reducing the level triglycerides00:08:51
or low-density proteins, which00:08:54
thereby prevents the development00:09:03
of course, it is also effective in the00:09:08
treatment of type 2 diabetes mellitus00:09:10
because it helps to correlate glucose with00:09:14
insulin due to its effect and it is00:09:17
good to prescribe patients to patients00:09:21
who already have complications, in00:09:23
particular the diabetic field, diabetic neuropathy00:09:27
because00:09:30
it can improve the passage of the nerve00:09:33
impulse along the nerve fibers, thereby00:09:37
preventing the progression of00:09:39
polyneuropathy and the same applies to00:09:42
diabetic angiopathy since there is a00:09:45
number of effects on00:09:47
vascular endothelial function, so00:09:50
it can be found in the protocols for the treatment of00:09:52
diabetic angiopathy in our00:09:55
patients. In addition, it has an effect00:09:58
on improving memory and improving the00:10:00
cognitive abilities of patients and00:10:04
can also be found in protocols for the treatment of00:10:06
patients with Alzheimer's disease, it has00:10:09
also proven itself to be a good performer for00:10:12
patients because it00:10:21
stops glycation processes, that00:10:24
is, the processes of carbohydrate aging in00:10:26
the body, and thereby improving00:10:29
elasticity, it does not allow00:10:32
sugar to bind to halogen color, thereby00:10:35
maintaining the elasticity of the skin, maintaining its00:10:38
healthy appearance If we talk about the00:10:42
contraindications that exist for00:10:45
this drug when on acid,00:10:48
first of all, this is the period of pregnancy,00:10:50
breastfeeding00:10:52
These are parents of early age, these are00:10:58
prone00:11:00
especially patients who are on00:11:03
sugar-lowering therapy. Be careful with00:11:06
the dosage or00:11:09
reduce it or adjust already sugar-00:11:13
lowering therapy and also with00:11:15
caution And in general00:11:21
stomach with gastritis in the acute stage00:11:25
because, after all, it is an acid that00:11:28
can irritate the mucous membrane of the stomach and00:11:32
intestines;00:11:33
in principle, we obtain alpha-lipoic acid00:11:36
from the outside from products and00:11:38
its average daily norm is 25-5000:11:41
milligrams with age, as I have already said,00:11:44
its production decreases and the00:11:47
patient for middle-aged adults, we00:11:50
recommend taking alpha-lipoic00:11:52
acid From the outside, as a rule, the daily00:11:55
dosage is00:11:57
300-600 milligrams;00:11:59
alpha-lipoic acid is taken in the morning on an empty stomach00:12:03
in the pharmacy it is presented in the alpha form of00:12:07
drugs.00:12:12
In principle, we can get the acid from00:12:16
foods, most of it is found in00:12:20
foods in particular it is also contained in green vegetables00:12:27
Well, in essence, these are the main points00:12:30
that can be listed regarding00:12:34
alpha-lipoic acid,00:12:37
thank you, as for By the way, about00:12:40
berberry Well, the field according to him, if00:12:43
we often give berberrine in a long course, that is,00:12:45
from three months this is six months a year we take00:12:49
it is given for a long time,00:12:51
we often give lipoe in short courses, for example,00:12:54
spring autumn for three months, especially in00:12:57
people with diabetes, when we00:12:59
use lipoe as a substance that improves00:13:01
the condition of blood vessels and improves the condition of the00:13:04
nerves, that is, in the treatment of diabetic00:13:07
polyneuropathy, complications of diabetes on the00:13:09
nervous system when they hurt legs00:13:12
peripheral polyneuro for those freezing00:13:14
legs goosebumps protocols of neurologists just the same00:13:18
alpha-lipoic acid is recommended in00:13:20
courses twice a year That is, even the00:13:22
most ordinary clinics easily00:13:24
use it widely and often in droppers00:13:26
and often in tablets, that is, a very00:13:28
used substance is the00:13:30
following soft substance, natural00:13:33
which useful for00:13:35
insulin resistance when losing weight00:13:37
this is Taurine I think many have heard what00:13:40
Taurine is, it is a sulfa amino acid00:13:43
which is very often used in00:13:46
endocrinology and in neurology in00:13:49
endocrinology Yes, why are we interested in00:13:52
Taurine because Taurine increases00:13:54
sensitivity to insulin, that is, it00:13:56
helps reduce insulin00:13:58
resistance, a mild decrease00:14:02
blood sugar I think I think I have heard many00:14:05
steel Soviet drugs,00:14:08
it is often recommended even in00:14:11
clinics, and more often by neurologists00:14:13
because if the effect on insulin00:14:16
resistance is mild, then the effect on the00:14:19
nervous system is calorically bright, that is,00:14:22
Taurine stabilizes the emotional background00:14:25
improves the quality of sleep improves memory00:14:29
increases concentration then It is00:14:31
useful both for young patients during the period of00:14:34
