| Search Weight Loss Topics: |
Posted: January 29, 2020 at 5:46 pm
The Food and Drug Administration (FDA) has expanded the approval of Sabril (vigabatrin; Lundbeck) to include treatment of refractory complex partial seizures (CPS) in pediatric patients aged 2 to <10 years of age who have inadequately responded to several alternative treatments and for whom the potential benefits outweigh the risk of vision loss. Previously, the treatment had only been approved for CPS in patients 10 years of age and older.
The approval was based on data from 3 randomized, double-blind, placebo-controlled, parallel-group, adjunctive-treatment studies in patients aged 3-16 years with uncontrolled CPS with or without secondary generalization (N=373). Data from these studies were pooled and used in a pharmacometric bridging analysis, which consisted of defining a weight-normalized dose response, and showing that a similar dose response relationship exists between pediatric patients and adult patients when Sabril was given as adjunctive therapy. The dosing recommendations in pediatric patients 2 to 16 years of age were derived from simulations using these pharmacometric dose-response analyses.
Commenting on the approval, Darcy Krueger, MD, PhD, Director of the Cincinnati Childrens Hospital Medical Center Tuberous Sclerosis Complex (TSC) Clinic, said: Vigabatrin has been used safely for many yearsyet patients were having difficulty getting medication approved by their insurance because the previous FDA approval didnt include patients aged 2 to 10. We were able to work with TSC Clinics like ours with considerable experience treating children in this age range to collect safety and efficacy data so it could be included in the FDAs new review.
With regard to safety, among pediatric patients with CPS, weight gain was observed to be the most common adverse reaction. Sabril carries a Boxed Warning regarding the risk of permanent vision loss. Because of this risk, the drug is only available through a restricted distribution program called the Vigabatrin REMS Program.
Sabril is also indicated for use as monotherapy for pediatric patients 1 month to 2 years of age with infantile spasms for whom the potential benefits outweigh the potential risk of vision loss.
The product is supplied in 500mg tablets and 500mg packets of powder for oral solution.
For more information visit sabril.net.
Read more:
Sabril Approved for Younger Patients With Complex Partial Seizures - Monthly Prescribing Reference
Posted: January 29, 2020 at 5:46 pm
WHEN anyone sets off on a quest to lose weight, the first thing they usually want to know is the amount of weight they can lose in a week.
And, of course, everyone wants that to be a big number.
1
However, it's important that people know what is really possible in just seven days when it comes to blitzing body fat - before setting unrealistic weight loss goals.
The number of pounds you can shed differs from person to person because of different factors including your gender, how active you are and your starting weight.
The NHS recommends using a BMI calculator to work out how much weight you need to lose in the first place before trying to lose weight.
Then, the amount you drop over the course of just one week has to do with how many more calories you burn than you take in.
According to experts, a pound of fat is accumulated when you eat 3,500 calories more than you burn.
So, if you eat 3,500 calories a week less than you burnall else being equalyoull lose around a pound. If you manage a deficit of 7,000 calories, youll lose two.
The NHS says that one to two pounds in a week is a safe amount to lose if youre doing it gradually and steadily.
And they warn that losing weight any faster than this can increase the risk of health problems, including malnutrition and gallstones - and it can make you feel tired and unwell.
Similarly, Slimming World encourages members lose an average of one to two pounds a week, adding: "this is a realistic and achievable goal for most people".
They say: "Being too restrictive and losing more than one to two pounds a week on a long-term basis can result in losing excess muscle tissue as well as body fat, and will increase the likelihood of you regaining your lost weight."
Despite this, weight management expert Lauren Slayon says some people can lose more than a couple of pounds in one week but this is mainly down to the loss of body water.
NHS weight loss tips
The NHS has shared five simple actions that will start your journey towards a healthy weight:
And Lauren points out that those who lose more than a couple of pounds a week are more likely to put itback on again.
She told Prevention: "People who try to lose weight in a week or a month are going to gain it back."
She also warns that it's important not to crash diet - as this can result in losing excess muscle tissue as well as body fat.
"Were not into double workouts, laxatives, counting and aggressively skipping calories, skipping meals or anything that leaves you feeling poorly," Lauren says.
AB FAB Diet tips behind personal trainer's physique - including 6 meals & dessert every day
Cline's transformation Cline Dion weight loss - how did the singer lose weight?
GOING TO THE MC-GYM Katie McGlynn weight loss - how did the Corrie actress lose weight?
TOP TIPS Want to lose weight and keep it off? Three things to add to your daily routine now
MC-GYMM Corrie's Katie McGlynn shows off one stone weight loss after 12-week transformation
MCDIET Woman who scoffed 4 McDonald's a day sheds 11st in months
WEIGH HEY Dont bother with the gym and keep your diet simple - 6 tips to burn fat faster
HEAVEN SENT Treat diet might be the best way to lose weight - and keep it off, expert says
WEIGH HEY Don't shop hungry and 10 other tips for shedding the pounds
If you really want to look thinner in a week she recommends eating de-bloating foods including avocado, asparagus, dandelion tea, lemons and parsley.
She claims these foods will make you feel a little less puffy.
But in general, if you're doing it safely, you shouldn't be losing more than a couple of pounds a week on your weight loss journey.
Read more:
How much weight can you expect to lose in a week according to experts - The Sun
Posted: January 29, 2020 at 5:46 pm
Just before dawn in January 2018, 27 barges were floating like a net along the banks of the Ohio River, downstream of the city of Pittsburgh. Instead of fish, the fleet caught chunks of ice that broke off in the warming, fast-moving waters as it waited for a tow through the nearby Emsworth Locks and Dams.
The area had experienced record rainfall, and the river rose more than 12 feet in about 30 hours. The barges, some loaded with coal and cement, were lashed together with steel cables in a grid-like pattern, then secured to pilings equipped with large metal mooring rings.
Crews had worked through the night to monitor the cable tension as ice and rising waters caused the lines to tighten. At 6:15 a.m., a towing vessel captain saw sparks.
His vessel and all of the 27 barges began drifting downstream, propelled by the fast current and extreme weight of ice. Unable to control the barges, the towing vessels saved two and let the rest go.
In the first light of day, they reached the Locks and Dams and met their fate. Seven flowed through the open lock gate. Three hit the dams and sank, taking their cargo with them. The rest grounded on the banks of the river or lodged themselves between the dams and the raging river.
