You vs a Tour de France Pro Cyclist. How 1. 0 Pro Cyclists Lost Weight Through Cycling. I LOST 5. 5 POUNDSThe Racer: Dan Schmatz. The Body: 5- foot- 1. The Team: BMCThe Secret: . Some studies show that low- intensity exercise before breakfast helps the body burn more fat than usual.
Schmatz cautions that if you try this, don't cancel the benefit by pigging out: . Even after a huge day of training, if I fueled properly throughout and after the ride, I can usually get away with eating just some salad or steamed or grilled vegetables with a small amount of lean protein. Studies have shown that simply chewing your food longer- -as many as 1. Hold also began chewing gum at the first craving for food. She says it gives her time to decide, ? I find in many cases, I just chew some gum and I don't really need food. After he started riding again, the weight came off, which motivated him to cut calories from his diet. This can be as simple as using smaller plates at home, always leaving several bites on your plate, or waiting 1. When Seehafer met lean pro Kori Kelly, whom he eventually married, he adopted her eating habits and chiseled away more weight. Today, he keeps the pounds off with vigilance: . After you submit a detailed, multiday food record to your dietitian, you will receive a meal plan customized to your needs, specifying how many servings of foods you should eat from each food group. Some plans chart out each meal, and explain basic information such as what size a serving is. Danielson monitors how many calories he burns while riding (with an SRM power meter), then adjusts his caloric intake to make sure he eats 2. One important point: . Muhlfeld. The Body: 5- foot- 3, 1. The Team: Trek/VWThe Secret: . View the latest health news and explore articles on fitness, diet, nutrition, parenting, relationships, medicine, diseases and healthy living at CNN Health. GRAN FONDO GUIDE Gran Fondo means 'Big Ride'. Connecting cyclists to cycling events world wide. Gran Fondo Guide is a leading endurance cycling site. When she stopped eating out most nights, she began losing weight. When you eat out, there are so many hidden calories, even when you try to order healthy choices. You don't have to follow a strict regimen to see some improvement, according to researchers at Johns Hopkins University who say that going meatless just one day per week can result in weight loss- -a plan they call Meatless Monday (meatlessmonday. One other surprisingly simple and effective tip from Vardaros: Keep bread in the freezer so you have to think about, and sometimes pass on, preparing that PB& J sandwich.
0 Comments
DASH Diet Sample Menus. The DASH diet is rich in fruits, vegetables, low- fat and nonfat dairy, and includes whole grains, nuts/beans/seeds, lean meats, fish, poultry, and heart healthy fats. The meal plans help you visualize how to put the DASH diet into practice. In order to help avoid hunger in between meals, the meal plans in The DASH Diet Action Plan include protein at every meal and snack, and include lots of bulky, filling low calorie foods. Following are two examples of menus from the book, The DASH Diet Action Plan. The book features 2. We took the guesswork out of following a diabetic diet by putting together 11 delicious meals that include key vitamins and minerals plus all of the.Prevention of Type 2 Diabetes Mellitus by Changes in Lifestyle among Subjects with Impaired Glucose Tolerance. Jaakko Tuomilehto, M.D., Ph.D., Jaana.
DASH diet. They are suggestions, and you are free to make substitutions with your favorite foods that have similar nutritional properties. This is part of the way that you will learn how to make the DASH diet into your own personal plan. In the book, the plans show adjustments for 1. And yes, it does seem like a lot of food. You will not feel hungry on the DASH diet, even when you are losing weight! Looking to really get a jump start on weight loss? Nutrition Recommendations and Interventions for Diabetes A position statement of the American Diabetes Association. DASH Diet Action Plan Sample Menus From The DASH Diet Action Plan Check out menus from The DASH Diet Weight Loss Solution and from the newest book, The DASH Diet. Then you will want to see The DASH Diet Weight Loss Solution. See examples of the weight loss solution meal plans. Vegetarian or looking for more meat- less options? Check out some of the meal plans from The newest book, The DASH Diet Younger You. Calorie Diabetic Diet Plan. The 1. 80. 0 calorie diabetic diet plan is one of several popular diabetes diets. What is a sample example of the menu? Let’s take each question in turn. Initially, please note that before beginning any diet, please check with your doctor and/or dietician. The 1. 80. 0 calorie diet is simply eating no more than 1. To follow the diet, the American Diabetes Association recommends either using the exchange method of eating or carbohydrate counting. Often times this is referred to as an 1. ADA diet. The exchange diet is simply a way of categorizing food into a healthy method of eating. Food that has approximately the same nutritional value (calories, carbohydrates, fats, and protein) is grouped together and can be exchanged for one another. The key to the system is based on specific portion or serving sizes for any given food’s nutritional value. Carbohydrate Counting, on the other hand, is somewhat less restrictive than the exchange diet and focuses primarily on the amount of carbohydrates you eat. Carbs tend to raise blood sugar levels more than other foods, thus controlling their intake is important to controlling your blood sugar. Both approaches view one serving of carbohydrates as 1. One serving is approximately 6. The 1. 80. 0 calorie diet recommends that 5. More on these approaches are discussed below. WHO IS THE PLAN FORThe National Institute of Health lists the following approximate guidelines for people who may want to follow an 1. Large woman wanting to lose weight. Small man at a healthy weight. Medium sized man, low exercise habits. Medium to large man who wants to lose weight. Again, each person is different, so consult a doctor to make sure it is right for you. A 3. 6 WEEK 1. 80. CALORIE PLANWhile we are happy to provide the example below of a 1. You need something more. If you don’t want to go it alone, check out the 3. Nutri. DIET Pro (Axxya Inc.). This company is an expert in developing meal plans, not only for consumers, but seasoned Registered Dieticians as well. In fact, Nutri. DIET has been helping professional dieticians formulate meal plans for over 2. The Axxya 1. 80. 0 calorie meal plans program has the following advantages. Recognized Nutritional Expertise (they are not a fad diet program)Different Food styles (Asian, Italian, Spanish, Indian)Different Eating Styles (heart healthy, vegetarian, etc.)Recipes are designed to use foods you can easily find in your grocery store. Regardless of the plan, the diet is typically 5. Here is an example of what this would look like if you were following the exchange diet. Breakfast Lunch Dinner Snacks (2) Total Starches. Meats. 12. 30. 6Veggie's. Fruits. 10. 11. 3Milk. Fat. 02. 20. 4Now, the next question is how this would translate into an actual meal plan. Let’s take a look at an actual 1. Breakfast Exchange Lunch Exchange Dinner Exchange 1 Cup Cooked Cereal 2 Starch 1 Cup Romaine Lettuce. Free 3 oz. Baked Haddock (olive oil brush)3 Meat/1 Fat 1 Cup Skim Milk. Milk 1/2 Cup Carrots. Veggie 1 Cup Brown Rice. Starch 1/4 Cup Cottage Cheese. Meat 1/4 Cup tomatoes. Veggie 1 Cup Steamed Broccoli. Veggie 3/4 Cup Blueberries. Fruit 2 Tbs. Pinenuts. Fat 1 1/3 Cup Strawberries. Fruit Coffee or Tea. Free 2 oz. 9. 5% Fat Free lunchmeat. Meat 2 Walnuts. 1 Fat 2 Slices Red. Calorie Bread. 