passing an exam during periods00:14:38
of anxiety expressed during the period. Yes, when our00:14:40
sleep is disturbed, and for elderly00:14:43
patients, precisely as an improvement in00:14:45
cognitive functions, that is, an improvement in the00:14:47
speed of thinking, and if00:14:50
we consider the effect of taurine on bile00:14:53
outflow, Taurine is also an excellent choleretic agent00:14:55
as well as and berberry, if we are00:14:58
considering the use of taurine in00:15:00
endocrinology or gastroenterology,00:15:03
then we distribute the daily dose evenly00:15:06
throughout the day, that is, for example, 50000:15:08
milligrams before breakfast before lunch00:15:11
before dinner, this will also00:15:14
give a choleretic effect and will increase00:15:15
sensitivity to insulin. If we are00:15:18
considering Taurine as a00:15:20
drug to improve sleep, the full00:15:24
daily dose is taken at night, that00:15:27
is, 500 milligrams or 1000 or even00:15:29
one and a half thousand; as for00:15:33
sleeping pills, it is very important to know how you00:15:37
feel;00:15:54
look at natural00:15:56
herbal preparations to improve sleep, or00:15:59
sports preparations to improve sleep,00:16:02
very often we we see in them a high dose of00:16:04
taurine, literally recently I bought00:16:07
vitamins in a sports store, I’m00:16:09
looking at a drug for sleep, I was00:16:11
suggested by a consultant, I’m looking at Taurine,00:16:14
one and a half thousand Melatonin for dozens, that is,00:16:17
very high doses. That is, this00:16:19
dose is just like that, I would say very00:16:22
tough, that is, in fact, just putting an elephant to00:16:25
sleep that is, in fact, one and a half00:16:27
thousand in the evening, some of the patients Just the00:16:29
next day they will walk sleepy here in the same way00:16:32
Melatonin 10 milligrams00:16:34
In the evening, yes, according to the standards of our country, we00:16:36
have one three Five milligrams 1000:16:39
milligrams of melatonin, these are American00:16:41
standards, also a therapeutic dose That is,00:16:44
when neurologists see such doses they00:16:46
just grab their heads because, for00:16:48
example, a00:16:49
disease of a serious nervous system, the00:16:52
dose is dangerous When you take these doses of even00:16:55
soft drugs Yes, for00:16:57
example, the doctor prescribed you Taurine, fifteen hundred at00:16:59
night, you will start with 500 with a small dose And00:17:02
then gradually increase it Because if00:17:04
the sensitivity is good one and a half thousand00:17:07
in the evening will give a very strong00:17:09
sedative effect in the morning, that is, for example,00:17:11
if they beat me with taurine in the evening, I’m already00:17:14
drowsy in the morning, you can logically understand.00:17:17
What else is Taurine useful for? That taurine00:17:20
improves vision, improves the condition of00:17:22
the retina, that is, for diabetes00:17:25
Taurine is also good for its effect on carbohydrate00:17:28
metabolism and the influence of bile outflow on fat00:17:31
metabolism Because the00:17:34
level of cholesterol directly depends on bile flow, a00:17:36
positive effect on the nervous00:17:38
system and a positive effect on the00:17:41
blood vessels of the eyes,00:17:48
this is a short course, that is, on average. It is from00:17:51
one to three months if we use, for00:17:54
example, Taurine or carbohydrate metabolism and for the sake of00:17:57
bile outflow drank a course break00:18:00
then again a course That is, if00:18:03
we drink berberrine constantly for a long time, or according to it00:18:06
and Taurine, they00:18:29
definitely do it,00:18:35
and if we talk about another mild00:18:40
drug that affects00:18:42
insulin resistance, this is the drug00:18:45
innasitol.00:18:47
This vitamin-like substance belongs00:18:50
to the vitamin group B. can be00:18:52
found under the name V8.00:18:56
This substance that is involved is an00:18:59
important component of the structural00:19:01
component of membranes that are involved in the00:19:05
transmission of impulse signals from the cell.00:19:10
In particular, as endocrinologists, we00:19:14
are interested in its effect of improving00:19:17
signal transmission from the insulin receptor to the cell;00:19:21
therefore,00:19:23
endocrinologists are very fond of prescribing00:19:27
type 2 diabetes to patients with00:19:31
obesity, which are based on00:19:34
salt resistance because00:19:37
inositol improves the00:19:39
sensitivity of cells to insulin00:19:42
improves the speed of impulse transmission00:19:45
due to this effect,00:19:48
inositol is widely used in00:19:50
gynecology, in particular in patients with00:19:52
polycystic ovary syndrome00:19:55
due to the improvement in the sensitivity of00:19:58
cells00:19:59
to insulin on the ovaries of cells00:20:05
this leads to improving00:20:07
cell sensitivity to insulin and a00:20:10
more sensitive response to00:20:14
follicle-stimulating hormone and00:20:16
luteinizing hormone, which00:20:18
