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Health News - CNN. Ephedrine: Michelle thought diet pills were safe but now she's got just 1. As more and more women buy diet pills online, a chilling investigation reveals the deadly gamble they are taking. By. Antonia Hoyle for The Mail on Sunday. Published. 2. 2: 5. BST, 1. 9 September 2. At 5ft 5in tall and weighing 9st 6lb, she was hardly overweight, but hated the extra fat she had put on around her middle. In search of a quick- fix one evening, she came across an internet forum on slimming pills where dieters talked about using a drug called Ephedrine to speed up their metabolism and help them lose weight. Michelle, now 4. 6, placed an order for the drug online — a decision that was to have tragic consequences. She developed a four- year dependence on the pills, causing a heart condition that has left her with a life expectancy of just ten years. Devastated: Michelle Rumsay is only expected to live for another 1. Marketed as a cold and flu remedy, internet chatrooms are awash with women waxing lyrical about its weight- loss properties. It is one of several . Most are deemed too unsafe for doctors to prescribe in Britain, but are available online from overseas pharmacies. Dr Ian Campbell, former chair of the. National Obesity Forum and honorary clinical director of the charity. Weight Concern, warns: . My advice is not to use these slimming. I wish we had an effective and safe weight- loss medication, but at. Orlistat. It was. Until. she reached her late 3. Michelle, from Saxmundham, Suffolk, was the. At 8st 7lb and a size ten, she ran a horse yard. In. November 2. 00. Michael Harrowven, a steel constructor, then 2. By. the following May, she’d put on 1. I wanted to look like his girlfriend, not his mother.’She researched slimming pills online, and on one forum, users recommended Ephedrine. A naturally occurring substance with amphetamine- like properties, it is not prescribed as a slimming aid, but is available as an over- the- counter cold remedy. It can increase blood pressure, however, leading to heart disease, anxiety and insomnia. Its dangers have not gone unnoticed by the medical profession. Michelle didn’t realise Ephedrine was. Britain, so she ordered 5. She bought two packets of 5. Michael was against the idea, but I was determined to lose. She. started taking two tablets a day, cut down on what she was eating, and. By August 2. 00. 6, she. Two years later, she started suffering side- effects after she’d taken her pill one morning. The room was blurred and my heart was racing. After ten minutes, my heart rate went back to normal, but I was terrified. I was sure the pills were to blame and threw them in the bin.’ Despite her decision to stop taking the tablets, Michelle didn’t put on any weight. They were out on a bike ride together that month when she suddenly developed chest pains. She had scans and tests, and in September 2. Ephedrine had constricted the vessels in Michelle’s lungs, and the doctor said her heart was under so much pressure it wouldn’t be able to cope for much longer. It is illegal for shopkeepers and chemists to sell it in large quantities because it is dangerous if taken for long periods of time or in large volumes. But the drug is sold over- the- counter because it is intended for short- term use as a nasal decongestant. Michelle was prescribed a cocktail of seven drugs to keep her blood vessels open, her blood thin and the muscles in her lungs working. When they fail — and doctors can’t predict when — she will have to have a tube inserted into her heart to infuse drugs to keep it pumping. Her life expectancy is now just ten years. Mark is supportive, but we are. Michelle no longer works at the horse yard, and even a simple walk leaves her exhausted. When. she was just 1. Helen Hancock, now 4. Tenuate Dospan —. In. 1. 97. 8, Helen’s GP in Loughton, Essex, promised her and her mother Ruth. She was size 1. 4 and weighed. I’d gone. down to 7st 7lb.’Where to turn? Michelle thought diet pills could help her drop a dress size. Now she's got just ten years to live As more and more women buy diet pills online, a chilling. Helen's GP promised her that Tenuate Dospan would help her lose weight. But she suffered side- effects straight away and her weight rose from 9st to 1. Helen felt the effects immediately. I couldn’t sit still,’ she remembers. Within a year she weighed 9st and was a size ten. She was 1. 8 before she managed to wean herself off Tenuate Dospan, and within months she went from 9st back to 1. Helen fad- dieted throughout her 2. Louise, who had stopped taking the pills when she was 2. Louise, who is 5ft 3in and weighs 1. She is 5ft 4in. Her GP offered her a solution — a new slimming pill called Acomplia, which is the trade name for rimonabant. It blocks receptors in the brain to stop it sensing hunger. On its UK launch in 2. However, two years later it was banned because of side- effects which can include suicidal thoughts. Later that month, rimonabant was banned. Find recipes for every meal, easy ideas for dinner tonight, cooking tips and expert food advice.Two years ago, Helen finally learnt how to lose weight through diet and regular exercise. Think twice! The side- effects are always worth reading and bearing in mind. Yet despite her healthier lifestyle. May. She was. told she was at risk of a heart attack, and will have to take medication. It is. shocking to think that there are women still taking these pills.’Another. Britain is sibutramine, which alters. At. 5ft 6in, she was 1. I couldn’t concentrate, so my college work and social life suffered. I’d reached my target weight of 9st that April, so I stopped taking Reductil,’ says Lilla, a social media strategist. Six months later, though, she’d put on two stone. Wanting another quick fix, she searched for slimming pills online and came across Xenical — the trade name for Orlistat. Before viewing my diet suggestions, please understand that health begins with what you eliminate from your diet, not with what you add. Taking over-the-counter medications for colds, flu and allergies may seem harmless, but a new study warns that certain drugs are linked to an increased risk of dementia.
