Obese men reported better sexual function after losing lots of weight in a new study, one of several to show the side benefits of slimming down. Structure House is an exclusive weight loss center, with a decades-proven treatment program for obesity, eating disorders, and behavioral issues. This is not a diet. ![]() All Blacks player ratings: McCaw-like Sam Cane pulls off mammoth performance to topple Lions in opening Test. 1 NEWS NOW sports reporter Dave Agnew gives his insight.
HCG diet: Is it safe and effective? No on both counts. In fact, the Food and Drug Administration has advised consumers to steer clear of over- the- counter weight- loss products that contain HCG. HCG is human chorionic gonadotropin, a hormone produced during pregnancy. As a prescription medication, HCG is used mainly to treat fertility issues. HCG is not approved for over- the- counter use, nor has it been proved to work for weight loss. Companies that sell over- the- counter HCG weight- loss products are breaking the law. So why has there been so much talk about the HCG diet? Perhaps it's because the diet recommends severe calorie restriction — typically just 5. People who follow such a very low calorie diet are likely to lose weight, at least in the short term. However, diets that so severely limit calories have risks, such as gallstone formation, irregular heartbeat and an imbalance of electrolytes. Side effects have also been reported with the HCG diet and include fatigue, irritability, restlessness, depression, fluid buildup (edema), and swelling of the breasts in boys and men (gynecomastia). Another serious concern is the risk of blood clots forming and blocking blood vessels (thromboembolism). If weight loss is your goal, there are safer ways to lose weight. Talk with your doctor or other health care provider about how to make healthy changes that lead to permanent weight loss, such as eating a balanced diet and getting regular exercise. Nov. 1. 4, 2. 01. HCG diet products are illegal. Food and Drug Administration. Accessed Oct. 1, 2. HCG diet. Natural Medicines Comprehensive Database. Accessed Oct. 1, 2. Hamilton M, et al. Evaluating commercial weight loss programmes: An evolution in outcomes research. Obesity Reviews. 2. Birmingham C, et al. Human chorionic gonadotropin is of no value in the management of obesity. Canadian Medical Association Journal. Goodbar NH, et al. Effect of the human chorionic gonadotropin diet on patient outcomes. Annals of Pharmacotherapy. Zeratsky KA (expert opinion). Mayo Clinic, Rochester, Minn. See more Expert Answers.
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Time to shred (Fender Stratocaster). ![]() Are Fender squire strats hard to shred on. Is it possible to get Yngwie Malmsteen's tone with my American Strat HSS and a Fender. Why did shred-guitar go. Stratocaster Guitar Culture The guitar you really can shred: Fender made from CARDBOARD revealed. Cardboard Chaos joined Ernest Packaging with Fender builders for design; The neck of a guitar. ![]() ![]() ![]() If you are shopping for Fender Stratocaster Guitars, we offer a large selection with free shipping and guaranteed lowest price, only at Musician's Friend. Get the best price on our Collection Jackson USA Signature Phil Collen PC1 Shred Electric Guitar, only at Guitar Center! Learn in great detail how to build your own SRV Stratocaster using recycled guitar parts. Instruction includes how to select. 1986 MIJ Contemporary fender Stratocaster with Dover set, 5 way CRL switch, CTS Vintage 250k pots and.047 uF NOS PIO. These MIJ's have great neck and play like a dream! Shred is a member of Fender Stratocaster Guitar Forum. ![]() Free online pharmacy compare service for consumers with many brand and generic discount drugs from USA, canadian, mexican, indian and international online pharmacy. Strategic Health Marker What is pH? It is important to know that true health lives in an alkaline state. This website uses cookies. Our Cookies information page details how we use cookies and how to manage them. To provide even greater transparency and choice, we are. Alli tablets are a clinically proven weight loss treatment containing Orlistat, to help achieve your diet goals. Free UK delivery on orders over £40. ![]() The p. H Scale and p. H Scale Numbers. Strategic Health Marker. It is important to know that true health lives in an alkaline state. What is p. H? p. H is the potential of Hydorgen or concentration of Hydrogen ions and is a measure of the acidity or alkalinity of a solution. For example, a p. H of 2 is ten times. H of 3 and one hundred times more acidic than a p. H of 4. It is important to monitor p. H because live depends on it. If the p. H of blood drops below 7. If the blood p. H rises. Death will occur if blood p. H goes below 7. 0 or above 7. Our human existence depends upon a balanced and. H. Osumex p. H Indicators - see below. NEW 2. 0- test pack. OLD version - will be discontinued when inventory sold! It is recommended that you test at least once a week, if your p. H is 6. 0 or lower, until it is brought back up to at least 6. It is not intended to replace competent. This product is not intended to diagnose, treat, cure, or prevent. Compare online pharmacy and drugstores prices, where to buy pharmaceutical drugs, OTC medications and health products. Sitemap. Copyright. ![]() The Secret Ingredient In Your Orange Juice. Do you buy orange juice at the store? If you do, I’m sure you’re careful to buy the kind that’s 1. After all, that’s the healthier kind, right? The more natural kind? ![]() 12 fl oz, 0 calories, 50 mg sodium. Ingredients: Carbonated Water, Concentrated Orange Juice, Citric Acid, Natural Flavors, Citrus Pectin, Potassium Benzoate. There are several flavored water brands without artificial sweeteners on the market. To find them you'll have to become a bit of an ingredient investigator. The kind without any additives? The kind that’s sold in the refrigerator section so it must be almost as good as fresh- squeezed orange juice? If I’m describing you, then you’re either going to hate me or love me by the time you’re done reading this post. The truth is, that orange juice you feel so good about buying is probably none of those things. You’ve been making assumptions based on logic. The food industry follows its own logic because of the economies of scale. What works for you in your kitchen when making a glass or two of juice simply won’t work when trying to process thousands upon thousands of gallons of the stuff. Do you buy orange juice at the store? If you do, I’m sure you’re careful to buy the kind that’s 100% juice and not made from concentrate. Mountain Dew; Type: Citrus soft drink: Manufacturer: PepsiCo: Country of origin: United States: Introduced: 1940; 77 years ago () Variants: See below: Related products. A soft drink (see terminology for other names) is a drink that typically contains carbonated water, a sweetener, and a natural or artificial flavoring. This diet is found in the Appendix of the