How to Get Strong, Fast, and Ripped: The Superhero Workout. I’m incredibly excited to write this blog post—because writing it means that I finally get to tell you all about the new program I’ve been working on. That program, as many of you know, is called the SUPERHERO Workout. And, as you might guess, it is very clearly intended to help you develop a SUPERHERO body. Or, to quote the tagline, a body that can fight crime, thwart evil, and save the world (while looking AWESOME). The SUPERHERO Workout is a 1. The stars playing SUPERHEROES in film have gotten enormous amounts of media attention or their bodies. What is it about the appearance of Hugh Jackman, Ryan Reynolds, or Chris Evans that gains so much attention? It’s not like people haven’t seen a leading role in shape before. But this is different. Chris Evans’ chest is now the most talked- about body- part in all of Hollywood. Photo: Marvel Studios, Paramount Pictures. There is a certain aesthetic that demands this kind of attention. View the latest news and breaking news today for U.S., world, weather, entertainment, politics and health at CNN.com. 7 day muscle mass building food meal plan: eat big to get. How to Become a Vegetarian. There are many possible reasons for becoming a vegetarian. Some people do it to improve their health, while others are concerned about the. Completely frustrated, I began doing my own research. The more I read, the more I became aware of hundreds of items that could be causing such a reaction in my baby. Although this diet is crazy strict, you could lose up to 1 percent body fat per week. With calories extremely low, you'll need a selection of supplements to fill in. Women are no different. Jessica Biel’s turn as a vampire hunting beautiful bad- ass in Blade required the hallmark body of a SUPERHERO. And there is a level of muscularity that is above average, and even obvious in clothing. But even the muscle is different. It’s not awkward or out of place. This physique always looks good in clothes, whether in a suit or civvies, and rather than coming off as awkward and bulky. When you have the SUPERHERO body, you can don a comfortable- fitting shirt and everyone will know that they’re in great shape without looking like a show- off or a meathead. Or, if you prefer, dress your physique down and maintain your carefully guarded secret identity. To the uninformed, the SUPERHERO. It’s the type of body that peers view with jealously and prospective hook- ups stare at with longing. He—or she—who possesses the powerful SUPERHERO body looks more like a (ahem) Roman statue, fitness model or an Olympic athlete than like a giant mass of muscle. These are the true hallmarks of a physique that is inspired by HEROES; a physique that looks like it could have jumped right from the pages of a comic book—and it is from those books that we have drawn inspiration for the various phases of this training program. Marvel Studios, Paramount Pictures. THE OBLIGATORY Origin Story. OR, “Why We Decided to Write This Book”The best way to start this is probably with the classic line, “it’s kind of a funny story. In fact, we probably enjoyed them more than most other young boys, simply because of location. As we got older and went through our respective physique transformations, both each of us was able to draw constant inspiration from the bodies of the HEROES we admired. Years later, SUPERHERO movies began to be popular, and since that time we’ve been able to draw a lot of professional inspiration from the transformations that actors have undergone to achieve “the look.”And in some cases, we’ve been able to be a part of it. It just so happens that ONE of your authors (Mr. Matt Mc. Gorry) has trained a number of actors for films, including a few SUPERHERO films. Roman, on the other hand, has trained models who have gone on to serve as the body- image model for CGI characters in video games. All of which is to say—that the decision to write the. SUPER HERO Workout came very easily to us, because we have first- hand experience building real super heroes. Add in our geeky love of the subject matter, as well as our complete expertise with regard to training every type of person. Marvel Entertainment, 2. Century Fox. Add to that the frequency with which we get questions like the following: “How do I get abs like Ryan Reynolds in Green Lantern?”“How do I get a chest like Chris Evans in Captain America?”“How do I get shoulders like Jessica Biel in Blade?”“How do I get arms like Hugh Jackman in X- Men?”. Watch breaking news videos, viral videos and original video clips on CNN.com.After A4, rest 1. Have at it! About the Author. John Romaniello is a level 7. When not doing that, he serves as the Chief Bro King of the Roman Empire and Executive Editor here on RFS. You can read his articles here, and rants on Facebook. When Raw Food is NOT the Right Food for Your Pet. By Dr. Becker. At a 2. American Academy of Veterinary Nutrition (AAVN) symposium, three researchers affiliated with the Virginia- Maryland Regional College of Veterinary Medicine presented the case of a kitten with metabolic bone disease and central retinal degeneration. This case is an excellent illustration of what can happen when a dog or cat is fed an unbalanced raw diet. I talk often here at Mercola Healthy Pets about the importance not only of species- appropriate nutrition, but of balanced nutrition. In fact, an unbalanced raw diet of high quality fresh meat is in my professional opinion a greater risk to your dog or cat than cheap processed pet food. Find recipes for every meal, easy ideas for dinner tonight, cooking tips and expert food advice. Newly Adopted Kitten Develops Lameness and Eye Problems. A 5- month old male Sphinx kitten, adopted from a breeder 1. X- rays showed the kitty had generalized osteopenia. Osteopenia is a condition that often precedes osteoporosis. It means the bones of the body have lower than normal mineral density – they aren't as thick or strong as they should be. When formation of new bone isn't sufficient to make up for normal bone loss, osteopenia is the result. The x- rays also showed a widening of the growth plate of the femur in the right hind leg, and a tibiofibular fracture of the left hind leg. As if all that wasn't disturbing enough, the poor little guy also had lesions in the left eye commonly seen in cases of a gradually degenerating retina caused by taurine deficiency. The kitten was diagnosed with metabolic bone disease, central retinal degeneration, and past or current taurine deficiency. The left rear leg was splinted and fortunately, the kitty fully recovered after a couple of months of cage rest and a balanced diet. How This Kitten's Health Was Compromised. The breeder of the Sphinx kitten fed him only raw chicken from the time he was weaned until he was adopted at the age of 5 months. So for 3 to 4 of his first months of life, during a very rapid growth period for kittens, this little guy was fed an unbalanced raw diet of exclusively chicken muscle meat. He quickly became seriously deficient in several crucially important vitamins, minerals and other nutrients. His new owner switched him to store- bought kitten food, but by that time the damage was done. Less than 2 weeks into life with his new family, the kitten had rear leg lameness, eye lesions, a condition called microphthalmia which means the eyes are smaller in size than normal, and an opaque right cornea. Commercially available pet food must meet AAFCO standards for nutritional completeness. And while it's true many commercial pet food ingredients are not high quality or even species- appropriate, they do provide balanced nutrition for the growth and maintenance of your pet's body. Why Feeding Raw Meat Alone Causes Problems. Unfortunately, a growing number of well- meaning pet owners are confusing balanced, species- appropriate nutrition with feeding hunks of raw muscle meat to their dog or cat. Although fresh meat is a good source of protein and some minerals, it doesn't represent a balanced diet. In my practice, I'm seeing an increasing number of pets with skeletal problems, organ failure and endocrine abnormalities