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How to Lose Weight and Keep It Off – verywell.com

Posted: November 25, 2017 at 8:45 pm

Losing weight seems like a pretty easy concept, when you think about it. You eat less, exercise more and the weight is supposed to come off. The fact is, I'll bet you already know how to lose weight. If you're like most of us, you've probably lost weight many, many times...so many times, you're an old pro at it. You may even have your 'go-to' diet or exercise program, powering up your old Weight Watcher's account or starting back to the gym whenever the weight starts to creep up.

But what happens when you go off that diet or stop that workout program? You gain it right back, sometimes with a few extra pounds thrown in.

So what you really want to know isn't how to lose weight, but how to lose it and then make it stay lost...forever. There's no real secret to losing weight. The real challenge is making it permanent.

Weight loss is such a complex process, the only way we can really wrap our heads around it is to drill it down into a bunch of numbers. You already know these numbers, probably as well as any weight loss expert: You know that, to lose one pound of fat, you have to burn about 3500 calories over and above what you already burn each day. You don't really want to burn 3500 calories in one day, but rather to cut that down into daily calorie deficits, say cutting 500 calories a day with a combination of diet and exercise.

To go by the numbers, you have to go through a few calculations:

Your BMR is the most important part of the weight loss calculations because it tells you how many calories your body needs to maintain bodily functions such as breathing and digesting and well, existing. This is the minimum number of calories you need to eat each day. Important Note: No calculator is 100% accurate and these formulas don't take into account things like bodyfat, frame size or other factors that can make a difference in your BMR. More about your metabolism.

-Sedentary................BMR x 1.2 (little exercise)

-Lightly active...........BMR x 1.375 (light exercise)

-Moderately active.....BMR x 1.55 (moderate exercise)

-Very active.............BMR x 1.725 (hard exercise)

-Extremely active......BMR x 1.9 (hard exercise daily)

Example:

Mary is 46 years old, is 5'4" and weighs 165 pounds. These are her stats:

BMR = 1465Activity Level = Moderately Active (1.55)Food Calories = 2700TEF Calories = 270

Mary's BMR/Activity level is 2270. She's eating about 2430 calories a day (less her TEF). That means Mary is eating about 160 calories more than what her body needs, which could eventually lead to weight gain.

Is There an Easier Way?

There isn't an easier way to lose weight, but there is an easier way to figure out how to lose weight, if these formulas are a little too much for you. The absolute simplest involves one thing: Make small changes in your diet and activity levels every single day. With this method, you don't always know how many calories you're cutting, or how many calories you're burning. But, if you're doing more movement than before and you know you're eating less than before, you are creating a calorie deficit and the weight loss will follow, even if it's slow. Some ideas:

Total Calories Saved: 532 (based on a 140-pound person)

Source:

Donnelly, J.; Blair, S.; Jakicic, J.; et al. Appropriate Physical Activity Intervention Strategies for Weight Loss and Prevention of Weight Regain for Adults. Med & Sci in Sports & Ex: Feb, 2009. Vol 41, Issue 2.

Kelly, Mark. "Resting Metabolic Rate: Best Ways to Measure it - And Raise it, Too." ACE. Retrieved August 29, 2013. http://www.acefitness.org/certifiednewsarticle/2882/resting-metabolic-rate-best-ways-to-measure-it-and/.

There's no doubt that your diet is probably the single most important aspect of a weight loss program. Why? Think about it for a moment; you can easily eat just one wrong thing and end up eating more calories than you're burning, even if you exercise.

I don't say this to make you paranoid about every bite you take, but it's important to understand how this energy balance works so you can get it right.

Say you've been eating great all day, tree bark and lemon wedges, water instead of Coke, etc. You've been walking all day and you even finish a workout that burns another extra 350 calories. You rock.

Then you go to dinner and have two margaritas and a glass of wine along with dinner. Your drinks alone are worth up to 450 calories and, right there, you've canceled out your workout.

That doesn't mean you have to starve yourself or that you can't have a margarita from time to time. However, if you really want to lose weight, you have to commit to more exercise and less tequila.

How Much Exercise Do I Need?

Exercise is an important weight loss tool, but how much you need varies from person to person. The guidelines recommend at least 250 minutes per week, which comes out to about 50 minutes, 5 days a week. However, it's important that you choose the right workouts - Workouts you enjoy and workouts that take you into your target heart rate zone so you can burn more calories.

There are some workouts that are better than others for burning calories including:

The caveat is that these workouts are very advanced and done at a high intensity. If you're a beginner, even if you used to workout like a crazy person, start with a beginner program to avoid injuries, burnout and misery.

It takes time to build the strength and endurance for high intensity exercise.

Where to Start

You have lots of options for how to start exercising. You could put on some shoes and head out for a walk right now and that would be a great place to start. I also have some programs and articles that offer a little more guidance:

The real key to the weight loss process has nothing to do with actually losing the weight. Most of us can easily figure out how to cut enough calories to do that, right? What we can't figure out is how to keep that weight off.

There are a number of reasons we regain weight: Following unrealistic diets or exercise programs we can't sustain, for example, or completely giving up on healthy eating and exercise during the holidays.

We also tend to think that there's an end to all of this healthy lifestyle stuff. That, as soon as you lose the weight, you can finally enter the 'maintenance' phase of your program which, for many of us, means we don't have to exercise as much and we can finally stop monitoring every single bite we take.

Unfortunately, there is no maintenance phase to the weight loss process. To keep the weight off, you have to do at least as much exercise as you did to lose the weight and, frankly, you may have to do more. The more weight you lose, the less energy your body expends during exercise and the more you have to do to get the same results. Not fair, I know.

So, keeping the weight off has more to do with how you start the weight loss process than how you finish it. To that end, you have to set yourself up for success and to do that you'll need to find a few things:

Keeping the weight off would be so much easier if there were just one thing you had to do. And, depending on how you look at it, there is just one thing to do to keep the weight off and that is: Keep your calories balanced. It's that balancing act that requires constant maintenance because it changes from day to day. Getting your mental strategies in order is just as important as the physical strategies and it may help to think about it like this: At its heart, weight loss will happen if you just learn how to take care of yourself. Once you start doing that, you may be surprised that you don't care as much about the scale anymore.

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How to Lose Weight and Keep It Off - verywell.com

Weight Loss: Check Your Symptoms and Signs

Posted: November 25, 2017 at 8:45 pm

Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).

The loss of weight and lack of nutrition associated with a chronic illness is referred to as cachexia. Unexplained, unintentional weight loss is often a result of illness and should be evaluated by a health-care professional.

REFERENCE:

Kasper, D.L., et al., eds. Harrison's Principles of Internal Medicine, 19th Ed. United States: McGraw-Hill Education, 2015.

Medically Reviewed by a Doctor on 3/3/2017

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Weight Loss: Check Your Symptoms and Signs

Diet Point Weight Loss – Android Apps on Google Play

Posted: November 25, 2017 at 8:45 pm

Diet Point Weight Loss Coach comes packed with more than 130 weight loss diet plans, innovative meal reminders and complete grocery lists.

WHAT'S IN IT FOR YOUIt takes the guesswork out of dieting130+ complete diet plansDedicated shopping list per each diet planGives weight-loss estimate for each planIt will remind you when it's time for your next meal500+ tips to improve your weight loss planBMI (Body Mass Index) calculatorWeight tracker and monitorPersonal pocket-size weight-loss coach

INNOVATIVE MEAL REMINDERSMeal reminders are notifications that pop up every time it's time for your next meal. They will make sure you'll never miss another breakfast, lunch, dinner or snack again and thus drastically improve your weight loss process.

