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Plans fail because they don’t fit into the schedule people actually live. with Dr. William Seeds & Andrea Marcellus – Thrive Global

Posted: April 6, 2020 at 9:49 pm

Plans fail because they dont fit into the schedule people actually live. Creating lifelong beneficial habits is all about consistency and repetition of doable daily goals. Small tweaks to the life you already live are far more effective at creating lasting weight loss and muscle development than restricted diets and rigorous programs that require a lot of time and mental energy. Everyone is gung ho at the start, but as soon as life starts to happen, people get easily derailed from plans that are too far from their default way of life.

I had the pleasure to interview Andrea Marcellus. Andrea is a certified fitness expert and CEO of ANDREA MARCELLUS, a cross-platform lifestyle brand focused on delivering customized how-to content that enables busy people to maximize their lives through fitness and healthy habit building.

Thank you so much for doing this with us! Our readers would love to get to know you a bit better. Can you share with us the story about how you first got involved in fitness and wellness?

Igot into fitness when I was studying acting at NYUs Tisch School of the Arts. I had a really traumatizing accident in the summer between my Sophomore and Junior years of school that took four surgeries and years to heal. I started taking classes at an amazing studio in NY at the time Molly Foxs place as something I could do to make myself strong and confident again as fast as possible. In the process, I ended up soaking up technique and inspiration from two amazing instructors, Terri Walsh and Petra Kolber. They have no idea, but they taught me how to teach.

Throughout the years, fitness was my bread and butter while I was busy working on an acting career, then dabbled in stand up comedy and ultimately ended up a screenwriter. My first feature film to actually be made is coming out in 2020 A Nice Girl Like You, starring Lucy Hale. I never expected my fitness career to overtake my entertainment industry aspirations, but over the past three years, thats exactly what has happened. And I couldnt be happier. The work I do now to get my message across about a personalized, positive approach to fitness takes absolutely every skill Ive ever developed. It feels great to push myself in every possible way as I work to help others improve their lives, both physically and mentally.

Can you share the most interesting story that happened to you since you started your career?

Within a year or so of teaching, I got an audition to teach for NYCs Crunch gyms which were all the rage at the time. Youre supposed to have at least five years experience, so I was super-honored to have a woman I was teaching for at a boutique gym tell me I needed to level up and make that call for me. I was only 21, it was super nerve-wracking and then when I walked in, who was auditioning me? Terri Walsh (one of my two hero teachers). She didnt remember me from her classes years earlier, and I was too chicken to tell her she was one of the reasons I decided to start teaching. Thank God she hired me on the spot. It would have been mortifying to be rejected by my secret mentor. In a way, it was better that I didnt mention how much of an inspiration she was to me. By not saying anything, I knew for sure that I got the job totally on my own merits a hugely important boost to my confidence at a time when I was so young and inexperienced next to my colleagues.

Can you share a story with us about the most humorous mistake you made when you were first starting? What lesson or take-away did you learn from that?

When I was 20, I taught my first step class in NYC to a packed room of about 75 people and about 67 of them left. Keeping my head up and seeing that class through to the end was one of the hardest things I ever did. After the class, I was absolutely devastated and couldnt have been more ashamed to face the club manager. But her response wasnt only unexpected, it was one of the greatest lessons of my life: namely that, perspective is everything. The manager said that she needed to elevate the club, but didnt have the budget for high-level instructors until my audition. She said I could absolutely hold my own with the best in NYC but, since I had no experience, she could afford me. It was pretty funny. Then she gave me the best piece of advice ever she said believe in yourself and never teach down. If people dont get it, slow down, but never dumb down what I have to offer. Give people the opportunity to catch on and ramp up and when they do, theyll love you for it. It was confidence-cementing, life-changing advice and I truly wish I could remember her name to thank her.

Can you share with our readers a bit about why you are an authority in the fitness and wellness field? In your opinion, what is your unique contribution to the world of wellness?

In the past 26 years, Ive taught basically every type of fitness including functional resistance training, Spinning and Pilates, and have had the privilege of guiding people of every age and background to better, stronger, more confident versions of themselves. There is nothing more satisfying than helping people achieve an outside that matches the confident, capable person they feel like on the inside. I also take great pride in approaching every new thing with a degree of healthy skepticism (Ive seen a lot of studies, recommendations and trends be debunked under the scrutiny of time.) And the thing I enjoy the most is helping people find their own way to success in fitness, wherever that goal post is for them and by highly individualized means that will be sustainable. I love freeing people from the vicious cycle of diet and overexercise. My book The Way In and my AND/life app are all about that helping you find out what works best for your body and schedule and getting you to your goals in a way that you can easily maintain.

None of us are able to achieve success without some help along the way. Is there a particular person who you are grateful towards who helped get you to where you are? Can you share a story about that?

A woman named Emily Smith (I think!) had a boutique gym called Sevens on 14th Street my first great job in fitness. When circumstances forced her to close the studio, she made a call to Crunch on my behalf and, thanks to her, I got an audition right away despite my relative lack of experience. Without that call, I truly wouldnt be where I am today. Amazingly, about 5 years ago in LA where I now live and teach, I ended up behind Emily in a Starbucks. I recognized her immediately even though it had been over 20 years. I got to tell her about the incredible impact her encouragement and that phone call had on my life and thanked her from the depths of my heart. She cried. I cried. It was pretty awesome. Its not every day you get to to express profound gratitude and to someone who has no idea she has it coming. Ill treasure that extraordinary chance encounter for my entire life.

Ok thank you for all that. Now lets move to the main focus of our interview. We all know that its important to eat more vegetables, eat less sugar, exercise more, and get better sleep etc. But while we know it intellectually, its often difficult to put it into practice and make it a part of our daily habits. In your opinion what are the 3 main blockages that prevent us from taking the information that we all know, and integrating it into our lives?

