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Weight Loss Strategies for Overweight Kids – WebMD

Posted: November 21, 2022 at 12:27 am

If your child is overweight or obese, helping them get to a healthy weight is one of the best things you can do for them now and in the future. But whats the right way to do it? That usually depends on your childs age.

Theres no single number on the scale that all kids must reach to be healthy. The right range depends on how tall they are, their gender, and their age. In fact, many children shouldnt actually lose weight -- they should just maintain it as they grow taller or put on pounds more slowly. But if they have more severe obesity, espeically if they have obesity-related health conditions, your child's pediatrician may make a different recommendation.

How can you tell if your child needs to slim down? Talk to their health care provider. They can help you come up with a safe plan. Also, some expert advice may help you know what to focus on to help your child reach a healthy weight, no matter their age.

Goal: In most cases, kids at these ages should stay at the same weight or gain it at a slower rate. If the child has more severe obesity, their doctor may have other advice.

What you can do: When kids are very young, youre in charge of their routine. Make sure your childs day includes plenty of time -- at least 60 minutes -- to be active, whether its climbing the jungle gym at the park, playing tag in the backyard, or jumping around in the living room. They dont have to get their exercise all at once. Short bursts of activity throughout the day that add up to an hour are just fine.

At meal and snack times, offer them a variety of nutritious choices. Your child -- and the whole family -- can eat healthier with a few simple steps:

Goal: In most cases, stay at the same weight or gain it at a slower rate. But ifthe child has more severe obesity, your child's doctor may make another recommendation.

What you can do: Kids at these ages have opinions of their own. But they still need help from parents. Nows the time to give your child the tools and lessons they need to make healthy choices throughout life. The following strategies can help:

Goal: Many kids need to stay at the same weight or gain it at a slower rate as they grow taller. After puberty, your child may be able to lose up to 1 or 2 pounds a week. Speak with their doctor to decide whats right for them.

Remember that more time moving will probably mean spending less time with video games or smartphones. Help your teen keep their screen use to a minimum. One great way: Put your own devices away and get active together.

SOURCES:

George Datto, MD, pediatrician and chief of pediatric weight management division, Nemours/Alfred I. duPont Hospital for Children.

Natalie Muth, MD, pediatrician and registered dietitian.

Mollie Greves Grow, MD, pediatrician, Seattle Childrens Hospital; associate professor of pediatrics, University of Washington.

American Heart Association: Overweight in Children.

Frontiers in Pediatrics: Picky Eating in Children.

Appetite: Effects of restriction on childrens intake differ by child temperament, food reinforcement, and parents chronic use of restriction.

Eating and Weight Disorders: 'Dont Eat So Much: How Parent Comments Relate to Female Weight Satisfaction.

Pediatrics: Is Frequency of Shared Family Meals Related to the Nutritional Health of Children and Adolescents?

CDC: How Much Physical Activity Do Children Need?

UpToDate: "Prevention and management of childhood obesity in the primary care setting."

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Weight Loss Strategies for Overweight Kids - WebMD

Tempeh – Wikipedia

Posted: November 21, 2022 at 12:25 am

Soy product from Indonesia, used as protein source

Tempeh or tempe (; Javanese: , romanized:tmp, pronounced[tempe]) is a traditional Indonesian food made from fermented soybeans.[1] It is made by a natural culturing and controlled fermentation process that binds soybeans into a cake form.[2] A fungus, Rhizopus oligosporus or Rhizopus oryzae, is used in the fermentation process and is also known as tempeh starter.

It is especially popular on the island of Java, where it is a staple source of protein. Like tofu, tempeh is made from soybeans, but it is a whole soybean product with different nutritional characteristics and textural qualities. Tempeh's fermentation process and its retention of the whole bean give it a higher content of protein, dietary fiber, and vitamins. It has a firm texture and an earthy flavor, which becomes more pronounced as it ages.[3][4]

The term tempe is thought to be derived from the Old Javanese tumpi, a whitish food made of fried batter made from sago or rice flour which resembles rempeyek.[5] The historian Denys Lombard also suggests that it could be linked to a later term tape or tapai which means 'fermentation'.[6]

In the western world, tempeh is the most common spelling. This is done to prevent readers from incorrectly pronouncing the word as "temp". The first known usage of this spelling is in an 1896 German article. Other spellings, such as tmp, were also used, but tempeh has become the standard spelling in English since the 1960s.[7]

Tempeh originated in Indonesia, almost certainly in central or east Java[1] with an estimated discovery between a few centuries ago to a thousand years or more.[8]:145

The invention of tempeh cannot be separated from the origin of the fungus, which is the important part of the fermentation. This fungus consists of a mycelium that grows on teakwood and sea hibiscus leaves, which native Javanese people often used (and still do) as food wrappings. In fact, in traditional tempeh making, an usar (a mycelium-filled leaf) is used, instead of store-bought ragi.[9]

The type of soybean first used to make tempeh was the black soybean, which was a native plant.[10] This later changed with the importation of white/yellow soybeans and the rise of the tofu industry on the island.[11]

Murdijati Gardjito, a food historian at Gadjah Mada University, argued that tempeh was made by native Javanese people, and that its preparation predates the introduction of Chinese-style tofu products.[12] Some ancient texts mention tempe dhele, old Javanese for 'native soybean tempeh'; dhele was used to refer to the native soybean variety. White soybeans that are used to make most tempe dhele today used to be called dhele putih ('white soybeans'), and were only available in Java centuries later. Mary Astuti, a food historian at Gadjah Mada University specializing in tempeh, argued that the native variety of soybean had been grown before the Chinese arrived in the region.[6]

Sri Tandjung noted that Javanese had been eating cooked (native black) soybeans since the 12th century. By the 16th or the 19th century, depending on which period of time the writer of Serat Centhini referred to, Javanese people had mastered the art of cooking with tempeh, where it was not only eaten as is, but converted into different types of dishes, showing a full understanding and mastery of the food product.[12]

Gardjito noted that Javanese noble families rarely wrote about tempeh in ancient texts because it had never been a part of royal cuisine, but rather a staple meal of the lower classes.[12]

Chinese Indonesian historian Ong Hok Ham suggests that tempeh might have been produced as a byproduct of tahu, the Indonesian word for tofu. He argued that the two food products are made of the same ingredient and that genetically speaking, soybeans are from China, though the specific variety was never mentioned. Food journalist Andreas Maryoto supported this idea, saying that tempeh might have been accidentally produced as the by-product of the tofu industry in Java in the 17th century, as discarded soybeans caught the spores of a whitish fungus that was found to be edible.[6]

