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Oz's Mediterranean Diet Shopping List. Your Video is Loading. Dr. Oz has told you how the Mediterranean Diet is both healthy and delicious, but financial expert Farnoosh Torabi reveals that it can also save you more than $1,0. Making easy swaps like using frozen veggies or buying nuts in bulk can allow you to eat nutritious and healthy foods without breaking the bank. Print this shopping list and start the Mediterranean Diet today. Learn more about the Mediterranean Diet. The DASH Diet Weight Loss Solution by Marla Heller MS RD (2012): Food list. The DASH diet isn't only about a reduction in salt intake, but also a therapeutic eating approach in the management of blood cholesterol, blood pressure, insulin. DASH Diet Foods for High Blood Pressure (Hypertension)One of the steps your doctor may recommend to lower your high blood pressure is to start using the DASH diet. DASH stands for Dietary Approaches to Stop Hypertension. The diet is simple: Eat more fruits, vegetables, and low- fat dairy foods. Cut back on foods that are high in saturated fat, cholesterol, and trans fats.
Eat more whole- grain foods, fish, poultry, and nuts. Limit sodium, sweets, sugary drinks, and red meats. In research studies, people who were on the DASH diet lowered their blood pressure within 2 weeks. Another diet - - DASH- Sodium - - calls for cutting back sodium to 1,5. Studies of people on the DASH- Sodium plan lowered their blood pressure as well. Starting the DASH Diet. The DASH diet calls for a certain number of servings daily from various food groups. The number of servings you require may vary, depending on how many calories you need per day. You can make gradual changes. For instance, start by limiting yourself to 2,4. Then, once your body has adjusted to the diet, cut back to 1,5. These amounts include all sodium eaten, including sodium in food products as well as in what you cook with or add at the table. Dash Diet Tips. Add a serving of vegetables at lunch and at dinner. Add a serving of fruit to your meals or as a snack. Canned and dried fruits are easy to use, but check that they don't have added sugar. Use only half your typical serving of butter, margarine, or salad dressing, and use low- fat or fat- free condiments. Drink low- fat or skim dairy products any time you would normally use full- fat or cream. Limit meat to 6 ounces a day. Make some meals vegetarian. Add more vegetables and dry beans to your diet. Instead of snacking on chips or sweets, eat unsalted pretzels or nuts, raisins, low- fat and fat- free yogurt, frozen yogurt, unsalted plain popcorn with no butter, and raw vegetables. Read food labels to choose products that are lower in sodium. Continued. Staying on the DASH Diet. The DASH diet suggests getting: Grains: 7- 8 daily servings. Vegetables: 4- 5 daily servings. Fruits: 4- 5 daily servings. Low- fat or fat- free dairy products: 2- 3 daily servings. Meat, poultry, and fish: 2 or less daily servings. Nuts, seeds, and dry beans: 4- 5 servings per week. Fats and oils: 2- 3 daily servings. Sweets: try to limit to less than 5 servings per week. How Much Is a Serving? When you're trying to follow a healthy eating plan, it helps to know how much of a certain kind of food is considered a . Steinbaum, MD on April 0. Sources. SOURCES: National Heart, Lung, and Blood Institute: . All rights reserved. AOL Food - Recipes, Cooking and Entertaining. Eggs, butter (or oil), water. Heat, beat, bake. Enter your email address to receive new posts via email: Follow Me! Looking for Something? To our Visitors. We're pleased that you are visiting one of the oldest, most reliable and comprehensive home cooking sites. We hope you enjoy our collection of over. Crock-Pot Irish Soda Bread If you just stopped by from A Grande Life, welcome to the next stop on the St. Patrick's Day Blog Carnival! This is a Crock-Pot Irish Soda. This is one of my favorite cakes, it is so moist. The great thing is you can use any kind of cake mix and any knid of pudding to change this one around. It is very. Count Steps, Not Calories to Lose Weight and Keep It Off. The Step Diet: What It Is. If you are looking for a way to lose weight, keep it off forever and be healthier, then the Step Diet is for you. There's no counting of carbs, fat grams, or calories. This is not really a diet, but rather a compilation of simple ways to permanently change your eating and exercise patterns without a strict diet plan. The entire Step Diet premise is simple: Walk 1. Move more, eat a little less. The Step Diet, by James O. Hill, John C. Peters, Bonnie T. Jortberg, and Pamela Peeke, is a lifelong program for both weight loss and weight maintenance. The easy- to- do plan helps dieters slowly increase their daily activity with the use of a pedometer that comes with the book. Simple rules, tips, and diet guidelines are provided with the plan to teach dieters how to trim calories and portion sizes and increase the number of steps they take. Making these lifestyle changes is the secret sauce to successful and permanent weight control. James Hill, Ph. D, a well- respected obesity researcher, and co- founder of the National Weight Control Registry (NWCR) and America on the Move, understands the importance of physical activity. The Step Diet: What You Can Eat. The Step Diet lets you eat whatever you like, as long as you cut back your usual portion size by about 2. Then balance your daily intake with plenty of steps, starting at 2,0. Continued. Healthy foods such as fruits, vegetables, whole grains, low- fat dairy, lean protein, and healthy fats are strongly encouraged and there are no forbidden foods. If you want to splurge on a piece of cheesecake, simply compensate with the appropriate number of steps. Detailed charts for men and women calculate the number of steps needed to balance out the extra calories from your favorite foods. If you prefer other forms of exercise besides walking, there are charts showing the equivalent number of steps. For example, for women 1. Bottom line with the Step Diet, cut back on your serving sizes and increase the number of steps you take throughout the day to increase energy expenditure and you will lose or maintain body weight. 