caused by dietary deficiencies of essential nutrients. Wild canines and felines eat nearly all the parts of their prey, including small bones, internal organs, blood, brain, eyes, tongue and other tasty treats. Many of these parts of prey animals provide important nutrients for dogs and cats. This is how carnivores in the wild nutritionally balance their diets. An exclusive diet of raw chicken muscle meat is lacking the minimum requirements for a number of vital nutrients as established by AAFCO. These include potassium, iron, copper, manganese, zinc, iodine, and vitamins A, D, E, B- 1. When your dog or cat is fed only muscle meat, he's missing out on a variety of essential nutrients and sooner or later, he'll develop serious health problems as a result. Some conditions brought on by nutritional deficiencies can be corrected through diet, others cannot. And don't make the mistake of thinking all you need to do is throw a few fresh veggies in the bowl to make up the difference. Balancing your pet's food to provide optimal nutrition is a bit more complex. How to Make Sure You’re Feeding Balanced Nutrition to Your Cat or Dog. There should be four primary components in a nutritional program for your dog or cat, including: Meat, including organs Veggie and fruit puree Homemade vitamin and mineral mix Beneficial additions like probiotics, digestive enzymes, and super green foods (these aren’t required to balance the diet, but can be beneficial for vitality) A healthy dog’s diet should contain about 7. GI contents of prey, providing fiber and antioxidants as well). For healthy kitties, the mix should be about 8. Fresh, whole food provides the majority of nutrients pets need, and a micronutrient vitamin/mineral mix takes care of the deficiencies that do exist, namely iron, copper, manganese, zinc, iodine, vitamin D, folic acid, taurine and Biotin (for cats). Keep in mind that just because nutritional deficiencies aren’t obvious in your pet doesn’t mean they don’t exist. A considerable amount of research has gone into determining what nutrients dogs and cats need to survive. At a minimum, you do a disservice to your pet by taking a casual approach to insuring he receives all the nutrients he requires for good health. The kitten who is the subject of this article is a good example of a pet whose breeder meant well and didn’t see any immediate damage to the animal, yet the kitten became acutely ill on the raw chicken- only diet. If you’re preparing homemade food for your pet, I can’t emphasize enough the importance of insuring the diet you feed is nutritionally balanced. It doesn't matter whose recipe you follow, but it does matter that it's balanced. You can accomplish this by using balanced pet food recipes you prepare at home, or by feeding commercially available pet food that meets the minimum standards set forth by NRC, AAFCO and/or the ancestral diet analysis. A Word about AAFCOAlthough I don't agree with many of the positions AAFCO takes on nutrition- related topics, and I feel there is room for significant improvement within this organization, at least they have identified the minimum level of critical nutrients needed to sustain life in dogs and cats. Sadly, some pet owners are unaware of these basic requirements, and pets suffer because of it. It would be excellent if AAFCO continued to work on their recommendations, including digestibility and bioavailability of the ingredients in pet food, as well as optimal levels of nutrients and ceilings for recommended supplementation. So while AAFCO leaves much to be desired in terms of establishing the ideal nutrient levels required for pets to thrive, I am thankful that in the U. S. Many countries have no such advisory board, and too many animals succumb to unnecessary nutritional deficiencies.
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Liver - Wikipedia. The liver is a vital organ only found in vertebrates. The liver has a wide range of functions, including detoxification of various metabolites, protein synthesis, and the production of biochemicals necessary for digestion. It is an accessory digestive gland and produces bile, an alkaline compound which aids in digestion via the emulsification of lipids. The gallbladder, a small pouch that sits just under the liver, stores bile produced by the liver. Artificial livers are yet to be developed to promote long term replacement in the absence of the liver. A human liver normally weighs 1. Located in the right upper quadrant of the abdominal cavity, it rests just below the diaphragm, to the right of the stomach and overlies the gallbladder. The hepatic artery carries oxygen- rich blood from the aorta, whereas the portal vein carries blood rich in digested nutrients from the entire gastrointestinal tract and also from the spleen and pancreas. Each lobule is made up of millions of hepatic cells (hepatocytes) which are the basic metabolic cells. The lobules are held together by a fine dense irregular fibroelastic connective tissue layer which extends into the structure of the liver, by accompanying the vessels (veins and arteries), ducts and nerves through the hepatic portal, as a fibrous capsule called Glisson's capsule. The fibrous coat is of areolar tissue and follows the vessels and ducts to support them. From the visceral surface, the two additional lobes are located between the right and left lobes, one in front of the other. A line can be imagined running from the left of the vena cava and all the way forward to divide the liver and gallbladder into two halves. Online Medical Dictionary and glossary with medical definitions, g listing. Cholangiocarcinoma or bile duct cancer is a form of cancer that is composed of mutated epithelial cells (or cells showing characteristics of epithelial. Find patient medical information for VITAMIN E on WebMD including its uses, effectiveness, side effects and safety, interactions, user ratings and products that have it. Liver swells and hurts after drinking, and lasts for over a week: So, I am a 34 year old male, back in July~ I needed to find out what my blood type was so.An important anatomical landmark, the porta hepatis, also known as the transverse fissure of the liver, divides this left portion into four segments, which can be numbered starting at the caudate lobe as I in an anticlockwise manner. From this visceral view, seven segments can be seen, because the eighth segment is only visible in the parietal view. The peritoneum folds back on itself to form the falciform ligament and the right and left triangular ligaments. ACCUMULATIONS AND DEPOSITS Ed Friedlander, M.D., Pathologist scalpel. Ordinary e-mails are welcome. Aku bangun lepas tu aku bersiap nak gi UNDI. Update of 2002 Cochrane evidence-based review of Ginkgo biloba for cognitive impairment and dementia found that while safe with no excess adverse effects compared to. Certain liver diseases are uniquely associated with pregnancy. It is covered in peritoneum apart from where it attaches the gallbladder and the porta hepatis. Underneath the right lobe and to the right of the gallbladder fossa, are two impressions, one behind the other and separated by a ridge. The one in front is a shallow colic impression, formed by the hepatic flexure and the one behind is a deeper renal impression accommodating part of the right kidney and part of the suprarenal gland. It is located close to the right of the fossa between the bare area and the caudate lobe and immediately above the renal impression. The greater part of the suprarenal impression is devoid of peritoneum and it lodges the right suprarenal gland. This is caused by the descending portion of the duodenum, and is known as the duodenal impression. The lobules are roughly hexagonal, and consist of plates of hepatocytes radiating from a central vein. A distinctive component of a lobule is the portal triad, which can be found running along each of the lobule's corners. The portal triad, misleadingly named, consists of five structures: a branch of the hepatic artery, a branch of the hepatic portal vein, and a bile duct, as well as lymphatic vessels and a branch of the vagus nerve. Non- parenchymal