However, tahu was (and is still) made of white soybeans (Glycine max, native to Japan and China), as opposed to the earliest version of tempe dhele that was made of native black soybeans (Glycine soja).[10][6]

Tahu (tofu) made its way to Kediri in the 13th century and was consumed by Mongolians who arrived in Java. Later, it was popular only among the rich (the complex production process and imported white soybeans led to its high price). Around the 17th or 19th century, tahu became available to everyone.[11]

Tempeh later began to be made with white soybeans, leading to the decreased use of its native black variety. Black soybeans have been replaced by other commodity plants since. The original version of tempe dhele has been forgotten as tahu has since become the common people's food, and dependence on imported white soybeans grows.[13]

Tempeh begins with whole soybeans, which are softened by soaking, and dehulled, then partly cooked. Specialty tempeh may be made from other types of beans, wheat, or may include a mixture of beans and whole grains.[14] Adding vinegar during soybeans soaking process had also been reported in tempeh industries and it had been found to influence the sensory nature of the final product.[15]

The principal step in making tempeh is the fermentation of soybeans which undergo inoculation with Rhizopus spp. molds, a type of filamentous fungus most widely used for the production of tempeh.[16] A fermentation starter containing the spores of fungus Rhizopus oligosporus or Rhizopus oryzae is mixed in.[17] The beans are spread into a thin layer and are allowed to ferment for 24 to 36 hours at a temperature around 30C (86F). The soybeans have to cool down to allow spore germination and abundant growth of mycelium. Later, the temperature of the beans will naturally rise and rapid mold growth happens for around 4 hours. As mold growth declines, the soybeans should be bound into a solid mass by the mycelium. In good tempeh, the beans are knitted together by a mat of white mycelium. Typically, tempeh is harvested after 48 hours of fermentation with its distinguishable whitish color, firm texture, and nutty flavor. Extended fermentation time results in an increase in pH and undesirable color darkening in the tempeh.[18]

During the fermentation process, optimal time of fermentation, temperature, oxygen, humidity, and pH levels are required to encourage the growth of the Rhizopus mold, while discouraging the growth of undesired microorganisms.[19] The pH level should be kept around 3-5 by adding a mild acidulant such as vinegar, lactic acid, or acetic acid, thereby favoring mold growth and restricting the growth of spoilage microorganisms.[20] Oxygen is required for Rhizopus spp. growth, but should be maintained at low levels to prevent the production of undesired microorganisms. Under conditions of lower temperature, or higher ventilation, gray or black patches of spores may form on the surfacethis is not harmful, and should not affect the flavor or quality of the tempeh.[21] This sporulation is normal on fully mature tempeh. A mild ammonia smell may accompany good tempeh as it ferments, but it should not be overpowering.

Traditional tempeh is often produced in Indonesia using Hibiscus tiliaceus leaves. The undersides of the leaves are covered in downy hairs (known technically as trichomes) to which the mold Rhizopus oligosporus can be found adhering in the wild. Soybeans are pressed into the leaf, and stored. Fermentation occurs resulting in tempeh.[14] In particular, the tempeh undergoes salt-free aerobic fermentation.[22]

Tempeh made with traditional inoculation methods are also more likely to include molds of other species including Rhizopus arrhizus and Rhizopus delemar which may outcompete Rhizopus oligosporus and become dominant. This resulted in white wooly appearance and more pleasant aroma compared with tempeh made with commercial starter containing only Rhizopus oligosporus. Famously these variant tempeh are found in Malang and Purwokerto in the 1960s, because Malang is located in a cool plateau, and tempeh made with Rhizopus oligosporus resulted in less compact and more alcoholic-smelling tempeh, while Rhizopus arrhizus required lower optimum temperature which made it more ideal and dominant. However the widespread use of commercial starter resulted in most tempeh in Java only contains Rhizopus oligosporus, with few traditionally made tempeh outside Java still contains Rhizopus arrhizus and Rhizopus delemar.[23]

During the processing of soybeans to make tempeh there are inevitable losses of material due to the removal of the hulls and the leaching of soluble compounds during the soaking, washing and cooking stages. Hulls constitute about 8% of the dry beans and losses due to the leaching of soluble compounds equate to 12 - 17% of the dry beans. The oligosaccharides, stachyose, raffinose and sucrose, can constitute up to 50% of the soluble materials lost.[24][25] During the fermentation there is some further loss of material due to respiration by the mold and the oxidation of compounds to carbon dioxide and water. Reported losses of dry matter during the fermentation range from 2.1 to 10%.[24][25][26] Hence, the overall yield of tempeh is in the range of 72-78 g tempeh per 100 g soybeans on a dry matter basis. In practical terms, this means that 100 g dry soybeans (7-9% moisture content) will yield about 170 to 210 g fresh tempeh (61-64% moisture content).[24]

Once tempeh is produced, it is divided into three categories based on its quality: good, unfinished, and inedible. Good tempeh includes beans that are bound into a firm, compact cake by a dense, uniform, white mycelium, which should permeate the entire cake; the beans should be barely visible. The odor of good tempeh should be pleasant, clean, subtly sweet or resemble the aroma of mushrooms. The entire tempeh should lift as a single, cohesive cake without crumbling when shaken gently. Unfinished tempeh has beans that are bound together loosely by a sparse white mycelium, hence it crumbles easily. Unfinished tempeh should be incubated longer unless it has been incubated more than eight hours past the recommended time. If it has been incubated for enough time and still remains unfinished, it should be discarded. Inedible tempeh has beans with foul odor, resembling strong ammonia or alcohol, indicating the development of undesirable bacteria due to excess moisture or overheating. Inedible tempeh cake is wet, slimy, and mushy with a collapsed structure. Its color is tan to brown and mold develops in sparse patches.[20]