The only slimming pill in the UK now available on prescription, it stops the body’s absorption of fat. In April 2. 00. 9, it became available in a lower dose, over- the- counter pill called Alli. By the age of 2. 2, she was a size 1. She went back to her GP who prescribed her Reductil again, but at a lower dose. She now weighs 1. Hopefully other women will heed her advice before they, too, put their health — and lives — at risk. A 7. 0- year- old woman has had increasing abdominal pain over the past 2 days. She has renal failure and has been receiving peritoneal dialysis for 1. Management of Type 2 Diabetes Mellitus. The goals of therapy for type 2 DM are similar to those in type 1. While glycemic control tends to dominate the management of. Her temperature is 3. C (1. 02. 2 F), and blood pressure is 1. Hg. Her abdomen is distended and diffusely tender to deep palpation with rebound tenderness. Leukocyte count is 1. Which of the following is the most appropriate next step? A ) X- ray films of the abdomen. B ) Comparison of abdominal fluid amylase with serum amylase activity. C ) Gram's stain of abdominal fluid. D ) Ultrasonography of the abdomen. E ) CT scan of the abdomen and pelvis. Cardiovascular Disorders; Clinical Pharmacology; Critical Care Medicine; Dental Disorders; Dermatologic Disorders; Ear, Nose, and Throat Disorders. Study online flashcards and notes for chapter 27, 28, 29, 18 including -Which of the following genetic diseases manifests with progressive dementia in middle to later.
A 5- year- old girl is brought to the physician because of temperatures to 4. C (1. 04 F), tachypnea, and a nonproductive cough for 1. Four days ago she was treated with an oral antibiotic for suspected pneumococcal pneumonia. Examination shows diminished breath sounds over the lower right lung fields and dullness to percussion at the right costophrenic angle. Which of the following is the most likely diagnosis? A ) Bronchopleural fistula. B ) Empyema. C ) Lung abscess. D ) Pleurodynia. E ) Pneumothorax. A 4. 0- year- old man is brought to the emergency department 1 hour after a high- speed motor vehicle collision. On arrival, he is awake and alert but has severe pain over the sternum. His systolic blood pressure is 8. Hg, pulse is 8. 0/min, and respirations are 1. An ECG shows multifocal premature ventricular contractions but no ST- segment changes. After 1 L of lactated Ringer's solution is administered, his PO2 decreases to 6. Hg while breathing 4 L/min of oxygen by nasal cannula. Pulmonary capillary wedge pressure has increased from 1. Hg to 2. 4 mm Hg (N=1–1. Which of the following is the most likely explanation for the patient's poor response to fluid resuscitation? A ) Inadequate administration of fluids. B ) Myocardial contusion. C ) Myocardial infarction. D ) Pulmonary contusion. E ) Traumatic rupture of the aorta. A 2. 1- year- old African American college student has had increasing fatigue over the past 3 weeks. Since an episode of cystitis treated with trimethoprim- sulfamethoxazole 3 weeks ago, he has been unable to keep up with his physical education classes. For 6 months, he has been following a vegetarian diet that has been supervised by student health services. Examination shows no abnormalities. His hemoglobin level is 1. L, mean corpuscular volume is 8. Which of the following is the most likely cause of anemia in this patient? A ) Anemia secondary to infection. B ) Antibiotic therapy. C ) Gastrointestinal blood loss. D ) Sickle cell disease. E ) Vegetarian diet. An 8. 7- year- old nursing home resident with dementia, Alzheimer's type, is admitted to the hospital because of progressive lethargy and decreased appetite for 3 days. She had a flu- like illness followed by a deep cough 1 week ago. Over the past 1. 0 months, she has been hospitalized once for bacterial pneumonia. She is responsive only to painful stimuli. Her temperature is 3. C (1. 01. 5 F), blood pressure is 1. Hg, pulse is 1. 23/min and regular, and respirations are 2. Examination shows dry mucous membranes. There is no adenopathy. Crackles are heard in the right lung base. An x- ray film of the chest shows an infiltrate at the right lung base. The remainder of the examination shows no abnormalities. Which of the following is the most likely predisposing factor for this patient's pneumonia? A ) Decreased airway elasticity. B ) Decreased baroreflex. C ) Decreased gag reflex. D ) Decreased thyroid function. E ) Diastolic cardiac dysfunction. F ) Impaired cardiac response to exercise. G ) Impaired T- lymphocyte function. H ) Impaired thirst. I ) Increased lung compliance. J ) Renal salt wasting. A 2. 7- year- old woman comes to the physician because of feelings of anxiety about attending her 1. She has a 2- year history of profound anxiety, palpitations, and sweating associated with an uneasiness around people; she avoids family gatherings and visiting friends because she is afraid of being embarrassed. She acknowledges that this fear is unreasonable. She does not use illicit drugs but says that alcohol makes her more comfortable around people. Her blood pressure is 1. Hg, and pulse is 8. On physical examination, she appears healthy and well nourished. Occasional wheezing is heard over the left lung field. The remainder of the examination shows no abnormalities. On mental status examination, she appears worried. Her leukocyte count is 9. Which of the following is the most likely diagnosis? A ) Alcohol abuse. B ) Anxiety disorder due to a general medical condition. C ) Asthma. D ) Generalized anxiety disorder. E ) Panic disorder with agoraphobia. F ) Social phobia. The response options for the next two items are the same. You will be required to select one answer for each item in the set. For each patient with urinary incontinence, select the most likely cause. A ) Detrusor instability. B ) Interstitial cystitis. C ) Overflow incontinence. D ) Stress incontinence. E ) Urethra diverticulum. F ) Urinary fistula. A previously healthy 4. Examination shows a second- degree cystourethrocele. For each patient with urinary incontinence, select the most likely cause. A ) Detrusor instability. B ) Interstitial cystitis. C ) Overflow incontinence. D ) Stress incontinence. E ) Urethra diverticulum. F ) Urinary fistula. One day after an uncomplicated spontaneous vaginal delivery, a 2. She received epidural anesthesia during labor and delivery. Examination shows an episiotomy without evidence of hematoma. She is voiding 5. L of urine at a time. Postvoid residual volume is 3. L. The response options for the next two items are the same. You will be required to select one answer for each item in the set. For each patient with cognitive impairment, select the most likely diagnosis. A ) Acute stress disorder. B ) Dementia, Alzheimer's type. C ) Dissociative amnesia. D ) General paresis. E ) Head trauma. F ) Hepatolenticular degeneration (Wilson's disease)G ) HIV encephalitis. H ) Huntington's disease. I ) Major depressive disorder. J ) Multi- infarct (vascular) dementia. K ) Niacin deficiency. L ) Normal- pressure hydrocephalus. M ) Parkinson's disease. N ) Pick's disease. O ) Schizophrenia, catatonic type. P ) Normal aging. An 8. 