cells constitute 4. The duct, vein, and artery divide into left and right branches, and the areas of the liver supplied by these branches constitute the functional left and right lobes. The functional lobes are separated by the imaginary plane, Cantlie's line, joining the gallbladder fossa to the inferior vena cava. The plane separates the liver into the true right and left lobes. The middle hepatic vein also demarcates the true right and left lobes. The right lobe is further divided into an anterior and posterior segment by the right hepatic vein. The left lobe is divided into the medial and lateral segments by the left hepatic vein. Couinaud classification system. Eight subsegments by Couinaud labelled. The medial segment is also called the quadrate lobe. In the widely used Couinaud (or . Each segment has its own vascular inflow, outflow and biliary drainage. In the centre of each segment there is a branch of the portal vein, hepatic artery and bile duct. In the periphery of each segment there is vascular outflow through the hepatic veins. This means that resection lines parallel the hepatic veins, leaving the portal veins, bile ducts, and hepatic arteries intact. It contains one or more hepatic veins which drain directly into the IVC. The origins of the liver lie in both the ventral portion of the foregutendoderm (endoderm being one of the 3 embryonic germ layers) and the constituents of the adjacent septum transversummesenchyme. In the human embryo, the hepatic diverticulum is the tube of endoderm that extends out from the foregut into the surrounding mesenchyme. The mesenchyme of septum transversum induces this endoderm to proliferate, to branch, and to form the glandular epithelium of the liver. A portion of the hepatic diverticulum (that region closest to the digestive tube) continues to function as the drainage duct of the liver, and a branch from this duct produces the gallbladder. The hepatic endodermal cells undergo a morphological transition from columnar to pseudostratified resulting in thickening into the early liver bud. Their expansion forms a population of the bipotential hepatoblasts. The liver bud separates into the lobes. The left umbilical vein becomes the ductus venosus and the right vitelline vein becomes the portal vein. The expanding liver bud is colonized by hematopoietic cells. The bipotential hepatoblasts begin differentiating into biliary epithelial cells and hepatocytes. The biliary epithelial cells differentiate from hepatoblasts around portal veins, first producing a monolayer, and then a bilayer of cuboidal cells. In ductal plate, focal dilations emerge at points in the bilayer, become surrounded by portal mesenchyme, and undergo tubulogenesis into intrahepatic bile ducts. Hepatoblasts not adjacent to portal veins instead differentiate into hepatocytes and arrange into cords lined by sinudoidal epithelial cells and bile canaliculi. Once hepatoblasts are specified into hepatocytes and undergo further expansion, they begin acquiring the functions of a mature hepatocyte, and eventually mature hepatocytes appear as highly polarized epithelial cells with abundant glycogen accumulation. In the adult liver, hepatocytes are not equivalent, with position along the portocentrovenular axis within a liver lobule dictating expression of metabolic genes involved in drug metabolism, carbohydrate metabolism, ammonia detoxification, and bile production and secretion. Over the course of further development, it will increase to 1. The umbilical vein enters the abdomen at the umbilicus, and passes upward along the free margin of the falciform ligament of the liver to the inferior surface of the liver. There it joins with the left branch of the portal vein. The ductus venosus carries blood from the left portal vein to the left hepatic vein and then to the inferior vena cava, allowing placental blood to bypass the liver. In the fetus, the liver does not perform the normal digestive processes and filtration of the infant liver because nutrients are received directly from the mother via the placenta. The fetal liver releases some blood stem cells that migrate to the fetal thymus, creating the T- cells or T- lymphocytes. After birth, the formation of blood stem cells shifts to the red bone marrow. After two to five days, the umbilical vein and ductus venosus are completely obliterated; the former becomes the round ligament of liver and the latter becomes the ligamentum venosum. In the disorders of cirrhosis and portal hypertension, the umbilical vein can open up again. Physiology. The liver is thought to be responsible for up to 5. Currently, there is no artificial organ or device capable of reproducing all the functions of the liver. Some functions can be carried out by liver dialysis, an experimental treatment for liver failure. Blood supply. The hepatic portal vein delivers approximately 7. The hepatic arteries supply arterial blood to the liver, accounting for the remaining quarter of its blood flow. Oxygen is provided from both sources; approximately half of the liver's oxygen demand is met by the hepatic portal vein, and half is met by the hepatic arteries. The central veins coalesce into hepatic veins, which leave the liver and drain into the inferior vena cava. The biliary tract, also known as the biliary tree, is the path by which bile is secreted by the liver then transported to the first part of the small intestine, the duodenum. The bile produced in the liver is collected in bile canaliculi, small grooves between the faces of adjacent hepatocytes. The canaliculi radiate to the edge of the liver lobule, where they merge to form bile ducts. Within the liver, these ducts are termed intrahepatic bile ducts, and once they exit the liver they are considered extrahepatic. The intrahepatic ducts eventually drain into the right and left hepatic ducts, which exit the liver at the transverse fissure, and merge to form the common hepatic duct. The cystic duct from the gallbladder joins with the common hepatic duct to form the common bile duct. The common bile duct and the pancreatic duct enter the second part of the duodenum together at the hepatopancreatic ampulla, also known as the ampulla of Vater. Synthesis. When needed, the liver releases glucose into the blood by performing glycogenolysis, the breakdown of glycogen into glucose. Adipose and liver cells produce glycerol by breakdown of fat, which the liver uses for gluconeogenesis. It is also responsible for a large part of amino acid synthesis. The liver plays a role in the production of clotting factors as well as red blood cell production. World's Most Extreme Athletes. There is a major difference between an athlete and an extreme athlete. Athletes simply push their minds and bodies to great lengths for sport, for fun, or perhaps to maintain their health. Extreme athletes push their minds and bodies to the farthest possible limit of human ability while simultaneously risking their lives. Extreme athletes are who we look to when trying to understand and measure what is humanly possible. They serve as self- appointed test subjects, leaving most of the average population watching (and studying) in awe from afar. Extreme athletes continue to take on death- defying feats again and again, chasing the adrenaline rush like drug addicts. They are truly a different breed. To honor the most extreme of extreme athletes, we put together a list of 3. SKYIn the aftermath of WWII, groups of Army Airborne Soldiers began jumping out of planes for fun using military surplus gear. Since those days, skydiving as a sport has grown into full- fledged sport and evolved to incorporate many modifications such as base jumping and jet pack flying. Sky sports are only increasing in popularity with skydiving schools popping up all around the world. Some of the most famous pioneers of gut- wrenching sky sports are listed below. Jeb Corliss. Skydiver / BASE Jumper. Jeb Corliss is a professional skydiver and base jumper who has leaped into the public arena (quite literally) after BASE jumping from such sights as the Eiffel Tower, Seattle’s Space Needle, the Christ the Redeemer statue in Brazil, and the