As is typical with marine accidents, no single factor can be blamed. But federal investigators determined the problem that pushed everything over the edge was the weather. The same day, just south of Wheeling, West Virginia, another 27 barges set loose on the Ohio River due to increased rainfall and ice buildup.
Over the past decade in the Ohio watershed, which encompasses 15 states from southwestern New York to the northeast corner of Mississippi, extreme weather has been cited more and more frequently as a contributing cause in serious marine accidents. At the same time, a KyCIR analysis found that shipping of hazardous materials like crude oil and kerosene are rising.
These issues have ramifications all along the Ohio River, but particularly in Louisville, home to one of the most difficult passages to navigate. As the conditions on the Ohio and its cargo become more hazardous, key regulatory organizations struggle to keep up with the growing demands of this water highway.
More Serious Marine Accidents
Inland marine accidents dont attract as much publicity as accidents on the oceans. Generally, inland vessels are much smaller, and fewer deaths result from single incidents.
But navigating inland waterways can still be a treacherous endeavour, made more hazardous when the river is high. A 2017 U.S. Army Corps of Engineers report estimates that up to 50% more water could be coursing through the Ohio River watershed within this century due to climate change.
The rivers rise obscures river banks and changes river beds. It creates currents that can pull vessels off course, or throw debris into mariners paths.
KyCIR analyzed federal data from 2010 to 2018 on serious marine accidents, which the U.S. Coast Guard defines as incidents involving death or serious injury, excessive property damage or a discharge of hazardous materials.
Nearly 3,400 marine incidents occurred in a nine-year period in the Ohio watershed. In 2010, about 8% were serious. By 2018, serious incidents accounted for 12%.
Incidents citing high waters as a contributing factor are on the rise, data show.
Coast Guard serious incident reports from 2010 to 2015 occasionally cited high waters or fast-moving currents as contributing factors to the accidents. But these terms began to show up more frequently in accident descriptions starting in 2016, data show.
In one 2018 incident near Louisville, barges loaded with crude oil condensate got stuck on the river bank. The pilot struggled to avoid being overtaken by strong currents.
Liam LaRue, chief of investigations for the Office of Marine Safety at the National Transportation Safety Board [NTSB], said the agency has noticed more and more accidents tied to high rivers.
We'd get a few accidents a week, and they were all just high-water related, LaRue said. That's definitely something that we've seen a lot of.
NTSB only investigates major marine accidents, which involves six or more fatalities, $500,000 of damage or the total loss of a vessel.
LaRue has been with NTSB for 14 years, and he said their normal annual workload is between 30 and 40 major cases nationwide. Last year was a record year for his team, he said: they investigated 52 major marine accidents. Most happened on oceanic routes or at coastal shipping ports. But inland accidents like the Emsworth barge breakaway outside of Pittsburgh make the list because of the costly property damage they leave in their wake.
And these accidents are not uncommon in the Ohio watershed, in part because the Ohio River is so difficult to navigate.
Louisvilles section of the Ohio River is one of only 12 places in the country with a Vessel Traffic Service essentially an escort system to help vessels navigate dangerous or congested stretches of river. It is the only inland traffic service and the only one that operates solely during times of high water.
Louisvilles service was established in 1973 after a series of accidents, such as the February 1972 incident when a barge carrying chlorine gas became lodged in the McAlpine dam, threatening lives and requiring the evacuation of the nearby Portland neighborhood.
Between 2012 and 2016, Louisvilles traffic service was activated for an average of 59 days a year. In the last two years, it was active for 151 days and 130 days, respectively.
More Hazardous Cargo
More than 180 million tons of cargo travel up and down the rivers of the Ohio watershed each year, according to a KyCIR analysis of commodities data from the U.S. Corps of Engineers. The river carries shipments of food, alcohol, fuel, construction supplies and even rocket parts.
More and more, those cargo vessels are carrying non-solid fuels.
Kerosene shipments increased 1,372% in 2017 when compared to data from 2000. Crude petroleum shipments increased 675%. By contrast, coal and lignite shipments decreased 35%.
This trend follows the decline of coal and the increase in natural gas production in this region. Less coal is being mined as more companies go bankrupt and coal becomes harder to extract. Power plants are retiring coal generators in favor of natural gas units, which are not only cheaper but cleaner.
But the non-solid materials taking their place are more hazardous to ship. When a coal barge sinks, it generally stays in one place, said Sam Dinkins, a technical programs manager at the Ohio River Valley Water and Sanitation Commission, an interstate water quality agency known as ORSANCO. But when an oil or liquid hazardous material spills, things get messier, faster.
Containment of that release becomes problematic because it's going to flow with the river downstream, Dinkins said. And so it spreads out, along with the river flow.
In many cases, the liquid can change the composition and quality of the water water that residents in the watershed ultimately drink.
The Louisville water supply faced a potential disaster in December 2017. A barge holding more than 300,000 gallons of liquid fertilizer broke in half just south of Cincinnati, Ohio, threatening the citys water supply downstream.
This particular spill wasnt due to high water, but it illustrates the potential for danger. As thousands of gallons of urea ammonium nitrate drifted downriver toward Louisville, the citys water authority took action.
This spill was unique because it wasnt like an oil spill where you could see it on the river, Louisville Water Company spokeswoman Kelley Dearing Smith told WFPL in 2017. The chemical was soluble, so our scientists really had to track the spill ... to understand how this plume was moving.
In this case, rain diluted the contamination, and helped it move swiftly through the city. But less than a month later, the rain would cause the barge breakaways near Pittsburgh and in West Virginia.
These inland spills may seem less catastrophic than ocean spills, but theyre more likely to cause harm to the surrounding area, said Lt. Cmdr. Takila Powell, U.S. Coast Guard marine investigations supervisor for the district that includes most of the Ohio watershed.
When you have an oil spill on an inland river, Powell said, water is more shallow and the currents are different than on the ocean. It takes a lot less oil to pose a big threat.
And plus, there's a higher chance of impact to the shoreline because you're on a river and there's two banks on either side, Powell said. So at least one could potentially be impacted.
Whats Being Done
Government agencies and regulatory bodies say they are working together to improve safety and mitigate harm after accidents occur. But change is slow to come.
For example, Congress passed legislation in 2004 that established mandatory inspections for towing vessels. But mandatory inspections didnt actually begin until 2018, nearly 14 years later.
But as each year brings more volatile weather than the year before, the agencies say theyre trying to be proactive, rather than reactive.
