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Dr. Devin Wagenmann

This week, Dr. Devin Wagenman of The Wellness Way — Marietta spoke to The Wellness Way student club about blood sugar, insulin, and semaglutides.

Dr. Devin Wagenman on blood sugar, insulin, and semaglutides

Dr. Devin first began by explaining how we as Wellness Way doctors get patients when they are 4 to 5 years into disease processes, not when they initially get sick. He then introduced us to his recent patient “Jen” who began care in December 2023.

Jen’s primary complaints included obesity (she was 5’10, 305), PCOS, amenorrhea, severe back pain, lack of self-confidence, and feeling incredibly defeated.

Jen came into care with a medication list of over 15 different medications. She had been switched on and off several weight loss medications and different forms of birth control. She had also recently gained 30 pounds while working with an MD who was a “weight loss specialist.”

Jen’s initial labs:

  • Glucose 114
  • Cortisol 0.6
  • Insulin 38.6
  • Hemoglobin A1C 5.8
  • CRP 6.53

Why understanding insulin is important:

  • Normal:
    • High insulin sensitivity
    • Low plasma insulin
    • Low plasma glucose
  • Prediabetes
    • Compensatory hyperinsulinemia
    • Progressive beta-cell failure
    • Decreasing insulin sensitivity
    • Increasing insulin and glucose
  • Diabetes
    • Hyperglycemia
    • Very poor insulin sensitivity
    • Failed beta cells – no insulin being produced at all

Dr. Devin also explained that when the body is mass producing insulin such as with patients in the prediabetic range, the ovaries will be stimulated to over-produce testosterone, which can lead to things like PCOS.

Dr. Devin’s supplement schedule focused on supporting blood sugar regulation and liver pathways with Gymnema, Turmeric, Goldenseal, Reishi, Blood sugar glandular, and Schisandra.

Patient follow up 1 at the end of December 2023:

  • Only lost 3 pounds
  • Very frustrated
  • Felt like it wasn’t working

Patient follow up 2 at the end of January 2024:

  • Lost 17 pounds
  • Back pain went down
  • Apologized for previous appointment

But there was a TWIST.

At the second follow up appointment, Jen explained that her weight loss MD had suggested she start taking Mounjaro, a semaglutide medication that’s purpose is to stimulate the beta cells of the pancreas to mass produce insulin. Patients tend to see massive weight loss as a result.

Dr. Devin explained that obviously as chiropractors we aren’t able to tell a patient to take or not to take medication. What we can do is educate them on said medication and allow them to make their own decisions.

Dr. Devin, knowing his patient well, made a comment along the lines of, “you can take it, and then you can join the class action lawsuits against it!” He then provided her with the research showing that these semaglutide medications have been known to cause gastroparesis (frozen stomach) and patients are having to get their bowels emptied weekly because they can no longer have bowel movements.

Patient follow up 3 last week:

  • Down 30 pounds in just under 3 months
  • First cycle in 4 months – no pain or cramping
  • Eating is enjoyable and consistent
  • Sent retesting – bloodwork and now a stool

Words of wisdom from Dr. Devin:

  • Learn to think on the fly
  • Patients will question you, attack your approach, etc.
  • Trust in what we’re doing

Supplement spotlight: Goldenseal

  • Has berberine – “nature’s metformin”
  • Anti-microbial, anti-tumor, anti-inflammatory
  • Helps reduce blood sugar levels

 

 

Submitted by Kelsey Jordan

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Disclaimer: This content is for educational purposes only. It’s not intended as a substitute for the advice provided by your Wellness Way clinic or personal physician, especially if currently taking prescription or over-the-counter medications. Pregnant women, in particular, should seek the advice of a physician before trying any herb or supplement listed on this website. Always speak with your individual clinic before adding any medication, herb, or nutritional supplement to your health protocol. Information and statements regarding dietary supplements have not been evaluated by the FDA and are not intended to diagnose, treat, cure, or prevent any disease.

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