"90 Day Fianc" fans received some good news in April this year when Loren Brovarnik, and her husband, Alexei, shared pictures of their newborn son. The couple has been a fan favorite ever since they debuted on the 90-Day series. After she gave birth to her son, Loren told fans that she would try to lose the weight she had gained during her pregnancy. This week, the 31-year-old reality star logged onto Instagram to share her weight loss progress with her fans.

"90 Day Fianc" star Loren posted several pictures of herself which highlighted how far she has come in her weight loss journey.

Fans were impressed by her trim waist, and in the comment section, they asked her to share the secret to her success. Loren revealed that she had lost 26 pounds since April. However, she admitted that she still had a lot of work to do to get back to her original figure. Loren gained 32 pounds during her pregnancy, and she hopes to lose all of her baby weight by the end of the year. As for her weight loss regiment, Loren said that she had not been working out. Instead, she had decided to change her diet and avoid high-calorie foods. She also told fans that she had become more active while taking care of her baby.

Fans have commended Loren for the determination she has shown in her quest to lose weight.

The American reality star has also been a source of inspiration for many fans because of how she has handled her new life as a mother. Although she is trying to get back to her original shape, Loren has told fans that she will be patient with her weight loss process. The 31-year-old has said that she will give her body time to heal and avoid putting unnecessary pressure on herself.

Loren has also opened up about her struggles with insomnia and anxiety while transitioning into life as a mother. However, Loren has said that despite her struggles, she is cherishing every moment she gets to spend with her son.

In January, Loren and Alexei announced that their "90 Day Fianc" process was complete after Alexei acquired full United States citizenship.

The popular reality star told fans that he had passed all of his tests, and he was relieved that he could finally share his life with Loren as an American citizen. Viewers have witnessed the couples love story play out in the public eye. Although the couple has had to overcome several challenges, the two reality stars have remained loyal to each other. After Alexei acquired citizenship, and Loren gave birth to their son, it is safe to say that the couple has had a good year so far. Fans hope that Loren can achieve her weight loss goal by the end of 2020. Stay tuned for more news and updates on reality shows.

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'90 Day Fianc': Loren stuns fans with incredible weight loss, she gives credit to her child - Blasting News United States

Weight Loss: Follow this Japanese technique called long breath diet. Raed on to know how to do the exercise.

Weight loss means healthy eating and physical workout every day without fail. However, there are certain tricks and tips that can help you to amp up the speed of your weight loss. Earlier we had talked about how you should know your body type and follow diet and workout accordingly, how you can follow bedtime rituals which can again aid in weight loss. Just like these two, today we are sharing a Japanese weight-loss hack. We had earlier shared the Japanese hack of the Hara Hachi Bu and Japanese Tabata exercise.

Today we are talking about another Japanese method called Long-Breath Diet and it was discovered by an actor named Miki Ryosuke. In this Japanese weight-loss method, you have to follow this two-minute long-breath diet and you can shed 10 to 13 kgs in a matter of few weeks. If you are thinking about what to eat in this diet then let me tell you that there is no food involved here and it is just a simple yet effective breathing technique.

So, how Mr Miki discovered this super cool and easy method? As per reports, Mr. Ryosuke was once struggling from back pain and he was prescribed some exercises by doctors for relief. After doing the exercises, he realized not only the exercises helped him to eliminate back pain but also helped him to lose 13 kilos in a few weeks.

This method involves inhaling for three seconds and exhaling for seven seconds. How it works? For the unversed, the fat contains oxygen, carbon, and hydrogen and when we breathe, the oxygen reaches fat cells and in turn, divides them into carbon and water. Basically, the more oxygen your body uses the more fat you burn.

How to do the 2-minute long-breath diet exercise?

Stand still with one leg put forward and the other one behind.

Now strain your buttocks and transfer your body weight to your back foot.

Slowly start inhaling for 3 seconds and also lift your arms above your head.

Now exhale forcefully for 7 seconds while you strain your body muscles.

Perform this exercise every day for 2 to 10 minutes.

Apart from weight loss, this exercise will also help you to strengthen body muscles and boost metabolism.

Check out this video to know more:

ALSO READ:Weight Loss: 4 Japanese tricks that will help you to shed extra pounds

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Weight Loss: Follow THIS Japanese long breathing technique to lose weight - PINKVILLA

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The Twilight Zone is back and its throwing some unexplained phenomena at Chris Meloni and Jenna Elfman.

The Law & Order: SVU alum and Dharma & Greg star play grieving parents in the Season 2 installment A Human Face debuting Thursday on CBS All Access and in the exclusive sneak peek above, Melonis character Robert tries to calm down his wife Barbara, played by Elfman, after theyve seen something thats clearly shaken both of them to the core. He theorizes that it must be the result of a cosmic flare, but she thinks its something closer to home and shows him a photo of their deceased daughter.

We have an alien in our basement, Robert declares, but Barbara insists what they saw was actually their beloved daughter: There was something there. You saw it. It was her! He doesnt understand what shes saying, but shes clear about one thing: Im not leaving.