Petronas Twin Towers in Malaysia. He was born March 2. England’s starting lineup for Saturday’s World Cup qualifier against Scotland was laughable for a country whose top league is the deepest in the world, but maybe.Sante Fe, New Mexico and has survived several extreme and record breaking jumps. He is the first person to fly through a waterfall wearing a wingsuit and in 2. Mount Jianglang in China. The passageway was a mere 1. Corliss was quoted saying this jump was “. I have not been that scared in my life. It was so powerful and overwhelming. I started crying.”Alexander Polli. BASE Jumper. Alexander Polli is an Italian/Norwegian BASE jumper born June 2. He is considered one of the most extreme BASE jumpers on the scene today due to his daring jumps which had previously been considered too technical or dangerous by other fliers. Alex travels the world in search of the best jumping locations. Polli is also a wingsuit jumper and has contributed to the Wi. BASE jumping. In November 2. Wi. SBASE jumper to successfully strike a wingsuit target which was made of foam and around ten feet tall. Watch breaking news videos, viral videos and original video clips on CNN.com. While in high school, Bruce Jenner three times won the Eastern States water ski championship and placed well in the Connecticut State High School track & field meet. Felix Baumgartner. Skydiver / BASE Jumper. Felix Baumgartner is an Austrian skydiver and all around daredevil born April 2. He is famous for setting the world record for skydiving an estimated 3. MPH. In 2. 01. 2 he became the first person to break the sound barrier without vehicular power on his descent. Arthur Lydiard's. Athletic Training. Arthur Lydiard. A Guide to the Brooks / American Track & Field. Lydiard Running Lecture Tour in 1999. Ashton Eaton's 2015 return to the decathlon came in spectacular fashion as he defended his gold medal at IAAF World Championships, scoring 9045 for a new world record. 6:00-7:00am: Light breakfast. 7:30am: Meet in lobby (bring warm ups) - Lakes basin and Gold Mine run (3-6 miles) 9:30 Lakeside brunch. 12:30-2:00pm: Snack Well. Marla Runyan is the holder of three United States 1,500 meter titles, she is ranked number one in the United States 5 km run and the marathon in 2002. His most recent project was called Red Bull Stratos, in which he jumped to Earth from a helium balloon in the stratosphere. The jump took place on October 1. Yves Rossy. Pilot/Jet Pack Inventor. Yves Rossy is a Swiss pilot and general avation enthusiast who is best know as the inventor of the individual jet pack. Rossy was born in 1. Neuchatel and served as a fighter pilot in the Swiss Air Force. He also flew Boeing 7. Swissair and Swiss International Air Lines. He developed the wing- suit system comprised of a backpack equipped with a semi rigid aeroplane- type carbon- fiber wings that had a span of 7. In 2. 00. 8, Rossy used his jet pack to fly over the Alps and reached speeds of up to 1. MPH. He is the first known perso to fly a jet engine powered wing. Luke Aikins. Skydiver. Luke Aikins is an American professionall skydiver with two decades of experience and more than 1. Luke comes from a family of skydiving legends and has contributed to the family legacy by setting three world records. After completing his first jump in 1. Today he is a member of the Red Bull Air Force and travels the world with the team, performing exhibition jumps, VIP tandems and more. He is also the owner of Para Tactics, which provides advanced skydiving training to elite military forces such as the U. S. Navy Seals. SNOWWhile skiing has a long and well established history, extreme skiing and snowboarding are more recent developments in the world of extreme sports. Both skiing and snowboarding incorporate many subsets of riding styles such as alpine, freestyle, half- pipe, jibbing, and racing. The most extreme snow athletes generally are well versed in all of these styles but may favor one or two in particular when it comes time to compete. Snowboarding, more specifically, has exploded in popularity in the past 2. Shaun White. Snowboarder/skateboarder. Shaun White is a professional snowboarder and skateboarder and perhaps the most recognizable name in extreme sports. He has won two olympic gold medals and holds the X- Games records for gold medals and highest overall medal count. White was born in San Diego on September 3, 1. He turned pro by age 1. Tony Hawk and went on to win many skateboarding titles including the Action Sports Tour Championship. He began snowboarding at age six and got his first sponsorship at age seven. Shaun primarily competes in half- pipe events and in 2. X games. Xavier De Le Rue. Big Mountain Snowboarder. Xavier is a French big mountain snowboarder born July 1, 1. He began his pro career competing on the boardercross pro tour and later competed for France at the 2. Winter Olympics. He is a two time gold medalist at the FIS Snowboarding World Championships, also taking home silver in 2. De Le Rue has been named “big mountain rider of the year” by Snowboarder Magazine. Jeremy Jones. Big Mountain Snowboarder. Jeremy Jones is an American snowboarder born January 1. Cape Cod, MA. He is best known for big mountain freeriding. Jeremy began skiing at the age of three and later switched to snowboarding at age nine. Jones went pro by age 1. Also known as one of the godfathers of freeriding, he has been riding at the highest level for three decades. In 2. 01. 2 he was selected by National Geographic Magazine as a nominee for Adventurer of The Year. Jones is also a big environmental protection advocate and has opted to forego the use of helicopters and lifts in favor of hiking as his primary means of transportation up the slopes. JP Auclair. Freestyle Skier. Jean- Philippee Auclair was a Canadian freestyle skier born August 2. JP was a prize winning skier and filmmaker who found a way to combine his two passions. In 1. 99. 8 he won 1st place at both the King of the Hill Half Pipe competition and the US Open. In 2. 00. 2 he was nominated for skier of the year at the ESPN Action Sports and music Awards. He also obtained Level One certification in avalanche operations through the Canadian Avalanche Association in 2. Auclair tragically passed away in an avalanche on september 2. Aysen, Chile. Shaun Palmer. Snowboarder/Skier. Shaun Palmer is a professional snowboarder, skiier, mountain biker, and motocross rider born on November 1. California. He is known as one of the forefathers of extreme sports. He began skiing at a young age and became fascinated with snowboarding. Since snowboarding was not yet popular at the time, Palmer built his own snowboard when he was just 1. He has been given many titles such as USA Today’s Worlds Greatest Athlete, Details Magazine’s Athlete of the year in 1. NEA Extreme Athlete of the year in 2. He has won several gold medals in many competitions including: the Winter X Games, Swatch World Halfpipe Championship, US National Championship, and the Gravity Games. He also managed to play in a 1. Fungus! RACEEndurance athletes are extreme at the most primitive human level. Essentially, they make full use of the human body and stretch it to its furthest possible limit. These extreme athletes set out on expeditions into the physical and mental frontier of the self physically and mentally – typically doing so in the raw habitat they find themselves in. This category incorporates skyrunners, marathon runners, triathletes, and mountaineers. Such extreme athletes have completed feats that exhibit the amazing potential of human physical ability. David Goggins. Endurance Athlete. David Goggins is a Navy SEAL who has served in Afghanistan. After losing several friends on battlefields overseas, he began long- distance running to raise money for armed forces charities. In 2. 00. 5 he entered the San Diego One Day event which is a 2. He ended up running 1. This event helped grant him entry into the Badwater- 1. Since then, he has competed in several notable events such as the Kona Ironman World Championship, Ultraman World Championship, and 2. Hour Pull- Up World Record of 4,0. Kilian Jornet Burgada. Skyrunner. Kilian Jornet Burgada is a spanish ski mountaineer, distance runner, mountain biker, and skyrunner. He is the three time champion of the Skyrunner World Series (2. He was born in Catalonia, Spain and began ski mountaineering in 1. He began skyrunning competitively in 2. In 2. 