Only recently did the NTSB begin documenting its accident investigations with an internal database. LaRue said the effort will help provide a better idea about trending and things like that, and hopefully spot safety issues.
Such a database, when implemented, could help NTSB create a recommendation report on how to avoid weather-related incidents in the future, but the NTSB still lacks enforcement power. Even if its investigators identify safety protocols that could help mariners deal with extreme weather, it would be up to the Coast Guard to implement them.
Currently, the Coast Guard maintains and operates regional plans that help mariners respond to hazards such as high water or inclement weather on specific stretches of river.
Powell said that during times of high water, the Coast Guard subsectors hold conference calls to discuss river levels, vessel restrictions and weather and river forecasts.
Those forecasts are available for mariners from the National Oceanic Atmospheric Association [NOAA], which uses various data points about rainfall and terrain to predict how waterways will react to extreme weather up to 10 days ahead of time.
That gives them the opportunity to make decisions that are going to help them navigate the rivers safely if the water is coming up quickly, said Trent Schade, hydrologist in charge of NOAAs Ohio River Forecast Center. They have an opportunity to move their boat into a safe harbor.
But these forecasts give only a short lead on the future of the river. Both the Coast Guard and NOAA say they arent focused right now on climate changes long-term impacts on river safety. When it comes to next year or the next 10 years, the state of the water is much murkier.
Alexandra Kanik is the data reporter for Kentucky Center for Investigative Reporting which is part of Louisville Public Media. She can be reached at akanik@louisvillepublicmedia.org
Caitlin McGlade contributed to this report.
Good River: Stories of the Ohio is a series about the environment, economy, and culture of the Ohio River watershed, produced by seven nonprofit newsrooms. To see more, please visit ohiowatershed.org.
Read more here:
High Waters, More Hazardous Cargo In The Ohio Watershed Complicate The Job Of Keeping Waterways Safe - West Virginia Public Broadcasting
Posted: January 29, 2020 at 5:46 pm
There are four periods of time when runners are most vulnerable to injury.
Most running and jogging injuries are caused by recurring factors that runners and joggers can often prevent or avoid:
What causes running injuries?
There are four periods of time when runners are most vulnerable to injury:
--During the initial 4 to 6 months of running
--Upon returning to running after an injury
--When the quantity of running is increased (distance)
--When the quality of running is increased (speed)
Training errors are the most common source of injury, particularly lack of adequate stretching; rapid changes in mileage; an increase in hill training; interval training (going from slow speeds over long distances to faster over less ground); and insufficient rest between training sessions.
Running and Jogging Injuries
Runners should also keep in mind potential anatomic abnormalities:
--Hip disorders typically manifest themselves as groin pain. Back discomfort that radiates down the leg is cause for referral to a sports medicine specialist.
--The patella (kneecap) is a common site of overuse injuries that can benefit from a 20 minute ice massage, a program of stretching and strengthening of the hamstring and quadriceps muscles, and a short course of an over-the-counter anti-inflammatory medication. Surgery is rarely indicated.
--Ankle laxity can lead to frequent ankle sprains and pain. Beneficial treatment includes muscle strengthening to increase stability, shoe modification to alter gait, and change of a running surface. Foot problems in runners are related to foot.
How are running injuries treated?
The basic approach to treating running injuries includes rest or modification of activity to allow healing and reduction of inflammation. To avoid overuse injuries, or to allow for a safe return to running after a break, a runner should follow the 10 percent rule (limit the increase in weekly mileage or pace by 10% per week). Thus, if you are running 10 miles per week and want to increase your training regimen, run 11 miles the next week, and 12 miles the week after that. This program should be followed while flexibility, strength, and endurance are restored. When severe pain, swelling, loss of motion, and/or other alterations in running form are present, immediate medical treatment is advised (see reverse for specific injuries).
Cross-training can be extremely beneficial to the runner in times of recovery from injury or when starting out a running program. This may involve swimming, aqua jogging, stationary bike, or any other low impact activity that helps build endurance. Start with a higher percentage of low impact activities and then increase your mileage while decreasing the cross-training activity.
The goal of rehabilitation is to safely return the runner to the desired level of running. Remember, training errors constitute the most common cause of injuries. A well-planned program prevents injury while benefiting the athlete.
Prevention running/jogging injuries:
When selecting a running shoe, the athlete should look for a style that will fit comfortable and that will accommodate his or her particular foot anatomy. When a shoes mileage exceeds 500600 miles, it should be replaced.
The ideal surface on which to run is flat, smooth, resilient, and reasonably soft. Avoid concrete or rough road surfaces. If possible, use community trails that have been developed specifically for jogging and running. Hills should be avoided at first because of the increased stress placed on the knee and ankle.
During warmer, humid weather, increase fluid intake; in cool weather, dress appropriately. It is often helpful to weigh yourself before and after running on a hot, humid day. One pint of water should be consumed for every pound of weight lost. Avoid running during extremely hot and cold temperatures or when the air pollution levels are high. When running at higher altitudes, the runner should gradually acclimate to the lower oxygen levels by slow, steady increases in speed and distance
Pre-participation Musculoskeletal Health Assessment can identified asymmetries and imbalances. Integrated Health provides a 3d imaging musculoskeletal assessment. The assessment tool is state of the art technology utilized by Professional Sports and Corporations for preventing and increasing performances. For more information on the assessment contact Jeff Faucheux LAT, ATC,CES at 225-933-1526.
Integrated Health is a health management solutions company that promotes musculoskeletal health via active and passive range of motion assessments. Benefits include injury prevention, improved performance, faster recovery, and feeling healthy. Jeff Faucheux LAT ATC CTPS CES specializes in Ergonomics in the Workplace. Brandon Albin, MHRD, ATC, director of musculoskeletal assessments, is a former Division 1 collegiate director of sports medicine who specializes in injury prevention and corrective exercise. http://www.integrated-health.com, 800-292-1617, Choices Family Medical Clinic.
See more here:
Integrated Health: running and jogging injury prevention - Post South
Posted: January 29, 2020 at 5:46 pm
Staying healthy while travelling means you can spend more time enjoying yourself so take precautions.Xavier Mouton Photographie on Unsplash
With the news of the coronavirus, a flu-like illness that started in Wuhan, China, making headlines, falling ill abroad is top of mind for many. And while this and other past viruses, like SARS and swine flu, can cause serious outbreaks and cause for concern, there other more common illnesses that you can still easily catch while travelling.
