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Blac Chyna Shares Before and After Pics of Post-Baby Weight Loss: ‘My Snap Back Is Coming Along Great’ – Entertainment Tonight

Mar 8th, 2017
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Playing Blac Chyna Shares Before and After Pics of Post-Baby Weight Loss: 'My Snap Back Is Coming Along Great'

Blac Chyna is proud of her "snap back."

The 28-year-old model took to Instagram on Monday to show off her impressive weight loss after welcoming daugher Dream in November, boasting about the "amazing" results she's seen in the last few months.

WATCH: Blac Chyna Reveals Shes Lost 40 Lbs. Since Giving Birth to Daughter Dream 3 Months Ago

"My Snap Back is coming along great so far ," Chyna captioned a before-and-after pic, crediting waist training for helping her get her body back. "I've been eating less meat & #WaistTraining w/ @Instacurve_ after having Dream!"

"My results are amazing ," she added.

WATCH: Blac Chyna Poses Nude in Bed as She Nears Weight Loss Goal

Chyna, who has lost 40 pounds since giving birth, hasn't been shy about flaunting her post-baby body, often taking to social media to show off her toned physique in sexy, skin-tight outfits.

Just two weeks ago, the model posed in a curve-hugging latex catsuit. See more in the video below.

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Is Dieting Passe? Study Finds Fewer Overweight People Try To Lose Weight – NPR

Mar 8th, 2017
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An increasing number of overweight Americans have lost the motivation to diet. enisaksoy/Getty Images hide caption

An increasing number of overweight Americans have lost the motivation to diet.

An increasing number of overweight Americans have lost the motivation to diet, according to a new study published in the Journal of the American Medical Association.

Back in 1990, when researchers asked overweight Americans if they were trying to lose weight, 56 percent said yes.

But this has changed. According to the latest data, just 49 percent say they're trying.

This may not seem like a big decline. But given that about 2 out of every 3 Americans is either overweight or obese, a decline of 7 percent means millions of more people may have given up on dieting.

"The trend is particularly evident among black women," says study author Jian Zhang, an epidemiologist at Georgia Southern University though the trend is seen across the population.

So, what gives? It seems our perceptions about dieting and our attitudes about overweight people are shifting.

"Women are leading the decline in dieting," the NPD Group told us back in 2013, when the group's survey data picked up on this trend.

There seems to be a growing acceptance of bigger body sizes. And women we spoke with helped illuminate this shift.

Plus-size model Ashley Graham walks the runway during the Michael Kors Collection Fall 2017 fashion show last month in New York City. UCLA psychologist Janet Tomiyama says there are signs that the strong anti-fat bias in our culture may be shifting. JP Yim/Getty Images for Michael Kors hide caption

Plus-size model Ashley Graham walks the runway during the Michael Kors Collection Fall 2017 fashion show last month in New York City. UCLA psychologist Janet Tomiyama says there are signs that the strong anti-fat bias in our culture may be shifting.

"My family still loves me and my friends do, too, so it's not like I feel bad about how I look," Cynthia Rodriguez told us.

I met Rodriguez and her family at a food court where they like to go for dinner. Rodriguez told me she weighs more than she should, but she doesn't feel the pressure to diet.

She says she tried dieting in the past, but she didn't lose weight. "It's a negative thing ... like a punishment," Rodriguez says.

These days, Rodriguez says she's trying to exercise more and be healthy but that doesn't mean she's aiming for skinny. She says not everyone needs to be a size 2.

And her sister Rosa Rodriguez says with more overweight people around, there's a new norm. "Everyone's more comfortable with themselves," Rosa says. "If you feel [good] with the body you have, [whether it's] being size 2, size 10, or size 16, it's just [about] being comfortable."

The authors of the new study point to other reasons overweight people may have given up on trying to lose weight "primary care doctors not discussing weight issues with patients," for instance.

The paper lays out another factor, too: "The longer adults live with obesity, the less they may be willing to attempt weight loss."

"It's a big concern," study author Jian Zhang told us. Obesity increases the risk of a whole range of diseases, and there's a concern that people who are overweight and obese may be ignoring or overlooking the risks.

