![]() The 7-day gluten-free diet plan is designed for people who have an allergy, intolerance, or sensitivity to gluten or wheat. However, anyone is welcome to use it. Day Diet Planessential information, shopping lists and everything you need for the entire week. You don’t have to buy any supplements, products or speciality foods. This meal plan is all based around normal ingredients that you can buy at your local store. My diet is not only delicious, but it will also meet all your nutritional needs from easy to find foods. But I didn’t stop there. I made it better than anything else out there by providing you with my secrets for losing weight – and keeping the weight off after you have completed the diet. I give you easy templates for creating your own healthy meals that will help you to continue lose weight once the week is finished. I also share my strategies for staying motivated to lose weight in the long term. One of my core principles is to prepare meals in the easiest and healthiest way possible which is what makes my recipes so popular. I have applied the same principals to all meals in this book. I don’t know about you, but if you’re anything like me you’ll have tried every diet system out there trying to either lose a lot of weight, or the last few annoying pounds. Two Meals a Day Are Ideal. By Dr. Mercola. How many meals a day is ideal? There are many answers to this question, but if you want to optimize your lifespan and decrease your risk for developing chronic degenerative diseases, the answer is becoming very clear. Other less obvious risks are biological changes that result in metabolic dysfunction, subsequent weight gain, and diminished health. In fact, a number of beneficial effects take place when you go for periods of time without eating. Valter Longo,1 director of the Longevity Institute at the University of Southern California, where he studies meal timing and calorie restriction, even three meals a day may be too much. As reported by Time Magazine: 2. ![]() They often look only at the short- term effects of increasing meal frequency. While your appetite, metabolism, and blood sugar might at first improve, your system will grow accustomed to your new eating schedule after a month or two. When that happens, your body will start expecting and craving food all day long instead of only around midday or dinnertime. More recently, I have refined my views on skipping breakfast. The key to remember is to only eat within a window of six to eight consecutive hours each day, and avoiding food for at least three hours before bedtime. As long as you restrict your eating to this window, you can choose between having breakfast and lunch, or lunch and dinner, but avoid having both breakfast and dinner. ![]() I have recently appreciated that this is another important factor that can help optimize your mitochondrial function and prevent cellular damage from occurring, which I'll review in the next segment. That said, none of this probably applies to normal weight teens or growing children. They likely need three square meals a day unless they're overweight. For kids and teens, the type of food they eat would be a primary consideration. Ideally, all of their meals would revolve around eating REAL FOOD — not processed foods, fast food, and sugary snacks. Drinking plenty of pure water and avoiding sugary beverages is another key consideration. This is due to the way your body produces energy. Many don't realize that your mitochondria are responsible for . Your cells have between 1. When you don't have insulin resistance this energy transfer works quite nicely, but when you are insulin resistant or you eat excessively, dysfunctions tend to emerge. My new 7 DAY DIET PLAN will help you reach your ideal weight, dramatically improve your health and gain energy naturally. This diet plan is different to any other. Granola – If you’re missing the crunch of your favorite cereal or granola, this special blend will cure the craving and make you love Paleo. The 3 Day Military Diet Results. The 3 Day Military Diet will deliver some impressive weight loss results if you stick with it as outlined during the 3 days on. HCG Diet Plan Help So You Can Do The HCG Diet Successfully. Low Carb Meals Plan for 7 Days. The following sample of low carb diet menus are examples of what you can eat for 7 days while on low carb diet. You can lose weight like The Biggest Loser contestants without having to spend time at the ranch. This free 1-week meal plan, excerpted from The Biggest Loser 30-Day. ![]() These excess electrons leak out and wind up prematurely killing the mitochondria, and then wreak further havoc by damaging your cell membranes and contributing to DNA mutations. Simple: resolve your insulin resistance as soon as you can, and do not eat for AT LEAST three hours before you go to sleep. Personally I stop eating around 4 PM or even earlier and typically go to sleep around five to six hours later. This is one of the reasons why I now believe skipping dinner may be an even better strategy than skipping breakfast. Clearly skipping dinner is more difficult to implement from a social perspective, but it might be a superior biological strategy. Obese participants who . All participants, including the control group, received a weight management consultation on how to improve their diet and exercise. Those who ate three meals a day and drank water prior to each meal lost an average of nearly 9. Those who only pre- loaded once a day, or not at all, lost just over 1. In all, 2. 7 percent of the treatment group who pre- loaded with water lost more than five percent of their body weight, compared to just five percent of the control group. This makes logical sense, as thirst is often misinterpreted as hunger. Drinking water before settling down to eat will also make you feel fuller, so overall this strategy could result in eating less. Interestingly, research. So one reason why calorie restriction may lengthen lifespan appears to be due to the positive effect it has on gut microbiota. Earlier research has demonstrated that calorie restriction helps extend the lifespan of animals by improving insulin sensitivity and inhibiting the m. TOR pathway. This was demonstrated in a 2. Research included in that review, and other published studies, indicate that intermittent fasting can help: Limit inflammation, reduce oxidative stress, and cellular damage Improve circulating glucose Reduce blood pressure Improve metabolic efficiency and body composition, including significant reductions in body weight in obese individuals Reduce LDL and total cholesterol levels Prevent or reverse type 2 diabetes, as well as slow its progression Improve immune function,1. Improve pancreatic function Improve insulin and leptin levels and insulin/leptin sensitivity Reproduce some of the cardiovascular benefits associated with physical exercise Protect against cardiovascular disease Modulate levels of dangerous visceral fat Boost mitochondrial energy efficiency Normalize ghrelin levels, known as . Fasting can raise HGH by as much as 1,3. HGH plays an important part in health, fitness, and slowing the aging process. It's also a fat- burning hormone Lower triglyceride levels and improve other biomarkers of disease Boost production of brain- derived neurotrophic factor (BDNF), stimulating the release of new brain cells and triggering brain chemicals that protect against changes associated with Alzheimer's and Parkinson's disease. For starters, it's a lot easier to comply with, and compliance is everything. The calorie restriction route is also extremely dependent on high quality nutrition — you want to sacrifice calories without sacrificing any important micronutrients — and this can be another hurdle for many who are unfamiliar with nutrition and what actually constitutes a healthy diet. Most people fail to appreciate that there are many intricate biochemical dynamics that occur that are unaccounted for when you just count . As pointed out by Fight Aging: 1. Thus only the mouse evolves a relatively large plasticity of life span in response to food scarcity. Ancel Keys demonstrated this in the mid- 1. Thirty- six young healthy male volunteers were placed on a 2. They also had to walk for about 4. But instead of resulting in continuous weight loss, at 2. The men became obsessed with food to the exclusion of everything else in their life, and when the calorie restriction ended, they all over- reacted. Within a few weeks, they regained all of the lost weight plus about 1. Other studies have come to similar conclusions. So starvation- type diets may not be ideal for the average person. Your body will tend to shut down various processes in order to survive. For example, by reducing thyroid function, your body will not burn as many calories. On the one hand, calorie restriction promotes beneficial biological changes that tend to extend life; on the other, there are built in mechanisms that when triggered by chronic calorie restriction can trigger other health problems. These are complex issues, and any extreme measure is likely to cause more problems than it solves. ![]() ![]() ![]() ![]() The Diet Nutritional Plan: How Many Calories Does Your Body Need? Now you are going to find out exactly how many calories your body needs. First off you are going to.A 7-Day, 1200-Calorie Meal Plan. Follow this, and you'll slim down fast and still feel satisfied. Banting Meal Plan 2017 - This 7 Day Banting Diet Plan provides you with the best low-carb meal plan to get started on this healthy, LCHF way of eating. The best we can do is come up with some general guidelines that replicate ancestral patterns. In my view, daily intermittent fasting and avoiding eating for a number of hours before bedtime has many advantages over general calorie restriction and other radical diets, while providing many of the same benefits with a minimum of risk. It's important to recognize that, with few exceptions, you cannot burn body fat if you have other fuel available, and if you're supplying your body with carbohydrates every few hours, your body has no need to dive into your fat stores. When you apply intermittent fasting you not only avoid this but also will typically decrease your food costs and increase your health. If you're not insulin resistant, intermittent fasting is not as crucial, but may still be beneficial. If you're among the minority of Americans who do not struggle with insulin resistance, then my general recommendation is to simply avoid eating at least three hours before bedtime. That automatically allows you to . To that, I would add avoiding sitting, engaging in non- exercise movement throughout the day, and getting regular exercise. Exercise will not produce significant weight loss without addressing your diet, but when done in combination it can be significantly beneficial.