Read on to discover five of the most common illnesses you can get abroad, plus some advice on how to avoid them in the first place.
Where: Anywhere, though places with poor food handling and sanitation are higher risk
Theres no mistaking that rumbling feeling that strikes your lower guts before a bout of travellers diarrhea. Its the most common sickness people face when travelling. Generally, you wind up with travellers diarrhea by eating or drinking something thats been contaminated with a variety of bacteria, including E. coli or salmonella. Symptoms include sudden diarrhea, painful stomach cramps, fever and vomiting. Usually, it will clear up on its own within two days to a week.
How to avoid it: Always choose a safe water source (avoid tap water in certain places) and ensure that the spots youre dining at are preparing food safely. Wash your hands with soap and water often to avoid the spread of gems. Opting for hot/cooked foods and skipping undercooked meats can also help.
Where: the Caribbean, Central and South America, Southeast Asia and even parts of the United States, like Hawaii
Mosquitoes arent just worth avoiding because of the relentless itching caused by their bites. Dengue fever is the number one mosquito-borne virus, despite zika getting more media play as of late. Dengue symptoms, which include headache, body pain (and specifically eye pain), nausea and vomiting come on rapidly once youve been bitten by an infected mosquito. Following infection, a rash will also present itself.
How to avoid it: Use bug spray when in mosquito-dense areas and cover up at dusk and dawn when theyre most active. In some cases, sleeping beneath a bug net can also keep the pests at bay while you rest.
Where: Parts of the Caribbean, Mexico, Southeast Asia, Central and South America, Africa and parts of the Middle East
Malaria is another sickness that you can get from mosquito bites. It causes unpleasant flu-like symptoms including chills, sweating, headache, nausea and vomiting and abdominal pain.
How to avoid it: Like dengue, malaria can be avoided by using mosquito repellent and covering your skin. Some people might choose to use prescription medication that provides protection from the disease, which can be taken orally two days before you arrive in an at-risk area and for four weeks after you get home.
Where: Worldwide
Tetanus, also known as lock-jaw syndrome, is a bacterial infection that you get from cutting yourself on a dirty metal or stepping on an old, rusty nail and puncturing your skin. It will cause severe stiffness of the jaw and neck muscles, tremors and difficulty swallowing and in many cases, death.
How to avoid it: Stay vaccinated. If youre unsure when you had your last tetanus shot, visit your medical practitioner to determine whether you need a booster or fresh round of vaccinations.
Where: Most common in South and Central America, Asia and parts of AfricaTuberculous, also known as TB, is a bacteria that can be spread by coughing, sneezing or even speaking, which makes it incredibly contagious. It causes a persistent cough that result in coughing up blood, as well as chest pain, weight loss and chills. Many people die from TB.
How to avoid it: The Bacillus CalmetteGurin (BCG) vaccine, which is most commonly administered during childhood here in Canada, is the best form of protection against TB.
Continue reading here:
The 5 most common travel-related illnesses and how to avoid them - Canada.com
Posted: January 29, 2020 at 2:45 am
The Keto diet has managed to break out of its label as the latest trendy diet because of its proven rate of success with weight loss.
However, anew study conducted by a team of Yale researchers addresses the potential setbacks associated with adopting the Keto diet long-term with the help of mouse models.
The report, which was published in the January Issue of Nature Metabolism, posits that over limited periods of time a high-fat low-carb diet can greatly reduce a followers risk of developing diabetes and inflammation but after one week these positive effects begin to diminish as a result of the very mechanisms that fostered them.
The Keto diet works by forcing the body to use alternative sources for fuel via prolonged exercise and or starvation.More specifically, followers obtain 99% of their calories from fat and 1% from carbohydrates.
Once the body is tricked into thinking that its starving it will start burning fat instead of carbohydrates in order to preserve energy. Eventually, chemical byproducts called ketone bodies are produced.Ketone bodies serve as alternative energy sources for organisms during periods of glucose scarcity.
The immediate benefit of this process has to do with tissue-protective gamma delta T-cells. These begin to spread throughout the body as a direct result of ketosis.
This reduces diabetes risk and inflammation, and improves the bodys metabolism, explained Vishwa DeepDixit, the Waldemar Von Zedtwitz Professor of Comparative Medicine and of Immunobiology. After a week on the keto diet, mice show a reduction in blood sugar levels and inflammation.
The problem is fat break down and fat storage began to happen at once, which means the rodents consumed more fat than they could possibly burn. Eventually, those essential gamma delta T-Cells diminished and the likelihood of the subjects developing metabolic disorders surged dramatically.
This new metabolic consequence joins a slew of previously established ones.
Many experts believe that limiting your carb intake to 1% over a long period of time makes it extremely difficult to include important sources for vitamins and minerals found in foods like fruits, beans/legumes, and whole intact grains. In addition to energy preservation, carbohydrates promote tissue synthesis, provide us with our recommended value of macro-nutrients and prevent the development of several kinds of chronic illnesses.
For individuals that need to lose quickly for whatever reasons, tweaking your metabolism to augment fuel sources seems to be the trick. Experts just urge followers to consults a nutritionist to determine how long and how rigidly they ought to restrict carb intake.
Before such a diet can be prescribed, a large clinical trial in controlled conditions is necessary to understand the mechanism behind metabolic and immunological benefits or any potential harm to individuals who are overweight and pre-diabetic, Dixit said in a press statement.
Its important to note that more research needs to be done before a categorical threshold can be translated to human trialseven in consideration of the striking genetic similarities we share with mice. The most important citation motioned in the new study relates to the benefits and setbacks afforded by ketosisa counterbalance that is defined by dietary indecision.
The new data meets supporters and critics in the middle. The researchers maintain that the diet has its functions; both as a quick and effective measure for weight loss and a provisional means of decreasing ones risk for chronic illness.
However, very few fad diets warrant indefinite adherence.
Our findings highlight the interplay between metabolism and the immune system, and how it coordinates maintenance of healthy tissue function, said Emily Goldberg, the postdoctoral fellow in comparative medicine .
In other words adopting the Keto diet in short spurts instead of committing to it long term appears to be the more effective method.
The new paper, titled,Ketogenesis activates metabolically protective T cells in visceral adipose tissue was co-authored byEmily L. Goldberg,Irina Shchukina,Jennifer L. Asher,Sviatoslav Sidorov,Maxim N. ArtyomovandVishwa Deep Dixitand can be read in full in the journal Nature Metabolism.