10,000 steps is considered healthy and realistic. 10,000 steps a day is equivalent to the amount of exercise recommended to promote and maintain health. The Step Diet: How It Works. Diets don't work because most are temporary solutions or quick fixes. The Step Diet is a diet plan that shows you how to make small changes in eating and exercise habits that really do add up. Dieters are encouraged to take a hard look at their habits during the first week of the program. Then behavior tips throughout the book are designed to help you become more aware of eating mindfully and gaining control over problems. The answer to long- term weight control is understanding energy balance. Calories eaten minus calories burned is the basic mathematical formula for energy balance and weight control. The Step Diet, based on scientific studies and research from the NWCR, shows dieters simple ways to trim calories and how to burn more calories to achieve weight loss through a negative energy balance. On this plan you won't need to count calories or eat particular foods. The goal is to eat a healthy diet that satisfies hunger and results in slow and steady weight loss of 1 to 2 pounds per week. Emphasis throughout the book is on making small, permanent, easy changes in your diet and lifestyle that will promote a healthier energy balance. To get started, use the pedometer to assess the usual number of steps you take daily. Then add 5. 00 steps or walk a minimum of 2,0. Each week, add 5. Continued. Don't have 7. You don't have to do the steps all at once. By using a pedometer, you can accrue steps throughout the day and let it serve as a motivator to find ways to add more steps, like taking the stairs instead of the elevator or parking your car in the corner of the lot. You can continue the Step Diet indefinitely, but the authors suggest just maintaining your initial weight lost on the plan before resuming the program again to lose additional weight. Continued The Step Diet: Food for Thought. You can walk your way to weight loss with this sensible program. The Step Diet helps break the cycle of losing weight only.Believe it or not, . What could be easier than walking more and cutting 1. Susan Finn, former president of the American Dietetic Association and chairwoman of the American Council on Fitness and Nutrition, loves the Step Diet. The diet is very practical with good advice on how to trim calories. There are no gimmicks or restricted foods, and it allows all your favorites. You just might need to add some extra steps to walk off the calories. If more people simply cut back on portions and became more physically active, Finn thinks we wouldn't have an obesity problem in the United States. Continued. The Step Diet: Food for Thought. You can walk your way to weight loss with this sensible program. The Step Diet helps break the cycle of losing weight only to regain it a few months later by counting steps and trimming portions - - it is as simple as 1, 2, 3. Rather than making sweeping changes that are hard to stick with, try small changes that add up to sustainable weight loss in the long run. Get tips in this BootsWebMD. About 10,000 steps is the equivalent of exercising strenuously for 30 minutes, or walking five miles per day. By following this. Is Your Weight Loss Goal Realistic? Learn how to set (and meet) healthy goals. The single best tool for keeping weight off is exercise. Hill's work with the NWCR has provided keen insight into the different needs for successful weight loss and weight maintenance. The biggest step you can take is to go buy this book and start pounding the pavement every day. Live healthier? The country's top Paleo experts share their tips for successful weight loss on a Paleo diet and discuss how you can lose weight today with Paleo. How to Lose Weight Like a Model. Looking at models and celebrities may have you wondering what type of diet or exercise program they're following to keep their thin. This could very well be your last diet. Sources. SOURCES: James O. Hill, Ph. D, co- founder, National Weight Control Registry; director, Center for Human Nutrition, University of Colorado Health Sciences Center; co- author, The Step Diet. Susan Finn, Ph. D, RD, chairwoman, American Council for Fitness and Nutrition. All rights reserved. Taking 10,000 steps a day is a basic requirement for optimal health, but in order to get fit, you still need to exercise in addition to your daily walks. Meal Plans, Substitutions, and Concerns. The 3 Day Diet is one of the most popular short- term fad diets around today. Many people adopt the diet to try and achieve short- term weight loss. However, unfortunately, most