2- year- old woman is brought to the physician by her granddaughter because of a 6- week history of increasing forgetfulness. She is a retired schoolteacher and lives independently. Her granddaughter is concerned because on several occasions she has left the stove on when she went to bed. During conversations with her granddaughter, she has difficulty remembering past events and seems unconcerned about her memory lapses. The patient describes trouble sleeping through the night and has had a decreased appetite resulting in a 4. She has a history of similar symptoms 2 and 5 years ago that were successfully treated with medication. She appears unkempt and has poor personal hygiene. Her temperature is 3. C (9. 8. 6 F), blood pressure is 1. Hg, and pulse is 8. Mental status examination shows psychomotor retardation, a flat affect, impaired ability to recall past events, and trouble repeating three numbers in sequence. She is unable to recall the names of recent presidents. Her serum urea nitrogen (BUN) level is 2. L, and serum creatinine level is 1. L. For each patient with cognitive impairment, select the most likely diagnosis. A ) Acute stress disorder. B ) Dementia, Alzheimer's type. C ) Dissociative amnesia. D ) General paresis. E ) Head trauma. F ) Hepatolenticular degeneration (Wilson's disease)G ) HIV encephalitis. H ) Huntington's disease. I ) Major depressive disorder. J ) Multi- infarct (vascular) dementia. K ) Niacin deficiency. L ) Normal- pressure hydrocephalus. M ) Parkinson's disease. N ) Pick's disease. O ) Schizophrenia, catatonic type. P ) Normal aging. A 4. 2- year- old computer science professor is brought to the physician by her husband, who reports insidious changes in his wife's personality and behavior. He reports that she believes that aliens have been speaking to her and tampering with their heating and air- conditioning systems. He says that she was upset when she turned 4. She was adopted, and her family history is unknown. Physical examination shows vermicular movements of the tongue and bilateral writhing motions of the upper extremities. Mental status examination shows indifference to her condition and mild to moderate difficulty with memory and calculations. A 5- month- old boy is brought for a follow- up examination. He was born at 3. His diet consists of 3. He appears well nourished and happy. On examination, there is moderate relief of wheezing with extension of the neck. Which of the following is the most likely mechanism of this infant's wheezing? A ) Allergic reaction to cow's milk. B ) Aspiration of a foreign body. C ) Compression of the airway by a vascular ring. D ) Concurrent upper respiratory tract infection. E ) Persistent immaturity of lungs. An 1. 8- month- old boy is brought to the emergency department because he has not used his left arm since he fell while walking and holding hands with his 8- year- old sister 2 hours ago. On examination, he holds his left upper extremity at his side with his forearm pronated. There is no tenderness of the left lower extremity, but there is restricted movement of the elbow. The remainder of the examination shows no abnormalities. Which of the following is the most appropriate initial step in management? A ) Passive hypersupination of the forearm. B ) Application of figure- of- 8 strap. C ) Administration of analgesics and application of ice. D ) Aspiration of the elbow joint. E ) In- place splint immobilization of the elbow. A 6- month- old girl is brought to the physician for a routine health maintenance examination. She was born with a lumbosacral myelomeningocele which was successfully repaired at 2 days of age. The anterior fontanelle is 6 x 8 cm and bulging, and the posterior fontanelle is 3 x 4 cm and bulging. She has severe motor and sensory deficits involving both lower extremities. Patho practice questions- renal Flashcards. Are Foods Like Corn Allowed in First Phase of the Atkins Diet? The first phase of the Atkins program, known as the induction phase, is to jumpstart your weight loss. It's the key to kickstarting your fat burning metabolism. There are certain foods that considered allowable in the induction phase of the Atkins diet, which is a low carb diet. The foods allowed include most proteins, vegetables, cheese, and fats and oils. For foods with carbohydrates, limit total intake to 2. Protein Foods. Most protein foods, such as meat, seafood, and eggs, have little or no carbohydrates. Bacon is allowed as long as it is not processed with sugar. Nitrate- free bacon is preferred. There are some shellfish to limit, like mussels or oysters, which are a little higher in carbs. Imitation crab or imitation shellfish are prohibited. Check out these tips about protein foods on a low- carb diet.
Vegetables. The bulk of the carbohydrates in the Atkins diet comes from vegetables. It is important to know the carbohydrate counts of the vegetables you are eating. Twelve to 1. 