are the boss hormones,00:20:22
and this actually leads to a further00:20:27
cascade of hormonal balance, in00:20:30
particular a decrease in testosterone, a decrease in00:20:33
luteinizing hormone, which is usually00:20:37
polycystic syndrome,00:20:42
in principle, Inositol can be found in00:20:45
Eco protocols because also there he00:20:48
has proven himself well and also00:20:50
prescribes drugs for men in terms of00:20:53
preparation,00:20:56
also patients are00:20:59
teenagers, girls who still have00:21:02
irregular menstruation and who have00:21:05
rare ovulations are also good for00:21:08
such support in terms of it00:21:14
can be called a mild antidepressant00:21:17
because it is00:21:19
able to improve the sensitivity of the00:21:23
passage of nerve impulses and00:21:26
promotes00:21:29
[music]00:21:30
improvement improves the quality of sleep00:21:33
helps reduce arousal and00:21:36
irritation and, as a rule, Inositol can be00:21:39
recommended in the second half of the day00:21:41
because it is precisely this effect that will00:21:44
ensure00:21:45
good deep sleep,00:21:49
there are studies that show that it00:21:53
can reduce the influence on lipid00:21:56
metabolism, in particular the decrease level of00:21:58
triglycerides. Which has a beneficial effect on the00:22:03
prevention of fatty hepatosis, again let’s00:22:05
return to our liver and,00:22:09
accordingly,00:22:14
resistance. In addition, it has been shown and00:22:18
proven that ineshotol has00:22:21
antioxidant properties, it is also00:22:24
able to regulate the content of zinc and00:22:27
copper in the body, and there are00:22:30
its positive aspects for the protection of our blood vessels in00:22:34
terms of00:22:37
In principle, we can00:22:39
get protection from atherosclerosis from food. But of course,00:22:42
these dosages will be very small, that00:22:45
is, sometimes this will not be enough for the00:22:48
body; it00:22:50
is contained in seeds in nuts, sesame00:22:54
oil, in iconic bread, in lentils, and00:22:59
talk about the doses of the prescribed drug,00:23:02
on average one dash 4 grams of weave00:23:07
patients for whom this drug is indicated00:23:11
All individually, depending on00:23:14
what goal we are pursuing with this00:23:16
patient. What concomitant conditions the00:23:19
course is usually 3 and 600:23:22
months,00:23:23
sometimes and can be prescribed for 8 months, that00:23:27
is, again, depending on what00:23:29
goal we are pursuing with this00:23:32
patient, if we speak about pharmaceutical00:23:35
forms of inositologist, this is the drug Inofert, this is00:23:39
the drug Fertina, that you can at00:23:42
least find ours, as for00:23:51
insulin resistance, a logical question00:23:53
Yes, I understand What to ask Can you00:23:54
combine Yes, you can And we often00:23:56
combine soft drugs, that’s what00:23:59
you are in the treatment protocols for00:24:00
insulin resistance, of course In addition to00:24:03
medications, it is very important. This is the level of00:24:06
vitamins and microelements that affect00:24:08
insulin sensitivity, this is00:24:10
primarily vitamin D, this is zinc, this is00:24:13
chromium, and of course we include magnesium.00:24:16
Why Because both the stability of the nervous00:24:18
system and insulin sensitivity,00:24:20
if we talk about nutrition, then this is a variant00:24:22
of soft low-carbohydrate diets detailed00:24:26
nutrition at our school for the treatment of00:24:27
insulin resistance obesity we are there for00:24:30
two months completely We analyze the nutrition00:24:32
there are ready-made menu options for the00:24:34
treatment of insulin resistance so00:24:36
who is relevant Please can00:24:38
register to go through this as00:24:40
for physical loads Of course these are00:24:42
light loads, that is, without00:24:44
overtraining because any00:24:46
before training is an increase in cortisol, cortisol00:24:49
stimulates insulin resistance, that00:24:51
is, the sport is always easy. Let's turn on00:24:54
the comments, we will answer your00:24:56
questions from the comments and open the00:24:59
questions tab. So, that's who asks: Can you00:25:03
drink all this without a prescription, as I already00:25:06
said? We take a general blood test for00:25:08
biochemistry before any drug, even00:25:11
before any vitamin, and plus the fact that it00:25:13
stimulates bile then Beren Kaurine,00:25:16
of course, we do an abdominal cavity00:25:19
to see that we don’t have large00:25:22
stones.00:25:23
And we also had a question: Is it possible to00:25:27
take both berberine and Glucophage insulin00:25:30
9.5 sugar and glycated hemoglobin are00:25:33
normal, that's what concerns the games berine and00:25:36
Glucophage berberine is a plant analogue of00:25:39
metformin Glucophage is exactly what it00:25:43
is, respectively, metformin if you have a00:25:45
working daily dose of glucophage up to 75000:25:49
twice or twice more, that is, one and a half00:25:52
two thousand a day you already have00:25:54
you get a reaction here to all these00:25:57