Go here to read the rest:
This is how Yale researchers say to approach the Keto diet - Ladders
Posted: January 29, 2020 at 2:45 am
Do any of your New Years Resolutions involve losing weight? Exercising more? Sneaking more self care into your day?
If any of these apply to you, there are healthy ways to achieve these resolutions and turn them into a way of life. Instead of dreading the ideas of losing weight and exercising more, think of it as learning how to eat cleaner and be more active. There isnt a clear answer to anyones goals, but here are some words of wisdom from people in the profession on how to crush your goals while being mindful of how you are achieving them.
There are countless ways to lose weight, but it is important to have the perspective that youre simply switching to a healthier lifestyle. Diet culture is based on people doing different diets to fit into the thin ideal. If you dont fit the mold, you are negatively stereotyped.
Before diving into healthy eating, registered dietician nutritionist and certified intuitive eating counselor Tyler Rolling said people should question why weight loss is a goal in 2020. She asks students why theyre trying to lose weight and if self worth or fitting in is the motive, because she said losing weight wont fix that.
When people have weight loss as their New Years resolution, I want to know what part of you doesnt feel good enough, Rolling said. Because thats what your resolution should be on, self love and compassion.
Rolling promotes intuitive eating as a healthy way to start the new year because for her, its about creating an authentic health model for an individual.
Intuitive eating is about discovering your body and relationship with food, a landscape that is always changing.
She begins by exploring a students ideas and beliefs about food. Then, she finds out which foods the student likes and have nutritional value. Rolling calls it dropping out of your mind and into your body. She advises students to become familiar with their own hunger and fullness cues as well as which foods satisfy them. If kale doesnt satisfy you, it wont motivate you to stay on your health kick.
Making sure you honor your hunger and respect your fullness, Rolling said. I emphasize getting in touch with hunger cues because too often people forget to eat or are restricting food which leads to overeating.
She tells students to eat every few hours to help with blood sugar and overeating. Starving during a busy day at school leads to overeating and cravings because our bodies crave fatty and sugary foods when we are starving as a survival mechanism. She advises bringing snacks to school, especially ones with high fiber and protein because that keeps you fuller longer. This could include trail mix, dried fruit or a protein bar.
Intuitive eating is a healthy approach to altering your lifestyle because its not a surface level, quick fix. It is personalized knowledge about yourself that can change your life. Eating foods you dont like and having personal obstacles in the way makes those habits unsustainable. The easier the lifestyle change is, the more likely you will succeed.
There is a learning curve and it can be challenging, Rolling said. Self discovery is empowering. If you can be that much of an expert about your body and enjoy eating, that is powerful.
If you want to learn more or to change your lifestyle, students can call Well-being & Health Promotion to book an appointment with Rolling or request group presentations by visiting their website. Rolling does free, one-on-one sessions with students.
Health is a giant puzzle with a ton of pieces. There is mental, emotional and physical health to be aware of and everything that can impact those such as stress, minimal sleep and eating habits. Rolling said a balanced diet leads to a healthy lifestyle which means being too lax or too rigid wont help.
Its all about balance and showing yourself compassion, Rolling said. Compassion is important because we wont always eat in line with our values, but instead of beating yourself up about it, by showing yourself compassion, you are more likely to engage in the preferred behavior next time.
Rolling mentioned how real change doesnt happen quickly, its a process. We forget about the journey, but that is where everything happens.
One of the biggest methods people talk about for losing weight is exercising. It is great for productivity, mood and health improvements, but that doesnt mean you need to get an expensive membership at a fancy gym to enjoy these benefits. Although that is an option, there are a million ways to work more exercise into your day.
Personal trainer and business owner Brian Tabor works at the Aztec Recreation Center. His business, Strong Made Simple, is based on helping people build strength, fitness and confidence.
He recommends people create a list of opportunistic exercises that they could incorporate into their everyday lives, such as parking on the opposite side of campus, jogging up ramps or taking the stairs. He also said if you are starting out at home, you could set a sticky note on your counter, and every time you pass it, do 10 counter push ups or 10 jumping jacks. Walking is also a great outlet because it burns calories without taxing your body too much. Tabor said it doesnt strain your mental energy and can be very restorative.
If walking is your choice, you could get an app that tracks your steps. Apple watches and Fitbits track your activity throughout the day, and iPhones have a built-in Health app that tracks steps, stairs and other movements throughout the day. Having a step count goal for the day might motivate you to make the walk to your furthest class. Some other daily health hacks include standing and maintaining good posture because this keeps your blood flowing and engages your core muscles.
Fitness accounts on Instagram are also a helpful outlet if you listen to the right ones. Many accounts can lead followers on or have complex workouts that seem impossible, but there are some truthful ones.
Instagram, and any social media, is one of those places where people only post their best selves, Tabor said. Its hard to find those people you can follow who are willing to be open and share their worst parts as well.
Tabor said to be aware that these kinds of accounts sometimes use surgery, filters and edits to look perfect. He encourages students and others to use the locator tool on Instagram. By searching the Aztec Recreation Center location, you can connect with people who are here and have similar goals as you. The gym is a social support network along with an exercise space. Using Instagram to connect with gym buddies can motivate you and make gym time a social, fun experience.
An example of an online inspiration who shares her journey is Kayla Itsines. She has her own fitness program called Bikini Body Guide, designed to show women that a bikini body is every type of body. She is also a trainer for the SWEAT app where she does workout challenges. She has sets of home workouts if you are looking to incorporate 5 to 20 minutes of home exercise.
If you have an Aztec Recreation Center membership, they offer classes you can incorporate into your week such as yoga, cycling, barre and pilates. There are also intramurals to join, or active clubs.
To achieve your exercising goals and to form healthy habits this new year, Tabor stresses self compassion and showing up. He said to not beat yourself up because that can create a shame spiral. To him, the most important thing is to show up because thats how to turn exercising into a habit. Consistency is key.
Its always great when people want to get started, but people tend to overdo it on goals, Tabor said. Set realistic goals. Have goals that are focused on actions instead of results.
Tabors final tip is to get good at one thing and then add another. Small steps are great for progress and confidence. When you have that confidence and feel strong, add another exercise to your day or routine. He also said to combine rewards and pain to continually motivate yourself. A reward could be watching a new Netflix series on a treadmill, and pain could be making a $20 bet with your buddy to go to the gym five days a week.