Food grade wrapping paper and perforated polyethylene bags are the most suitable materials for packaging tempeh. They have demonstrated good retention of the quality of tempeh and extension of the shelf life of tempeh for three days compared to fresh tempeh. Appropriate packaging is important as it provides optimum oxygen supply and temperature for inoculation and fermentation to occur during processing.[27] Tempeh is a perishable food and must be wrapped and placed into the refrigerator or freezer immediately after incubation or other processing steps such as blanching. In the refrigerator or freezer, stacking of tempeh should be minimized to prevent overheating and the undesirable, gradual continuation of fermentation, both of which shorten the storage life of tempeh. Even under cold temperature, tempeh continues to respire and undergo slow decomposition from microorganisms and its natural enzymes. Therefore, tempeh should be well cooled for at least two to five hours in a cooler before they undergo further packaging.[20] Tempeh packaged in perforated polyethylene bags is usually repacked inside another labeled, non-perforated bag for distribution and sale, and for easier labeling. If the tempeh is only packaged in one perforated bag, the label must be directly attached to the perforated surface with the use of government food contact approved adhesive.[27] They are then bulk packed in cartons and returned to the refrigerator or freezer to await shipment.[20]

Tempeh is 60% water, 20% protein, 8% carbohydrates, and 11% fats (table). In a reference amount of 100 grams (3.5oz), tempeh supplies 192 calories, and is a rich source (20% or more of the Daily Value, DV) of several B vitamins and dietary minerals, such as riboflavin (30% DV) and manganese (62% DV), respectively (table).

The soy carbohydrates in tempeh become more digestible as a result of the fermentation process. In particular, the oligosaccharides associated with gas and indigestion are greatly reduced by the Rhizopus culture. In traditional tempeh-making shops, the starter culture often contains beneficial bacteria that produce vitamins such as B12[28][29] (though it is uncertain whether this B12 is always present and bioavailable).[30] In western countries, it is more common to use a pure culture containing only Rhizopus oligosporus, which makes little B12 and could be missing Citrobacter freundii and Klebsiella pneumoniae, which have been shown to produce significant levels of B12 analogs in tempeh when present.[31] Whether these analogs are true, bioavailable B12 has not been thoroughly studied yet.[32] The fermentation process also reduces the phytic acid in soy,[33] which in turn allows the body to absorb the minerals that soy provides.

In the kitchen, tempeh is often simply prepared by cutting it into pieces, soaking in brine or a salty sauce, and then fried. In Java, tempeh is often traditionally prepared by cutting it into pieces, marinated in a mixture of ground garlic, coriander and turmeric, salt and water; then deep fried,[34] and often served with sambal ulek chili paste. Cooked tempeh can be eaten alone, or used in chili, stir fries, soups, salads, sandwiches, and stews. Tempeh's complex flavor has been described as nutty, meaty, and mushroom-like. It freezes well, and is now commonly available in many western supermarkets, as well as in ethnic markets and health food stores. Tempeh can be steamed, marinated, thinly sliced, blackened, or crumbled into sauces and stews.[35]

Tempeh performs well in a cheese grater, after which it may be used in place of ground beef (as in tacos). When thin-sliced and deep-fried in oil, tempeh obtains a crisp golden crust while maintaining a soft interior. Its sponge-like consistency makes it suitable for marinating. Dried tempeh (whether cooked or raw) is more portable and less perishable and may be used as a stew base. Sometimes when tempeh is diced and left, it will create white feathery fluff which bonds the cutthis is the Rhizopus mold still growingthis is normal and perfectly edible.[citation needed]

The most common and widely known tempeh is made from fermented soybeans, called tempeh kedele or tempeh dele, made from controlled fermentation of soybeans. However, traditionally other ingredients such as ampas tahu (tofu dregs/okara), ampas kelapa (coconut dregs) and peanuts may be used in a fashion similar to the tempeh-making process, although perhaps using different fungi or attracting other microbes like kara benguk or kara pedhang, which can be toxic if not prepared correctly. A related product to tempeh is oncom, which is made from peanut press cake or soy dregs and is prevalent in Sundanese culture in West Java. There are two types of oncom: a bright red-orange kind with Neurospora sitophila, and a black one with the same fungi as tempeh uses.[36]

Tempeh can also be differentiated according to its degrees of maturity (i.e. the mycelium's growth/age). Tempe mondhol is a tempeh that is not fully fermented, that is, the mycelium has not fully covered the surface. The taste of the beans is more solid and profound. Sometimes tempeh is left to ferment further, creating more pungently varieties: tempe wayu (day-old tempeh), i.e. when the tempeh starts to age; tempe semangit (a few-days old tempeh), i.e. when the tempeh becomes yellowish, a bit slimy, and the smell becomes more potent;[37] and tempe bosok (lit. 'rotten tempeh'), when the mycelium has acquired a blackened coloration and the product has a putrid smell.

Some types of tempeh are made of ingredients that would be otherwise wasted if not used. According to traditional Javanese customs, wasting food is deemed as a sign of disrespect to Nature and other beings, and encourages efforts to use every part of an ingredient.

The wrappings used in tempeh making can contribute to its flavor and aroma. Though some prefer the traditional banana, waru or teak leaf, readily available plastic sheet wrappings have been increasingly widely used.

Soft and fluffy tempeh made from soy pulp or tofu dregs.[38][39] Tempe gembus usually can be found in traditional markets of Java, at a price lower than that of common soybean tempeh. It is made into a variety of dishes; for example it can be battered and/or fried, used in sayur lodeh, or tempe bacem. Tempe gembus is known by different names across Java; for example as tahu cokol or tahu susur in Temanggung.[38]

In Indonesia, ripe tempeh (two or more days old) is considered a delicacy. Names include tempe semangit ('stinky tempeh') in Java, hampir busuk ('almost rotten') tempeh or tempe kemarin ('yesterday tempeh'). Having a slightly pungent aroma, small amounts are used as a flavoring agent in traditional Javanese sayur lodeh vegetable stew and nasi tumpang.[37]

In Javanese, the term gdhng means 'leaf'.[40] Traditionally tempeh is wrapped in organic banana leaf, gdhng waru (Hibiscus tiliaceus leaf) or gdhng jati (teak leaf).[41]

Pure soybean cake, tempeh made in plastic wrap without any fillings or additives such as grated raw papaya. This was meant to create a more "hygienic and pure" tempeh free from any impurities or unwanted microbes.[citation needed]

A specialty of Malang, the rough-textured tempeh menjes kacang is made from black soybeans mixed with other ingredients, such as peanut dregs, cassava fiber, and soybean meal. The process of making menjes kacang is quite similar to black oncom.[42]