2 Starch 1/2 Cup Frozen Yogurt, nonfat, sugar free. Starch Water. Free Snack 1 Exchange Snack 2 Exchange 1. Grapes 1 Fruit 8 oz. Nonfat Plain Yogurt. Milk 2 Rice Cakes. Starch 3 Gingersnaps. Starch With this meal plan the exchanges are appropriate, but the calories are approximate. IS IT RIGHT FOR YOUIf you seem to fit into one of the categories listed above, then the diet probably is right for you. While restrictive in the calorie sense, you certainly have a lot of choices when it comes to which foods you are going to eat. Also, remember that the diet is not simply a sum of its parts. Meaning, you need to design the meals in such a manner as to spread the various food groups across the day so you do not “spike” your blood sugar. For example, if your diet calls for 1. Your blood sugar would spike too much. The servings need to be spread throughout the day. Hopefully, this article helped you decide if the 1. Our Centers are staffed only with medical professionals who care about you, your weight loss and your health. They will tell you about our unique and individual weight loss programs, why they work, the fees and how to get started. Browse our web site to learn more about us, take a look at our Easy Low Calorie Recipes and Weight Loss Tips & Facts. You can sit down with a bariatric nurse for a program start up to decide if our services are right for you. We don’t tie you down with a contract, rather the decision of our weight loss program is up to you. If you want to lose a significant amount of weight in a safe, non- invasive way, contact us to learn more about what we can do for you. What Does Bariatric Weight Loss Surgery Cost? Top 5 Post- bariatric Body Procedures. Each year, close to 2. Here are the 5 most common plastic surgery procedures that follow weight loss surgery.. Reviewed by Neil Hutcher, MDWeight loss surgery is both complex and costly. For example, the average cost for the gastric bypass procedure ranges from $1. Lap- Band ranges from $1. The cost of gastric bypass surgery generally comprises the pre- op lab and X- ray fees, anesthesia, hospital facility and surgeon's fee. These costs vary based on the extent of the procedure and length of recovery. Post- procedure costs are additional, such as for dietary plans, a fitness regimen, behavioral modification, nutritional supplementation and body contouring surgeries to remove excess skin, lift sagging body areas (body lift) and improve loose muscles or treat fat deposits. Since gastric bypass is a complex surgery, with more than one method, many variables and recovery issues, costs can escalate quickly. Gastric Banding Cost. The cost of adjustable gastric banding generally comprises the hospital facility fee, the surgeon's fee, pre- op lab and X- ray fees and follow- up appointments for adjustments or fills during the first year after gastric banding surgery. It seems you’ve tried everything: multiple diets, exercise, even medications to help curb your appetite. But the excess pounds remain. Bariatric Surgery: The UCLA Metabolic and Bariatric Surgery Program provides metabolic and bariatric surgery procedures to adolescents and adults in Los Angeles, CA. The Bariatric Weight Loss Program. For over 40 years, Bariatric Weight Loss Centers have helped people just like you realize their dreams. Our Centers are staffed. Reviewed by Neil Hutcher, MD. Weight loss surgery is both complex and costly. For example, the average cost for the gastric bypass procedure ranges from $18,000 to. Life after weight loss surgery will bring weight loss and health benefits along with significant diet and lifestyle changes and challenges. Hospitals that perform at least 375 weight loss operations a year have the best safety record for bariatric surgeries, while those that performed fewer than 75 a year.Other issues after surgery to consider are liposuction, labiaplasty, tummy tuck or breast augmentation cost. These follow- up procedures are usually delayed until one to two years after your bariatric surgery. With regard to follow- up plastic surgery procedures, the more skin and fat to be removed, the longer the surgical time requirement and the higher the cost. The facility used for surgery impacts cost as well. You should discuss these procedures and the additional costs with your doctor.(Visit our sister site Consumer Guide to Plastic Surgery to learn more about plastic surgery procedures.)Insurance Coverage. Health insurance providers including Medicare and, in some states, Medicaid, are beginning to cover some or all of the costs of surgery for obesity if medical necessity is established by your doctor and if you meet the National Institutes of Health requirements. Most cases of chronic morbid obesity (especially with a body mass index above 4. Coverage is also more likely if your doctor demonstrates that you suffer comorbidities such as diabetes or heart disease. Your doctor can help you put together a strong case that will improve your chances of weight loss surgery insurance coverage. Coverage will vary among insurance carriers. If the initial attempt to authorize coverage is denied, you can appeal the decision; you should initiate your appeal immediately. Aftercare insurance reimbursements for a dietician, psychologist, exercise program and nutritional supplements such as vitamin B1. Regional Factors Affecting Gastric Bypass Cost. Fees vary by region. Surgery fees are typically higher in urban areas, such as Boston, New York, and other Eastern seaboard cities. Overhead is higher in such areas, and surgeons are in greater demand in more densely populated areas. The highest cost region is in the northeast United States, followed by the West Coast, then the central and southern states. However, the top surgeons in every region typically demand, and receive, higher fees. They are often more skilled, have performed more surgeries and have a better record of successful results. Gastric Bypass Payment Plans. Many bariatric physicians and plastic surgeons offer payment plans to help you manage the cost of your weight loss surgery. Many practices are also familiar with medical financing companies and can provide information. The surgeon or a staff member should be able to answer your questions about treatment costs and fitting a payment plan into your budget. How To Get Abs For Girls While Maintaining A Feminine Look. Welcome to the site .. In this article though, I’m going to concentrate on how to get abs for girls but not for men. If you are a woman who wants slim, somewhat toned and flat abs, this article is for you. When you concentrate on getting abs for girls specifically, the end result is much better and appealing than following a man’s approach. There are many different types of looking bodies and many different opinions as to what looks good. Anorexia anorexic bulimia bulimic pro ana mia binge bingeing purge purging lanugo. In this article I outline in detail how to get abs for girls. Men and woman should work towards different looks and should therefore train differently. If you’re a woman who wants extreme ab definition with deep and cut lines this probably isn’t the article for you. I’m not saying that every woman should try to develop a more womanly physique, but I do feel that in general it is a better look to shoot for. The same goes for guys who workout. Having an extreme amount of muscle just doesn’t look natural. Some guys can pull it off better than others, but for the majority, having a more natural amount of muscle that looks really defined and cut is better than being humongous . The absolute most important aspect is your diet. In fact, if you focus too much on doing as many ab exercises as you can and not as much on the diet you may end up looking worse. The overall goal for girls trying to get abs should be to get as flat of a stomach as possible.