Overall health is a balance between mental, physical and emotional health. Mental health habits are just as important as exercise habits. Making space for yourself in your life is a necessity if you want a healthy balance.
Psychologist and Associate Director of the counseling center Dr. Martin Doucett stresses balancing sleep, exercise and nutrition. He said once you have that foundation you can build from there. Also, be constantly checking in on your psychological and emotional state to see if those are in a good place.
Physical health is absolutely connected to our mental and emotional health and well being, Doucett said. If anything is out of whack in those areas, it will affect your overall functioning.
Creating these self care goals for the new year is a great way to start somewhere, but continuing them past the first few weeks or month may prove to be challenging. Doucett said to take your goals and break them down as much as possible. This will make your goals more specific and achievable.
Then, you have to be mindful of your behavior because changing bad habits can be difficult. Doucetts tip is to keep your goals at the forefront of your mind by having reminders on your phone, writing down your goal-related achievements every week and checking in with a coach or friend.
He said routines, support and habits can all help with turning goals into a lifestyle. Consider motivating yourself by joining a group centered around your goals or getting a mediation app that reminds you to stop and breathe. Being aware and conscious of your goals and behaviors is a step for success. If you dont hold yourself accountable or have someone else keeping you accountable, it can be easy to forget and fall back into old habits.
Little self care routines can make all the difference in the world, Doucett said. When you are trying to start new wellness habits, you really have to make it a priority and schedule it. You have to find support for it. You have to enroll people in supporting you to maintain new behaviors.
Another important tip is to have realistic goals. Doucett said it is common for people to take on more than they can handle, and then they blame themselves for failing. When this happens, he said it is important to adjust your goals and accept those adjustments.
When students hit a bad place, they think they arent good enough, but its just how much they have on their plate. Dont beat yourself up for not being able to take 21 units and work two jobs, Doucett said. Pay attention to your body and it will tell you what it can and cannot do. You have to do what your body and mind can tolerate.
He said self care is always important, but the older you get, the more important it gets. People need to balance work, rest and recreation activities to engage in a healthy lifestyle. If you dont have that balance, adjustments become necessary.
The counseling center encourages students to call the centers main phone number on its website. The center does a phone screening to evaluate what services you would benefit the most from. They offer individual counseling, group therapy and connections to resources in the community.
The rest is here:
How to switch resolutions to healthy lifestyles - Daily Aztec
Posted: January 29, 2020 at 2:45 am
Japanese water therapy involves drinking several glasses of room-temperature water every morning when you first wake up.
Online, its claimed that this practice can treat a host of problems, spanning from constipation and high blood pressure to type 2 diabetes and cancer.
However, many of these claims have been exaggerated or are not supported by science.
This article reviews the benefits, risks, and effectiveness of Japanese water therapy.
Supposedly, Japanese water therapy gets its name from being widely used in Japanese medicine and among the Japanese people.
It involves drinking room-temperature or warm water on an empty stomach after waking to cleanse the digestive system and regulate gut health, which according to proponents can heal a variety of conditions.
In addition, advocates of Japanese water therapy claim that cold water is harmful because it can cause the fats and oils in your food to harden in your digestive tract, thus slowing down digestion and causing disease.
The therapy includes the following steps that should be repeated daily:
According to practitioners, Japanese water therapy must be done for different periods to treat different conditions. Here are some examples:
Though drinking more water may help with constipation and blood pressure, there is no evidence that Japanese water therapy can treat or cure type 2 diabetes or cancer. However, drinking more water may bring along some other health benefits.
Japanese water therapy involves drinking several glasses of room temperature water when you wake up each morning. Adherents claim that this practice can treat a variety of conditions.
Though Japanese water therapy is not an effective treatment for many of the conditions its been claimed to improve, drinking more water can still result in some health benefits.
Additionally, following this therapy protocol may result in weight loss because it can cause you to restrict your calorie intake.
Using Japanese water therapy includes drinking several glasses of water per day, helping you stay adequately hydrated.
There are numerous benefits to adequate hydration, including optimal brain function, sustained energy levels, and body temperature and blood pressure regulation (1, 2, 3, 4).
In addition, drinking more water may help prevent constipation, headaches, and kidney stones (5, 6, 7).
Most people get enough fluid by simply drinking to satisfy their thirst. However, if youre very active, work outdoors, or live in a hot climate, you may need to drink more.
Practicing Japanese water therapy may help you lose weight via calorie restriction.
First, if you replace sugar-sweetened beverages like fruit juice or soda with water, your calorie intake is automatically decreased potentially by several hundred calories per day.
Additionally, sticking to regimented eating windows of only 15 minutes per meal, after which you cant eat again for 2 hours, may restrict your calorie intake.
Finally, drinking more water may help you feel fuller and make you eat fewer overall calories from food.
All this said, research on the effect of water intake on weight loss is mixed, with some studies finding positive results and others seeing no effects (8).
There are several health benefits of being adequately hydrated. In addition, drinking more water may help you lose weight through calorie restriction.
Japanese water therapy is associated with potential side effects and precautions.
Water intoxication, or overhydration, can occur when you drink an excessive amount of water in a short period of time. Its caused by hyponatremia or low salt levels in your blood due to salt being diluted by excessive fluid (9).
Its a serious condition that can result in death, but its rare in healthy people whose kidneys are able to quickly get rid of excess fluid. People at increased risk of hyponatremia include those with kidney problems, endurance athletes, and people who abuse stimulant drugs (9).
To be safe, dont drink more than about 4 cups (1 liter) of fluid per hour, as this is the maximum amount that a healthy persons kidneys can handle at once.
Another downside of Japanese water therapy is that it can be excessively restrictive due to its guidelines on the timing of meals and eating within a 15-minute window.
If youre trying to lose weight, excessive calorie restriction can lead to rebound weight gain after finishing the therapy. Restricting calories reduces the number of calories you burn at rest and causes spikes in the hormone ghrelin which increases feelings of hunger (10, 11).
Whats more, there is a risk of overeating or eating too quickly within the allotted 15-minute eating windows, especially if you feel more hungry than normal by the time youre able to eat. This can cause indigestion or lead to weight gain.
There is a risk of water intoxication, or hyponatremia, from Japanese water therapy. Additionally, excessively restricting calories while practicing the therapy may lead to rebound weight gain once you finish the practice.
Japanese water therapy is touted as a cure for a variety of conditions from constipation to cancer, but there is no evidence to support this.