target organs, another question. If you cannot00:25:59
tolerate the working dose of metformin, for00:26:01
example, liquid solution, for example, you have 50000:26:03
in the morning 500 in the evening, then it makes sense to00:26:07
add accordingly, you will have a00:26:10
more striking effect00:26:14
here they ask to repeat the drugs that00:26:17
contain inazitol in our pharmacies this the00:26:19
drug fertina is a drug and nafert00:26:23
Well, maybe you’ll just find it on00:26:25
zita, that is, or not inasitol, that is, a00:26:28
more active form, inasitologist That is,00:26:31
all this will relate to inositol00:26:35
asks Tatyana How to get out of00:26:39
Siofor 850 question For what purpose to get00:26:42
out That is, if a group metformin00:26:44
myself I will arrange a coffee shop is prescribed for the purpose of00:26:47
treating insulin resistance then we00:26:50
reach a normal weight to00:26:52
normal insulin then00:26:54
we gradually reduce the dose under the control of the analysis if00:26:57
it takes pharmin it is prescribed for type 2 diabetes it is00:26:59
prescribed for permanent00:27:02
life.00:27:12
That's about pharmacy berberine, what00:27:14
you ask is pharmacy berberine it that’s what00:27:17
berberine will be called. That is, the00:27:21
drugs Glucose ports and the like00:27:24
are all American drugs that00:27:26
will either be in sports drinks or on the marketplace,00:27:28
not in our pharmacies, not in Russian ones,00:27:41
but for taurine with Omega 3 and vitamin D00:27:44
Yes, you can, but still Omega food is more often00:27:47
in total they go in the morning We give Taurine either in00:27:50
the evening or three times a day,00:28:09
today our ether freezes because of this you00:28:16
can’t drink But I wouldn’t00:28:19
take this drug now, that is, it still00:28:22
heals gastritis, goes into remission and00:28:26
maybe then start if you take00:28:28
it with small dosages there are 30000:28:31
milligrams and even then not on an empty stomach,00:28:33
for example, immediately before a meal or00:28:36
after breakfast. For example, I sometimes make00:28:40
such concessions.00:28:44
Lena asks if I’m on Glucophage 2000,00:28:47
can I have berberine instead of Glucophage00:28:49
insulin 15 7 pronounced insulin resistance00:28:52
sugar 5.5 glycated00:28:54
good but from you daily dose of Glucophage for workers is00:28:57
2000 If you tolerate it well,00:29:00
then hire it and stay. If00:29:02
Glucophage causes significant00:29:04
discomfort for you, for example, in the sides of the00:29:06
gastrointestinal tract, then you can00:29:09
switch to Berlin at the same00:29:11
daily dose.00:29:16
So, the girl who00:29:19
already asked about for an acute period And00:29:22
they prescribed Dexamethasone Sugar rose in the00:29:25
barrel scales sugar How to reduce donating00:29:28
blood biochemistry select mild00:29:30
hypoglycemic drugs against the background of00:29:32
dexamethasone and prednisolone00:29:34
sugar naturally rises, we cover it with00:29:36
hypoglycemic drugs00:29:43
39 but in isolation from the clinical picture00:29:50
[music]00:29:52
what exactly what question was Yes00:29:55
With regards to lymphocytes, but in isolation from the00:29:59
clinical picture,00:30:01
you can give some comments.00:30:06
So, the girl writes: I take vitamin D and00:30:09
calcium. Is it possible to add it? Is00:30:12
zinc still taken in the morning during00:30:15
breakfast? Calcium is taken in the evening so that the00:30:18
ring is well absorbed into the bones Yes00:30:20
if we are talking about the treatment of osteoporosis,00:30:22
then this is, of course, physical activity,00:30:24
primarily of a strength nature.00:30:28
Please tell me, in case of impaired00:30:31
glucose tolerance, is it possible to take00:30:33
alpha-lipoic acid?00:30:35
Yes, it is possible if00:30:38
insulin resistance is the basis; you are00:30:40
overweight. Of course it is possible, it is indicated,00:30:45
even necessary. I would also say So Lyudmila00:30:48
asks, while taking metformin,00:30:51
insulin has been reduced to normal, what should you00:30:53
do next or stop taking it? If you have00:30:56
normal insulin, normal00:30:59
fasting sugar after meals, normal00:31:01
glycated hemoglobin and normal weight,00:31:03
then you gradually reduce the dose of metformin00:31:06
under the control of tests if you00:31:09
only succeed on a diet further keep the network00:31:11
indicators insulin glycated sugar and00:31:14
abruptly we go on a diet00:31:27
Well, that's who The question is the ester was00:31:30
berberine please at least Sahiorba at least in00:31:32
pharmacies Why not Yes, it00:31:44
can hurt the stomach from00:31:46
alpha-lipoic acid00:31:49
alpha-lipoic acid is an acid here already in the00:31:51
name acid Therefore, if there is00:31:53
gastritis and ulcers, as Nikolaevna00:31:55
Nikolaevna said, naturally, acid will00:31:57
provoke an exacerbation, therefore,00:31:59
during an exacerbation of gastritis ulcers, I am00:32:01