Not everyone is convinced that the dip in dieting is bad. "There's a possible good news story in this," says Janet Tomiyama, a psychologist at UCLA who studies eating behavior and weight stigma.

"We're not going to shame people into health," Tomiyama says. Crash diets focused on weight loss often fail. But "a lot of research shows that having a healthy body image is what leads to better health outcomes."

She says that the women I met at the mall, including Cynthia Rodriguez, were onto something: focusing on health more broadly instead of just weight.

"Maybe people are taking the focus off the number on the scale, and going more towards focusing on their health," she says, such as sleeping habits and exercise habits and strategies to de-stress.

Tomiyama says there are signs that the strong anti-fat bias in our culture may be shifting.

"There may be a sea change toward pushing back against body shaming and fat shaming," says Tomiyama. And it goes beyond just the shift in perceptions in the U.S.

This month, Vogue magazine put a plus-size model on its cover and the fashion world has begun putting curvier models on the runway. "Even in Paris, a city known for its razor-thin models, signs of hope came via the appearance of Katy Syme and Stella Duval at H&M's vibrant see-now-buy-now show," wrote Janelle Okwodu in a Vogue.com story this week about the fashion world's new focus on inclusivity.

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Testosterone gel shows no benefit for men’s memories – Northwest Herald

Mar 7th, 2017
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CHICAGO Testosterone treatment did not improve older mens memory or mental function in the latest results from landmark government research that challenges the anti-aging claims of popular supplements.

While testosterone use for one year appeared to strengthen bones and reduce anemia, it also showed signs of worsening artery disease, and questions remain about other potential risks. The researchers said more studies are needed to determine long-term effects the kind of research the U.S. Food and Drug Administration already has asked supplement makers to conduct.

I dont think anybody would interpret these results as saying, Wow, this is a fountain of youth, this is a magical anti-aging potion, said study co-author Susan Ellenberg, a University of Pennsylvania researcher.

The results are from the final four studies in a seven-part project mostly funded by the National Institute on Aging, involving nearly 800 U.S. men ages 65 and older with low testosterone levels. The goal was to see whether rubbing testosterone gel on the skin daily for a year could treat problems linked with low levels of the male hormone, which declines with age. Half the men in each group used the real thing and half used fake gel.

Results published a year ago from the same research linked testosterone with mostly modest improvement in sexual performance, walking strength and mood.

The studies were published last week in the Journal of the American Medical Association and JAMA Internal Medicine. AbbVie Pharmaceuticals provided its gel for the study and helped pay for the research but had no other role in the study.

The research was not designed to look at risks and does not apply to younger men or those with normal levels of testosterone, said study leader Dr. Peter Snyder, a University of Pennsylvania hormone specialist. Its also not known whether other forms of testosterone supplements would have similar effects in older men with low levels.

Prescription testosterone products including gel are approved only for men with low levels of the hormones caused by various medical conditions. Benefits and risks are unknown in men whose levels are low due only to aging, the FDA says. The agency requires testosterone labels to include possible risks for heart attacks and strokes, based on some previous studies.

A separate study published last week in JAMA Internal Medicine found that men using prescription testosterone gel, patches or injections had fewer heart attacks and strokes during about three years of follow-up than non-users. But this was only observational data in men ages 40 and older, not rigorous research testing the hormone against a placebo.

Clarifying testosterones effects on heart problems, fractures and age-related disability will require larger, longer studies, said Dr. Evan Hadley of the National Institute on Aging. He said decisions about whether to use testosterone should take into account mens individual risks for conditions the hormone could affect.

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New Study: Wine Has the Same Benefits as Exercise and Dieting – VinePair

Mar 7th, 2017
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If you love redwine, congratulations! Not only do you have excellent taste,but a new study has found that your favorite nighttime indulgence may be just as good for you as diet and exercise! This is thanks to resveratrol, a compound found in the skins of red grapes.