Tempe bongkrk is a variety of tempeh from Central Java, notably Banyumas. It is prepared with coconut dregs. This type of tempeh has led to several cases of fatal food poisoning,[43] as it occasionally gets contaminated with the bacterium Burkholderia gladioli, and the unwanted organism produces toxins (bongkrek acid and toxoflavin) from the coconut, besides killing off the Rhizopus fungus due to the antibiotic activity of bongkrek acid.[39]

Fatalities from contaminated tempe bongkrk were once common in the area where it was produced.[44] Thus, its sale is now prohibited by law; clandestine manufacture continues, however, due to the popular flavor. The problem of contamination is not encountered with bean and grain tempeh, which have a different composition of fatty acids that is not favorable for the growth of B. gladioli, but encourages growth of Rhizopus instead. When bean or grain tempeh has the proper color, texture and smell, it is a very strong indication the product is safe. Yellow tempe bongkrk is always highly toxic due to toxoflavin, but tempe bongkrk with a normal coloration may still contain lethal amounts of bongkrek acid.[45]

A form of tempeh based on barley and oats instead of soy was developed by scientists at the Swedish Department of Food Science in 2008. It can be produced in climatic regions where it is not possible to grow soybeans.[46]

The simplest way to cook tempeh is by frying. It is both deep-fried and stir-fried. However, there are several cooking methods and recipe variations. Among others are:

Perhaps the simplest and most popular way to prepare tempeh in Indonesia. The tempeh is sliced and seasoned in a mixture of ground garlic, coriander seeds and salt, and then deep fried in palm oil.[47] The tempeh might be coated in batter prior to frying, or directly fried without any batter.

Tempe bacem is a traditional Javanese dish originating in Central Java. Bacem is a Javanese cooking method of braising in spices and palm sugar and boiling the food in a closed place until the water runs out.[48] The tempeh is first braised in a mixture of coconut water, palm sugar, and spices including coriander seeds, shallots, galangal, and bay leaves, and then briefly deep-fried. The result is a moist, sweet and spicy, dark-colored tempeh. Tofu may also be used, yielding tahu bacem.[49]

This variation is often found in Purwokerto. The word mendoan originates in the Banyumas regional dialect, and means 'flash-fried'. The tempeh is first dipped in spiced flour before quickly frying in very hot oil, resulting in a product that is cooked on the outside, but raw or only partially so on the inside. It has a limp, soft texture compared to the more common, crisp, fully fried tempeh.

Also known as kering tempe (lit: 'dry tempeh'), or sambal goreng tempe if mixed with plenty of hot and spicy sambal chili pepper sauce. It is a crispy, sweet and spicy, fried tempeh.[50] The raw tempeh is cut into small sticks and thoroughly deep-fried until no longer moist, and then mixed with palm sugar, chili pepper or other spices, or with sweet soy sauce. Often it is mixed with separately fried peanuts and anchovies (ikan teri). This dry tempeh will keep for up to a month if cooked and stored properly.

This variation is almost identical to tempe kering, but is more soft and moist.[51] The sweet taste is due to generous addition of kecap manis (sweet soy sauce).[52]

Stir-fried tempeh with vegetables such as green bean, basil, or onion, with spices.[53] Other recipes might add coconut milk for a milky-colored, and rather moist, stir-fried tempeh.

Fried tempeh mixed with sambal chili paste in a mortar and pestle. Usually served in addition to other penyet dishes, such as ayam penyet (chicken) or iga penyet (ribs).

Tempeh skewered and grilled as satay.

Sate kere (Javanese for 'poor man's satay') from Solo in Central Java is made from fluffy tempe gembus.[54] Ground tempeh can also be made into a thick sauce, such as in sate ambal, a chicken satay from Kebumen, Central Java where tempeh flavored with chili and spices replaces the more common peanut sauce.[55]

Kripik tempe snack crackers; a thinly sliced tempeh, battered and deep fried until crispy. It is popular across Java, but notably produced in Bandung, West Java and Malang, East Java.[56]

Grilled tempeh over charcoal or fire.[57]

Fried, grilled or otherwise cooked tempeh patties, sandwiched between slices of bread or hamburger buns with salad, sauces or seasonings.[58]

The common tempeh goreng (un-battered) in Indonesia

Fried tempeh (battered) sold at a food court in Singapore

Kering tempe or sambal goreng tempe

Tempe orek or orak-arik tempe

Crispy kripik tempeh as a snack

Freshly made, raw tempeh remains edible for a few days at room temperature. It is neither acidic nor does it contain significant amounts of alcohol. It, however, does possess stronger resistance to lipid peroxidation than unfermented soybeans due to its antioxidant contents.[59]

Cooked as tempe kering, the deep-fried and seasoned bits of tempeh can last for a month or more and still be good to consume, if cooked correctly and stored properly in an air-tight jar. The deep-frying process removes the moisture, preventing further fermentation and deterioration, thus prolonging its shelf life.

Rhizopus cultures responsible for the fermentation of tempeh from soybean produce natural, heat-stable antimicrobial agents against spoilage and disease-causing microorganisms, extending the shelf life of the fermented product through microbial antagonism. The mold is capable of inhibiting the growth of other fungi such as Aspergiluus flavus and Aspergillus parasiticus by interfering with the accumulation of aflatoxin (especially aflatoxin B1), the mycotoxin of greatest concern. R. oligosporus has also been reported to produce four to five antibacterial substances during fermentation process. It produces phenolic compounds against pathogenic bacteria such as Helicobacter pylori and an antibacterial protein has been identified with activities against Bacillus species (especially against Bacillus subtilis and Bacillus cereus[60]), Staphylococcus aureus, and Steptococcus cremoris.[16]

Tempeh can be sold and consumed fresh within 48 hours once removed from its incubator. It is commonly transported to the market in its incubation container (e.g. polyethylene bag, banana leaf wrapper, etc.) and placed in the shade. In areas with warmer climates, tempeh can be kept at room temperature for one to three days before it becomes overripe. In locations with more temperate temperatures, it can keep for one to four days but will usually need to be refrigerated to prevent spoilage.[20]

Fresh refrigerated tempeh should be sealed in a labeled polyethylene bag and kept in temperatures below 4C (40F). It can be kept at this temperature for three to five days and sometimes, even as long as a week. Storage life could be extended to two or three weeks if the tempeh is blanched or steamed prior to refrigeration due to the inactivation of enzymes and destruction of bacteria.[20]