01. 4, Kilian broke the fastest known time for ascending and descending Alaska’s Mount Mc. Kinley in 1. 1 hours and 4. He also ran up and down the matterhorn in a record time of 2 hours and 5. His other notable achievements include the 2. Champion of the Year at the Skyrunner World Series. Lizzy Hawker. Endurance Athlete. Lizzy Hawker is a British ultra- distance endurance runner who has broken several world records. She has two gold medals from the 1. World Championships and holds the world record for running from Everest Base Camp to Kathmandu. She is the first woman to compete in many endurance races including: The North Face Ultratrail Tour Du Mont Blanc, Annapurna 1. Hong Kong 1. 00, and Swiss Alpine Davos. In 2. 01. 3, National Geographic named her Adventurer of the Year. She says she was inspired to become a long distance runner when she fell in love with the Matterhorn at age six, saying, “it was the birth of a passion and I knew that the mountains and nature were . She was born February 1. Suffolk, England and attended the University of Birmingham. Greatest Running Tips. Mix it up . It's a pain untying your shoes afterward- particularly if you get them wet- but so is stopping in the middle of a race to tie them. Then stretch your hamstrings, quadriceps, calves, and lower back. With about 1. 5 minutes to go, maybe do a few strides. But no more- you'll warm up plenty in the early going. For example, if you're running 6 x 4. You have to learn pace. It's not illegal. It's not even poor form. On the contrary, it's just plain smart. Sometimes this is all you need to snap out of a mental and physical funk. Pick a downhill stretch if you can, and really lengthen your stride. 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All information is intended for your general knowledge only. A calorie counter and nutrition facts database for tens of thousands of foods, including generic foods, brand name foods, and menu items from hundreds of fast food. Break Free from the Scale! Find Out How Many Calories You Burn After Exercise; An Obesity Expert Tells Us What Really Works with Weight Loss; Exercise Safety Tips for. Roll mouse over. Dotti's Weight Loss Zone was created & is maintained by. This is a great book! It's a love story and so much more. I know you will. Additional Articles. Weight Watchers Plan Read this review on why I feel Weight Watchers is the best weight loss plan. It's not just about the Weight Watchers points. Healthy Breakfast Recipes: Vegetable Breakfasts. Scrambles, frittatas, and other egg- dominant meals aren’t the only way to fit more produce into your mornings. These savory, fiber and protein- packed dishes make breakfast worth waking up for. Gain Mass Diet 911: The Vegetarian Fix Can you still build mass on a vegetarian diet? Our nutrition expert gives you the tools to staying fit and meat-free. Vegetarian eating is catching on with more people every day. Saying no to meat doesn't mean you have to say no to your fitness or muscle building goals! A vegan breakfast with bacon, pancakes, eggs, and sausageâ? It will be the envy of all non-vegans. Vegans will of course lap it up. Don't break your diet at breakfast! These recipes all taste great, fill you up and come in under 400 calories! Vegetarian Fitness RecipesJumpstart your day with these awesome and healthy breakfast ideas from fitness fiends. Vegetarian recipes; 12 Vegetable Breakfasts That Aren’t Omelets. Meal Ideas for Different Vegetarian Diets Vegan (no dairy or eggs) Grilled Vegetable Sandwich — Slice mushrooms, onions, artichokes, tomatoes, zucchini, and/or. Find healthy, delicious vegan breakfast recipes, from the food and nutrition experts at EatingWell. Franklin, TNEaster. Saturday, April 1. Close at 1. 1 p. m. Sunday, April 1. 6th: Closed. Monday, April 1. 7th: Open at 5 a. Memorial Day. Open regular hours for the holiday. July. Open regular hours for the holiday. Labor Day. Open regular hours for the holiday. Thanksgiving. Thursday: Close at Noon. Friday: Re- open at 5: 0. AM5. 0Christmas. December 2. Close at 1. 2: 0. P. M. December 2. Closed for Christmas Day. December 2. 6th: Reopen at 5: 0. A. M. 6. 0New Years December 3. Close at 7: 0. 0 P. M. January 1st: reopen at 1. Being able to stop by a chain restaurant at any hour of the night and have a wholesome and inexpensive meal is a privilege. X Shadyside 24 Hour Health and Fitness has been a leader in providing the most modern fitness solutions in the Shadyside, Squirrel Hill, Oakland, and other East End. Club 24 was founded by two veterans in the field of fitness. Wilson Marx and Frank Smith have 25 years of experience helping people reach their fitness goals.
Welcome to Old Town Gym We realize you have other choices when it comes to fitness.Dark circles under eyes — Overview covers causes, remedies for this common symptom. Read about our top choices for eye treatments to reduce wrinkles, puffiness, under eye bags and dark circles. Personal reviews with before and after pics. You are absolutely correct. The first 8 years of my life, I was a blonde haired blue eyed kid. Then eyes changed to hazel, hair dark brown, dark circles around my. Have dark circles under your eyes? Get tips from WebMD for camouflaging them! Using a natural liver detox to deal with symptoms of liver damage is a great way to get rid of the signs of liver damage. You can also use methods like a juice liver. Home Remedies for Dark circles - Treatment & Cure. Under eye dark circles is the most common thing that can be seen in almost every individual. Around nine out of ten people have dark circles under the eyes. Causes of Dark Circles. The various causes of the dark circles under eyes are: Age: With the preceding age the skin becomes thinner and the veins under the eyes become more prominent. Keep it for 1. 0 minutes. This is very effective and one of the famous home remedies for dark circles under eyes. Eight hours of sleep is necessary and recommended for all. This is a very useful dark circles remedy. Apply a mixture of lemon and tomato juice on the dark circles twice a day. Good Home Remedy for Dark Circles. Another Good Home Remedy for Dark Circles. What Herbal Cures Can I Use For Pain Under The Left Breast And Shoulder? How Can I Maintain A Healthy Liver? What Are The Symptoms Of Liver Damage? Want to know what causes those dark circles and bags under your eyes? We have expert answers and tips for treatments, including home remedies. The Smart Cover line of camouflage makeup, concealers and foundation make up to cover tattoos, birth marks, acne scars, veins and, dark eye circles and more. Liver Pain Symptoms. Symptoms of liver diseases, like pain and discomfort, are often confused with other problems in the abdomen. So identifying liver pain and. This is a good diet for dark circles. Make a mixture of lemon juice, cucumber juice and lanolin cream, apply under the eyes and keep for 1. This remedy is very simple and good home remedies for dark circles under eyes Use sunglasses when going out in sun to protect the eyes from the harmful rays. Apply a paste of turmeric powder with pineapple juice for treatment of dark circles under the eyes. This is very effective home remedy for dark circles under eyes. Good home remedies for Dark Circles. Massage the area with the oil at night before going to bed. This is a very effective dark circles cure. Among yogic kriyas Jal Neti is the most beneficial and should be done 5 times a week. Massage with almond oil under and around eyes at bed time daily for 3 weeks. This is effective in reducing dark circles around eyes and is also one of the good natural remedies for dark circles under eyes. Diet for dark circles - Eat vegetables and fruits that are rich in vitamin E for healthy eyes. The cream applied under the eyes should not be left for longer time. User Recommended Home Remedies for Dark Circles: Vitamin C