1)Plans fail because they dont fit into the schedule people actually live. Creating lifelong beneficial habits is all about consistency and repetition of doable daily goals. Small tweaks to the life you already live are far more effective at creating lasting weight loss and muscle development than restricted diets and rigorous programs that require a lot of time and mental energy. Everyone is gung ho at the start, but as soon as life starts to happen, people get easily derailed from plans that are too far from their default way of life.

2) Eating programs fail because they dont take into account your social life. A no thank you lifestyle is not one people can maintain for very long, and its no fun. In my opinion, theres no faster train to grumpy town than making it all about what you dont eat and cant have. Unless you have a medical issue that requires complete elimination of certain foods, better to take a moderate approach to the kinds of foods you eat and spend more time working on eating smaller portions at each meal.

The moderate, permission-based approach to food in my book,The Way In,and on my AND/life app are highly successful, because they take into account less beneficial foods that we will absolutely eat socially and also caloric beverages. You can absolutely drop 1 to 2 pounds this week simply by eating three bites less of every meal you eat. Try it and youll be shocked at the results. Sustainable fitness tweaks are far more effective than full-blown programs that are only temporary and then end.

3) Workout programs fail because they are too aggressive. They keep your heart rate too high for too long under the guise of burning calories and boosting your metabolism. But all they do is burn glycogen out of your body which makes you feel funky, and then you end up eating even more to try to feel normal again. Its a vicious cycle. Again, moderation is key, especially when it comes to high intensity interval training. Most classes move too quickly and heart rate stays too high for too long, lessening the overall benefit.

Can you please share your 5 Non-Intuitive Lifestyle Tweaks That Will Dramatically Improve Ones Wellbeing? (Please share a story or an example for each, and feel free to share ideas for mental, emotional and physical health.)

The Way In and my AND/life app offer a whole lifestyle strategy: losing weight and shaping up in a sustainable way requires consistency. My method builds confidence by keeping the bar low and including your social life in the plan: the small daily goals of the method magically turn into life-changing habits that get you to your goals and keep you progressing. The plan is grounded in my 5 practical life strategies a mindset that, when applied to fitness, helps you deal when life happens so you have the time and energy for fitness and never get derailed. Its truly a mind/body approach aimed to build both physical and mental strength.

1) Practice Personal Authenticity: In short, this means, you be you. Your fitness program needs to be highly individualized to keep you excited and invested, and it should fit into your regular schedule without a lot of rearranging so you can be consistent the key to maintaining your gains.

2) Live The Rule of Awesome This is everyones favorite: if its not awesome, dont do it. Applied to fitness, this means if you bite a brownie and its not an AMAZING brownie, dont finish it just because its there. And being discerning about isnt just about avoiding calories that arent worth it. Its a chance to remind yourself over and over again that you are.

3) Strategize Habits leaving meals to chance is a recipe for never getting to your goals. Alternate between just a few optimized meal options for all meals except dinner and maybe your nighttime snack. Were already creatures of habit. When we get those habits to be aligned with our vision for ourselves, were home free.

4) Practice Oppositional Stability this a stress management technique based on Pilates. If you want to bend to the left in Pilates, you first have to pull your body to the right the opposite way to create a stable place from which to hear the points being made to you and also to get your point to be heard.

5) Allow In the Extraordinary: this is the whole point. The better we feel physically and mentally, the more open we are to amazing life opportunities.

As an expert, this might be obvious to you, but I think it would be instructive to articulate this for the public. Aside from weight loss, what are 3 benefits of daily exercise? Can you explain?

Exercise:

Conclusion: Exercise makes you happier.

For someone who is looking to add exercise to their daily routine, which 3 exercises would you recommend that are absolutely critical?

Easy: Back lunges with a rotation, Moving Plank to Down Dog and Swans. If you want a total body workout in three moves thatll not only help you lose body fat, get strong and develop flexibility, do those three moves 10 times each and take a brisk walk. Boom.

In my experience, many people begin an exercise regimen but stop because they get too sore afterwards. What ideas would you recommend to someone who plays sports or does heavy exercise to shorten the recovery time, and to prevent short term or long term injury?

Im not a fan of long, grueling workouts as a daily habit. The idea that you need to break yourself down to build yourself back up is ridiculous. Lives are super busy and consistent exercise can be a really tall order when youre already mentally overloaded. Choosing workouts that physically overload to the point of serious discomfort are not only unnecessary to improve your health, they can also quickly put out your fire for fitness. Exercise has to feel good and be fun for you to adhere to a program for the long haul and whats the point if it isnt for the long haul. Pushing hard every now and then can be fun, but its more beneficial to think in terms of cultivating an active lifestyle with exercise as an enhancement.

There are so many different diets today. Can you share what kind of diet you follow? Which diet do you recommend to most of your clients?

I recommend not dieting EVER. I like to think of my book The Way In as the anti-diet, an opportunity to develop a new, appreciative relationship with food where you can become friends with it again. When we judge our food as good or bad, we unwittingly judge ourselves the same way by association. These messages hit deep, chipping away at our self-confidence and derailing our motivation.

Losing body fat and cultivating good health is more about awareness of portions, food preparation, and what makes your body feel its best, than following someone elses idea about what you should eat. I often find that small tweaks to things people already eat can make a huge difference. encourage people to tweak things they already eat to be more beneficial and create simple, wholesome Go-To lists for each meal and snack time you dont share with others or eat on the fly. If you nail down a short list of super clean foods that are easy for you to get, make and rely upon for meals you dont share, you will develop an eating plan thats easy to stick with because it feels like you. And you will be able to eat whatever you want socially and still achieve a lean, strong body without willpower because your stomach will be adjusted to portion sizes that are smaller and your tastes will have changed away from salty and sugary foods (youll still want them, but they will become too much quickly during a meal.)