book Why We Get Fat by Gary Taubes and is an example of a low carbohydrate diet. Gary got it from Dr. Eric Westman’s. Haven’t you ever wondered why every glass of Tropicana Pure Premium orange juice tastes the same, no matter where in the world you buy it or what time of year you’re drinking it in? Or maybe your brand of choice is Minute Maid or Simply Orange or Florida’s Natural. Either way, I can ask the same question. Why is the taste and flavor so consistent? Why is it that the Minute Maid never tastes like the Tropicana, but always tastes like its own unique beverage? Generally speaking, beverages that taste consistently the same follow recipes. They’re things like Coca Cola or Pepsi or a Starbucks Frappuccino. When you make orange juice at home, each batch tastes a little different depending on the oranges you made it from. I hope you’re hearing warning bells in your head right about now. The reason your store bought orange juice is so consistently flavorful has more to do with chemistry than nature. Making OJ should be pretty simple. Pick oranges. Squeeze them. Put the juice in a carton and voil. After the oranges are squeezed, the juice is stored in giant holding tanks and, critically, the oxygen is removed from them. That essentially allows the liquid to keep (for up to a year) without spoiling– but that liquid that we think of as orange juice tastes nothing like the Tropicana OJ that comes out of the carton. So, the industry uses “flavor packs” to re- flavor the de- oxygenated orange juice: When the juice is stripped of oxygen it is also stripped of flavor providing chemicals. Juice companies therefore hire flavor and fragrance companies, the same ones that formulate perfumes for Dior and Calvin Klein, to engineer flavor packs to add back to the juice to make it taste fresh. Flavor packs aren’t listed as an ingredient on the label because technically they are derived from orange essence and oil. Yet those in the industry will tell you that the flavor packs, whether made for reconstituted or pasteurized orange juice, resemble nothing found in nature. The packs added to juice earmarked for the North American market tend to contain high amounts of ethyl butyrate, a chemical in the fragrance of fresh squeezed orange juice that, juice companies have discovered, Americans favor. Mexicans and Brazilians have a different palate. Flavor packs fabricated for juice geared to these markets therefore highlight different chemicals, the decanals say, or terpene compounds such as valencine. The formulas vary to give a brand’s trademark taste. If you’re discerning you may have noticed Minute Maid has a candy like orange flavor. That’s largely due to the flavor pack Coca- Cola has chosen for it. Some companies have even been known to request a flavor pack that mimics the taste of a popular competitor, creating a “hall of mirrors” of flavor packs. Despite the multiple interpretations of a freshly squeezed orange on the market, most flavor packs have a shared source of inspiration: a Florida Valencia orange in spring. As with all industrial foods, it’s because of our convoluted labeling laws. You see, these “flavor packs are made from orange by- products — even though these ? Juice removed from the fruit is just concentrated fructose without any of the naturally- occurring fiber, pectin, and other goodies that make eating a whole fruit good for you. Did you know, for example, that it takes 6- 8 medium sized apples to make just 1 cup of apple juice? You probably wouldn’t be able to eat 6- 8 medium apples in a single sitting. That’s why fruit juice is dangerous. It’s far too easy to consume far too much sugar, and also could stain your teeth, but if you want to keep a nice smile even tho keep drinking juice, you could try some products by Top 9 Rated. So, my first piece of advice is to get out of the juice habit altogether. ![]() ![]() Sally Fallon Morrell’s Nourishing Traditions cookbook (pictured at right) has several lacto- fermented juice coolers that are pleasant, albeit expensive. See here for where to buy juicers and Vitamix blenders. And finally, opt out of the industrial food system as much as you can. If you learn anything at all from this post, it should be that you never know what’s in your food unless you grow it, harvest it, or make it yourself. Second best (and more practical for many, including myself) is to pay somebody I trust to do it — like the farmers at my Farmer’s Market, the cattle rancher I buy my annual grass- fed beef order from, or the chef at my local restaurant who’s willing to transparently answer questions about how he sources ingredients and what goes into the dish I’m ordering. Edited On 7/2. 9/2. To Include: I’ve gotten a number of comments and emails accusing me of being afraid of “science” or “chemicals.” To those readers, I suggest that you are missing my point entirely. As I wrote in a comment below, I think what bugs me the most about the flavor industry is that they manufacture flavor for otherwise flavorless or unpalatable foods. I think if a food needs to have synthetic flavors added to it for us to enjoy it, then we ought to question whether or not it’s actually good for us and worth eating. It’s not so much that I think the flavors are unnaturally engineered chemicals (although sometimes, as with MSG, there is cause for concern). In this post, I’m not questioning the health or merit of added chemicals (“natural” or “synthetic”); I’m questioning the health or merit of so- called foods that are so devoid of flavor or color that we have to add back in chemical flavorings and colors to make them palatable. Flavored Water No Artificial Ingredients Diet Mt![]() ![]() ![]() Furthermore, I’m questioning the judgement of our regulatory bodies which allow misleading product labeling to continue. Stores have been closing at an alarming rate this year, with the number of closings so far this year triple what it was during the same period a year ago, CNN reports. Successful teen dieters reveal their weight loss strategies. ![]() Then and Now - Zimbio. Le. Ann Rimes and Dean Sheremet in 2. Le. Ann and Eddie Cirbian in 2. Bauer Griffin, Getty Images)Le. Ann Rimes grew up in front of the cameras. She broke into the country music scene at 1. And, since 1. 99. ![]()