Scientists have discovered that resveratrol, a compound in the skin of red grapes and red wine, and metformin, a drug often prescribed to fight type 2 diabetes, have many of the neuroprotective benefits of a low-calorie diet and exercise, according to a new study conducted by Virginia Tech and published inThe Journals of Gerontology, Series A: Biological Sciences and Medical Sciences.

According to scientists,resveratrol helps to preservemuscle fibers as we age, protecting connections between neural synapses from the negative effects of aging. In earlier studies, they hadfound that the way to protect yourself was through diet (ugh) and exercise (double ugh). Theyd concluded that 0ptimum diet and exercise can protect neuromuscular junction synapses from the wear and tear of aging, according to a press release. But the new study finds that reservatrol does the same thing! In other words, youre basically working outby enjoying your favorite glass of Pinot Noir.

Huzzah!

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Is ‘fat’ the new normal? Fewer overweight people are dieting, study finds – Drug Store News

Mar 7th, 2017
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CHICAGO Although weight gain has continued among U.S. adults, fewer report trying to lose weight, according to a study appearing in the March 7 issue of JAMA.

Socially acceptable body weight is increasing. If more individuals who are overweight or obese are satisfied with their weight, fewer might be motivated to lose unhealthy weight. Jian Zhang, of Georgia Southern University, and colleagues used data from the National Health and Nutrition Examination Survey to assess the trend in the percentage of adults who were overweight or obese and trying to lose weight during three periods: from 1988-1994, 1999-2004 and 2009-2014.

Participants ages 20 to 59 years who were overweight (a body mass index of 25 to less than 30) or obese (BMI 30 or greater) were included. The question of interest was "During the past 12 months, have you tried to lose weight?"

The study included 27,350 adults. Overweight and obesity prevalence increased throughout the study period, from 53% in 1988-1994 to 66% in 2009-2014. The percentages of adults who were overweight or obese and trying to lose weight declined during the same period, from 56% in 1988-1994 to 49% in 2009-2014.

The fact that fewer adults are trying to lose weight may be due to body weight misperception that reduces the motivation to engage in weight loss efforts, or primary care clinicians not discussing weight issues with patients. Also, the longer adults live with obesity, the less they may be willing to attempt weight loss, in particular if they had attempted weight loss multiple times without success, the authors noted.

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Fewer overweight adults are trying to lose weight – ResearchGate (blog)

Mar 7th, 2017
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Despite overweight and obesity increasing in the US, a new study reveals that fewer overweight adults are trying to lose weight. While a number of factors influence this shift, researchers attribute it in part to the increasing prevalence and social acceptability of unhealthy weights. On the other hand, extreme weight loss tactics inspired by unrealistic ideals are not healthy either. We spoke with study author Andrew Hansen, a public health expert at Georgia Southern University, to learn more about these findings, and how we can find a middle ground.

ResearchGate: What was the motivation behind this study?

Andrew Hansen: While working on our research about peoples perception of their own weight, we observed that more people were incorrectly perceiving their body weight as just fine, when it was actually in the overweight or obese range. With social acceptance of a heavier weight becoming more of a norm, we hypothesized that people may be feeling less need to lose weight, because they perceived their weight to be normal. Our current study in JAMA demonstrates our hypothesis to be accurate.

RG: What did you find?

Hansen: We observed that the percentage of adults experiencing overweight or obesity who were also trying to lose weight decreased from 55 percent in 1988-1994 to 49 percent in 2009-2014. Adults with overweight who werent quite in the obesity range put forth the least weight loss effort. The largest decrease in weight loss effort was among Black women. These decreases in weight loss attempts happened at a time when overweight and obesity increased from about 52 percent in 1988-1994 to 66 percent in 2009-2014.

RG: Where did this data come from?

Hansen: We used data from the National Health and Nutritional Examination Survey (NHANES). This is a highly respected survey system used to collect data that represents the health and nutritional status of the general population in the United States. We compared data from three survey periods: 1988-1994, 1999-2004, and 2009-2014.

RG: Why do you think fewer overweight adults are trying to lose weight?