Freezing is the preferred way to preserve tempeh due to its capability for wide distribution. Tempeh can be frozen whole or in slices, depending on preference. During the freezing process, whole tempeh is placed in its perforated wrapper whereas sliced tempeh is packaged in a labelled polyethylene bag prior to being sealed in an outer bag and then frozen immediately. This method will keep for months with only a small loss of texture and flavor.[20]

Blanching tempeh by steaming or parboiling helps to extend the storage life by preventing bacterial growth, stopping mold growth and inactivating enzymes. Steaming appears to have a less negative effect than parboiling in terms of texture, flavor and nutritional value. Blanching is a great method for preserving tempeh prior to refrigeration, though not as beneficial for tempeh that is to be frozen.[20]

Tempeh can be dried via the air tray drying method. Cubes of tempeh placed on steel, mesh bottom trays are dried by the circulating hot air dryer. After the product is finished, they can be cut into 2.5-centimetre (1-inch) squares at 90C (200F) for 90 to 120 minutes in order to reduce moisture content to 24%. When placed in moisture proof Pliofilm bags, the tempeh has a shelf life of several months at room temperature. Although this is a convenient method that produces a shelf stable product without requirement of refrigeration, the process of hot air drying can cause a significant loss of nutritional content such as the soluble solids and nitrogen protein content.[20]

This preservation method is most economical out of all methods. The tempeh can be blanched prior to dehydration to preserve flavor and prolong shelf life. Tempeh is exposed to internal solar dryer temperature of 8090C (180200F) in this method. A disadvantage of this method is that sunlight can destroy some of the vitamin B12 of tempeh.[20]

This method is the most expensive out of all dehydration methods but provides the advantage of long stable shelf life at room temperature and an excellent retention of soluble nutrients (nitrogen protein and other solids). The product undergoes quick freeze at 10C (50F) and is then dried at a moderate temperature inside a strong vacuum. Due to the expensive nature of the equipment, the final product price is higher than tempeh preserved through other methods.[20]

As this method is traditionally used for small particles, it is used to produce tempeh powder for products such as soups, breads, tortillas, etc. However, this method can be expensive due to the bulky nature of the equipment.[20]

This method produces ready to eat tempeh products. A culinary oil with a high smoke point, such as rapeseed, soy, safflower, peanut, or coconut oil, is heated to 180C (350F) in the deep fryer. The tempeh is deep-fried until golden brown and crisp, and then cooled quickly in a sterile environment to be sealed in Pliofilm bags and stored in a cool, dry place. The shelf life of this product lasts around a week but can be extended if the tempeh is sun dried or oven dried prior to deep frying.[20]

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Tempeh - Wikipedia

Can change in diet stop the growth of cancer cells? Here’s what study has to say – Hindustan Times

Posted: November 21, 2022 at 12:24 am

Can change in diet stop the growth of cancer cells? Here's what study has to say  Hindustan Times

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Can change in diet stop the growth of cancer cells? Here's what study has to say - Hindustan Times

Anti-pollution diet: 5 must-haves in your daily diet to guard your lungs – Times of India

Posted: November 21, 2022 at 12:24 am

Anti-pollution diet: 5 must-haves in your daily diet to guard your lungs  Times of India

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Anti-pollution diet: 5 must-haves in your daily diet to guard your lungs - Times of India

Treating low testosterone levels – Harvard Health

Posted: November 21, 2022 at 12:23 am

Testosterone is the hormone that gives men their manliness. Produced by the testicles, it is responsible for male characteristics like a deep voice, muscular build, and facial hair. Testosterone also fosters the production of red blood cells, boosts mood, keeps bones strong, and aids thinking ability. Lack of testosterone, often nicknamed, low-t, can cause unwanted symptoms.

Testosterone levels peak by early adulthood and drop as you ageabout 1% to 2% a year beginning in the 40s. As men reach their 50s and beyond, this may lead to signs and symptoms, such as impotence or changes in sexual desire, depression or anxiety, reduced muscle mass, less energy, weight gain, anemia, and hot flashes. While falling testosterone levels are a normal part of aging, certain conditions can hasten the decline. Low t risk factors include:

Millions of men usetestosterone replacement therapyto restore low levels and feel more alert, energetic, mentally sharp, and sexually functional. But it's not that simple. A man's general health also affects his testosterone levels. For instance, being overweight, having diabetes or thyroid problems, and taking certain medications, such as glucocorticoids and other steroids, can affect levels. Therefore, simply having low-t levels does not always call for taking extra testosterone.

Doctors diagnose low testosterone based on a physical exam, a review of symptoms, and the results of multiple blood tests since levels can fluctuate daily.

If your doctor diagnoses low testosterone, other tests may be considered before therapy. For example, low-t can speed bone loss, so your doctor may recommend a bone density test to see whether you also need treatment for osteoporosis.

Prostate cancer is another concern, as testosterone can fuel its growth. As a result, the Endocrine Society recommends against testosterone supplementation for men in certain situations, including those who:

Other circumstances in which testosterone supplementation is not recommended include:

In most cases, men need to have both low levels of testosterone in their blood and several symptoms of low testosterone to go on therapy.

It is possible to have low levels and not experience symptoms. But if you do not have any key symptoms, especially fatigue and sexual dysfunction, which are the most common, it is not recommended you go on the therapy given the uncertainty about long-term safety.

Even if your levels are low and you have symptoms, low-t therapy is not always the first course of action. If your doctor can identify the source for declining levelsfor instance, weight gain or a particular medicationhe or she may first address that problem.

If you and your doctor think testosterone replacement therapy is right for you, there are a variety of delivery methods to consider, as found in the Harvard Special Health ReportMen's Health: Fifty and Forward.

Most men feel improvement in symptoms within four to six weeks of taking testosterone replacement therapy, although changes like increases in muscle mass may take from three to six months.

By Matthew SolanExecutive Editor, Harvard Men's Health Watch

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Treating low testosterone levels - Harvard Health

Metabolism and weight loss: How you burn calories – Mayo Clinic

Posted: November 21, 2022 at 12:21 am

Metabolism and weight loss: How you burn calories

Find out how metabolism affects weight, the truth behind slow metabolism and how to burn more calories.

Some people blame their weight on how their body breaks down food into energy, also known as metabolism. They think their metabolism is too slow. But is that really the cause? If so, is it possible to speed up the process?

