8/20/24: GLP-1's & Gastroparesis; Spotlight: A Dietitian in Singapore; FREE CEUs; Q/A from Build Up CLINICAL group; Build Up Meet Up at FNCE; 4 Things You Don't Want to Miss
💡Spotlight: Claire Pettitt BSc MSc PGDip PhD RD
Dietitian in Singapore
Women’s Heath RD &Associate Professor
Connect with Claire on LinkedIn HERE and her website HERE
Question #1: What do you currently do as a dietitian?
Answer: “I do a lot of different things! In my academic role I lecture on a nutrition and dietetics (DTN) course as well as carry out research, and in my private practice I work with women’s health clients to improve their health and relationship with food.”
Question #2: What is a typical food/meal in Singapore that you’d like more people to experience?
Answer: “The food landscape in Singapore is so diverse and it is known as a melting pot of food cultures. You can find Chinese, Indonesian, Malay, Indian and western dishes all over the country. Peranakan dishes are dishes which combine Chinese, malay and Indonesian cuisines and some popular dishes are: Laksa - a curry made with coconut milk and asam (a tamarind spice paste), and kueh – bite sized desserts of all kinds!”
❓🙋♀️Question: Build Up Dietitians CLINICAL group
Answers:
Marybeth P. “Meet patients where they are, not where some case study in a textbook says they “should” be.”
Sarah T. “You will encounter patients with eating disorders and should have some basic knowledge to prevent harm.”
Candice N. “Be mindful of other socioeconomic limitations and how that plays into a patient’s ability to follow therapeutic diet recommendations. Many of our interns have difficulty understanding the disadvantaged and their daily resource struggles when not hospitalized.”
Katie R. “Not everything is black and white. You will encounter many areas of gray in the clinical world, so never shy away from asking questions so you can sharpen your critical thinking.”
Wendy B.
“ 1. Stand your ground and be heard by other disciplines.
2. A lot (not all) doctors know very little about current MNT.
3. Be ready for insurance companies to disappoint you!”
🤔On GLP-1’s & Gastroparesis: Should We Be Concerned?
Wegovy, Ozempic Use Associated with Risk of 'Stomach Paralysis'
“A trio of new studies show that patients taking GLP-1 drugs are more likely to experience a condition known as gastroparesis. Gastroparesis, sometimes called stomach paralysis, refers to delayed or slowed emptying of stomach contents after eating. Experts say that despite its name, gastroparesis doesn’t actually cause paralysis and is a reversible and expected part of taking a GLP-1 drug.”
Case Study: Tendency of Semaglutide to Induce Gastroparesis: A Case Report - PMC (nih.gov)
VIDEO: Northwestern Medicine Approaches to Gastroparesis
Podcast: Peptide Podcast
“Research on semaglutide-induced gastroparesis is limited, but there have been patient reports of gastroparesis with GLP-1 agonists like tirzepatide, liraglutide, and semaglutide. However, the majority of the people who reported gastroparesis symptoms also had diabetes and their gastroparesis resolved after temporarily discontinuing the GLP-1 agonist. In some cases, diet changes (eating small frequent meals that are low in fiber and fat and avoiding carbonated beverages that may bloat the stomach) also helped resolve symptoms.…there were no reports of gastroparesis in a 2 year clinical study of semaglutide use in patients with overweight or obesity. The FDA states that they can't confirm if GLP-1 agonists directly cause gastroparesis or an underlying health condition….”
Bottom Line: It is something for physicians, dietitians and patients to be aware of as a side effect, especially when a semaglutides is prescribed to individuals with Type 1 or Type 2 diabetes. Indications are that issues typically resolve when GLP-1’s are discontinued.
(More questions about this? See what dietitians in our Build Up Weight Management and Bariatric Surgery Group are saying)
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