Is there a particular book that made a significant impact on you? Can you share a story?

The process of envisioning and writing my own book,The Way In: 5 Winning Strategies to Lose Weight, Get Strong and Lift your Lifehas obviously been life-changing for me.

The first 16 years of my career, I did so many things we are told we need to do to get super fit: calorie counting and restriction, food elimination, lengthy, taxing workouts you name it. 10 years ago, I realized that despite doing all the things we were supposed to be doing, neither my clients nor me were able to easily sustain our achievements (if we got to our goals in the first place). So I threw all the supposed-tos out the window and came up with a better solution that goes beyond exercise and workouts and thinks about your whole day including three huge weight-loss inhibitors: caloric drinks, sitting too much and stress. Developing my own, unique approach to fitness through 10 years of experimentation, research and refinement has been one of the greatest achievements of my life. Its incredibly gratifying to to read reviews of my book and see my vision for personalized fitness resonating with so many people.

You are a person of enormous influence. If you could start a movement that would bring the most amount of good to the most amount of people, what would that be? You never know what your idea can trigger.

The Moderation Movement I think a moderate approach to food and fitness is the most effective for the long haul.

Your best body starts in your mind. My goal is to first address the mindset necessary to make your fitness goals attainable, sustainable reality and then offer a practical method to get you there. Both my book, The Way In: 5 Winning Strategies to Lose Weight, Get Strong & Lift Your Life, and the AND/life app feature my real-world, small daily goals approach to fitness that takes into account your whole lifestyle including your social life. But both work on your mentality as well so that life events good or bad wont ever totally stop your progress. The plan makes the body. The mentality makes it permanent.

Getting in shape in a sustainable way is all about consistency. My method builds confidence by keeping the bar low and including your social life in the plan: the small daily goals of the method magically turn into life-changing habits that get you to your goals and keep you progressing. The plan is grounded in 5 practical mindset strategies for when life happens so you have the time and energy for fitness and never get derailed. Its truly a mind/body approach aimed to build both physical and mental strength.

Everything I do is about helping people preserve and cultivate more of their own most precious personal resources: time, energy and money so they can achieve any goal, fitness or otherwise, get the most out of every day and always put their best foot forward. As you strengthen physically, you fortify yourself mentally as well. Im about mind-body connection in the most practical sense of the term.

Can you please give us your favorite Life Lesson Quote? Do you have a story about how that was relevant in your life?

Never complain. Never explain.

I first learned and adopted this Katharine Hepburn quote in my early 20s and it has served me well. It helped me move past a victim mentality developed during some tough times in my childhood where my ego was easily bruised by failure and criticism and Id waste precious time rehashing the situation over and over. One of the greatest lessons you can learn is never to waste the opportunity of criticism by defending yourself. Theres great strength in accepting it when you fall short and deciding to listen instead of speak so that you can learn how not to repeat the mistake. My confidence doesnt come nearly as much from my successes as it does from my failures. Developing personal power is all about failing with grace, learning quickly and getting right back on the horse.

We are very blessed that some of the biggest names in Business, VC funding, Sports, and Entertainment read this column. Is there a person in the world, or in the US whom you would love to have a private breakfast or lunch with, and why? He or she might just see this if we tag them.

Ashton Kutcher. He invests in digital products that have a soul and stand to make a meaningful impact peoples lives. The Calm app is an example. My hope is to take on the obesity epidemic, the #1 cause of preventable disease in the US, with a shame-free, doable approach that helps people ingrain small tweaks to their lives that will make a big difference and, over time, yield huge results. I think we are aligned in terms of our big picture goals and desire to help improve lives and make a difference.

What is the best way our readers can follow you on social media?

Insta @andrea_marcellus

FB AND/life by Andrea Marcellus

Twitter @AndiMarcellus

Pinterest Andrea Marcellus

YouTube Andrea Marcellus

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Plans fail because they don't fit into the schedule people actually live. with Dr. William Seeds & Andrea Marcellus - Thrive Global

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Plant-Based Doctor Reveals Her Top Tips For Weight Loss – Plant Based News

Posted: April 6, 2020 at 9:49 pm

Dr. Michelle McMacken says those hoping to lose weight should 'start from a place of kindness' towards themselves (Photo: Adobe. Do not use without permission)

A leading plant-based medic has shared everything you need to know about losing weight on a whole-food plant-based diet in this exclusive Plant Based News video.

Michelle McMacken, MD is Assistant Professor of Medicine at NYU School of Medicine and the director of Bellevue Hospital Weight Management Clinic.

According to Dr. McMacken, her first weight loss tip is to 'start from a place of kindness to yourself'.

She adds: "I say that because having directed a weight management program for 15 years, what I've seen is that people get incredibly frustrated. It's a challenging process, and people can get really down on themselves because ultimately there are a lot of factors outside of our control that can go into maintaining our body weight.

"And so, while there are lots of things we can do to address our body weight, it's important to start from a place of compassion and kindness to yourself."

Dr. McMacken pointed out some of the specific difficulties people can have when losing weight, one being that many get to a point where it becomes more difficult to lose weight.

"That's not anyone's fault, or a lack of willpower," she said. "It's just biology. So it's important to be realistic about where you're going with it, and not be hard on yourself, and to minimize the shame you might feel if you slip-up, because again, everybody is human.

"So what I often will tell patients who come to see me when they are trying to lose weight, is that I'd like very much not to focus on the number on the scale. In fact, I have patients when they come to see me who we don't even check their body weight, because that can actually frustrate people more if it's not going as quickly as they would like or if it's going in the wrong direction."

She recommends instead focusing on tracking the behavioural changes you're making - as that is something tangible people are in control of.

Dr. McMacken's third tip is not to rely on willpower, which she joked 'extinguishes by about 1pm'.