5 grams per day (not counting fiber) should come from vegetables. Picture 1: Atkins Diet Food. Atkins Diet Phase 1 : Induction. Also known as the Atkins Diet Induction process, this phase basically follows a ketogenic diet in order. Dairy and Cheese. Most cheeses have less than a gram of carbohydrate per ounce, but check labels carefully, as some have more. The Atkins diet allows 3- 4 ounces of full- fat cheese per day during induction. Cream cheese is included in this, but specifically not cottage cheese, farmer's cheese, or other fresh cheeses. Milk is not allowed in the induction phase. South Beach Diet Phase 2 Guidelines and Food List. However, heavy or light cream is permitted. Fats and Oils. People starting the Atkins eating plan are cautioned not to attempt to do a low- fat version of the diet. Adequate fat content is vital to the success of the diet. The Atkins plan advises eating a balance of natural fats, and no trans fats at all. Fat & Oils Guidelines. Eat plenty of cold- water fish and other foods containing omega- 3 fatty acids (but if you are pregnant be aware of FDA guidelines about fish consumption)Olive oil, especially those that are labeled virgin or extra- virgin, should be emphasized in your meal planning. For stir- frying, canola, peanut, and grapeseed oil are recommended, especially if . The Atkins plan advises you drink eight, 8- oz glasses per day. If you are hungry and it is not a mealtime, try drinking water first, you might just be thirsty. Soda water or carbonated water with sugar- free flavorings are acceptable. Do not drink any beverage with sugar in it including juice and cider. Herbal teas, or decaffeinated coffee or tea are good choices, although some people can get away with drinking caffeine (you have to experiment to see if it triggers cravings or slows weight loss). Diet sodas sweetened with sucralose (Splenda) are acceptable. Clear broths are usually very low in carbs (but, as always, read labels). Special Foods. Some foods with some carbs are okay. It is necessary to count the carbs and make sure that total carbs for the day remain under 2. Special Foods to Consider. Half a small avocado. Controlled- carb convenience foods, such as low carb snack bars. Extra Fiber. The Atkins plan recommends psyllium (the main ingredient in Metamucil and other fiber supplements) and flax seed meal for more fiber. Sugar Substitutes. The preferred sugar substitute for the Atkins diet is (Splenda) sucralose. Small amounts of Sweet'N Low (saccharine) are acceptable. Note that the powdered forms of these sweeteners have added carbs, usually 1 gram per packet. Find out where to find liquid (no carb) sources of sucralose (Splenda). Foods Forbidden in Induction Phase. There are several foods that are absolutely forbidden, these foods have hidden sugars and carbohydrates. Foods Forbidden in Atkins Plan First Phase (Induction)Grains and anything made with them, including bread, cake, pastries, or anything else made of flour. Any food that includes added sugars (list of ingredients that mean . Food Reintroduced in Second Phase. Nuts. Berries, Cantaloupe and Honeydew. Milk, yogurt, and fresh cheeses, like cottage cheese and ricotta. Seeds (such as sunflower seeds)Foods listed on the Atkins Carbohydrate Ladder. Naturally low- carb foods, such as coconut milk, unsweetened soy or almond milk, shirataki noodles, some soy flours, and other specialty low carb foods. Beans. Tomato juice. Keep in mind that you might want to remove foods from your house that might be too high a temptation. If this is the case, then consider restocking your pantry and refrigerator with foods that you can eat on a low carb diet. How to Burn an Extra 1000 Calories a Day. Train with weight two or three days per. If you want a 1000 calorie deficit per day then you can exersice off 500 cal, and cut 500 calories out of you diet so you will not have to workout twice a day unless. A 160-pound person walking at a pace of 3 miles per hour burns. How many steps burn 1000 calories? Sample Menus for 1000 Calories a Day; 1000 Calorie Diet. How many miles do I need to run to burn 1,0. Miles don't decide how many calories are burned, it's time spent moving. Nearly two hours then. If you just do it straight. I don't know anyone who needs to burn 1. Things to Know About the 5. Calorie Diet Very low- calorie diets. A 5. 00- calorie diet is an extreme form of a very low- calorie diet (VLCD). It requires you to drastically reduce the amount of food you eat, usually to a maximum of 8. VLCDs use meal replacements like drinks, shakes, and prepared food bars instead of meals for at least two meals a day. VLCDs are meant for people who are very overweight and have been unable to lose weight after trying many diet plans. This diet can be dangerous and requires medical supervision. Read on to learn more about the risks and goals of the 5. Don’t do it alone 1. Don’t do it alone. A doctor will prescribe a 5. They do this by weighing your general health concerns against the risks and potential complications of drastic calorie reduction. If your doctor hasn’t recommended a 5. A diet like this has risks and precautions associated with it. A doctor should supervise you while on this diet. The 5: 2 diet plan. Some people use a 5. Under this plan, you eat a balanced Mediterranean- style diet of about 2. The two “fasting” days are usually nonconsecutive. There is very little evidence to support the benefits of 5: 2 intermittent dieting over daily calorie reduction. How much is 5. 00 calories? How much is 5. 00 calories? You can get an idea of how much (or how little) 5. The USDA calculates that two handfuls of peanuts or a slice of pepperoni pizza contains about 2. An apple contains fewer than 8. You might also want to consider how many calories you burn in a day. According to the Harvard Medical School, a 1.
Nutrition needs 4. You still need nutrition. One of the problems with a 5. A serving of chocolate pound cake and a glass of milk adds up to about 5. Step Diet: Count Steps, Not Calories. Calories eaten minus calories burned is the basic mathematical formula for. 1000 Calories a Day, No Appetite After Exercise, and How to Not. However, that so- called meal doesn’t even come close to giving you the nutrients you need, even if you’re just sitting in a meeting. Regardless of calorie count, a well- rounded diet includes fruits and vegetables, lean proteins, and whole grains. Being healthy is about a lot more than just a number. Deficiency dangers 5. Danger of deficiencies. The greatest dangers associated with a 5. Vitamin and mineral deficiencies can lead to many health problems. In fact, most people cannot meet their vitamin and mineral requirements if they eat less than 1. For example, according to the Mayo Clinic, if your diet lacks the mineral zinc, which is in pumpkin seeds and beef, you can suffer hair loss. Low iron intake can lead to anemia, while chronic low intake of calcium and vitamin D can lead to osteoporosis later in life. If you don’t get enough of the vitamin niacin, found in tuna and dates, you could be at risk for heart attack due to clogged arteries. Always consider the full nutritional makeup of the foods you eat, not just their calories. Muscle