Great Guidelines Towards All natural Weight reduction. An useful Losing Weight Weight loss program requires a person to follow along with the guidelines which have. Ways to Lose a Lot of Weight over the Summer. Stay hydrated. Staying hydrated over the summer is extremely important. With higher temperatures and more physical activity, your body needs more water due to excess sweating. Drinking water has been shown to increase weight loss in women who are also dieting to lose weight. Drink the recommended 1. The perfect way to make a single serving smoothie is to fill the container halfway with leafy greens (such as spinach or kale), fill the other half with fruits (banana, berries, mango, etc), add some type of nutritional boost (such as flaxseed, chia seeds, or almonds), pour 8 fluid ounces of liquid on top (such as water, 1% milk, almond milk, or soy milk), and blend together until smooth. Make homemade popsicles. Homemade popsicles are an excellent way to stay hydrated as well as stay cool during the summer heat. They can be made just like a smoothie and then poured into a popsicle mold and frozen overnight. Another healthy and refreshing way to make popsicles is to fill up the mold halfway with water and the other half with 1. These have additional sugars that will not aid in weight loss). Freeze overnight. Make infused water. Infused waters are an excellent way to add flavor to your water and make it more palatable if you're not a fan of drinking plain water. Infused waters are made by soaking freshly chopped fruits and vegetables in water for a minimum of 3. Some popular combinations for infused water include raspberry- lemon, strawberry- kiwi, and cucumber- lime. ![]() Treadmills are the right choice for those who want to lose weight. It may appear to be a 'cliché' you can find in running books or dedicated articles, but it's true. How much weight can you lose having sex and doing other easy and fun stuff. Running can be one of the most exerting forms of aerobic exercise. You see the question how many calories do you burn running a mile asked a bit when looking at. If you’ve ever been a paying customer of meditation app Headspace, you know the tyranny of the “packs”. A pack is a course of meditations, each building on the. ![]() Contrary to what you (or your trainer) might believe, endorphins aren’t responsibly for that giddy exuberance you feel after a long run. What is associated with the. This 5-Question Test Reveals If Your Running Routine Is Helping You Lose Weight Or if you’re sabotaging your own progress. Aleisha Fetters February 21, 2017. ![]() ![]() ![]() How to Get a Flat Stomach in a Month: 1. Steps (with Pictures)Get more . They often require more exertion, which can help with fat burning. ![]() How to Get a Flat Stomach. Whether it's springtime in Florida, summer in Sydney, or all year long in Hawaii, when the beaches beckon, you want to be in swimsuit shape. I'm an advocate of exercising first thing in the morning for two reasons: It gets done. Despite your best intentions, any number of things can happen in the afternoon. How To Lose Belly Fat Without Exercise. Given here are the effortless ways to reduce your tummy: Get Your Posture Right; Hydrate Yourself; Cleanse Your System. Also, additional muscle tone in the back, chest, shoulders, legs, etc. Crunch your abs and try to touch your toes with your hands. Drop both hands and one leg down so they are parallel to the floor (and your body). Repeat the move while alternating legs. The . Hold dumbbells in each hand at shoulder height. Lean back slightly, extend your arms straight up overhead, and pull in your knees. Hold for a beat, return to the starting position, and repeat. ![]() The question of whether you should eat before a run or head out on an empty stomach is almost as divisive as whether high reps or low reps are better.When Is The Best Time To Do Cardio? Some people wake up at 4:00am just to do their cardio. Then later in the day they do their weightlifting routine. MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing. Fat-burning gimmicks and gadgets never work! We're breaking down the biggest myths and truths about how to torch the most fat in the least amount of time. 9 Food That Burns Stomach Fat Healthiest Fat Burning Supplements What Fruit Burns The Most Fat Natural Fat Burning Recipes Universal Fat Burners For Women Once the. Unlike fat in the hips or thighs. ![]() When Is The Best Time To Do Cardio? QWhen Is The Best Time To Do Cardio? Some people wake up at 4: 0. Then later in the day they do their weightlifting routine. Others do their cardio before or after their workout routine. Some run at midnight to avoid heat. ![]() ![]() When is the best time to do cardio? Should cardio be done near the time of weightlifting or should there be a certain amount of hours between the two? Can someone add cardio to their weight training and still gain size and muscle mass? Is it better to do cardio after eating, or on an empty stomach? Why? What is your favorite type of cardio? ![]() ![]() ![]() Why? The Winners. Place Cardio Exercise Now Or Then? Cardio exercise without question is an essential part of any training routine whether it be a bodybuilding, strength training, sports training or most obviously a running workout schedule. It increases our endurance levels and is also an important factor in preventing all sorts of heart problems and diseases. But its not as easy as just going outside and mindlessly running around for a few minutes and getting results. Its the same as weightlifting. There are many different opinions on how to properly do cardio to achieve certain goals. Some of these views are totally wrong and can mislead you and instead of moving you forward will actually set you back in the wrong direction. This is why it is so important to know what certain types of cardio are doing to your body and how to do it properly. Just like weightlifting. When Is The Best Time To Do Cardio? There is no set time where you make the best gains to do cardio. It ranges for everyone, for example if you feel like total crap in the morning and you need an hour or two to feel fully energized, then you obviously arent a morning person so then dont do it in the morning. Listen to your body, you wouldnt pump iron if you were half- awake. Like I said everyones body is different. So basically the best time for you to do your cardio exercise is when you feel it is the best time to do it, and stick to that time. But there is still more to this, there are still a few guidelines you should follow so that you dont end up setting yourself back. These will help you understand when to perform your cardio for better results, or the results you want. Cardio In The Morning On An Empty Stomach. First of all NO! Cardio in the morning is probably the most stupid idea I have ever heard. This isnt just my opinion but the most knowledgeable trainers and exercise experts agree that cardio in the morning on an empty stomach is not good for you body. Well, you might ask, what if I want to burn fat? I have low glycogen stores in the morning and my energy levels are low because I dont have carbohydrates, so then I will tap into my fat stores right? This is TOTALLY wrong. The complete opposite happens. Let me enlighten you. Fat burn doesnt occur during cardio exercise, but about two hours after. Instead your body will look at your tasty muscles for energy meaning. Bye bye muscles. This is a bodybuilders worst nightmare. So unless your goal is to become scrawny and lose muscle then by all means do cardio in the morning. Its also common sense not to do it on an empty stomach. You wont have a satisfactory amount of energy meaning decreases performance which = crappier