Hansen: Reasons will vary with each individual. Some have tried and simply given up. People may give up because of a lack of social support, because theyve been unsuccessful, to focus on other priorities like work and family, or because the built environment does not support a safe place for physical activity or play.

Some may not realize they are overweight. As people become busy with life obligations, weight gain happens slowly and quietly, so they dont even notice it until clothes dont fit. With acceptable body weight shifting to a heavier weight, some do not see a need and view themselves as just right. Often, individuals will compare themselves to others around them, rather than an absolute scale. So, if most people in a persons social circles are overweight, then overweight is viewed as normal to them.

RG: What health implications could this have?

Hansen: The health implications are not good. In all the above examples, the individual is not exercising. If this is combined with poor dietary habits, there is not only weight gain, but severe health implications like increased cholesterol and glucose, and the risk for comorbidities like heart disease and diabetes. The cost to the individual and society goes up. On the bright side, there are many who have given up trying to lose weight, but exercise regularly. Maintaining a healthy lifestyle even with some added weight is much better than weight gain with no exercise or healthy diet.

RG: Physical health complications aside, could this trend be a reflection of better body image from a mental health perspective?

Hansen: The potential for this is good. Society continues to move away from unrealistic weight loss and magazines versions of an ideal body. As a result, people are able to feel more confident about their bodies as society recognizes diversity in body types. In addition, a greater emphasis on the message of physical activity for overall good health, rather than weight loss, has empowered those who once thought they needed to train like athletes to be healthy. It is important to continue these messages, so people can have the confidence to be physically active regardless of weight or physical abilities.

RG: How else can this be encouraged?

Hansen: Continued efforts from public health should include increasing understanding about what is necessary and realistic to achieve good health. At the same time, all individuals and entities must foster a society that provides the environment to facilitate everyones journey to good health. The younger the journey starts, the better. But no matter what age, we all deserve some time to play and maintain our health.

Featured image courtesy of Allen Foster.

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How to lose belly fat – nutritionist reveals what YOU need to do for a flat stomach – Express.co.uk

Mar 7th, 2017
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Women tend to carry more fat around their stomach than men, and also find it harder to shift, particularly as they approach menopause. Steve Miller recently advised that one measure should be simply by looking down - and if your belly sticks out, he says, you are too fat.

Nutritionist Sarah Flower revealed how to lose belly fat - whatever your age.

Her top tip was eliminating sugars, and she said: Sugar is in almost all processed foods, so we should be particularly wary when consuming them in excess.

A diet high in sugar can have devastating consequences on our weight, as sugar is converted into glucose and pushed into our blood to be stored in our liver or muscle as glycogen. Any remaining stores are pushed into our fat cells, often straight to our muffin top.

Sugar consumption not only causes an insulin response, it also causes hormone imbalances, and can affect our ghrelin, leptin, and even cortisol production. Ghrelin is a hormone which sits in our stomach and when stimulated, makes us feel hungry and unsatisfied. On top of this, when consuming excess sugar our leptin response is shut off or slowed down, meaning we miss the signals of feeling full.

Recent research has also found that a consumption of pure fructose, such as in fruit juice, shuts off our leptin response. Although fruit is full of antioxidants and an essential element of a healthy diet, always consume your fruit in its whole form as the additional fibre slows down the digestion. Opt for the lowest fructose fruits such as berries, which are packed with phytonutrients. View fruit as natures candy and eat as a treat only.

One thing you should eat plenty of is fat. Sarah revealed: In the diet world, fat has long been demonised, however a diet rich in natural fats can actually aid weight loss whilst also having massive health benefits.

Carbohydrates have half the calories of fat, making us steer clear of fats, especially healthy fats, which fill us up, plump up our skin and have a major role to play in almost every part of our metabolism.

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Press up - The figure is exercising the chest muscles

Eating a diet rich in natural fats, free from sugars and refined carbohydrates, with moderate protein choices, can help you feel fuller for longer as well as regulate your blood sugar and therefore insulin response. Opt for good fats such as oily fish, grass-fed meats, avocados, nuts, seeds, butter, coconut oil, and olive oil.