If you do too many crunches, situps or other ab building exercises then it stands to reason that your abs are going to get bigger. Instead of bigger abs, you should want to get abs that are tight and toned. In this article I’ll outline the key components of how to get abs for girls. The two main areas that you should be focusing on are: Doing only the best ab exercises for girls. Revealing your abs through diet and other workouts. By concentrating on these two aspects in as simple of a way as possible you’ll get the best results. If you make sure that you (1) do a few exercises to get toned abs, (2) diet to create a calorie deficit and then (3) add some fat burning workouts on top of that you will be able to get abs and then most importantly, you’ll be able to see them. Step 1 – Best Ab Exercises For Girls. As I mentioned above, doing an endless amount of crunches and other ab building exercises is not what you should be doing to get abs. By doing this you are more likely to build the size of your stomach as well as your abs. Instead, here are some exercises that will help you to create a flat stomach that does not bulge out. Ab Exercise #1 – The Plank. I’ve written out a complete plank workout so I won’t re- write it, but you can do it to help you to tone and flatten your abs. Here is a video to show you just what a plank is. There are also some really good variations of this exercise. One of those is the side plank, which is great for working your obliques. Here’s a video showing you how to do this exercise. Ab Exercise #2 – The Vacuum. The vacuum is a fairly old- school exercise but it is great for creating a flat stomach. I try to do these randomly throughout the day. Here’s a video showing you how to do this exercise. I also like to do these on the floor while on all fours. Step 2 – Dieting To Get Abs. The diet is really the answer to how to abs for girls. Without a proper diet it really doesn’t matter how well toned your abs are because you will never see them. There are many different diets that you can follow but the most important thing to remember is that you have to be able to stick with it. If you go on a crash course diet and lose weight you will often regain it after you are done. Instead of taking this approach, find a diet that works for you, allows for some lenience from time to time and then stick with it. Just remember, the number one rule to losing weight is to create a calorie deficit with your diet and then to compliment or assist that by adding exercise. Step 3 – Workout To Burn Stubborn Fat. After you’ve created the initial calorie deficit from your diet it is now time to add in some calorie burning workouts. If you are not doing any type of strength training then I strongly recommend that you do so. Don’t worry, you won’t get big or buff if you do it correctly and it will add great shape and tone to your entire body. Here is an article on how weight lifting for women should be done. Another important type of exercise (even more so than the ab exercises themselves) is cardio. Since the number one factor in determining whether or not you “have abs” is if you can see them, doing cardio will help you burn off whatever stubborn fat that is left over after your dieting. Doing cardio is a great way to burn extra calories and to reveal your hard earned abs. Here is a solid workout schedule that will help you get abs. Day 1 – Chest & Back followed by HIIT cardio. Day 2 – Shoulders & Arms followed by HIIT cardio. Day 3 – Abs. Day 4 – Chest & Back followed by HIIT cardio. Day 5 – Shoulders & Arms followed by HIIT cardio. Day 6 – Abs. Day 7 – Rest. You’ll notice that there aren’t any set “leg days” but that is because of the HIIT. Doing high intensity interval training will work your legs plenty and you should not do direct leg workouts in addition to this since this would most likely result in over reaching. Here is a great interval workout that you can do on a treadmill that will blast fat right off of your abs. Do this right after your strength training for your HIIT cardio and you’ll get awesome results. Putting It All Together. For girls to have visible abs it usually takes getting down to about 1. Once you do that you will have some great looking abs. If you want to get more of a ripped look then you’re going to have to get down to 1. For most women, this is going to be extremely low and depending upon your body you might start looking less “womanly.” My guess is that the woman in this picture here is 1. It can be tough to put an exact number on a fat percentage since everybody shows differently. As long as you follow these steps you will get abs.(1) Do sufficient amounts of ab exercises and make sure that they work on producing a flat stomach.(2) Create a calorie deficit with your diet to lose enough fat to reveal your abs.(3) Add in some full body workouts and cardio to burn off any stubborn body fat that is covering your abs. Effects on Blood Pressure of Reduced Dietary Sodium and the Dietary Approaches to Stop Hypertension (DASH) Diet. Sacks, M.D., Laura P. A delicious and realistic eating plan. Welcome to the DASH diet. DASH stands for "Dietary Approaches to Stop Hypertension" and it is an eating plan that. Hypertension Definition. Hypertension is high blood pressure. Blood pressure is the force of blood pushing against the walls of arteries as it flows through them. Stage 2 Hypertension definition, symptoms, treatment, diet and dangers are covered in detail in this article. The Southern African Hypertension Society is a Society that is largely managed by a concerned group of Southern African health professionals. Hypertension Diet - Plan . This diet is a solution to hypertension treatment. Most people are ignorant of the fact that what you eat affects your chances of developing hypertension. It is no secret that millions of people have absolutely total disregard for what they eat on a day to day basis. Therein lays the dangers of what people eat. It must be noted that being on a hypertension diet does remove the role of hypertension medications. Provides up-to-date, selected information on renal disorders and their treatment, hemodialysis, peritoneal dialysis, and about hypertension, dialysis, and clinical. In fact after dignosis your doctor will determine whether to add drugs or just recommend lifestlye change. In general and effectively so, high blood pressure can be lowered by less consumption of sodium. This sodium is not the same as table salt in that it doesn't necessarily refer to salt in a salt shaker on your dinner table. It's, more than that and something different and actually embedded in thousands of processed food products. Almost each and every processed food product on a store shelf has sodium in it. Lowering your overall daily sodium intake will help prevent, control high blood pressure and even eliminate it in people suffering from essential hypertension. The recommended daily level of sodium consumption is 2. The best and recommended hypertension diet plan is that with 2. DASH. DASH is a scientifically arrived at high blood pressure diet which stands for Dietary Approaches to Stop Hypertension. It is a diet that was developed by the United States National Heart, Lung and Blood Institute (NHLBI). It is shocking that adults in America, the western world and large cities in general consume up to 4. DASH is an effective health eating plan. It provides sound dietary guidelines for hypertension patients keen to control or even eliminate high blood pressure through what they eat. Foods that lower blood pressure are embedded in this eating plan which is low in saturated fat, cholesterol, and total fat. Fruits and vegetables that lower blood pressure are included in DASH including fat- free or low- fat milk and milk products. This diet for hypertension also includes fish, poultry and nuts as well as whole grain products. Red meat (beef, oxtail, lamb, ostrich meat), sweets, added sugars and sugar containing beverages are eliminated in this special professionally assembled hypertension diet. They are the order of the day at thousands of fast food outlets across the world opposing a heart healthy living. Instead the Dietary Approaches to Stop Hypertension are rich in potassium, magnesium and calcium as well as fibre. It is interesting to note that even though DASH produces the best sets of hypertension diets, eating lots of fruits and vegetables atop your normal daily diet produces positive results. This is a good start instead of engaging full gear into DASH. However with DASH blood pressure reduction can be experienced within two weeks of starting the high blood pressure eating plan. The diet for high blood pressure does not in anyway suggest abandoning medication for those with hypertension, this needs to be repeated. In fact some people at an increased risk of heart disease, or stroke will require medication and not rely only on a specially crafted hypertension diet. It also does not mean the place for exercise to lose weight and keep healthy no longer exists. Hypertension and diet are very good considerations so is the strong link between exercise and blood pressure. The most noticeable side effects of a hypertension diet such as DASH is bloating and diarrhea. This has been noted to be a result of high fiber in the diet. The solution is to gradually increase the intake of fruit, vegetables and whole grain foods. All in all whichever blood pressure diet you decide to pursue, decreasing sodium intake is of paramount importance. Sodium is thought to cause hypertension as it increases the amount of fluid in your bloodstream which in turn increases pressure on blood vessels and causes your heart to work harder. A basic definition of blood pressure is when a volume of blood forces its way against constricted artery walls. It must be remembered that the greatest amounts of sodium combined is in processed foods. Not that table salt as we know it in the restaurant or at the dinner table should be abused. Since much of the salt is at your nearest store, it is therefore of paramount importance to read food labels when visiting a store for home supplies. The following is a limited list of some of the processed foods with varying levels of sodium; Baked goods Certain Cereals Soy Sauce Seasoned Salts Baking Soda Monosodium Glutamate (MSG) Antacids. Some supplements such as glucosamine are a bad idea when considering hypertension. This have sodium in them which is bad for people attempting to control, prevent or treat hypertension. There is therefore a link between glucosamine and blood pressure. The following is a 2. Day 1 under the Dietary Approaches to Stop Hypertension - DASH; (the amounts in mg in brackets stand for amounts of sodium in each item)BREAKFAST 3/4 cup bran flakes cereal (2. LUNCH 3/4 cup chicken salad (1. Dijon mustard (3. Tablespoon sunflower seeds (0mg)1 teaspoon Italian dressing, low calorie (4. DINNER 3 oz beef, eye of the round (3. Tablespoon chopped scallions (1mg)1 small whole wheat roll (1. SNACKS 1/3 cup almonds, unsalted (0mg)1/4 cup raisins (4mg)1/2 cup fruit yogurt, fat- free, no sugar added (8. TOTAL SODIUM IN THIS MENU - 2. The DASH approach has 7 days of unique menus each for each day. Total sodium consumed in these menus will slightly fluctuate but will not exceed 2. As you might have noticed in this Day 1 menu there is no inclusion of garlic. It is so through out to Day 7 of DASH. There are numerous assertions around garlic and high blood pressure as well as caffeine and blood pressure. Other Related Topics. Foods that Lower Blood Pressure . There