Featured on Health.com DietPoint made possible a life-altering 42-pounds slim down - Cynthia

JOIN OUR COMMUNITYDP on Facebook: http://facebook.com/dietpointDP on Twitter: http://twitter.com/TheDietPoint

Have you ever searched for the advise from a registered dietitian about which plans are the best for you, or what are the effects of master cleanse, low carb or paleo? DietPoint will take care of everything and will recommend right food just for you.

All users get access to 25 meal plans, shopping list and meal reminders, PRO users get exclusive access to more than 130 plans.

Still not convinced? Hit Install and give it a try. More than 5 million people (android + iphone) already did!

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Diet Point Weight Loss - Android Apps on Google Play

The Secret to Safely Cheating on the HCG Diet

Posted: November 23, 2017 at 8:42 am

If you're like most people on the HCG diet, you will have some trouble with diet boredom. You'll get tired of eating the same foods day after day. Because let's be honest, it's pretty darn strict. And after a while it can get draining, and you think of cheating on the HCG diet. You desperately want to lose the weight, and the HCG diet drops are working so far, but you start to wonder if the deprivation is really worth it.

Luckily for you, there is a way to cheat on the HCG diet without overly compromizing your weight loss! We previously wrote about the top 10 foods for cheating on HCG diet phase 2. These are foods that, while technically banned from the HCG diet, have actually worked for many people and allowed them to have a little variety and still lose the weight.

But cheating is always a risk. You can minimize the risk using this one tip that most people don't know about.

Here's the secret. Before you engage in HCG diet cheating, make sure you're in a regular pattern of weight loss with your HCG diet drops.

What's a Regular Pattern of Weight Loss?

Everybody loses weight in a different pattern. For most people, they lose weight in a stair-step fashion, meaning they lose a lot of weight for one or two days, then level off for one or two days. The length of the steps is different for everyone. It might be every other day, or every three days. Relatively few people actually lose a consistent amount of weight every single day.

Regardless of the exact weight loss pattern, many people find that they will lose a lot of weight in the first week and then start to slow down. Because of this, you shoud wait at least two weeks after starting the HCG diet before you try to cheat. That's how long it takes to establish your personal pattern of weight loss.

Go Ahead... Cheat!

Once you've figured out your own pattern, you can try cheating on your HCG diet. Eat one serving of that forbidden food. Don't scarf itsavor it. Then be good until your next morning weigh-in. If you haven't gained, wait one more day just to be safe, then rejoice! You have just found a food that you can cheat on the HCG diet with consistently and still lose weight.

On the other hand, if you find that you've gained weight, you'll know that the food you tried isn't for you. Be strict for the next 3 to 5 days until you know you're back on your regular pattern of weight loss. You can try the same food again if you want to make sure it wasn't just a fluke, or you can try something new. Don't cheat with more than one food at a time. You'll just increase your chances of gaining weight, and you won't know which food caused the problem.

Whatever You Do...

Whatever you do, make sure you're not in a plateau already when you cheat. Cheating during a plateau will only make it worse!

Of course, if you try cheating on the HCG diet too often you may end up stalling and jeopardizing your weight loss goalsnot to mention the waste of those HCG diet drops or injections you paid for. Don't take too many risks. Take deliberate, calculated risks using the cheating method in this article, and you'll be as safe as you can be while adding some variety to your diet and still losing as much weight as possible.

Originally posted here:
The Secret to Safely Cheating on the HCG Diet

Fast weight loss: What’s wrong with it? – Mayo Clinic

Posted: November 23, 2017 at 8:41 am

Why do doctors recommend a slow rate of weight loss? What's wrong with fast weight loss? Answers from Donald Hensrud, M.D.

The concern with fast weight loss is that it usually takes extraordinary efforts in diet and exercise efforts that could be unhealthy and that you probably can't maintain as permanent lifestyle changes.

A weight loss of one to two pounds a week is the typical recommendation. Although that may seem like a slow pace for weight loss, it's more likely to help you maintain your weight loss for the long term.

Remember that one pound (0.45 kilogram) of fat contains 3,500 calories. So to lose one pound a week, you need to burn 500 more calories than you eat each day (500 calories x 7 days = 3,500 calories).

Also, if you lose a lot of weight very quickly, you may not lose as much fat as you would with a more modest rate of weight loss. Instead, you might lose water weight or even lean tissue, since it's hard to burn that many fat calories in a short period.

In some situations, however, faster weight loss can be safe if it's done the right way. For example, doctors might prescribe very low calorie diets for rapid weight loss if obesity is causing serious health problems. But an extreme diet such as this requires medical supervision. In addition, it can be difficult to keep this weight off.

Some diets include an initiation phase to help you jump-start your weight loss. For example, the Mayo Clinic Diet has a quick-start phase in which you might lose six to 10 pounds in the first two weeks. You can lose weight quickly with an approach like this because it combines many healthy and safe strategies at once no gimmicks or extreme dieting.

After the initial two-week period, you transition into the recommended weight loss of one or two pounds a week, which gives you time to adopt the necessary lifestyle changes, such as eating a healthy diet and increasing your physical activity, necessary for maintaining weight loss over the long term.

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Fast weight loss: What's wrong with it? - Mayo Clinic

HGH Injections Where To Get HGH Injections Online

Posted: November 23, 2017 at 8:41 am

Just consider all the time that you have invested in making your health a stronger focus in the way you live your life now. That said, you still recall when you were younger and you could get away with eating cheeseburgers, taking in your exercise by way of running around with friends, having a great time outdoors or just playing sports. In a sense you had it made in the shade with no effort. It simply wasnt necessary back then to wonder what your IGF-1 levels were or if you might have some kind of hormone deficiency. You surely werent thinking about the best HGH Injections on the market. In youth, you had all the strength and energy that you could ever ask for as a birthright directly from Mother Nature. The truth of the matter is simple: with the passage of time everyone will experience some level of deficiency, especially after the age of thirty. Now with that lowering of critical growth hormone and testosterone, you can expect a whole new host of health challenges ranging from a low sex drive to a simple loss of enthusiasm for everyday activities. When these symptoms show up, people wonder where to get HGH Injections, as a matter of course. After all, whether you are in California or Florida, sooner or later you are going to find that you have lost a step or two, and you wont like it. This is when we hear from people wondering if they can get HGH Injections in California, and what the procedure might be to accomplish this goal. So youll start doing some online research, hoping to find out whats out there and available either by doctor prescription, holistically or in some other manner that could bring back the vim and vigor, the bristling vitality and sparkle of youth. Eventually, youll turn up at the topic of human growth hormone replacement therapy and all of the benefits it offers in terms of restorative health. Here youll discover HGH Injections reviews which are bound to instill a new sense of hope for a healthy future. Luckily, we specialize in offering our patients a real-time consultation about their health situation and options, so you can meet up with our HGH Injections doctors and professional staff members here online, but soon youll be taking it to a whole new level of excitement and possibility through our clinic. We are conveniently located to serve you whether you are in Portland OR or Portland ME. From assessing your current GH Levels to connecting you with doctors who prescribe hormone replacement therapy right in your local area, we have helped scores of people sign a new lease of life. So youre asking What Are HGH Injections, no doubt. The truth of the matter is that certain hormonal balances have been key players in your physical and sexual development, and they are also major players in keeping you fit and active throughout life. In youth, you didnt have to think about this, it was taken care of for you. But as time passes, especially after the age of thirty, your levels of these critical endocrine secretions will begin to wane as a natural occurrence of getting older. We often hear from people wondering Is HGH Injections legal. That spells trouble, not only because of the bad grammar, but also because with a human growth hormone deficiency you can expect to see a decrease in overall strength, vitality, and energy not to mention a loss of skin elasticity, the appearance of wrinkles and countless other side effects. So you need to know where to buy HGH Injections and as luck would have it, we have your answer. Our team of trained specialists and medical advisers are waiting to hear from you. They have all the answers to your burning questions regarding HRT, whether you are looking for HGH Injections in Las Vegas NV or anywhere else in the US, and they are always happy to help you make the great leap forward. The future will look a whole lot brighter when you take the steps necessary to leave these debilitating symptoms behind you.