"It's not really a good strategy for longterm weight loss - to rely on denying yourself, and willpower, and trying to white-knuckle yourself through a dietary plan," she said.

"What I think is much more important is to change your environment, and that looks like changing the foods that you just happen to have in your home, working with whoever you live with to help strategize with you...changing your routine - so that if you know you have a habit of walking past a certain bakery each day and getting a donut, it would be better just to walk on a different block so you're not tempted to do that."

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The Signs of the Coronavirus – Slate

Posted: April 6, 2020 at 9:48 pm

The signs in San Francisco.

Josh Edelson/AFP via Getty Images

Slate is making its coronavirus coverage free for all readers. Subscribe to support our journalism.Start your free trial.

Chicago is empty of people but full of signs. They can make you laugh, like the neat notice on the doors of the Chicago Theatre: Widespread Panic: Postponed. (Tell that to the guy who rations the toilet paper at Costco.) Or they can make you wince, like the sign on the Women & Children First Bookstore, sitting below its motto: Opened in 1979, Open Today, Open Forever. The sign says: Temporarily closed.

Every city is like this now, as if our protective masks stifled the ability to speak and left us to communicate only in writing. The notes tell the story of the more than 10 million Americans who have lost their jobs in the last two weeks, as almost every state has shuttered nonessential businesses in an attempt to slow the spread of the coronavirus.

The American city has always been coated in words, from barroom neon script to the slogan on that fast food marquee. But rarely has this written layer felt so coordinated. On the Kiski Kar Wash in Pittsburgh: Flu Season Is Here, So Wash Your Hands and Your Car. On a suburban sidewalk outside Denver: Distance Makes the Heart Grow Fonder. At a New Hampshire supermarket: Senior shopping hours, 6 a.m. to 7 a.m. everyday. They are both practical and inspirational, an instruction manual for a new era and a card catalog for a society in crisis.

Messages have appeared on storefronts, sidewalks, in the windows of apartments. They are printed on 8-by-11-inch sheets, drawn on whiteboards, and scrawled in Sharpie. Restaurants say they are open for takeout, sometimes with perks: a cocktail! A roll of toilet paper! Fill a growler from the keg? Please?

From a liquor store in South L.A. comes the following message, which I can only convey in its entirety: COVID-19 is some real shit. Cover your fucking mouth. Shut the fuck up! Buy your shit and leave immediately. Absolutely NO titty or sock money! Stand back at least 6 feet, playa. Store capacity limited to 5 motherfuckers at once. You cough, you die. Drink responsibly.

The signs in Brooklyn.

Yana Paskova/Getty Images

At the corner of Tompkins Square Park in Manhattans East Village, someone has built a makeshift memorial. Two vases of flowers sit alongside a board that shows a tally of the dead, beneath a handful of American flags. Adjacent on the park railing, a hand-painted warning reads, Stay six feet apart or be six feet under. As a collective expression, New Yorks coronavirus signs recall Subway Therapy, the 5,000 Post-it note messages written on the subway walls at Union Square after Donald Trump was elected president.

With Americans isolated by distancing rules, signs lend each exchange the thrill and weight of performance. In Seattle, a pair of teenagers taped notes in their windows to thank the nurses next door (and also brought cookies). The nurses put up a sign to thank them back. After the state barred visitors from nursing homes, a Connecticut man named Bob Shellard made a poster to wish his wife a happy 67th wedding anniversary from outside her window. (He also called her on the phone: Can you see my sign?)

Brendan Cormier, a curator at the Victoria and Albert Museum in London, is collecting photographs of COVID-19 signage. They remind him of the Sorry, Out of Gas signs that popped up at gas stations during the oil crisis in the 1970semergency communication, written with whatever was at hand. All cities essentially have an editorial layer to thema layer of words displayed in the public realm, he wrote to me. This for the most part is top-down, safety signs, rules, advertisements and shopfronts. So, with the proliferation of hand-written signs, you see that editorial layer shifting back towards a more democratic and multi-voiced scenario.

Most of the notices appear hasty and impromptu, as if each proprietor had stepped out to lunch and never come back. Quirky, like the Brooklyn newsstand offering home delivery of your favorite magazines and newspapers, signed: From, Us. Who else? Or the note from the eyeglasses store down the block, printed capitals the size of a fist, so that even a man whod broken his glasses could understand why they were closed. Or a sandwich board outside AlleyCat Comics in Chicago: We will hold, ship, or throw comics at your car as you drive by.

The signs in Las Vegas.

Ethan Miller/Getty Images

The government has rolled out its own campaigns. On an Ohio interstate: Limit Travel. Stop the spread of Covid-19. Were all in this together. On a city subway: Please practice social distancing. It does take practice, recalibrating the little magnets in the head that steer you through a crowd. But there is plenty of room for that, because the sidewalks are empty, and also plenty of time, because no one seems to be in a rush. To regulate supermarket lines, safely spaced hashmarks have been drawn on the floor or on the pavement outside. Its the sidewalk ballet, stripped down to the stage directions.

In neighborhoods, children do most of the work, in chalk and colored pencils: Flatten the curve. April distance brings May existence. Notes of thanks and support and encouragement have popped up in windows.

In Philadelphia, a virtually mapped scavenger hunt for sidewalk rainbows has turned the whole city into a spectrum. Like Italys balcony songs or the French game show played from window to window, its an example of creativity pushing through confinement.

In the same city, the artist Mark Strandquist asked artists to create posters that could be reproduced to bring life back to the citys blank spaces. Everything we see sends a message, he told me, and the message I was confronted with was loss. His project, Cover the Walls With Hope, began with submissions from artists he knew but then drew dozens of works from around the city and beyond. He pasted them up himself around town, and then realized other people were doing it tooin the windows of a local nonprofit and a print shop, as a backdrop at a food bank.

The signs in Philadelphia.