loss. A 5. Sharon Palmer, R. D., dietitian and author of “Plant- Powered for Life,” points out, “Once your body has consumed your fat reserves, it begins to burn healthy muscle.”At first, muscle loss may seem like you are losing more weight, but keep in mind that not all weight is bad. To keep your body healthy, you need to be able to build muscles. A healthy diet burns fat, not muscle. Metabolic changes. Another health risk to keep in mind when considering a 5. Severe calorie restriction for prolonged periods of time will lead to a slower metabolism. This can lead you to burn fewer calories. Also, when you lose weight, you then need fewer calories to maintain your new weight than you needed for your original weight. Dr. Mindy Haar, Ph. D., R. D., C. D. N., of the New York Institute of Technology School of Health Professions, says, “Many people think that they can stick with a diet for the short term, lose the weight, and then go back to eating the way they were before. But if they do so, they will regain weight until they reach their original weight.” Oftentimes people lose both fat and lean mass but regain primarily fat, which is how diets can wind up making us fatter in the long run. Takeaway The takeaway. You should only conduct a 5. Though you may lose weight, you are at risk of malnutrition, which can cause many health problems. Healthy weight loss includes getting a variety of nutrients from varied food sources, limiting food portions, and burning more calories than you eat. Stick to that approach to get the pounds off and keep them off. Bay Medical Sacred Heart. Jemsek is one of those “impossible to reach” doctors. He doesn’t stay on top of your case, and the staff is very money conscious especially obtaining fees.Metabolic Research Center has been helping people successfully lose weight for over 30 years. Our science based approach makes weight loss easy and effective, and our. Nominate a nurse for the DAISY Award. The DAISY (Diseases Attacking the Immune SYstem) Award is an international recognition program that honors and celebrates the. FLORIDA: THYROID TOP DOCTORS DIRECTORY The following listing includes recommended doctors and practitioners for your thyroid care. Please note that being listed here. This light and spongy Latin American celebration cake is called tres leches, referring to the three different kinds of milk it includes. Serve sliced mango or. Heat olive oil in a heavy saucepan over medium heat. Add onion, celery, carrots and garlic and sauté for 10 minutes or until tender but not browned. At MyShape, transparency is very important to us. We want you to know exactly what you are getting for the money that you spend with us. Our flat rate pricing allows. Physician referral, patient guides to drugs and other health issues. Includes resources and links. The Blood Sugar Solution 10-Day Detox Diet (2014) is an unprocessed, low-carb detox diet. Preparation phase: Come off caffeine, alcohol, sweetened beverages, and. This is a three day cleanse & detox designed to kick-start a healthy eating plan and cleanse your system. The 7-Day Detox is a diet detox plan aimed at recharging your system. View our collection of delicious and healthy Vitamix soup recipes using healthy vegan and raw foods. Made in minutes using the Vitamix blender. My new 7 DAY DIET PLAN will help you reach your ideal weight, dramatically improve your health and gain energy naturally. This diet plan is different to any other. Detox smoothies are a delicious way to detox, and one of the best detox drinks to add to your daily routine. To detox the body you need to feed it foods that help it. What is the Elimination Diet? It is a program of eating designed to calm inflammation and balance the body. Once the body is calm, and the disease symptoms diminish. Vitamix Models: A Comparison Guide. Flares. Facebook. Google+1. 61. 4Pin It Share. Flares. I’ll call them “Traditional” and “Next Generation,” respectively.*** A third category dedicated solely to Certified Reconditioned Vitamixes – all of which are derived from those in the first two – will then follow, as will a brief note about models you will not see mentioned.***Edit: In April 2. S3. 0 model, Vitamix reclassified their entire home line into three categories. The “traditional” line of models now officially falls under the “C- Series” umbrella. The “Next Generation” line is now referred to as the “G- Series.” As of today, the S3. S- Series” line. C- Series (Traditional) Models. The majority of your options fall into this category. Instead, its center dial consists of timed cycles only. Like the 6. 30. 0 and Professional Series 5. Pulse lever. It has been added to the image below. I am a big fan of the Mediterranean ingredients (olive oil, tomatoes, chickpeas), but I love to combine healthy ingredients from different gastronomies to obtain new. Unless otherwise noted in the chart below, all models in this category will be packaged with the universally- recognized standard 6. BPA- free Vitamix container with four- blade assembly and two- piece lid attachment. The blades measure 4 inches across, tip to tip. Each makes the trip back to Cleveland where technicians, using a 1. Suggestions for Hernia. Here are some tips that help in managing hernia symptoms: Maintain a healthy body weight by following a low-calorie, nutritious diet.
Hernia Surgery Explained in Detail. What is a Hernia? A hernia happens when there is a hole or a weakness in a muscle that allows organs or tissue to bulge through the defect. Hernias range in severity from barely noticeable to life- threatening, depending on the size of the defect and the organs involved. List of Hernia Symptoms. Commonly Known Hernia Types. Hernia is very painful and the movement of the part where it occurs is definitely.In some cases, hernia surgery is performed to remove the annoying or unsightly bulge; in other cases, severe organ damage can occur if surgery is not performed immediately to repair the problem. A hernia can happen in many different areas of the body. The most common, though, are in the abdomen and groin areas. Common Types of Hernias – From Hernia Diagnosis to Surgery and Recovery. Commonly Used Hernia Terms. There are many terms that are used when a hernia is diagnosed to describe the severity and the origin of a hernia. Some types of hernias change in size when abdominal pressure increases. Abdominal