Eine perfekte Veränderung

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Eine perfekte Veränderung Als deutscher Endokrinologe und Adipositas-Experte befasse ich mich seit 20 Jahren mit Stoffwechselkrankheiten, insbesondere Adipositas und Diabetes.

Ich habe klinische Studien geleitet und zahlreiche Arbeiten zur Fettleibigkeit veröffentlicht.

24/06/2025

Medizinische Fortschritte sind nie das Werk einer einzelnen Person. In unserem Labor forschen, experimentieren und erweitern mein Team und ich die Grenzen, um immer mehr Menschen zu einer gesunden Haut zu verhelfen. Jeder unserer Schritte ist ein Beitrag zur Zukunft der Medizin.

Lipedem: Beschwerden durch eine gestörte FettstoffwechselbalanceDas Lipödem ist eine chronische Erkrankung, die hauptsäc...
14/05/2025

Lipedem: Beschwerden durch eine gestörte Fettstoffwechselbalance
Das Lipödem ist eine chronische Erkrankung, die hauptsächlich die unteren Extremitäten betrifft. Sie ist gekennzeichnet durch eine unregelmäßige und übermäßige Ansammlung von Fettgewebe. Diese Erkrankung tritt häufig symmetrisch auf beiden Seiten auf, beginnt in der Regel in den distalen Bereichen der Beine und breitet sich allmählich nach oben aus.
Lymphödem: Schwellungen durch gestörten Lymphabfluss
Ein Lymphödem entsteht durch eine Funktionsstörung des Lymphsystems, wodurch der Abfluss der Lymphflüssigkeit beeinträchtigt ist. Infolge dessen sammelt sich übermäßig viel Lymphflüssigkeit im Zwischenzellraum an, was zu lokalen oder systemischen Schwellungen führt.

GLP-1 (Glucagon-like Peptide-1) is a naturally occurring peptide hormone that serves a wide range of physiological funct...
14/05/2025

GLP-1 (Glucagon-like Peptide-1) is a naturally occurring peptide hormone that serves a wide range of physiological functions in the human body, particularly related to insulin secretion, blood sugar regulation, and weight management. The effect of GLP-1 is closely related to blood sugar regulation and the function of the gastrointestinal tract and therefore has a wide range of applications in the treatment of diabetes and obesity.
The main effects of GLP-1:
Promoting insulin secretion: GLP-1 stimulates insulin release after meals, especially with elevated blood sugar levels, which lowers post-prandial blood sugar.
Delays stomach emptying: GLP-1 slows stomach emptying, leading to a longer-lasting feeling of satiety and helping to reduce nutrient intake.
Appetite control: GLP-1 affects the satiety center in the brain and thus reduces hunger - this is the main mechanism for weight reduction.
Regulation of blood sugar levels: GLP-1 is very effective in controlling blood sugar, as it increases insulin secretion and at the same time reduces glucagon secretion - thus, in particular, better regulation of blood sugar after meals.
Improving fat metabolism: Studies show that GLP-1 promotes fat burning and can therefore actively contribute to weight loss.
Use of GLP-1-based medications:
Due to these positive effects, GLP-1 analogues are used for the treatment of type 2 diabetes and obesity. These medications mimic the effect of GLP-1 to increase insulin release, suppress appetite, and accelerate fat metabolism.
Well-known GLP-1 medications are e. B. :
Liraglutide, such as Saxenda (for weight loss) and Victoza (for diabetes treatment)
Dulaglutide, z. B. Trulicity
Semaglutide, z. B. Ozempic and Wegovy – a GLP-1 receptoragonist that has been increasingly used in weight loss and diabetes treatment in recent years.
GLP-1 and weight loss:
GLP-1-based medications have been proven to be highly effective in weight loss, especially for obese patients or people with type 2 diabetes. They naturally help to reduce calorie intake by suppressing appetite and delaying stomach emptying – leading to healthy weight loss.
Side effects of GLP-1:
Despite the many benefits, GLP-1 medications can cause side effects – especially at the beginning of treatment. Among the most common:
Nausea and vomiting (especially in the beginning)
Diarrhea or constipation
Gastrointestinal Complaints
Hypoglycaemia (low blood sugar), especially in combination with other antidiabetics
GLP-1 analogues are considered to be very effective in the treatment of type 2 diabetes and for weight loss, but their use should be under medical supervision to ensure safety and effectiveness.

You're just not disciplined enough" - that's a phrase that people with obesity hear all the time. But scientifically, th...
14/05/2025

You're just not disciplined enough" - that's a phrase that people with obesity hear all the time. But scientifically, this has long been denied. For decades, metabolism was considered the key to fighting obesity. They tried to suppress the body's natural urge for high-calorie food through diets, calorie counting, exercise and countless "tricks".
Today we know: The key is in the brain. And that's where the weight loss injection starts. It affects the hormones in the brain's reward system and is supposed to help reprogram the signal giving in the head. The global demand for this injection is enormous - and the profits for the manufacturers are astronomical. However: The syringe only works with continuous use - and like all medicines, it can have side effects.