Mark Strandquist

A wheatpaste he posted, by the artist Kayan Cheung-Miaw, shows a face mask beneath a pair of eyes. It says, in English and Mandarin, Dont let racism go viral. We will get through this together. The artist Molly Crabapple drew an old-law tenement, surrounded with flowers, in yellow watercolor and pastels. Housing = Healthcare. Rent Freeze Now.

In a separate project, the arts group Amplifier has organized a global call for submissions, offering $1,000 to 50 artists whose work epitomizes the spirit of resilience.

The art sends a message that this will end. The children think so too. The notes on the businesses are not so sure. With their typos and mixed-up fonts, they make every hibernating storefront feel humanand mortal. Weve been here 40 years, says the owner of the Brooklyn newsstand. Only a few customers have taken him up on the deliveries. Business is way, way down.

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The Signs of the Coronavirus - Slate

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Global Hormon replacement therapy Market Reports Deliver Insight And Expert Analysis Into Growth Opportunity, Driver, Key Trends and Restraints -…

Posted: April 6, 2020 at 9:47 pm

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Effect of a short-term vitamin E supplementation on oxidative stress in infertile PCOS women under ovulation induction: a retrospective cohort study -…

Posted: April 6, 2020 at 9:47 pm

Study design

The present study is a retrospective cohort study (Trial registration: ChiCTR-OOC-14005389, 2014). In this study, 321 PCOS cases was conducted from October 2015 to April 2017 to assess the effect of short-term vitamin E administration on infertile PCOS women undergoing ovulation induction with CC and HMG in the Reproductive Medicine Center, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China. This retrospective cohort study was approved by the Institutional Review Board of the Department of Chinese Medicine Hospital of Jiangsu Province.

The inclusion criteria of this study were as follows: (i) Undergoing ovulation induction with CC and HMG; (ii) no previous infertile treatment; (iii) age less than 40 years; (iv) normal in hysterosalpingography; and (v) normal in semen analysis. The diagnostic criteria of PCOS was according to the 2006 Rotterdam criteria [17]: (1) Anovulation or olig-ovulation, (2) Clinical evidence of hyperandrogenism (on the basis of hirsutism or an elevated testosterone level), (3) Polycystic ovaries (a more than 10ml ovarian volume or at least 12 antral follicles with 29mm in diameter). PCOS could be confirmed if any 2 out of the following 3 criteria were met and if any other diseases that caused hyperandrogenism or anovulation could be excluded.

Other disorders that mimic the PCOS, including hyperprolactinemia, thyroid disease, late-onset congenital adrenal hyperplasia, androgen-secreting tumors and Cushings syndrome were ruled out. The PCOS patients with the major myocardial, liver and renal disorders, and taking confounding medications (primarily sex steroids, other infertility drugs, and insulin sensitizers) were excluded. Patients were divided into 3 groups according to the vitamin E used.

In this study, as shown in Fig. 1a, 110 of 321 PCOS cases underwent controlled ovarian stimulation but without vitamin E administration (Group A, n=110). Based on previous clinical medication experience, a dosage of 100mg/day vitamin was selected. Two-hundred eleven of or 321 PCOS cases underwent controlled ovarian stimulation combined with vitamin E administration (100mg/day, p.o.) started from follicular phase (Group B, n=105) and luteal phase (Group C, n=106), respectively. Administration of vitamin E in follicular phase(Group B) began from the 3rd day of the menstrual cycle to 14th day of luteal phase. Administration of vitamin E in luteal phase (Group C) started when ovulation was confirmed, and lasted for 14 consecutive days. After 14days of the HCG administration, serum -HCG was measured. The presence of a gestational sac on ultrasound was performed at 6 and 12weeks of gestational age to determine clinical pregnancy rate and ongoing pregnancy. The women enrolled in this study were followed up until miscarriage or delivery.

Summary of patient flow diagram a and Vitamin E administration and stimulation protocol b. EV=estradiol valerate; HCG=urinary human chorionic gonadotropin; Pg=progesterone;CC=clomiphene citrate;VE=vitamin E;TVU=Transvaginal ultrasonography; HMG=human menopausal gonadotropin

As shown in Fig. 1b, the ovulation was stimulated with CC (Merck Serano, China) at 100mg/day for 5days starting on day 3 of a spontaneous menstrual cycle or withdrawal bleeding. Starting from day 8, HMG (Livzon, China) was injected at 75IU every second day and estradiol valerate (Progynova, Bayer, China) was administered at 2mg/day. Transvaginal ultrasonography was performed from day 10 to adjust the HMG dosage. When at least one follicle had reached a diameter of 18mm, 10,000IU urinary human chorionic gonadotropin (hCG) (Livzon, China) was administered. All patients received luteal phase support by oral administration of progesterone (Dydrogesterone, Abbott Biologicals B.V, China) at 10mg three time a day for 14days starting on the day of ovulation. In each cycle, medroxyprogesterone acetate was used to induce withdrawal bleeding in cases in which there was no response. The complete participation considered as pregnancy or anovulation within a total of 6 cycles.

Body mass index (BMI) was used to evaluate the body weight. According to World Health Organization(WHO) criteria [18], women with a BMI <18.5, 18.525, 2529 and30kg/m2 were defined as underweight, normal weight, overweight and obese, respectively. Scores on the modified FerrimanGallwey scale [19], range from 0 to 36, were used for hirsutism evaluation. Higher scores indicated a greater degree of hirsutism.

Age, height, weight, waist, FerrimanGallwey hirsutism score, age of menarche, incidence of oligomenorrhea and amenorrhea, numbers of previous pregnancies and previous ovarian were obtained from patient medical records.