Drinking plenty of water is advised as a cure for a myriad of health issues, and it is no different when thinking about belly fat.

Sarah said: We can often confuse being thirsty for hunger pangs. Drinking plenty of water will not only help combat dehydration, but also help detoxify your body, clearing any debris from our cells and flushing them out of the body. Drinking water can also be the key to weight loss as a hydrated body can burn fat and metabolise faster.

Hormones can be thrown into imbalance by stress too, so staying stress free is key.

Sarah said: When we are stressed our bodies produce more of the hormone cortisol. This in turn can make us more prone to weight gain, heart disease, and even diabetes.

It is vital to find at least 15 minutes a day to de-stress, whether it be going for a walk, or breathing in the fresh air and allowing your stress to evaporate. Whatever you opt for, ensure you are away from computer screens, mobile phones, and distractions, creating your own time out.

Sleep is also important for staying trim, as Sarah explained: Sleep deprivation can upset your natural hormone levels, including ghrelin; which stimulates appetite, particularly for carb-rich and sugary foods. At the same time, our leptin response falls, meaning our brain does not receive the message that we are full, and as a result, we are constantly hungry and will subsequently eat more.

Research has indicated this as a reason why shift workers find it so hard to maintain a healthy weight. If you have trouble sleeping, try to relax beforehand by reading a book or having a hot bath. Avoid caffeine and ensure your bedroom is a screen-free room.

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If you want to target the muffin top, focus on abdominal crunches, oblique twists, and leg raises

Sarah Flower

Lights, particularly those omitted by screens, can reduce your melatonin production, making it harder for you to fall asleep. Magnesium is also worth considering as it is a fantastic muscle relaxer. Opt for a magnesium citrate supplement or soak in an Epson salt bath. Alternatively, balance your hunger hormones with a supplement, such as Slim-Nite from Power Health which uses amino acids to regulate hormones affecting appetite and weight.

You will only get a truly toned body by exercising. Sarah advised the best moves to do for a flat stomach, and said: If you want to target the muffin top, focus on abdominal crunches, oblique twists, and leg raises. Strengthen legs and bum by incorporating squats into the workout, and dont forget to introduce some weights which will speed up the toning process.

A good posture can also make all the difference to how your stomach looks. Sarah said: Good posture relies on good core strength, and can help to make you look leaner and tone the core muscles.

If you are not sure how to maintain good posture, try a Pilates class, where the focus is on building core strength and improving posture, as well as toning muscle. Pilates is a low impact exercise making it suitable for all ages and abilities.

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Protein World: The Slender Blend review – The Sport Review

Mar 7th, 2017
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There are loads of products on sale these days to help you lose weight fast and get lean in a healthy way. But we were really excited to try out Protein Worlds Slender Blend because of the positive reviews we have read about the British companys flagship products.

With summer on the way, we could all do with a helping hand on our way towards toning up and losing weight for the beach.

Theres no better sensation than feeling the warm sand beneath your feet for the first time at the start of your holiday and feeling proud of your body.

The first thing youll probably notice when browsing Protein Worlds website is the clean and clear design of the products. It makes a refreshing change from the over-branding on so many of todays health and fitness products.

Were always on the lookout for new ways to help us achieve out fitness goals and with summer fast approaching, who wouldnt like to lose a few pounds in a healthy way? So, we decided to give The Slender Blend and The Slender Plan a go.

Here, were going to walk you through each of the products in the collections to see if theyre products you should consider adding to your regimes to help achieve your goals.

First things first, The Slender Blend (the weight-loss protein powder) is available on its own as a 2.5kg bag, which works out at 60 servings, for 58.

This review is going to focus on The Slender Plan Vanilla Porridge collection, which includes a 1.2kg Slender Blend tub amongst other things.

Product website: https://www.proteinworld.com/shop/weight-loss/slender-collection-plus-porridge-vanilla.html

So, whats in the box? The Slender Plan Vanilla Porridge is sold as the 30 day weight loss programme on the Protein World website.