The link between the lymphatic system and fat metabolismFetttransportThe lymphatic system is closely linked to fat absor...
14/05/2025

The link between the lymphatic system and fat metabolism
Fetttransport
The lymphatic system is closely linked to fat absorption during digestion. Fats that are absorbed in the small intestine are first converted into chylomicrons. These are transported via the lymphatic system into the blood circulation and eventually distributed in the body either for energy storage or for use. Chylomicrons contain a large amount of fat soluble substances and thus facilitate the transport of food fat.
Lymphedema & Fatty
Lymphedema is a swelling that occurs from the accumulation of lymph fluid, typically in the limbs – particularly in the lower extremities. Prolonged accumulation of lymph fluid can result in excessive fat and connective tissue storage, leading to a condition called lipedema. Lipedema is related to a lymph function disorder and is expressed through fat deposits and swelling in the legs. This type of fat is particularly stubborn and can only be heavily reduced by traditional methods of weight loss.
The role of fat in the lymphatic system
Fat is not only transported by the lymph system, but also influences its function. Excess fat – especially in the abdomen area and lower limbs – can increase the strain on the lymph vessels and impede the flow of lymph fluid. This can lead to more swelling and problems in the lymph system.
The detoxification function of the lymph system
The lymphatic system is responsible for removing metabolic waste from the body — including the waste products of fat cells. If the lymphatic system is not functioning properly, waste cannot be excreted efficiently, which increases the strain on fat cells and other tissues. This can contribute to weight gain and fat accumulation.
The Immune System and Fat
The lymphatic system plays a crucial role in the immune defense by monitoring and removing harmful substances in the body. Fat tissue itself also has immune functions. Obesity is often associated with changes in immune activity. A healthy lymphatic system is therefore essential for a functioning immune system.

1. Fat storage and removalWhen the body absorbs food fats, they are broken down into fatty acids and glycerin during dig...
14/05/2025

1. Fat storage and removal
When the body absorbs food fats, they are broken down into fatty acids and glycerin during digestion. These components go into the blood circulation and are transported throughout the body. Excess fatty acids are synthesized into triglycerides in the liver and fat cells and stored there. If we consume more calories than necessary, the body stores the excess fat in the fat tissue for future energy needs.
Speicherung:
When eating food, the dietary fats in the intestine are digested, and the fatty acids and glycerin enter the blood. They are then transported to fatty tissue, where they are converted into triglycerides and stored in fat cells. This process is regulated by hormones such as insulin, which promotes the absorption and storage of fatty acids and glycerin as triglycerides.
Catabolism (breakdown):
When the body needs energy – for example during sports or fasting – stored fat is mobilized. Hormones such as adrenaline and noradrenaline activate lipase enzymes in the fat cells, which initiate the breakdown of triglycerides in fatty acids and glycerin.
2. Fatty acid release and transportation
After dissolution, fatty acids are transported through the bloodstream to the liver, muscles and other tissues, where they serve as an energy source. They are accompanied by plasma proteins such as fatty acid-binding proteins (FABPs) and albumin and brought to where they are needed to provide energy.
Muskeln:
During physical activity, muscle cells need increases. Fat is an important source of energy, especially during aerobic exercises. Fatty acids enter the muscle cells and pass through beta oxidation in the mitochondria - this is how they are decomposed to carbon dioxide and water while ATP (the energy unit of the cell) is produced.
Leber:
Fatty acids also enter the liver, where they are oxidized and converted into ketone bodies. These are especially useful during fasting or in low-carbohydrate diets (e.g. B. ketogenic diet) as an alternative source of energy for the brain and other tissues.
3. Beta Oxidation (fatty acid oxidation)
Within the cells, fatty acids enter the mitochondria and are oxidized there - this is the central metabolism process for fat loss. In each oxidation cycle, two carbon atoms are removed and converted to acetyl-CoA. These acetyl-CoA molecules enter the citrate cycle (aka cancer cycle), where ATP is ultimately produced via the respiratory chain. This process forms the heart of fat disposal preparation in the body.
4. Ketone body formation and utilization
During prolonged fasting or on a very low-carbohydrate diet, the liver converts fatty acids into ketone bodies. These include aceto acetate, beta-hydroxybutyrate, and acetone. Ketones are particularly efficient sources of energy, especially for the brain. Usually, the brain is dependent on glucose, but it can use ketones as an alternative source of energy in phases of hunger or on a keto diet.
5. Regulation of fat metabolism
Metabolic metabolism is regulated by different hormones and enzymes. Among the most important regulators are:
Insulin: the central hormone for fat storage. With high blood sugar levels, insulin levels rise, which promotes fat storage. At the same time, insulin inhibits fat loss (lipolysis) and promotes energy storage in fat cells.
Adrenaline and noradrenaline: These hormones are released during stress, sports or fasting and stimulate fat loss and the release of fatty acids into the blood.
Growth hormone: In addition to its role in growth, it promotes fat loss and the release of fatty acids.
Testosterone and estrogen: These s*x hormones affect fat distribution and fat metabolism. Testosterone promotes fat loss, while estrogen contributes to storing fat – especially in the hips and thighs.

Die beste Ernährung zur Krebsvorbeugung ist eine pflanzliche Ernährung, da sie reich an Ballaststoffen, Antioxidantien u...
10/03/2025

Die beste Ernährung zur Krebsvorbeugung ist eine pflanzliche Ernährung, da sie reich an Ballaststoffen, Antioxidantien und Fett ist.
Durch den Verzicht auf Alkohol und Tabak und den Verzehr von viel Obst, Gemüse, Vollkornprodukten, Erbsen, Bohnen und Linsen kann man sein Krebsrisiko deutlich senken.

Ergebnisse mit dem Cvreoz® SMGT-GLP-1 Nano-Mikronadel-Pflaster
10/03/2025

Ergebnisse mit dem Cvreoz® SMGT-GLP-1 Nano-Mikronadel-Pflaster

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