people simply gain the weight back again once they resume normal eating patterns. The 3 Day Diet is simply a low- calorie diet consisting of not so healthy foods (as can be seen by the meal plan). There is nothing magical – no mystical chemical reaction happens. Weight loss is due to restricted calories – some of this may be fat – but some will be from water loss. A more nutritionally- balanced 3 day diet is the 3 day refresh from Beachbody. If you can afford it (retails for $6. Online tools to manage a diet for Gout: meal planner, 100's of recipes, printable shopping lists and more. Help Control and Manage Osteoporosis with the MyFoodMyHealth Meal Planner and Diet Plan for Osteoporosis. A Healthy Diet Should Be Delicious. Help prevent bone loss. Rachel Riley is just one of thousands of people who have lost weight on Diet-To-Go. Read on to see if this diet delivery program can help you lose weight. Regional U.S. Home Delivery Meals and Meal Pick-Up Plans. These services deliver prepared diet food to limited areas of the United States. Companies grow and contract. Green Chef’s meal plan boasts USDA-certified organic ingredients and wholesome recipes that make maintaining a well-balanced diet easier than ever. BistroMD diet plans make losing weight and eating healthy effortless. Get delicious chef-prepared diet meals delivered right to your door. Diabetes Meal Plans and a Healthy Diet What is a Diabetes Meal Plan? A diabetes meal plan is a guide that tells you how much and what kinds of food you can choose to. Meal delivery the personal chef way for Los Angeles. Fresh, healthy, and delicious diet meals, vegetarian meals or family dinners prepared especially for you. Diet-to-Go is a Diet Delivery Service that Provides Balanced, Freshly Prepared, Real Food for Weight Loss. Meal Plans for a High-protein Diet. Proteins are the basic building blocks of the body. A high-protein diet is one of the most effective ways to lose weight and gain. Day Diet Meal Plan. Note: Calorie amounts are approximate and will vary depending on the exact brand of product chosen. However you look at it, daily calories are very low. Try using the calorie calculator to find your optimum daily calories for weight loss. DAY 1. Total Calories: 8. Breakfast. 21. 9 Calories. Black coffee or tea (Sweet & Low or Equal) or water (0 cal)1/2 a Grapefruit or 1/2 cup Grapefruit Juice (4. Tbsp Peanut Butter (1. Lunch. 18. 3 Calories. Cup of Tuna (1. 00 cal)1 slice toast (8. Black coffee or tea (Sweet & Low or Equal) or water (0 cal)Dinner. Calories. 3 oz. Bratwurst and veggie dogs are fine also. Instead of Tuna? The same amount of tofu, cottage cheese, pumpkin seeds, 2 ounces cooked chicken, or 3. Instead of Peanut Butter? Any nut or seed butter is fine except for Nutella. Instead of Ice cream? The same amount of flavored milk, frozen yogurt, or fruity yogurt. Instead of Egg? 2 slices of bacon, 1 chicken wing, a cup of milk, or 1/4 cup of nuts. Instead of Broccoli? The same amount of cabbage, Brussels sprouts, cauliflower, or beetroot. Instead of Green Beans? The same amount of lettuce, spinach, or tomatoes. Instead of Carrots? A small salad or the same amount of beetroot, bell pepper, or spinach. Instead of Apple? A pear, plum, grapes, peach, or nectarine. Instead of Cheddar or Cottage Cheese? These both can be used interchangeably or 2 ounces of ham cold cuts or 2 eggs. Instead of Tea or Coffee? Also, this diet is deficient in the nutrients required for good health. Therefore, it is not recommended at all, but definitely not for more than 3 days. How much weight will I lose? This is highly subjective and almost impossible to answer. It depends on factors like metabolism, activity level, and so forth. All dieters following the plan to the T, should lose at least a few pounds of water weight and from having less digesting food material in their systems. Can I substitute one food for another? There is nothing “magical” about the foods in the 3 day diet meal plan. It’s about the calories. If you substitute the same calorie amount of a similar food you like for one you don’t, it won’t change the outcome. Just substitute a protein for a protein and a vegetable for a vegetable etc. For more clarification see the list directly above. Can I drink as much water as I want? It’s recommended that we consume around 2- 3 liters of water a day through food and drink sources. While water doesn’t have calories, those only drinking when the diet tells them to will most likely experience more weight loss because they will have lost more water weight due to slight dehydration. Is the 3 Day Diet safe for diabetics? Because of the very low- calorie amounts, this diet could be dangerous for diabetics. Is this diet safe for children and teens? First, a growing child needs adequate calories and nutrition for development. This diet lacks both of those elements. Secondly, the 3 day diet teaches children to “fad” or “crash” diet instead of to eat healthily and exercise in order lose weight. Also, highly restrictive diets can set children up for potential eating disorders. Smartphone Apps. 3 Day Diet is available as an i. Phone app. It includes a meal and weight tracker, and food substitutions. Pros. Rapid weight loss is possible. Simple and easy to follow. Meals easy to prepare. The 3 Day Diet has been around for many years. Cons. Low- calorie diets can be dangerous for some. Results are usually short term. Very low- calorie diets