For 72, you get the following:

1.2kg tub of The Slender Blend (vanilla) Tub of The Slender Porridge (vanilla) Bottle of Hunger Buster capsules Bottle of Fat Metaboliser capsules A Protein World shaker A 30 Day challenge booklet, featuring full body workouts and a meal planner

Well get into the details of each product below but we really like the way everything is packed together with one goal in mind to help you lose weight and burn fat fast, and in a healthy way.

The Slender Blend is Protein Worlds best selling product and its not hard to see why.

The Slender Blend is one of Protein Worlds best-selling productsPhoto: Protein World

Included in each serving of the powder is 24 grams of grass-fed non-GMO whey protein, as well as 25 vitamins and minerals. Most importantly, each serving contains less than 150 calories and has no added sugar.

In short, The Slender Blend is designed to control cravings and help your build lean, toned muscle. You can use it as a meal replacement or as a protein shake after your workout.

The first thing we loved about The Slender Blend is the taste. Theres nothing worse than dreading your post-workout protein shake because of the taste, and we can safely say that The Slender Blend is one of the best shakes we have ever tried. We sampled the vanilla flavour but there are a number of others available (salted caramel, anyone?). We mixed it with unsweetened almond milk but it works just as well with water or normal milk.

The best thing about The Slender Blend is the fact you can use it as both a meal replacement and post-workout protein shake. That means, you could use it as a meal replacement to shed a few pounds for a couple of weeks, and then as a normal protein shake to help you build lean muscle.

The Slender Porridge is included as your suggested breakfast during your weight-loss journey.

Each serving of the gluten-free porridge contains under 200 calories and less than a gram of sugar. Oats are a great natural source of sustained energy, and The Slender Porridge also contains added chia and flaxseed.

Weve always been big fans of porridge in the morning and The Slender Porridge went down very well indeed. It mixes well and most importantly, tastes great.

Also included in the collection are two bottles of supplements to help you on your way to losing weight. Protein Worlds Hunger Buster capsules are designed to keep those hunger pangs at bay and help you burn fat.

Each capsule contains a blend of Konjac glucomannan and garcinia cambogia, both of which can help to increase fat metabolism.

The glucomannan in the Hunger Buster capsules is derived from the Konjac plant. Its a form of natural soluble fibre and has been shown to contribute to weight loss. It also helps to draw in water, which causes expansion in the stomach to help with your appetite, and contributes to the maintenance of normal blood cholesterol levels.

Meanwhile, the active ingredient in Garcinia cambogia hydroxycitric acid inhibits an enzyme that the body needs to make fat from carbohydrates.

Weve never had problems with our appetite but we took the Hunger Buster capsules as an experiment for two days running and found it helped us to know exactly when to stop eating.

The Fat Metaboliser capsules (previously called Fat Melter capsules) are designed to reduce the amount of fat you digest, boost your metabolism and increase the rate that your body burns fat.

The Slender Plan includes Fat Metaboliser capsules Photo: Protein World

The main fat-burning ingredients are guarana extract and green tea. These capsules contain a good amount of caffeine so its best to take these in the morning.

We found that our energy levels soared when taking one of these tablets every morning. We did some digging to see if other users had reported similar effects and indeed, boosted energy levels and mental clarity seems to be a widely-reported (positive) side-effect of taking the Fat Metaboliser capsules.

We did some digging around the internet to see what some verified buyers were saying about their experiences with The Slender Blend and the other products included in the bundle.

Generally, the reviews are very positive. The Slender Blend is one of Protein Worlds top-rated products and its no surprise that there are lots of positive reviews.

Leanne wrote on the Protein World website: I used this package religiously for 12 weeks alongside the coconut oil for cooking and tried to stick to lean meats and veg/salad. I lost weight easily and steadily and my confidence grew when I started buying clothes 3 sizes smaller! If you want an easy to stick to plan, this is it. Would recommend this to anyone serious about losing weight and gaining confidence.

Chloe loved the Fat Metaboliser capsules in particular: These take some getting used too. But after a couple of days you will notice all the benefits. I was so lazy before. These help you get the energy you need!! Really great!!