It's true that the rate at which the body breaks down food is linked to weight. But a slow metabolism isn't usually the cause of weight gain.

Metabolism does help decide how much energy a body needs. But weight depends on how much a person eats and drinks combined with physical activity.

Metabolism is the process by which the body changes food and drink into energy. During this process, calories in food and drinks mix with oxygen to make the energy the body needs.

Even at rest, a body needs energy for all it does. This includes breathing, sending blood through the body, keeping hormone levels even, and growing and repairing cells. The number of calories a body at rest uses to do these things is known as basal metabolic rate, also called basal metabolism.

Muscle mass is the main factor in basal metabolic rate. Basal metabolic rate also depends on:

Besides the basal metabolic rate, two other things decide how many calories a body burns each day:

How much a body moves. Any movement, such as playing tennis, walking to a store or chasing the dog, makes up the rest of the calories a body burns each day. This can be changed a lot, both by doing more exercise and just moving more during the day.

Daily activity that isn't exercise is called nonexercise activity thermogenesis (NEAT). This includes walking around the house. It also includes activities such as gardening and housework, and even fidgeting. NEAT accounts for about 100 to 800 calories used daily.

You might want to blame a medical condition for slow metabolism and weight gain. But rarely does a medical condition slow metabolism enough to cause a lot of weight gain. Conditions that can cause weight gain include Cushing syndrome or having an underactive thyroid gland, also known as hypothyroidism. These conditions are uncommon.

Many things affect weight gain. These likely include genes, hormones, diet and lifestyle, including sleep, physical activity and stress. You gain weight when you eat more calories than you burn or burn fewer calories than you eat.

Some people seem to lose weight more quickly and more easily than others. But everyone loses weight by burning more calories than are eaten. The bottom line is calories count. To lose weight, you need to eat fewer calories or burn more calories through physical activity. Or you can do both.

You can't easily control the speed of your basal metabolic rate, but you can control how many calories you burn through physical activity. The more active you are, the more calories you burn. In fact, some people who seem to have a fast metabolism are probably just more active and maybe fidget more than others.

To burn more calories, the Physical Activity Guidelines for Americans recommends the following:

Aerobic activity. As a general goal, aim for at least 30 minutes of moderate physical activity every day. If you want to lose weight, maintain weight loss or meet specific fitness goals, you may need to exercise more.

Moderate aerobic exercise includes activities such as brisk walking, biking, swimming and mowing the lawn. Vigorous aerobic exercise includes activities such as running, heavy yardwork and aerobic dancing.

Don't look to dietary supplements for help in burning calories or losing weight. Products that claim to speed up metabolism usually don't live up to their claims. Some may cause bad side effects.

The U.S. Food and Drug Administration doesn't ask for proof that dietary supplements are safe or that they work. Question the claims that are made. Always let your health care providers know about supplements you take.

There's no easy way to lose weight. To take in fewer calories than you burn, the 2020-2025 Dietary Guidelines for Americans recommends cutting 500 to 750 calories a day to lose 1 to 1.5 pounds (0.5 to 0.7 kilograms) a week. Add more physical activity to get to your weight-loss goals faster and maintain your weight loss.

A health care provider, such as a doctor or registered dietitian, can help you explore ways to lose weight.

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Do Vibration Machines Work for Weight Loss? – Healthline

Posted: November 21, 2022 at 12:21 am

Vibration machines, also called shaking machines or shaking platforms, use whole-body vibrations to force your muscles to contract reflexively. Theyre available in some gyms and are sold for home use.

Generally, people perform exercises like squats, pushups, or crunches on these machines while theyre vibrating.

Supporters of vibration machines say these vibrations make your muscles work harder and can help you lose fat, build muscle, and get stronger.

At this time, theres a limited amount of high-quality research looking at the effectiveness of these devices. Theres some evidence they may help with weight loss and muscle gain, but more research is needed to understand how effective they are compared to traditional exercise.

Lets break down what the latest research has found about vibration machines for weight loss and muscle gain.

Some studies have found whole-body vibration machines may have several health benefits, like helping you lose weight and build muscle. However, more research is needed to understand their effectiveness compared to traditional exercises.

Many of the studies currently published have small sample sizes or only look at the effects of vibration machines on people who are currently physically inactive or obese.

Heres what the latest research has found about these machines.

A 2019 review of studies examined the potential fat loss effects of whole-body vibration machines on people. The researchers found seven studies with a total of 280 participants suitable for analysis.

They found that whole-body vibration led to a significant amount of fat loss but didnt cause a significant change in body fat percentage in studies shorter than 6 months long.

They concluded that longer and larger studies are needed to accurately evaluate whole-body vibration machines.

A 2012 study examined the effect of vibration training on the arterial stiffness and blood pressure of 10 young women who were overweight or obese.

The participants either performed three sessions of vibration training for 6 weeks or were in a nonexercising control group. Participants in the exercise group performed a combination of squats and calf raises.

At the end of the 6 weeks, the women who underwent vibration training had a significant decrease in their systolic blood pressure compared to the control group.

Although its not clear how effective vibration training is compared to other forms exercise, it may be a good option for people who cant perform traditional exercise.

In the same 2012 study, the researchers observed an 8.2-kilogram (18-pound) increase in maximum leg extension strength in women who performed vibration training compared to the control group.

In another 2012 study published in the Journal of Alternative and Complementary Medicine, researchers examined the potential benefits of vibration training for nonobese women in their 20s. The women completed 8 weeks of training twice per week.

In the 36 women who completed the study, the researchers noticed a significant improvement in standing long jump scores, which is a measurement of lower body power.

In the Journal of Alternative and Complementary Medicine study, researchers also found a significant decrease in the womens skin folds and a decrease in their overall body fat by the end of 8 weeks.

In a 2016 study, researchers looked at the effects of vibration training on the body composition of middle-aged obese women. The women were put into one of three groups:

All three groups lost body fat, but the second and third groups lost more fat than the first group.

The researchers concluded that vibration training combined with a diet program was equally as effective as an aerobic program with a diet program over 9 months.

When the platform of a vibration machine shakes, your muscles reflexively contract rapidly. Even though this isnt under your conscious control, it still requires energy and causes you to burn calories.

Machines called electromyographs, which measure electrical activity in your muscles, have confirmed that vibration machines cause an increase in muscular activity.

The amount of energy your body burns depends on the frequency and strength of the vibrations.