results. And if you think about it, your body has just fasted for eight hours and it needs something to eat to refuel itself. Not feeding your body and doing exercise is like going into war without any ammunition. Dont Get Me Wrong Yes, dont get me wrong, it isnt that doing cardio in the morning is bad, but doing it on an empty stomach is bad unless you want to lose muscle instead of fat. So when you wake up at 5: 0. A. M at least have something light to eat and wait at least 3. Like I said earlier if youre a morning person and you feel best in the morning then keep doing it in the morning, just make sure you dont do it on an empty stomach. Cardio Workout Right Before Weightlifting? Again this is also a HUGE NO! Not unless you dont want good results from pumping iron, then I guess you're wasting your time in the gym if you go all out and perform cardio before your workouts. But for a lot of people, especially women, they dont want to gain serious mass, so then if your weight workout is relatively low intensity and doesnt leave you feeling like you just got hit by a car, then by all means you can do cardio before your workout. But for most of the guys, they want some serious mass, and let me tell you that the last few reps (Say the last 3- 2 reps) where you struggle and sweat is where you stimulate your muscles to grow. But when you run before working out, an intense cardio workout totally or almost depletes your glycogen stores. When weightlifting, you dont use as much of your glycogen stores, but you still need quite a bit (This might come as a surprise to some people but its true). So if you have no glycogen stores which is your muscles source of energy and your pushing yourself to max, the energy wont be there to push those last few grueling reps meaning a way less effective workout. Another reason why this is such a big NO is because during a hard cardio session, protein synthesis drops low and protein breakdown goes up. During a weight lifting session, protein synthesis either goes up a little or stays the same while protein breakdown goes up. After your cardio session while protein synthesis drops (Meaning your bodys ability to build muscle), and you hit the weights, the result will be that your bodies ability to build muscle will be impaired because of your cardio training depending on how intense your cardio was. After that his protein synthesis drops and muscle breakdown goes high. He goes weightlifting and instead of his protein synthesis being normal or slightly elevated, it is very low because of his cardio session. Plus his muscles are in a state of breakdown. So basically you dont want your bodys ability to build/repair muscle (Protein synthesis) to be impaired right after a weight workout. Again, Dont Get Me Wrong. Yes, dont get me wrong again, what I just explained above is doing cardio right before your workout or even an hour before your workout. But it is all right if you do your cardio exercise then your weightlifting program after if you give yourself an adequate amount of time to recover and replenish your glycogen stores. But in between you must have the proper nutrition to stop protein breakdown and increase muscle synthesis before you hit the weights. Plus you have to replenish your muscles glycogen stores. Still though, your performance in the weight room may suffer even though you have given yourself enough rest and nutrition, so it is best if you do your weight lifting before anything else to make sure that you lift to your full potential. Also if you do an intense cardio session and eat hamburgers and fries then 6 hours later do your cardio session, it just wont cut it. Another thing is if your cardio workout is relatively short and low/very low intensity then its all right to hit the weights right after. Cardio Right After Weights? Doing cardio right after weights is way better than doing it before weights. The reason being is that weight lifting doesnt deplete your glycogen stores as bad as it does in cardio workouts depending on how intense you go. So you still will have some of your glycogen stores left meaning that you can still get an alright cardio session. But for a more effective cardio session right after a workout, I recommend waiting at least 2 hours even more (If you have the time to do this) before doing your cardio. In between this time it is important you replenish your glycogen stores quickly, and stop protein breakdown as fast as possible. But if you dont have the time it is still alright to do it right after weights. Just be prepared to have a less effective cardio session. For Best Results! For best results in your cardio training, try to do schedule your sessions separate from your weightlifting program. So if you lift weights 4 times a week, then do running on the other three days that youre not lifting weights. Just remember try to schedule your cardio session as far away as possible from your leg lifting schedule, because running on super sore tired legs basically sucks. Doing cardio on separate days than weight lifting ensures that you have the proper energy to perform your best in either your cardio or lifting session. If you cannot then do your cardio after your workouts at least. You also have to do cardio after weights if you have 4- 5 cardio sessions and are a serious weight lifter. Remember you get the best gains when you have the most energy. Yea, if you did an all out run for 4. Doing Cardio And Gaining Serious Mass? Is It Possible? Yes it is possible, it can be done. A bodybuilder would cry at the idea of losing precious hard gained muscle. This is also one of those topics that also depends on your goals. If a bodybuilder wants to gain serious mass and still maintain a balance in his cardiovascular system then it is totally possible to do it without losing muscle. But if someone wants to gain serious mass and wants to be a professional marathon runner, then my answer is no since heavy training in the field of endurance, marathon running, and long distance running causes major muscle loss over time. Just look at all the marathon athletes, they are scrawny not muscular. If you want to be well rounded (Meaning quite cardiovascular fit while still having decent muscle and strength), then your cardio program might cause slight/very slight muscle loss depending on how long, intense and how many times a week you do it. But, your weight lifting program will cause you to gain more mass than is lost and you WILL get stronger. So there are basically two categories for this topic. Guys who want huge mass and dont want to lose it and guys who want some mass and strength but also want to be cardiovascular fit. ![]() Nutrition After Colon Surgery . The stomach connects to the small intestine which transitions to become the colon, part of the large intestine. Finally, the large intestine terminates as the rectum. Food and liquid pass through these structures in the process of digestion as nutrients are removed and stool is formed. The segments of the GI