You can read more reviews here: https://www.proteinworld.com/shop/weight-loss/slender-collection-plus-porridge-vanilla.html

The benefits:

Everything you need to lose weight over a 30-day period

The Slender Blend and The Slender Porridge taste great

Hunger Buster and Fat Metaboliser capsules can give an extra boost

The drawbacks:

Premium priced at 72

You have to pay for delivery on orders under 80

All of the separate products in The Slender Plan are available separately on the Protein World website, but the best deal is definitely the 72 plan, which includes all of the products listed above and is designed to work over a 30-day period.

The Slender Blend is available as a separate product on the Protein World website. A 1.2kg tub costs 32, and a 2.5kg bag costs 58.

So there you have it, our full review of Protein Worlds Slender Plan, including The Slender Blend and The Slender Porridge.

In case you havent already realised, we really like this bundle. If youre looking to lose weight and tone up for the summer, this is a great product to help you on your journey and customers seem to think so as well.

For more information and to buy: https://www.proteinworld.com/shop/weight-loss/slender-collection-plus-porridge-vanilla.html

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Why a stiff neck could leave you blind – Express.co.uk

Mar 7th, 2017
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Yet very soon, everyday life became almost impossible to manage for the 59-year-old child care development adviser from Ruislip, west London.

Her neck became so stiff that she could not turn her head, which affected her ability to drive safely.

I had to park away from other cars as I had so much difficulty getting in and out of the car, says Janice, who is married to Steve, also 59.

She struggled getting in and out of bed and says she came to dread going to sleep at night because of the pain she would suffer.

The swiftness and severity of her physical deterioration eventually forced Janice to take early retirement from her job.

The final straw was when I couldnt even bend down to put my shoes on and my husband had to do it for me. He said that I needed to go to the doctor as something wasnt right.

When she sought help, Janice was diagnosed with polymyalgia rheumatica (PMR), a rheumatic condition that causes pain, the tenderness and stiffness in large muscles around the shoulders, hips and back.

It can cause disability and severely affect quality of life.

I had a bit of a meltdown as I thought I was never going to get better

Janice Maddock

PMR is linked to another rheumatic condition called giant cell arteritis (GCA), which causes the arteries in the head and neck to become inflamed.

It is called giant cell because abnormally large cells accumulate in the artery walls.

One of the arteries that is commonly affected provides blood to the optic nerve and if the optic nerve is starved of blood it can lead to irreversible sight loss.

Both are autoimmune illnesses and with GCA the main symptoms are headaches and tenderness which can lead to blindness if untreated.

PICASA

Both conditions usually affect the over-50s but it is most common in those over the age of 75.

Consultant rheumatologist Professor Bhaskar Dasgupta, who is an expert in the illnesses, says: In many ways PMR and GCA should really be seen as the same condition, we do see a significant number of patients who have PMR symptoms but also have giant cell arteritis.

An estimated 250,000 people in the UK have PMR and GCA, although there may be many undiagnosed sufferers as awareness among GPs and the public is so low.

Each year, about 3,000 people are thought to lose sight as a result of late diagnosis of GCA.

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Janice says: I was lucky that I had a doctor who knew what PMR was but Ive heard many stories of people who have been misdiagnosed or when they have eventually been diagnosed, theyve just been left to get on with it.

More GPs need to know about these conditions so quicker diagnosis can be made.

For both PMR and GCA, the main treatment is steroids, which can be associated with serious side effects such as diabetes and osteoporosis.

Janice, who is stepmother to Lauren, 28, and Paul, 24, says: When I was diagnosed I was put on a high dose of steroids which reduced the pain and stiffness but they had side effects. I was very tired and put on weight because they made me so hungry.

I reduced my steroids but did it too quickly and my symptoms started to come back. I had a bit of a meltdown as I thought I was never going to get better.

Janice then discovered the charity Polymyalgia Rheumatica and Giant Cell Arteritis UK (PMRGCAuk), which was able to offer advice and support on managing the condition.

Many PMR sufferers reduce their steroids too quickly without listening to their body and end up with the symptoms returning, she says.