Vibration machines are generally safe. However, they may not be suitable for some people.

People who are at a high risk of falling may want to stick to exercises where theyre lying or sitting as opposed to standing.

Some studies have found repeated exposure to vibrations is linked to several negative health effects, such as an increased risk of developing back, neck, hand, shoulder, and hip pain.

However, these studies arent looking specifically at vibration machines but occupational sources of vibration, such as using jackhammers, driving delivery vehicles, and using earth moving equipment.

Repeated exposure to vibrations is also associated with an increased risk of developing:

However, most studies linking vibration to these health effects look at people exposed to vibration every day for an extended period while working. These people are also often exposed to other risk factors, like toxic chemicals and repeated heavy lifting.

More research is needed to understand exactly how vibration affects your body.

Depending on the model, you can use vibration machines while standing, lying, or sitting. Most of the time, people perform exercises on the machine while its vibrating to increase the number of calories they burn.

Many different types of exercise can be performed on a vibration machine. You can perform both static and dynamic exercises.

Static exercises involve holding a position for a set length of time. A plank is a static exercise. Dynamic exercises involve moving during the exercise. Pushups are one example.

Some potential exercises you can perform on a vibration machine include:

Its not clear how effective vibration machines are compared to traditional weight loss techniques. They may make a suitable addition to your fitness program, but they shouldnt be a substitute for regular exercise and a healthy diet.

No matter how you lose weight, the aim is to eat fewer calories than youre burning. You need to burn about 3,500 calories to lose 1 pound of fat.

People who focus on a slow and steady approach to weight loss are generally more successful at keeping the weight off than people who try to lose weight as quickly as possible.

You can lose weight by dieting, exercising, or a combination of the two. Combining exercise with a healthy diet is often more effective than focusing on one or the other.

If you dont enjoy traditional forms of exercise like running or biking, there are many other activities that can help you increase the number of calories you burn each day. The following are just some examples:

At this time, it isnt clear how effective vibration machines are for helping you burn fat or gain muscle. Some studies have found that they led to weight loss, but many of these studies have small sample sizes or only look at participants who are currently overweight or obese.

Although you shouldnt use a vibration machine as a substitute for good eating and exercise habits, it may make a good addition to an already solid workout program.

Excerpt from:
Do Vibration Machines Work for Weight Loss? - Healthline

Weight loss surgery – Risks – NHS

Posted: November 21, 2022 at 12:21 am

Weight loss surgery carries a risk of complications, some of which can be serious.

Before having surgery, speak to your surgeon about the possible benefits and risks of the procedure.

You'llhavetreatment to reduce your risk of blood clots after surgery, such as special legstockings or blood-thinning medicine, but you can sometimes still get them.

Common places to get blood clots are in the lower leg (deep vein thrombosis)or lungs (pulmonary embolism).

Symptoms can include:

Contact a GP or NHS 111 as soon as possible if you think you might have a blood clot.

Sometimes the wounds from your surgery can become infected while they're healing.

Signs of a wound infection can include:

Contact a GP or NHS 111 if you think your wound may be infected.They may prescribe a course of antibiotics.

If you have gastric band surgery, there's a small risk that the band could move out of position.

This can cause:

See a GP if you have these symptomsand they do not go away. If your band has moved, you'll need further surgery to put it back in place or remove it.

In the days or weeks after a gastric bypass or sleeve gastrectomy, there's a small chance that food could leak out into your tummy.

This can cause a serious infection inside your tummy.

Symptoms of a leak can include:

Call your GP orNHS 111 as soon as possible if you have these symptoms. You may need surgery to repair the leak and antibiotics to treat any infection.

Sometimes the stomach or small intestine can become narrower or blocked after weight loss surgery. This can happen as a result of the side effects of the surgery, such as scarring and reduced blood flow to the area.

The blockage can cause a number of complications, including food getting stuck and your gut becoming kinked or twisted.

This can then cause the following symptoms:

Contact a GP or NHS 111 as soon as possible if you have these symptoms. You may need to have a procedure to widen or clear the blockage using a thin, flexible tube passed down your throat(endoscope).

Cutting food into small chunks, chewing thoroughly andnot drinking during meals can help reduce the risk of a blockage.

Weight loss surgery canmake it harder for your gut to absorbvitamins and minerals from food, so there's a risk you could become malnourished.

This might not always be obvious, but possible symptoms can include:

Having abalanced diet can help reduce the risk of malnutrition, but most people need to take extra nutritional supplements for life after surgery.

You'll have regularblood tests after surgery to measure your vitamin and mineral levels, so any problems can be picked up and treated.

It's common to develop gallstones in the first year or two after weight loss surgery. These are small, hard stones in the gallbladder that can form if you lose weight quickly.

The main symptom of gallstonesis episodes ofsevere tummy pain that come on suddenly and can last a few minutes to a few hours.

They can also sometimes cause:

See a GP if you have symptoms of gallstones. You may need an operation to remove your gallbladder.

As you lose weight after surgery,you may be left with excess folds and rolls of skin, particularly aroundyour breasts, tummy, hips and limbs.

Surgery, such as atummy tuck,can be used to remove the excess skin. But its usually consideredcosmetic surgery so it is not always available on the NHS.

Ask as GP if surgery to remove excess skin after weight loss surgery is provided on the NHS where you live.

Weight loss surgery is a major operation and there is a chance of dying during the procedure or asa result of a serious complication afterwards.

But this is rare.

Page last reviewed: 14 April 2020Next review due: 14 April 2023

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Weight loss surgery - Risks - NHS

Weight loss meal plans: Tips, 7-day menu, and more – Medical News Today

Posted: November 21, 2022 at 12:19 am

For individuals wanting to lose weight, it can be challenging to find a suitable weight loss program since there are so many available online. However, adopting a diet rich in whole foods and limiting processed foods is a good starting point.

This article explains how to plan a meal for weight loss and includes a 7-day meal plan for people to consider. It also discusses other helpful approaches to weight loss for different groups and those with different dietary requirements.

A person should plan their meals according to their requirements. They should consider:

Online resources are available that can help a person plan their meals. However, each plans nutrient content can vary greatly, so a person must ensure they receive a sufficient amount of vitamins, minerals, and fiber.

The following section contains a healthy meal plan for weight loss that a person can adapt as necessary.

The following meal plan provides options for 7 days of meals and snacks. The plan consists of nutrient-dense whole foods.