pressure is increased with activities, such as coughing or sneezing, crying (children) and bearing down to have a bowel movement. A hernia that bulges out with abdominal pressure but returns inside the body when the pressure is gone or with gentle pressure from the outside, is referred to as reducible. Hernias that remain in the “out” position are called “irreducible. This can become an emergency if it begins to “strangulate,” meaning that the bulging tissue loses blood flow. A strangulated hernia is an emergency. A hernia can be an acquired activity, meaning that it develops with age, or due to a surgery or procedure. A congenital hernia is present at birth, also known as a birth defect. When Is a Hernia an Emergency? A hernia becomes an emergency when there is severe pain at the site, which is often caused by a lack of blood flow to the tissue bulging through the muscle. A change in the color of the hernia may also indicate a serious problem. It may become dusky, meaning it is gray or ashen in color, or it can become dark red or purple. These types of color changes can indicate that the blood flow has been cut off and the hernia is strangulating. Recovering from Hernia Surgery. There is no standard recovery from hernia surgery as there are many types of hernias. Some hernia surgeries are large and extensive procedures, while others can be performed on an outpatient basis with the patient returning home the same day. Hernia Prevention After Surgery. Some types of hernias can be prevented. One of the easiest ways to prevent an incisional hernia is to protect a surgical incision while it heals. This means that if you are rising from a seated position, have to sneeze or cough or are bearing down from a bowel movement, you should gently hold pressure on the incision until the activity is over. Another important way to prevent an incisional hernia is to follow the surgeon’s instructions, regarding how long to wait before lifting anything, especially heavy objects. Hernia Prevention While Lifting Objects. Some types of hernias can be caused or made worse by lifting heavy objects with improper techniques. Using good techniques, such as using your leg muscles to lift instead of using your back or leg muscles, can help prevent some types of hernias. If you’ve ever lifted a heavy object and had someone say, “You’re going to give yourself a hernia,” you may need to evaluate the way you lift heavy objects. Additional Information: Answers to Common Questions After Surgery. Sources: Congenital Diaphragmatic Hernia. The University of Michigan Health System. The Lucile Packard Children’s Hospital at Stanford http: //www. Hernia Surgery. National Institutes of Health http: //www. Inguinal Hernia Surgery. National Institutes of Health http: //www. Hernia - Wikipedia. Hernia. Diagram of an indirect inguinal hernia (view from the side). Specialty. General surgery. Symptoms. Pain especially with coughing, bulging area. Most commonly they involve the abdomen, specifically the groin. This may include pain or discomfort especially with coughing, exercise, or going to the bathroom. Often it gets worse throughout the day and improves when lying down. A bulging area may occur that becomes larger when bearing down. Groin hernias occur more often on the right than left side. The main concern is strangulation, where the blood supply to part of the bowel is blocked. This usually produces severe pain and tenderness of the area. It is unclear if groin hernias are associated with heavy lifting. Hernias can often be diagnosed based on signs and symptoms. Occasionally medical imaging is used to confirm the diagnosis or rule out other possible causes. Repair, however, is generally recommended in women due to the higher rate of femoral hernias which have more complications. If strangulation occurs immediate surgery is required. Repair may be done by open surgery or by laparoscopic surgery. Open surgery has the benefit of possibly being done under local anesthesia rather than general anesthesia. Laparoscopic surgery generally has less pain following the procedure. The medications, H2 blockers or proton pump inhibitors may help. If the symptoms do not improve with medications the surgery known as laparoscopic fundoplication may be an option. Another common hernia involves the spinal discs and causes sciatica. A hiatus hernia occurs when the stomach protrudes into the mediastinum through the esophageal opening in the diaphragm. Hernias may or may not present with either pain at the site, a visible or palpable lump, or in some cases more vague symptoms resulting from pressure on an organ which has become . Fatty tissue usually enters a hernia first, but it may be followed or accompanied by an organ. Hernias are caused by a disruption or opening in the fascia, or fibrous tissue, which forms the abdominal wall. It is possible for the bulge associated with a hernia to come and go, but the defect in the tissue will persist. Symptoms and signs vary depending on the type of hernia. Symptoms may or may not be present in some inguinal hernias. In the case of reducible hernias, a bulge in the groin or in another abdominal area can often be seen and felt. When standing, such a bulge becomes more obvious. Besides the bulge, other symptoms include pain in the groin that may also include a heavy or dragging sensation, and in men, there is sometimes pain and swelling in the scrotum around the testicular area. They may be chronic, although painless, and can lead to strangulation (loss of blood supply) and/or obstruction (kinking of intestine). Strangulated hernias are always painful and pain is followed by tenderness. Nausea, vomiting, or fever may occur in these cases due to bowel obstruction. Also, the hernia bulge in this case may turn red, purple or dark and pink. In the diagnosis of abdominal hernias, imaging is the principal means of detecting internal diaphragmatic and other nonpalpable or unsuspected hernias. Multidetector CT (MDCT) can show with precision the anatomic site of the hernia sac, the contents of the sac, and any complications. MDCT also offers clear detail of the abdominal wall allowing wall hernias to be identified accurately. Among the multiple causes, however, are the mechanical causes which include: improper heavy weight lifting, hard coughing bouts, sharp blows to the abdomen, and incorrect posture. Some examples