However new effective treatments that have fewer side effects are being developed including tocilizumab, a common arthritis drug.

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An international trial involving more than 250 patients in 14 countries, including the UK, found that 56 per cent achieved steroid-free remission after a year on tocilizumab.

Professor Dasgupta says: About 40-50 per cent of patients in the tocilizumab study had PMR as well as GCA and their PMR symptoms improved as a result or taking the drug. Tocilizumab is a significant breakthrough in the treatment of PMR and GCA.

It is particularly effective in those patients who do not respond well to steroids, which often fail to control the disease in the long term.

It is hoped that the drug will become available to patients later this year.

Visit pmrgca.org.uk to find out more about PMR and GCA

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Evidence lacking to support ‘lead diet’ – Science Daily

Mar 7th, 2017
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For years, parents of children with high blood lead concentrations have been advised by health experts to provide their kids foods rich in iron, calcium and vitamin C.

The research behind these dietary recommendations, however, is lacking, according to a new paper by a University at Buffalo researcher published online in the Journal of Pediatrics.

"We don't have the right evidence base to be making these recommendations," says the paper's author, Katarzyna Kordas, an associate professor of epidemiology and environmental health in UB's School of Public Health and Health Professions. "We need to be more up front with parents to say we don't know whether this will work."

The impetus for the paper came when a health worker contacted Kordas to inquire about dietary suggestions she could offer families affected by lead exposure. The case worker asked if there was such a thing as a "lead diet," or food-based approaches that would effectively lower children's blood lead concentrations. Kordas said to her knowledge none existed.

"That call was an important 'aha' moment for me as a researcher. This is a critical question we need to ask. If people in the field are asking what they should be recommending to parents, we as researchers need to examine that," says Kordas, PhD, who has studied the health effects of exposure to various metals and chemicals both in the U.S. and abroad.

In addition, the Flint water crisis, in which high levels of lead were discovered in the water supply in that Michigan city in 2014, showed that lead remains an issue in the U.S., albeit not as significant as it once was.

The Centers for Disease Control and Prevention provide some of the most commonly referenced suggestions on managing elevated blood lead levels in children. The CDC recommends eating foods rich in iron, calcium and vitamin C. "Overall, though, it's very vague, so it's not surprising that there is some confusion out there," Kordas said.

Kordas notes that the intent of her paper is not to criticize the CDC, which, she says, made its recommendations based on the evidence available in 2002 and when the guidelines were updated in 2012.

"It's not that these recommendations are bad or that they won't work. But if recommendations are being made based on diet or foods, there should be evidence backing that up, and the evidence is very limited. If the recommendation is that you should be eating iron-rich foods or red meat, there should be studies that have evaluated whether that will work. There is no such thing," Kordas says.

Unlike other divalent elements (meaning they have a +2 charge), such as iron, zinc and calcium, lead is a poisonous metal that has no positive benefits in the human body. But it still finds ways to get in. "Lead is the great mimicker," Kordas explains. "It uses the transport systems these other divalent elements use to get into our systems."

Because of the way these other elements interact with and, in some cases, counteract lead, public health experts surmised that diets rich in these nutrients might help a person reduce their blood lead levels. But, Kordas says, "There's a difference between saying 'I'm going to try this even though I don't know if it will work' and 'I'm going to try it because I believe that it's going to work'. I don't think it's just semantics."

The only telltale signs of lead exposure in children occur at extremely high levels -- well above the actionable threshold of 5 milligrams per deciliter -- which is why it's important that parents have their kids tested for it at a pediatrician's office. Still, between 2004 and 2010, only 1o to 18 percent of children in the U.S. were tested for lead exposure, according to the CDC.

The threat of lead exposure has waned in the U.S. with the elimination of paints and gasoline that once contained the element. However, the nation's aging infrastructure -- think corroding pipes and other plumbing materials -- underscores the fact that lead remains a public health problem, as evidenced in Flint, Michigan, three years ago, Kordas says.

"Flint made a lot of people realize that lead continues to be a problem, and it's clearly something that frontline health workers are still facing and need information on."

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