All 10 Season 2 episodes of The Twilight Zone including installments starring Emmy winner Billy Porter (Pose), Joel McHale (Community) and Morena Baccarin (Gotham) premiere this Thursday on CBS All Access. Press PLAY above for a first look at Meloni and Elfman in A Human Face and tell us in the comments below: Will you be watching?

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Chris Moyles shows off 5-stone weight loss and dramatic hair transformation as he goes platinum blonde - News Lagoon

Analytical Research Cognizance has announced detailed analysis of Meal Replacement for Weight Loss Market 2020 by size, manufacturers, market drivers, future guide and 2025 estimate.

The Meal Replacement for Weight Loss market report provides a detailed analysis of global market size, regional and country-level market size, segmentation market growth, market share, competitive Landscape, sales analysis, impact of domestic and global market players, value chain optimization, trade regulations, recent developments, opportunities analysis, strategic market growth analysis, product launches, area marketplace expanding, and technological innovations.

The most likely (base case) scenario is that the global Meal Replacement for Weight Loss sales will be xx in 2020 from Meal Replacement for Weight Loss million in 2019, with a change xx% between 2019 and 2020. In addition, based on the latest study, it is to predict that the Covid-19 will be under control in key countries like the United States, Western Europe, East Asia, by the end of Q2 (June), and will resume normal production in Q3 and Q4, the global Meal Replacement for Weight Loss market size is expected to grow at xx% or more annually for the next five years.

This report also researches and evaluates the impact of Covid-19 outbreak on the Meal Replacement for Weight Loss industry, involving potential opportunity and challenges, drivers and risks. We present the impact assessment of Covid-19 effects on Meal Replacement for Weight Loss and market growth forecast based on different scenario (optimistic, pessimistic, very optimistic, most likely etc.).

Sample @https://www.arcognizance.com/enquiry-sample/1055102

.Global top Meal Replacement for Weight Loss players covered in this report, and the players covered can be modified as per research scope:Abbott, Natures Bounty, Nestle, Herbalife, GlaxoSmithKline, Kellogg, Onnit Labs, Glanbia, SlimFast, Nutiva, Orgain, Ultimate Superfoods

Market segmentationMeal Replacement for Weight Loss market is split by Type and by Application. For the period 2015-2025, the growth among segments provide accurate calculations and forecasts for revenue by Type and Application. This analysis can help you expand your business by targeting qualified niche markets.

Regions and Countries Level AnalysisRegional analysis is another highly comprehensive part of the research and analysis study of the global Meal Replacement for Weight Loss market presented in the report. This section sheds light on the sales growth of different regional and country-level Meal Replacement for Weight Loss markets. For the historical and forecast period 2015 to 2025, it provides detailed and accurate country-wise volume analysis and region-wise market size analysis of the global Meal Replacement for Weight Loss market.

Competitive Landscape and Meal Replacement for Weight Loss Market Share AnalysisMeal Replacement for Weight Loss competitive landscape provides details by vendors, including company overview, company total revenue, market potential, global presence, Meal Replacement for Weight Loss revenue generated, market share, headquarters, SWOT analysis, product launch. For the period 2015-2020, this study provides the Meal Replacement for Weight Loss revenue and market share for each player covered in this report.

Market segment by regions, regional analysis coversNorth America (United States, Canada and Mexico)Europe (Germany, France, UK, Russia, Italy, Spain, Benelux, Nordic)Asia (China, Japan, Korea, India, Southeast Asia, Australia and Taiwan)South America (Brazil, Argentina)MENA (Saudi Arabia, UAE, Turkey)

Market segment by Type, covers:Meal Replacement PowdersMeal Replacement BarsMeal Replacement DrinksOthers

Market segment by Application, can be divided intoRetail StoresOnline Sales

Access Complete Report @https://www.arcognizance.com/report/global-meal-replacement-for-weight-loss-market-2020-by-key-countries-companies-type-and-application

Major Point of TOC:

Chapter One: Meal Replacement for Weight Loss Market Overview1.1 Product Overview and Scope of Meal Replacement for Weight Loss1.2 Classification of Meal Replacement for Weight Loss by Type1.2.1 Overview: Global Meal Replacement for Weight Loss Revenue by Type: 2015 Versus 2019 Versus 20251.2.2 Global Meal Replacement for Weight Loss Revenue Market Share by Type in 20191.2.3 Meal Replacement Powders1.2.4 Meal Replacement Bars1.2.5 Meal Replacement Drinks1.2.6 Others1.3 Global Meal Replacement for Weight Loss Market by Application

Chapter Two: Company Profiles2.1 Abbott2.1.1 Abbott Details2.1.2 Abbott Major Business and Total Revenue (Financial Highlights) Analysis2.1.3 Abbott SWOT Analysis2.1.4 Abbott Product and Services2.1.5 Abbott Meal Replacement for Weight Loss Revenue, Gross Margin and Market Share (2018-2019)2.2 Natures Bounty2.2.1 Natures Bounty Details2.2.2 Natures Bounty Major Business and Total Revenue (Financial Highlights) Analysis2.2.3 Natures Bounty SWOT Analysis

