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How fast can you lose weight? – mensfitness.com

Jan 14th, 2018
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When you have a significant amount of weight to drop or an imminent deadline (that class reunion really snuck up, huh?), trying to shed unwanted pounds quickly is pretty tempting. Here’s what you need to know in order to do effectively and safely!

If you have more to lose, youll lose moreinitially.Its actually more useful to think of the weight you want to lose in terms of a percentage of your current weight, rather than a number of pounds. For most men, a weight loss goal of 10 to 15 percent is a reasonable place to start, says Nisha Basu, M.D., a primary care physician at Beth Israel Deaconess Medical Center and instructor at Harvard Medical School. So for a man who weighs 225, that would be 22 to 34 pounds. For one who weighs 350, hes looking at 35 to 53 poundsat least as a starting point. The bigger guy may also, therefore, drop more pounds in his first few weigh-ins. Pace of weight loss is highly variable, Basu says. In general, though, for those with more weight to lose, initial weight loss can happen more rapidly.

That first weigh-in may be dramatic. Its not uncommon to see that scale needle make a satisfying downtick within the first week or two of changing your habits. Generally the first week, most people can lose several pounds, which is mainly water weight, says Basu. Why? When you put your body at a calorie deficit (i.e., eat fewer calories than you burn), your body immediately goes to its ready-energy stores of glycogen (basically, a form of sugar) to make up the difference. In the process, water is released. But once the glycogen is depleted and the body figures out it needs another way to find fuel, thats when the actual weight loss begins.

Not all weight loss is equal. Aside from that tricky glycogen-fueled water weight, the body can burn both fat (yay!) and muscle (not-so-yay) as fuel. Not only that, burning fat for fuel isnt nearly as easy at a cellular level as burning sugar… or protein (really not-so-yay). Weight training and eating enough protein is key to not losing too much muscle mass, Basu says. Increasing your muscle mass can help to sustain the weight loss, too. Which is why strength training may actually be more important than cardio in supporting a weight loss plan.

Theres a legit reason that pacing is key. You probably keep hearing about that whole 1-to-2 pound-per-week rule of thumb and think, Psh, I can do better than that! but hear usand the Harvard doctorout. Almost every time a patient loses a large amount of weight in a short time, say 10 pounds in a week, the patient will gain it all back and more, Basu says. Further, several studies have shown that this yo-yo dieting is harmful to a persons long-term health. So basically, you may drop the lbs for the reunion, but you may be in a pickle to drop them again (and more) for the next one five years from now.

Super-intense plans arent so super. OK, but what if you really have to lose a lot of weight? See your doctor, and resist the urge to try what you may have seen on TV! These extremely restrictive diets and very high intensity workout plans do not teach healthy eating behaviors or how to integrate exercise and activity into a persons busy life, says Basu. If you dont learn how to make actual lifestyle changes, youll fall back into your old habits andyou know the rest. In addition, the metabolism slows drastically in response to this type of weight loss, leading to many people regaining the weight even several years down the road, she says. Which basically means an even harder path to weight loss in the future.

Everyone plateausand can persevere. So, unfortunately, youre stuck losing weight at a slowish pace after all. An even more annoying reality check: Even that pace will inevitably stall out. When a plateau happens, it could be that youve let some old habits crop back up. Or you may simply need to make changes to what youve been doing, even though that exact plan was working so well mere weeks ago. As a person begins to weigh less, he needs fewer calories to support the new lower body weight, Basu says. But by simply tweaking portion size (smaller) or exercise (more), youll be back to losing in no time.

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How fast can you lose weight? – mensfitness.com

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About Kim – MS Diet For Women

Jan 13th, 2018
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Hello, I’m Kim. And welcome to MS Diet For Women! If you need to speak to me, please use thecontact mepage.

This site is specifically for women with multiple sclerosis who are determined to overcome their disease. Diet plays a significant role in reducing symptoms, relapses and ultimately disease progression.You will not only find information about the healing role of food in MS but also discover the importance of nutrient therapy (also called MS Nutrition), exercise and stress-relief. I also plan tokeep you in formed of all relevantMultiple Sclerosis news I come across. I really want this site to be seen as Multiple Sclerosis support for women as I have a heart to help those like me and a healthy MS diet is the best way to start. I sincerely hope that the information contained in this site opens your eyes and minds to the reality of living symptom free for the rest of your life.The good news is that we can change the course of our disease by changing our lifestyles.

So many women around the world are achieving this after overcoming debilitating symptoms, which has inspired me so much, I wanted to create a site where women like me can connect, get quality information and become motivated to fight this disease together.

I really hope you get a lot out of the information, as well as the relationships you gain from this site. Please feel free to leave comments and contact me. I would love to connect with other women like me – it’s all about MS and helping each other!

I’m in my midthirties, a British South African currently living in London, UK and I was diagnosed with Multiple Sclerosis in October 2010. My family and I were understandably shaken up by the diagnosis. Initially it felt like a death sentence but now, having come to terms with the unavoidable fact that I have MS, I am working hard to overcome it. Please seeMy Progressfor more detail about my diagnosis, symptoms and progression.

Itrained as a a professional psychological counsellor and have thoroughly enjoyed working with people and helping them through various challenges in their lives. A field that I am very interested in is Health Psychology which is exploring the impact of what is going in the body on the mind. I do feel that this training has increased my awareness of the psychological impact of MS and how the food we eat impacts the health of our minds.

I have been married to an amazing man for seven years now. We have two children, my girl is almost 6 and my has just turned4.They certainly do keep me busy but I thoroughly enjoy caring for them and seeing them grow and develop so beautifully!

I am a trained teacher and psychological counsellor but I have decided to be at home with my children while they are still young. This stage goes so quickly and you can never get it back. As well as being a stay at home Mom, I look after other children a few days a week to contribute to the family income. This has it’s challenges but it allows me to be with me children so it’s worth it.

Being a wife and Mom I have experienced, first hand, the difficulty of living with a chronic disease and trying to keep up with the demands of everyday life. I am often completely overwhelmed and feel as if I will never get through the myriad of tasks that are calling my name.

Ladies, I’m sure you can relate to the fact that there is very little time left over for YOU once you have seen to everyone else’s needs and the demands of running a household. You also know that feeling of relief when you can finally sit down and do something for yourself. It could be reading your new and exciting book or watching your favourite TV programme.Whatever it is, rest is one of the keys to recovery from MS.

One of the main objectives of this website is to help you to achieve balance in your lives. I know how difficult it can be to find out what you need to know, especially after just getting diagnosed with MS. I want to provide a rich resource to other women MS sufferers, so that they are able to quickly get onto the right track to recovery. I cannot emphasise enough the importance of eating the foods to combat this disease (something I call a MS diet). I can’tguarantee success for you in overcoming your disease, but I want to support you as much as I can to help you live symptom free for longer periods of time.

I will be focusing on these 4 major areas:

It is a well known fact that MS strikes women at least twice as often as men, with far more signs of MS in women. The reason for this ratio is not yet known.The proportion of women living with multiple sclerosis jumped by 50 percent between the 1980s and the 1990s, while new cases of MS in men remained relatively the same. Another reason why I wanted to reach out to the MS women community.

I have done a large amount ofresearch over the past few years, and have paid a number of health consultants and medical experts to provide me with the tools to combat my disease. The biggest weapon I have is my diet and supplements and I want to share what I have learned with you so you too can work out the best plan for yourself.

I wholeheartedly believe that recovery from MS has to do with all of these areas working together, primarily focused around the right diet – an MS diet. I hope this site will be a pillar of knowledge and strength to you as you walk this journey to recovery and a long healthy life.

If you are new to the site, please post a comment below to introduce yourself. Feel free to contact me, even if its just to say ‘hello’!

Join me on this quest to live symptom free!