system perfom specific, but sometimes overlapping, functions, as explained in detail in . Most nutrient absorption, likewise, occurs in the small intestine. ![]() Before Surgery for Colon Resection. Before your surgery, you may be asked to follow a special diet to help reduce your discomfort, and should drink plenty of water.The colon also absorbs additional nutrients and electrolytes with the help of the beneficial bacteria that populate the organ. The waste enters the colon in liquid form and is processed into semi- solid form as the colon performs its main function of reabsorbing water into the body. Surgery. Photo Credit NA/Photos. Getty Images. Indications for partial colon resection include limited colon cancers and other pathology that affects only part of the colon. Diverticulitis - - a weakened outpouching of the colon wall - - sometimes requires partial colon removal as well. After partial colon resection, the ends of the colon on either side of the removed segment are sewn or stapled back together. Removal of the entire colon, a total colectomy, cures ulcerative colitis and familial polyposis, a genetic condition in which precancerous polyps develop throughout the large intestine. After a total colectomy, the end of the small intestine- -the ileum- -can be sewn back to the rectum. The other option uses an ileostomy, either temporarily or permanently. Most of what I found were what to expect after. Since none of the digestive-related forums really fit my situation, I'm posting this in the "irritable bowel" forum (for lack. Surgery Overview. Resection is another name for any operation that removes tissue or part of an organ. Bowel resection, also called partial colectomy, removes a. The large intestine, also known as the large bowel or colon, is the last part of the gastrointestinal tract and of the digestive system in vertebrates. ![]() With an ileostomy, the end of the small intestine is connected to the outside of the body through an opening created in the abdominal wall and waste is collected in special bags that attach to this opening. Glass of water. Photo Credit Jupiterimages/Photos. Getty Images. Removing any part, or all, of the five- foot long colon leads to changes in the process of stool formation. Nutrition, both in the immediate post- operative period and the long term requires special consideration. In the days after surgery, a liquid diet ensures that the suture or staple line begins to heal properly without disruption from irritating food substances. ![]() Usually within a few days, introduction of soft foods begins. If this progresses as expected, significant nutritional deficits rarely occur, especially with partial resection. If advancing the diet proves difficult, nutrition temporarily comes from intravenous solutions that contain essential nutrients such as proteins and fats, explains the American Society of Colon and Rectal Surgeons on its website. Stool frequency after surgery sometimes tops 2. Because electrolytes and water are eliminated in this liquid stool, disturbances of electrolyte balance and dehydration present the most significant risks in the days after colon surgery. Sodium, potassium, calcium and magnesium levels warrant daily testing in the initial post- operative period. Avoiding dehydration presents the biggest challenge in the immediate days after surgery. Intravenous fluids replace losses until oral intake of water catches up. Soup and liquid foods break down easily. Photo Credit Jupiterimages/Goodshoot/Getty Images. Over time, the body adapts to the loss of part or all of the colon. The small intestine takes over the function of absorbing water and dehydration becomes less of an issue. Electrolyte salvage also becomes more efficient in the small intestine. With total colectomy, nutritional risks persist for weeks or months. Any abdominal surgery leaves the risk of adhesions and obstructions for a lifetime, states the Nov. Obstruction of the intestine, sometimes a medical emergency, becomes more likely with adhesions. Many doctors and patients find that this has nutritional implications. Foods, such as raw vegetables, mushrooms, nuts and seeds that digest and break down less easily, cause obstructions and sometimes require elimination from the diet. ![]() ![]() ![]() After colon surgery, supplements and vitamins can help to make up these deficits. Nutritionist. Photo Credit Creatas/Creatas/Getty Images. The main objectives of avoiding dehydration and maintaining a balanced diet challenge patients and surgeons. Referral to a nutritionist or dietitian prior to elective surgery allows patients to plan ahead for expected dietary and nutritional changes. Especially after total colectomy, reintroduction of foods occurs very slowly in some cases, and working with the nutritionist provides the best method of assessing and supplementing any deficits. Following the recommendations of the doctors and nutrition experts ensures the smoothest recovery possible. New Guidelines on Acute Diverticulitis: How Will They Change Clinical Practice? Ostomy Overview. An ostomy is a surgical procedure performed when normal bowel or bladder function is lost due to birth defects, disease, treatment for disease, or. References for "Colon Blockage" (1) J.J. Tuech, M.D., P. Pessaux, and J.P. Arnaud, M.D. Learn about colostomy surgery, colostomy care, colostomy questions, and information about colostomy recovery. Find out how one patient learned to live with a. Colonic Diverticular Disease. Colonic diverticulosis is among the most common diseases in developed Western countries. In the United States, diverticulosis occurs in approximately one third of the population older than age 4. Definition and causes. A diverticulum is a saclike protrusion in the colonic wall that develops as a result of herniation of the mucosa and submucosa through points of weakness in the muscular wall of the colon. The colonic diverticulum is a false or pulsion diverticulum- that is, it does not contain all layers of the colonic wall. Diverticulosis indicates the presence of multiple diverticula and generally implies an absence of symptoms (Fig. Diverticular disease implies any clinical state caused by diverticula, including hemorrhage, inflammation, or their complications. Diverticulitis describes the presence of an inflammatory process associated with diverticula. Its pathogenesis is attributed to genetic and environmental factors (Box 1). Box 1: Factors Involved in the Pathogenesis of Colonic Diverticula. Genetic factors. Environmental factors. Low- fiber diet. Obesity. Decreased physical activity. Corticosteroids. NSAIDs. Alcohol. Caffeine intake. Cigarette smoking. Polycystic kidney disease. Epidemiologic factors. Age. Geography. Life style. Ethnicity. Back to Top. Prevalence. The actual prevalence of diverticulosis is difficult to measure because most individuals are asymptomatic. Comparisons of the earliest and most recent autopsies and barium enema studies have indicated that the worldwide prevalence