Chapter Three: Market Competition, by Players3.1 Global Meal Replacement for Weight Loss Market Size by Players (2015-2020)3.2 Market Concentration Rate3.2.1 Top 5 Meal Replacement for Weight Loss Players Market Share

Chapter Four: Global Market Size Segment by Type and by Application4.1 Global Meal Replacement for Weight Loss Market Size and Forecast by Type (2015-2025)4.2 Global Meal Replacement for Weight Loss Market Size and Forecast by Application (2015-2025)

Chapter Five: North America5.1 North America Meal Replacement for Weight Loss Market Size and Forecast by Countries (2015-2026)5.2 United States5.2.1 United States Meal Replacement for Weight Loss Market Size and Forecast (2015-2025)5.2.2 United States Meal Replacement for Weight Loss Market Size by Type (2015-2025)5.2.3 United States Meal Replacement for Weight Loss Market Size by Application (2015-2025)

Chapter Six: Europe

Chapter Seven: Asia

Chapter Eight: South America

Chapter Nine: MENA

Chapter Ten: Market Dynamics

Chapter Eleven: Research Findings and Conclusion

Chapter Twelve: Appendix12.1 Methodology12.2 Data Source12.3 Disclaimer12.4 About US

About Us:Analytical Research Cognizance (ARC)is a trusted hub for research reports that critically renders accurate and statistical data for your business growth. Our extensive database of examined market reports places us amongst the best industry report firms. Our professionally equipped team further strengthens ARCs potential. ARC works with the mission of creating a platform where marketers can have access to informative, latest and well researched reports. To achieve this aim our experts tactically scrutinize every report that comes under their eye.

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Global Meal Replacement for Weight Loss Market Report Growth Analysis Type, Application And Manufacturers Upcoming Projections Till 2025 - Cole of...

Market Study Report, LLC, has added an exhaustive research study of the ' Weight Loss Therapeutics market', detailing every single market driver and intricately analyzing the business vertical. This ' Weight Loss Therapeutics market' study will aid in seeking out new business opportunities and fine-tuning existing marketing strategies through insights regarding SWOT analysis, market valuation, competitive spectrum, regional share, and revenue predictions.

Description.

Globally acclaimed to be one of the most lucrative business verticals of today, the overall Weight Loss Therapeutics market is forecast to procure commendable returns by the end of (final year). This report has been specifically formulated with respect to the regional landscape of Weight Loss Therapeutics market in addition to incorporating extensive details about the application and type spectrums of this business space.

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The report holds intricate details about the contribution by pivotal contenders and the opportunities that the industry can offer them over (forecast period). The competitive landscape of global Weight Loss Therapeutics market, inclusive of companies such as Abbott, Novartis AG, Arena Pharmaceuticals, Sanofi, Pfizer, Novo Nordisk, VIVUS, Johnson & Johnson, Orexigen Therapeutics, Biocon, Eisai, Eli Lilly, Roche, Amgen and Zafgen has been extensively outlined in the report. Individually analyzed, the report presents details regarding the basic information of every industry magnate, their prominent rivals in the business, manufacturing base, and the business overview. Substantial information about the company revenue, production, price, as well as gross margins have been provided.

The report enumerates the regional spectrum of Weight Loss Therapeutics market is appreciable detail. Spanning the belts of North America, Europe, Asia-Pacific, South America, Middle East and Africa , the report explains the contribution of every region toward the global Weight Loss Therapeutics market share. The geographies have been individually analyzed in terms of the parameters such as production, market share in terms of the manufacturers as well as with regards to application and type.

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The report elucidates humongous details about the application and type landscapes in terms of the factors such as individual revenue, market share, and growth rate. In addition, a detailed analysis of the market drivers and the emerging regional markets have also been segmented separately in the report.

Weight Loss Therapeutics market report is inclusive of other pivotal parameters such as competitive insights pertaining to the business space as well as the industry chain analysis, that have been enumerated in excruciating detail. Furthermore, a macroeconomic analysis has been provided in the report, categorized into informative segments elucidating the global macroeconomic environment analysis and the global macroeconomic environment development trends.

Browse key industry insights spread across pppp pages with market data tables, figures & charts from the report, Weight Loss Therapeutics market size by Application, By Types, Top Players, Regional Outlook, Global and regional Trends, Forecast - 2018 to 2024 in detail along with the table of contents:

https://www.marketstudyreport.com/reports/global-weight-loss-therapeutics-market-2019-by-company-regions-type-and-application-forecast-to-2024

Key questions answered in the Weight Loss Therapeutics Marketreport:

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Worldwide Weight Loss Therapeutics Market Forecast 2019-2024 Growth Drivers, Reg - News.MarketSizeForecasters.com

While Tom Kerridge, 46, may be well known for his food skills as a Michelin-starred chef, its his own diet that made him hit headlines in recent years. The celebrity chef revealed his dramatic weight loss after he decided to overhaul his lifestyle at the age of 40. He used a combination of exercise and dieting to reach his goals - and managed to drop a massive 12 stone in the process.