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![]() How To Lose Weight In Just 7 Days. The GM Diet Plan: How To Lose Weight In Just 7 Daysglendon. May 3. 0, 2. 01. 7“I’m trying to lose a few pounds”. Your colleagues, family members, or best friends have uttered these words with great anxiety, concerned about their bulging waistline. Everyone is always in search of that one magical diet that will get them fast results. Learn to make this popular and delicous mix vegetable soup at home. Enjoy is healthy and hearty soup and you can use the leftovers veggies also to prepare this recipe. 7 Day Soup Diet Plan Eating Healthy Vegetable Soup. The last think you want to do on a 7 day soup diet is run out of option. When you are not eating vegetable soup. Chicken Macaroni Sopas is a rich chicken noodle soup dish that I really enjoy having during cold weather, or even on an ordinary day — usually in the mid afternoon. This Weight Loss Vegetable Soup Recipe is one of our favorites! Completely loaded with veggies and flavor and naturally low in fat and calories it’s the perfect. This tasty homemade vegetable soup recipe with a tomato base features potatoes, green beans, and carrots for a quick and easy meal. Michael Chiarello's Homemade Tomato Soup recipe from Food Network is an easy way to jazz up canned tomatoes; you just need a few fresh veggies and herbs. But out of the thousands of diets available out there, how do you know what really works and what doesn’t? And do any of them promise results in just seven days? ![]() A- Z Of The GM Diet. What Is The GM Diet? The General Motors diet has been around since 1. It was originally developed by General Motors, along with the Food and Drug Administration and the United States Department of Agriculture, for its employees. It was designed to increase workforce productivity by making the workers healthier. Results of the diet were impressive – a loss of 1. The workers experienced increased efficiency, confidence, and higher energy. ![]() ![]() The diet was deemed a great success. Probably the biggest reason millions of people swear by the GM diet is because it’s easy to follow. There are no complicated ingredients or great demands on a person’s routine. For this reason, we recommend GM diet for you. Let’s see how this diet works to burn the stored fat. Back To TOCHow Does The GM Diet Plan Work? The plan focuses on limiting your weekly diet to eating fruits, vegetables, brown rice, and chicken. ![]() The diet focuses on consuming a combination of complex carbohydrates, low- calorie vegetables, and fruits, and increasing water intake to help achieve a weight loss of up to 1. Below is a day- to- day guide for anyone who wants to follow the GM diet. Caution: Always consult a doctor before starting on a diet regimen. Back To TOCThe GM Diet Plan. GM Diet Plan Day 1. You Will Need. A variety of fruit – apples, oranges, watermelon, kiwi, and papaya are some of your best options. What You Have To Do. The first day of the diet allows you to eat as many fruits as you like. There are no restrictions on when you can eat. Watermelons and cantaloupes are the recommended fruits as they are high in fiber. ![]() ![]() Vegetable Biryani Recipe, Veg Biryani, Vegitable Biryani Recipe, Vegetable Biryani Receipe. The Cabbage Soup Diet is a very strict, very low calorie diet and isn't for the faint hearted! Surprisingly, although you do eat mainly cabbage soup, not many people. Other healthy choices include papaya, apples, and oranges. You must also consume 8 to 1. At no point is it advised to starve. If you feel hungry, you can grab some fruits and satisfy your craving. A Schedule You Could Follow. Breakfast. 8 am – 9 am)A regular sized apple with a glass of water. Brunch(1. 1 am – 1. Half a bowl of sliced cantaloupe with a glass of water. Lunch (1: 3. 0 pm – 2 pm)A serving of sliced watermelon and two glasses of water. Post Lunch Snack(4 pm – 5 pm)A whole orange and a glass of water. Evening Snack (6: 3. An apple and a glass of water. Dinner(8 pm – 9 pm)Sliced cantaloupe and a guava with two glasses of water. Why This Works. Fiber- rich fruits keep you full for longer (1). They are also low in fat. In addition, the high amount of water intake will flush out the toxins and prepare your body for the next six days of dieting. There are some foods that may hinder your weight loss. Here is a list of foods that you should avoid. Foods To Avoid. Vegetables – Avoid eating any veggies on this day. Fruits – Banana. Protein – Avoid eating any protein source such as meat, eggs, fish, beans, lentils, and mushrooms. Fats & Oils – Lard, butter, margarine, and safflower oil. Carbs – Avoid all carb rich foods, including brown rice. Dairy – Full fat milk, full fat yogurt, frozen yogurt, ice cream, and cheese. Beverages – Alcohol, soda, sweetened drinks, milkshakes, vegetable juices or smoothies, and packaged fruit juices. Are you allergic or don’t like the taste of certain foods listed in the diet plan? Don’t worry, we have a food substitutes list ready for you. Substitutes. Apple – Orange. Cantaloupe – Cucumber. Watermelon – Honeydew melon or cucumber. Orange – Grapefruit or peach. Guava – Green apple. Useful Tip: It is advisable to eat some apples and drink a couple of glasses of water for breakfast. Melons are also a good choice; you can lose up to three pounds by the end of day 1. Eating good and less will help you to a certain extent. To activate the lipid mobilization, you have to exercise. Here is a list of basic exercises that you can start with. Exercises. Since you will be on only fruits and water, do not perform rigorous exercises. You may do these exercises early in the morning or in the evening after office or school. Here is your customized exercise plan for Day 1. Arm circles – 1 set of 1. Wrist circles – 1 set of 1. Neck rotation – 1 set of 1. Ankle rotation – 1 set of 1. Leg rotation – 1 set of 1. Waist rotation – 1 set of 1. Spot Jogging – 5- 1. Yoga asanas (stretching)Warning- Please avoid doing any of the exercises listed above if you have any injury. Please consult your trainer or doctor. How You Will Feel By The End Of Day 1. Day 1 will be comparatively easy since the monotony of eating fruits and veggies has not crept in yet. If you stick to the diet plan and exercise routine, you will feel active, energetic, and great about yourself by the end of Day 1. Ready for Day 2? Back To TOCGM Diet Plan Day 2. You Will Need. An assortment of vegetables. Some of the healthiest options would be carrots, beans, tomatoes, cucumbers, lettuce, and cabbage. What You Have To Do. You have to follow a vegetable- only meal plan on the second day. You can cook the vegetables to make them palatable, or consume them raw. Care should be taken while preparing the vegetables as oil is not allowed. So, forget deep frying your favorite potatoes or eating chips. You can have the vegetables whenever you feel hungry. Flavorings like olive oil or butter can be used sparingly, only if absolutely required. A Schedule You Could Follow. Breakfast. 8 am – 9 am)A boiled potato. You can also add a teaspoon of low- fat butter for flavor. Brunch(1. 1 am – 1. Cabbage and lettuce salad with a light dressing and a glass of water. Lunch (1: 3. 0 pm – 2 pm)A mixed vegetable salad with cucumbers, onions, and carrots and two glasses of water. Post Lunch Snack(4 pm – 5 pm)A cup of boiled broccoli, half a cup of sliced bell pepper, and two glasses of water. Evening Snack (6: 3. Some boiled cauliflower with a light dressing and a glass of water. Dinner(8 pm – 9 pm)A salad comprising boiled carrots, broccoli, and green beans, and two glasses of water. Why This Works. Vegetables have all the nutrients you need to sustain your body. Potatoes have carbohydrates, peas have protein, and carrots and beans are full of fiber and essential vitamins (2). After the relatively low carb day, this will replenish your carb stores and will energize you for the next day of the diet. It’s all good as long as you avoid the following listed foods. Foods To Avoid. Fruits – Avoid all fruits on this day. Protein – Avoid eating any protein source such as meat, eggs, fish, beans, lentils, and mushrooms. Fats & Oils – Lard, butter, margarine, and safflower oil. Carbs – Avoid all carb- rich foods, including brown rice. Dairy – Full fat milk, full fat yogurt, frozen yogurt, ice cream, and cheese. Beverages – Alcohol, soda, sweetened drinks, fresh fruit juices or smoothies, and packaged fruit juices. Bored of eating the same veggies? Take a look at the substitute list to break the monotony. Substitutes. Potato – Sweet potato or carrots. Butter – Margarine or sour cream. Cabbage – Bok choy or celery. Lettuce – Leek. Cucumber – Carrots. Onion – Shallots. Carrot – Beetroot. Broccoli – Cauliflower. Bell Pepper – Zucchini. Cauliflower – Green beans. Useful Tip: Eating baked potatoes will help you go through this hard phase! You can also switch to cabbage soup or tomato soup and have it for lunch or dinner. As long as you stay active, you will keep many obesity- related diseases and heart diseases at bay. Check out the exercise regimen for Day 2. Exercises. A similar exercise routine as Day 1, but a slightly strenuous workout plan to help mobilize the fat. You may do these exercises early in the morning or in the evening after office or school. Surya Namaskar (click here to see the steps to perform Surya Namaskar). Kapalbhati – 5. 