are however other processed foods that are also suitable. Follow link for a detail discussion. Learn More > > > Return to Hypertension Home Page from Hypertension Diet. Blood pressure is the force of blood pushing against the walls of arteries as it flows through them. Arteries are the blood vessels that carry oxygenated blood from the heart to the body's tissues. Description. As blood flows through arteries it pushes against the inside of the artery walls. The more pressure the blood exerts on the artery walls, the higher the blood pressure will be. The size of small arteries also affects the blood pressure. When the muscular walls of arteries are relaxed, or dilated, the pressure of the blood flowing through them is lower than when the artery walls narrow, or constrict. Blood pressure is highest when the heart beats to push blood out into the arteries. When the heart relaxes to fill with blood again, the pressure is at its lowest point. Blood pressure when the heart beats is called systolic pressure. Blood pressure when the heart is at rest is called diastolic pressure. When blood pressure is measured, the systolic pressure is stated first and the diastolic pressure second. Blood pressure is measured in millimeters of mercury (mm Hg). For example, if a person's systolic pressure is 1. Hg. The American Heart Association has long considred blood pressure less than 1. However, the National Heart, Lung, and Blood Institute in Bethesda, Maryland released new clinical guidelines for blood pressure in 2. A normal reading was lowered to less than 1. Hypertension is a major health problem, especially because it has no symptoms. Many people have hypertension without knowing it. In the United States, about 5. Hypertension is more common in men than women and in people over the age of 6. More than half of all Americans over the age of 6. It also is more common in African- Americans than in white Americans. Hypertension is serious because people with the condition have a higher risk for heart disease and other medical problems than people with normal blood pressure. Serious complications can be avoided by getting regular blood pressure checks and treating hypertension as soon as it is diagnosed. If left untreated, hypertension can lead to the following medical conditions: Arteriosclerosis is hardening of the arteries. The walls of arteries have a layer of muscle and elastic tissue that makes them flexible and able to dilate and constrict as blood flows through them. High blood pressure can make the artery walls thicken and harden. When artery walls thicken, the inside of the blood vessel narrows. Cholesterol and fats are more likely to build up on the walls of damaged arteries, making them even narrower. Blood clots also can get trapped in narrowed arteries, blocking the flow of blood. Arteries narrowed by arteriosclerosis may not deliver enough blood to organs and other tissues. Reduced or blocked blood flow to the heart can cause a heart attack. If an artery to the brain is blocked, a stroke can result. Hypertension makes the heart work harder to pump blood through the body. The extra workload can make the heart muscle thicken and stretch. When the heart becomes too enlarged it cannot pump enough blood. If the hypertension is not treated, the heart may fail. The kidneys remove the body's wastes from the blood. If hypertension thickens the arteries to the kidneys, less waste can be filtered from the blood. As the condition worsens, the kidneys fail and wastes build up in the blood. Dialysis or a kidney transplant are needed when the kidneys fail. About 2. 5% of people who receive kidney dialysis have kidney failure caused by hypertension. Causes and symptoms. Many different actions or situations can normally raise blood pressure. Physical activity can temporarily raise blood pressure. Stressful situations can make blood pressure go up. When the stress goes away, blood pressure usually returns to normal. These temporary increases in blood pressure are not considered hypertension. A diagnosis of hypertension is made only when a person has multiple high blood pressure readings over a period of time. The cause of hypertension is not known in 9. Hypertension without a known cause is called primary or essential hypertension. When a person has hypertension caused by another medical condition, it is called secondary hypertension. Secondary hypertension can be caused by a number of different illnesses. Many people with kidney disorders have secondary hypertension. The kidneys regulate the balance of salt and water in the body. If the kidneys cannot rid the body of excess salt and water, blood pressure goes up. Kidney infections, a narrowing of the arteries that carry blood to the kidneys, called renal artery stenosis, and other kidney disorders can disturb the salt and water balance. Cushing's syndrome and tumors of the pituitary and adrenal glands often increase levels of the adrenal gland hormones cortisol, adrenalin, and aldosterone, which can cause hypertension. Other conditions that can cause hypertension are blood vessel diseases, thyroid gland disorders, some prescribed drugs, alcoholism, and pregnancy. Even though the cause of most hypertension is not known, some people have risk factors that give them a greater chance of getting hypertension. Many of these risk factors can be changed to lower the chance of developing hypertension or as part of a treatment program to lower blood pressure. Risk factors for hypertension include: age over 6. Some risk factors for getting hypertension can be changed, while others cannot. Age, male sex, and race are risk factors that a person can't do anything about. Some people inherit a tendency to get hypertension. People with family members who have hypertension are more likely to develop it than those whose relatives are not hypertensive. People with these risk factors can avoid or eliminate the other risk factors to lower their chance of developing hypertension. A 2. 00. 3 report found that the rise in incidence of high blood pressure among children is most likely due to an increase in the number of overweight and obese children and adolescents. Diagnosis. Because hypertension doesn't cause symptoms, it is important to have blood pressure checked regularly. Blood pressure is measured with an instrument called a sphygmomanometer. A cloth- covered rubber cuff is wrapped around the upper arm and inflated. When the cuff is inflated, an artery in the arm is squeezed to momentarily stop the flow of blood. Then, the air is let out of the cuff while a stethoscope placed over the artery is used to detect the sound of the blood spurting back through the artery. This first sound is the systolic pressure, the pressure when the heart beats. The last sound heard as the rest of the air is released is the diastolic pressure, the pressure between heart beats. Both sounds are recorded on the mercury gauge on the sphygmomanometer. Normal blood pressure is defined by a range of values. Blood pressure lower than 1. Hg is considered normal. A number of factors such as pain, stress or anxiety can cause a temporary increase in blood pressure. For this reason, hypertension is not diagnosed on one high blood pressure reading. If a blood pressure reading is 1. Diagnosis of hypertension usually is made based on two or more readings after the first visit. Systolic hypertension of the elderly is common and is diagnosed when the diastolic pressure is normal or low, but the systolic is elevated, e. Hg. This condition usually co- exists with hardening of the arteries (atherosclerosis). Blood pressure measurements are classified in stages, according to severity: normal blood pressure: less than less than 1. Hgpre- hypertension: 1. Hg. Stage 1 hypertension: 1. Hg. Stage 2 hypertension: at or greater than 1. Hgmedical and family historyphysical examinationophthalmoscopy: Examination of the blood vessels in the eyechest x rayelectrocardiograph (ECG)blood and urine tests. The medical and family history help the physician determine if the patient has any conditions or disorders that might contribute to or cause the hypertension. A family history of hypertension might suggest a genetic predisposition for hypertension. The physical exam may include several blood pressure readings at different times and in different positions. The physician uses a stethoscope to listen to sounds made by the heart and blood flowing through the arteries. The pulse, reflexes, and height and weight are checked and recorded. Internal organs are palpated, or felt, to determine if they are enlarged. Because hypertension can cause damage to the blood vessels in the eyes, the eyes may be checked with a instrument called an ophthalmoscope. The physician will look for thickening, narrowing, or hemorrhages in the blood vessels. A chest x ray can detect an enlarged heart, other vascular (heart) abnormalities, or lung disease. An electrocardiogram (ECG) measures the electrical activity of the heart. It can detect if the heart muscle is enlarged and if there is damage to the heart muscle from blocked arteries. Urine and blood tests may be done to evaluate health and to detect the presence of disorders that might cause hypertension. Treatment. There is no cure for primary hypertension, but blood pressure can almost always be lowered with the correct treatment. The goal of treatment is to lower blood pressure to levels that will prevent heart disease and other complications of hypertension. In secondary hypertension, the disease that is responsible for the hypertension is treated in addition to the hypertension itself. Successful treatment of the underlying disorder may cure the secondary hypertension. Guidelines advise that clinicians work with patients to agree on blood pressure goals and develop a treatment plan for the individual patient. Actual combinations of medications and lifestyle changes will vary from one person to the next. Treatment to lower blood pressure may include changes in diet, getting regular exercise, and taking antihypertensive medications. Patients falling into the pre- hypertension range who don't have damage to the heart or kidneys often are advised to make needed lifestyle changes only. Diverticular disease. DIVERTICULAR DISEASE OVERVIEWA diverticulum is a pouch- like structure that can form through points of weakness in the muscular wall of the colon (ie, at points where blood vessels pass through the wall) (figure 1). Diverticulosis affects men and women equally. The risk of diverticular disease increases with age. It occurs throughout the world but is seen more commonly in developed countries. WHAT IS DIVERTICULAR DISEASE? Diverticulosis — Diverticulosis merely describes the presence of diverticula. Diverticulosis is often found during a test done for other reasons, such as flexible sigmoidoscopy, colonoscopy, or barium enema. Most people with diverticulosis have no symptoms and will remain symptom free for the rest of their lives. This may be caused by increased pressure within the colon or by hardened particles of stool, which can become lodged within the diverticulum. The symptoms of diverticulitis depend upon the degree of inflammation present. The most common symptom is pain in the left lower abdomen. Other symptoms can include nausea and vomiting, constipation, diarrhea, and urinary symptoms such as pain or burning when urinating or the frequent need to urinate. Diverticulitis is divided into simple and complicated forms. Complications associated with diverticulitis can include the following. In approximately 5.