Tom has been candid about his weight loss in recent years, revealing that he decided to make a change when he hit 40.

In an interview with The Sunday Times, he explained: Say we live to 80. Well, I thought, Im halfway there. And then, I thought Im not going to get there. If Im like this, Im not going to make it.

At his heaviest, the expert chef weighed 30 stone, reportedly drinking 15 pints of beer a night at times.

However, with a new diet plan that he concocted himself, the chef managed to drop down to 18 stone.

READ MORE:Tom Kerridge shares easy recipe amid coronavirus lockdown

The popular chef, whose TV credits include The Great British Menu, Masterchef and his own show, Tom Kerridge's Lose Weight For Good, followed what he called the dopamine diet.

The plan takes a low-carb approach, and he even released a book, "Lose Weight & Get Fit" to detail the diet to others who wanted to follow his transformation.

His diet is based on the idea of increasing levels of dopamine, which is also known as the happy hormone.

This should make it easier to stick to the diet and keep the weight off, rather than making you feel down at all the treats youre missing out on.

DON'T MISS:Keto diet: The lazy keto diet that works without calorie counting [INSIGHT]Lorraine Kelly weight loss: How TV host dropped two dress sizes [PICTURES]Weight loss: Why avoiding unhealthy fats is the key to lose belly fat[COMMENT]

The plan clearly worked for Tom, who cut out alcohol completely, as well as sweet treats - despite being involved in the Great British Bake Off professional series, Bake Off: Crme de la Crme.

He has previously admitted he didnt try any of the delicious bakes on the show, as he luckily wasnt judging so didnt need to taste test any of them.

Instead the dopamine diet permits other foods, including unprocessed meat such as chicken or beef, dairy and even dark chocolate.

Fruits, vegetables, nuts, eggs and omega-3 rich fish such as salmon and mackerel are also mainstays of the happy diet, but caffeine, alcohol and processed sugar are strictly off the menu.

However, its not just his diet that Tom changed in order to drop the weight so drastically.

He also took up exercise, swimming first thing in the morning every day at a hotel pool near his house.

He said hed swim a mile when he has the time, or just a kilometre on busier days.

However, he has spoken out before about how self-conscious he felt stepping into the pool when he first started.

In an interview for Desert Island Discs, he said: Id swim a mile and Id swim it really slowly and I wouldnt give up. Its a big step to get into a swimming pool being that big. Being conscious of your body and worrying about it.

Its not just going to the gym where youve got clothes on, youre just walking around in your pants essentially.

However, he also said it was the best type of exercise because it offers no distractions.

Swimming is very good because you become isolated. No one can talk to you, your phone doesnt ring. Youre on your own.

In an interview this week with The Guardian, Tom was described as looking trim as the reported noted he hadnt put on lockdown weight.

But Tom revealed hed taken up running since the gyms had closed. I havent been able to get to the gym, obviously, and I havent got any free weights at home, so Ive lost a load of strength but Ive taken up running, he told the Guardian. I hate every minute of it. Im not built for running but I try to do 20, maybe 25k a week. I make myself do it and I feel better when its done.

He also said that he used the deep-fat fryer in lockdown to make fish and chips with his son.

But sticking to his diet plan, the healthy chef didnt eat any of the chips - and said he only had a bit of the fish which was made with a very thin batter.

Originally posted here:
Tom Kerridge weight loss: How celebrity chef dropped 12 stone on the happy diet - Express

The study on the Bio-inspired Robotics Marketby Brand Essence Market Research is a compilation of systematic details in terms of market valuation, market size, revenue estimation, and geographical spectrum of the business vertical. The study also offers a precise analysis of the key challenges and growth prospects awaiting key players of the Bio-inspired Robotics market, including a concise summary of their corporate strategies and competitive setting.

In 2018, the Global Bio-inspired Robotics Market size was xx million US$ and it is expected to reach xx million US$ by the end of 2025, with a CAGR of xx% during 2019-2025.

Download Premium Sample of the Report: https://industrystatsreport.com/Request/Sample?ResearchPostId=12064&RequestType=Sample

The latest report pertaining to Bio-inspired Robotics Market provides a detailed analysis regarding market size, revenue estimations and growth rate of the industry. In addition, the report illustrates the major obstacles and newest growth strategies adopted by leading manufacturers who are a part of the competitive landscape of this market.

Bio-inspired Robotic is a Robot inspired by biological systems.

In this report, 2018 has been considered as the base year and 2019 to 2025 as the forecast period to estimate the market size for Bio-inspired Robotics.

This report studies the global market size of Bio-inspired Robotics, especially focuses on the key regions like United States, European Union, China, and other regions (Japan, Korea, India and Southeast Asia).

This study presents the Bio-inspired Robotics production, revenue, market share and growth rate for each key company, and also covers the breakdown data (production, consumption, revenue and market share) by regions, type and applications. history breakdown data from 2014 to 2019, and forecast to 2025.