0- 1. Baddhakonasana or cobbler pose – 2 sets of 2. Adho Mukha Shvanasana or downward facing dog pose – 2- 3 minutes. Rope jumping – 2 sets of 5. Arms circles – 1 set of 1. Wrist rotation – 1 set of 1. Shoulder rotation – 1 set of 1. Neck rotation – 1 set of 1. Face exercises. Warning – Avoid doing certain yoga asanas or pranayamas if you have an injury. Please consult your doctor or trainer to know the best yoga asanas for you. How You Will Feel By The End Of Day 2. You may start to feel weak from late afternoon on Day 2. Do not worry, this is normal with most low- calorie diet plans. Your body will not get the usual amounts of carbs and hence will react by making you feel slow and weak. Let’s move on to Day 3 and see what’s in store! Back To TOCGM Diet Plan Day 3. You Will Need. A combination of fruits and vegetables. You could stick to the fruits and vegetables consumed during the first two days. The only foods to avoid are potatoes and bananas. What You Have To Do. On the third day, your body would have almost adjusted to the new diet. After a day of eating just vegetables, fruits will bring a welcome break. It will also combine the benefits of both fruits and vegetables, and provide you with high fiber, nutrient, and protein. Here is the diet plan that you will follow on Day 3 of the GM diet plan. A Schedule You Could Follow. Breakfast. 8 am – 9 am)Half a bowl of cantaloupe or a sliced apple and two glasses of water. Brunch(1. 1 am – 1. Half a sliced pineapple or a pear and two glasses of water. Lunch (1: 3. 0 pm – 2 pm)A salad of cucumber, carrots, and lettuce with two glasses of water. Post Lunch Snack(4 pm – 5 pm)An orange with half a sliced cantaloupe and a glass of water. Evening Snack (6: 3. A pear and a glass of water. Dinner(8 pm – 9 pm)Boiled broccoli and beets with two glasses of water. Why This Works. The combination of fruits and vegetables on the third day allows your body to replenish itself. 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![]() ![]() ![]() ![]() Urolithiasis . The recurrence risk is basically determined by the disease or disorder causing the stone formation. Accordingly, the prevalence rates for urinary stones vary from 1% to 2. In countries with a high standard of life such as Sweden, Canada or the US, renal stone prevalence is notably high (> 1. For some areas an increase of more than 3. Stones are often formed from a mixture of substances. Table 3. 1. 2 lists the clinically most relevant substances and their mineral components. Table 3. 1. 2: Stone composition. Chemical name. Mineral name. Chemical formula. Calcium oxalate monohydrate. Whewellite. Ca. C2. O4. H2. OCalcium oxalate dihydrate. Wheddelite. Ca. C2. ![]() O4. 2. H2. OBasic calcium phosphate. Apatite. Ca. 10(PO4)6.(OH)2. Calcium hydroxyl phosphate. Carbonite apatite. Ca. 5(PO3)3(OH)b- tricalcium phosphate. ![]() Whitlockite. Ca. 3(PO4)2. Carbonate apatite phosphate. Dahllite. Ca. 5(PO4)3. OHCalcium hydrogen phosphate. Brushite. PO4. 2. H2. OCalcium carbonate. Aragonite. Ca. CO3. Octacalcium phosphate. Ca. 8H2(PO4)6. 5. H2. OUric acid. Uricite. C5. H4. N4. O3. Uric acid dihydrate. ![]() Uricite. C5. H4. O3- 2. H2. 0Ammonium urate. NH4. C5. H3. N4. O3. ![]() Sodium acid urate monohydrate. Na. C5. H3. N4. O3. H2. OMagnesium ammonium phosphate. Struvite. Mg. NH4. PO4. 6. H2. OMagnesium acid phosphate trihydrate. Newberyite. Mg. HPO4. H2. OMagnesium ammonium phosphate monohydrate. Dittmarite. Mg. NH4(PO4). H2. OCystine. Highly recurrent disease is observed in slightly more than 1. Stone type and disease severity determine low- or high risk of recurrence (Table 3. Treatment of bladder stones is not discussed in these guidelines. X- ray characteristics. Stones can be classified according to plain X- ray appearance . Non- contrast- enhanced computed tomography (NCCT) can be used to classify stones according to density, inner structure and composition, which can affect treatment decisions (Section 3. ![]() Patients with ureteral stones usually present with loin pain, vomiting, and sometimes fever, but may also be asymptomatic . Ultrasound is safe (no risk of radiation), reproducible and inexpensive. It can identify stones located in the calices, pelvis, and pyeloureteric and vesicoureteric junctions (US with filled bladder), as well as in patients with upper urinary tract dilatation. Ultrasound has a sensitivity of 4. Kidney- ureter- bladder radiography should not be performed if NCCT is considered . However, KUB is helpful in differentiating between radiolucent and radiopaque stones and be used for comparison during follow- up. ![]() Pyelonephritis is a type of urinary tract infection that affects one or both kidneys. The condition is encountered in the acute and chronic forms, with further. Recommendation. LEGRWith fever or solitary kidney, and when diagnosis is doubtful, immediate imaging is indicated. A**Upgraded following panel consensus. Evaluation of patients with acute flank pain/suspected ureteral stones. Non- contrast- enhanced computed tomography has become the standard for diagnosing acute flank pain, and has replaced intravenous urography (IVU). ![]() Non- contrast- enhanced computed tomography can determine stone diameter and density. When stones are absent, the cause of abdominal pain should be identified. In evaluating patients with suspected acute urolithiasis, NCCT is significantly more accurate than IVU . Non- contrast- enhanced computed tomography can determine stone density, inner structure of the stone and skin- to- stone distance and surrounding anatomy; all of which affect selection of treatment modality . The advantage of non- contrast imaging must be balanced against loss of information on renal function and urinary collecting system anatomy, as well as higher radiation dose . In patients with a body mass index (BMI) < 3. CT has been shown to have a sensitivity of 8. A meta- analysis of prospective studies . Non- contrast- enhanced CT allows for rapid 3. D data acquisition including information on stone size and density, skin- to- stone distance and surrounding anatomy, but at the cost of increased radiation exposure. Low- dose and ultra- low- dose protocols seem to yield comparable results as standard- dose protocols with the exception of detection of very small stones or stones in obese patients . Intravenous urography may also be used. C*Upgraded based on panel consensus. Diagnostics - metabolism- related. Each emergency patient with urolithiasis needs a succinct biochemical work- up of urine and blood besides imaging. At that point, no distinction is made between high- and low- risk patients for stone formation. Table 3. 3. 1: Recommendations: basic laboratory analysis - emergency urolithiasis patients . However, if no intervention is planned, examination of sodium, potassium, C- reactive protein, and blood coagulation time can be omitted. Only patients at high risk for stone recurrence should undergo a more specific analytical programme . Stone- specific metabolic evaluation is described in Chapter 4. The easiest method for diagnosing stones is by analysis of a passed stone using a validated method as listed below (see 3. Once the mineral composition is known, a potential metabolic disorder can be identified. Analysis of stone composition. Stone analysis should be performed in all first- time stone formers. In clinical practice, repeat stone analysis is needed in the case of: recurrence under pharmacological prevention; early recurrence after interventional therapy with complete stone clearance; late recurrence after a prolonged stone- free period . Stone passage and restoration of normal renal function should be confirmed. The preferred analytical procedures are infrared spectroscopy (IRS) or X- ray diffraction (XRD) . Equivalent results can be obtained by polarisation microscopy. ![]() Chemical analysis (wet chemistry) is generally deemed to be obsolete . The risk for the child crucially depends on gestational age and radiation dose delivered. X- ray imaging during the first trimester should be reserved for patients in which alternative imaging methods have failed . However, normal physiological changes in pregnancy can mimic ureteral obstruction . The most common non- metabolic disorders facilitating stone formation are vesicoureteral reflux (VUR), UPJ obstruction, neurogenic bladder, and other voiding difficulties . Again, the principle of ALARA (As Low As Reasonably Achievable) should be observed. CASE: 24yoF presents with abdominal pain, nausea, vomiting, constipation x4 days. She has a history of SLE. Based on the following video, please answer these questions. Forecast your health care. Every time you have a symptom or are diagnosed of a condition, have you asked yourself: can I have forecast it, like weather? Homeopathic medicines for kidney stones are very effective in treating them. Berberis is for left side kidney stones and Lycopodium is for right side stones. A Handbook to seek information on Pediatric Surgery related topics. Created in March 2000 to help medical students and surgery residents learn basic principles of. Ultrasound. Ultrasound is the primary imaging technique . Its advantages are absence of radiation and no need for anaesthesia. Imaging should include both the fluid- filled bladder with adjoining portion of the ureters, as well as the upper ureter . However, the need for contrast medium injection is a major drawback. Helical computed tomography (CT)Recent low- dose CT protocols have been shown to significantly reduce radiation exposure . Sedation or anaesthesia is rarely needed with modern high- speed CT equipment. Magnetic resonance urography (MRU)Magnetic resonance urography cannot be used to detect urinary stones. However, it might provide detailed anatomical information about the