is increasing over time (Box 2). Box 2: Prevalence of Diverticulosis. Studies so far include barium examinations and necropsy series. These may be misleading for determining the actual prevalence rate, however, mainly because barium studies may overestimate the prevalence of diverticulosis in people who have been referred for gastrointestinal (GI) symptoms, and necropsy series may either overestimate the frequency of diverticula in older age groups or miss the presence of small diverticula in younger populations. Whether these findings are the results of increased numbers of older individuals in the population, increased screening, or an actual increase in prevalence is unknown. Younger patients presenting earlier than age 4. Back to Top. Pathophysiology. Colonic diverticulosis in general is an acquired disease, developing as mucosal and submucosal herniations through the circular muscle layer at vulnerable weak points of the colonic wall. Diverticula are covered only by serosa, and tend to develop at four well- defined points around the circumference of the colon, where the vasa recta penetrate the muscular layer. These vessels enter the colonic wall on either side of the mesenteric teniae and on the mesenteric border of the two antimesenteric teniae. Diverticula do not develop in the rectum, presumably because of the coalescence of the teniae with the longitudinal muscle layer that marks the junction between the sigmoid colon and the rectum. In the colon, the presence of anatomic and physiologic changes contributes to the development of diverticula (Box 3). Mycosis, a set of findings consisting of the thickening of the muscular layer, shortening of the teniae, and luminal narrowing, is found in most patients with sigmoid diverticula. Box 3: Physiologic and Anatomic Colonic Changes in Diverticula Formation. Mycosis. Changes in mechanical features of colonic wall. Changes in structural components of colonic wall. Elevated intraluminal pressure. Segmentation. The mechanical features of the colonic wall change with increasing age. Combined barostat- manometry studies of the entire colon have demonstrated that compliance is lowest in the sigmoid and descending colon and greatest in the transverse and ascending colon. This difference in mechanical properties between the right and left sides might partly account for the left- sided predominance of diverticulosis. Structural components of the extracellular matrix of the colonic wall, including collagen, elastin, and proteoglycans, are likely to be important in maintaining the strength and integrity of the colonic wall. Changes in these components of the bowel wall, such as damage and breakdown of mature collagen, and consequently its immature synthesis can lead to a change in bowel consistency. These changes may be related to a genetic predisposition such as that seen in Ehlers- Danlos and Marfan's syndromes, which may be responsible for the occurrence of diverticula at an early age, or to the natural course of the aging process itself. In one study, it has been reported that collagen fibrils in the left colon are smaller and more tightly packed than those in the right colon with increasing age, and that this difference is accentuated in diverticular disease. The thickening of longitudinal and circular muscles in diverticular disease is neither hyperplastic nor hypertropic, but appears to be related to a contractile state. An increase in the number of elastic fibers has been observed only in the longitudinal muscle. It has been suggested that this process is responsible for longitudinal contraction, with subsequent thickening of both muscle layers. All these changes, along with elastin deposition in the teniae coli, lead to an irreversible state of contracture, with substantial bowel shortening, which may result in decreased resistance of the colon wall to persistent intraluminal pressure. In addition to other predisposing factors, diverticula are believed to develop as a result of elevated intraluminal pressure generated by tonic and rhythmic contractions, resulting in segmentation. If contractions occur relatively close to each other and form an enclosed space, pressure within that intervening segment of colon may exceed 9. Hg. However, segmentation on its own separates the colonic lumen into a series of chambers, with each having a different amount of pressure that is closely related to the chamber's diameter. These isolated increases of intraluminal pressure are believed to predispose to herniation through the previously mentioned weak points of the colon. The fiber content of the diet plays a large role in the pathogenesis of diverticular disease. Fiber has been found to be protective. Most fiber in the human diet is of plant origin and this type of fiber binds water and salt in the colon, leading to bulkier and more voluminous stools. Therefore, fiber decreases the frequency of contractions and prevents an exaggerated form of segmentation. In addition, dietary fiber influences the content of colonic bacterial flora, forms the main substrate for bacterial carbohydrate fermentation, and produces energy- yielding substrates—short- chain fatty acids—for growth and maintenance of colonic cellular function. Consequently, a fiber- deficient diet increases the chances of intense, more frequent segmentation, thus predisposing to herniation of mucosa by allowing isolated increases of intraluminal pressure. After the development of colonic diverticula, a spectrum of inflammatory changes or bleeding caused by the traumatic injury to penetrating vessels may occur. Changes within these vessel walls, such as eccentric intimal thickening and thinning of the media of the vessel facing the bowel lumen, result in segmental weakness of these vessels and render them vulnerable to injury and bleeding. The term diverticulitis represents a spectrum of inflammatory changes that ranges from localized subclinical inflammation to generalized peritonitis, with free perforation (Fig. In turn, this leads to hyperplasia of the lymphoid tissue within the mucosa at the base of the diverticulum, one of the earliest signs of diverticulitis. Inflammation usually begins at the apex of the diverticulum and seldom involves the neck or mucosa proximal to the neck. However, there is active inflammation of the pericolic and mesenteric fat, with peridiverticular abscess formation. These peridiverticular abscesses often involve areas of subserosa and are closely related to the outer aspect of the muscularis propria; they can spread circumferentially and longitudinally and may be responsible for the pathologic picture of diverticular colitis. Longitudinal tracking, especially, may result in fissuring, along with the lymphoid aggregates, which resembles the distinctive feature of colonic colitis in Crohn's disease. This may cause misinterpretation of the pathologic study of the specimen. Therefore, the differential diagnosis of these two conditions in terms of pathologic interpretation of