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testosterone cypionate – Drug Summary – PDR.Net

Jan 13th, 2018
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CLASSES

AndrogensCompounding Kits, Hormonal Agents

Accidental exposure, females

Accidental exposure to topical testosterone gel has occurred in pediatric patients after contact between the child and the application site in treated individuals. Strict adherence to the recommended handling of clothing and application site care can limit the risk for accidental exposure; patients should be encourage to practice these recommendations to avoid exposing other persons to the drug. The FDA recommends taking precautions to minimize the potential for accidental exposure of topical testosterone products by washing hands with soap and warm water after each application, covering application site with clothing, and removing medication with soap and water when contact with another person is anticipated. In the case of direct skin-to-skin contact with the site of testosterone application, the non-treated person should wash the area with soap and water as soon as possible. The adverse events reported from accidental exposure in pediatric patients include genitalia enlargement, development of pubic hair, advanced bone age, increased libido, and aggressive behavior. Symptoms resolved in most patients when exposure to the product stopped. However, in a few patients, the genitalia enlargement and advanced bone age did not fully return to expected measurements. Accidental exposure to females of any age may result in virilization. In clinical studies, within 2 to 12 hours of application by male subjects, 15-minute sessions of vigorous skin-to-skin contact with a female partner resulted in serum female testosterone levels more than 2 times the female baseline values. When clothing covered the treated site on the male, the transfer of testosterone to the female was avoided. Testim testosterone gel is specifically contraindicated for use in females; the drug is for males only; the dosage form supplies testosterone in excess of what should be prescribed to females under certain endocrine situations. Most branded products are not indicated for use in females due to lack of controlled evaluations and/or the potential for virilizing effects. Female patients receiving other forms of testosterone therapy should be closely monitored for signs of virilization (deepening of the voice, hirsutism, acne, clitoromegaly, and menstrual irregularities). At high doses, virilization is common and is not prevented by concomitant use of estrogens. Some virilization may be judged to be acceptable during treatment for breast carcinoma; however, if mild virilism is evident, discontinuation of drug therapy is necessary to prevent long term virilization.

Pulmonary oil microembolism

Administration of testosterone undecanoate has been associated with cases of serious pulmonary oil microembolism (POME) reactions as well anaphylactoid reactions. Reported cases of POME reactions occurred during or immediately after a 1000 mg intramuscular injection of testosterone undecanoate. Symptoms included: cough, urge to cough, dyspnea, hyperhidrosis, throat tightening, chest pain, dizziness, and syncope. Most cases lasted a few minutes and resolved with supportive measures; however, some lasted up to several hours, and some required emergency care and/or hospitalization. When administering testosterone undecanoate, clinicians should take care to inject deeply into the gluteal muscle, avoiding intravascular injection. In addition to POME reactions, episodes of anaphylaxis, including life-threatening reactions, have also been reported following the intramuscular injection of testosterone undecanoate. Patients with suspected hypersensitivity reactions should not be retreated with testosterone undecanoate. After every administration, monitor patient for 30 minutes and provide appropriate medical treatment in the event of serious POME or anaphylactoid reactions. Due to the risk of serious POME and anaphylaxis reactions, testosterone undecanoate (Aveed) is only available through a restricted program called the Aveed REMS Program. Clinicians wanting to prescribe Aveed, must be certified with the REMS Program for purposes of ordering or dispensing the product. Healthcare settings must also be certified with the REMS Program and must have the resources to provide emergency medical treatment in cases of serious POME and anaphylaxis. Further information is available at http://www.AveedREMS.com or call 18557550494.

Rx, schedule III

Primary androgen in humans synthesized by testes, ovaries, and adrenal cortex; available in a variety of dosage formsUsed primarily for androgen replacement in males with hypogonadism due to medical conditionsFDA warns against use for low testosterone status exclusively due to aging due to potential cardiovascular risk

Andro-L.A., Androderm, AndroGel, Aveed, AXIRON, Delatestryl, Depo-Testosterone, First – Testosterone, First – Testosterone MC, FORTESTA, Natesto, STRIANT, Testim, Testopel, Virilon, Vogelxo

Androderm Transdermal Film ER: 2mg, 4mg, 24hAndroGel/FORTESTA/Testim/Testosterone/Vogelxo Transdermal Gel: 0.5g, 1%, 1.62%, 10mgAndro-L.A./Aveed/Delatestryl/Depo-Testosterone/Testosterone Cypionate/Testosterone Enanthate/Virilon Intramuscular Inj Sol: 1mL, 100mg, 200mg, 250mgAXIRON/Testosterone Topical Sol: 1.5mL, 30mgNatesto/Testosterone Nasal Gel: 1actuation, 5.5mgSTRIANT Buccal Tab ER: 30mgSTRIANT Transmucosal Tab ER: 30mgTestopel Subcutaneous Imp: 75mg

For the treatment of delayed puberty in males.

Intramuscular dosage (testosterone suspension or testosterone propionate)

Adolescent males

Up to 100 mg IM per month for a limited period, usually between 46 months. Different dosage schedules have been employed dependent on patients chronological and skeletal age, and response.

Intramuscular dosage (testosterone cypionate or testosterone enanthate)

Adolescents males

50200 mg IM once every 24 weeks for a limited period. Or, 4050 mg/m2/dose IM monthly for 6 months.

Subcutaneous dosage (Testopel Pellets)

Adolescent males

Generally, 150450 mg (26 pellets) is inserted subcutaneously by a health care professional every 36 months, although the lower end of the dosing range is typically sufficient. Treatment is usually only required for 46 months. The dosage is based on the minimal daily requirements of testosterone propionate determined by a gradual reduction of the amount administered parenterally. For every 25 mg/week of testosterone propionate, 150 mg (2 pellets) should be implanted every 36 months. Therapeutic effects of the pellets typically lasts for 34 months but sometimes as long as 6 months. If testosterone therapy needs to be discontinued (e.g., for severe adverse reactions), the pellets should be removed by a health care professional.

For palliative treatment of breast cancer that is inoperable in women.

Intramuscular dosage (testosterone suspension or testosterone propionate)

Adults

50100 mg IM three times a week.

Intramuscular dosage (testosterone cypionate or testosterone enanthate)

Adults

200400 mg IM once every 24 weeks.

For the treatment of postpubertal cryptorchidism.

Intramuscular dosage (testosterone suspension or testosterone propionate)

Adult males

1025 mg IM two or three times per week.

For the treatment of microphallus.

Intramuscular dosage (testosterone enanthate)

Children

2550 mg IM once a month for 36 months.

Topical dosage (testosterone propionate)

Children

Apply a 5% ointment topically to the penis twice daily for three months.

For the treatment of anemia in patients with chronic renal failure.

Intramuscular dosage (testosterone enanthate)

Adults

Initially, 400 mg IM daily for one week, then 400 mg IM once or twice a week. Maintenance dose is 200400 mg IM once every 4 weeks.

For female-to-male gender change (trans-sexualism).

Intramuscular dosage (testosterone cypionate or testosterone enanthate)

Adults

200 mg IM once every 2 weeks. Higher doses may be required for cessation of menses.

For the treatment of lichen sclerosus.

Topical dosage (testosterone ointment)

Adults

Apply a 1% or 2% ointment topically to the vulva twice daily for six weeks or until itching is relieved. Decrease dosage to minimum effective dose.

For the treatment of AIDS-associated wasting syndrome.

Intramuscular dosage

Adults

In a randomized double-blind, placebo-controlled study, 51 HIV-positive men with AIDS-associated wasting syndrome were randomly assigned to receive testosterone enanthate 300 mg IM or placebo every 3 weeks for 6 months. Compared to patients treated with placebo, testosterone-treated patients had significant increases in lean body mass and an overall improvement in quality of life. In another study, the effects of testosterone enanthate (200 mg/week IM) or placebo, each with or without progressive resistance training three times weekly, were compared. Testosterone administration significantly increased lean body mass, muscle area, and muscle strength. Resistance exercise, independent of testosterone administration, also increased lean body mass and muscle area but had no effect on muscle strength; the increase in lean body mass with exercise alone was equivalent to the effects seen with anabolic steroids and lower doses of testosterone.