Is bleeding with a bowel movement normal? Anyone who sees blood after a bowel movement should consult with their healthcare provider to determine if further testing or evaluation is needed. This is an older test and has been largely replaced by computed tomography (CT) scan. If diverticulitis (not just diverticulosis) is suspected, the above three tests should not be used because of the risk of perforation. TREATMENTDiverticulosis — People with diverticulosis who do not have symptoms do not require treatment. Barium Enema X Ray Versus Colonoscopy Diet 5However, most clinicians recommend increasing fiber in the diet, which can help to bulk the stools and possibly prevent the development of new diverticula, diverticulitis, or diverticular bleeding. Fiber is not proven to prevent these conditions in all patients but may help to control recurrent episodes in some. Increase fiber — Fruits and vegetables are a good source of fiber (table 1). The fiber content of packaged foods can be calculated by reading the nutrition label (figure 2). However, this belief is completely unproven. We do not suggest that patients with diverticulosis avoid seeds, corn, or nuts. Diverticulitis — Treatment of diverticulitis depends upon how severe your symptoms are. Home treatment — If you have mild symptoms of diverticulitis (mild abdominal pain, usually left lower abdomen), you can be treated at home with a clear liquid diet and oral antibiotics. However, if you develop one or more of the following signs or symptoms, you should seek immediate medical attention. During this time, you are not allowed to eat or drink; antibiotics and fluids are given into a vein. If you develop an abscess of the colon, you may require drainage of the abscess (usually performed by placing a drainage tube across the abdominal wall) or by surgically opening the affected area. Surgery — If you develop a generalized infection in the abdomen (peritonitis), you will usually require an emergency operation. A two- part operation may be necessary in some cases. A colostomy is an opening between the colon and the skin, where a bag is attached to collect waste from the intestine. The lower end of the colon is temporarily sewed closed to allow it to heal (figure 3). Answer questions and earn CME/CNE. Each year, the American Cancer Society (ACS) publishes a summary of its guidelines for early cancer detection along with. Irritable Bowel Syndrome Definition Irritable bowel syndrome (IBS) is a common intestinal condition characterized by abdominal pain and cramps; changes in bowel. You are then able to empty your bowels through the rectum. Sometimes patients require up to a year to recover from the first operation, depending on how sick they were. In non- emergency situations, the diseased area of the colon can be removed and the two ends of the colon can be reconnected in one operation, without the need for a colostomy. Surgery versus medical therapy — An operation to remove the diseased area of the colon may not be necessary if you improve with medical therapy. However, people who are treated with an operation are felt to be cured, since only 1. Thus, surgery may be recommended for people with repeated attacks of diverticulitis or if there are severe or repeated episodes of bleeding. The decision depends in part upon your other medical conditions and ability to undergo surgery. Some healthcare providers recommend surgery after the first attack of diverticulitis in people who are less than 4. The reason for this is that the disease may be more severe in this age group and there may be an increased risk of recurrent disease that will ultimately require surgery. Thus, having surgery at a young age could potentially eliminate the chances of developing worsened disease. The decision to undergo surgery ultimately depends upon your surgeon's recommendations. In many cases, an elective operation can be performed laparoscopically, using small incisions, rather than the typical vertical (up and down) abdominal incision. Laparoscopic surgery usually allows you to recover more quickly and shortens the hospital stay. After diverticulitis resolves — After an episode of diverticulitis resolves, if you have not had a recent colonoscopy, the entire length of the colon should be evaluated to determine the extent of disease and to rule out the presence of abnormal lesions such as polyps or cancer. Recommended tests include colonoscopy, barium enema and sigmoidoscopy, or CT colonography. However, some people will need further testing or treatment to stop bleeding, which may include a colonoscopy, angiography (a treatment that blocks off the bleeding artery), bleeding scan, or surgery. DIVERTICULAR DISEASE PROGNOSISDiverticulosis — Over time, diverticulosis may cause no problems or it may cause episodes of bleeding and/or diverticulitis. Approximately 1. 5 to 2. Diverticulitis — Approximately 8. After successful treatment for a first attack of diverticulitis, one- third of patients will remain asymptomatic, one- third will have episodic cramps without diverticulitis, and one- third will go on to have a second attack of diverticulitis. The prognosis tends to remain similar following a second attack of diverticulitis. Only 1. 0 percent of people remain symptom- free after a second attack. Subsequent attacks tend to be of similar severity, not increasing in severity as previously believed. WHERE TO GET MORE INFORMATIONYour healthcare provider is the best source of information for questions and concerns related to your medical problem. This article will be updated as needed on our website (www. Related topics for patients, as well as selected articles written for healthcare professionals, are also available. Some of the most relevant are listed below. Patient level information — Up. To. Date offers two types of patient education materials. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy- to- read materials. Patient education: Diverticulitis (The Basics)Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in- depth information and are comfortable with some medical jargon. Patient education: Blood in the stool (rectal bleeding) in adults (Beyond the Basics)Patient education: Flexible sigmoidoscopy (Beyond the Basics)Patient education: Colonoscopy (Beyond the Basics)Patient education: High- fiber diet (Beyond the Basics)Patient education: Colon and rectal cancer screening (Beyond the Basics)Professional level information — Professional level articles are designed to keep doctors and other health professionals up- to- date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading. Acute diverticulitis complicated by fistula formation. Clinical manifestations and diagnosis of acute diverticulitis in adults. Colonic diverticular bleeding. Segmental colitis associated with diverticulosis. Colonic diverticulosis and diverticular disease: Epidemiology, risk factors, and pathogenesis. Acute colonic diverticulitis: Medical management. The following organizations also provide reliable health information. Our peer review process typically takes one to six weeks depending on the issue. Cholecystectomy - Wikipedia. Laparoscopic Cholecystectomy as seen through laparoscope. Cholecystectomy (; plural: cholecystectomies) is the surgical removal of the gallbladder. It is a common treatment of symptomatic gallstones and other gallbladder conditions. Surgical options include the standard procedure, called laparoscopic cholecystectomy, and an older, more invasive procedure, called open cholecystectomy. The surgery can lead to postcholecystectomy syndrome. Indications. Risk factors for gall bladder cancer include a . This is because open surgery leaves the patient more prone to infection. The camera illuminates the surgical field and sends a magnified image from inside the body to a video monitor, giving the surgeon a close- up view of the organs and tissues. The surgeon watches the monitor and performs the operation by manipulating the surgical instruments through the operating ports. To begin the operation, the patient is placed in the supine position on the operating table and anesthetized. A scalpel is used to make a small incision at the umbilicus. Using either a Veress needle or Hasson technique, the abdominal cavity is entered. The surgeon inflates the abdominal cavity with carbon dioxide to create a working space. The camera is placed through the umbilical port and the abdominal cavity is inspected. Additional ports are opened inferior to the ribs at the epigastric, midclavicular, and anterior axillary positions. The gallbladder fundus is identified, grasped, and retracted superiorly. With a second grasper, the gallbladder infundibulum is retracted laterally to expose and open Calot's Triangle (cystic artery, cystic duct, and common hepatic duct). The triangle is gently dissected to clear the peritoneal covering and obtain a view of the underlying structures. The cystic duct and the cystic artery are identified, clipped with tiny titanium clips and cut. Then the gallbladder is dissected away from the liver bed and removed through one of the ports. This type of surgery requires meticulous surgical skill, but in straightforward cases, it can be done in about an hour. Recently, new techniques have been developed to perform this surgery through a single incision in the patient's umbilicus. This advanced technique is called