urinary collecting system, the location of an obstruction or stenosis in the ureter, and renal parenchymal morphology . The addition of antispasmodics to NSAIDS does not result in better pain control and data on other types of non- opioid, non- NSAID medication is scarce . Patients receiving NSAIDs are less likely to require further analgesia in the short term. It should be taken into consideration that the use of diclofenac and ibuprofen increased major coronary events. Diclofenac is contraindicated in patients with congestive heart failure (New York Heart Association class II- IV), ischaemic heart disease and peripheral arterial- and cerebrovascular disease. Patients with significant risk factors for cardiovascular events should be treated with diclofenac only after careful consideration. As risks increase with dose and duration, the lowest effective dose should be used for the shortest duration . If an opioid is used, it is recommended that it is not pethidine. Prevention of recurrent renal colic. Facilitation of passage of ureteral stones is discussed in Section 3. For patients with ureteral stones that are expected to pass spontaneously, NSAID tablets or suppositories (e. Although diclofenac can affect renal function in patients with already reduced function, it has no functional effect in patients with normal renal function . Contrary to earlier findings, daily . The most recent SR and meta- analysis by Hollingsworth et al. Patients benefitting most might be those with larger (distal) stones. If analgesia cannot be achieved medically, drainage, using stenting or percutaneous nephrostomy or stone removal, should be performed. Recommendations. GRProvide immediate pain relief in acute stone episodes. AWhenever possible, offer a non- steroidal anti- inflammatory as the first drug of choice. There is no good quality evidence to suggest that ureteric stenting has more complications than percutaneous nephrostomy . The complications of percutaneous nephrostomy insertion have been reported consistently, but those of ureteric stent insertion are less well described . Definitive stone removal should be delayed until the infection is cleared following a complete course of antimicrobial therapy. A small RCT showed the feasibility of immediate ureteroscopic stone removal combined with appropriate antibiotic regimen; however, at the cost of longer hospital stay and higher analgesic requirements . The regimen should be re- evaluated in the light of the culture- antibiogram test. Although clinically well accepted, the impact of a second antibiogram test on treatment outcome has not yet been evaluated. Intensive care might become necessary . In patients with clinically significant infection and obstruction, drainage should be performed for several days, via a stent or percutaneous nephrostomy, before starting stone removal. Recommendation. GRObtain a urine culture or perform urinary microscopy before any treatment is planned. A**Upgraded following panel consensus. Perioperative antibiotic prophylaxis. For prevention of infection following ureterenoscopy and percutaneous stone removal, no clear- cut evidence exists . She has a history of SLE. Based on the following video, please answer these questions: Q1: Describe the renal findings on ultrasound. Q2: What is up with her LUQ view? Q3: What is the anechoic material on her abdominal views? Q4: Describe her bowels on ultrasound. Julia West and Dr. Iman Tamimi (MUSC Emergency Medicine). Enter the name for this tabbed section: Answer. Julia West and Dr. Iman Tamimi (MUSC Emergency Medicine). Based on the following video, please answer these questions: Q1: What pathology is noted on the ultrasound exam? Q2: What is the diagnosis? Q3: What physical exam findings are associated with this diagnosis? Enter the name for this tabbed section: Answer. Q2: What is the diagnosis? FLEXOR TENOSYNOVITIS. Q3: What physical exam findings are associated with this diagnosis? KANAVEL’S SIGNS: 1) PAIN WITH PASSIVE EXTENSION2) FINGER HELD IN FLEXION3) FUSIFORM SWELLING4) TENDERNESS ALONG THE TENDON SHEATHCase courtesy of Dr. Nick Ashenburg, 3rd year EM resident, Maine Medical Center. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 5. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 4. History of interstitial lung disease. QUESTION: What findings on ultrasound are suggestive of pulmonary fibrosis? Enter the name for this tabbed section: Answer. Transthoracic Ultrasound in the evaluation of pulmonary fibrosis: our experience. Ultrasound in Medicine and Biology 2. Case courtesy of Neal Kinariwala, MD, Upstate EM. SUSAN WILCOX & DR. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 2. RYAN BARNES (MUSC EMERGENCY MEDICINE). CASE #4. 1. LEANNE RADECKI (MUSC EMERGENCY MEDICINE). CASE #4. 0. There has been urine output in the foley bag, but less than usual. Watch the video below and simply answer the most pressing question: WHY DO THIS MAN’S NETHER- REGIONS HURT SO DARN BAD?? Based on the video below, attempt to answer the following questions: Question 1: What is the artifact you see? Question 2: What pathology does this likely represent? This case is courtesy of Dr. Terrill Huggins of the Division of Pulmonary and Critical Care Medicine at the Medical University of South Carolina. Adrian Goudie of Western Australia. Previous laboratory workup was unremarkable. Abdominal US positive for cholelithiasis without cholecystitis; abdominal CT otherwise negative for acute process. On exam, she was noted to have diffuse abdominal tenderness and a positive Murphy’s sign. Based on this exam, it is suspected that acute cholecystitis/choledocolithiasis may be present. To further evaluate her abdomen, a bedside RUQ scan was performed with a curvilinear probe. Based on the video below, attempt to answer the following questions: Q1 – What are the sonographic signs consistent with acute cholecystitis? Q2 – What rule of thumb is used to determine abnormal common bile duct size? Q3 –What abnormal findings can be seen in this exam? Q4 – What maneuvers can assist in detecting stones/gravel/sludge in the gallbladder? Q5 – How would you manage this patient? This case is courtesy of Dr. Alex Monroe and Dr. Owen Stell from the Medical University of South Carolina. Common bile duct distention > 5mm can be seen with choledocholithiasis, but is not included in the sonographic definition of acute cholelithiasis. Q2 – What rule of thumb is used to determine abnormal common bile duct size? Consider ERCP/MRCP for further evaluation of choledocholithiasis. Pearl: Currently, there is debate over the utility of common bile duct measurements in RUQ evaluation with ultrasound. In Becker et al’s Emergency Biliary Sonography: Utility of Common Bile Duct Measurement in the Diagnosis of Cholecystitis and Choledocholithiasis, it was discovered that that isolated CBD dilatation in the absence of other ultrasonographic or laboratory findings was a rare occurrence. Patient explains she is unable to flex her PIP or DIP. No active flexion of the PIP or DIP was noted but full range of motion of the MCP. Sensation was intact and capillary refill was less than 2 seconds. Based on exam, it was suspected that the laceration not only involved the skin and underlying soft tissue but possibly involved the tendon of both flexor digitorum profundus and flexor digitorum superficialis as well. To further evaluate the injury, the patient’s affected hand was submerged in a water bath and examined with the high frequency linear probe in a longitudinal orientation. Q1- What are the ultrasound findings of the normal finger? Q2- What are the pathologic findings of the affected finger? Q3- What maneuver can further investigate/clarify the injury? Q4- How do you manage this patient? This case is courtesy of Dr. Russ Allinder and Dr. Tony Congeni from the Medical University of South Carolina. Q2- What are the pathologic findings of the affected finger? The tendon is discontinuous with surrounding edema and a defect in the skin. There currently is little literature available concerning the role of ultrasound evaluation of flexor tendon injuries in the digits. In the literature that has been published, US has been found to be accurate, as well as cost and time efficient relative to MRI prior to surgery. The 2. 00. 8 article in The Journal of Hand Surgery (European Volume) titled “The Role of Ultrasound in the Management of Flexor Tendon Injuries” by Jeyapalan et al discusses ultrasound management for flexor tendon injuries including past publications on the topic, in their retrospective study of 1. Drew Johnson. He reports that his left testicle has become red, warm, swollen and painful over the last 2 days. A testicular ultrasound was performed. Q1- What are the ultrasound findings? Q2- Describe the vascular ultrasound findings. Q3- What is the diagnosis? Q4- How do you manage this patient? This case is courtesy of Dania Daye from the Hospital of the University of Pennsylvania. Enter the name for this tabbed section: Answer. Q1- What are the ultrasound findings? Ultrasound of the left testicle demonstrates testicular enlargement, heterogeneous echotexture and hyperemia. A reactive hydrocele is also appreciated. Q2- Describe the vascular ultrasound findings. Analysis of the spectral waveform demonstrates readily detectable venous flow. The resistive index of the arterial flow seems to be slightly less or in the vicinity of 0. Normal > 0. 