Levels of estradiol (E2), androstenedione (T), luteinizing hormone (LH), prolactine (PRL) and follicle-stimulating hormone (FSH) were tested by RIA (Beijing North Institute of Biological Technology of China and the CIS Company of France). Peripheral blood samples were taken on the 3th day of menstrual cycle after overnight fasting.

In this study, we measured four oxidative stress serum markers (malondialdehyde (MDA), ischemia modified albumin (IMA), total antioxidant capacity measurements (TAC), and vitamin E) in 3 time points (T0:before stimulation, T1: the day of HCG treatment, and T2: the day of complete participation) to evaluate the levels of oxidative stress. Serum levels of MAD, an end-product formed during lipid peroxidation that is released into the extracellular space and finally appears in the blood [20], were measured using a thiobarbituric acid-reactive commercial kit (Jiancheng Bioengineering Institute, China). Serum TAC, provided better information on antioxidant status than individual antioxidant compounds [21], were tested using an antioxidant assay kit (Jiancheng Bioengineering Institute, China). Serum levels of IMA, a novel marker of oxidative stress, were evaluated by cobalt to albumin binding capacity kit (CUSABIO, China). Serum contents of vitamin E were evaluated by colorimetric method using assay kit (Jiancheng Bioengineering Institute, China).

Statistical analysis was carried out by SPSS (version 23, USA). Data were presented as either median (Min-Max) or meanSD as appropriate. Quantitative data analyses were carried out by independent samples t-test or Mann-Whitney U-test depending on the normality of data. Categorical variables were compared with Chi-Square test. A P value <0.05 was considered as statistically significant.

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Former Canberran Madison’s wedding day has been delayed by fires and coronavirus – The Canberra Times

Posted: April 3, 2020 at 6:50 pm

news, latest-news, anorexia, mental health, eating disorder, bushfires, coronavirus, wedding, relationship, south coast fires

From bushfires to coronavirus, so many people have had cherished plans put on hold in 2020. Madison Sternbeck-Rutter copped a double "doozy" - first when bushfires surrounded her Bodalla wedding venue in January, then when COVID-19 locked down her alternative venue in another state. Ms Sternbeck-Rutter grew up in Lilli Pilli but lives in Brisbane with her South Coast fiance. The couple wanted to be married at home on January 18. As fires bore down on the coast, fate separated them. Ms Sternbeck-Rutter's fiance had come home to see family, while she remained in Brisbane. "He flew down there for his dad's birthday and was stuck there over New Year's," she said. The coast had no power or mobile reception and Ms Sternbeck-Rutter could not contact him or her family. "I was so worried; I had no way to get in touch." Ms Sternbeck-Rutter is grateful her family evacuated safely and their home survived, unlike the 501 shire homes lost. Her family still hoped the wedding would proceed. "Some family and friends wanted it to go ahead; after all the disaster it was something to look forward to with everyone coming together," she said. "But there wasn't any confirmation of ongoing power, or roads staying open." As bushfires continued to rage, the wedding was cancelled. "The owners of the venue at Trunketabella Gardens evacuated to Canberra," she said. READ MORE: News relating to the coronavirus pandemic Ms Sternbeck-Rutter searched for a new venue and booked Brisbane's Walkabout Creek for July 3, only for coronavirus to cause another roadblock. "It has been a bit of a doozy," she said. "It's not as bad, because it's the same venue, same everything - we are just postponing," she said. Family are still prepared to travel from overseas and interstate for the couple's third attempt in December. "Everyone has been so great," she said. Ms Sternbeck-Rutter did not wallow in a "pity party" - she's learned a lot about mental health in her young life and shares her story in the hope of helping others. Coping with change has been a challenge for Madison Sternbeck-Rutter. After moving from Canberra to Brisbane last year "I fell in a ditch," the former Lilli Pilli resident said. She missed her friends and routine, but planning her wedding kept her on track - including planning to be a healthy weight. That meant gaining weight. Ms Sternbeck-Rutter suffered from anorexia nervosa as a teen. Anorexia occurs in about 0.5 percent of girls and young women and has the highest death rate of all mental illnesses. As a teen, Ms Sternbeck-Rutter ran competitively. Exercise was her outlet, but it became unhealthy. "I run to get rid of anxiety and stress; but when I run, I get very controlling with what I eat," she said. "It would result in extreme weight loss. With the weight loss, would come an increased level of obsessiveness - it's a downward spiral. "When there's something to deal with I go straight to that pattern of thinking." She was hospitalised at 14, and again last year "because the doctor said I could drop dead". "There are certain medical markers: my blood count was low, my heart rate was 32 and my liver was failing. It was bad ... and it's silent." It has been a rocky road to recovery, but to pick herself up she set a goal to reach a healthy weight and fit her wedding dress: "I worked really hard from a mental and physical perspective." READ MORE: When fire cancelled her January wedding, she felt crushed. "All the psych sessions, dietitian visits, times I was feeling sick and not running - was it worth it?" she said. "I just have to keep going, and remind myself 'yes, it is'." The dream of starting a family and the support of her fiance are her keys to health. "I want a family with him and that life - but you can't when you're unwell," she said. "It hasn't been an easy ride for him either. "The strongest motivator is what it does to people around you. It isn't worth it - the stress and strain it puts on your family and your friends." Ms Sternbeck-Rutter sees girls who are unwell: "You can just tell." She wants to "hug them" and say "get better, you will be okay", but she knows they must "find that intrinsic motivation". If you or someone you know requires support, help is available. Visit the Beyond Blue website or call 1300 22 4636.

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April 4 2020 - 8:30AM

From bushfires to coronavirus, so many people have had cherished plans put on hold in 2020.

Madison Sternbeck-Rutter copped a double "doozy" - first when bushfires surrounded her Bodalla wedding venue in January, then when COVID-19 locked down her alternative venue in another state.

Ms Sternbeck-Rutter grew up in Lilli Pilli but lives in Brisbane with her South Coast fiance. The couple wanted to be married at home on January 18.