and Iron: Vitamin C and iron together help to reduce the dark circles under your eyes. Eat skinless chicken and red, yellow and orange peppers. These are rich in both and will help in reducing dark circles. Once you have When you sleep this amount of time you won' have dark circles. Home remedies to cure dark circles, puffy eyes. Natural. News) A lot of women these days put up with dark circles under their eyes or puffy eyes. Underlying factors that cause this condition include inherited traits, cigarette smoking, inadequate hours of sleep, improper diet, excessive alcohol drinking, pollution and allergies. Having to live day to day with circles under the eyes can be exasperating and uncomfortable for many. Because the first thing other people notice is your face, they will surely see those puffy eyes first and that does not make a good first impression. You appear very tired, old and haggard- looking. Cold tea bags. There are numerous ways to reduce dark circles under the eyes and puffiness within the home. Among common methods is the application of cooled tea bags on the eyes. Immerse the tea bags in cold water. Let this sit on the eyes for about fifteen minutes. They are sure to refresh the area underneath and help diminish puffy eyes. Cucumber juice. Aside from the common cooled cucumber slices, cucumber juice serves as an effective toner and astringent for the skin. Spread this liquid around the eyes for about ten to fifteen minutes. Wash the area with tepid water. This always helps in lessening the strain that is apparent on the eyes. Orange juice. Not only is this a great source of vitamin C, but it also serves as a convenient preparation to eradicate any sign of tiredness on the eyes. Prepare a mixture with orange juice and glycerine. Dab some of the mixture on the affected area of the eyes three times a week. Soon after, the appearance around the eyes will noticeably improve. Tomato paste. Households always have tomatoes in the kitchen. The fruit is used not only in lots of food preparation but also in home remedies. Among the best concoctions to treat the dark circles of the eyes is tomato paste. This is made using fresh tomatoes, some lemon juice, a small amount of turmeric powder and gram flour. Spread some of the mixture around the eyes and allow it to stay for the next ten to fifteen minutes. Do this natural treatment on a daily basis and results will be apparent in time. Puffiness and dark circles will eventually go away. Mint leaves. Application of crushed mint leaves can help in reducing dark circles under the eyes. The prepared paste is applied on the affected areas. Let it sit for ten to fifteen minutes then wash off with lukewarm water. This treatment soothes and relaxes the eyes. Almond oil has always been handy in the management of circles under the eyes. Spread some of the prepared paste comprised of almond oil and milk around the eyes. This can be done before going to sleep, leaving the paste on for the rest of the night. In the morning, you will feel invigorated and your skin refreshed after washing off the treatment. Get plenty of rest and sleep. As recommended, people should have at least eight hours of undisturbed and restful sleep. This is especially necessary for individuals who have puffy eyes or circles under their eyes. With these home remedies, you no longer have to suffer the embarrassment of having dark circles and puffy eyes. And these can be done without having to spend a lot of money. Sources for this article include: http: //articles. About the author: Sofiya has written articles on most health- related topics, including traditional medicine, alternative and naturopathic and natural treatments,health insurance, wellness, medical marijuana, diets and fitness. Can't get enough hummus? This tasty dip has a lot going for it, in terms of nutrition as well as taste. Find out how easy it is to make your own with a simple hummus. Be pro-thyroid: up your tempo September 19, 2011. If your body’s glands were the musicians in an orchestra (and the hormones they secrete the music), then the. Is there any truth to the hypothyroidism diet? Can certain foods increase thyroid function? Answers from Todd B. Nippoldt, M.D. Generally, there's no hypothyroidism. Thyroid Function and Dysfunction. P O Box 2. 5, Waldron, WA 9. Articles . One in ten adult American. American women are presenting with clinically. Health practitioners in Canada, Saudi Arabia. Ireland (pers. Most veterinarians in small animal practice are. What has happened? ARE PRACTITIONERS FINALLY BECOMING MORE AWARE OF THE. MANY FACETS OF THYROID DYSFUNCTION PRESENTATIONS? Or, has something happened in the environment which is responsible for the. In. clinical practice I am somewhat incredulous at the recent rapid increase in. Just for a reality check, I went back to my old (1. Robbins' Pathology to see if he had anything to say about frequency of thyroid. I do not believe that Robbins was joking. His so hopeful. prognosis for thyroid case management might bring bitter responses from the. The patient help phone lines at the Thyroid. Foundation of America are flooded with thousands of calls from women wondering. Wood to RD.) Worldwide, thyroid dysfunction is a probable risk factor for 1 to 1. BILLION. people (WHO figures) usually considered due to simple iodine deficiency and. The two main thyroid gland hormones are T4 (6. T3 (5. 9% iodine); calcitonin does not contain iodine. The American thyroid dysfunction picture does not seem so simple: rather. The claim has been made for almost 8. North Americans. are getting plenty of dietary iodine due to the ubiquitous use of iodized. Read medical definition of Spleen. Spleen: An organ that is located in the upper-left part of the abdomen, not far from the stomach, that produces lymphocytes. Thyroid dysfunction is epidemic in North America, Island Herbs, BC Kelp. An underactive thyroid greatly impacts on metabolic rate and weight management. But which foods are helpful or harmful for treating an underactive thyroid? Braverman and others have even been suggesting that Americans are getting. Hashimoto's Hypothyroiditis and Graves' disease (hyperthyroidism). So that our high iodine intake. Recent surveys of food and alleged. American diet may be borderline deficient in iodine. The truth is difficult. SWAG syndrome. Until about a year ago when I began to seriously read the materials and method. I. truly believed all of the assumptions and conclusions. After reading the only. British effort) which actually analyzed iodine content of a few foods. I learned that everyone else was just guesstimating. Too bad, it was such a great riff. For almost. 6. 0 years, the main dietary sources of iodine were not from iodized salt, but. Iodates were/are used as dough conditioners. The widely- varying amounts of iodine in dairy. The iodine solutions drip into. Furthermore, most. Do you ever wonder why you get a little hyperactive from. Iodized salt was not purchased by. Americans because it was a little more expensive, and plain salt was. People still continue to. The situation is much improved from the 1. Fluorine, chlorine, and bromine. When experimental rats (many dietary experiments are performed. We get bromine from pesticides, dough. So, not only can we avoid eating iodized salt, we also can lose iodine. Gaseous chlorine is regularly released from. I recommend showering. I recommend bathing in tubs filled with the hottest. Reduce. your exposure to iodine- robbing halides for optimal thyroid health. Aspirin. and other related salicylates as well as anticoagulants like Warfarin (di- coumerol). Where does iodine come from? It is mined in Oklahoma, Chile and Japan from. How can we best get it into our diets and our. No land plants are a good reliable source of iodine. Garlic grown. near the sea often has relatively high amounts of biological iodine. Another. peculiar phenomenon, biologically speaking, is the curious stuff called . These are extended shelf life products that cater to the most. The world's largest snack food supplier. Frito- Lay, a division of Pepsi. Co, does not use iodized salt; presumably neither. Since both potassium. The hazard from Potassium poisoning is probably greater than from. Iodine would result in renal collapse. Usually excess. iodine is simply excreted in the urine. Relatively huge amounts of iodine. Iodized salt is approximately. For my patients, I prescribe daily dietary dosages of 3- 5 grams of a good. Any seaweed contains more available. The seaweeds with the most available iodine. Icelandic kelp. 4. Norwegian kelp, 1- 2. Maine and California kelp; the seaweeds. Nori, about 1. 