Indicates off-label use

Adults

Dependent on indication for therapy.

Elderly

Dependent on indication for therapy.

Adolescents

Dependent on indication for therapy.

Children

Dependent on indication for therapy.

Hepatic Impairment

Generally, androgen use is contraindicated in patients with severe hepatic dysfunction. Specific guidelines for dosage adjustment in hepatic impairment are not available; use caution in patients with mild to moderate hepatic disease.

Renal Impairment

Specific guidelines for dosage adjustments in renal impairment are not available; it appears that no dosage adjustments are needed.

Injectable Administration

Visually inspect parenteral products for particulate matter and discoloration prior to administration whenever solution and container permit. Testosterone enanthate is a clear, colorless to pale yellow solution. For testosterone cypionate, warming and shaking the vial should re-dissolve any crystals that may have formed during storage at temperatures lower than recommended.

Intramuscular Administration

Aspirate before IM injection to avoid injection into a blood vessel. Inject deep into the gluteal muscle.Inject testosterone enanthate slowly. Use of a wet needle or wet syringe may cause the testosterone enanthate solution to become cloudy but will not alter potency.While preparing for testosterone undecanoate injection, carefully remove the gray plastic cap from the top of the vial while leaving the aluminum metal ring and crimp seal around the gray rubber stopper in place. Inject testosterone undecanoate slowly (over 6090 seconds) and deeply into the gluteus medius muscle. For subsequent injections, alternate injection site between the right and left buttocks. Monitor patient for 30 minutes following each injection in order to provide appropriate medical treatment in the event of serious pulmonary oil microembolism (POME) reaction or anaphylaxis.

Subcutaneous Administration

Testosterone pellets are for subcutaneous implantation. Pellets may extrude or migrate from the insertion site if superficially implanted or if aseptic technique is not used.

Topical Administration

Apply topically for subcutaneous absorption as transdermal patches, skin gels, solutions, or ointments.Wash hands before and after application of any of these dosage forms. Take care not to touch the eyes or other mucous membranes.

Cream/Ointment/Lotion Formulations

AndroGel 1% packet: Open packets needed for proper dosing. Squeeze the entire contents of the dose into the palm of the hand and then immediately apply to the skin site; alternatively, squeeze a portion of the gel from the packet into the palm of the hand and apply to the application sites, repeating until the entire contents of the packet have been applied. Apply once daily (preferably in the morning) to clean, dry skin on the shoulders, upper arm or the abdomen. Do not apply to the genitals.AndroGel 1% Pump: Each actuation of the metered dose pump dispenses 1.25 g of gel when fully depressed once (i.e., 4 pumps = 5 g; 6 pumps = 7.5 g; 8 pumps = 10 g) The pump must be primed before the first use by fully depressing the pump mechanism 3 times, and discarding any gel that is released during the priming. The entire dosage needed may be pumped into the palm of the hand and then immediately apply to the skin site or each individual actuation may be delivered into the palm of the hand and applied to the application sites, repeating until the entire dose has been applied. Alternatively, the gel can be directly applied to the application site which can prevent loss of product that may occur during transfer from the palm of the hand onto the application site. Apply once daily (preferably in the morning) to clean, dry skin on the shoulders, upper arm or the abdomen. Do not apply to the genitals.Androgel 1.62% packet: Open packets needed for proper dosing. Squeeze the entire contents of the dose into the palm of the hand and then immediately apply to the skin site or squeeze a portion of the gel from the packet into the palm of the hand and apply to the application sites, repeating until the entire contents of the packet have been applied. Alternatively, the gel can be directly applied to the application site which can prevent loss of product that may occur during transfer from the palm of the hand onto the application site. Apply dose once daily in the morning to clean, dry skin of the shoulders and upper arms. Limit the application site to the area that will be covered by a short sleeve T-shirt. Do not apply to other parts of the body including the abdomen, genitals, chest, armpits or knees.AndroGel 1.62% Pump: Each actuation of the metered dose pump dispenses 20.25 mg when fully depressed once (i.e., 1 pump = 20.25 mg; 2 pumps = 40.5 mg; 3 pumps = 60.75 mg; 4 pumps = 81 mg). The pump must be primed before the first use by fully depressing the pump mechanism 3 times, and discarding any gel that is released during the priming. Once primed, apply dose once daily in the morning to clean, dry skin of the shoulders and upper arms. Limit the application site to the area that will be covered by a short sleeve T-shirt. Do not apply to other parts of the body including the abdomen, genitals, chest, armpits or knees. Each individual actuation may be pumped into the palm of the hand and then applied to the skin site or pumped directly onto the application site. Regardless of method, apply the gel from one pump actuation to one shoulder and upper arm area, then apply each additional actuation to the alternate shoulder and upper arm area, repeating the application site as needed for dosage increases.Testim packet: Open packets needed for proper dosing. Squeeze the entire contents of the dose into the palm of the hand and then immediately apply to the skin site; alternatively, squeeze a portion of the gel from the packet into the palm of the hand and apply to the application sites, repeating until the entire contents of the packet have been applied. Apply once daily (preferably in the morning) to clean, dry skin on the shoulders and/or upper arm. Do not apply to the genitals or abdomen.Fortesta gel: Apply gel to clean, dry, intact skin of the front and inner thighs. Do not apply to the genitals or other parts of the body. Using one finger, gently rub gel evenly onto the front and inner area of each thigh as directed. Avoid the area adjacent to the scrotum, and limit the application site to the area that will be covered by shorts or pants. Allow the gel to dry completely and cover with clothing. The pump must be primed before the first use by fully depressing the pump mechanism 8 times and discarding any gel that is released during the priming. Once primed, each actuation of the metered dose pump delivers 10 mg of testosterone. Apply the gel from one actuation (1 pump = 10 mg testosterone) to one thigh, then apply each additional actuation to the alternate thigh, repeating the application site as needed for dosage increases.General Administration Notes:For all products, allow the site to dry a few minutes before putting on clothing.In order to maintain serum testosterone levels in the normal range, washing, showering, and swimming should be avoided for 56 hours after applying AndroGel 1% and for 2 hours after applying Adrogel 1.62%,Testim, or Fortesta.Direct contact of the gel-medicated skin with the skin of another person can result in the transfer of residual testosterone and absorption by the other person. It is recommended that the treated area be clothed at all times prior to washing off residual drug. If direct skin-to-skin contact with another person is anticipated, the application sites must be washed thoroughly with soap and water. If another person comes in direct skin-to-skin contact with unwashed or unclothed treated skin, that person should wash the general area of contact with soap and water. In clinical studies, vigorous contact with a female partner for 15 minutes resulted in serum female testosterone levels > 2 times normal values. In the case of direct contact, the other person should wash the area of contact with soap and water as soon as possible.Patients should be advised that topical gels are typically flammable; therefore, fire, flame, and smoking should be avoided during use.