can slow metabolism. Includes fatty or sugary foods like hot dogs and ice cream. Not suitable for those sensitive to caffeine. Can lead to yo- yo dieting. Calorie Restriction is the Key. If you wish to follow a 3 day diet – ensuring you are meeting all your nutrient requirement – please use the 3 day refresh from Beachbody. The shake- based program contains all the optimal nutrients you need. The 3 day diet has been popular for many years as a way to lose weight quickly by drastically reducing caloric intake. However, this plan is not sustainable or healthy for the long term, and may lead to a “yo- yo effect”. The 3 Day Diet does not teach dieters how to eat healthily and how to choose smaller portions as a part of a lifestyle. Research shows that slow, gradual weight loss is healthier than short term, rapid weight loss such as advocated by this diet. California Chef - Personal Chef Meal Delivery. Sizzling Summer Sale - Sign- up Now! Your First Day is Free!*When you love what you eat, you don’t have to cheat!! It works because we calculate your daily calories just for you, and then weigh out every ingredient to make sure you’re getting exactly what you need. Doesn’t that sound like the best diet ever? I’m in the best shape since college. I lost 5. 0 lbs! If you live in Los Angeles, you’ve probably been on a diet before, and you know how important taste and food quality is to your weight loss success. We use only top- quality produce, meats, and seafood to create delicious, healthy meals, no matter what your diet. And you’ll never be bored with the food. Best of all, since your food preferences are always taken into account, our gourmet food delivery provides nutritionally balanced meals made with only the ingredients you like. And, because each healthy meal is cooked to order, special diets (such as diabetic, low- salt, gluten- free, vegetarian, non- dairy, paleo, soy- free, organic, etc.) are never a problem. And best of all, for about the same price as mass- produced meal delivery services, California Chef delivers gourmet, custom meals fresh to your door. We provide Meal Delivery Service to the greater Los Angeles area, from Pasadena to Santa Monica, and from Thousand Oaks to the cities of the South Bay – Manhattan Beach, Hermosa Beach, Redondo Beach, Palos Verdes, and now Long Beach. For a more complete list see Delivery. Click here to sign- up today. Or, call (8. 18. 9. New clients only. Purchase 5 or more days of any meal delivery service and we’ll give you your first day of meal delivery for free! Flat Belly Barre; Premium; Subscribe; Fitness Belly & Abs. The Belly, Butt, And Thighs Workout. Slim Thighs & Hips in Two Weeks. Exercises to Tone Your Lower Stomach, Butt. If you want to know how to get a flat stomach in a. Try my flat stomach. Get a Flat Belly in 4 Weeks. Subscribe; NEXT ARTICLE. That's why I choose to eliminate it from my diet. Khloé Kardashian Credits Her Flat Stomach to These 5. Exercises For A Flat Stomach. These are the nine best moves for getting that six pack! This ab workout will help you burn fat and get your six pack started for the summer! Follow along and let us know what you thought. Stay tuned to our channel for more episodes: http: //goo. Check out our other fun workouts: 1. The Best Victoria Secret Ab Workout: http: //www. Nfv. D5y.. 2. 5 Minute Ab Workout: http: //www. D3au. 2w.. 3. Adriana Lima Leg Workout: https: //www. XTl. Dk.. 4. Total Arm Workout: http: //www. F0ni. V.. 5. How to Burn Off a Starbucks Frappuccino in 5 Minutes: http: //www. 5 must-do exercises for a flat. Also read getting a flat stomach with scissor kicks. 6 diet secrets for a flat belly. Image source. Exercises for a Flat Belly and Thin Legs. Exercises for a Flat Belly, and Thin Legs. This requires a healthy diet. A Fast and Easy Way to Get a Flat Tummy Australian endangered species: Sea snakes. Short- nosed (Aipysurus apraefrontalis) and Leaf- scaled (A. Both species are known from Ashmore and Hibernia Reefs, while the Short- nosed has occasionally been found between Exmouth and Broome. As closest relatives, they are both around 8. They are distinguished by the size and shape of their heads - hence their common names. Both species forage in crevices and burrows on shallow reef flats and edges and have powerful venom with which to subdue their prey. Little is known of their diets other than Leaf- scaled sea snakes feed on a variety of reef fishes such as wrasse and gudgeons, whereas the few diet records available for Short- nosed sea snakes suggest they might prey mostly on eels. The Short- nosed and Leaf- scaled sea snakes are fully marine and rarely come ashore. They belong to the Hydrophiini – a group of more than 6. Australia’s venomous land snakes and are now found throughout the Indo- West Pacific. Status. Short- nosed and Leaf- scaled sea snakes were prolifically abundant on Ashmore and Hibernia Reefs during the 1. However, Mick Guinea and colleagues have documented dramatic declines in both species since 1. The status of Short- nosed sea snakes on the Western Australian coast is unknown, but the few scattered records between Exmouth and Broome suggest they were never widespread. A high and dry Short- nosed sea snake. Hal Cogger. Both species are classified as Critically Endangered by the IUCN and under Australia’s Environment Protection and Biodiversity Conservation Act. Threats. The reasons for the severe declines of Short- nosed and Leaf- scaled sea snakes remain a mystery. Nine other sea snake species have disappeared from Ashmore and Hibernia over the last 1. This may suggest major environmental change, perhaps related to surface water temperatures, salinity and rainfall patterns, and sedimentation.