For top companies in United States, European Union and China, this report investigates and analyzes the production, value, price, market share and growth rate for the top manufacturers, key data from 2014 to 2019.

In global market, the following companies are covered: Boston Dynamics Crunchbase ABB Agility Robotics FANUC DJI Vincross

Market Segment by Product Type Modular Robots Humanoid Robots Swarm Robotics Soft Robots Other

Market Segment by Application Industrial Oil and Gas Commercial Other

Bio-inspired Robotics market report consists of the worlds crucial region market share, size (volume), trends including the product profit, price, value, production, capacity, capability utilization, supply, and demand. Besides, market growth rate, size, and forecasts at the global level have been provided. The geographic areas covered in this report:North America (United States, Canada and Mexico), Europe (Germany, France, UK, Russia and Italy), Asia-Pacific (China, Japan, Korea, India and Southeast Asia), South America (Brazil, Argentina, Colombia etc.), Middle East and Africa (Saudi Arabia, UAE, Egypt, Nigeria and South Africa).

This research study involved the extensive usage of both primary and secondary data sources. The research process involved the study of various factors affecting the industry, including the government policy, market environment, competitive landscape, historical data, present trends in the market, technological innovation, upcoming technologies and the technical progress in related industry, and market risks, opportunities, market barriers and challenges. Top-down and bottom-up approaches are used to validate the global market size market and estimate the market size for manufacturers, regions segments, product segments and applications (end users). All possible factors that influence the markets included in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data. The market size for top-level markets and sub-segments is normalized, and the effect of inflation, economic downturns, and regulatory & policy changes or other factors are not accounted for in the market forecast. This data is combined and added with detailed inputs and analysis from BrandEssenceResearch and presented in this report.

After complete market engineering with calculations for market statistics; market size estimations; market forecasting; market breakdown; and data triangulation, extensive primary research was conducted to gather information and verify and validate the critical numbers arrived at. In the complete market engineering process, both top-down and bottom-up approaches were extensively used, along with several data triangulation methods, to perform market estimation and market forecasting for the overall market segments and sub segments listed in this report. Extensive qualitative and further quantitative analysis is also done from all the numbers arrived at in the complete market engineering process to list key information throughout the report.

The study objectives are: To analyze and research the Bio-inspired Robotics status and future forecast in United States, European Union and China, involving sales, value (revenue), growth rate (CAGR), market share, historical and forecast. To present the key Bio-inspired Robotics manufacturers, presenting the sales, revenue, market share, and recent development for key players. To split the breakdown data by regions, type, companies and applications To analyze the global and key regions market potential and advantage, opportunity and challenge, restraints and risks. To identify significant trends, drivers, influence factors in global and regions To analyze competitive developments such as expansions, agreements, new product launches, and acquisitions in the market

In this study, the years considered to estimate the market size of Bio-inspired Robotics are as follows: History Year: 2014-2018 Base Year: 2018 Estimated Year: 2019 Forecast Year 2019 to 2025

Table of Contents

1 Report Overview1.1 Study Scope1.2 Key Market Segments1.3 Players Covered1.4 Market Analysis by Type1.4.1 Global Bio-inspired Robotics Market Size Growth Rate by Type (2014-2025)1.4.2 Topical Products1.4.3 Botulinum1.4.4 Dermal Fillers1.4.5 Chemical Peels1.4.6 Microabrasion Equipment1.4.7 Laser Surfacing Treatments1.5 Market by Application1.5.1 Global Bio-inspired Robotics Market Share by Application (2014-2025)1.5.2 Hospitals1.5.3 Dermatology Clinics1.6 Study Objectives1.7 Years Considered

2 Global Growth Trends2.1 Bio-inspired Robotics Market Size2.2 Bio-inspired Robotics Growth Trends by Regions2.2.1 Bio-inspired Robotics Market Size by Regions (2014-2025)2.2.2 Bio-inspired Robotics Market Share by Regions (2014-2019)2.3 Industry Trends2.3.1 Market Top Trends2.3.2 Market Drivers2.3.3 Market Opportunities

3 Market Share by Key Players3.1 Bio-inspired Robotics Market Size by Manufacturers3.1.1 Global Bio-inspired Robotics Revenue by Manufacturers (2014-2019)3.1.2 Global Bio-inspired Robotics Revenue Market Share by Manufacturers (2014-2019)3.1.3 Global Bio-inspired Robotics Market Concentration Ratio (CR5 and HHI)3.2 Bio-inspired Robotics Key Players Head office and Area Served3.3 Key Players Bio-inspired Robotics Product/Solution/Service3.4 Date of Enter into Bio-inspired Robotics Market3.5 Mergers & Acquisitions, Expansion Plans

Read More: https://industrystatsreport.com/Semiconductor-and-Electronics/Dynamic-Growth-On-Bio-inspired-Robotics-Market-Size-and-Share/Summary

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2025 Projection: Weight Loss Drinks Market by Companies, Region, Type and End-use Industry 2020 2026 - Cole of Duty

In 2018 restaurant menus were required to list calorie counts, "to support informed consumer choice, reduce caloric intake, and potentially encourage restaurant reformulations." Since a majority of Americans eat in fast and slow food restaurants (or COVID induced take-out), a reduction in caloric intake here would have a significant effect on reducing our weight, especially since we tend to underestimate our caloric choices. The researchers sought an additional benefit of the regulation, a reduction in disease, in this case, their favorite condition to study, cardiovascular disease.