LOOKING AHEAD: Madison Sternbeck-Rutter at her bridal shower in November. Having two wedding dates stymied was tough, but she knows how to dig deep.

As fires bore down on the coast, fate separated them. Ms Sternbeck-Rutter's fiance had come home to see family, while she remained in Brisbane.

"He flew down there for his dad's birthday and was stuck there over New Year's," she said.

The coast had no power or mobile reception and Ms Sternbeck-Rutter could not contact him or her family.

"I was so worried; I had no way to get in touch."

Ms Sternbeck-Rutter is grateful her family evacuated safely and their home survived, unlike the 501 shire homes lost. Her family still hoped the wedding would proceed.

A rooftop view of a Grandfathers Gully property at Lilli Pilli during the New Year's Eve bushfires. Picture: Georgie Rowley.

"Some family and friends wanted it to go ahead; after all the disaster it was something to look forward to with everyone coming together," she said.

"But there wasn't any confirmation of ongoing power, or roads staying open."

As bushfires continued to rage, the wedding was cancelled.

"The owners of the venue at Trunketabella Gardens evacuated to Canberra," she said.

Ms Sternbeck-Rutter searched for a new venue and booked Brisbane's Walkabout Creek for July 3, only for coronavirus to cause another roadblock.

"It has been a bit of a doozy," she said. "It's not as bad, because it's the same venue, same everything - we are just postponing," she said.

Family are still prepared to travel from overseas and interstate for the couple's third attempt in December. "Everyone has been so great," she said.

Ms Sternbeck-Rutter did not wallow in a "pity party" - she's learned a lot about mental health in her young life and shares her story in the hope of helping others.

Coping with change has been a challenge for Madison Sternbeck-Rutter.

After moving from Canberra to Brisbane last year "I fell in a ditch," the former Lilli Pilli resident said.

She missed her friends and routine, but planning her wedding kept her on track - including planning to be a healthy weight. That meant gaining weight.

Ms Sternbeck-Rutter suffered from anorexia nervosa as a teen.

Anorexia occurs in about 0.5 percent of girls and young women and has the highest death rate of all mental illnesses.

As a teen, Ms Sternbeck-Rutter ran competitively. Exercise was her outlet, but it became unhealthy.

"I run to get rid of anxiety and stress; but when I run, I get very controlling with what I eat," she said.

"It would result in extreme weight loss. With the weight loss, would come an increased level of obsessiveness - it's a downward spiral.

"When there's something to deal with I go straight to that pattern of thinking."

She was hospitalised at 14, and again last year "because the doctor said I could drop dead".

"There are certain medical markers: my blood count was low, my heart rate was 32 and my liver was failing. It was bad ... and it's silent."

The strongest motivator is what it does to people around you ...

It has been a rocky road to recovery, but to pick herself up she set a goal to reach a healthy weight and fit her wedding dress: "I worked really hard from a mental and physical perspective."

When fire cancelled her January wedding, she felt crushed.

"All the psych sessions, dietitian visits, times I was feeling sick and not running - was it worth it?" she said.

"I just have to keep going, and remind myself 'yes, it is'."

Madison Sternbeck-Rutter with her pet pal George who is always up for a cuddle when her fiance is away.

The dream of starting a family and the support of her fiance are her keys to health.

"I want a family with him and that life - but you can't when you're unwell," she said.

"It hasn't been an easy ride for him either.

"The strongest motivator is what it does to people around you. It isn't worth it - the stress and strain it puts on your family and your friends."

Ms Sternbeck-Rutter sees girls who are unwell: "You can just tell."

She wants to "hug them" and say "get better, you will be okay", but she knows they must "find that intrinsic motivation".

Original post:
Former Canberran Madison's wedding day has been delayed by fires and coronavirus - The Canberra Times

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Sorry we dont have clothes your size here- Anerlisa Muigai on struggles of being fat – Pulse Live Kenya

Posted: April 3, 2020 at 6:48 pm

Keroche Heiress Anerlisa Muigai shared the struggles she used to go through back in the days, before she decided to hit the gym and shade off some Kgs.

In an interactive session with her fans, one of them wanted to know if people treated her different before and after her weight loss journey.

Do people treat you different than before you lost weight in terms of respect? Asked a fan.

Ms Mugai responded saying, Ooh Yes, when I was big people used to stare at me .. I got to the point I was thinking they can probably see what I just ate. I used to enter a cloth store and get a Sorry we dont have clothes your size here as in the 4 years I have taken to loose weight were the toughest years but definitely worth it. Now people stare in admiration which is not a bad thing but can get uncomfortable.

Weight loss Journey

Miss Muigai has in the past shared stories of her battle with weight, from yo-yo dieting, juicing to joining a weight loss camp. Her weight loss stories made her a household name and recently she launched her own weight loss App.

The 32-year-old struggled with her weight for over 10 years. She also admits to having difficulties sustaining the weight lost thus regaining it fast.

Just the other day she disclosed that her only regrets in her weight loss journey was reducing her bust.

"Throw back to 8 Years ago at 88kgs. Only regret I have after my weight loss is the reduction of my bust. What are your worries about losing weight? she posted.

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Adele lost more than 45 kilos, and this is the diet and the coach who made him hot body! – Play Crazy Game

Posted: April 3, 2020 at 6:48 pm

Getty ImagesThe trainer, Adele said: She does not look thin, it looks perfect, healthy

After that Adele surprised with your hot body at the edge of the sea, accompanied by Harry Styles and James Corden, everyone is talking about your diet and the trainer that helped her to define her figure. Your fan, Lexi Larson, who sat down to talk with her on that trip, she told People magazine that the singer of Hello I already told you that I had lost something like 100 pounds. After that, the internet exploded.