prescribed lipoic acid only in remission. But for00:32:04
those who have vomiting and headaches, this00:32:06
can be on any drug, just00:32:08
cancel the drug for a00:32:12
teenage girl so that you recommend for00:32:15
prevention this is prevention00:32:19
Probably insulin resistance, he’s00:32:22
actually talking about prevention, it’s00:32:24
constantly I tell you that the best00:32:26
prevention is a healthy diet, a soft00:32:28
low-carbohydrate diet, ether, exercise,00:32:30
drugs, this is not prevention, it’s still00:32:33
treatment, even mild, even herbal medicines00:32:36
and of course sleep, yes, that is, timely00:32:39
quality sleep will also00:32:42
contribute to00:32:43
weight loss. to prevent00:32:46
the development of obesity in patients,00:32:51
so I ask insulin 9 and 9 is the00:32:55
Upper limit of normal cortisol is low and00:32:58
low Well, that is, here the question is adrenal gland Leptin Upper limit of00:33:01
normal appetite no weight restore00:33:04
adrenal glands polyptine check00:33:07
B12 level because it depends on00:33:10
B vitamins for insulin although if you need soft00:33:13
drugs to restore00:33:14
sensitivity to insulin That is,00:33:16
you have a complex work, this is work00:33:18
with an endocrinologist because you have00:33:19
adrenal glands insulin and leptile weight,00:33:22
here you need to restore the system as a whole,00:33:24
not a single drug will obviously be00:33:38
So what kind of break no,00:33:51
let’s say it could be a course of 3- 400:33:55
months twice a year spring autumn for example00:34:01
If I understood the question correctly00:34:05
yes yes Usually this is how we prescribe whether00:34:09
physical exercise reduces insulin light00:34:11
cardio exercise is reduced if heavy00:34:13
before training then on the contrary there will be an00:34:15
increase in insulin a00:34:25
drug that can cause the movement of00:34:27
stones this is barberine and this is Taurine00:34:34
yes then what drives the bile and moves the stones00:34:37
Well, what you write is something that can’t be heard from00:34:39
the air, but unfortunately the Internet is a00:34:41
matter of VPN, that is, already As it turns out, we00:34:43
do the next section00:34:50
Alenka writes 41 years old insulin 14 insulin00:34:54
increased resistance sugar 500:34:57
pomatri 8 Do I00:34:59
need to take any medications?00:35:02
What is better to take? Firstly, a soft00:35:05
low-carbohydrate diet; secondly, we00:35:07
take blood biochemistry tests based on medications; we do an00:35:09
ultrasound of the abdominal organs; we select00:35:11
medications; that is, drugs are00:35:14
never prescribed blindly, even soft ones;00:35:38
I will continue,00:35:52
but if cortisol is huge, then this is an ultrasound,00:35:54
this is visualization with contrast, there is an MRI CT scan of the00:35:58
kidneys, if it is cortisol, the00:36:01
tumor is removed, that is, high00:36:03
cortisol. We always examine why00:36:05
it is generally high in our country.00:36:10
Which company is better to take magnesium, zinc00:36:13
and chromium, but in general, if talk about00:36:17
foreign ones produced by a good00:36:19
company solgar and can be found in our00:36:23
pharmacies but in general I would focus on00:36:27
the forum more bioavailable if00:36:30
magnesium is allowed then choose better citrate00:36:33
forms or malate form or taurate if00:36:38
zinc is picalinate or00:36:41
chylate form is00:36:42
more bioavailable and chromium is the same00:36:46
picali over Chroma is considered a more00:36:50
biologically active accessible00:36:58
fasting Be sure to00:37:05
speak00:37:11
before meals 30 minutes or00:37:14
after breakfast, but I sometimes00:37:16
recommend allowing patients even after00:37:19
breakfast if there is00:37:24
thioctacid before alpha-lipoic00:37:27
alpha-lipoic they are friendly with metals That00:37:30
is, if you have during breakfast comes00:37:31
zinc goes Chrome or there is iron you had00:37:34
breakfast at lunch comes lipoic acid will00:37:37
oxidize metals, that is, we separate it00:37:40
from them captivity, so either before breakfast00:37:42
or for example breakfast, drank all your00:37:45
vitamins and microelements and between breakfast00:37:48
or lunch, again in the interval between00:37:50
meals you insert00:37:52
better and you don’t have interaction with00:37:55
metals at the same time00:37:58
That’s who Asks again about lymphocytes00:38:01
lymphocytes are primarily00:38:02
antiviral immunity so what to00:38:05
examine but look for the viral load00:38:07
look for intoxication and so on00:38:22
What does high Leptin mean you ask00:38:25
Yes to polyptin Leptin is a hormone that00:38:28
regulates the feeling of hunger feeling00:38:30
satiety Leptin increases with weight gain00:38:33
with an excess of carbohydrates in the diet,00:38:37
primarily fructose, and with deficiencies of00:38:40
vitamins of the group First of all, B1200:38:42
Folic, so we look at what weight We00:38:46
analyze the diet, we study the deficiency of00:38:49
