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   Here’s how I use Zero with real patients.
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                  <span class="tinyMce-placeholder" style="word-break: break-word;">
                   Dear Sarah,
                  </span>
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                  <p style="margin:0;margin-bottom:0">
                   If it were possible, I would meet with every person who feels sluggish, lethargic, unfocused, bloated, achy, weak, or just unwell. But I’m only one person.
                  </p>
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                  </p>
                  <p style="margin:0">
                   <strong>
                    Fortunately, I can share with you some of the things I do with patients at my weight loss clinic (including things that Zero has made easier than ever):
                   </strong>
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                      <p style="margin:0">
                       <strong>
                        Get clear on the goal:
                       </strong>
                       We start with reframing. My first job is to understand my patient’s goal. While weight loss is a common goal, there is often  a deeper reason — perhaps to feel better, think better, look better, manage/prevent/reverse disease, or even just reduce the load on the knees or back as well as pain and inflammation. So really, the true goal is to improve metabolic health (a fancy term for how the body accesses and uses energy), and weight loss is the side effect of doing the things necessary to get there. We are aiming for weight loss as a result of better metabolic health that can move us toward a stronger body that has more energy, needs fewer medications, and feels better every day.
                       <br/>
                      </p>
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                      <p style="margin:0">
                       <strong>
                        Establish a fasting baseline:
                       </strong>
                       We take a simple measurement — how long can they fast? For each day, I want to know the longest time someone naturally goes without eating or drinking anything other than water, black coffee, or tea. Patients start by tracking when they stop eating before going to sleep, and when they start eating or drinking calories after they wake up (the Zero Timer makes this so easy!). If they don’t make it to 10 hours easily, that is initial data. Then we work on gradually extending the overnight fast until 12 hours is easy. If they can go without calories for at least 12 hours without a problem, that indicates a great metabolic baseline, and we can build from there. (It’s worth noting that intermittent fasting can be used to establish or maintain metabolic health with or without weight loss as a goal, and with or without GLP-1s.)
                      </p>
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                      <p style="margin:0">
                       <strong>
                        Achieve adequate protein:
                       </strong>
                       We also discuss what they’re eating. I was thrilled to work with the Zero Team on building the new Meal Tracking and Protein Score features in Zero Plus, because protein is something I’m constantly working on with patients. Without enough protein, any type of caloric deficit (whether from restriction, fasting, or GLP-1s) can cause significant muscle loss, which can do real damage. Getting enough protein to protect muscle while losing fat is crucial.
                      </p>
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                      <p style="margin:0">
                       <strong>
                        Hydration is required, always:
                       </strong>
                       As I tell my patients, humans can last for days or even weeks without food (although not recommended without medical supervision). Without water, however, our hours are numbered. Functional capacity, organ function, and cognitive function all suffer with even small fluid deficits. Zero’s hydration tracking feature in Plus has made it so easy for patients to stay on top of this. Always stay hydrated — fasting or not, GLP-1 or not.
                      </p>
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                  <p style="margin:0">
                   <strong>
                    Fasting, protein, and hydration are what I address first with my patients because they are the foundation upon which metabolic health is built.
                   </strong>
                  </p>
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                  <p style="margin:0">
                   They are the first step toward sustainable metabolically healthy weight loss and long-term weight maintenance. They can also be especially useful when someone is changing their dietary patterns or lifestyle habits, or if they are decreasing or discontinuing GLP-1s and want to maintain or continue their progress.
                   <br/>
                   <br/>
                   Furthermore, nailing them can also mean reducing stress, increasing activity, and getting more restorative sleep. I guide my patients to check out the charts on Zero’s Me tab once a week to see how their sleep, activity, and restoration are trending. At our appointments, they’ll often be the ones to point out patterns, like a correlation between fasting and sleep or between hydration and activity. That is useful information! We all “know” these things affect one another, but seeing real data from your own lived patterns is so powerful.
                  </p>
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                  <p style="margin:0">
                   While I can't see everyone in my clinic, I’d love to hear about anything you’ve noticed as you’ve used Zero. Has tracking certain habits changed anything about how you live or understand your body? Feel free to send me a note at
                   <a data-mce-attribute-name-1="" data-mce-attribute-value-1="" rel="noopener" style="text-decoration: underline; color: #ff4130;" target="_blank" title="drnaomi@zerolongevity.com">
                    drnaomi@zerolongevity.com
                   </a>
                   .
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                  <p style="margin:0">
                   With care,
                   <br/>
                   <strong>
                    Dr. Naomi Parrella, MD
                   </strong>
                   <br/>
                   <em>
                    Chief Medical Officer at Zero
                   </em>
                  </p>
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                  <p style="margin:0">
                   <span style="word-break: break-word; color: #1a1a1a;">
                    <em>
                     This information is for educational purposes only and is not medical advice. Please consult your healthcare provider for individualized care.
                    </em>
                   </span>
                   <br/>
                   <br/>
                   <span style="word-break: break-word; color: #1a1a1a;">
                    If this topic resonates, I invite you to learn more about tracking protein, hydration, and other healthy habits in
                    <a rel="noopener" style="text-decoration: underline; color: #ff4130;" target="_blank">
                     the new Zero Plus
                    </a>
                    . Understanding your biology, and working with it, is one of the most powerful investments you can make in your health.
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