5ppm, and Sargassum, about. Besides garlic, root crops, vegetables such as turnips, carrots. The amounts of iodine in land plants can be greatly increased. I do not know if foliar sprays containing seaweed. There is one more terrible problem: the atomic age. Since 1. 94. 5 every human. Iodine 1. 31 from all nuclear weapons facilities and all nuclear power plants. In addition to this, the government- sponsored. Iodine. cesium, and strontium into the atmosphere just to see what might happen. Eastman. Kodak was forewarned so they would not lose photoemulsion film to radioactive. Families downwind of Hanford reservation in Washington were not warned. The report. shows total disregard for American citizens and military. Hundreds of thousands. I BELIEVE CONTINUAL AND REGULAR EXPOSURE TO INCIDENTAL IODINE 1. Learn the truth about coconut oil, the benefits of medium chain fatty acids, and why saturated fats have been tagged as unhealthy.IS THE ORIGIN OF MOST CURRENT THYROID DISORDERS. The prescribed treatment. Seaweeds alone are not enough. It takes about 1. Most of our respective bodies are iodine conservative: we can absorb. I have had participants demonstrate. Iodine. is easily absorbed from the intestines in efficiencies up to 9. The radioactive Iodine we are all breathing and eating is released. This helps perpetuate the myth that the. The episodic rather than regular. The reason that iodine- 1. Although this short half life is touted as a great thing for. Rather than occurring over a relatively long time, the short. There is no safe dosage of gamma radiation inside cells. Therapeutically. iodine- 1. So much for totally safe! Our bodies tend to be. If we. are at all iodine deficient, we will readily take in radioactive iodine- 1. This means that eating seaweeds regularly. The major health problems from the Chernobyl nuclear. April 1. 98. 6 are all related to the huge and deliberately. Chernobyl site. Within five years, large increases in thyroid disorders. Chernobyl iodine- 1. The worst is still developing since we know that the cancer rates. The simplest protection against nuclear fallout is to simply. Without that, we are all continually. Our next best protection against thyroid. If our bodies have an ongoing full. There are a few more little bits to the iodine part of the story: After the. Iodine is readily incorporated into. I suspect that this is ignored in the. I believe. that radioactive decay of iodine- 1. Iodine also concentrates in the salivary glands and gonads. I suspect that radioactive iodine- 1. The. largest of the endocrine glands, the one- half to one ounce thyroid gland is. Its overt function. T4, and T3, tri- iodothyronine, in about a 4: 1 ration. It responds. to many stimuli and IS IN A CONSTANT STATE OF ADAPTATION.. During puberty. pregnancy, and PHYSIOLOGIC STRESS FROM ANY SOURCE, THE THYROID GLAND INCREASES. IN SIZE AND BECOMES MORE ACTIVE FUNCTIONALLY. Changes in size and activity. This extreme functional changeability. When stress abates, involution obtains and normal. Instead. of just a passive hormone factory, the thyroid gland overtly changes size. Sometimes yes and sometimes no, is my evaluation of. I believe that brief thyroid hormone replacement therapy may. I also think that the increasing. TSH tests and the aggressive attempts to normalize the thyroid. The other point often just dismissed now, is the full frontal location. When I see the same patients over several years, modest. Unresolvable or otherwise overwhelming. I am not yet clear. So, mechanical stress can also affect the thyroid. Many endocrine changes occur in anorexia nervosa, including low levels. T4 and T3. I further believe that the situational low thyroid presentations (hypothyroidism). I believe that it is a failing of the cultural terrain that we do not. Other tissues in the body, particularly the liver. This conversion is accomplished primarily. Of intriguing interest, this particular enzyme. This means that chronic. T4 to T3. conversion. The thyroid test for TSH and T4 will not reveal this and unnecessary. In an associated consideration, mercury. This means that. chronic or even possible acute mercury poisoning can present as hypothyroidism. A test for selenium and mercury is always indicated in cases of. TSH and T4. Recently I have read that isoflavones, such as genistein and equol, are inhibitors. T4 and T3. Isoflavones already available in soya foods may depress. TPO inhibition. Another almost bizarre phenomenon is the RT3 situation. RT3 is also called. T3. It is not reversed at all but instead is produced when the 5- iodine. RT3 is nearly inert and especially so as a thyroid hormone. In our bodies normally, T4 converts to T3 at about. RT3 at about 4. 5%. This is most curious in an otherwise innately. The RT3 mechanism is a way of. T3 and reducing the likelihood of incipient hyperthyroidism, whilst. T3 production as a situation may demand. The body can also decrease T3 production on demand: fasting, acute trauma. RT3 production and decrease. T3 production. A decrease in T3 tends to mean a slower metabolism, less appetite. A relatively high RT3 and low T3 is often accompanied by a relatively. F) as measured in the axillaries. T3. A shortage. of T3 means lower body temperature and possibly death if prolonged. The relatively. high production of RT3 compared to T3 is sometimes referred to as Wilson's. Syndrome, and is clinically treated with T3 until a normal body temperature. There is not yet a positive consensus. T3 therapy. I tend to think it. I believe. that temporary low body resting temperature and accompanying low T3 may indicate. In the trauma response, low T3 and high RT3. I think that up to a year of prolonged low T3 and or. T4 production might be a genetically programmed requirement for health. There is a sad note to the increasing clinical thyroid plague: between 2. North Americans (the exact numbers will never be known due to. X- rays to the. head and chest, foolishly and oftimes frivolously for a wide range of presenting. These conditions included: scalp ringworm, asthma, chronic bronchitis. The thyroid glands of. These treatments (occurring between 1. YEARS after. the medical exposures with a peak incidence between 2. By the 1. 93. 0's. The endocrinologists. Medical Definition of Paraffin dip. Paraffin dip: A treatment for the symptoms of joint and muscle conditions, such as arthritis, that involves applying melted mineral wax derived from petroleum to a body area. Paraffin dips can be especially helpful in relieving the pain and stiffness of arthritis involving the small joints of the hands. The hands are repeatedly dipped into the melted, warm wax, and the wax is allowed to cool and harden around the sore joints. The paraffin is then peeled off and can be remelted in the bath for repeated use. Also known as wax dip. Last Editorial Review: 5/1. Back to Med. Terms online medical dictionary A- Z List. Need help identifying pills and medications? Use the pill finder tool on Rx. San Diego Reader — News, reviews, events, music, restaurants, movies. Saturday, August 1. Wednesday, October 2. Wednesday, January 1. Tuesday, October 3, 2. Saturday, September 2. Sunday, October 2. Wednesday, September 1. Saturday, October 2. Friday, November 1. Saturday, July 2. Thursday, October 1. Saturday, October 7, 2. 