A person should determine the appropriate portion sizes, according to their weight loss goals, activity levels, and individual requirements.

A weight-loss diet plan can often begin in the grocery store.

Planning ahead can help when it comes to purchasing and eating the right foods. If a person can visualize their shelves and refrigerator full of healthy foods, they may also be less tempted to add unhealthy varieties to their stock.

A person can consider the following tips:

Healthy additions to add to any grocery list include:

Understanding exactly what is needed and cutting out snacks high in added sugar and fat can make grocery shopping easier.

When considering ways to lose weight, vegetarians and vegans should include whole foods and limit refined carbohydrates and processed foods. People should pay particular attention to packaging labels when purchasing meat alternatives, as many of these products contain added sugar and fat.

People who eat a plant-based diet will also need to ensure that their meals contain enough protein. Some good sources of plant protein include:

Research shows that people who follow a vegan diet tend to have a lower body mass index (BMI) compared to omnivorous diets and pescatarian diets.

Vegan diets are entirely plant-based, which means they do not include meat, eggs, or dairy products.

Vegan diets eliminate many foods high in fat, cholesterol, calories, and saturated fat. However, since animal diets contain vitamin B12, individuals following a vegan diet will need to find other sources of B12, such as supplements or fortified plant milks and cereals.

The following provides an example of a 1-day vegan meal plan.

Those who follow a vegetarian diet avoid meat and fish but may continue to eat eggs and dairy products.

Research shows that following a vegetarian diet can be an effective way to lose weight. However, individuals who follow a vegetarian diet need to be careful about what they eat to ensure they meet their nutritional requirements.

The below meal plan provides an example of what one day following a vegetarian diet might encompass.

Learn more about vegan and vegetarian diets here.

Losing weight can help a person with diabetes manage their blood sugar levels and avoid complications.

According to the American Diabetes Association, people with diabetes should lose weight through a combination of exercise, diet, and portion control. Low glycemic index (GI) foods can help someone avoid spikes in blood sugar while they lose weight.

A person who has type 1 diabetes should consult their doctor or dietitian for help devising a weight loss plan. People will need to manage their diet to work alongside any medications they take to control their blood sugar levels.

For individuals with diabetes, a healthy meal plan should focus on whole foods rather than processed foods to help manage blood sugar levels as much as possible.

It will include non-starchy vegetables such as broccoli, spinach, and green beans. It will also incorporate fewer added sugars and refined grains, such as white bread, rice, or pasta.

Below is an example of what one day following a diabetes meal plan might entail.

Dietary choices can contribute to obesity and type 2 diabetes, which can increase persons risk of cardiovascular disease.

A heart-healthy meal plan emphasizes foods that support cardiovascular benefits, such as vegetables, whole grains, and oily fish. It also limits red and processed meats, alcohol, and foods high in sugar and salt.

Examples of heart-healthy diets include the Dietary Approaches to Stop Hypertension (DASH) diet, the Mediterranean diet, and vegetarian diets. Research shows all of these diets can help prevent cardiovascular disease.

Below are some meal options for a heart-healthy diet.

Dietary requirements vary. There is a range of approaches to weight loss that may benefit different people.

A 2017 systematic review investigated the effectiveness of weight loss interventions in men. The review found that the following strategies were the most effective at promoting weight loss:

However, while this review looked specifically at strategies for males, these approaches work for females too.

The review also notes that participants preferred face-based language and personal feedback. People who prefer this type of support and advice may benefit from using apps such as My Fitness Pal or receiving help from a personal trainer or registered dietitian.

Dieting during pregnancy and breastfeeding may not be appropriate. Anyone concerned about their weight or general fitness during pregnancy or breastfeeding should talk with a doctor or midwife for further advice.

People going through menopause may find it more challenging to lose weight. A 2019 study found that fat mass and body weight tend to increase during the menopause transition.

The study found that the women had an average fat mass increase from 11.7% per year of the transition, resulting in a 6% total gain in fat mass over the 3.5 year transition period. The average weight gain among the participants was 1.6 kilograms.

Females who aim to lose weight during menopause should ensure that they consume enough nutrients to support their bone health. Nutrients include:

According to the National Heart, Lung and Blood Institute (NHLBI), to lose weight successfully and safely, people should aim to lose 12 pounds per week for 6 months. A person can achieve this level of weight loss by reducing their calorie intake by 5001,000 calories per day.

However, the body can also make hormonal adaptations when a person cuts their calorie intake, and their weight loss may plateau as a result.

Many low calorie diets restrict fats, but fats help a person feel full. As such, some people may not be able to sustain a low fat diet.

People should also consider that calorie reduction alone may not be sufficient for maintaining weight loss. This is because foods with the same amount of calories can have different effects on a persons metabolism.

For example, high GI foods could have detrimental effects on a persons weight loss goals. According to a 2014 randomized controlled trial, these foods could cause:

Some examples of high GI foods include:

In addition to cutting calories and eating healthy foods, individuals may want to consider incorporating an exercise routine to support their weight loss goals.

A 2020 study comparing diet versus a diet and exercise program for health enhancement and weight loss among overweight women aged 4060 years found that a combined diet and exercise approach showed the best results.

A 2018 review examined the optimal dietary approach for effective and sustainable weight loss among people who were overweight or obese. The review concluded that there is no single fit-for-all diet and that the best approach is individualization.

The same review emphasizes the importance of the following approaches for weight loss:

Alongside meal planning and following a shopping list, some additional tips that may help a person lose weight include:

Combining a healthy diet with an active lifestyle can help a person maintain a moderate weight. Planning meals and shopping is beneficial for successful weight loss.

Counting calories may not be the only useful approach to weight loss. A weight loss program is more successful when a person adapts it to their individual requirements.

A registered dietitian or certified nutrition specialist can work with a person to devise an optimal meal plan and support the person while working toward their weight loss goals.

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Weight loss meal plans: Tips, 7-day menu, and more - Medical News Today

Thanksgiving is an IDEAL TIME to start ChiroThin Weight Loss program | Paid Content – Local 5 – weareiowa.com

Posted: November 21, 2022 at 12:18 am

Thanksgiving is an IDEAL TIME to start ChiroThin Weight Loss program | Paid Content  Local 5 - weareiowa.com

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Thanksgiving is an IDEAL TIME to start ChiroThin Weight Loss program | Paid Content - Local 5 - weareiowa.com


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