Taxes of sugary beverages have been with us for some time, with variable results. The second study considered three approaches to taxes seeking the one yielding the most substantial savings.

The researchers used a "validated microsimulation" of cardiovascular disease, treatment, and costs using as their evidence-base, survey data from the National Health and Nutrition Examinations Surveys (NHANES). NHANES dietary habits were based on recall by participants, which introduces some uncertainty. The validated microsimulation is a black-box as the source-code is "not publicly available." As to validation, the model was 80% predictive of the actual values at five years.

The assumptions were, in most part, reasonable, evidence-informed choices. There were a few notable exceptions. In the labeling study, almost half of the data used to make their assumptions came from supermarkets, vending machines, and laboratories where national labeling did not apply. And while the researchers report that the population's demographics were reasonably consistent, two-thirds of the labeling data was missing racial data and a quarter of the socio-economic data making that statement by researchers more opinion than fact.

In the labeling study, the model utilized modest reductions in calories, 19 calories/day if the food was unchanged, 44 calories/day if the food was reformulated. By reformulation, the researcher reference manufacturer initiated changes in food content to make their labeling appear "better" a response to consumer's "demand." The tax study used a reduction in consumption of roughly 25%, which is consistent with a price increase of about the same percentage. Both studies used the now estimated reduction in sugar to estimate the decrease in BMI [1]. In turn, the BMI was utilized from studies for cardiovascular disease to estimate a reduction in cases so a lot of estimating going on.

The most significant assumption is the one hiding in plain sight that the public is only afflicted by heart disease and diabetes. Other conditions that may be altered are safely ignored when your interest is cardiovascular disease, not a more expansive view of population health that includes cancer, accidents, and lung disease.

As you might expect, both labeling and taxation resulted in less disease and their associated costs. The benefits accrue to younger patients, in their 30's and 40's as well as to black and Hispanic populations where soda consumption is higher. That racial benefit is also associated with a higher cost to those populations, as sugar taxation is a regressive tax. The model's output was most sensitive to the number of calories consumed and the pass-through rate of the tax to consumers.

"Our model cannot prove the health and cost effects of these SSB tax designs in US adults. Rather, the estimates provide evidence that can be considered and incorporated into the design, implementation, and evaluation plans of SSB taxes, including at local, state, or federal levels."

With that statement from the researchers in mind, let us consider which regulatory approach, labeling, or taxation you might choose. The summary data of the two studies are condensed into thesetable.

The first three columns show the estimated impact of reducing sugar on reducing cardiovascular events, diabetes, and the resulting changes in the quality of one's life. Any reduction seems to help, but that absolute tax has the greatest impact. The next three columns consider the cost to gain those benefits. Implementation costs refer to spending by the government to write and enforce the laws, as well as collect the taxes in the tax scenarios. It also includes the cost to restaurants and manufacturers for changing labels. Reformulation costs are estimated spending by manufacturers as they reshape their products based on consumer response to the new labels and taxes. Labeling has a small effect on reformulation costs; an absolute sugar tax provided the greatest nudge to reformulation. Government revenue is, of course, the amount of taxes being paid.

Net cost is a bit misleading. In the labeling argument, the expenses are "borne" by the manufacturer. In the tax argument, those costs are to the consumer. In both instances, these costs may be absorbed by the manufacturers or restaurants, but in most situations a percentage, in this case, 75% is passed through to the consumer. More importantly, when we talk about costs, remember that the consumer is the one spending the money, in higher prices or taxes there is no free lunch or beverages.Health care savings were taken from the papers and reflected estimates of direct costs of care as well as indirect costs in terms of productivity and impaired life quality.

In the final column, I compute a return on investment for the additional money spent, how much do we save. This is the place where the policymakers tradeoff cost and benefits. If we were all to read labels and make wise choices, we would get the most bang for our buck. Of course, that is not what humans do. The argument for most sin taxes is that we need to be nudged along. Of all the tax schemes, an absolute tax on the quantity of sugar present provides the most significant value, an ROI of 274%. But that value is less than the return on investment of market-driven reformulations at 331%.

Regulations reducing the quantity of added sugar by manufacturers will provide the highest return on investment. Taxation will return the most significant benefit. Which would you choose?

[1] To make this calculation, the researchers needed to convert caloric reduction to BMI, the factor, among others, that drives cardiovascular disease and diabetes. They provide a 3-page discussion in the supplement but conclude that a 55 calorie/day reduction results in one lost pound over the year and that this new weight loss is permanent. Your own experience with dieting can inform you as to the plausibility of a consistent weight loss. And you may wonder how sensitive the model is to weight when losing 5 ounces will result in nearly 15,000 fewer cases of cardiovascular disease and 21,000 cases of diabetes. Since the model is "not publicly available," I suppose we will never know.