5). The resistive index (RI) is defined as RI = (peak systolic volume – end diastolic volume)/peak systolic volume. In the testicles, a normal RI ranges from 0. In testicular inflammation, flow during diastole is brisk resulting in resistive index< 0. A resistive index > 0. With both arterial and venous flows present, no evidence of testicular torsion is appreciated. Q3- What is the diagnosis? The above findings are consistent with an inflammatory process, most likely epididymo- orchitis. The presence of venous and arterial flow excludes the possibility of testicular torsion. Q4- How do you manage this patient? The patient was started on a course of antibiotics. Patient was discharged home on a course of cephalosporins with a scrotal sling. He was instructed to follow- up with the urology clinic. Pain is constant. Q1: What findings suggest pregnancy, and more specifically, what findings ensure an intrauterine pregnancy? Q2: What do you see in these videos? This case is courtesy of the Hospital of the University of Pennsylvania. Enter the name for this tabbed section: Answer. Q1: A double decidual sign can be an early sign of pregnancy but it can be confused with a pseudo- gestational sac. Q2: A right adnexal ectopic is observed in the videos. See how ultrasound quickly established the right course of action. Run time is three minutes. How can ultrasound help you diagnose and hopefully save this man? You may play the interactive case video in either HTML5 (compatible with an i. Pad, but gotta have a GREAT wireless) or SWF (Flash, not i. Pad compatible) formats. She has not had a bowel movement for one week, and she feels if she can just have a good one, she will feel so much better. See how she almost dies right in front of us. This young woman comes in with constipation, but danger lurks in her abdomen. He played the legendary warrior . He felt a pop in his ankle and noticed immediate swelling at the back of his lower leg. His ultrasound demonstrates this injury within minutes of seeing the patient. If you miss the diagnosis, he will die. Click on the button below to see if you can keep from blowing him up. He is coughing and thinks he has a fever. He is so weak now he can barely make it to the bathroom. His CXR is read as a possible infection (but this is not what is going to kill him). However, an eyeball is basically a bag of water. And this makes it a perfect organ to image with ultrasound. The problem is they are not coming from the TV, but rather they seem to be in his right eye. His visual acuity is 2. You decide to use ultrasound to help you figure out the cause of his sudden loss of vision. Tonight he is miserable. He cannot stop vomiting, and he is in terrible pain. Click on the button below to see how you can make this case . On her first visit there were no significant findings on her physical examination. She had normal vital signs and was afebrile. A urinalysis and urine pregnancy test were negative, and she was sent home with a non- steriodal pain medication and told to follow up with her primary care physician. She returned ten days later complaining of the same pain without any relief. She had a hard time moving around and getting up to walk made it worse. VITAL SIGNSHR = 7. BP = 1. 25/7. 3, RR = 1. T = 9. 8. 0. STUDIES AND EXAMA urine pregnancy test and urinalysis done in triage were normal. Her physical exam was remarkable for no tenderness in her flank. There was some very mild tenderness on the anterior aspect of her left thigh, but no swelling or mass. She had good femoral, popliteal, and dorsal pedal pulses in this extremity. There was no other abnormality of the left leg. Her cardiovascular and pulmonary exams were normal. Her abdomen was slightly tender in the left lower quadrant with no peritoneal signs. Liver Cancer, Cirrhosis, Tumors, Treatment: American Liver Foundation. Explore this section to learn more about liver cancer, including a description of the disease and how it's diagnosed. Why is the liver important? The liver is the second most important organ in your body and is located under your rib cage on the right side. It weighs about three pounds and is shaped like a football that is flat on one side. The liver performs many jobs in your body. It processes what you eat and drink into energy and nutrients that it stores for your body to use. The liver also removes harmful substances from your blood. What is liver cancer? Liver cancer is the growth and spread of unhealthy cells in the liver. Cancer that starts in the liver is called primary liver cancer. Cancer that spreads to the liver from another organ is called metastatic liver cancer. About 3. 0,0. 00 Americans are diagnosed with primary liver cancer each year. Primary liver cancer is one of the cancers on the rise in the United States. Primary liver cancer is about twice as common in men than in women. What causes liver cancer? Cirrhosis is scarring of the liver after long-term damage. Cirrhosis of the liver is often caused by long-term alcohol abuse or hepatitis C infection. A brief discussion of eating tips for people with liver cirrhosis (from the Daily Living program on Diet and Nutrition), from the VA National Hepatitis C Program. This extremely helpful guide, called the “Fatty Liver Diet Guide” is an ebook that deals with every aspect and ramification of being diagnosed with fatty liver. Cirrhosis of the liver is a condition that results from permanent damage or scarring of the liver. CLF provides information of the causes of cirrhosis, the symptoms. Cirrhosis Definition. Cirrhosis is a chronic degenerative disease in which normal liver cells are damaged and are then replaced by scar tissue. Description. ![]() ![]() Cirrhosis Description. An in-depth report on the causes, diagnosis, treatment, and prevention of cirrhosis. Causes of Cirrhosis. Cirrhosis is a liver. Cirrhosis is a potentially llife-threatening condition that occurs when inflammation and scarring damage the liver. No treatment will cure cirrhosis or repair. Learn about cirrhosis of the liver symptoms including jaundice, fatigue, weakness, loss of appetite, itching, and easy bruising. There are several risk factors for liver cancer: Long- term hepatitis B and hepatitis C infection are linked to liver cancer because they often lead to cirrhosis. Hepatitis B can lead to liver cancer without cirrhosis. Excessive alcohol use. Obesity and diabetes are closely associated with a type of liver abnormality called nonalcoholic fatty liver disease (NAFLD) that may increase the risk of liver cancer, especially in those who drink heavily or have viral hepatitis. Certain inherited metabolic diseases. Environmental exposure to aflatoxins. What are the symptoms of liver cancer? Symptoms may include fatigue, bloating, pain on the right side of the upper abdomen or back and shoulder, nausea, loss of appetite, feelings of fullness, weight loss, weakness, fever, and jaundice (yellowing of the eyes and the skin). How is liver cancer diagnosed? A physical examination or imaging tests may suggest liver cancer. To confirm a diagnosis, doctors may use blood tests, ultrasound tests, computed tomography (CT) scans, magnetic resonance imaging (MRI), and angiograms. Your doctor may also need to do a liver biopsy. During a biopsy, a small piece of liver tissue is removed and studied in the lab. How is liver cancer treated? Liver cancer treatment depends on: The liver's condition. The size, location and number of tumors. If the cancer has spread outside the liver. The person's age and overall health. Treatment options if the cancer has not spread and the rest of the liver is healthy are: Transplant If the cancer has not spread, for some patients a liver transplant (replacement of the liver) may be an option. Surgery If the cancer has been found early and the rest of the liver is healthy, doctors may perform surgery to remove the tumor from the liver (partial hepatectomy). Radiofrequency Ablation Radiofrequency ablation uses a special probe to destroy cancer cells with heat. Other treatment options if surgery and transplant are not possible include: For cancer that has not spread outside the liver: Cryosurgery uses a metal probe to freeze and destroy cancer cells. Bland embolization or chemoembolization are procedures in which the blood supply to the tumor is blocked, after giving anticancer drugs (chemoembolization) and one without (bland embolization). Both are given in blood vessels near the tumor. Radiation therapy Radiation therapy uses radiation (high- energy x- rays) to destroy cancer cells. For cancer that has spread outside the liver: Oral medication is available for use in some cases of hepatocellular carcinoma (the most common type of primary liver cancer). Clinical trials may be an option for some patients. Talk to your doctor about other options that may be available. What is the outlook for patients with liver cancer? A successful liver transplant will effectively cure liver cancer, but it is an option for only a small percentage of patients. Surgical resections are successful in only about one out of three cases. However, scientists are experimenting with several promising new drugs and therapies that could help prolong the lives of people with liver cancer. Click here to learn more about the progression of liver disease. What is the best way to reduce the risk of liver cancer? Steps to reduce the risk of liver cancer include: Regularly see a doctor who specializes in liver disease. Talk to your doctor about viral hepatitis prevention, including hepatitis A and hepatitis B vaccinations. Take steps to prevent exposure to hepatitis B and hepatitis C. You can find out more about how to prevent hepatitis B here, and how to prevent hepatitis C here. If you have cirrhosis or chronic liver disease, follow your doctor's recommendations for treatment and be screened regularly for liver cancer. If you are overweight or obese, diabetic, or drink heavily, talk to your doctor. Back to top. Page updated: December 6th, 2. Liver cirrhosis - my. Dr. com. au. What is cirrhosis of the liver? Cirrhosis is a type of severe and irreversible liver disease caused by long- term liver damage. Healthy liver tissue is progressively replaced by scar tissue in a process called fibrosis. The scar tissue damages the normal structure of the liver, which in turn affects the flow of blood through the liver. Without proper blood flow, the liver can’t carry out its normal functions. As scar tissue builds up, the liver itself becomes distorted, hard and lumpy. Cirrhosis increases the risk of developing liver cancer, which is the most rapidly rising