In the same period seismic surveys for oil and gas have increased, using air gunning, although the impact on sea snakes is unknown. Whatever factors are responsible, they have not only affected the snakes in shallow coral areas but also species that once occupied the reef edges, seagrass beds and deeper waters surrounding the reef. Strategy. Continued surveys of the sea snakes are vital. These should focus on Ashmore and Hibernia reefs, but should also include coastal reefs where the Short- nosed has been recorded and might still exist. If the Leaf- scaled sea snake is not already extinct, there may yet be time to enact a recovery plan for both species. We need a better understanding of environmental and direct human threats to sea snakes. First, environmental conditions on Ashmore and Hibernia reefs should be compared to reefs that still support healthy numbers of sea snakes. However, if sea snakes are indeed a miner’s canary of coral reef health, understanding their disappearance should be a top priority for marine conservation. The Conversation is running a series on Australian endangered species. Is sugar in the diet driving the obesity crisis? Disclosure statement. Kate Sanders receives funding from the Australian Research Council and the Australia and Pacific Science Foundation. Pittwater Animal Hospital is a fully equipped veterinary hospital located in Warriewood on Sydney's Northern Beaches. Express Helpline- Get answer of your question fast from real experts. Imatinib, sold under the brand names Gleevec among others, is a chemotherapy medication used to treat cancer. Specifically, it is used for chronic myelogenous. Immunosuppression for Renal Transplant Patients and Common Medical Problems in Renal Transplantation. Renal transplantation is the best treatment for most patients with end- stage renal disease and is associated with significant improvements in quality of life and survival of patients with successful kidney grafts. Because patient and graft survival rates 1 year after transplantation are currently higher than 9. Primary care physicians and internists are becoming increasingly involved in the care of these patients and will need basic information about immunosuppression and the medical management of these patients. Back to Top. Overview of Immunosuppression for Renal Transplantation. Calcineurin inhibitors (CNIs), including cyclosporine (CSA) (Neoral, Gengraf, or the earliest form, Sandimmune) and tacrolimus (TAC; Prograf) have been the cornerstones of an immunosuppressive regimen, which usually includes two or more additional agents, such as glucocorticoids, a purine antagonist (mycophenolic acid . Sirolimus (SRL; Rapamune) has been used as a substitute for CNIs. The choice of agents is often protocol driven but is usually adapted to each recipient’s risk profile. High- risk recipients treated with more intensive immunosuppression include those with increased levels of preformed antibody (panel- reactive antibody . High- risk recipients typically receive induction therapy consisting of monoclonal or polyclonal antibodies administered intravenously beginning in the perioperative period. The mechanisms of action of these and other immunosuppressants have recently been reviewed. Agents for Induction Treatment. Polyclonal Ig. G antibodies are derived from horse (Atgam) or rabbit (Thymoglobulin) sera after injecting the animals with human lymphocytes or human thymocytes, respectively. They target several T cell surface epitopes (CD2, CD3, CD4, and CD2. Thymoglobulin, induce long- term depletion of T lymphocytes. Thymoglobulin’s major early side effect is the cytokine release syndrome: fever, chills, myalgias, and shortness of breath. Late side effects include prolonged (up to years) depletion of T lymphocytes, thereby increasing the potential risk of opportunistic infections, post- transplantation lymphoproliferative disorder (PTLD), and possibly autoimmune disease. Daclizumab (Zenapax) and basiliximab (Simulect) are monoclonal antibodies modified to be humanized or chimeric antibodies that bind to the alpha chain of the interleukin- 2 receptor (IL- 2. R) on T cells and thereby impair lymphocyte proliferation. They typically have minimal side effects and do not increase the recipient’s susceptibility to infection or malignancy. Alemtuzumab (Campath), originally approved for the treatment of chronic lymphocytic leukemia, is a humanized murine monoclonal antibody directed against the surface protein CD5. T and B lymphocytes, monocytes, and macrophages. It can cause prolonged T lymphocyte depletion, with risks for opportunistic infection, PTLD, and possibly autoimmune disease. Maintenance Immunosuppression. Basic maintenance immunosuppression for many years consisted of three types of drugs in combination: glucocorticosteroid (GC) (prednisone), a purine antagonist (azathioprine or mycophenolate mofetil) and a CNI (CSA) or TAC. Because of numerous potential glucocorticoid (GC) toxicities (Box 1) and CNI toxicities (Table 1), many new regimens have been developed that incorporate rapid GC elimination, or CNI dose reduction or elimination. Rapid GC withdrawal within the first few days after transplantation is