would be: obesity, straining during a bowel movement or urination (constipation, enlarged prostate), chronic lung disease, and also, fluid in the abdominal cavity (ascites). They contend that the risk of hernia is due to a physiological difference between patients who suffer hernia and those who do not, namely the presence of aponeurotic extensions from the transversus abdominis aponeurotic arch. If this type of hernia is due to blunt trauma it is an emergency condition and could be associated with various solid organs and hollow viscus injuries. Diagnosis. Inguinal hernias are further divided into the more common indirect inguinal hernia (2/3, depicted here), in which the inguinal canal is entered via a congenital weakness at its entrance (the internal inguinal ring), and the direct inguinal hernia type (1/3), where the hernia contents push through a weak spot in the back wall of the inguinal canal. Inguinal hernias are the most common type of hernia in both men and women. In some selected cases, they may require surgery. There are special cases in which the hernia may contain both direct and indirect hernia simultaneously pantaloon hernia, or, though very rare, may contain simultaneous indirect hernias. They can be hard to distinguish from the inguinal type (especially when ascending cephalad): however, they generally appear more rounded, and, in contrast to inguinal hernias, there is a strong female preponderance in femoral hernias. The incidence of strangulation in femoral hernias is high. Repair techniques are similar for femoral and inguinal hernia. A Cooper's hernia is a femoral hernia with two sacs, the first being in the femoral canal, and the second passing through a defect in the superficial fascia and appearing almost immediately beneath the skin. Umbilical. Umbilical hernias in adults are largely acquired, and are more frequent in obese or pregnant women. Abnormal decussation of fibers at the linea alba may contribute. Incisional. When these occur in median laparotomy incisions in the linea alba, they are termed ventral hernias. These can be the most frustrating and difficult to treat, as the repair utilizes already attenuated tissue. Diaphragmatic. Hiatus hernias may be either . Non- sliding or para- esophageal hernias can be dangerous as they may allow the stomach to rotate and obstruct. Repair is usually advised. A congenital diaphragmatic hernia is a distinct problem, occurring in up to 1 in 2. Intestinal organs may herniate through several parts of the diaphragm, posterolateral (in Bochdalek's triangle, resulting in Bochdalek's hernia), or anteromedial- retrosternal (in the cleft of Larrey/Morgagni's foramen, resulting in Morgagni- Larrey hernia, or Morgagni's hernia). The above article deals mostly with . Other hernia types and unusual types of visceral hernias are listed below, in alphabetical order. Patient with a colostomy complicated by a large parastomal hernia. Parastomal hernias, which is when tissue protrudes adjacent to a stoma tract. Paraumbilical hernia: a type of umbilical hernia occurring in adults. Perineal hernia: a perineal hernia protrudes through the muscles and fascia of the perineal floor. It may be primary but usually is acquired following perineal prostatectomy, abdominoperineal resection of the rectum, or pelvic exenteration. Properitoneal hernia: rare hernia located directly above the peritoneum, for example, when part of an inguinal hernia projects from the deep inguinal ring to the preperitoneal space. Richter's hernia: a hernia involving only one sidewall of the bowel, which can result in bowel strangulation leading to perforation through ischaemia without causing bowel obstruction or any of its warning signs. It is named after German surgeon August Gottlieb Richter (1. Sliding hernia: occurs when an organ drags along part of the peritoneum, or, in other words, the organ is part of the hernia sac. The colon and the urinary bladder are often involved. The term also frequently refers to sliding hernias of the stomach. Sciatic hernia: this hernia in the greater sciatic foramen most commonly presents as an uncomfortable mass in the gluteal area. Bowel obstruction may also occur. This type of hernia is only a rare cause of sciatic neuralgia. Sports hernia: a hernia characterized by chronic groin pain in athletes and a dilated superficial inguinal ring. Velpeau hernia: a hernia in the groin in front of the femoral blood vessels. Treatment. Time needed for recovery after treatment is reduced if hernias are operated on laparoscopically. However, open surgery can be done sometimes without general anesthesia. Uncomplicated hernias are principally repaired by pushing back, or . If complications have occurred, the surgeon will check the viability of the herniated organ and remove part of it if necessary. Muscle reinforcement techniques often involve synthetic materials (a mesh prosthesis). At times staples are used to keep the mesh in place. These mesh repair methods are often called . However, this widely used terminology is misleading, as there are many tension- free suture methods that do not use mesh (e. Desarda, Guarnieri, Lipton- Estrin, etc.). Evidence suggests that tension- free methods (with or without mesh) often have lower percentage of recurrences and the fastest recovery period compared to tension suture methods. However, among other possible complications, prosthetic mesh usage seems to have a higher incidence of chronic pain and, sometimes, infection. People who have their hernias repaired with mesh often recover in a number of days, though pain can last longer. Surgical complications include pain that lasts more than three months, surgical site infections, nerve and blood vessel injuries, injury to nearby organs, and hernia recurrence. Pain that lasts more than three months occurs in about 1. In the event of a mesh rejection, the mesh will very likely need to be removed. Mesh rejection can be detected by obvious, sometimes localised swelling and pain around the mesh area. Continuous discharge from the scar is likely for a while after the mesh has been removed. A surgically treated hernia can lead to complications, while an untreated hernia may be complicated by: Epidemiology. Groin hernias in adults. The New England Journal of Medicine. The 5- minute clinical consult 2. Philadelphia, Pa.: Wolters Kluwer Health/Lippincott Williams & Wilkins. BMJ (Clinical research ed.). Lancet (London, England). How to Get Rid of That Pesky Double Chin / Fitness / Weight Loss. Nobody wants a double chin. Luckily, you don't have to carry around that unnecessary extra chin. Read on to find out how you, too, can get rid of your pesky double chin. Lose Weight. If you have a double chin, chances are you're overweight. Unfortunately, you can't target just one area of your body for fat loss. You have to lose fat from your entire body at once. When you begin to lose weight, excess body fat disappears first from your face. Eat a healthy diet of lean meats, low- fat dairy products, fruits, vegetables and whole grains to help burn off excess body fat. Avoid fat, sugar and salt. Perform an aerobic exercise that raises your heart rate for at least 3. Studies have shown that working with a Registered Dietitian can increase your chances of losing weight and keeping it off. Sign- up with a Fit. Day Dietitian today! Sit Up Straight. Practicing good posture is a great way to help get rid of a double chin. Not only does sitting up straight make your double chin less noticeable, but it also strengthens jaw muscles, to keep fat from building up under your chin. Use an ergonomic, posture- correcting chair, especially if you work at a desk. Chew Gum. Chewing gum gives your jaw and facial muscles a workout. Exercising your jaw and facial muscles helps burn away the body fat that causes your double chin. It also keeps your facial skin firm. Perform Double Chin Exercises. Double chin exercises target the muscles of the face and jaw to tone and firm them. These exercises can keep skin from sagging to reduce the appearance of a double chin. The best double chin exercise works on the platysma, the muscle that runs from the jawline all the way down to your shoulder. Follow these steps to work the platysma: Open your mouth wide. Pull your bottom lip tight over your bottom teeth. Move your lower jaw up and down. Repeat this exercise 1. Add other double chin exercises to your workout to help stretch and tone the muscles of the jaw, face and neck. Try performing this exercise 1. Assume a standing or seated position. Tilt your head back until you're looking skyward. Pucker your lips, as if for a kiss. Hold the pucker for five seconds. Try to keep the other muscles in your face relaxed as you're doing this exercise. Neck rolls are another great way to stretch and tone the muscles of your neck, face and jaw. You can do them while seated or standing, according to your preference. Make sure you keep your spine straight while you're doing the exercises. Begin by slowly and carefully moving your chin to one shoulder. Allow your head to drop and slowly roll into a center position. Gently roll your head back up the other way, until your chin rests on the other shoulder. Perform this double chin exercise 1. If you’re reading this, it means you want to know how to lose face fat as fast as possible. You want to know how to get rid of your double chin or your chubby. Face Exercises to Lose Weight on Face. Here are some face exercises that can help you lose fat from face. Chin lift works up all the muscles on your face. Given here are a few techniques to reduce face fat: Facial Exercises. If you're NOT working out due to laziness, injury or lack of time but still can't lose weight Start Here for a beginner workout program. Nobody wants a double chin. Luckily, you don't have to carry around that unnecessary extra chin. Read on to find out how you, too, can get rid of your pesky double chin. The web's #1 resource to lose face face fat and get rid of your double chin. Exercises, nutrition, and programs to look younger and feel sexier. You can lose fat on your face by following a healthy lifestyle, doing the right face exercises and also with some home remedies. I know most people might not think it’s possible to lose weight eating Nigerian food but this is false, I have done it and so are hundreds of people using the. The "Hallelujah Diet" Is Heresy Reverend George Malkmus is a false teacher promoting an extreme vegetarianism that is altogether contrary to the Bible. The Paleo Diet for Vegetarians. The Daniel Fast 2017 is a time when Christians from around the world will begin the New Year with extended prayer and fasting. Susan Gregory, the author of the.Usually it was a toss- up between tacos and roast beef. I used to love trying to stuff my tacos as full as I could. I can still remember the c- r- u- n- c- h as I would bite into those tasty La Tiara shells. It has been a LONG time since I’ve had tacos that way, but just thinking about it brings back some good memories. This Taco Salad recipe was inspired by tacos from my childhood. My husband was so impressed by the flavor that he actually questioned if it was really Daniel Fast approved! Taco Seasoning. 2 cups torn romaine or iceberg lettuce. Garnishes: Avocado slices, chopped green onions, sliced olives, and/or diced tomatoes. Preheat oven to 4. Spread corn kernels out in one layer on a lightly oiled 1. Amen Clinics is the world leader in spect imaging treating different types of ADD, depression and anxiety, bipolar schizophrenia, and more. About 90% to 95% of people with diabetes have Type 2. But Type 2 diabetes is a little less clear-cut in terms of how it’s best managed. The reason is that Type 2. A review of more than 7,000 clinical studies examining the connection between diet and cancer came to a stark conclusion: No one should eat processed meats. Bake for 2. 0- 2. While corn is roasting, place pinto beans in a small saucepan over medium heat. Add garlic powder and salt. Cook 1. 0 minutes, stirring occasionally. Using a fork or potato masher, mash beans until they are the consistency of refried beans. Lower heat, and continue to cook until some of the liquid has evaporated and beans have thickened, about 1. Stir frequently to avoid scalding beans on the bottom of the pan. Heat olive oil over medium heat, and add onions. Cook until onions are soft and translucent. Add black beans, corn, and taco seasoning. Reduce heat to low, and keep warm until pinto beans are done. To serve, place about 1/2 cup lettuce on each plate, and top with 1/4 cup pinto beans and a heaping 1/2 cup of black bean and corn mixture. Add desired toppings to salad. Yield: 4 servings (serving size: about 1 1/2 cups). |
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