vitamins of the00:38:53
diet group, so when we lose weight against the00:38:56
background of leptile resistance, of00:38:57
course, drugs which reduce the feeling of00:39:00
hunger, often these are strong00:39:03
medications for the treatment of obesity, we introduce00:39:10
Hello, insulin resistance,00:39:12
chronic pancreatitis, gastritis, 60 years old,00:39:15
taking the strength of Ford 500 once a day, the00:39:19
stomach is often bloated from the slightest00:39:21
violation of the diet, you will always have to be on a00:39:24
diet, but it must be said that taking00:39:28
metformin is associated with proper00:39:31
nutrition because if the00:39:34
basic rules for a00:39:39
low-carbohydrate diet are not followed, then the effect of00:39:43
metformin will be quite low and00:39:47
practically ineffective, so here,00:39:49
of course,00:39:52
following a carbohydrate diet00:40:06
asks the mother for a00:40:09
general blood test, you need to look00:40:12
at the overall picture, you need to look,00:40:15
but in general, at first glance, it’s00:40:17
normal00:40:19
asks my mother they were diagnosed with00:40:22
diabetes and were prescribed Glucophage Long thousand00:40:24
here is a question once or twice a day for00:40:26
six months correct summer treatment in general00:40:29
we start Glucophage Long either 500 or00:40:32
1000 After three months we retake00:40:34
the tests, that is, insulin glycated00:40:37
hemoglobin sugar biochemistry we decide to00:40:39
increase to a working dose or no, the00:40:41
average daily dose of drugs from the00:40:43
metformin group is one and a half thousand per day,00:40:46
so And of course, before diabetes, not00:40:48
only not so much in groups as it is00:40:50
nutrition00:40:52
Well, about insulin resistance of the thin00:40:55
I have already said many times, of course, it can00:40:57
be00:41:01
victoza How long can you inject, but in00:41:05
principle the average duration00:41:07
treatment00:41:09
of the drug, if this concerns00:41:12
obesity, let’s say a year and a half or two; if00:41:17
regarding the treatment of diabetes mellitus,00:41:20
this may be long-term therapy,00:41:22
depending on your needs.00:41:26
Blood glucose, depending on the course of00:41:29
diabetes mellitus.00:41:35
How long can you take lipoic acid; the00:41:37
average course is three months, but sometimes when there is00:41:40
severe polyneuropathy, then neurologists00:41:42
They can also prescribe longer00:41:44
courses for six months a year.00:41:53
What is insulin and Glucose on a00:41:57
glucometer? We measure glucose insulin00:41:59
only in the laboratory using blood.00:42:03
Please tell me what else to do, there is00:42:07
no appetite at all or I want sweet00:42:09
flour in large quantities,00:42:12
I try to keep the diet correct.00:42:14
Well, when there are such swings in food00:42:18
preferences here I would rule out a00:42:21
deficiency state in vitamins and00:42:24
microelements in particular. I would look at00:42:27
vitamins of group B zinc copper iron00:42:31
iodine is00:42:32
infused. That is, it exists00:42:36
as long as it is compensated. That is, as a00:42:39
rule, such swings cause a00:42:41
deficiency State of the body00:42:45
How long to take zinc 50 zinc 50 dose00:42:49
for increase it is prescribed for three00:42:51
months after we saw low00:42:53
zinc in the tests and after three months we00:42:56
retest zinc zinc chromium iron00:42:59
copper metals are dangerous precisely in relation to00:43:01
overdose overdose, so for three00:43:04
months we drank the tests and retook them and00:43:06
looked if you came out of the deficit, then we00:43:09
either reduce the dose or remove it If But in00:43:12
our country the deficiency is smoothly compensated, then we00:43:14
can spot for six months and a year, again under the00:43:16
control of the analysis, high doses of metals00:43:19
only with the control of analyzes in no00:43:21
case00:43:25
should you force force ketones in the urine But00:43:29
here I would reconsider your diet How00:43:34
much carbohydrates do you consume00:43:36
Maybe you Just you simply don’t00:43:38
eat enough complex carbohydrates and you00:43:40
have ketones in your urine, in general, ketones are00:43:44
not a contraindication to taking00:43:46
Forxigi00:43:50
asks Tanya, I’m taking gliclazine,00:43:53
they added Galva to gain weight first,00:43:55
what’s thereason, an00:43:58
old sugar-lowering drug that00:44:01
causes weight gain, all these drugs00:44:07
with them are all the risks of gaining weight, so to00:44:10
speak, Europe already, well, how is00:44:13
such a rather outdated therapy considered,00:44:15
of course What is called Cheaply angrily00:44:18
given for free,00:44:20
there are risks of increased insulin resistance,00:44:23
they have risks of depletion of beta cells That00:44:26
is, when we stop00:44:28
producing our own insulin, we also have it,00:44:30
so we don’t really like sulfa, no urea00:44:32
old hypoglycemic drugs are00:44:34
really indicated for few people, most00:44:37
often they are just given. Well, how can I say from00:44:39
the series, a cheap option but not the most00:44:42
extremely rarely needed, these are usually very00:44:46
slender patients who want to00:44:48
gain weight, who go on low doses00:44:51
of these drugs because high doses of00:44:53
sulfate are not urea hyperstimulation00:44:55
pancreas in the end we'll just go on00:44:58
insulin we don't need it00:45:02
Olga 36 years old insulin 18 Glucose 5 600:45:06
index Homo 3 and 9 Is00:45:09
drug therapy needed Yes of course here we00:45:11
need drug therapy And I00:45:15
would have already prescribed here Probably00:45:16
metformin drugs how much00:45:19
high enough insulin level00:45:22
but also in the dynamics of nutrition, accordingly,00:45:25
physical activity sleep water at least one and a00:45:28
half liters and then00:45:32
left this observation with observation and00:45:36
later decided on the issue of00:45:39
extending metformin until the same time00:45:43
Alena asks how to properly take00:45:46
l-tyrositol l-tyrosine is an amino acid from00:45:49
which thyroid hormones00:45:52
Thyroxine 3 tyranine are produced and00:45:54
neurotransmitters are produced, primarily the00:45:56
neurotransmitter of pleasure motivation00:45:58
Dopamine, that is, these Razine is prescribed00:46:01
both for diseases of the thyroid gland in order to00:46:03
improve the production of its hormones and00:46:06
for stress, depression, and so on if00:46:11
before breakfast before lunch 500 or00:46:14
750 milligrams and I drink internally if we00:46:18
take it for the sake of an emotional background Yes,00:46:20
for the sake of vigor for the sake of a better00:46:22
mood, then neurologists are often cunning, they00:46:26
say to take a capsule of L tyrosine with the00:46:35
tongue vessels. They immediately go to the brain and along the00:46:38
nervous system, such a reception is considered00:46:40
the most justified, I understand you00:46:42
are asking for the sake of the thyroid gland since you00:46:44
are asking endocrinologists before00:46:46
breakfast before lunch amino acids are00:46:49
absorbed better on an empty stomach literally00:46:51
in about 5 minutes, it’s about amino acids that we’re00:46:53
not talking about hormones. It’s important00:46:55
to answer, some people confuse00:46:57
tyrazine with thyroxide, these are different things00:46:59
tyrazine protein00:47:02
is produced Thyroxine is00:47:04
completely different00:47:13
Well, the question was which lowers00:47:20
insulin better Yes better reduces00:47:24
or Galvus, in principle, these are drugs of the00:47:27
same group, that is, they are enzyme inhibitors00:47:32
for 4, which are prescribed for the treatment of00:47:36
type 2 diabetes mellitus.00:47:38
We can say that this has an identical00:47:42
reducing effect.00:47:45
My practices can say that in terms of weight,00:47:49
these drugs are more neutral00:47:52
compared to00:47:54
inhibitors00:47:57
[music]00:47:59
and analogues of00:48:08
Victoza00:48:12
Well, according to the reflection, we often prescribe it for00:48:15
reduced kidney function; the advantage is00:48:18
that it does not affect the kidneys. That is, it is00:48:21
not prescribed as a veil and is prescribed for00:48:23
diabetes when a problem with the kidneys is frightening,00:48:26
the angle gently reduces sugar in some00:48:29
patients, it can have an effect00:48:31
reduction of appetite is not about everyone,00:48:33
therefore, according to Nikolaevna, that00:48:35
for the sake of treating diabetes for the sake of weight loss,00:48:47
this is newly diagnosed diabetes,00:49:06
we can simply choose Comfort00:49:53
enta is taken once a day,00:49:55
regardless of meals. But I like to00:49:58
give more before meals because the drug is00:50:00
simply better absorbed00:50:10
no question00:50:13
How many days or hours before taking00:50:16
Glucophage before testing for glucose00:50:19
insulin? Well, if we want to look at00:50:25
insulin resistance,00:50:26
then as a rule, 3-4 days are enough00:50:30
to assess the true values of00:50:33
insulin. Although they will still not be00:50:35
true because the effect of glucophage00:50:38
was sufficient,00:50:41
so 3-4 days is enough to cancel00:50:46
here is a question about operations for the treatment of00:50:49
type 2 diabetes, it seems that after the00:50:51
operation Glucose does not increase, but you00:50:54
mean I think you mean operations that are00:50:56
performed on the gastrointestinal tract, that00:50:58
is, gastroplasty or00:51:00
bypass surgery Yes when part of our00:51:03
stomach is removed or we have an00:51:05
anastomosis between the stomach and intestines.00:51:07
If you mean these operations, so-00:51:10
called bariatric surgery,00:51:12
which has been used for many years to00:51:14
treat obesity, now it has begun to be00:51:16
used for the treatment of type 2 diabetes, which is00:51:20
caused precisely by obesity and00:51:22
overeating if the cause of your diabetes00:51:25
was obesity,00:51:28