Laparoendoscopic Single Site Surgery or . In this procedure, instead of making 3- 4 four small different cuts (incisions), a single cut (incision) is made through the navel (umbilicus). Through this cut, specialized rotaculating instruments (straight instruments which can be bent once inside the abdomen) are inserted to do the operation. The advantage of LESS / SILS operation is that the number of cuts is further reduced to one and this cut is also not visible after the operation is done as it is hidden inside the navel. A meta- analysis published by Pankaj Garg et al. Failure of this technique is common as a consequence of large or impacted common bile duct (CBD) stones. A new technique, LABEL (Laser- Assisted Bile duct Exploration by Laparoendoscopy) has been developed to enhance LBDE in cases of impacted or large stones using holmium- laser increasing the feasibility of the transcystic stone retrieval and reducing overall operative time in the treatment of choledocholithiasis. In open cholecystectomy, a surgical incision of approximately 1. The liver is retracted superiorly, and a top- down approach is taken (from the fundus towards the neck) to remove the gallbladder from the liver, typically using electrocautery. Surgical incision points are highlighted; the one at top right is barely visible. The gall bladder was removed via the incision at the navel. There is a fourth incision (not shown) on the patient's right lower flank, used for draining. All incisions have healed well and the most visible remaining effect of surgery is from the pre- operative hair removal. The 3 abdominal incisions are approximately 6mm, while the fourth incision near the umbilicus is 1. Minor inflammation can be seen surrounding each site due to skin irritation caused by removal of Tegaderm dressings. Laparoscopic cholecystectomy does not require the abdominal muscles to be cut, resulting in less pain, quicker healing, improved cosmetic results, and fewer complications such as infection and adhesions. Most patients can be discharged on the same or following day as the surgery, and can return to any type of occupation in about a week. An uncommon but potentially serious complication is injury to the common bile duct, which connects the cystic and common hepatic ducts to the duodenum. An injured bile duct can leak bile and cause a painful and potentially dangerous infection. Many cases of minor injury to the common bile duct can be managed non- surgically. Major injury to the bile duct, however, is a very serious problem and may require corrective surgery. This surgery should be performed by an experienced biliary surgeon. Adhesions and gangrene can be serious, but converting to open surgery does not equate to a complication. A Consensus Development Conference panel, convened by the National Institutes of Health in September 1. The panel noted, however, that laparoscopic cholecystectomy should be performed only by experienced surgeons and only on patients who have symptoms of gallstones. In addition, the panel noted that the outcome of laparoscopic cholecystectomy is greatly influenced by the training, experience, skill, and judgment of the surgeon performing the procedure. Therefore, the panel recommended that strict guidelines be developed for training and granting credentials in laparoscopic surgery, determining competence, and monitoring quality. According to the panel, efforts should continue toward developing a noninvasive approach to gallstone treatment that will not only eliminate existing stones, but also prevent their formation or recurrence. One common complication of cholecystectomy is inadvertent injury to analogous bile ducts known as Ducts of Luschka, occurring in 3. It is non- problematic until the gall bladder is removed, and the tiny supravesicular ducts may be incompletely cauterized or remain unobserved, leading to biliary leak post- operatively. The patient will develop biliary peritonitis within 5 to 7 days following surgery, and will require a temporary biliary stent. It is important that the clinician recognize the possibility of bile peritonitis early and confirm diagnosis via HIDA scan to lower morbidity rate. Aggressive pain management and antibiotic therapy should be initiated as soon as diagnosed. During laparoscopic cholecystectomy, gallbladder perforation can occur due to excessive traction during retraction or during dissection from the liver bed. It can also occur during extraction from the abdomen. Infected bile, pigment gallstones, male gender, advanced age, perihepatic location of spilled gallstones, more than 1. Spilled gallstones can be a diagnostic challenge and can cause significant morbidity to the patient. Clear documentation of spillage and explanation to the patient is of utmost importance, as this will enable prompt recognition and treatment of any complications. Prevention of spillage is the best policy. If cancer is present, a reoperation to remove part of the liver and lymph nodes will be required in most cases. The cause is unclear, but is presumed to involve the disturbance to the bile system. Most cases clear up within weeks or a few months, though in rare cases the condition may last for many years. It can be controlled with medication such as cholestyramine. This occurs in about 0. Open and laparoscopic surgeries have essentially equal rate of injuries, but the recent trend is towards fewer injuries with laparoscopy. It may be that the open cases often result because the gallbladder is too difficult or risky to remove with laparoscopy)abscesswound infectionbleeding (liver surface and cystic artery are most common sites)herniaorgan injury (intestine and liver are at highest risk, especially if the gallbladder has become adherent/scarred to other organs due to inflammation (e. Good hydration and hygiene (water and fruit juice; using stool softener if prescribed; brushing teeth gently; and taking a light shower and changing bandages about 4. This probably would differ for an open or complicated procedure, and possibly among facilities. Postoperative cystic duct stump leaks. It was rarely reported in open cholecystectomy patients. Since the advent of laparoscopic cholecystectomy the incidence of CDSL has increased with one study indicating that it occurs in 0. Cystic duct displacement: 1a. Improper firing can cause the clip to displace as one study showed clipless cystic ducts after placement of 2 cystic duct clips. Cystic duct displacement could be due to abnormal cystic duct morphological features. This could place constrictions which thus could lead to improper firing. A solution is to suture the duct or as last resort leave a T tube or Jackson- pratt drain intraoperatively. Necrosis of cystic duct stump proximal to clip: This would occur proximal to the applied clip. Necrosis may be secondary to electrocautery creating a phenomenon called . Ischemic necrosis secondary to devascularization: One study showed that blood flow can be disrupted from dissecting. One study showed a pseudoaneurysm of the right hepatic artery causing vascular disrupting blood supply to the cystic duct. A solution is dividing the cystic artery distally. Increased biliary pressure: This can be due to a retained common bile duct stone creating pressure in the biliary tree. This may be the most rare causes of CDSL. High WBC is described in 6. Liver function tests can be highly variable. Computed tomography has a high sensitivity approaching 1. The most successful imaging is from ERCP. ERCP has the additional value of allowing for treatment which often consists of sphincterotomy with common bile duct stenting. With endoscopic drainage, CDSLs often resolve without the need for reoperation. Epidemiology. 1. 01. Goldman, Lee (2. 01. Goldman's Cecil Medicine (2. Marathon Training. Marathon training will be challenging, but should be fun and enjoyable. Finishing a marathon is an accomplishment that less than 1% of people in the world can say they have achieved. You are about to be one of them! Haven’t run in a long time? Either way, you can finish a marathon. Learning some of the basics will help you get started. 26 Tips for Running Your Best 26.2 Here is everything you need to know to run your best marathon this year. By Scott Douglas Friday, July 8, 2016, 4:06 pm. Having a marathon race plan that involves going through halfway in 69min when you haven’t even managed to break 70min for a half so far this year is always going to. Race your best with our half marathon training plan. Designed to help you be successful while working with your schedule. It’s one thing to be motivated to begin training. It’s another to stay motivated every day. Naturally, we think running a marathon will not be easy. Even so, many finishers say it was even tougher than they thought. Staying motivated and developing the proper mindset is key to enjoying training and crossing the finish line with a smile on your face. If your only goal is to lose weight, good luck. You’re likely to quit. You are likely to quit just like so many people who join health clubs each year for the same reason only to stop going after seeing little results in little time. You must have the right goals and reasons for running in order to be successful. Running shoes will be the most important piece of gear. Shoes are designed to fit feet with different arches, pronation, and more. Visit a local specialty running store to find the best shoes for your feet. During marathon training, 6. Be sure to get the nutrition you need to keep you strong and allow for adequate recovery. You should not run every day. Your body needs to rest between runs so it can recover from one run to the next, getting stronger between each run. Nutrition and eating the right foods at the right time also play a vital role in recovery. Take recovery days equally as serious as your running days. During pre- training and marathon training, weigh yourself before and after each run to rehydrate and get your body weight back to the weight it was before the run by drinking water or sports drink within the first hours after the run. Ice down any soreness, particularly in knees or shins (most common) four times per day for 1. Injuries often sneak up without warning. Doing all the right things right will minimize your chances of injury. Distance is not important right now. You just need to get your body used to running. You should then taper off in the final weeks leading up to the marathon to allow your body to recover from training and so you will be strong on marathon day. Having a 2. 