usually achieved with antibody induction. Late withdrawal of GC has a high risk of rejection. CNI withdrawal has been attempted by conversion to less nephrotoxic SRL. Alternatively, careful dose reduction can be successfully achieved in select patients. Combined use of a CNI and SRL has the potential for severe nephrotoxicity. Box 1 Important Glucocorticoid Side Effects. Increased susceptibility to infection. Replication of hepatitis B and C viruses. Weight gain (increased appetite)Cushingoid appearance. Easy bruising, striae, acne. Review Article. Drug Therapy. Immunosuppressive Drugs for Kidney Transplantation. Halloran, M.D., Ph.D. N Engl J Med 2004; 351:2715-2729 December 23, 2004. Lab focus: coeliac disease. Coeliac disease is an immune illness caused by gluten, a food protein from wheat, barley, rye and oats. We investigate immune and genetic. A mechanism of T cell regulation based on the CD52 immune suppressor protein may protect humans and mice from autoimmune diseases like type 1 diabetes. Celiac disease is a unique autoimmune disorder in which the environmental precipitant, gluten, is known. Originally considered a rare malabsorption syndrome of. Hairy cell leukaemia variant (HCL-V) Read about hairy cell leukaemia variant, its symptoms, how you are diagnosed and the treatment you might have. Poor wound healing. Sodium retention. Hypertension. Hypercholesterolemia. Accelerated atherosclerosis. Fatal ventricular arrhythmias (rapid bolus)Osteoporosis. Avascular necrosis. Arthralgia with rapidly decreasing dose. Myopathy. Diabetes mellitus. Hyperosmotic nonketotic coma. Behavioral changes, psychosis. Posterior subcapsular cataracts. Pancreatitis. Peptic ulcer. Table 1 Important Calcineurin Inhibitor Side Effects. Side Effect. Cyclosporinevs. FK5. 06. Nephrotoxicity+++Hypertension+++Hypercholesterolemia+++Gingival hyperplasia++? Hyperglycemia+++Tremor, neuropathy, convulsion+++Susceptibility to malignancy+++Susceptibility to viral infection++Hypomagnesemia++Hyperkalemia+++Hyperuricemia+++Hepatotoxicity (cholestatic)++Nausea, vomiting, diarrhea++Anaphylaxis+++, frequency. Glucocorticoids. GCs are used for both induction and maintenance immunosuppression. Their immunosuppressant actions are mediated through a number of pathways, mainly directed toward redistribution of lymphocytes and macrophages to the lymphoid tissue and inhibition of the production of cytokines (e. IL- 1, IL- 2, IL- 6), tumor necrosis factor . Prednisone dosage is gradually decreased after transplantation to 5 to 7. GC withdrawal protocol. Calcineurin Inhibitors. CNIs include CSA and TAC; each functions as a base immunosuppressant agent around which additional agents are added to construct the complete immunosuppressant regimen. Initiation of CSA in the post- transplantation period usually requires signs of renal recovery because of potential nephrotoxicity. The usual starting dosage is about 5 to 6 mg/kg/day, divided into two doses. Many CSA formulations are now available. The original formulation (Sandimmune) has been largely replaced by the newer CSA formulations (Neoral) or modified CSA (e. Gengraf, Eon, other generics) that exhibit better absorption and bioavailability. These CSA preparations should not be casually substituted for each other because of increased risk of rejection or toxicity. The interval for monitoring CSA blood levels remains controversial. Monitoring trough levels (C0) is the appropriate way to monitor Sandimmune, but the newer formulations may be better monitored with levels determined 2 hours after the dose is taken (C2). The approximate CSA level is determined by the type of CSA being used, the assay method, the time after transplant, and the clinical status of the patient. TAC is a macrolide antibiotic somewhat more potent than CSA and has side effects that are distinct from and overlap with those of CSA (see Table 1). TAC has high bioavailability and thus its trough levels correlate with dose. The maintenance dosage is usually approximately 0. L in the initial 1. L beyond 1. 2 months. Both CSA and TAC are metabolized by the hepatic enzyme system cytochrome P- 4. A4 (CYP 3. A4), which is responsible for the metabolism of numerous drugs (Box 2). Consequently, for these drugs and those described later, it is worthwhile to consider the treatment approaches shown in Table 2. Box 2 Calcineurin Inhibitors and Other Drug Interactions*The drugs listed here are only a partial list. John's wort. Other Drugs. Ticlopidine. Octreotide* The safest procedure is to specifically check any drug added to or eliminated from those taken by a transplant recipient to determine its effect on calcineurin levels. Careful dosing and monitoring are necessary. Table 2 Important Drug Interactions in Renal Transplantation. Transplant Drug. Second Drug. Mechanism. Effect. Strategy. Azathioprine. Allopurinol. Xanthine oxidase inhibition. Increased azathioprine effects. Dose reduction or substitute mycophenolate mofetil (Cell. Cept)CSA or TAC or SRLAzoles, most CCBs, erythromycin, statins. P4. 50. 