a part of the gastrointestinal00:51:30
tract or a part of the stomach is selected accordingly, or they make it00:51:33
stamos the person absorbs all00:51:36
nutrients worse, weight decreases,00:51:39
sugar decreases However, it is important to understand00:51:41
that these are mutilating operations after which00:51:44
for life we have poor absorption of00:51:46
nutrients, this is not only Proteins,00:51:50
fats and carbohydrates are also vitamins and00:51:52
microelements. If at first00:51:54
our weight really drops, then00:51:57
many patients gain weight back;00:51:59
4-5 years after the operation,00:52:01
sugar rises back. But vitamins and00:52:04
microelements are absorbed much worse.00:52:06
Therefore, there is no need to say that I am a supporter of these00:52:08
operations crippling operations00:52:11
after which a person00:52:13
is observed for life by a nutritionist because00:52:15
vitamins and microelements are poorly absorbed.00:52:17
I have many patients who underwent00:52:20
these operations at one time and they came to me00:52:23
after these operations when they00:52:25
gained weight back. Vitamins and00:52:27
microelements are absorbed extremely poorly,00:52:30
these are very difficult patients. there they00:52:32
come they have no energy no energy there is a00:52:34
terrible deficiency of vitamin D iron zinc00:52:38
There are just very low vitamins the00:52:40
state of health is terrible weakness they00:52:42
say the doctor why did I do this in00:52:45
such cases so to think that this is a00:52:48
Panacea No this is not a Panacea Of course if a00:52:50
person weighs 250 kilograms that’s all00:52:53
I tried weight loss drugs00:52:55
for him from the series, nothing helps,00:52:57
some kind of psychological problem, often00:53:00
before they make means 250 and 3 makes sense00:53:03
If you have 100,130 it is more than00:53:06
realistic to reduce it with drugs 180,200 is00:53:08
also realistic to reduce with drugs just00:53:11
tune in for 12 years of work with a doctor,00:53:14
that is, the operation, no matter how easy it00:53:17
looks, in reality it is difficult and00:53:19
difficult, not the operation itself, hard life00:53:21
after the operation in terms of deficiencies,00:53:23
impaired digestion, and so on. That00:53:25
is, there is not 10 times, but even 30 times00:53:27
to think before doing such00:53:29
operations00:53:32
asks about the daily dose of Chromium00:53:37
[music]00:53:39
as a rule, this dose is 400 50000:53:43
milligrams per day can be divided into two00:53:46
doses, say 200 twice after00:53:49
lunch, dinner, 500 at night, the course00:53:53
is usually 2 3 4 months,00:53:57
so Tatyana asks Is it possible to00:54:00
take it together Glucophage Long from Atax, of course, the00:54:04
devices can often be prescribed together00:54:07
who asks How to make an appointment00:54:09
through the Assistant, go to my00:54:11
profile header to all our doctors there you can00:54:13
sign up for a consultation,00:54:19
so this is what the sugar indicator00:54:22
is based on insulin resistance00:54:24
insulin resistance is based on00:54:26
insulin and not sugar That is00:54:29
We first develop00:54:30
insulin resistance, then00:54:32
develop pre-diabetes and diabetes, that is,00:54:35
with insulin resistance, sugar is still00:54:37
normal; insulin resistance is00:54:39
diagnosed according to insulin indexes of00:54:42
insulin resistance to rhma not based on00:54:44
sugar, based on sugar, it is pre-diabetes and00:54:47
diabetes.00:54:50
Please tell me one. The doctor prescribed00:54:53
El Thyroxine But this is probably l-tyrosine00:54:57
500 milligrams and another says00:54:59
there is no reason for this. What to look for in00:55:04
the tests for a prescription, but I usually00:55:07
look at thyroid hormones TSH00:55:10
free T3 free T4 I00:55:13
look at the protein level, in particular total00:55:16
protein Albumin because the amino acid00:55:20
tyrosine is an amino acid and if I see00:55:23
that after all there is a reduced level of00:55:25
total protein for women, as a rule, the00:55:28
target level is 73 7500:55:32
if it’s still lower, then there are00:55:37
imbalanced hormones on the side of decreased00:55:40
thyroid function, that is,00:55:43
Thyroxine can tyrosine can play a00:55:46
role,00:55:55
friends, you and I are running out of00:55:58
broadcast time, I see that today there are problems with the sound,00:56:00
so00:56:02
we will make the next live broadcast on YouTube on YouTube with00:56:04
sound there are no problems Thank you all Who was00:56:07
on the broadcast Nikolaevna garlyan Thank you00:56:09
very much, it was very nice00:56:10
to talk to you Friends, have a good Friday everyone Have a00:56:13
good weekend everyone Until we meet again,00:56:16
I will also warn you about new Stories00:56:19
broadcasts, we'll do the next broadcast on YouTube00:56:21
because I saw about sound problems00:56:23
Thank you, have a00:56:26
good day, good-bye, good00:56:29
-byeDescription:
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