The therapy supposedly cleanses your gut and helps regulate gut health, but no existing research confirms this. Water intake has a much smaller effect on the balance of gut bacteria than other factors like diet (12).
Furthermore, there appear to be only few upsides to avoiding cold water. Cold water does decrease your gastrointestinal temperature and may slightly increase blood pressure in some people, but it will not cause fats to solidify in your digestive tract (13, 14).
Before you consider using Japanese water therapy to treat a condition or disease, you should discuss it with your healthcare provider.
Its also important to note that Japanese water therapy should not be used as a replacement for medical care from a licensed healthcare professional.
Although there are some benefits to being adequately hydrated, Japanese water therapy has not been shown to treat or cure any disease. It should not be used as an alternative to medical care from a healthcare professional.
Japanese water therapy involves timing your meals and water intake, supposedly cleansing your gut and healing disease.
However, scientific evidence does not indicate that it works.
There are several benefits to adequate hydration, but Japanese water therapy cannot treat or cure any medical condition.
If youre dealing with a condition with which Japanese water therapy is claimed to help, you should consult your healthcare provider.
More:
Japanese Water Therapy: Benefits, Risks, and Effectiveness - Healthline
Posted: January 29, 2020 at 2:45 am
The latest lifestyle, fashion and travel trends
Bloating is one of the most common digestive issues. Studies have shown that over 90 per centof patients with irritable bowel syndrome (IBS) suffer with bloating. But, even people who dont have IBS can experience uncomfortable bloating.
Here, nutritionist and weight loss expert Kim Pearsonshares five potential causes of bloating, and what you can do to combat it.
Chew It
Its easy to forget, while we are speedily eating lunch at our desk, that the process of digestion actually starts with chewing. Chewing physically breaks down food and combines it with saliva which contains the digestive enzyme amylase. If youre not chewing your food thoroughly, your digestion can be compromised, which can lead to bloating. Eating too quickly increases your chances of swallowing air which also increases the chances of bloating.
Tackle it: Chew your food thoroughly before swallowing. This will support digestion and reduce your risk of gulping down air. Aim to chew each mouthful of food 30 times, or until it becomes soft with no lumps.
Eat to 80% full
Unsurprisingly, overeating is a common cause of bloating. It takes time for our brain to register that our stomach is full up, so eating too quickly means we can be full before we know it. There are also those times when we find ourselves feeling full but we carry on eating anyway! In these situations, getting up and walking away from the table can give us time to pause and reflect on whether we really want to carry on filling our faces.
Tackle it: As well as chewing your food thoroughly, try pausing and putting down your knife and fork between mouthfuls. Dont eat until you couldnt possibly eat another bite, but instead, aim for a feeling of 80 per centfull.
Slow eating: Chew your food around 30 times to prevent bloating (Photo by Simona Todorova on Unsplash)
Balance Your Bacteria
Probiotic beneficial bacteria line our gut wall and along with many other important functions, they aid in the digestion of food. A lack of these bacteria can compromise our digestive function and lead to bloating. Many things can cause low levels of these good bacteria in our gut, for example, taking a course of antibiotics, which can kill off good gut bacteria as well as the bad bacteria theyre designed to. In addition to this, pathogenic bad bacteria can sometimes reside in the gut, one symptom of which can be bloating.
5 reasons why you're not losing weight
Tackle it: We can support our beneficial bacteria with fermented foods such as tempeh, miso, sauerkraut and kefir. If you experience bloating alongside other IBS symptoms, its worth getting a comprehensive gut health testrun to establish whether theres an underlying cause.
Hormones
Fluctuations in hormones can be linked to bloating in women around the time of their period. Food cravings associated with this time of the month can also contribute to bloating if youre prone to overeating, or eating heavier foods that are more challenging to digest.
Tackle it: Make an effort to maintain a healthy diet around the time of your period, as tempting as it may be to gorge on pasta and chocolate. A couple of squares of dark chocolate can often combat chocolate cravings without making bloating worse.
Remove Blockages
Constipation can trigger bloating due to waste becoming backed up in the bowel. This can lead to gas building up behind the blockage, making the bloating worse.
Easy ways to cut down your alcohol intake
Tackle it: Ensure youre eating plenty of fibrous vegetables and drinking enough water. Exercising regularly can also help to get things moving. Avoid relying on laxatives like senna which can be irritating for the gut. If you suffer with chronic constipation, be sure to consult your GP.
Identify Food Sensitivities
For some of us, certain foods can be a trigger for bloating. Heavily processed foods and those containing wheat gluten are common culprits, but different foods can act as triggers for different people so its important to identify whats affecting you.
Tackle it: If you think a particular food is to blame, try keeping a food diary noting down what you eat and when you experience bloating to see if you can link a particular type of food to your bloating. Alternatively consider a food intolerance testwhich can help you pinpoint the food(s) that youre sensitive to.
While mild, infrequent bloating is common and unlikely to have an underlying cause of serious concern, certain conditions that cause bloating can be very serious. Its important to consult your doctor promptly if your symptoms persist or if your bloating is accompanied by pain, unexplained weight loss, loss of appetite, change in bowel movements, blood in your stools or vomiting.
Kim Pearson is a qualified nutritionist and weight loss expert based on Londons Harley Street. She consults clients in London and internationally via her virtual consulting room. For more information about Kim and the services she offers, visit her website.
Originally posted here:
5 causes of bloating (and how to beat the bloat) - Evening Standard
Posted: January 29, 2020 at 2:41 am
In January 2019, Martine Etienne-Mesubi had had enough. She was 42 years old, and she weighed 225 pounds. She couldnt play outdoors with Zoe, her 6-year-old daughter, without stopping to catch her breath. When we went to the park Id say, Hold on Zoe, lets take a break, lets wait for mom, lets sit down.' I hated that, she says.
Her second daughter, Ava, had been born a few months earlier, and Etienne-Mesubi ate whatever she wanted when she was pregnant and nursing. At 10 at night I would pull out a bowl of cereal or make toast, then go to bed right after. My eating habits were down the drain, she says. By the end of 2018 Ava stopped nursing, so the eating for two excuse wasnt cutting it anymore. Plus, Etienne-Mesubi was concerned about developing diabetes and hypertension, which run in her family.
She knew she had to take control of her weight and her health. Being 225 pounds and carrying on the way I was with no-holds-barred eating all the time, I realized cant keep eating like this.
After her first pregnancy, Etienne-Mesubi had lost weight by running and modifying her diet. She trained for 5ks, 10ks, and half marathons, and she watched everything she ate.