Transdermal Patch Formulations

NOTE: Mild skin irritation may be ameliorated by treatment of the affected skin with over-the-counter topical hydrocortisone cream applied after system removal. Additionally, applying a small amount of 0.1% triamcinolone acetonide cream to the skin under the central drug reservoir of the Androderm transdermal system has been shown to reduce the incidence and severity of skin irritation. The administration of 0.1% triamcinolone acetonide cream does not significantly alter transdermal absorption of testosterone from the system. Ointment formulations should not be used for pretreatment as they may significantly reduce testosterone absorption.Androderm Transdermal System:NOTE: See Dosage to determine when it is appropriate to apply more than 1 patch to achieve a given daily dose.Apply patch to a dry, clean area of skin on the upper arms, thighs, back or abdomen immediately after opening the pouch and removing the protective release liner. If the liner is difficult to pull off or if you see adhesive sticking to the liner, DO NOT use the patch, throw it away and get a new one.Press the system firmly in place, making sure there is good contact with the skin, especially around the edges.Do not apply to the scrotum or bony areas of the body. Also, avoid applying on a part of the body that may be subject to prolonged pressure during sleep or sitting (e.g., the deltoid region of the upper arm, the greater trochanter of the femur, and the ischial tuberosity).Rotate sites daily and do not reuse a site for 7 days.Do not apply to an area that is oily, damaged, or irritated.Washing, showering, and swimming should be avoided for a minimum of 3 hours after application.Removal of the Androderm patch before undergoing magnetic resonance imaging (MRI) is recommended because the patch contains aluminum.

Other Topical Formulations

Axiron topical solution:Using the provided applicator, apply the solution to clean, dry, intact skin of the axilla, preferably at the same time each morning. Do not apply to any other part of the body including the scrotum, penis, abdomen, shoulders, or upper arms. Allow the solution to dry completely before dressing. If an antiperspirant or deodorant is used for personal hygiene, apply these products at least 2 minutes before applying the topical solution. The pump must be primed before the first use by fully depressing the pump mechanism 3 times, and discarding any solution that is released during the priming. To dispense the solution, position the nozzle over the applicator cup and carefully depress the pump once fully; the cup should be filled with no more than 1 pump actuation (30 mg testosterone). With the applicator upright, place it up into the axilla and wipe steadily down and up into the axilla. Do not use fingers or hand to rub the solution. If multiple applications are necessary for the required dose, alternate application between the left and right axilla. When repeat application to the same axilla is necessary, allow the solution to dry completely before the next application. After use, rinse the applicator under running water and pat dry with tissue. Wash hands with soap and water.Following application, allow the site to dry a few minutes before putting on clothing.Direct contact of the medicated skin with the skin of another person can result in the transfer of residual testosterone and absorption by the other person. To reduce accidental transfer,the patient should cover the application site(s) with clothing (e.g., a T-shirt) after the solution has dried. The application site should be washed with soap and water prior to any skin-to-skin contact regardless of the length of time since application. In the case of direct contact, the other person should wash the area of contact with soap and water as soon as possible.Patients should be advised that the topical solution is flammable; therefore, fire, flame, and smoking should be avoided during use.Advise patients to avoid swimming or washing the application site until 2 hours following application of solution.

Extemporaneous Compounding-Topical

Extemporaneous compounding of a Testosterone Ointment:NOTE: The extemporaneous compounded testosterone ointment is not approved by the FDA for topical administration.Extemporaneously prepare 15 grams of a 2% ointment by using 3 ml of 100 mg/ml testosterone propionate injection and 12 grams of white petrolatum. To make 15 grams of a 5% ointment, use 7.5 ml of 100 mg/ml testosterone propionate injection and 7.5 grams of white petrolatum.

Other Administration Route(s)

Buccal AdministrationStriant Buccal System:Wash hands before and after application.Take care not to swallow the system.Application: Apply the Striant buccal system to the upper gum just above the incisor tooth on either side of the mouth, rotating the site of application to alternate sides of the mouth with each application. The rounded side surface of the buccal system should be placed against the gum and held firmly in place with a finger over the lip and against the product for 30 seconds to ensure adhesion. To remove, gently slide the buccal system downwards from the gum towards the tooth to avoid scratching the gum.Intranasal AdministrationNatesto Nasal Gel:Wash hands before and after application.For intranasal use only; do not administer to other parts of the body.For first time use of the Natesto nasal gel, prime the pump by depressing the pump 10 times over the sink and discarding any dispensed product. Wipe the tip of the dispenser clean with a dry tissue.Before administration, instruct patient to blow their nose and remove dispenser cap.Place the right index finger on the pump of the actuator and while in front of a mirror, slowly advance the tip of the actuator into the left nostril upwards until the finger on the pump reaches the base of the nose. Tilt the actuator so that the opening on the tip of the actuator is in contact with the lateral wall of the nostril to ensure that the gel is applied to the nasal wall.Slowly depress the pump until it stops; depress pump completely to administer a full actuation. Each actuation of the metered dose pump dispenses 5.5 mg of testosterone.Remove the actuator from the nose while wiping the tip along the inside of the lateral nostril wall to fully transfer the gel.Using the left index finger, repeat steps for administration of the next actuation, this time to the lateral wall of the right nostril.Wipe the tip of the actuator with a dry tissue, replace dispenser cap.Two actuations total (one in each nostril) will deliver 11 mg of testosterone.Press on the nostrils at a point just below the bridge of the nose and lightly massage.Do not blow the nose or sniff for 1 hour after administration of the intranasal gel.If any gel gets on the hands, it is recommended to wash hands with warm water and soap.Replace the nasal gel dispenser when the top of the piston inside the dispenser reaches the arrow at the top of the inside label. The inside label may be found by unwrapping the outer flap from around the container.

Androderm:- Do not store outside the pouch provided- Store at controlled room temperature (between 68 and 77 degrees F)AndroGel:- Store at controlled room temperature (between 68 and 77 degrees F)Andro-L.A.:- Store at controlled room temperature (between 68 and 77 degrees F)Aveed:- Discard product if it contains particulate matter, is cloudy, or discolored- Discard unused portion. Do not store for later use.- Store at 77 degrees F; excursions permitted to 59-86 degrees F- Store in original containerAXIRON:- Store at controlled room temperature (between 68 and 77 degrees F)- Store uprightDelatestryl:- Store at controlled room temperature (between 68 and 77 degrees F)Depo-Testosterone:- Protect from light- Store at controlled room temperature (between 68 and 77 degrees F)First – Testosterone:- Store at room temperature (between 59 to 86 degrees F)First – Testosterone MC:- Store at room temperature (between 59 to 86 degrees F)FORTESTA:- Do not freeze- Store between 68 to 77 degrees F, excursions permitted 59 to 86 degrees FNatesto:- Store between 68 to 77 degrees F, excursions permitted 59 to 86 degrees FSTRIANT:- Avoid exposure to heat- Protect from moisture- Store at controlled room temperature (between 68 and 77 degrees F)Testim:- Store at controlled room temperature (between 68 and 77 degrees F)Testopel:- Store in a cool, dry placeVirilon:- Protect from light- Store at controlled room temperature (between 68 and 77 degrees F)Vogelxo:- Store at controlled room temperature (between 68 and 77 degrees F)

Benzoic acid hypersensitivity, benzyl alcohol hypersensitivity, polyoxyethylated castor oil hypersensitivity, risk of serious hypersensitivity reactions or anaphylaxis, soya lecithin hypersensitivity

The manufacturers of certain testosterone products (i.e., AndroGel and Striant) state that their products are contraindicated in patients with soybean, soy, or soya lecithin hypersensitivity because they are derived partially from soy plants. There is a risk of serious hypersensitivity reactions or anaphylaxis with the use of testosterone undecanoate (Aveed) oil for injection. These allergic reactions can occur after any injection of testosterone undecanoate during the course of therapy, including after the first dose. Observe patients in the healthcare setting for 30 minutes after an Aveed injection in order to provide appropriate medical treatment in the event of serious hypersensitivity reactions or anaphylaxis. The Aveed injection contains benzyl benzoate, the ester of benzyl alcohol and benzoic acid, and refined castor oil. Therefore, testosterone undecanoate use is contraindicated in patients with polyoxyethylated castor oil hypersensitivity, benzoic acid hypersensitivity, or benzyl alcohol hypersensitivity. Patients with suspected hypersensitivity reactions should not be re-treated with testosterone undecanoate injection.