3A4. Increased levels of CSA, TAC, SRL, statin. Dose reduction or substitute nifedipine; substitute azithromycin; use ezetimibe (Zetia)SRLCSA or TACP4. A4. Increased nephrotoxicity; increased CSA and TAC levels. Dose reduction or avoid. CCB, calcium channel blockers; CSA, cyclosporine; SRL, sirolimus; TAC, tacrolimus. Purine Antagonists. Purine antagonists include azathioprine and mycophenolate mofetil. Azathioprine is a prodrug converted in the body via a nonenzymatic reaction to 6- mercaptopurine, a purine analogue that acts as an antimetabolite and blocks the synthesis of nucleotides, thereby inhibiting T and B cell proliferation. Its major side effects are leukopenia and possible myelosuppression, increased susceptibility to infection, increased susceptibility to cancer, particularly PTLD and skin cancer, hepatotoxicity, and alopecia. The usual dosage varies from 1 to 2 mg/kg/day. The concomitant use of azathioprine with allopurinol, a xanthine oxidase inhibitor used to lower serum uric acid levels, typically in patients with gout, increases the risk of side effects and requires dose adjustments (see Table 2.). Mycophenolate mofetil has largely replaced azathioprine. Mycophenolate mofetil (MMF) is converted to mycophenolic acid, which inhibits inosine 5. Its major side effects are diarrhea, leukopenia, anemia, and tissue- invasive cytomegalovirus (CMV) disease. Often, diarrhea can be avoided by dosing three times daily rather than twice daily using the same total daily dose. Mammalian Target of Rapamycin Inhibitors. The immunosuppressants SRL (Rapamune) and everolimus bind to the same immunophilin (FKBP1. TAC and modulate the intracellular protein mammalian target of rapamycin (m. TOR), resulting in cell cycle arrest in the G1- S phase. The maintenance dosage is usually 2 to 5 mg/day, with target trough levels of 5 to 1. L. SRL has a very long half- life (approximately 6. It should be noted that although m. TOR inhibitors and reduced doses of TAC or CSA may be used together, they can be more nephrotoxic and have inferior graft survival. Initially, m. TOR inhibitors alone were not believed to be nephrotoxic. Gallbladder Attack . However, it is our hope that you will not stop there, but go on to continue thinning and cleaning that sludgy bile and to address the underlying causes including diet. Given the state of your digestion at the moment – or lack thereof – the supplements included in our 3. I recently had my gallbladder out and I keep having diarrhea. Is there a gallbladder removal diet I should follow? Answers from Katherine Zeratsky, R.D., L.D. It is important to call your doctor immediately if you are having digestive problems after gallbladder surgery, as they may be signs of serious complications. Cholesterol plays a part in the formation of gallstones in the gallbladder and diet changes are one way of helping to prevent gallstones from forming. Day Solution borrow the necessary ingredients such as bile salts and digestive enzymes while you work on improving bile secretion and flow. Combined with our gallbladder diet plan, this 3. Day Gallbladder Solution could be the low- cost home solution you’ve been looking for. Fatty Liver Diet Guide. If you have been diagnosed with fatty liver disease, you might be feeling afraid and somewhat bewildered and would appreciate more information about all aspects of this condition. What causes it? What are the treatments available? What are the possible diet and lifestyle changes you should make? What advice for a holistic approach to managing – and even reversing it? It is normal if you have a small amount of fat in your liver. But, if you have in excess of 5- 1. Read about laparoscopic cholecystectomy, a surgery to remove gallbladder. Benefits of the laparoscopic cholecystectomy is a shorter recovery time. Discover details. In most cases, the diarrhea stops soon after the surgery. Rarely, it may last for years. The cause of diarrhea after gallbladder removal isn't clear. Some cases may lead to serious health problems from complications of this condition. Fortunately, there are treatments, both medical (lots of drugs) and homeopathic (natural diet), where you can reverse and eliminate fatty liver disease. First, a quick primer on what it is. Alcoholic or Nonalcoholic Fatty Liver Disease. Mmmm, so good, but so bad for your liver! United States alone develop this health condition that begins with an enlarged liver. Heredity may play a part in it by predisposing a person to alcoholism. In addition, other factors that may cause an enlarged liver are: Too much iron in your blood. Nonalcoholic liver disease is by far the number one cause of this condition. There are people who have a fatty liver that will never cause them any problems or lead to something more serious, even though it isn’t normal. There are also people who have what is called nonalcoholic steatohepatisis which, while similar to alcoholic liver disease, occurs in people who don’t drink often, or even teetotalers who don’t drink at all. This type can lead to serious problems as it may cause scar tissue in the liver, called cirrhosis. Over time, it can lead to liver cancer, liver damage and failure, or liver related death. Both types of the nonalcoholic forms of this disease are becoming more and more common. An estimated 2. 