We all have pressing everyday needs and run extremely busy lives with family, friends, co-workers and countless commitments all vying for our precious time. It is this very modern phenomenon that leads an estimated four million American citizens over the age of thirty who have a Low IGF-1 Level to look into doctor prescribed hormone replacement therapy. What you and your peers want to know first is where to buy real HGH Injections. Lets face it there is a lot of information out there, especially in cyberspace, that credits the benefits of growth hormone replacement programs with everything from you running ultra-marathons to you finally drinking from the Fountain of Youth, although we know youll get more results from asking about how to get HGH Injections than either of those other ideas. Those claims are tantalizing to be sure, and they have inspired clients from Austin TX to San Francisco CA, and all the rest of the US, too. Yet ultimately, youre talking about your health here, and you want to know what you can truly expect when you buy HGH Injections online. So heres what we can tell you about the doctor prescribed bioidentical therapy that is used to treat your verified deficiency. These are a few of the HGH Injections pros and cons that youve been asking about. For one thing, it is not a stretch to say you will feel bolder and more energetic in your everyday life! In fact, you will most likely have a greater passion for life itself with a sharper focus on sexual expression and desire than you have felt in years. Some of our clients have reported that they havent had the sex lives that they enjoy today since they were in their twenties. Thats just the start of things when you are taking the best HGH Injections on the market. After all, what adult suffering from a treatable condition such as a growth hormone deficiency would be satisfied with low energy, low sex drive and fatigue if they knew that there was another way? There is another way, and we are all too happy to introduce you to it. Think, if you will, about a life after you learn about HGH Injections Chicago and all that might mean to your ultimate health and well-being. Imagine a life where the sky is indeed the limit, where health challenges are inconsequential and you dream in colors of perhaps hang-gliding or spending time shell fishing with your grandkids, or just simply feeling a desire for romance and physical intimacy that you havent experienced in ages? Thats what you can look forward to when you get HGH Injections for sale online through us. We are the leaders in the safe, effective and powerful field of legal human growth hormone treatment. Our medical staff and doctors who prescribe these remarkable injections have seen clients lives transformed by the near miracle of active gh replacement therapy. We have together watched men in Atlanta GA and Washington DC go from shrinking violets to fierce competitors, running in Tough Mudder races and rising to any challenge. We have witnessed women in Phoenix AZ and Chicago IL, and many places in between, transform into sexy, toned and irresistible sirens once they began treatment with the best type of HGH Injections. Wed love to see you experience a measure of their success and to enjoy the good life that we are offering you. Wed love to see you experience the joyful results of using doctor prescribed HGH Injections for weight loss. Why not reach out to us right now? Many people read through these pages and find that they have even more questions than when they started. Thats the nature of the game, and thats why we are here. We know you will want to know more about the mechanics of the therapy and what you actually have to do each day at home. We know you will wonder about HGH Injections how long to see results, once you get started. Thats why our clinicians are here to give you all the information you need. We are here to chart the course to a brand new you!

So you may have heard about hormone replacement therapy through the grapevine at work or at the gym or around the country club. If you are really fortunate, you may have a friend or relative who has already found out that they had a gh deficiency and decided to get doctor prescribed medication to treat it. Such a friend would be an invaluable resource because you could see first-hand what happens when you buy real HGH Injections and start to reap the benefits of therapy. For one thing, your friend would likely have more energy than you were accustomed to seeing, and they might have a sort of glow that proves they are living life on a new and brighter level. Thats just one of the facts of growth hormone replacement and something that you can anticipate for yourself when you join the ranks of our clients. Whether you need HGH Injection Miami FL, or you are located in other parts of the country, we are available to help you get started. Our clients have discovered that we offer the most modern approaches to resolving this often debilitating issue, often favoring the incredibly reliable self-injection method which delivers relief quickly and effectively via a nearly painless subdural shot. Additionally, people who buy legal HGH Injections that are doctor prescribed through our local clinics are assured of a safe and reliable product. We use only the best medications and our supply of human growth hormone and testosterone for that matter is sourced solely from reputable pharmaceutical laboratories in North America. These are supervised and monitored labs that meet the rigorous standards of quality and purity we have come to expect in America, in great cities like San Antonio TX and Orlando FL. If you consider getting involved with cheap clinics overseas or online, not only are you risking your health but you are also risking running afoul of the law. Bear in mind that only a real doctor can legally give you an HGH Injections prescription and that prescription is your assurance that you are getting the real deal in replacement therapy. Lets face it you know that you want to get the best treatments available. You want your information to be up to the minute, and you need to know how to take HGH Injections and that your HRT clinic is aware of all the emerging data concerning the health benefits that you can expect to receive once you begin your own course of treatment. After all, what if there have been new developments in the hormone replacement field since your friend began their health journey? Wouldnt you want to know about those changes? With doctor prescribed HGH Injections, you can rest assured that if there is an extra measure of strength, sex drive, supple skin, weight loss, energy, physical and sexual stamina or general prowess to be found with new hormone deficiency advancements, youll be the first to know. We are committed to getting our patient clients results that they can be proud of and strut around their communities in Denver CO or Louisville KY, or anywhere else in this great country. We dont treat anyone unless we know that they have a verifiable deficiency, but once we have established that? Watch out! We are all for getting you the outcome that you so richly deserve. Thats why we expect that once you measure the cost Of HGH Injections against the major advancements that you can expect in your own health and lifestyle, youll never hesitate to move ahead with the process. So we encourage you to join together with us soon because seriously what are you waiting for? This is an issue that will not go away on its own. Youve been wondering about where can I get HGH Injections, and now your answer is at hand. Your health will continue to decline with some sort of intervention to put the brakes on your declining levels. Our clinical advisors can answer all of your questions in detail and address any issues that you may be dealing with relative to a low IGF-1 level that have not been answered here.

Rejuvenation is a word that we often hear when people seek language to express what they feel like once they have started on doctor prescribed hormone replacement. The reasons for that are as numerous as the stars in the sky and the stories of transformation that accompany effective HRT therapy are equally prosperous. Take the woman in Baltimore MD who had stopped her winter ritual of joining her grandchildren out at the toboggan run at their winter cabin up in the mountains. Winter started to feel like confinement to her until she called us to inquire about HGH Injections prices and instead learned that she was a prime candidate for a life overhaul with doctor prescribed medication. Today, her cries of joy and exhilaration are mixed in with her grandkids howls of glee as their toboggan races through the White Mountains. Or simply consider the story of a 49 year old man in Las Vegas NV who was, according to his wife the most passionate and romantic man she had ever met when they were married twenty years earlier. However, as is often the case with males who are not already getting cheap HGH Injections cheap HGH Injections for sale as part of their normal routine, time began to take its toll. The result is all too familiar to many of us who have crossed the border with 30 years of age: loss of sex drive, loss of passion, lethargy, a dull lack of vitality, weight gain, poor skin conditions. You name it and our man was facing it but a funny thing happened on the way to his adult obsolescence: he called one of our medical advisers to ask how can I get HGH Injections, and they explained to him that what he was experiencing were indeed classic symptoms of a Low IGF-1 level which could be addressed with doctor prescribed injections designed to unlock the benefits of growth hormone therapy. He was told how he could get types of HGH Injections through our clinic and what that might mean to not only his health but also to his most important relationship. The net result was that he decided to move ahead with doctor prescribed HRT hormone replacement therapy with us, and the results were nothing short of amazing. He quickly lost pounds and inches off his waist and especially his belly area. Ultimately, he regained his glow as well as his strength and in so doing managed to reignite his relationship with his wife so that it bristled with sexuality, passion, desire and heat. So before you consider the cheap HGH Injections for sale buy cheap HGH Injections that can be delivered to you via a doctor prescription, think first about the new life youll be opening the doors to. Whether you are reading this in your thirties, forties, fifties, sixties or seventies, you need to know that help is available to you, and whether you are reading this in El Paso TX or Memphis TN, you need to know that we are here for you as close as your telephone. That means that no matter what your age or how far you are along the road of a verifiable gh deficiency, you have an opportunity to dramatically change things for the better. In the countless number of cases that we have effectively treated with doctor prescribed injectables, we have yet to find a case that wasnt improved with medical treatment. So once you know the truth about HGH Injections, you will also know that a better life can be yours simply for the asking. Thats why before things get any worse, before you waste another day with low sex drive, low energy and fatigue, please get to a phone and call one of our medical advisers, who are convenient and available to answer all your questions no matter if you are in Indianapolis IN, or on the other side of the country in Seattle WA. If you are looking for HGH Injections Los Angeles CA clinics, then you have come to the right place. It is a decision that you will never regret and most likely will represent the turning point in your adult life, the spot where things went from dark to light.

