GLP1 Receptor Agonist and Incretin medication MUST:
✅ Metabolic Physician Supervised Program – regular visits with Dr Cywes and Sheryl
✅ Be on a ketogenic LCHF diet – omnicarnivore or carnivore – micronutrients, FAT and protein
✅ Multimodal Metabolic Health Program – selfcare and eating routines/patterns
✅ Bridge Drinks and Eating Sequentially
✅ Be intentionally physically active to the extent that you can – frequency matters, not intensity
✅ COGNITIVE BEHAVIORAL THERAPY – at least one visit with Erin
✅ Monitor bloodwork
✅ Monitor BG and ketones (ketomojo/cgm), BP, HR, rhythm


TEXT, WHATSAPP or CALL our “batphone” +15615170642 from anywhere in the world. We do secure in person, phone, telehealth, Zoom and Whatsapp phone/video consults all over the world.

References: Gyldenkerne C, et al. J Am Col Cardiol. 2023;82(16):15831594
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ROBERT CYWES M.D., PhD, ERIN SMITH PSYCHNP and SHERYL FOX RD ARE clinical PRACTITIONERS in Florida and COVER THE ENTIRE USA AND WORLD VIA TELEHEALTH. Our mission is to educate and treat CARBOHYDRATE ADDICTION in obesity, diabetes and metabolic syndrome. Replacing carbs with REAL FOOD while simultaneously replacing carbs as a toxic, harmful response to emotional tension with a diverse healthy set of emotion management tools for lifelong sustainability of mental and physical health, happiness and wellbeing. Converting people from toxic sugar burners to healthy fat (keto) burners while addressing the CAUSE of addiction to carbs from an emotion management perspective. Sometimes using medications such as GLP1 agonists and obesity surgery/devices to help people including those who have had bariatric surgery.

Set up a consultation if you are looking for sustainable ways to treat obesity, diabetes, metabolic syndrome, cardiovascular disease, cholesterol and thyroid disease. If you need bloodwork/physician confirmation or if you are considering or struggling after Bariatric Surgery we can assist.
We can order bloodwork and Coronary Artery Calcium Scores as part of a consultation.
Please record your consult but inform Dr Cywes, Erin and Sheryl.
For COLLABORATIONS please email: [email protected]

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**DISCLAIMER: Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or qualified healthcare professional. Always seek the advice of your physician or qualified health care professional with questions you may have regarding your medical condition. This site and these videos exist to provide information and support about nutritional health and do not provide medical advice and should not be thought to provide medical advice. We can only give medical advice if you establish yourself as a registered patient and consult with us in our medical practice JSAPA. We always recommend working with a team of knowledgeable and experienced practitioners, including a physician such as Dr Cywes, Erin Smith PsychNP and a Sheryl Fox Registered Dietician in our practice. Do not selfdiagnose. Always seek medical guidance when you have a medical condition.
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