cause of death from cancer in Australia. Why is a healthy liver important? The liver is the body’s largest organ and is essential to keep the body functioning properly. The liver carries out many important tasks, including: Producing bile to break down fats. The liver becomes inflamed in an attempt to heal the damage. This repeated cycle of inflammation and healing results in severe scarring of the liver. Cirrhosis of the liver can be caused by a variety of factors, including: Long- term heavy drinking of alcohol – It usually takes about 1. However, women can develop cirrhosis with a daily intake of 2- 3 alcoholic drinks a day, which might not be considered by some people to be . Similarly, men who have 3- 4 alcoholic drinks a day can also eventually develop cirrhosis; Chronic viral hepatitis types B, C and D – Several different types of viruses can cause inflammation of the liver. If not treated, the liver becomes progressively more damaged and this can result in cirrhosis after several decades; Non- alcoholic fatty liver disease – In this condition, fat accumulates in the liver, which causes inflammation and cirrhosis. This disorder is becoming increasingly common due to the high level of fat in our diets and the increase in conditions such as obesity, high blood pressure, high cholesterol and diabetes; Haemochromatosis – This is one of the most common inherited disorders in Australia. Too much iron is absorbed by the body and the excess is deposited in the liver and other organs; Wilson’s disease – This is a rare inherited disorder where excessive amounts of copper are absorbed in body tissues, particularly the liver; Other inherited metabolic disorders – Certain disorders (such as cystic fibrosis) interfere with the body’s metabolism and change the way the liver stores particular substances. These disorders can result in cirrhosis; Autoimmune hepatitis – This condition is due to a problem with the body’s immune system. The immune system mistakenly recognises its own liver cells as . If the bile ducts become blocked due to scarring or inflammation, bile backs up in the liver and damages the liver tissues, which can lead to cirrhosis. Primary biliary cirrhosis is a disease of adults where the bile ducts become damaged. Biliary atresia affects babies that are born without bile ducts, or the bile ducts are damaged, causing a build- up of bile in the liver; Toxic hepatitis – This is rare and is caused by severe reactions to medicines (such as paracetamol overdose), toxins or chemicals; Chronic congestive heart failure with liver congestion – Repeated episodes of congestive heart failure with liver congestion can cause cirrhosis of the liver; or. Cirrhosis of unknown origin – In about 1. This type of cirrhosis is called cryptogenic cirrhosis. What are the initial symptoms of cirrhosis? In the early stages of liver disease, there may be no symptoms at all, or only minor, non- specific changes such as: Loss of appetite; Weight loss; Tiredness and weakness; or. Nausea (feeling sick). Later symptoms and problems. As cirrhosis progresses and liver function decreases, other symptoms can develop, including: Ascites – This is a build- up of fluid in the abdominal cavity. It occurs because the damaged liver cells can’t make as much protein as normal, which leads to fluid being retained in the body. Increased blood pressure in the veins taking blood from the intestines also causes fluid to leak into the abdominal cavity. In addition, fluid can build up in the legs (especially the lower legs), where it is known as oedema; Bruising and bleeding – You may bruise more easily because the liver can no longer produce enough proteins that are needed to clot the blood after an injury; Intense itching – This is due to bile products being deposited in the skin; Jaundice – The scarring of the liver causes an increase in blood levels of a coloured pigment called bilirubin that is normally secreted by liver cells. This leads to yellowish discolouration of the skin and the white part of the eyes; Spider naevi – These are enlarged or swollen blood vessels in the skin with a spidery appearance. They can often be seen on the face and chest of people with cirrhosis; Gallstones – These small gritty deposits can occur in cirrhosis because not enough bile is being secreted from the liver, so not enough bile reaches the gallbladder; Reddening of the palms of the hands; Enlarged breast tissue in men – This occurs because the damaged liver cells can no longer break down the hormone oestrogen properly, so levels build up and lead to swelling of the breast tissues (doctors call this gynaecomastia); Psychological changes – A liver damaged by scarring can’t effectively filter toxins. A build- up of toxins in the blood – particularly ammonia – can cause psychological changes (this is called hepatic encephalopathy). At first, the changes may be mild, such as poor concentration, forgetfulness, confusion or not being able to complete simple tasks. But as cirrhosis progresses, they may progress to significant personality changes or even falling into a coma; Sensitivity to medicines – Most medicines taken by mouth are absorbed from the digestive tract into the bloodstream. They then pass through the liver. When the liver is damaged by cirrhosis, it does not filter medicines as effectively. This can lead to the build- up of medicines in the body, which may increase side effects from medicines; Swollen blood vessels – Veins in the oesophagus (food pipe) can become swollen due to an increase in pressure in the vein that supplies blood to the liver. The scarring of liver tissue makes it harder for blood to flow through the liver, so the blood pressure increases. Blood backs up in surrounding small veins that line the stomach and oesophagus and they become swollen. These small veins are fragile and can burst if the pressure becomes too great, which can lead to internal bleeding. Bleeding into the stomach may cause vomiting of blood, while bleeding into the intestines may result in dark, tar- like bowel movements (faeces). How is cirrhosis diagnosed? It’s important to diagnose liver disease (including cirrhosis) as early as possible. By the time major symptoms appear, there has already been significant damage to the liver and the condition becomes harder to treat. Your doctor can usually diagnose cirrhosis by: Asking about your symptoms and how they have developed; Doing a physical examination – Your doctor can feel whether your liver is enlarged by gently pushing on your belly. If your doctor thinks it might be cirrhosis, other tests might be requested, including: Blood tests to check how well your liver is working; Scans of your liver – such as a CT scan, MRI scan or regular ultrasound scan – to . As the liver becomes progressively more damaged, the liver tissue becomes stiffer. The scan is painless and doesn’t involve needles or invasive instruments, and only takes 1. A probe is placed on your lower chest, above the liver. The probe sends out a vibration wave (a pulse) that bounces off the liver. The reflected wave can tell your doctor how stiff your liver is. The stiffer your liver, the more likely that your liver has fibrosis or cirrhosis. Your liver is given a score, which is usually interpreted in the context of what sort of liver disease you have: 2. Fibroscan is increasingly being used to diagnose cirrhosis as a painless alternative to a liver biopsy. The scan can also be used to track the progression of liver damage over time. Fibroscan results are also important when determining the most appropriate treatment for hepatitis C. How is cirrhosis treated? There is no cure for cirrhosis. The condition can be fatal if liver damage is severe, but it generally takes years to reach this stage. Cirrhosis is irreversible, so the treatment aims to stop the disease from getting any worse. The treatment you are offered will depend partly on the cause of your cirrhosis: Cirrhosis due to too much alcohol – If you are a heavy drinker, you will need to stop consuming alcohol. Your doctor will be able to provide you with a comprehensive plan to help you quit drinking. The outlook for your disease is not good if you continue to drink, whereas the benefits of stopping are enormous. You will halt the progression of the disease from day one and will also feel much better. Talk to your doctor today. There are many methods available to help you; Cirrhosis due to viral hepatitis – You may be treated with anti- viral drugs to reduce permanent damage. Treatment of hepatitis B and C in the early stages is increasingly successful at preventing cirrhosis. New treatments for hepatitis C have recently become available in Australia that are more effective and easier to take compared to previous medicines; Cirrhosis due to fatty liver disease – Weight loss and taking medicines to control other conditions (such as diabetes and high blood pressure or cholesterol) are useful; Cirrhosis due to haemochromatosis - Venesection, the drawing of blood, is the treatment to prevent further damage. Autoimmune hepatitis – Medicines that decrease inflammation (such as corticosteroids) or damp down the immune system (such as immunosuppressants) may be prescribed; or. Cirrhosis due to Wilson’s disease – This is treated with medicines to remove excess copper from the body. Using Yogurt For many people, yogurt is tasty enough when eaten straight from the cup. But if you'd like more ideas to incorporate yogurt into your meals and snacks. Your daily values may be higher or lower depending on your calorie needs. Summer Berry Parfait with Yogurt and Granola Recipe. 