Have you ever thought about what you would like to do and be in the future? It seems like a curious question we know, but we have also learned a thing or two about people who have the kind of seize the day mentality that comes with challenging accepted health norms. If you are the type who finds out they have low IGF-1 levels or is suffering from a verifiable hormone deficiency and decides its time to take action, we are talking about you. What is in your future? Do you feel that getting doctor prescribed Testosterone and HGH Injections could play a part in restoring you to a level of vibrancy, an energy surplus and strength to spare? If so, you are a free thinker, a person with an open mind and an open heart. To us, that says that whatever your age, and where ever you live from Columbus OH to Fort Worth TX, you still have a ton of living left to do. So you should start dreaming not of the past but of the future. Do you realize that HRT clinics like ours see unbelievable hormone replacement therapy results on a daily basis? Take the 71 year old man from New York City NY who got caught up in the Manhattan running craze of the mid 1970s only to drop the habit in the early 90s. On a lark, he called us to ask How Long Should You Take HGH Injections even though he was not at the time taking the doctor prescribed treatment. Well, what started out as a lark, eventually soared like an eagle once our soon-to-be client learned that his lack of passion, his lost strength, his sapped energy and the running he was no longer doing could all be attributed the decrease of this vital compound. Today, he is a valued client of this HRT clinic and following a successful restoration of his hormone levels to a normal range. We are happy to report he will be toeing the next NYC Marathons starting line. So how often do you take HGH Injections? That information is going to come directly from our local doctor who will provide you with all the facts and benefits of gh therapy. Our local doctor or professional staff member will also discuss how to give HGH Injections with you in great detail. The only way for him or her to know that you have a deficiency at all is for you to have a relatively routine but thorough blood test designed to detect specific levels of certain compounds in the body. If you are past the age of thirty, your chances are much higher than your younger peers to have such a decline of available gh in the body. Luckily, this is a treatable condition you can discuss with your doctor, whether you are out west in San Diego CA or back east in Jacksonville FL. You may wonder: What happens when you stop taking HGH Injections? Maybe youre wondering: Whats the cost of hormone replacement therapy? Perhaps your burning question is: How will my body react to treatment? Or youve made the decision and youre ready to get started by asking: Where can I buy HGH Injections? You could have any number of possible queries for us. The good news is that these and all other medical questions that you may have can be answered simply by calling Kingsberg Medical toll free at 877-321-8885. Our medical advisers are trained in all the latest procedures and technologies at play in the field and are only too happy to share their knowledge with you. So if you are wondering, for example, is HGH Injections safe, then we can tell you that they are very safe indeed. While the treatment may sound revolutionary and futuristic, it has actually been around for decades. We are happy to help those who are looking for HGH Injections Orlando Florida to enjoy the sunny South just a little bit more. Theres a lot to know, and we encourage our clients to engage in the free exchange of information with our clinical advisors in Dallas TX, as well as Boston MA, and all around the rest of the USA, too. We want you to be well informed, educated and fearless about your prospects for a fantastic and fabulous future. We want to help you get there.

Okay Kenny, were willing to agree with you that yours is a sad, and yet all too common, story around here. The good news then is that you have company, that other men, from Orange County to Baltimore MD, in their 40s are going through the same stuff with their health having experienced low sex drive and weight gain as part of a gh deficiency that went untreated. You are asking the right questions to get back on track. But there is no point in putting up with this situation which leaves you depressed simply because, quite frankly, it is DEPRESSING! Lets get started on the road that leads back to the basketball courts, shall we? Youll never regret it.

Youve made an important distinction, Lyle. Our local doctors make a point of not working with athletes or bodybuilders looking to gain an unfair advantage by taking hormone replacements to increase performance. By definition, that would be a PED, and we dont do it. That said, doctor prescribed injections are completely legal and safe in Tennessee, Texas, and throughout the rest of the US. The main thing is to join forces with our reputable clinic to be tested and find out exactly what your levels are at this time. Why not give us a call? Our medical advisers will be happy to discuss this with you further.

The good news Holt is that many of the clients that come to Kingsberg Medical for treatment of a low IGF-1 level start out with the hope that doing so will increase their sex drive. Who doesnt want to feel sexy, desirable and physically fulfilled? Nobody that we know, thats for sure. Among the most common measurable effects of a verifiable gh deficiency is the occurrence of low sex drive, low energy and fatigue. Treatment can alleviate these symptoms as well as give you the advantages of losing some weight, gaining more strength and having way more energy. To get things moving again, call us toll free and speak with a medical adviser at 877-321-8885. We think your wife will approve!

Have we answered your questions here? If youre like most people, these pages have just brought up more questions. Thats why we are here to help you from Charlotte NC to Los Angeles CA, and all parts in between. Give us a call or complete the Contact Form, and well call you right away. Taking this one simple step is the best way to be sure that your future will look a whole lot brighter and that it will feature a stronger, healthier you!

Originally posted here:
HGH Injections Where To Get HGH Injections Online

Diets That (Really) Work for Women: Simple & Healthy …

Posted: November 21, 2017 at 7:41 pm

Arrrggh! Is there anything that actually works!? If youve ever felt like this when looking through the endless diet pills, books, potions and plans out there for women, only to be left feeling lost and confused, youre in the right place!

Most diets suck and actually make it harder, not easier, to lose weight. They also make your life miserable, and thats just not acceptable.

Its not all bad news, though. There are a few gems out there, like the Paleo diet, which is the new kid on the block of the dieting world and a great choice for women looking to tone up and lose a few pounds. The crazy thing is, eating right for your body is easy. The message just gets lost in translation, often through marketing hype, which leads to thinking that you need this or youve got to have that to lose weight and get in shape.

In fact, all diets rely on the same principle calorie manipulation. They just go about it in different ways. Some restrict certain food groups, while others do away with them completely. Though, what ultimately separates a diet that works from one that doesnt is commitment and how well the diet fits your lifestyle and goals.

Each year brings with it new diets, each claiming to be the solution to your weight loss dilemmas. The key is not to get swept up in the hype. What worked last year still works now; the fundamentals of losing weight dont change, only peoples perceptions. That said, my recommendation of The 3 Week Diet (read the review here) remains steadfast as one of the best choices for women looking to slim down quickly and safely.

Heres a quick look at some of the most popular diet plans for women which have evidence to support they really work.

The Paleo Diet: Great for weight loss, Paleo encourages you to eat like a cave-woman by cutting out processed foods, grains and legumes in favour of what was available at the time animal proteins (i.e chicken, fish), eggs, fruit, nuts, seeds & veggies. Learn more and Get your Free Paleo Beginners Guide here!

1500 Calorie Diet Plans: A daily intake of 1500 healthy, balanced calories is largely considered the gold-standard for weight loss. Many diet plans use this magic number and for good reason, it works for just about anyone, regardless of shape or size. Checkout our free 7-day plans, including healthy eating tips, here and here.