I was in that diet mentality. I thought, I cant have this, I cant have that, I dont want to gain weight. Looking back, it was really not a good place for me with food. I was obsessive about everything I was eating and all the exercise I was doing, she says.
She didnt see a path forward for weight loss. In my mind there was no way to do it except the way I did after my first daughter, and I was not feeling that energy, she says. I thought, Im older, we have two kids now, and Im tired. Theres no way Im running anywhere or doing any HIIT exercises, she says.
On Instagram she came across people who were losing weight with intermittent fasting and tracking their progress with the LIFE Fasting Tracker app. I didnt know what that meant. I thought people were just not eating. How do you not have breakfast or lunch? I couldnt grasp the concept, she says.
With a Ph.D. in epidemiology, Etienne-Mesubi put her research skills to work learning about intermittent fasting: I needed some science. I wanted to know what evidence existed to show this was a legit way to lose weight.
She discovered people had been fasting intermittently for years who said they were losing weight, feeling better, and reversing diabetes and hypertension. I was blown away by all the information I was finding, and a lot of it is based in science, she says.
Still, she was apprehensive. I love to eat, I love food, and I love to cook. My favorite store is Costco because theyre always giving you something to taste. I didnt know if I could manage not eating for however long, she says. But I decided to start the new year fresh, and this was how I was going to do it.
There are a lot of different options for intermittent fasting, and Etienne-Mesubi started with 18 hours of fasting and a six-hour eating window. In the beginning it was challenging but within two weeks it became very normal, she says.
Get the better newsletter.
She learned that hunger often comes in waves, and if she drank some water or tea, or read to get her mind off the hunger, the wave would pass. The minute I shifted my mind onto something else I wasnt hungry, and before I knew it, I was at my eating window, she says.
She had no trouble skipping breakfast, and sometimes wasnt hungry at noon, so she would push the start of her eating window to 1 p.m. or 2 p.m. and finish eating by 6 p.m.
She also fasted for 48 to 72 hours every week for about two months. Im not a medical doctor. I do have a Ph.D. in epidemiology, but I wouldnt recommend anybody do that without speaking to your doctor and doing your own research, she says.
By April 2019 she had lost 30 pounds and her eating window had shrunk to two or three hours a day. She decided to challenge herself with one meal a day (OMAD). She figured if it didnt work for her, she could revert to her regular intermittent fasting schedule.
She planned her daily meal for dinnertime so she and her family could all eat together, and she didnt restrict what she ate. Im Haitian and my husband is Nigerian, and we eat everything. I wasnt going to restrict my traditional foods, she says.
Over the holidays, Etienne-Mesubi continued with intermittent fasting but gave herself an expanded eating window of six or eight hours. We were celebrating, and I have no regret and no guilt for extending my window, she says. Even though I allowed myself extended time to eat, I didnt go crazy. I still enjoyed myself and my time with my family and kids. It was so freeing to know if I want to eat longer I can, and if I dont feel like eating anymore Im going to stop, she says.
After seven years staying home to care for her daughters, Etienne-Mesubi returned to work last November as a public health epidemiologist working in global health. She was apprehensive about rejoining the workforce and says her weight-loss success helped give her the confidence to do it. I thought, Martie, you lost all this weight, you can definitely go back to work you got this, she says.
Etienne-Mesubi shares her journey on her blog, podcast and Instagram. Anybody can do this. This is something you have control over, she says.
I feel amazing. I feel fantastic. I have newfound confidence, she says. Im saying yes to so many things. Im excited about life and my future with my family. Im a better mom and a better wife.
One meal a day (OMAD): Shell start with some nuts or guacamole and chips, and then have a traditional meal like Haitian rice and beans with oxtail and cabbage, or a big baby arugula salad with a bunch of things thrown in nuts, beets, broccoli, braised turkey necks, quinoa and chickpeas. Some days they might have avocado toast with eggs and cheese, or fish tacos. Salad is a mainstay.
I have one satiating meal in one sitting. Whatever that may be, I have that meal with my family and then Im done for the day. Thats why its important for the meal to consist of healthy and filling components, she says. Once I have eaten my meal, Im fully satisfied and wont eat until the next day. It takes time for your body to get used to eating this way but once you get into the rhythm of it, it becomes a daily habit.
And if Zoe asks for pizza or wants to bake cookies, Etienne-Mesubi is on board with that.
They always have dessert, which could be ice cream or cookies, or yogurt, granola or fruit. Im a big sweet eater, but I still try to get my daughter to choose fruits over ice cream or cookies, she says.
Samantha Cassetty, MS, RD, a nutrition and weight-loss expert with a virtual nutrition counseling practice based in New York City, says its important that Etienne-Mesubi realized that what worked for her in the past wasnt sustainable for her current lifestyle.
At some point, its difficult to maintain that level of exercise and rigidity over your food choices, which is why so many people throw in the towel. But you can eat better, find movement experiences that work for you, and get to a healthier weight without going to those extremes, Cassetty says.
She says that much of the research on intermittent fasting comes from animal research, which is interesting, but not conclusive. Based on the evidence we have, there seems to be some benefit to intermittent fasting, but the rules can be tough to follow, she says.
Intermittent fasting might not be a great choice if you:
Instead, you might want to consider the Mediterranean diet for health benefits, or a regular, calorie-restricted meal plan for weight loss.
She says many people might struggle with just one meal a day: Studies on intermittent fasters have high drop-out rates, suggesting how hard it is to ignore hunger and eat within limited windows.
Cassetty also is concerned that people who eat just one meal a day may not be meeting their vitamin and mineral requirements. Etienne-Mesubi says she chooses nutrient-dense meals with leafy greens, eggs, nuts, grains, and loads of veggies and takes a daily multivitamin supplement to ward off any deficiencies.
But there are some lessons we can learn from intermittent fasting, Cassetty says. For example, night-time eating is linked with an unfavorable metabolic shift that ups your risk of diabetes and other challenging, chronic conditions, so its a good idea for everyone to think about ways to curtail nighttime nibbling. A 12-hour fast is appropriate for most people, and can help create some structure in the evening, when people are prone to snacking.
Want more tips like these? NBC News BETTER is obsessed with finding easier, healthier and smarter ways to live. Sign up for our newsletter and follow us on Facebook, Twitter and Instagram
More here:
How one woman used intermittent fasting to lose 80 pounds in a year - NBC News