But we must remember that the transformation of the silhouette of Adele it is not of these past few months. It began when he spoke of exercise, and changing your lifestyle, then walked away from the social networks and of music and it seems that all that time was dedicated to build a better version of herself!

During this time we know that it underwent a rigid diet (some media say that was the of Sirtfood), where reduced your calorie intake in half and drinking many green juices. However, what completed the weight loss of MORE than 45 kilos was the training of pilates with Camila Goodis, better known as the magician of the body brazilian.

Getty ImagesGoodis told the tv host in London, Lorraine Kelly: it Is a good diet for losing weight. The first week is intense, green juices, and only 1,000 calories.

The newspaper The Sunrevealed that Camila met Adele when I was training Aid, the wife of Robbie Williams, as the two were friends and used to train together. Camila said, when it came to exercise I did not know who she was and when it was, I thought, oh, it looks a bit like Adele. After meeting her he began to work with her.

And sure youre wondering, what training did you do? Goodis revealed that she wore a daily workout of pilates and core strength, although that only helped her maintain the figure that she had lost after losing weight. Claims that Adele is doing exercise, but he believes that the 90% is diet. Believes that the secret of his weight loss is to give up processed foods, sugar and fizzy drinks and incorporating more vegetables and soy to their diet.

Other sources told The Sun that Adele has been working in secret with other coaches as Dalton Wong (who also trains Jennifer Lawrence) and Joe Wickss, following his body coach plan: She is not the type of exercise in front of the other, so he schemes and plans at home, using your videos and tutorials.

What is fact, is that Adele it looks more radiant and safer than ever, but most of all, happy and healthy! In short, it is our body inspiration of this year.

If you want to start to move without leaving home or spending a fortune, in our Youtube channel we have our GLAM CAMPwith that we will make you to burn fat, tonifiques your muscles and more with routines fast and effective. Dont miss it!

Love will find a way: From bushfires to coronavirus – Bay Post/Moruya Examiner

Posted: April 3, 2020 at 2:43 am

news, local-news, anorexia, mental health, eating disorder, bushfires, coronavirus, wedding, relationship, south coast fires

From bushfires to coronavirus, so many people have had cherished plans put on hold in 2020. Madison Sternbeck-Rutter copped a double "doozy" - first when bushfires surrounded her Bodalla wedding venue in January, then when COVID-19 locked down her alternative venue in another state. Ms Sternbeck-Rutter grew up in Lilli Pilli but lives in Brisbane with her South Coast fiance. The couple wanted to be married at home on January 18. As fires bore down on the coast, fate separated them. Ms Sternbeck-Rutter's fiance had come home to see family, while she remained in Brisbane. "He flew down there for his dad's birthday and was stuck there over New Year's," she said. The coast had no power or mobile reception and Ms Sternbeck-Rutter could not contact him or her family. "I was so worried; I had no way to get in touch." Ms Sternbeck-Rutter is grateful her family evacuated safely and their home survived, unlike the 501 shire homes lost. Her family still hoped the wedding would proceed. "Some family and friends wanted it to go ahead; after all the disaster it was something to look forward to with everyone coming together," she said. "But there wasn't any confirmation of ongoing power, or roads staying open." As bushfires continued to rage, the wedding was cancelled. "The owners of the venue at Trunketabella Gardens evacuated to Canberra," she said. READ MORE: News relating to the coronavirus pandemic Ms Sternbeck-Rutter searched for a new venue and booked Brisbane's Walkabout Creek for July 3, only for coronavirus to cause another roadblock. "It has been a bit of a doozy," she said. "It's not as bad, because it's the same venue, same everything - we are just postponing," she said. Family are still prepared to travel from overseas and interstate for the couple's third attempt in December. "Everyone has been so great," she said. Ms Sternbeck-Rutter did not wallow in a "pity party" - she's learned a lot about mental health in her young life and shares her story in the hope of helping others. Coping with change has been a challenge for Madison Sternbeck-Rutter. After moving from Canberra to Brisbane last year "I fell in a ditch," the former Lilli Pilli resident said. She missed her friends and routine, but planning her wedding kept her on track - including planning to be a healthy weight. That meant gaining weight. Ms Sternbeck-Rutter suffered from anorexia nervosa as a teen. Anorexia occurs in about 0.5 percent of girls and young women and has the highest death rate of all mental illnesses. As a teen, Ms Sternbeck-Rutter ran competitively. Exercise was her outlet, but it became unhealthy. "I run to get rid of anxiety and stress; but when I run, I get very controlling with what I eat," she said. "It would result in extreme weight loss. With the weight loss, would come an increased level of obsessiveness - it's a downward spiral. "When there's something to deal with I go straight to that pattern of thinking." She was hospitalised at 14, and again last year "because the doctor said I could drop dead". "There are certain medical markers: my blood count was low, my heart rate was 32 and my liver was failing. It was bad ... and it's silent." It has been a rocky road to recovery, but to pick herself up she set a goal to reach a healthy weight and fit her wedding dress: "I worked really hard from a mental and physical perspective." READ MORE: Vulnerable coast families at risk before fires, COVID-19 When fire cancelled her January wedding, she felt crushed. "All the psych sessions, dietitian visits, times I was feeling sick and not running - was it worth it?" she said. "I just have to keep going, and remind myself 'yes, it is'." The dream of starting a family and the support of her fiance are her keys to health. "I want a family with him and that life - but you can't when you're unwell," she said. "It hasn't been an easy ride for him either. "The strongest motivator is what it does to people around you. It isn't worth it - the stress and strain it puts on your family and your friends." Ms Sternbeck-Rutter sees girls who are unwell: "You can just tell." She wants to "hug them" and say "get better, you will be okay", but she knows they must "find that intrinsic motivation". If you or someone you know requires support, help is available. To visit the Beyond Blue website, CLICK HERE, or call 1300 22 4636.