Metabolic Cooking: A fantastic system of delicious fat burning recipes and how-to guides designed to boost your metabolism and make weight loss a breeze. If youve ever felt confused about nutrition and what it takes to eat right for your body, this is for you. Read full review here.

The 3 Week Diet: This is a new program quickly gaining popularity and one that I actively endorse for quick and safe results. As the name suggests, 3 weeks is the time-frame used to deliver a sensible, calorie-controlled approach to weight loss with healthy real foods. Read full review here.

The 21 Day Sugar Detox: Weve all been guilty of If youve fallen victim to the merciless stranglehold of sugar in your diet, fear not! The 21 Day Sugar Detox helps you break the shackles of sugar addition and regain your health in as little as 3 weeks! Read review here.

While all of these diets have evidence to support their use, the best diet for women is ultimately one that meets your individual needs and offers a practical solution that fits your lifestyle. If youre a busy mom or simply feel you dont have the time to eat right and exercise, innovative programs like 6-minutes to skinny offer a way to get in shape fast making it a reality for all just as it should be.

The problem with old-school diets (i.e. the grapefruit diet) isnt that they cant help you lose weight, they can. Its the fact theyre not sustainable, or healthy in the long-run.

The key to finding a sustainable diet that works is building habits that help you incorporate real, natural fat burning foods while avoiding calorie-laden, processed artificial foods. Not only will you regain your health, youll be happier, have more energy and feel what its like to eat right for your body. The diets and healthy eating tips at Leanrunnerbean are based around a few core principles:

Make Healthy Eating a Habit: If you eat right most of the time, what you eat the rest of the time doesnt matter nearly as much. This leaves you free to splurge (occasionally) and not worry about enjoying a night out. Instead of wasting your thoughts and self-control on calories, focus on building healthy habits that last.

Ditch the Crash Diet: You dont need to starve yourself to lose weight. Not only does it deprive the body of nutrients, it cripples metabolic rate and actually makes fat loss more difficult. Focus on provisioning your body with nutrient-dense foods that support weight loss and overall health.

Eat Real Foods: Wherever possible look to cut processed foods from your diet and replace them with real, natural foods. Most pre-packaged artificial foods are devoid of nutrients, high in sugar and loaded with preservatives that often do more harm than good.

Were All Different: No two women are the same, and this is why most cookie-cutter diet plans fail. We all have different goals and starting points, which makes it doubly important important to taste, test and experiment until you find what works best for you.

Dont Eat With Your Emotions: We all get down in the dumps occasionally, which is why its important to recognize that psychological triggers can cause us to overeat (and under-eat). Taking time out and practicing mindfulness when eating can protect us from cravings and mindless binging.

Track Your Progress: You dont need to be a tech geek. A diary is all you need to keep track of what youre eating and how your body responds. This gives you a starting point and a resource you can refer back to later. There are also gadgets like Wi-Fi pedometers, mobile apps and other online tools.

Love Your Food: Look after your food and itll look after you. When you care about what youre putting in your body and why, your food choices automatically improve and provide a greater sense of self-satisfaction.

Get Moving: This site is dedicated to healthy eating, but that doesnt mean exercise isnt an important part of a healthy lifestyle it is. Aim to get moving for at least 30 minutes each day and avoid sitting for extended periods of time (computers, TV etc).

Theres no coincidence that when you look good, you feel good. Health and happiness are closely linked, and trying to achieve your weight loss goals without the other is always a struggle. Fortunately, finding a diet that works doesnt need to be all about sacrifice and willpower. At Leanrunnerbean youll learn how to upgrade your lifestyle to make dieting fun, easy and effective.

Whether you work a normal nine-to-five desk job, shift-work, work through the night, or do what feels like endless 24-hour shifts at home looking after your family, finding a balance and managing your weight loss around your job can be tricky. But you can do it! We all need to work, which is why it's doubly important to find a diet that works, too!

It's all about preparation and having a plan you can follow. Below we've taken common everyday working conditions are provided practical, real-life fixes to aid in weight loss and help you live a healthier life. Get started below!

Finding a diet that works can be hard enough without people dishing out nonsense and conflicting information. Here's six quick-fire diet tips that never fail.

1. Don't Give Up - If you fall off the wagon or skip a day, don't throw in the towel and skip the next. It's harder to get back to your eating plan after three days than it is after one. Besides, I have one guilt-free diet day a week, as I think everyone should, and my favorite day is the day after when I can start eating healthy again!

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Diets That (Really) Work for Women: Simple & Healthy ...

My water fasting weight loss results will blow your mind

Posted: November 20, 2017 at 8:43 pm

Written by David Brown, Last updated: October 21, 2017

Hey, and welcome to my water fasting weight loss experiment.

I'll show you exactly what I did to lose 14.6 pounds (6.6 kilograms) in 5 short days. This comes down to losing almost 3 pounds (1.5 kilograms) per day, which is awesome by any standard.

But you probably know it's impossible to lose 3 pounds of pure body fat per day. So read on to find out how much total weight, how much body fat, and how much of your lean body mass you can expect to lose on a water fast.

I'll also show you some advanced weight loss tips that you can use to boost your weight loss results even further. These tips won't only help you laser-target your body fat, but will also protect your lean body mass during a water fast.

Before you read all about how to maximize the weight loss results on your next (or first?) water fast, take a quick look at what's covered in this article:

Here's a study[1] that proved it's possible to destroy as much as 13 pounds (5.9 kilograms) of lean body mass during a 21-day water fast.

Unfortunately, your lean body mass includes both your muscle mass and vital organ tissue.

Now, maybe you aren't worried about losing some of your muscles during a water fast. Maybe you plan on rebuilding your muscle mass AFTER you finally get rid of that stubborn body fat.

But you should know that the single most important muscle in your body (that just happens to be your most important vital organ as well) that can suffer because of this, is your heart.

So even if you plan on doing a short water fast, you could still end up weakening your heart in the process.

Now, it's true that a short water fast isn't likely to seriously damage your heart. But if you ask me, sacrificing your lean body mass to quickly drop a couple of pounds is never a smart thing to do.

Especially since a better way of fasting exists.

The kind of fast that can fully prevent that unnecessary destruction of your lean body mass is called a "muscle sparing fast". And the best part? Muscle sparing fasting won't slow down those incredibly high fat burn rates water fasting can offer you.

If you ask around about muscle sparing fasting in the water fasting community, some people may tell you that a muscle sparing fast is not a "pure" water fast.

But modern science has proven that muscle sparing fasting can be done in a way that doesn't interrupt the fasting state in your body. In fact, muscle sparing fasting can actually offer higher fat burn rates than water fasting (if you know how to tweak things a bit).

Now, this article is about pure water fasting, so I'll have to get on with that.

But if you want to learn more about reverse the negative effects of water fasting and possibly increase your fat burn rates even beyond your natural limits, you can see how muscle sparing fasting works here.

Like I said, my water fasting weight loss results look pretty impressive on paper.

I lost a total of 14.6 pounds (6.6 kilograms) in less than a week, while the recommended weight loss rate is about 1-2 pounds (0.5-1 kilogram) per week.

In other words, my water fasting results were more than 10 times better than what you can get on your standard, "doctor's approved" weight loss diet.

But the truth is, more than two thirds of my awesome weight loss results had nothing to do with my body fat.

So even though water fasting IS one of the fastest fat loss methods on the planet, you'll have to sacrifice a lot of your lean body mass to lose so much weight so quickly.

But this preventable and reversible loss of your lean body mass is not just a problem with water fasting. Trying to lose body fat really quickly (while holding on to as much of your lean body mass as possible) is easily the single biggest problem in the weight loss community.