Magnetic resonance imaging (MRI)

Because some testosterone transdermal systems (e.g., Androderm) contain aluminum or other metal components, patients should be instructed to remove the patch before undergoing magnetic resonance imaging (MRI). Metal components contained in the backing of some transdermal systems can overheat during an MRI scan and cause skin burns in the area where the patch is adhered.

Intramuscular administration, intravenous administration

Testosterone injections are administered intramuscularly. Do not inject via intravenous administration. Respiratory adverse events have been reported immediately after intramuscular administration of testosterone enanthate and testosterone undecanoate. Care should be taken to ensure slow and deep gluteal muscle injection of testosterone.

Breast cancer, geriatric, prostate cancer, prostatic hypertrophy

Testosterone can stimulate the growth of cancerous tissue and is contraindicated in male patients with prostate cancer or breast cancer. Patients with prostatic hypertrophy should be treated with caution because androgen therapy may cause a worsening of the signs and symptoms of benign prostatic hypertrophy and may increase the risk for development of malignancy. Elderly patients and other patients with clinical or demographic characteristics that are recognized to be associated with an increased risk of prostate cancer should be evaluated for the presence of prostate cancer prior to initiation of testosterone replacement therapy. In patients receiving testosterone therapy, surveillance for prostate cancer should be consistent with current practices for eugonadal men. Testosterone replacement is not indicated in geriatric patients who have age-related hypogonadism only or andropause because there is insufficient safety and efficacy information to support such use. Additionally, the efficacy and long-term safety of testosterone topical solution in patients over 65 years of age has not been determined due to an insufficient number of geriatric patients involved in controlled trials. According to the Beers Criteria, testosterone is considered a potentially inappropriate medication (PIM) for use in geriatric patients and should be avoided due to the potential for cardiac problems and its contraindication in men with prostate cancer. The Beers expert panel considers use of testosterone for confirmed hypogonadism with clinical symptoms as acceptable in geriatric patients.

Cardiac disease, coronary artery disease, heart failure, hepatic disease, myocardial infarction, renal disease, stroke

Because of reduced drug clearance and an increased risk of drug accumulation, patients with hepatic disease or hepatic dysfunction should be prescribed testosterone with caution. In addition, edema secondary to water and sodium retention may occur during treatment with androgens. Use testosterone with caution in patients with hepatic disease; renal disease, including nephritis and nephrosis; preexisting edema; or cardiac disease, including heart failure, coronary artery disease, and myocardial infarction (MI), as fluid retention may aggravate these conditions. Long term clinical safety trials have not been conducted to assess the cardiovascular outcomes of testosterone replacement therapy in men. Data from epidemiologic studies and randomized controlled trials have been inconclusive for determining the risk of major adverse cardiovascular events, such as non-fatal myocardial infarction, non-fatal stroke, and cardiovascular death, with the use of testosterone compared to non-use. Some studies, but not all, have reported an increased risk of these events in association with use of testosterone replacement therapy in men. An observational study in the U.S. Veteran Affairs health system included adult male patients of an average age of 60 years. Patients (n = 8709) undergoing coronary angiography with a recorded low serum testosterone concentration of = 65 years) adult males (n = 55,593). The incidence rate of MI occurring within 90 days following the initial testosterone prescription was compared to the incidence rate of MI occurring in the one year leading-up to the first prescription. Among older males, a 2-fold increase in the risk of MI was observed within the 90 day window; among younger males with a pre-existing history of cardiac disease, a 2- to 3-fold increased risk of MI was observed. In contrast, no increased risk was observed in younger males without a history of cardiac disease. Due to these findings, the FDA has alerted clinicians and the public of a possible increased cardiovascular risk associated with approved and unapproved uses of testosterone products. Testosterone is only approved for use in men with low testosterone concentrations due to medical conditions, and not exclusively due to aging. FDA labeled indications for testosterone replacement therapy include hypogonadism due to disorders of the testicles, pituitary gland, or brain. Prior to initiating testosterone, confirm the diagnosis of hypogonadism by ensuring that serum testosterone concentrations have been measured in the morning on at least two separate days and that these serum testosterone concentrations are below the normal range. Clinicians should inform patients of the risk associated with therapy and counsel them on seeking immediate medical attention if they experience signs and symptoms of a cardiovascular event.

Obesity, pulmonary disease

The treatment of hypogonadal men with testosterone esters may potentiate sleep apnea, especially in patients that have risk factors for apnea such as obesity or chronic pulmonary disease. In addition, the safety and efficacy of testosterone topical solution and intranasal gel in obese males with BMI > 35 kg/m2 has not been established.

Polycythemia

Patients receiving high doses of testosterone are at risk for polycythemia. Periodically, patients receiving testosterone should have their hemoglobin and hematocrit concentrations measured to detect polycythemia.

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Is the Ketogenic Diet Safe for Everyone? – Diagnosis:Diet

Jan 11th, 2018
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Is a ketogenic diet safe for you?

First and foremost, if you pick up a copy of Jimmy Moore and Dr. Eric Westmans excellent new book, Keto Clarity(which I highly recommendsee my review here) and feel (understandably) inspired to immediately embark on a ketogenic diet, I would caution anyone with a serious chronic health problem, especially anyone who is taking prescription medications, not to attempt a ketogenic diet on his/her own without medical supervision.

Even though I personally believe in the power of ketogenic diets to improve and even reverse many chronic illnesses, from diabetes to chronic fatigue to mood disorders, the diet does this by causing very real shifts in body chemistry that can have a major impact on medication dosages and side effects, especially during the first few weeks.

Examples of problematic situations include sudden drops in blood pressure for those on blood pressure medications (such as Lasix, Lisinopril, and Atenolol), and sudden drops in blood sugar for those on diabetes medications (especially insulin). These changes in blood pressure and blood sugar are very positive and healthy, but the presence of medications can artificially intensify these effects and cause extreme and sometimes dangerous reactions unless your dosage is carefully monitored by you and your clinician in the first month or so.

Another important example of a medicine that would require careful monitoring is Lithium, an antidepressant and mood stabilizing medicine. The ketogenic diet causes the body to let go of excess water during the first few days, which can cause Lithium to become more concentrated in the blood, potentially rising to uncomfortable or even toxic levels.

These are just a few important examples, so regardless of what medication you take, please consult with your clinician before getting started.

Some health situations which call for careful medical supervision include (please note this is not a complete list):

Anorexia bears special mention. As a psychiatrist, I feel compelled to go into some detail about this particular condition. Men and women with anorexia have an irrationally intense fear of weight gain that distorts their perception of body image and is typically associated with an extreme fear of eating fat. Most people with anorexia try to minimize their weight through starvation-level calorie restriction and complete avoidance of dietary fat, which is very dangerous. Keep in mind that the body can function perfectly well without carbohydrates but it cannot function without fat. The brain cannot function without dietary fat (approximately 2/3 of the brain is made of fat) and the body cannot digest and absorb vital nutrients without dietary fat as part of every meal. While it is slowly becoming more common knowledge that carbohydrates are far more fattening than dietary fat, it is rare in my practice to meet a person with anorexia who does not eat carbohydrates regularly (even if it is only secretly during the night and with tremendous guilt) this is because anorexia causes starvation, and people who are starving get very hungry. When this happens, they tend to choose low-fat or non-fat carbohydrate-rich snacks. They are less afraid of eating sweets and starches than fatty foods, because sweets are lower in calories.

If a person with anorexia decides to embark on a ketogenic diet, it may be tempting to try to do so without eating the proper amount of fat. This can be deadly, because the ketogenic diet already limits protein and severely restricts carbohydrates. If fat is also limited, starvation will rapidly occur, especially if you do not have plenty of body fat to burn for energy.