0% of all adults have some form of this the condition, and approximately 6 million children. Studies have shown that Asian and Hispanic children are more at risk. Symptoms of Nonalcoholic Liver Disease. What are the symptoms of NAFLD, or Nonalcoholic Fatty Liver Disease? Well, there usually aren’t any. If you do have symptoms, they might be: Pain in your upper right abdominal area. What are the Effects on Your Liver? If you have this condition, also called steatosis, you might develop diabetes which, over a period of time, can cause cardiovascular complications. You might also have a significant risk of end stage liver failure. There are several diagnostic tests that are used to diagnose this disease: Blood tests, including liver profiles that test enzymes. Imaging, either a CT scan or an MRILiver biopsy, a tissue sample done by inserting a very long needle into your liver and obtaining a bit of the organ for lab examination. When Should You See a Doctor? Since there aren’t normally any symptoms for this health problem, you should simply go to the doctor if you are experiencing unexplained weight loss, unusual fatigue or pain in your upper right quadrant. Needless to say, if you are showing any yellowing of the whites of your eyes or skin—which is jaundice—you should see a doctor immediately as this can be a sign of serious liver failure. What are the Treatments for NALFD? Fortunately, there are several treatments, both conventional and homeopathic, for this disease. Currently, treatment strategies for NALFD consist of: Identifying and treating associated conditions such as diabetes and/or hyperlipidemia. Improving insulin resistance either by means of weight loss, exercise or medications. Using antioxidants to protect further damage to the liver. In recent years, there has been much progress in a holistic approach to treating fatty liver disease with such things as a cleansing diet, liver detox diet and flush, as well as a diet of cleansing foods. Homeopathic Treatments. While diet and lifestyle changes is currently the best way to reverse NALFD (see below), your liver can also benefit from homeopathic treatments, such as this detox spray. Milk thistle extract (silybin) and chelidonium majus are some traditional herbs used to help the liver. Scientific studies of these herbs (see here and here) show promising results in helping the liver. This is an attractive prospect to a lot of people who don’t like the modern tendency of the medical profession to try and treat everything with often toxic drugs that often do more harm than good. If you stop and really pay attention to the long list of potential side effects for many prescriptions medicines, it’s a classic case of throwing out the baby with the bath water. You may get rid of some symptoms of your original complaint, only to get whammied with more that are far worse than what you had to begin with. If you choose homeopathic supplements, note that this will help your liver, but not reverse fatty liver disease. For that, you need to change your life around with diet and exercise, as I detail below: Diet and Lifestyle Changes. Making simple diet and lifestyle changes can help to halt the effects of this condition, and in most cases can turn it around completely. Here are some suggestions for home treatment of fatty liver disease, or steatosis hepatitis: If you drink alcohol – stop. If you are overweight, lose weight slowly until you reach your ideal weight. It has been recommended by top US hepatologists and dieticians. There are no toxic drugs to take, no doctor bills, no invasive procedures or surgeries. 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 disease and offers a holistic, natural approach to treating it, or actually reversing it. A proven winner, this guide has been seen on Yahoo Health, Web MD and CNN. Health. Chock full of knowledge and information, this is the guide you need to become healthy. It could literally be a lifesaver for you. If you have this condition, it can cause damage to other organs and contribute to serious health problems. Get proactive now and do your health a favor by getting the help you need. When she moved to south Florida in her late 2. Lynne took up aerobics and dropped to 1. But with her second pregnancy, five years ago, everything changed. Caring for an infant and a toddler left her exhausted, and she found comfort in food. She also cut back on white flour and added high- protein snacks like peanut butter and cottage cheese. In six months, she lost 2. Then she recommitted to exercise, hitting the stairclimber at the gym and weight training four to six times a week. Within four months, she dropped from 1. Now her energy levels are soaring. Before and after weight loss pictures. I just found your site today thanks to a friend’s recommendation, and I must say you are inspiring!The "Rich Kids of Beverly Hills" star and son of former basketball player Magic Johnson shared a photo. See how she did it below! Mo’Nique, 45, has been. Name: Brittany Hicks Age: 25 Hometown: Carson, California Before Weight: 247 After Weight: 137. As a teenager, Brittany Hicks loved going out with friends for pizza. So, you’ve finally decided it’s time to make a change and start down the path of weight loss. You go online, Google “weight loss,” and are bombarded with more. You can't help but be motivated by these stories and weight loss tips from real women who lost 30, 50, even 180 pounds! This is it, folks. This is the first, last and only weight loss article you will EVER need to read. Only, this is much more than an article. This, my friends, is a guide. Get inspired by real women who have lost major pounds. View weight loss before and after photos at WomansDay.com. SHAPE readers share the weight loss tips that helped them lose 68, 113, even 180 pounds. Plus, check out the astounding before and after weight loss photos. |
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November 2017
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