Because this issue is so hard to avoid, many rapid weight lost diets trick you with a big fake drop of the number on your bathroom scale. And while you celebrate those fake weight loss results, you stay completely blind to the fact that you probably lost little or no body fat at all.

Again, this article is about water fasting, so I obviously can't go into all the details here.

But if you want to learn more about the 5 different ways your body can trick you into believing you're losing a lot of weight (even when you're hardly losing any body fat at all), you can download a free sample chapter from my "Perfect Fat Burn Diet" book.

If you only take the time to read that one short chapter, you will never again be fooled by the promise of fast results on ANY weight loss diet.

Here's exactly what happened during the 5 days of my extreme water fasting weight loss experiment.

If you're thinking of doing a water fast yourself (even if just for a day or two), this will give you a better idea of what to expect.

You'll also see that I've gotten myself into a pretty risky situation on the fifth day (and had no choice but to "cheat" during my fast).

Let this incident be a reminder to you that water fasting is not to be taken lightly (especially if you plan on exercising during your fast), and that safety must always come first.

During the first day of the fast, my energy levels were still pretty good. I spent about two hours on my bicycle, plus, I did some sprinting. By the end of the day, I felt really tired, but nothing too out of the ordinary.

The hardest part of the first day is handling your hunger and food cravings.

I properly transitioned into my water fast, so my body was already used to getting just one meal per day (a late dinner). Because I was tired from exercising without food, I fell asleep way before dinnertime. So during the first day, I tricked my mind into not even noticing that I was going to skip food altogether.

But that only got me through the first day.

The hunger, the cravings, and the constant feeling of emptiness in your stomach. Even without exercise, these things CAN get to you.

On the second day of my water fast, I went on a hike. But after about two hours of brisk walking, that was it. I was completely out of gas, and that familiar feeling of dizziness started creeping in.

A little dizziness is completely normal during a water fast (even if you completely avoid exercise). But during my previous fasts, it never started feeling dizzy before day three.

Exercise really worked to speed things up.

The third day could easily compete for the worst day of my life.

I was so completely out of energy, that I barely dragged myself around the apartment. The only time I felt this way was when I was extremely weak because of an illness.

If you do a water fast without exercise, the third day is usually much, much easier.

So if you want to burn off more body fat by exercising in the beginning of your water fast, feeling like crap might be the price you'll have to pay.

The good news was, my hunger was almost completely gone by the third day.

On the fourth day, I got some of my energy back.

I was actually able to walk a couple of miles, but that was it for the day.

Like I said, the hunger was now completely gone. I literally felt like I didn't care if I ever eat anything again.

And this is actually the biggest advantage of doing a water fast for weight loss.

If you can learn how to handle yourself during those first few days, you'll get to a place where hunger virtually disappears.

But it wasn't until the final day that I got reminded fasting is no walk in the park.

The last day of my water fast surprisingly began really great. I felt like I had a TON of energy, so I courageously went on a hike.

But almost exactly at the farthest point from my home, I nearly collapsed from exhaustion.

I remember leaning against a fence, just wanting to lie down. I had no idea how I was supposed to get home.

I had no choice. My safety had to come first, even if it meant not completing my weight loss experiment.

Somehow, I managed to slowly make my way to the nearby store, and bought some dates.

Dates have an extremely high-glycemic index, which means that the sugar they contain will rush into your bloodstream like a speed train.

And boy, did they work.

I only ate two dates, and it was like pouring gasoline on fire. With this quick energy boost, I was able to get back home with no problems.

So yes, I technically "broke" the fast before day 5 was over.

But those two dates weighed only a couple of grams, so they really couldn't have affected the final weight loss results a lot.

So in spite of me "cheating" during my fast, I still ended up losing 14.5 pounds (6.6 kilograms) in 5 short days.

Back when I did my water fasting experiment, I didn't really know a lot of science on how to speed up weight loss during a water fast even further.

But I've done my research since then. So what you're about to see, are some pretty neat tricks that can boost your fat loss even beyond what water fasting can do on its own.

In other words, even though I've gotten some pretty amazing results with my experiment, if I had used any of the tricks you're about to read, I could have lost even more weight during my water fast.

Let's dive right in.

If you really want to skyrocket your fat burn rate during your next water fast, here's a science-based weight loss tip that can help you out:

Research[2] has proven that taking just a tiny amount of caffeine, an extremely popular natural fat burner found mostly in coffee and tea, can literally double the release of fat from your body fat reserves.

(To find out more about how caffeine actually speeds up fat loss, how many calories it can actually help you burn, and how to make caffeine work on ANY diet, go to my science based guide to maximizing your weight loss results with caffeine.)

In other words, if you do a water fast without caffeine, your highest possible fat burn rate will be limited by your body's natural ability to release fat from your body fat reserves.

But if you take caffeine during a water fast, you can actually reach a state of "superhuman" fat burn (because caffeine helps your body release and burn off that stubborn body fat even faster).

Also, because caffeine will help you release more energy from your body fat reserves, you'll feel much more energized and mentally focused during a water fast.

Time to take a look at an awesome drink that's also been scientifically proven to speed up weight loss:

What if I told you, or better yet, what if I could prove to you that burning off even more calories during a water fast comes down to something as simple and natural as drinking tea?

Well, science[3] says, oolong tea contains the so called "polyphenols" that have been proven to speed up weight loss.

Furthermore, teas like oolong tea also contain caffeine, and you've already seen the science on how well that one works.

Needless to say, the fat burning combo of polyphenols and caffeine you can get in by drinking some oolong tea, could easily boost your final water fating weight loss results even further.

(If you want to find out how many calories oolong tea can help you burn, how it can help you better target your body fat, and discover a little-known weight loss benefit of oolong tea, then you can go to my science based guide to speeding up weight loss with oolong tea.)

But let's take another kind of tea you can drink for quicker fat loss during a water fast.

Yes, green tea is another zero-calorie drink you can use to speed up weight loss during a water fast.

Science[4] has proven that green tea can speed up fat burn by over 35%!

And the best part?

Burning off more body fat also means you'll destroy less of your lean body mass (because your body will be able to draw more energy from those ugly body fat reserves).

The ability of green tea to protect your lean body mass while helping you burn away more body fat during a water fast is amazing in and of itself.

(But if you want to discover a few more little-known weight loss benefits of green tea, you can read all about them in my science based guide to boosting weight loss with green tea.)

But now it's time you find out how to avoid one of the most common traps people who are doing a water fast for weight loss tend to fall into.

I really need to warn you about one of the stupidest mistakes I made in my extreme water fasting challenge. I did it, because I simply didn't know about this back when I went through with my weight loss challenge.

My dumb mistake was, I tried to boost my water fasting results with exercise.

I mean, it's widely known that exercise and weight loss go hand in hand, right?

So why not do some light exercise to boost your water fasting results, especially once you start feeling that "energy high" after a couple of days?

Well, unfortunately for me (but fortunately for you cause you're reading this now) it took me quite a while before I found out just how dangerous exercise can be during a water fast.

One water fasting study[5] proved that every hour of exercise during a water fast will destroy over 100 grams of your lean body mass!

And the people in the study weren't doing intense exercise. The loss of lean body mass is bound to happen even if you exercise lightly during your water fast.

Like I said, that destruction of your lean body mass will not only hurt your muscles, it can damage your vital organs as well.

The bottom line is, you can do pretty much everything you normally do during a water fast.

Just do your best to avoid any activities that will raise your heart rate, make you start breathing heavily, or require a lot of energy to perform (think heavy work, weight lifting, or basically any kind of sport).

And while this wasn't exactly a tip that can boost your water fasting results, it's even more important you understand what you're NOT supposed to do.

So many people make the mistake of staying overly active during a fast, but instead of improving their final water fasting results, they only end up harming their bodies.

That very first bite you take after not eating for 5 days will taste out of this world. Even if you start by eating a food you're usually not all that excited about (celery, anyone?), that first sensation of food in your mouth will be far beyond your usual experience.