the resected specimen is important. Persistent localized inflammation after diverticular rupture results in a phlegmon, a thickened, firm segment of bowel wall, which ultimately may manifest as acute or subacute large bowel obstruction. If left untreated or treated inadequately, it may result in extensive fibrosis around the affected segment of the colon, giving it a mass appearance indistinguishable macroscopically from that of a neoplasm. Another pathologic entity that may be encountered during progression of the disease, with recurrent attacks of diverticulitis, is the formation of a localized abscess with chronic inflammation and involvement of other neighboring luminal organs, such as the bladder, small and large bowel loops, uterus, and vagina. Fistulae may develop within this contained area, between involved segment(s) of colon and these organs. Fistulae occur in 2. Back to Top. Signs and symptoms. Most people with uncomplicated colonic diverticulosis are asymptomatic. A small fraction of these patients may have troublesome symptoms, such as colicky abdominal pain, bloating, flatulence, or altered bowel habit. The symptoms characteristically disappear after defecation or passage of flatus. On clinical examination, they may have tenderness in the left iliac fossa with no signs or symptoms of peritonitis or systemic illness, and all laboratory values may be within normal limits. Calorie Diet Plan . Protein (g)Fat (g)Carbs (g)Calories. Meal 1: Breakfast: Cereal: Raisin Bran. Raisin Bran Cereal Meal 2: Snack: Fruit: Grapes, red or green. Grapes, green or red Meal 3: Lunch: Chicken and Rice. Chicken, breast, skinless. Made with ingredients so classic, these blended-to-order masterpieces practically invented smoothies. All of your favorites are in the mix: real whole fruit, 100%. Wanna try out a raw food diet, even if just for a week? Here's a whole menu to get you started with 7 days worth of raw vegan breakfasts, snacks, desserts, lunches. Soy Sauce Meal 4: Snack: Fruit: Frozen Blackberries 1. Blackberries, frozen Meal 5: Dinner: Beef Steaks Provencale. ![]() ![]() Tasty, nutritious and realistic 1000 calorie menu. Cutting back to 1000 calories a day is pretty drastic, and should only be used if you just want to lose a few. The 3 day military diet menu helps you lose upto 10 pounds in a week without exercise, while eating ice cream & hot dogs. Read how the military diet works. 3 day banana diet and 7 day banana diet are effective weight loss diets that are easy to follow, they will improve your digestion, skin and boost immune system. Indian healthy diet food recipes for weight reduction. Here is a huge collection of low fat, low carb and high fiber recipes which will help you lose your extra weight. Spices, pepper, black. Oil, olive, salad or cooking. ![]() Squash, zucchini, baby, raw. Tomatoes, red, ripe, raw, November thru May average. ![]() Beef, short loin, porterhouse steak, separable lean only, trimmed to 1/4. Take half of the garlic mixture and add evenly into both sides of the cubed steak. Then, set steak aside. Inside a large nonstick frying pan, add oil and turn heat to medium. Then, add tomatoes and zucchini to the pan. You should only cook for 1 minute, then remove the vegetables and sprinkle some cheese on them. Turn heat to medium- high, then pan- broil steaks for 3 to 4 minutes. Turn the steak once. Season with salt and serve with vegetables and pasta or rice. Meal 6: PM Snack: Fruit: Banana & Peanut Butter. It is totally something I can manage. Easy, not a lot of cooking.. I am really impressed and thankful. I can't believe a service like this exists on the internet. Thanks again. I am losing inches, and weight. I have went down two pant sizes!!!! Thank you for the exercises.. It is great!!! I feel better and have much more energy. I'm doing the meal plans that Changing Shape selects simply because it's easier for me to shop and less time- consuming to think of what to have, etc. I'm having a great time with this program and my husband has actually noticed weight loss in me already! I know this seems like a lot of demands, but I'm trying to be as honest with you and myself. Okay, I think I've said enough. I've been doing much, much better on my nutritional plan, consuming 6- 7 smaller, well balanced meals/snacks a day. I weighed myself this morning and found that I had lost about 5 pounds. Lost 1. 6 lbs this week. Have a long way to go. May not seem like a big deal, but it's a great first baby step. I thought of the 1. Calorie Easy Diet Plan. ![]() Inducing labor . She can use some of the same methods to augment, or speed up, your labor if it stops progressing for some reason. According to the Centers for Disease Control, more than 1 in 5 births in the United States are induced. How and why labor is induced. Why would my labor be induced? Your provider may recommend induction when the risks of waiting for labor to start on its own are higher than the risks of having a procedure to get your labor going. This may be the case when: You're still pregnant a week or two past your due date. Experts advise waiting no longer than that to give birth because it puts you and your baby at greater risk for a variety of problems. For example, the placenta may become less effective at delivering nutrients to your baby, increasing the risk of a stillbirth or serious problem for your newborn. Your water breaks and your labor doesn't start on its own. In this case, you'll be induced to reduce the risk of an infection in your uterus or your baby, which is more of a concern once your membranes have ruptured. Such conditions can include high blood pressure, diabetes, kidney disease, or cholestasis of pregnancy. ![]() There’s no shortage of things to be mad about in late capitalism. Pretty high on the list, though, is the Eat, Pray, Love brand of pseudoscience promoted by Gwyneth. Find out about premature labour and birth (before 37 weeks of pregnancy), and what to expect if it happens. ![]() ![]() You previously had a stillbirth. You also might have an elective induction for logistical reasons – if you live far away from the hospital or know you have very rapid labors, for example. In those situations, your healthcare provider may wait until you're at least 3. Watch one mom's induced labor, from first Pitocin drip to final push. What techniques are used to induce labor? United Nations News Centre with breaking news from the UN News Service. This depends in large part on the condition of your cervix at the time. If your cervix hasn't started to soften, efface (thin out), or dilate (open up), it's considered . This tends to shorten the length of labor, and sometimes these procedures end up jump- starting your labor as well. If your labor doesn't start, you'll be started on an IV infusion of oxytocin. This drug (often referred to by the brand name Pitocin) is a synthetic form of the hormone that your body produces naturally during spontaneous labor. To ripen your cervix and induce labor, your healthcare