However, with careful medical and psychiatric supervision, a ketogenic diet rich in healthy fats can be potentially very healing for people with anorexia, as it can restore proper body and brain composition, naturally regulate appetite and weight, and eliminate carbohydrate cravings. Since it is a nutritionally adequate diet high in fat, it is excellent for brain health and can therefore potentially correct the emotional imbalance and cognitive impairment that are typical of this serious illness. There are compelling arguments for the use of ketogenic diets in bipolar mood disorders, as well.

All that having been said, please dont let these cautionary statements stand in your waytalk to your health care professional about your particular situation, and if he/she does not feel comfortable or knowledgeable enough about the diet, recommend Jimmy Moores new book, and/or find someone else who is! Jimmy Moore keeps a list of keto-friendly doctors at http://lowcarbdoctors.blogspot.com.

Even if you do not take medication or have a serious health problem, you may want to consult with a knowledgeable clinician, especially during the first month or two, to help you troubleshoot any issues that may arise, but ultimately the ketogenic diet is a safe and healthy diet for the vast majority of human beingscertainly much safer and healthier than the standard American diet, which should come in a package with a skull and crossbones on it A properly-formulated ketogenic diet contains everything the brain and body require to function well. Not everyone benefits or feels well on it, but most can and do. For those of you who do not feel well on it, please read Freshness Counts: Histamine Intolerance, which explains how biogenic amines, which are compounds in aged and fermented foods like salami and cheese (very popular in ketogenic circles), can cause miserable food sensitivity symptoms in some people.

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VTrex – Testosterone Boosting Male Enhancement

Jan 8th, 2018
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VTrex Male Enhancement Pills

The answer to the inevitable decline of testosterone levels is VTrex! After you hit 25 years old your days of natural peak testosterone are over. Each passing year means you are losing another 1%-3%. By the time you reach 50 you could be down by as little as 25% from your peak level. Low T-Levels means you will experience many telltale signs of becoming an aging male. These signs include mental and physical fatigue, brain fog and moodiness. Other symptoms include poor sex drive and performance. You may also experience decreased muscle and increased body fat.

All and all, the decrease of your testosterone levels is a bad thing. If you are trying to build muscle then you can expect little gains. This can have you skipping work outs do frustration, low energy and lack of motivation. Needless to say, diminishing T-levels can significantly impact a mans lifestyle. Though this is an inevitable part of aging it doesnt mean you have to put up with it. Going against the laws of nature and becoming a superhuman alpha male is now possible. Supercharge your T-levels with the powerful formulation of testosterone boosting ingredients provided by VTrex!

VTrex male enhancement and testosterone boosting supplement is made with clinically proven ingredients. Nature declares that at the age of 25-30 the body will reduce its production of the growth hormone called testosterone. Science declares that this no longer has to be the case. Now, thanks to ground breaking science and the formulation of cutting edge ingredients you can build stimulate your T-production to reach and maintain peak hormone levels. This unique formula is made with all natural ingredients to provide you with results and not the unwanted side effects of pills made with sketchy science and synthetics.

The secret to improving your vitality, virility and lean body mass is in the VTrex formula. This advanced proprietary blend of natural ingredients effectively combats decreasing testosterone levels. This will help improve overall male performance from the bedroom to the gym and may even improve vital aspects to help you in academics and your career. This formula includes:

This clinically proven blend of ingredients is how VTrex safely yet effectively elevates your testosterone to new heights! Training with this formula can help improve your muscularity and vascularity for better and quicker results. Testosterone even speeds up muscle recovery so you can hit the gym hard and get right back to it. It also helps you feel like a man by boosting confidence, sexual appetite and improving erectile function. Aging doesnt mean you need to feel old, fat and lazy. Just try VTrex.

Want to enhance your sexual drive and performance? Need to improve your strength and stamina? Do you want to boost your testosterone and feel like a real man? Claim your VTrex free trial now! Experience the sports nutrition and testosterone boosting power of this natural formula. Get your best performance in the bedroom and the gym with your free trial bottle of VTrex. Order now and become the alpha male and sexual God that you deserve to be!

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How To Lose Weight Fast with Diet And Exercise (28 Pounds …

Jan 6th, 2018
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It happened about two months ago. My wife and childrenwere thumbing through some of our photo albums and came across our wedding pictures. There were lots of pictures of my beautiful wife in her beautiful white gown. But many of the photos had a skinny guy holding her hand. A skinny guy who my kids werent familiar with.

They said, Who is that with mommy?

Thats daddy, my wife replied.

What? But he was so skinny. What happened to him? they laughed.

It was an embarrassing, eye-opening moment for me. I knew at that moment that I had to figure out how to lose weightand fast!

Many of my Twitter followers and friends on Facebook are going to be doing the Lose 28 Challenge. That is, were going to lose 28 pounds in the 28 days of February. (Hashtag for Twitter: #Lose28)

Enough is enough. Like many of you, Ive never been so out of shape or unhealthy in my life. Its time to take back our health and get our energy level back to what it should be.

Im not a doctor or a fitness expert. However, Im an ex-jock. I played sports throughhigh schooland college, so I know the basics. And thankfully, the basics are more than enough. In fact, during my junior year in college, I lost 36 pounds in just over 2 weeks! I went crazy on eating right, drinking lots of water, and exercising three times daily. So I know it can be replicated.

Heres how were going to do it.

Step 1: CHANGE YOUR MIND

We need to change our thinking. Intentionality is key. There needs to be a switch in our thought process. Stop wondering how to lose weight and start knowing that you areindeedgoing to lose the weightand fast! It begins in the head.

Step 2: IT IS A LIFESTYLE CHANGE

Even though the initial challenge is for 28 days, realize that this needs to be a change in your life, not just over the the next month or so. Our bodies got the way that they did over time, not in one month. We need to alter behavior to make a lasting impact.

Step 3: DONT OVER DO IT

The fear of failure can be an ugly thing. Lets deal with it right upfront and get real. There are going to be days that we miss exercising, days that we dont eat right, and days we get sick. Take it slowly (but not too slowly) and remember that this lifestyle change is a marathon, not a sprint. Dont feel bad if you miss a day here and there.

Step 4: STRETCHING

Im not a doctor, so consult your own doctor or physician if you need to. Each person is at a different stage health-wise. Be smart about it. Personally, Im going to stretch for about 5-10 minutes before I exercise. Stretching makes me feel good and it helps loosen up your muscles, etc. for the exercise ahead. If you dont stretch or warm-up properly, youre going to hurt yourself and then youll be done. Finished. Again, be smart.

Step 5: EXERCISING

Youll need to figure out a time that works best in your schedule, and do your best to exercise at the same time of the day, every day. For me, I plan to wake up at 5:00 am, eat and pray and check email, and then begin exercising at 6:00 am. I will stretch and then go on a walk/run for no less than 30 minutes. I will walk briskly for three blocks and then jog one block. Then briskly walk a block and then jog one block. I will do this over and over for the 30+ minutes. In the evening, when I get home around 5:00 pm, I will do it again. Each time when my cardio workout is complete, I will walk a few blocks to allow my body to cool down. This is important and needful. I will then stretch some more once I get back home, and then do some sit ups and push ups.

Step 6: EATING & DRINKING WISELY

When I lost my 36 pounds in two weeks, I was drinking nearly a gallon of water each day. Every day. A gallon of water. Drinking water like theres no tomorrow. Your body will need it and it needs to flush itself regularly. Moreover, during those two weeks, I actually ate food 5 times per day (at 6:00 am, 9:00 am, 12:00 noon, 3:00 pm, and 6:00 pm). What I did, however, was drastically lower the amount of food I ate. I ate a ton of chicken breasts, green beans, and potatoes, but in very small quantities. A small chicken breast and a cup of green beans. Take the amount of food you might normally eat in a single meal and cut it by 1/3. I plan to do this again.