If you haven't been eating for five days, you need to slowly ease back into your normal diet. This is even more important with longer fasts. But even after a 5-day water fast, you can't just start eating like a horse right away.

Read more:
My water fasting weight loss results will blow your mind

Hormone replacement therapy (female-to-male) – Wikipedia

Posted: November 20, 2017 at 8:43 pm

Hormone replacement therapy (HRT) of the female-to-male (FTM) type is a form of hormone therapy and sex reassignment therapy that is used to change the secondary sexual characteristics of transgender and transsexual people from feminine (or androgynous) to masculine. It is one of two types of HRT for transgender and transsexual people (the other being male-to-female), and is predominantly used to treat transgender men. Some intersex people also receive this form of HRT, either starting in childhood to confirm the assigned sex or later if the assignment proves to be incorrect.

The purpose of this form of HRT is to cause the development of the secondary sex characteristics of the desired sex, such as voice deepening and a masculine pattern of hair, fat, and muscle distribution. It cannot undo many of the changes produced by naturally occurring puberty, which may necessitate surgery and other treatments (see below). The medications used in HRT of the FTM type include, mainly, androgens (namely testosterone) and GnRH analogues.

While HRT cannot undo the effects of a person's first puberty, developing secondary sex characteristics associated with a different gender can relieve some or all of the distress and discomfort associated with gender dysphoria, and can help the person to "pass" or be seen as the gender they identify with. Introducing exogenous hormones into the body impacts it at every level and many patients report changes in energy levels, mood, appetite, etc. The goal of HRT, and indeed all somatic treatments, is to provide patients with a more satisfying body that is more congruent with their gender identity.

Several contraindications to androgen therapy exist.[1] An absolute medical contraindication is pregnancy.

Relative medical contraindications are:

Hormone therapy for transgender individuals has been shown in medical literature to be safe in adults, when supervised by a qualified medical professional.[2]

Testosterone is metabolized by the cytochrome P450 enzyme system (specifically CYP3A isoforms) in the liver. There are certain drugs that increase or decrease the activity of cytochrome P450 enzymes and may cause increased or decreased levels of testosterone:

Testosterone can also alter the effects of other drugs:

Because of these interactions, it is advised that trans men make their healthcare providers aware of their hormone therapy, when this is relevant to their treatment for other medical issues.

The terminal half-life of testosterone in blood is about 70 minutes, so it is necessary to have a continuous supply of the hormone for masculinization.

'Depot' drug formulations are created by mixing a substance with the drug that slows its release and prolongs the action of the drug. The two primarily used forms in the United States are the testosterone esters testosterone cypionate (Depo-Testosterone) and testosterone enanthate (Delatestryl) which are almost interchangeable. Testosterone enanthate is purported to be slightly better with respect to even testosterone release, but this is probably more of a concern for bodybuilders who use the drugs at higher doses (2501000mg/week) than the replacement doses used by transgender men (50100mg/week). These testosterone esters are mixed with different oils, so some individuals may tolerate one better than the other. Testosterone enanthate costs more than testosterone cypionate and is more typically the one prescribed for hypogonadal males in the United States. Testosterone cypionate is more popular in the United States than elsewhere (especially amongst bodybuilders). Other formulations exist but are more difficult to come by in the United States. A formulation of injected testosterone available in Europe and the United States, testosterone undecanoate (Nebido, Aveed)[3][4] provides significantly improved testosterone delivery with far less variation outside the eugonadal range than other formulations with injections required only four times yearly. However, each quarterly dose requires injection of 4mL of oil which may require multiple simultaneous injections. Testosterone undecanoate is also much more expensive as it is still under patent protection. Testosterone propionate is another testosterone ester that is widely available, including in the United States, Canada, and Europe, but it is very short-acting compared to the other testosterone esters and must be administered once every 2 or 3 days, and for this reason, is rarely used.

The adverse side effects of injected testosterone esters are generally associated with high peak levels in the first few days after an injection. Some side effects may be ameliorated by using a shorter dosing interval (weekly or every ten days instead of twice monthly with testosterone enanthate or testosterone cypionate). 100mg weekly gives a much lower peak level of testosterone than does 200mg every two weeks, while still maintaining the same total dose of androgen. This benefit must be weighed against the discomfort and inconvenience of doubling the number of injections.

Injected testosterone esters should be started at a low dose and titrated upwards based on trough levels (blood levels drawn just before your next shot). A trough level of 500ng/dl is sought. (Normal range for a cisgender male is 290 to 900ng/dl).

Both testosterone patches, creams and gels are available. Both approximate normal physiological levels of testosterone better than the higher peaks associated with injection. Both can cause local skin irritation (more so with the patches).

Patches slowly diffuse testosterone through the skin and are replaced daily. The cost varies, as with all medication, from country to country, it is about $150/month in the US, and about 60 Euros in Germany.

Transdermal testosterone is available throughout the world under the brand names Andromen Forte, Androgel, Testogel and Testim. They are absorbed quickly when applied and produce a temporary drug depot in the skin which diffuses into the circulation, peaking at 4 hours and decreasing slowly over the rest of the day. The cost varies, as with all medication, from country to country, from as little as $50/month to about $280/month (in US Dollars).

Transdermal testosterone poses a risk of inadvertent exposure to others who come in contact with the patient's skin. This is most important for patients whose intimate partners are pregnant or those who are parents of young children as both of these groups are more vulnerable to the masculinizing effects of androgens. Case reports of significant virilization of young children after exposure to topical androgen preparations (both prescription and 'supplement' products) used by their caregivers demonstrates this very real risk.

Implants, as subcutaneous pellets, can be used to deliver testosterone (brand name Testopel). 6 to 12 pellets are inserted under the skin every three months. This must be done in a physician's office, but is a relatively minor procedure done under local anesthetic. Pellets cost about $60 each, so the cost is greater than injected testosterone when the cost of the physician visit and procedure are included. The primary advantages of Testopel are that it gives a much more constant blood level of testosterone yet requires attention only four times yearly.

Oral testosterone is provided exclusively as testosterone undecanoate. It is available in Europe and Canada, but not in the United States. Once absorbed from the gastrointestinal tract, testosterone is shunted (at very high blood levels) to the liver where it can cause liver damage (albeit very rarely) and worsens some of the adverse effects of testosterone, like lower HDL (good) cholesterol. In addition, the first pass metabolism of the liver also may result in testosterone levels too low to provide satisfactory masculinization and suppress menses. Because of the short terminal half-life of testosterone, oral testosterone undecanoate must be administered two to four times per day, preferably with food (which improves its absorption).

In 2003 the FDA approved a buccal form of testosterone (Striant). Sublingual testosterone can also be made by some compounding pharmacies. Cost for Striant is greater than other formulations ($180210/month). Testosterone is absorbed through the oral mucosa and avoids the 'first pass metabolism' in the liver which is cause of many of the adverse effect with oral testosterone undecanoate. The lozenges can cause gum irritation, taste changes, and headache but most side effects diminish after two weeks. The lozenge is 'mucoadhesive' and must be applied twice daily.