provider may: Use prostaglandins. If you need to be induced but your cervix is not yet thinned out or dilated, you'll be admitted to the hospital so your provider can start the induction with medication. You may have medicine that contains synthetic prostaglandins inserted into your vagina, or you may be given an oral dose of misoprostol. Prostaglandins act like hormones, and this medication helps ripen your cervix and, as mentioned above, sometimes stimulates contractions so you don't need oxytocin. Use a Foley catheter or cervical ripening balloon. Instead of using medication, your provider may ripen your cervix by inserting a thin tube with one or two tiny, uninflated balloons on the end. When these balloons fill with water, the pressure on your cervix stimulates your body to release prostaglandins, which can make your cervix soften and open. If your cervix is already somewhat dilated and there's no urgent reason to induce, your provider can insert her finger through your cervix and manually separate your amniotic sac from the lower part of your uterus. This causes the release of prostaglandins, which may help further ripen your cervix and possibly get contractions going. ![]() In most cases, this procedure is done during an office visit. You're then sent home to wait for labor to start, usually within the next couple days. Many moms- to- be find this procedure uncomfortable or even painful, although the discomfort is short- lived. Rupture your membranes. If you're at least a few centimeters dilated, your provider can insert a small hooked instrument through the cervix to break your amniotic sac. This procedure (amniotomy) causes no more discomfort than a vaginal exam. If your cervix is very ripe and ready for labor, there's a small chance that rupturing the membranes alone will be enough to get your contractions going. If that doesn't happen, your provider will give you intravenous oxytocin. ![]() ![]() Use oxytocin (Pitocin). Your provider may give you oxytocin through an IV pump to start or augment your contractions. She can adjust the amount you need according to how your labor progresses. What risks are associated with inducing labor? Although induction is generally safe, there are some risks, which may vary according to your individual situation and the methods used. Oxytocin, prostaglandins, or nipple stimulation (explained below) occasionally cause contractions that come too frequently or are abnormally long and strong. This, in turn, may stress your baby. Waters breaking early (PPROM) If your waters break early, seek medical advice straight away as you could be at risk of premature labour. In the Leangains Guide I wrote the following: "My general position on the fasted phase is that it should last through the night and during the morning hours. Consumer information about the medication MISOPROSTOL - ORAL (Cytotec), includes side effects, drug interactions, recommended dosages, and storage information. Arthritis symptoms can be vague and confusing, but they are important to recognize. It is incredibly common for people who have joint pain and other early symptoms to. In rare cases, prostaglandins or oxytocin can also cause placental abruption or even uterine rupture, although ruptures are extremely rare in women who have never had a c- section or other uterine surgery. One commonly used prostaglandin, misoprostol, is associated with a relatively high rate of rupture in women attempting a vaginal birth after a cesarean (VBAC) and should never be used in women with a scarred uterus. Some experts don't think women attempting VBAC should be induced with oxytocin either. To assess the frequency and length of your contractions as well as your baby's heart rate, you'll need to have continuous electronic fetal monitoring during an induced labor. You'll probably have to lie down or sit still while being monitored, but some hospitals offer telemetry, which means you can walk around during the process. Inducing labor can take a long time, especially if you start with an unripe cervix, and this process can be hard on you and your partner psychologically. But if a medically necessary induction doesn't work, you'll need a c- section. ![]() Braxton Hicks contractions are common towards the end of a pregnancy, but are harmless and painless and not a sign of going into labour. Braxton Hicks contractions. Ketoforce - Fastest Way Into Ketosis. There are a lot of techniques and methods that you can add to your daily routine which can help reach your diet goals faster. Signs of labour starting include contractions and what's called a 'show', where the plug of mucus comes away from the cervix. Some women experience very distinct. Having a c- section after a long labor or unsuccessful induction is associated with higher rates of complications than you might have with a planned c- section. Remember that your healthcare provider will recommend inducing your labor only when she believes that waiting for labor to begin would be riskier for you and your baby than intervening. ![]() Are there any circumstances in which my labor shouldn't be induced? Yes. You'll need to have a c- section rather than an induction whenever it would be unsafe to labor and deliver vaginally. You might need a c- section if: You have tests that indicate that your baby can't tolerate contractions or otherwise needs to be delivered immediately. You have placenta previa, a condition that means your placenta is positioned unusually low in your uterus, either next to or covering your cervix. Your baby is in a breech or transverse position, meaning that he's not coming headfirst. You had a previous c- section with a . Here's the scoop on some of the techniques you may have heard about: Sexual intercourse: Semen contains prostaglandins, and having an orgasm may stimulate contractions. A few studies have shown that having sex at term may reduce the need for labor induction, but others have found no effect on promoting labor. Nipple stimulation: Stimulating your nipples releases oxytocin and may help start labor. While it's a time- honored approach, more research is needed to determine how effective it is. And because there's a possibility of overstimulating your uterus (and stressing your baby), it's not safe to try without your provider's supervision. Castor oil: Castor oil is a strong laxative. Although stimulating your bowels may cause some contractions, there's no definitive proof that it helps induce labor – and you're likely to find the effect very unpleasant. It can also lead to diarrhea and dehydration. Herbal remedies: A variety of herbs are touted as useful for labor induction, but there isn't enough evidence to prove that any of them are safe or effective. Some are actually risky because they can overstimulate your uterus and also may be dangerous to your baby for other reasons. Learn more. How to be most comfortable during a scheduled induction. False labor. What labor feels like. |
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