10 m; Ready In. 10 m; Layer 1/4 cup strawberries, 1/4 cup blueberries, 1/3 container yogurt, 1/3 tablespoon wheat germ, 1/3 of the sliced banana, and about 2.Ways to Make a Fruit and Yogurt Smoothie. For digestion reasons, it's best to have watermelon separate. Start with your greens (spinach, kale, cucumber, lettuce, basically any greens), blend that up first with some water just to make sure it's all smooth before adding the remaining ingredients. Recipe: Fruit Salad with Yogurt A fruit salad is always a great way to enjoy fresh fruit. Toss together pineapple, strawberries, grapes, mangoes, and raspberries, a. Creamy, delicious low-fat vanilla yogourt topped with yummy strawberries, blueberries and granola crunch: a cup of pure pleasure. What's tasty, easy, and has lots of health benefits? Photo Credit Shana Novak/Photodisc/Getty Images. The yogurt diet is used by European women to lose weight, effectively. Start now with natural, sugar free yogurt. Learn practical ways to use yogurt as a substitute. Yogurt, yoghurt, or yoghourt (/ Then you throw in the pineapple and apple, and voila. For more nutrients, add a teaspoon of spirulina powder. Swelling Batteries Prompt Extension on Apple Watch Warranty. Apple is pretty great about honoring its warranties and even recently changed its policy on fourth generation i. Pads to allow for an upgrade if something’s wrong with the device. Now, the Cupertino computing giant is giving customers an extra two years of coverage in case that expensive watch face pops off. If you’ve held back on getting the latest i. Pad since 2. 01. 2's fourth generation, you could be in . Users have reported issues and posted photos on Reddit, Apple’s official support forums, and Twitter. Here’s what it looks like when that battery swells up. An internal email to Apple Authorized Service Providers was first obtained by 9to. Mac that notifies specialists of the warranty extension. The full warranty will now cover the Apple Watch for three years instead of one. That’s just in time for the second anniversary of the first generation of the device. Since Apple has not made a formal announcement to consumers, the battery swelling issue is not believed to be widespread. It appears that the company is simply playing it safe and getting ahead of any negative reports by ensuring that a repaired or replacement device will be available for anyone who experiences that telltale cracking in the display. Users should not necessarily be worried about Samsung Note 7 style explosions. Battery swelling can be caused by overcharging, overheating, and other damage that occurs. It doesn’t appear that the Apple Watch will suddenly set your wrist on fire. So, if you have an Apple Watch that’s getting older or is already broken, you may have just gotten a new lease on its life. ![]() ![]() ![]()
Sounds bad, right? The media thought so, and many ate the dramatic prediction up uncritically, with headlines declaring that climate change will turn you into an. Apple is pretty great about honoring its warranties and even recently changed its policy on fourth generation iPads to allow for an upgrade if something’s wrong. ![]() ![]() Find the latest sports news and articles on the NFL, MLB, NBA, NHL, NCAA college football, NCAA college basketball and more at ABC News. Avail special offers by Aesthetics International Dubai for great savings on Plastic surgery,cosmetic surgery, wellness services and many more. ![]() ![]() ![]() Bridesmaids Script at IMSDb. UpdateStar is compatible with Windows platforms. UpdateStar has been tested to meet all of the technical requirements to be compatible with Windows 10, 8.1, Windows 8. Create custom t-shirts and personalized shirts at CafePress. Use our easy online designer to add your artwork, photos, or text. Design your own t- shirt today! ![]() ![]() What Are You Playing This Weekend? The weekend is for press conferences about video games. Also, maybe playing some video games, but probably just hearing about new ones.
To be honest, I will be spending the weekend arranging a complex multi- monitor setup to cover E3 press conferences in all their glory, so I will probably not have much time for games. But if I do, I’ll probably dip back into Overwatch (still hoping for those dance emotes!), in which I’ve lately been playing as Orisa, much to my own surprise. ![]() ![]() I’ll also maybe play some more Battlegrounds, which is way more fun in squads than alone. What about you? What are you playing? ![]() Ian Smith, a diet expert, appeared on . This is going to be an exciting journey, but before you go any further, you must agree that during the next four weeks you will absolutely give your best effort to stick to the plan, minimize excuses, and keep pushing yourself even when you're discouraged or things seem difficult. The first week is critical, as it sets up your chances for success for the remaining three weeks. This is why it is called your Foundation week. You will build upon this week, and it's important to create your good habits now so they will carry you through the rest of the program. The more work you put in, the better the results you will get out. Because time is limited, you really need to hit the ground running. UPDATED 7/23/13: We are happy to announce that we have updated our most-read article, 40 Easy Paleo Diet Snacks, into the bigger, better, and tastier 99 Awesome Paleo. Tips to keep your grocery cart slim Staying slim starts at the grocery store. Here’s how to make it easy. Each day you stick to the program is one day you get closer to your goal. Each day you overeat, skip more than one meal, or eat food that's not on the daily menu is considered a slip, and it takes you backward, away from your goal. If you slip when you are less than halfway through the week (days 1 to 3), go back to the beginning of the week. If you slip on any of days 5 to 7, just go back one day and do it again. If you slip on day 4, do day 4 again.
Minor slips, such as having one extra small snack or eating your meal 3. No one is perfect and you're not expected to be. But at this point you will know if you had a major slip or just a minor slip. Not being honest about it only affects you and your results, so you are cheating no one but yourself and the results you will achieve by the end of the week. Timing is essential, as it distributes your calories in a way that keeps your fat- burning metabolism maximized and keeps your insulin hormone levels as stable as possible. Erratic hormone levels can cause weight gain, so the meal spacing structured in this program seeks to avoid hormone spikes as much as possible. Please note that this is only a sample. All of us get up and go to sleep at different times, so you have to set your schedule accordingly. If you keep in mind that the meals are 3 to 4 hours apart and the snacks are 1. Awake. 8: 3. 0 A. M. Meal 1. 1. 0: 0. A. M. Snack 1. 1. A. M. Snack 2. 1. ![]() P. M. Meal 2. 4: 3. P. M. Meal 3. 7: 3. P. M. Meal 4. Make sure you read all of the guidelines before beginning the plan, and since they are so short and convenient, feel free to circle back at any time during the week to check on things that you might have a question about. If your question still isn't answered, err on the side of caution by eating less or not eating a food that might not be allowed on the plan. Remember, we don't have a lot of time to lose this weight, so making good decisions is critical. It's okay to set the bar high, but it's not okay to make choices that are going to sabotage your chances of success. Regardless of what that number reads on the scale at the end of this week, if you gave it your best shot, that is the best you can do and that's the most you can ask of yourself. You still have three more weeks to produce results, so don't get upset and hang your head. We all lose weight at different speeds and in different places. Don't compare yourself to anyone else. Work really hard! Load digital coupons to your MVP card or print coupons at home and start saving today. Click here to view our coupons! Your local grocery store is packed with thousands of options, some of them good for you, othersnot so much, despite what their labels might claim. Smile and have lots of fun, especially during the tough times! SUPER SHRED Week 1 Grocery List. This is a list that takes into consideration the different combinations of food and beverage items offered to you this week. Because the program has a lot of flexibility and choices, no one list can be constructed for everyone. In the list below you will find food and beverage opportunities. You can make the choices that fit your preferences and purchase accordingly. Note that there are some items that you must have. You should be sure to buy them so that you will have them on hand when the program calls for them. If you are a vegetarian, you don't need to eat the meat meals. Make appropriate substitutions, but be mindful of calorie counts. This can be a combination of berries and other fruits. Choose your combination from this list. Water is not included; you may have as much as you want. Choose your combinations from the list below. ![]() Then purchase your choices for the week. Those opportunities are listed below. You should choose which of these you want, then purchase accordingly. You will have other vegetable opportunities. If you choose them, purchase accordingly. Choose from the list below. But note the maximum number of servings you may have for each option. Make your choices from the list below, mixing them up. Remember, you must have at least 4 servings. For example, you can choose to have 3 pieces of lean beef, 1 piece of chicken, and 1 piece of fish. But you can't have 5 pieces of lean beef. You can have 3 total. Remember, snacks are encouraged, but optional. Each item must be 2. Choose the combination that you desire and purchase accordingly. Choose which of them you want, then purchase accordingly. You can choose all or none of them. ![]() You will weigh yourself only once a week, so even if you are tempted, stay off the scale. Your body naturally fluctuates a couple of pounds from day to day. Measuring yourself every day could give you an inaccurate weight and unnecessarily stress you and lead you to believe you're not succeeding. Your next weigh- in will be exactly a week from your initial weigh- in. Make sure you weigh yourself in the same manner each time: if you weighed in wearing certain clothes or no clothes at all, make sure you do the same the second time around and as close to the same time of the day. Make sure you use the same scale both times, as different scales can be off by several pounds, thus destroying the accuracy of your mea sure. Even if you're not hungry, just have something during the allotted time. You can always grab a piece of fruit or something small during your mealtime. Also, you don't have to eat all of the meal. 