0- mile run under your belt will give you a major psychological advantage on marathon day. The schedule assumes you have been running for at least 6- 1. See 2. 6- week schedule). You will also want to carbo- load the week leading up to the race. Given the atmosphere at most marathons, you will likely feel full of adrenaline after leaving the starting line. Remember though, marathons are about endurance and pace is critical. Maintain pace to save everything you have left for your big finish! Back to Top. Back to Home From Marathon Training. Marathon Rookie: How to Train for a Marathon.. Special Edition: Intermediate Plan for the Runner's World Half Marathon (12 weeks). Marathon it's famous for a reason. A nutrition plan is as important as a mileage plan. Your body must get the right. Welcome to the Boston Marathon Training Plan. High Performance coach Terrence Mahon, these plans will help guide you to success in April. The online home of Runner's World and Running Times magazines. Includes running news, gear tips, training advice, running shoe reviews, and more. A marathon runner's diet is not all about macronutrient ratios; the quality of the food you eat matters as well. Marathon Training for Beginners. Marathon training will be challenging, but should be fun and enjoyable. Finishing a marathon is an accomplishment that less than 1%. Tenuate: Uses, Dosage, Side Effects & Warnings. Generic Name: diethylpropion (dye eth ill PROE pee on)Brand Names: Tenuate. Learn about warnings and precautions for the drug Parnate (Tranylcypromine). Consumer ratings reports for PARNATE. Includes 122 patient rankings on scale of 1-5, comments, side effects, dosage, sex, age, time taken. A low-tyramine diet is important for anyone taking MAOIs. Tyramine is produced in foods from the natural breakdown of the amino acid tyrosine. Tyramine is not added to foods, but can trigger headaches. People who eat a balanced diet should meet the daily requirement for vitamin B6 without taking a supplement. As with all medications and supplements. What is Tenuate? Tenuate (diethylpropion) is a sympathomimetic amine, which is similar to an amphetamine. It is also known as an . Tenuate stimulates your central nervous system (nerves and brain), which increases your heart rate and blood pressure and decreases your appetite. Tenuate is used as together with diet and exercise to treat of obesity. Tenuate may also be used for purposes not listed in this medication guide. Important information. Taking Tenuate in combination with other diet pills or appetite suppressants can cause serious or life threatening medical problems. Do not use any other diet medications while taking Tenuate, unless your doctor tells you to. You should not take Tenuate if you are allergic to diethylpropion or if you have pulmonary hypertension, severe coronary artery disease, glaucoma, overactive thyroid, uncontrolled high blood pressure, a history of drug or alcohol addiction, if you are agitated, or if you are taking any other diet pills. Do not use Tenuate if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 1. A dangerous drug interaction could occur, leading to serious side effects. Before you take Tenuate, tell your doctor if you have a heart murmur, heart valve disorder, heart rhythm disorder, epilepsy, or if you have taken other diet pills within the past 1. Tenuate may cause blurred vision and may impair your thinking or reactions. Diethylpropion may also cause restless feelings that can hide the symptoms of extreme tiredness. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Tenuate may be habit- forming and should be used only by the person it was prescribed for. Keep Tenuate in a secure place where others cannot get to it. Do not stop using Tenuate suddenly after long- term use, or you could have unpleasant withdrawal symptoms. Ask your doctor how to avoid withdrawal symptoms when you stop using Tenuate. Before taking this medicine. Taking Tenuate in combination with other diet pills or appetite suppressants can cause serious or life threatening medical problems. Do not use any other diet medications while taking Tenuate, unless your doctor tells you to. You should not take this medication if you are allergic to diethylpropion or similar medicines (stimulants, diet pills, cold or allergy medicines), or if you have: pulmonary hypertension; severe coronary artery disease (hardened arteries); glaucoma; overactive thyroid; severe or uncontrolled high blood pressure; a history of drug or alcohol addiction; if you are in an agitated state; orif you are taking any other appetite suppressants or diet pills. Do not use Tenuate if you have used an MAO inhibitor such as furazolidone (Furoxone), isocarboxazid (Marplan), phenelzine (Nardil), rasagiline (Azilect), selegiline (Eldepryl, Emsam, Zelapar), or tranylcypromine (Parnate) in the last 1. A dangerous drug interaction could occur, leading to serious side effects. To make sure you can safely take Tenuate, tell your doctor if you have any of these other conditions: a heart murmur, heart valve disorder, or heart rhythm disorder; epilepsy or other seizure disorder; orif you have taken other diet pills within the past 1. Tenuate may be habit forming and should be used only by the person it was prescribed for. Never share Tenuate with another person, especially someone with a history of drug abuse or addiction. Keep the medication in a place where others cannot get to it. FDA pregnancy category B. Tenuate is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment. Diethylpropion can pass into breast milk and may harm a nursing baby. Do not use Tenuate without telling your doctor if you are breast- feeding a baby. Diethylpropion is an appetite suppressant similar to an amphetamine. Diethylpropion stimulates your central nervous system (nerves and brain), which increases your. Medscape - Indication-specific dosing for Parnate (tranylcypromine), frequency-based adverse effects, comprehensive interactions, contraindications, pregnancy. Learn about Parnate (Tranylcypromine) may treat, uses, dosage, side effects, drug interactions, warnings, patient labeling, reviews, and related medications. Qsymia (phentermine and topiramate) is used together with diet and exercise to treat obesity. Qsymia information includes news, clinical trial results and side effects. Do not give this medicine to a child younger than 1. See also: Pregnancy and breastfeeding warnings (in more detail)How should I take Tenuate? Take Tenuate exactly as prescribed. Never take Tenuate in larger amounts, or for longer than recommended by your doctor. Follow the directions on your prescription label. Tell your doctor if the medicine seems to stop working as well in relieving your hunger. Tell your doctor if you do not lose at least 4 pounds after taking the medication for 4 weeks along with a low calorie diet. Tenuate is usually taken once a day in the midmorning. Do not crush, chew, or break a controlled release tablet. Breaking or opening the pill may cause too much of the drug to be released at one time. Store Tenuate at room temperature away from moisture and heat. Keep track of the amount of medicine used from each new bottle. Tenuate is a drug of abuse and you should be aware if anyone is using your medicine improperly or without a prescription. See also: Dosage Information (in more detail)What happens if I miss a dose? Take the missed dose as soon as you remember. Skip the missed dose if it is already evening. Wait until the next morning to take your next scheduled dose. Do not take extra medicine to make up the missed dose. What happens if I overdose? Seek emergency medical attention or call the Poison Help line at 1- 8. Overdose symptoms may include severe forms of some of the side effects listed in this medication guide. What should I avoid? Tenuate may cause blurred vision and may impair your thinking or reactions. Tenuate may also cause restless feelings that can hide the symptoms of extreme tiredness. Be careful if you drive or do anything that requires you to be alert and able to see clearly. Drinking alcohol can increase certain side effects of Tenuate. Tenuate side effects. Get emergency medical help if you have any of these signs of an allergic reaction to Tenuate: hives; difficult breathing; swelling of your face, lips, tongue, or throat. Stop using Tenuate and call your doctor at once if you have a serious side effect such as: fast, pounding, or uneven heartbeats; chest pain, feeling short of breath (even with mild exertion); feeling like you might pass out; swelling in your ankles or feet; confusion, hallucinations, unusual thoughts or behavior; seizure (convulsions); muscle movements you cannot control; orsudden numbness or weakness, especially on one side of the body. Less serious Tenuate side effects may include: nausea, vomiting, diarrhea, upset stomach; headache, blurred vision; feeling nervous, anxious, or jittery; sleep problems (insomnia); dizziness, drowsiness, tired feeling; depressed mood; dry mouth, unpleasant taste in your mouth; decreased sex drive; ormild itching or rash. This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1- 8. FDA- 1. 