Source: Health and Economic Impacts of the National Menu Calorie Labeling Law in the United States Circulation Cardiovascular Quality Outcomes DOI:10.1161/circoutcomes.119.006313

Health Impact and Cost-Effectiveness of Volume, Tiered, and Absolute Sugar Content Sugar-Sweetened Beverage Tax Policies in the United States Circulation DOI: 10.1161/circulationaha.119.042956

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Taxing or Labeling Sugar - Which Is Best At Promoting Better Health? - American Council on Science and Health

More Americans than ever are living with obesity. The number of adults with the condition has skyrocketed 200 percent over the past 40 years. Obesity continues to contribute to a number of public health concerns such as its associated comorbidities and healthcare costs in addition to legitimate concerns about overall population health in the face of novel health threats like COVID-19.

However, as the number of Americans struggling to manage their weight continues to grow 72 percent of the country lives with overweight or obesity so has our clinical understanding of this complex but treatable condition. We know that there are hormonal and metabolic differences between people who live with obesity and those who do not. We know that there is a range of effective treatment options for obesity, and while it certainly includes behavior modification and cognitive therapies, we can also explore pharmacological and surgical interventions. We also know that there are limitations to the effectiveness of physical activity on weight loss and obesity management.

Given all that we now know about obesity, it is vital that clinicians and other healthcare professionals make it a priority to educate themselves on best practices for effectively integrating physical activity into obesity treatment plans.

We need to re-examine the role of physical activity in obesity management. Heres why.

The notion that people can win the fight against obesity simply through dieting and exercise was taken to a new level with the introduction of The Biggest Loser to the cultural landscape. Contestants experienced dramatic weight loss while appearing on the show just as we might expect to happen when patients with obesity are prescribed high levels of physical activity along with around-the-clock monitoring but maintaining highly intense exercise regimes is unsustainable for most people with overweight and obesity. Additionally, a key insight from a long-term study of Biggest Loser contestants tells us that physical activity plays a larger role in maintaining weight loss than it does in catalyzing it.

Certainly, that doesnt mean that physical activity plays no role in the weight loss journey. But it does mean that we should exercise caution in thinking about physical activity in terms of isolated exercise not only is it an ineffective weight loss treatment for patients with obesity, but it reflects an outdated understanding of the metabolic mechanisms behind weight loss.

We know that sitting for long periods of time can negatively impact insulin resistance, but breaking up those periods with short walks can reduce insulin and glucose responses. With that in mind, a more effective and sustainable approach would dispense with eat less, move more and instead encourage patients to sit less, walk more.

What healthcare professionals need to know about incorporating physical activity into obesity treatment.

Heres what we do know about physical activity it can power a number of positive health outcomes. Exercise can improve lipoprotein levels, blood pressure, insulin resistance, mood and brain function and cardiovascular health in patients with obesity.

Healthcare professionals should keep the following best practices in mind when collaborating with patients on obesity treatment plans:

Keep patients grounded: Create realistic expectations of weight loss results, if any, based on individual patient activity programs. Help patients start to take a longer-term view of the weight loss journey to stave off feelings of burnout or frustration with the process. And level-set about the risk of sore muscles after starting a new exercise program.

Slow and steady wins the race: Patients often begin the treatment process with a great deal of enthusiasm which can inspire positive behavior changes, but it can also create the risk of exercise-related injury from doing too much, too fast. Help patients learn their individual exercise level and collaborate on finding ways to support and gradually increase the intensity.

Get things going: Starting a new exercise program can be a major hurdle to overcome. Help patients make the first step by connecting them with an easy-to-follow, actionable regimen that incorporates physical activity into their everyday lives. An easy place to start is by advising patients to walk a certain number of steps each day and gradually increase that footprint over time.

Reframe it: As discussed, physical activity delivers a number of health benefits beyond weight loss. Keep the myriad positive outcomes of physical activity top of mind for patients and help them to understand that exercise is just one part of a broader plan of care to improve their overall health. This insight can make it easier for patients to prioritize physical activity everyday.

Grow your obesity medicine knowledge: Healthcare professionals can better meet the needs of this rapidly growing segment of Americans by deepening their understanding of obesity medicine. The Obesity Medicine Association (OMA) provides a number of resources to encourage this endeavor, including The Obesity Algorithm, Obesity Treatment Proficiency Badges, ABOM certification preparation materials and more. OMA is also hosting a series of virtual courses on the fundamentals of obesity treatment an informative primer on evidence-based approaches for evaluating, diagnosing and treating obesity.

The number of Americans struggling with obesity may be growing but so is our knowledge of how to effectively treat the condition. Healthcare professionals who bring this knowledge into their practice areas can play a more active role in guiding patients with obesity to better health outcomes.