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.![]() You can eat just some of it. If you're not hungry, don't stuff yourself. Just eat a little. The key is to eat at regularly scheduled times so that your body grows accustomed to these eating times. Each week will change, so it's important to quickly adapt to the week that you're in and its related schedule. During the course of the week you should never go more than 4 hours without eating something. Your meals should be 3 to 4 hours apart. Your snacks should fall about 1. If you miss a meal or snack, you can't save it and eat it later or combine them. Once that time has passed, move on and hit your next mark. If you follow the recipes in the back of the book, they will fi t this description. If you buy them from a store, be sure of the calorie count. Also, be mindful of the serving sizes of the drinks. If the recipe makes more than one serving, be sure you drink only one at that time. If the store- bought product contains more than 1 serving, just drink the equivalent of 1 serving and refrigerate the rest for next time. The SHRED BARs and SHRED POP popcorn are suggested for many of your snacks, as they are specifically made with all the nutritional guidelines in mind. However, you may have other snacks as long as they fall under the proper calorie count. There is plenty of diversity when it comes to snacks, so take advantage of it. But make sure you look at the sodium content: no more than 4. Be mindful of the serving size. For the purpose of this plan, 1 serving is equivalent to 1 cup, whether you eat store- bought soup or make it fresh. You may have 1 saltine cracker with your soup. Stay away from all those fancy coffee preparations- lattes, Frappuccinos, coffees that pile on the calories. A tablespoon of sugar and a little half- and- half or milk won't hurt, but don't go overboard. Keep your coffee clean. Please be aware of added ingredients. Make sure they are either packed in water or labeled . Make sure you check the sodium levels, as they can be quite high: try to keep the amount to 4. Just make sure it says . Note serving sizes: 1 beer = 1. Also, you can't have them all in one day, so there's no saving them up for a big hit during the weekend. Liquid calories are stealthy and count just as much as food calories! And they definitely cause weight gain! Regular soda is not recommended. If because of circumstances you're eating late and know you're going right to bed, then consume half the meal. Salt is not a spice. You are allowed to add no more than . But make smart substitutions and be mindful of the portion sizes. A serving of vegetables is typically the size of an adult's fist. A serving size of hot cereal is 1 cup of cooked cereal. Choose from the following, though you may choose others: pear, apple, . Your choice must not exceed 2. Good choices are chicken noodle, vegetable, lentil, chickpea, split pea, black bean, tomato basil, minestrone. Always be careful of sodium content! You may include a few olives, shredded carrots, and . Only 3 tablespoons of fat- free dressing, no bacon bits, no croutons. Try to choose a different beverage from the one you chose in meal 2. Try to choose a different beverage from the ones you chose in meals 2 and 3. If you want to do more, all the better! Work as hard as you can! The key is to avoid doing steady- state exercise such as walking on the treadmill at the same speed and same incline for a period of time. Instead, try to vary your speed, your incline, the distances you cover. The goal here is to do high- intensity interval training. Martin's Press, LLC. BONUS RECIPESButternut Squash and Apple Soup. Ingredients. 2 tablespoons unsalted butter 1 red onion or other sweet onion, peeled and chopped 1 large clove garlic, peeled and smashed 1/8 teaspoon ground nutmeg 1 cup cubed, peeled apple (Fuji or Gala) 2 pounds butternut squash, peeled and cubed 3 cups low- sodium chicken stock 1 teaspoon ground cumin . Sprinkle the nutmeg on the apples and add to the saucepan. Stir constantly for 2 minutes. Add the squash, stock, and cumin, and bring to a boil. Reduce heat and let simmer until the squash is tender. Transfer to a food processor or blender, add the evaporated milk, and pur. Return to saucepan and let simmer on very low heat for 5 minutes. Calorie Menu, 7 day diet plan,free weekly diet meal plan. Day Menu Plan. Day. Day. 2Day. 3Day. 4Day. Day. 6Day. 7- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- 1. I'm here to say I been on an 800 calorie diet for 4 months the Optifast diet and I have lost 57 lbs. Includes: key myplate recommendations, is a 1,200-calorie myplate diet right for me?, myplate 1,200-calorie meal plan, sample myplate menus for a 1,200-calorie diet. Calorie Menu is 7- day diet plan only for those obese people who just began their lose- weight diet meal plan, or those who want to lose weight fast and slim in short term. As a normal person needs at least 1. Calories to keep basic activities each day, so no matter what conditions you are in , you shouldn't try this diet menu for above 2 weeks. Calorie Menu Nutrition and Heat Information Table. Cindy, where in the world did you get the impression that this was their entire dinner? My kids eat healthy, balanced meals. Just because 20 calorie noodles were a. Pregnancy and the Vegan Diet. Little ones with big appetites can enjoy themselves at Corner Bakery Cafe. Food. Weight(g)Protein(g)Fat(g)Carbohydrate(g)Heat(kcal)Cereal. Fruit Juice. 20. 0,a cup- -- -2. Milk/Soybean product. Egg. 45, one average. Lean Meat /fish. 50, (1. Vegetable. 25. 0- -- -1. For people who don't know where to start when it comes to a calorie controlled diet, these sample plans by Dietitian, Juliette Kellow Juliette Kellow will point you. Questions and answers about the high-calorie diet that fuels the Olympic swimmer's championship performance. 1200 Calorie Diet Menu for 7 Days. Consult your doctor before starting this 1200 calorie diet menu or any other weight loss program. We provide you with a 7 day. Ketogenic Diet 7-Day Meal Plan. A lot of people have been asking me what a good keto diet menu would look like. I'm happy to share this 7-Day Ketosis menu with you. Oil. 15- -1. 5- -1. Total- -3. 4. 3. 26. Heat- -1. 37. 2. 23. Heat%- -1. 3. 7%2. Calorie Menu- free one week diet plan(measure unit exchange,conversion: 1ounce=3. For detail diet recipes,pls click each day's first column on the left of the table. Interesting is, this diet food structure is the same as that of American Food Pyramid. In traditional Chinese regimen, porridge nourish human being most, especially for patient. ![]() Here is a story about how grain porridge saved a young man's life. Long long ago, if a man wanted to become a government officer, he must take part in an examination called . He was anxious and melancholy,and laid down at last. Many doctors used many different kinds of medicine and treatment, but it seemed no one can save him. He was too weak to get up and couldn't eat any food,almost die. At last his family asked help for the most famous doctor in the country. After taking a look,the doctor gave his prescription: don't ask the patient to take any medicine, cook grain porridge, let the patient to eat porridge several times a day. Though the patient's family doubted his prescription's effect,they had no choice but take a try. A few days later after eating porridge, miracle happened. The patient began to feel hungry and want to eat food. You know when a dying patient begins to eat food,he has the hope to survive. Needless to say the young man got well at last. So often eating grain porridge is good to our health. And it's easy to make. Just put all the grains you can find together,such as rice,millet,brown rice,barley,oat,corn,buckwheat,Job's Tears,small red bean,kidney bean,peanut,sweet potato,etc. Or you can buy the cooker especially for cooking porridge. Put all the grains and water in the cooker before sleep for the first night. In the morening of the second day, you can eat very delicious porridge. Or do it before you go to work in the morning, and eat after you come back from work. Here fruit juice is fresh,1. No sugar, no honey, just fruit. Further more, fresh fruit juice can be absorbed well in the morning. Morning(eating) fruit is gold, afternoon fruit is silver and evening fruit is copper. A cup of 1. 00% pure fresh fruit juice in the morning can make you feel full of energy in the whole day. According to traditional Chinese medicine theory,human's metabolism is very active in the morning,and gradually inactive after 4pm. So if you intake very less heat after 4pm while exercising 4 hours each day(When others are having their dinner,you are doing exercise. And you won't feel hungary because you already eating the whole day's food before 4pm). You'll no doubt lose weight sooner or later while keeping very good habit and health. If you don't know how to cook or are busy, you may ask a local Chinese restaurant to cook for you. Or you may hire a Chinese student to cook for you. Return from 1. 00. Calorie Menu back to Obesity Diet Recipes. Return from 1. 00. Calorie Menu back to Healthy Chinese Recipe homepage. For more healthy Chinese Recipes, Pls subscribe our . It's not only about healthy chinese recipes, but it's more about healthy life style : Your first paragraph ..- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -Share This Page- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -- -Do you have a great story about this? |
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