Synthetic anabolicandrogenic steroids (AAS), like nandrolone (as an ester like nandrolone decanoate or nandrolone phenylpropionate), are agonists of the androgen receptor (AR) similarly to testosterone but are not usually used in HRT for transgender men or for androgen replacement therapy (ART) in cisgender men. However, they can be used in place of testosterone with similar effects, and can have certain advantages like less or no local potentiation in so-called androgenic tissues that express 5-reductase like the skin and hair follicles (which results in a reduced rate of skin and hair-related side effects like acne, oily skin, seborrhea, excessive body hair growth, and, in particular, male-pattern baldness), although this can also be disadvantageous in a few aspects of masculinization (specifically facial hair growth, body hair growth, and clitoral enlargement). Although many AAS are not potentiated in androgenic tissues, they have similar effects to testosterone in other tissues like bone, muscle, fat, and the voice box. Also, many AAS, like nandrolone esters, are aromatized into estrogens to a greatly reduced extent relative to testosterone or not at all, and for this reason, are associated with reduced or no estrogenic effects (e.g., gynecomastia). AAS that are 17-alkylated like methyltestosterone, oxandrolone, and stanozolol are orally active but carry a high risk of liver damage, whereas AAS that are not 17-alkylated, like nandrolone esters, must be administered by intramuscular injection (via which they act as long-lasting depots similarly to testosterone esters) but have no more risk of liver damage than does testosterone.

For the sake of clarification, it should be noted that the term "anabolicandrogenic steroid" is essentially synonymous with "androgen" (or with "anabolic steroid"), and that natural androgens like testosterone are also AAS. These drugs all share the same core mechanism of action of acting as agonists of the AR and have similar effects, although their potency, pharmacokinetics, oral activity, ratio of anabolic to androgenic effects (due to differing capacities to be locally metabolized and potentiated by 5-reductase), capacity for aromatization (i.e., conversion into an estrogen), and potential for liver damage may all differ.

Dihydrotestosterone (DHT) (referred to as androstanolone or stanolone when used medically) can also be used in place of testosterone as an androgen. The availability of DHT is limited; it is not available in the United States or Canada, for instance, but it is available in certain European countries, including the United Kingdom, France, Spain, Belgium, Italy, and Luxembourg.[5] DHT is available in formulations including topical gel, buccal or sublingual tablets, and as esters in oil for intramuscular injection.[6] Relative to testosterone, and similarly to many synthetic AAS, DHT has the potential advantages of not being locally potentiated in so-called androgenic tissues that express 5-reductase (as DHT is already 5-reduced) and of not being aromatized into an estrogen (it is not a substrate for aromatase).

In all people, the hypothalamus releases GnRH (gonadotropin-releasing hormone) to stimulate the pituitary to produce LH (luteinizing hormone) and FSH (follicle-stimulating hormone) which in turn cause the gonads to produce sex steroids. In adolescents of either sex with relevant indicators, GnRH analogues, such as leuprorelin can be used to suspend the advance of sex steroid induced, inappropriate pubertal changes for a period without inducing any changes in the gender-appropriate direction. GnRH analogues work by initially over stimulating the pituitary then rapidly desensitizing it to the effects of GnRH. Over a period of weeks, gonadal androgen production is greatly reduced. There is considerable controversy over the earliest age, and for how long it is clinically, morally and legally safe to do this. The Harry Benjamin International Gender Dysphoria Association Standards of Care permit from Tanner Stage 2, but do not allow the addition of gender-appropriate hormones until 16, which could be five or more years. The sex steroids do have important other functions. The high cost of GnRH analogues is often a significant factor.

Antiestrogens (or so-called "estrogen blockers") like aromatase inhibitors (AIs) (e.g., anastrozole) or selective estrogen receptor modulators (SERMs) (e.g., tamoxifen) can be used to reduce the effects of high levels of endogenous estrogen (e.g., breast development, feminine fat distribution) in transgender men. In addition, in those who have not yet undergone or completed epiphyseal closure (which occurs during adolescence and is mediated by estrogen), antiestrogens can prevent hip widening as well as increase final height (estrogen limits height by causing the epiphyses to fuse).

5-Reductase inhibitors like finasteride and dutasteride can be used to slow or prevent androgenic alopecia (pattern hair loss) and various other adverse androgenic symptoms (e.g., acne) in transgender men taking testosterone.[7] However, they may also slow or reduce certain aspects of masculinization, such as facial and body hair growth and clitoral enlargement.[7] A potential solution is to start taking a 5-reductase inhibitor after these desired aspects of masculinization have been established.[7]

Depo-Provera (depot medroxyprogesterone acetate, or DMPA) may be injected every three months just as it is used for contraception. Generally after the first cycle, menses are greatly reduced or eliminated. This may be useful for transgender men prior to initiation of testosterone therapy.

In those who have not yet undergone or completed epiphyseal closure, growth hormone can be administered, potentially in conjunction with an aromatase inhibitor or a GnRH analogue, to increase final height.

The main effects of HRT of the FTM type are as follows:[8]

Many transgender men are unable to pass as cisgender men without hormones. The most commonly cited reason for this is that their voice may reveal them.

Facial changes develop gradually over time, and sexual dimorphism (physical difference between the sexes) tends to increase with age. Within a population of similar body size and ethnicity:

Frequently the first sign of endometrial cancer is bleeding in post-menopausal women. Transgender men who have any bleeding after the cessation of menses with androgen therapy should have an endometrial biopsy (and possibly an ultrasound) done to rule-out endometrial cancer.

A number of skeletal and cartilaginous changes take place after the onset of puberty at various rates and times. Sometime in the late teen years epiphyseal closure (in other words, the ends of bones are fused closed) takes place and the length of bones is fixed for life. Consequently, total height and the length of arms, legs, hands, and feet are not affected by HRT. However, details of bone shape change throughout life, bones becoming heavier and more deeply sculptured under the influence of testosterone. Many of these differences are described in the Desmond Morris book Manwatching.

The psychological changes are harder to define, since HRT is usually the first physical action that takes place when transitioning. This fact alone has a significant psychological impact, which is hard to distinguish from hormonally induced changes. Most trans men report an increase of energy and an increased sex drive. Many also report feeling more confident.

While a high level of testosterone is often associated with an increase in aggression, this is not a noticeable effect in most trans men. HRT doses of testosterone are much lower than the typical doses taken by steroid-using athletes, and create testosterone levels comparable to those of most cisgender men. These levels of testosterone have not been proven to cause more aggression than comparable levels of estrogen. It is assumed that the effect of the start of physical treatment is such a relief, and decreases pre-existing aggression so much, that the overall level of aggression actually decreases.

Some transgender men report mood swings, increased anger, and increased aggressiveness after starting androgen therapy. Many transgender men, however, report improved mood, decreased emotional lability, and a lessening of anger and aggression.

During HRT, especially in the early stages of treatment, blood work should be consistently done to assess hormone levels and liver function.

Israel et al. have suggested that for pre-oophorectomy trans men, therapeutic testosterone levels should optimally fall within the normal male range, whereas estrogen levels should optimally fall within the normal female range. Before oophorectomy, it is difficult and frequently impractical to fully suppress estrogen levels into the normal male range, especially with exogenous testosterone aromatizing into estrogen, hence why the female ranges are referenced instead. In post-oophorectomy trans men, Israel et al. recommend that both testosterone and estrogen levels fall exactly within the normal male ranges. See the table below for all of the precise values they suggest.[10]

The optimal ranges listed for testosterone only apply to individuals taking bioidentical hormones in the form of testosterone (including esters) and do not apply to those taking synthetic AAS (e.g., nandrolone) or dihydrotestosterone.

Original post:
Hormone replacement therapy (female-to-male) - Wikipedia

5 Ways to Fast to Lose Weight – wikiHow

Posted: November 14, 2017 at 1:44 am

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I want to lose weight easily at an affordable price.

An easy and cheap way is to put on your walking shoes and go take a brisk walk for 30-40 minutes every day. Avoid refined foods.

Can I do this if I'm young?

wikiHow Contributor

Fasting isn't safe for children. If you want to lose weight, eat a healthy diet and exercise.

Can I lose weight by sweeping?

wikiHow Contributor

It is unlikely. Sweeping is not exercise.

Can I fast at age 14? What if it is just a short fast?

wikiHow Contributor

It can effect you, so don't do it. Eat less junk food, and more vegetables. If you start losing energy, add a food such as rice back to your diet. Try yoga, or do exercise daily to lose weight.

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