Look on the internet and find yourself a good exercise program that will work for you but will also push you. For me, I plan to do the above for the first week, and then step it up some more. Increasing the resistance is important. It wont be easy, but I can guarantee that youll love how skinny feels!

Summary: How To Lose Weight

Lastly, one thing that you need during this process is encouragement. Lets mentor one another. In the comments section below, were going to start keeping one another accountable and encourage each other to not quit and to keep going! You can do this. Youre strong enough! I know you areand so do you.

* Image credit: lululemon athletica (Creative Commons)

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Lose Weight Fast Incinerate Belly Fat in as Little as 7 Days!

Jan 3rd, 2018
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When trying to lose weight fast, we will, at times, procrastinate about almost anything. Paying bills, making dinner, or even painting the garage will get put off until the very last minute. So, why would your weight loss goals for this year be any different?

There are only a few months left in the year and youre still quite a few pounds away from the goal that you set. You really only have two options at this point. You can just throw in the towel and start all over next year; or you can get cracking, lose the weight, and accomplish your goals!

If youre still reading this and havent walked away, that must mean youve decided to lose the weight before you run out of time. The clock is running, so follow these tips to lose weight fast.

Lets just get the bad news out of the way first. In order to lose weight, your body needs to be running on a calorie deficit. If youre following all of the other tips to a tee, but arent burning more calories than youre consuming, youll end up living in weight loss purgatory.

Now that we got the bad news out of the way, there is some good news pertaining to calorie restriction. Technology has made it easier than ever to determine how many calories you should be trying to get in order to achieve your desired weight.

Online calorie counters, as well as apps on your mobile device, will eliminate the outdated process of writing down everything you eat per day and then looking up its caloric value.

Okay, the first two tips probably made you think that trying to drop weight fast is going to be an extremely unpleasant task. What if I told you that packing on some lean muscle mass is also an important factor in dropping pounds quickly? Things are sounding better, right?

Think about this, 10 pounds of lean muscle can burn 50 calories at rest, while the same weight in fat only burns about 20 calories at rest. This is a pretty significant difference if you consider that theres absolutely no effort that goes into this. You just sit there and burn more calories when you have more muscle.

If your goal is to lose weight as fast as possible, then youre going to need to know what the fastest way to build muscle is then, wont you? When youre in the weight room, stick to compound movements that target more than one muscle group at a time.

Spending too much time on isolation exercises isnt very time efficient because they only target one specific muscle group at a time. The more muscle groups and joints you can hit in an exercise, the better. You cant go wrong with squats, presses, and deadliftsthe basics.

As we stated previously, cutting some calories out will be imperative, but what calories will you need to cut? Although carbohydrates have received some undeserved criticism over the last decade, they will be something to watch out for right now.

If your priority was endurance or performance, then you would not be able to successfully operate without them. However, since our goal is losing weight quickly, there wont be a reason to carb up right now. The number of carbs that you will need to drop will depend on:

With all of the factors that determine the amount of carbs you should be consuming, its clearly not an exact science. The best way to start out is by simply removing refined wheats and foods with added sugars from your diet.

Then you can begin to remove other carbohydrate sources as well. Here is a pretty basic sample of good and bad foods for a typical low-carb diet:

Good:

Bad:

Testosterones role on body fat has been receiving a lot of attention over the last few years. It plays a crucial part in the way our body balances glucose, insulin, and the metabolism of fat. Unfortunately, men will gradually decrease their testosterone production during middle age.

Basically, if youre over the age of 30, declining, testosterone levels could make you feel like youre fighting an uphill battle when it comes to weight loss. This doesnt mean that you have to hang your head in defeat.

There are several ways that you can naturally boost your testosterone levels and some of them we have already covered.

Possibly the easiest tip on this list, drinking a cup of black coffee between meals can help you burn some calories ASAP. Coffee speeds up your metabolism and can increase your daily energy expenditure.

The caffeine in the coffee is really what does all the work. Caffeine is a stimulant that causes an effect called thermogenesis. Thermogenesis is induced what happens when your body heat rises due to calorie burning.

Ever drink a cup of coffee or eat a large meal and start sweating? If so, then youve experienced the power of the thermogenic effect firsthand. Just be sure that your coffee is black; no added sweeteners.

You still have some time to reach that target bodyweight that you promised yourself. It will take hard work, discipline, and consistency; but the compliments you receive, combined with the pride of your accomplishment, will make it all worth it.

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What is Sermorelin How To Increase Growth Hormone as You Age

Jan 1st, 2018
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Sermorelin is a bio-identical hormone (genetically engineered) that stimulates the secretion of Growth Hormone Releasing Hormone (GHRH) from the hypothalamus which is a region located in the brain. The hypothalamus links the nervous and endocrine systems by way of the pituitary gland. Sermorelin is a secretagogue which means that it is actually not growth hormone itself. What sermorelin does is stimulate the pituitary gland to produce more growth hormone naturally. Sermorelin (GHRH) is a small peptide that contains the first 29 amino acids of our own human growth hormone (hGH). hGH, on the other hand, is a large molecule containing 191 amino acids. Several studies have shown that it is only the first 29 amino acids out of the full 44 amino acids in Growth Releasing Factor (GRF) that stimulate pituitary secretion of human growth hormone (hGH).

As we get older, the pituitarys production of growth hormone drops sharply. The result is that the aging process gradually rears its ugly head and you start experiencing issues with increased muscle loss and weakness, inflammation, painful joints, decreased mobility, increased body fat, decreased sex drive and chronic fatigue. How wonderful does all that sound? The rate of this significant drop in growth hormone levels is approximately 10% per decade after the age of 40, so by the time you hit 80 years old you will be in pretty bad shape, hormonally speaking!

I want to share my personal thoughts after my HRT clinic suggested I give Sermorelin a try based on my health and fitness goals along with my blood tests and my overall ambitions as a competitive bodybuilder. One month into treatment, I have already noticed an increase in muscle size as well as a significant increase in my strength levels and workout endurance. In addition, the quality of my sleep is amazing!

The vast majority of health and fitness products on the market are absolute garbage and do nothing to improve your health or your physique. The dietary supplement business is an unregulated industry which is very scary. Its important for people, especially older people who are experiencing hormonal issues with aging, that there is another alternative that really works.

The information below is a month-by-month breakdown of the benefits that I should expect to see from using Sermorelin. Since Ive only been using Sermorelin for 30 days, I will only be able to provide the specific benefits for that short time period. Significant results start occurring around month two and three. I know several middle-aged men and women that workout at my local gym who have been on Sermorelin for 6 months and they look absolutely fantastic!

My goal in writing this article to heighten the awareness about the health benefits of optimally balancing hormones and to share my insight about the benefits of Sermorelin for your health and physique goals.

Sermorelin is available by either using subcutaneous injections or by taking sublingual lozenges. If choosing injections (most common method of administration), Sermorelin will be injected subcutaneously which means directly into the body fat (usually the stomach area) by using a very small needle. I personally take the sublingual lozenges since its very easy.

My personal opinion is that if you are over 40-years-old and your primary doctor hasnt brought these types of key hormones to your attention, then you should choose another physician who is specialized in this area. The problem with general practitioners is that they do not have expertise in hormone balancing.

You might be asking, Is it safe to take hormones? Well, thats really a loaded question. Ask yourself this question, how safe is it to be overweight? Are you doubling and even tripling your risk of having a heart attack, getting diabetes or getting cancer? Specialized anti-aging doctors will do extensive blood work and closely review your medical history to ensure safety. Qualified anti-aging doctors at professional HRT clinics will not prescribe anything to you unless if it endangers your health. Its extremely important to have your hormone levels checked annually, whether or not you decide to take hormone replacement therapy.