For more obesity medicine resources, or to become an OMA member, please visit: http://www.obesitymedicine.org.

Angela Fitch, MD, FACP, FOMA is the Associate Director of the Massachusetts General Hospital Weight Center and faculty at the Harvard Medical School. She is board certified in obesity medicine, internal medicine and pediatrics. Dr. Fitch serves as Vice President of the Obesity Medicine Association and previously served as Secretary-Treasurer.

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Why we need to rethink treating obesity with physical activity - Medical Economics

In a world where we are rushing from meeting to meeting, running errands, driving kids around and exercising, preparing a healthy, nutritious meal for lunch or dinner is not always the highest on our priority list.

To lose weight, we might also consider meal replacements as they're quick and easy. However, the number of products on the market makes it difficult to decide which one to choose.

What is a meal replacement (MR)?

Meal replacements are pre-packaged bars or powders that can be mixed and consumed as a shake to replace a meal. Some of the replacements are energy (kilojoule) controlled and are successfully used for weight loss and management.

A protein-enriched and energy-controlled MR can assist with preserving lean muscle mass, as well as reducing visceral fat (the dangerous fat that sits around our organs).

Do meal replacements have benefits?

In terms of weight loss, both the types and quantity of foods we consume are important, and many of us find it difficult to control portion sizes. In addition, we easily consume foods high in energy with a low nutrient content, such as fast foods and refined starches (white rice, pasta etc.).

We should, however, consume nutrient-dense foods that provide a high level of nutrients with relatively low caloric value. The benefit of MRs is that they are portion-controlled with a limited number of kilojoules, added essential nutrients (vitamins, minerals and fibre) and are therefore considered to be a nutrient-dense food. They are also an easy and convenient way of preparing a meal, which limits the possibility of making an unhealthy food choice.

What should I be checking when shopping?

Be sure to check the label and ingredients list thoroughly. Make sure the MR has a balanced combination of the three macronutrients and not only protein but carbohydrates and fats as well. It should provide a wide variety of vitamins and minerals and fibre.

1.Energy

The value should vary between 800 and 1200kJ per serving. When calculating meals for a weight loss diet from foods, the values are generally around 1 000 to 1 400kJ per meal.

Therefore, you want the MR to have a similar energy value as it is a "meal replacement".

2.Carbohydrates

The source of carbohydrate should have a low glycaemic value. This means that the release of sugar (glucose) into the bloodstream should be slow, to avoid a rapid spike and drop in blood sugar levels. Rather avoid MRs that contain "added sugar" (e.g. sucrose, glucose, fructose, dextrose and corn syrup) as these have a less desirable effect on blood sugar levels.

A guideline for carbohydrate content would be around 15 to 30g per serving (which would again be the equivalent of a real meal carbohydrate serving).

3.Dietary fibre

When recommending fibre in real food items, we consider 6g per 100g as adequate. Therefore, when selecting an MR, the value should be around 4 to 6g per serving as well.

Fibre assists with lowering the blood glucose response after the meal and keeps you fuller for longer (vital when drinking a meal). Fibre is essential for maintaining regular bowel movements and can even, depending on the type of fibre, assist with lowering blood cholesterol levels.

4.Protein

Protein assists with the feeling of satiety, reducing hunger and ensuring that muscle mass is maintained. Aim for 15 to 21g per serving (which would be the equivalent of a protein serving for lunch or dinner). The meal replacement should be at least 15g of protein per serving. It is important to note that protein powder products are not considered an MR.

5.Fat

Your fats of choice should be monounsaturated and polyunsaturated fatty acids. Check that the saturated, trans and hydrogenated fats are minimal. The quantity of fats should be 5g to 10g fatper serving. Not all MRs contain essential fatty acids (such as Omega-3). If they do, it is a bonus, as these have huge health benefits.

6.Micronutrients

Choose an MR that contains a wide variety of nutrients added, such as your vitamins and minerals. The quantity of these nutrients should meet at least 25% of the daily reference value. The bigger the variety, the better.

So, should I be buying a meal replacement?

Taking an MR is an easy practice to maintain good nutrition or to lose weight should your lifestyle not allow for preparing and packing three nutritionally balanced meals a day. It is also convenient when travelling when the availability of healthy meals is compromised.

On the other hand, the same objectives can be met selecting, preparing and packing real food such as a variety of wholegrain carbohydrates, lean proteins and healthy fats. Getting your nutrients from a food source is also more "bioavailable" (how well your body can absorb the nutrients from the food) to the body.

Should you decide to choose an MR to lose weight, it is recommended to do this with the assistance and guidance of a registered dietitian. They can assist you with strategies to keep the weight off once you have decided to include real food back in your diet. You can contact Nutritional Solutions if you wish to schedule a consultation.

READ | 5 tips for eating healthier during lockdown

READ | Lost your motivation to eat healthy and exercise during the pandemic? You are not alone

READ | Coronavirus lockdown: Stay fit at home with these tips

Image credit: VisionPic from Pexels

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I need a meal replacement - what should I check before buying? - Health24