24 Hour Fitness Rancho Penasquitos Instagram App24/7 Library To Go - County Operations Center 5500 Overland Avenue, San Diego, CA 92123 Preferred Vendors: An Extension of Our Brand. Thank you for your interest in working with Anytime Fitness. Our preferred vendors are an extension of our brand, and. Search for cheap gas prices in San Diego, California; find local San Diego gas prices & gas stations with the best fuel prices. More than just a gym, Fit is a lifestyle brand that offers the best personal trainers, group exercise classes, fitness equipment & social events in San Diego. Solana Beach. Orange Peel. Taken in Solana Beach. Photo by blakedebock. A meeting of minds in the Mira. Photo by Jill Ballard. The resort-style community of Lake San Marcos is a census designated area just outside of the City of San Marcos, so one could argue that it is not exactly a San. 24 Hour Fitness Rancho Penasquitos Instagram IconA New Medication for Weight Loss. Editor's Note: Qnexa has been renamed Qsymia and as of September 1. Qnexa is a combination pill of two medicines already on the market: phentermine and extended- release topiramate. Both drugs have been shown to help weight loss when used as part of a comprehensive weight- loss program led by a medical obesity specialist physician and together seem to be synergistic, not just additive. Why are medical obesity specialists so excited for Qnexa? The last time a new weight- loss drug was approved was in 1. In these 1. 3 years, the numbers of the overweight and obese have increased significantly. Belviq Is First New Prescription Weight Loss Drug in 13 Years. Read the latest Cardiology news, opinion, conference coverage, thought leader perspectives, medical journal articles and more from theheart.org and Medscape. The Food and Drug Administration Tuesday approved Qsymia, a combination of the stimulant phentermine and the anti-seizure drug topiramate extended-release, to help. Whether you're trying to lose weight or keep it off, find help in the Everyday Health Weight Center. For those who prefer losing weight from the comfort of their living room couch while watching TV and eating a bag of potato chips with a large diet soda, the FDA has. It is now estimated that 2 of every 3 people are overweight, and about 3. The studies that looked at Qnexa showed 9. A 1. 0% weight loss is enough to improve many weight- related diseases such as pre- diabetes, high blood pressure, high cholesterol and sleep apnea. I have been prescribing this combination of drugs since first hearing about the Qnexa studies back in 2. At the time, we were using both phentermine and topiramate for weight- loss – but individually. Their side effects are quite different so that some patients did better on one drug and some did better on the other. If there was a reason to be put on one or the other drug, we did so. For example, if a patient had migraines, we chose topiramate. If they were free of heart disease, we chose phentermine. The epilepsy and migraine drug Topamax, which is also available as generic topiramate, has been associated with an increased risk of major birth defects. A weight loss drug utilizing 2 already approved prescription drugs, Phentermine & Topiramate. Where to buy Qnexa / Qsymia? Is it safe? Diet pill Contrave has been waiting for FDA approval, but it didn't get the green light. Here are the facts about this new weight loss and obesity pill. Now, as my experience with the combination has grown, we commonly start with one drug, more often it is phentermine. For some, the phentermine’s effect is incomplete and adding topiramate has really helped. Like all drug therapies, patients respond differently to the same drug. For a small few, their hunger is so little that we have to decrease the dose so that they actually eat regularly. For most, adding the second drug boosts the appetite- suppressant effect and there is less hunger. In a small percentage, the second drug does not seem to add much or the side effects are too much, and we go back to a single drug therapy. In my practice, I always use medications in combination with dietary change, exercise, a behavior- based class series, accountability, and adequate sleep counseling. Phentermine is considered a stimulant- type appetite suppressant. Its major site of action is centrally in the brain. It effectively decreases hunger and gently increases metabolism. Phentermine has been studied numerous times for weight loss (in combination with diet and behavioral modification), as well as in the maintenance of weight loss. What is topiramate? Topiramate (Topamax. Most Effective Weight Loss Pills. What makes this episode of The Dr. Oz Show so unique is that typically his fat-burning advice is a combination of atypical natural. Qnexa is a new, potent, effective and safe weight-loss drug that will help in the fight against obesity; it is poised to become the first FDA-approved weight-loss. Weight loss was initially seen as a side effect and it has now been studied directly for use in weight loss and in binge- eating disorder. The mechanism of action of topiramate is not entirely known. One mechanism that may contribute to its weight loss effects is its effect on taste. Many patients taking this drug report certain foods taste different, especially diet colas. With altered taste sensations, some of the reward from eating certain foods may be altered. Who should consider using this drug? The final requirements have not been released, but I suspect that someone will need either a body mass index (BMI) of 3. BMI greater than 2. If used, it should always be used as part of a complete weight- loss program. I believe its effects will be best when used with diet, exercise and behavior modification. It will best be used long- term as long as you are getting benefit from its use. Who should not use this drug? This drug should absolutely not be used with patients with pre- existing heart disease or women who are going to become pregnant, as it has been shown to slightly increase the risk of birth defects, such as cleft lip and palate. There are several other possible side effects that should be discussed with the doctor who prescribes it for you, prior to starting it. A few possible side effects are rapid heart rate, temporarily increased blood pressure, forgetfulness, and kidney stones. When will it be available? Vivus Inc., the company who will make Qnexa, submitted their application to the United States Food and Drug Administration (FDA) initially in 2. This application was based on the results of a few published studies on weight loss, EQUIP and CONQUER. In January 2. 01. FDA asked Vivus to further look at the possibility of birth defects in the drug before approval. The FDA also expressed concern about other possible side effects, including suicidal thoughts, heart palpitations, and memory lapses. On February 2. 2, 2. FDA voted 2. 2 to 2 to approve the drug. On July 1. 7, 2. 01. FDA is expected to follow the sub- committee recommendation and approve Qnexa. It will likely be 3 to 6 months after approval before it is available for use. Summary. Qnexa, the first new weight- loss drug since 1. It will be a good tool in the treatment of obesity. Combination drugs have been shown to improve compliance in taking all doses of a drug as prescribed. Although both phentermine and topiramate will remain available on their own in generic forms, Qnexa will be the strongest combination drug available to treat obesity and being overweight. Finally, it is important to remember that Qnexa is just one of many tools for weight loss. Its best effects will be seen as part of a complete program for weight loss that includes diet, exercise, behavior change, and adequate sleep. References. Allison DB, Gadde KM, Garvey WT, et al. Controlled- release phentermine/topiramate in severely obese adults: a randomized controlled trial (EQUIP). Obesity (Silver Spring). Gadde KM, Allison DB, Ryan DH, et al. Effects of low- dose, controlled- release, phentermine plus topiramate combination on weight and associated comorbidities in overweight and obese adults (CONQUER): a randomised, placebo- controlled, phase 3 trial. Epub 2. 01. 1 Apr 8. Garvey WT, Ryan DH, Look M, et al. Two- year sustained weight loss and metabolic benefits with controlled- release phentermine/topiramate in obese and overweight adults (SEQUEL): a randomized, placebo- controlled, phase 3 extension study. Am J Clin Nutr. 2. Epub 2. 01. 1 Dec 7. |
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