Men and women that go through life with unbalanced hormones are 86% more likely to die at a younger age. So, when you think your general practitioner is caring for your health and they dont even proactively test your hormones on a yearly basis, think again. Most insurance companies will pay for these blood tests so its really a matter of your physician ordering them. Optimal mental and physical health are dependent upon your hormones being well-balanced as you get older.

I spend around $170 per month for my Sermorelin prescription through my HRT clinic. I consider this to be an investment in my body and health. Once I reach my health and fitness goals, I can choose a less expensive maintenance kit of Sermorelin. I plan on taking Sermorelin for a 6-month cycle and then continue with the maintenance dose. My Sermorelin prescription (GHRP-6) also contains GHRP-2 which acts as an appetite suppressant allowing for increased weight loss. I estimate my yearly cost on my HRT and my Sermorelin to be around $1,600 per year. Some may think this is a lot of money, but you can justify the cost by eliminating all those unneeded nutritional supplements that youre taking. If you are currently overweight and middle-aged then you could be a ticking time bomb as it relates to a major medical event that will cost much more than the price for effective prescription hormone replacement therapy.

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Everett HCG Diet | HCG Diet Weight Loss Center in Everett …

Dec 30th, 2017
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The Everett HCG Diet is designed forrapid weightloss for patients with over 20 pounds or more to lose. This medically supervised program can be combined with prescription HCG, B-12 or lipotropics* and other cutting edge medical weight loss enhancers.

Our hCG diet is a modern updated version of the original HCG Diet introduced by a Dr. Simeons, MD over 50 years ago.

Over the last 50 years medical science has reported on many important medical discoveries that not only results in more effective weight loss but increased weight loss. The Everett HCG diet combines these latest medical discoveries with the basics of Dr. Simeons original HCG Diet program. Our modern hCG diet has eliminated the serious health problems associated with the original hCG.

For an Appointment Call 1-425-905-2497

Disclaimer:As with any weight loss program, there are no guarantees for individual weight loss. Information provided herein is based on historical research, studies, and results from the many thousands of former HCG (human chorionic gonaditropin) weight loss clients. Individual success is dependent upon a variety of factors. Contact our Everett HCG weight loss center now to schedule a consultation.

Check out what our customers are saying about their weight loss experience:

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Dr. Csar Lara M.D.- Tampa HCG Doctor – HCG Diet Tampa

Dec 30th, 2017
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Csar A. Lara M.D

Tampa HCG Doctor, Csar Lara, M.D. helps women and men to lose weight using the HCG diet in the Tampa area.In his quest to empower his patients and get to the root of their problems rather than just contain them, Csar Lara, M.D. created a vastly successful weight management practice through which he has been able to help thousands of patients regain their health by getting rid of their excess weight and keep it off with lifestyle modification.

Dr. Csar Lara is board-certified in Obesity Medicine and has an Advanced Certification in Bioidentical Hormone Replacement Therapy (BHRT). Dr. Csar Lara, HCG Medical Weight Loss Program is designed to treat obesity as a disease, NOT a weakness in character.

Dr. Lara has created a weight loss program that utilizes medical diagnostic tools to identify hormonal imbalances that hinder patients from reaching their optimal health, and creates a unique approach to bring balance back to their bodies and their lives. Csar Lara, M.D. has finally realized his dream of empowering his patients to achieve optimal physical health, thus restoring their emotional, mental, and spiritual well-being.

The HCG diet has been in practice for over 60 years after it was developed following the discovery of the affects of the HCG hormone in the 1950s by Doctor A.T.W. Simeons. While doing research and practicing medicine in India, Dr. Simeons noticed that malnourished pregnant Indian women were often able to give birth to healthy babies.

After extensive research, he found that the Human Chorionic Gonadotropin (HCG) hormone was responsible for this phenomenon as HCG would use the mothers fat stores to supply her unborn child with the nutrients needed to develop and grow normally. Dr. Simeons then successfully began using the hormone in individuals that were not pregnant to trigger fat stores to be metabolized naturally by the body, resulting in dramatic yet safe weight loss results.

The HCG diet encourages the body burn fat reserves as fuel using HCG supplementation and a low-calorie diet. Because of the HCG hormones interaction with the hypothalamus, the body is able to endure a low calorie diet of around 500 calories per day without causing harm or undesirable side effects usually associated with other low-calorie diets such as fatigue, headaches, and stomach pain. Without the use of the HCG hormone, a 500 calorie per day diet would cause these side effects and would put the body into conservation mode, causing it to store up even more fat and burn muscle mass for fuel.

Tampa HCG Doctor Csar Lara, M.D. helps patients to lose weight more easily and effectively with the HCG diet.

Most people on the HCG diet are able to lose around one pound per day, which can add up to a total loss of thirty or more pounds of fat after only one course of an HCG diet plan.

Most diets cause a patient to only lose water weight and muscle tissue. Extremely low-calorie diets often cause the body to metabolize muscle as it is a fast protein source and provides immediate energy to the body. Consuming an inadequate amount of calories with the intention of losing weight without proper supervision and HCG supplementation can cause muscle loss and may even increase the bodys fat stores over time.

While on the HCG diet, thousands of calories from fat stores are being metabolized by the body, and despite the low calorie diet, most patients do not experience fatigue, hunger pains or other side effects generally associated with a low-calorie diet.

The HCG diet can cause patients to lose large amounts of fat in a short period of time, which sets it apart from other diets. Some diets can deliver weight loss results yet the weight is easily gained back shortly after finishing the diet program; however, the HCG diet plan can lead to greater amounts of weight loss with a low rate of regain due to the total metabolic reset instigated by the HCG hormone.

While the HCG hormone does not target specific areas in the body, it does tend to break down fat where it is most abundant. Typical results are seen in the waist, buttocks, thighs, and arms when following a properly administered and supervised HCG diet plan.

Because the HCG diet works directly with the hypothalamus, the bodys metabolism can get reset to a new point after weight loss. Many people have been able to retain their new metabolic function even after finishing the HCG diet.

The main reason that people fail to stay on diets is that subsiding on a reduced daily caloric intake makes them physically uncomfortable. They experience hunger pangs, weakness, irritability, headaches, and many other unpleasant symptoms. The constant cycle of losing and gaining weight takes a toll on the body and makes it increasingly difficult to lose weight and keep it off. Another problem with traditional diets is that the body stores fat for survival when it is in starvation mode. It pulls its energy from muscle instead, which helps to explain the overall fatigue most people feel when they are dieting.

If the thought of living comfortably on a 500-calorie per day diet seems impossible, you need to know more about the HCG diet. The HCG hormone, which a womans body produces naturally when she is pregnant, helps to keep your appetite under control during the first part of the program. Once you get past the first few days of restricted eating, you may be surprised to find that you feel satisfied and dont think much about food at all. The pounds drop off when you dont have to constantly fight the urge to give in to hunger, leading to an increase in confidence and an even greater desire to make the HCG diet your last one.

The HCG diet offers results that you just cant find anywhere else. The average participant loses between one and two pounds every day during the initial 23 to 40 days on the program. Just imagine for a moment how good you would feel with that much weight gone from your body. If you need to lose more, CsarLara, M.D. requires you wait for several weeks to let your body adjust before starting another course of HCG supplementation and dieting. The skills you learned during your first time through the program, such as making smart food choices and staying hydrated with water, will serve you well should you decide to enroll for a second time.

View before and after photos of Dr. Laras HCG Diet patients!

Tampa HCG Doctor, Csar Lara, M.D. has used the HCG diet to help patients lose significant amounts of weight in a fast and healthy way. Countless people have been able to reach their weight loss goals and overcome the challenges of obesity with an HCG diet plan.

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Dr. Csar Lara M.D.- Tampa HCG Doctor – HCG Diet Tampa

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