08. 8. See also: Side effects (in more detail)What other drugs will affect Tenuate? Tell your doctor about all other medicines you use, especially: insulin or oral diabetes medication; blood pressure medication; orstimulants, cold or allergy medicines, ADHD (attention deficit hyperactivity disorder) medicine such as Adderall or Ritalin. This list is not complete and other drugs may interact with Tenuate. Tell your doctor about all medications you use. This includes prescription, over- the- counter, vitamin, and herbal products. Do not start a new medication without telling your doctor. More about Tenuate (diethylpropion)Consumer resources. Professional resources. Other Formulations. Related treatment guides. Where can I get more information? Your pharmacist can provide more information about Tenuate. Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use Tenuate only for the indication prescribed. Disclaimer: Every effort has been made to ensure that the information provided is accurate, up- to- date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. Copyright 1. 99. 6- 2. Cerner Multum, Inc. Revision Date: 2. Parnate and Weight Loss . A common side effect of MAOI antidepressants is loss of appetite, which can lead to weight loss. This is strikingly different from newer antidepressants, such as selective serotonin reuptake inhibitors, or SSRIs, the side effect profiles of which often include weight gain. Complicating matters is the fact that MAOI inhibitors cannot be taken with certain foods, such as chocolate, wine and aged cheeses, as a dangerous spike in blood pressure may occur. Parnate, generic name tranylcypromine, is a powerful antidepressant that works by increasing the concentration of the neurotransmitters serotonin, epinephrine and norepinephrine in the brain. Because of the special dietary restrictions, serious side effects and availability of newer antidepressants, Healthy. Place. com reports that MAOI antidepressants are typically prescribed only after all other antidepressants have failed. Although those taking Parnate require close medical supervision, they may find that it gives them relief they were unable to get with other antidepressant medications. According to PDRHealth. Parnate. Other side effects include fatigue, weakness, nausea, diarrhea, constipation, stomach pain, chills, dry mouth, decreased urination and impotence. Less common but more serious side effects include vision problems, sensitivity to light, increased heart rate, swelling of feet and ankles, easy bruising or bleeding, neck stiffness, confusion, loss of coordination, fainting and muscle tremors. You should see your doctor immediately if you experience any of the serious side effects. Increased appetite, particularly for carbohydrates, are common with newer antidepressants like Paxil and Cymbalta. However, Parnate may cause you to lose your appetite or to be unable to eat due to nausea. Your doctor can prescribe medication to help settle your stomach or suggest home remedies. For those whose depression has already led to loss of weight and appetite, further weight loss on Parnate can be particularly dangerous or upsetting. It is crucial that you be in close touch with your physician while taking an MAOI antidepressant. It may be necessary to take extra measures to increase your appetite to prevent Parnate weight loss. According to an article in the February 1. AFP also suggests avoiding drinking much liquid with or just before meals, as it can increase fullness and keep you from eating enough food. Moderate daily exercise can also help boost your appetite, as well as help alleviate depression. Those taking Parnate have often already tried other, newer antidepressants to no avail. However, there are new drugs being marketed all the time, and you never know which of them might effectively treat your depression. Talking to your psychiatrist regularly about the latest research may help you find a newer, better drug than Parnate. Electroconvulsive therapy, while also fraught with side effects, can be effective for some severely depressed patients who prefer not to take medication or who cannot tolerate the side effects of antidepressants. My. Resipi. com - Jom Kongsi Resipi. Mengapakah saya perlu menjaga pemakanan saya? Amalan pemakanan yang baik ialah cara yang baik untuk kekal sihat semasa hamil. Jika anda menghidap kencing manis semasa. Makanan tambahan cuma tambahan kepada pemakanan yang baik dan program latihan yang baik. Pemakanan yang baik dan sistem latihan adalah komponen yang paling. Salam pembaca, Siapa suka sarapan pagi makan telur separuh masak? Pastu letak kicap cair atau garam dan tambah sedikit lada putih. Kacau perlahan-lahan dalam mangkuk.
LEMAH SYAHWAT DAN HILANG RANGSANGAN « Rawatan Alternatif Mahsuri January 31st, 2011 16:29 Kajian menunjukkan karbohidrat yang. Untuk sesapa yang nak cuba atkins diet nie, kat sini aku share menu yang paling selamat untuk korang makan. Aku amat berterima kasih kepada geng-geng Kelab Diet. We Finally Have Long- Term Data on an Intermittent Fasting Diet. If you’re intrigued by the 5: 2 diet or other forms of intermittent fasting, you probably want to know if these diets work in the long term. Until recently, we didn’t have much data. Now, we have a little bit: fasting every other day turns out to deliver the same results as regular dieting. Last Tuesday, I ate some green beans, a Clif bar, and one homemade sous vide egg bite. During the first six months, one third of the 1. By the end, both groups kept off the same amount of weight (just 5- 6 percent, which is 1. The biggest difference between groups? The fasting group lost 1. The group on the steady diet only saw 2. IOS: If you want to really kill it at karaoke, approximately hitting the notes won’t be good enough. A free app called Vanido can guide you through singing. What you should be including in your diet when you are ill. Comments for Gas and Bloating From Vegan Diet. Click here to add your own comments. The control group lost 2. Remember, these folks all had to keep in touch with the researchers for a year, and the dropout numbers include people who just plain flaked out. The averages above, like the 1. So that means weight loss may have worked a little better for the intermittent fasters who stuck with it. The diets ended up being more similar than intended. People ended up eating more than just the provided food, and they ate too much on fast days and too little on feast days. That’s another way in which this diet was hard for people to stick to. So does this study prove intermittent fasting is nothing special? The subjects were “metabolically healthy” obese women, while proponents of IF often say its value is in fixing a broken metabolism. And the food they ate was pretty standard, carb- heavy fare: 5. Many intermittent fasters combine the regimen with lower carb food, relying on protein, fat, and fiber to provide most of their calories. Finally, it’s just one type of fasting. The 5: 2 diet gives you a little more time between fasts. Another common way to fast is to go 1. We don’t know if these other formats would be better or worse than alternate- day fasting, but you can always try them and see. Bottom line, intermittent fasting isn’t good enough to blow traditional dieting out of the water. But it’s worth a try, if you think it might work for you. Stuck in a rut with your home (or gym) workout? This dumbbell only routine will get you on the fast track to muscle mass gains. Fat Burning Workouts – What’s The Best Weight Training Workout For Fat Loss? If you’re intrigued by the 5:2 diet or other forms of intermittent fasting, you probably want to know if these diets work in the long term. Until recently, we didn. MSN Health and Fitness has fitness, nutrition and medical information for men and women that will help you get active, eat right and improve your overall wellbeing. Planning to hit the gym, but have no idea where to begin?Don’t worry, we have created a step by step guide to help transform you into a gym bunny. You want to control your diabetes as much as possible. You wouldn’t be reading this if you didn’t. So you regularly check your A1C level. Take your gym workout from ok to awesome with these top tips. Take your gym workout from ok to awesome with these top tips. |
AuthorWrite something about yourself. No need to be fancy, just an overview. Archives
November 2017
Categories |