Kesehatan: Acuan Diet Buah 3 Hari Tuk Turunkan 5 Kilo(c) Shutter Stock. Vemale. com - Ladies, ada satu macam diet yang mengklaim bisa menurunkan berat badan hingga 5 kilo dalam 3 hari. Diet itu bernama Fruit Flush 3- Day Detox. Lalu, apa saja yang harus kita lakukan untuk diet sehat ini? Menurut webmd. com, agar Anda sukses menjalankan diet buah 3 hari ini Anda harus mengkonsumsi sayuran mentah, minuman berprotein tinggi, protein murni dan tentu saja buah- buahan segar. Yang berarti bahwa Anda tidak bisa mengkonsumsi makanan lain selain makanan di atas, termasuk soda, sayur matang, jus, permen, dan lemak. Di hari pertama, Anda disarankan untuk mengkonsumsi minuman berprotein 6 ons setiap dua jam sekali selama jam 8 pagi hingga jam 4 siang. Kemudian, jangan lupa minum 8 hingga 1. Untuk makan malam hari pertama, Anda disarankan untuk mengkonsumsi 3 hingga 6 cangkir sayuran mentah yang dicampur dengan 1 atau 2 sendok makan minyak zaitun (bisa diganti dengan . Lalu, tambahkan 3 sampai 6 ons protein murni atau putih telur. Di hari kedua dan ketiga, Anda diperbolehkan untuk mengkonsumsi satu porsi buah segar (1. Untuk makan malam, Anda disarankan untuk makan menu yang sama dengan hari pertama. Diet tiga hari menahan lapar ini sangat tidak dianjurkan oleh para ahli. Sayangnya, banyak orang masih menjalaninya karena alasan tertentu.Mau DIET dengan hitungan hari bs turun 4-7 kg????? Sesudah 3 hari menjalani program maka anda akan merasakan kesegaran dan memiliki energi lebih. Sepertinya ribet sekali ya, Ladies? Sepertinya juga tidak enak di lidah? Nah, sudah saatnya kita ingat bahwa banyak makanan enak tidak baik untuk kesehatan. Siapa tahu dengan detoks ini kita jadi lebih pandai merasakan masakan enak. Nastiti Primadyastuti(vem/ova)- -- -Anda punya kisah inspirasi (cinta, pernikahan, persahabatan, keluarga, dll) atau punya tips keren seputar wanita? Silakan kirim ke redaksivemale@kapanlagi. JOM DIET: 3 hari diet.
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Het metabolisme dieet. Met deze pagina kun je aan de slag met het metabolisme dieet van Haylie Pomroy. Dit het te min van belangrike voedingstowwe . Hills Jd Canine Mobility - Hond > Overgewicht. Hill's prescription diet canine r/d is een zeer geschikt dieetvoer voor honden met zwaarlijvigheid of overgewicht. Overgewicht (obesitas)Overgewicht kan vervelend voor uw hond zijn en kan er ook toe leiden dat uw dier minder energie en zelfs een kortere levensduur heeft. Net als bij mensen heeft aankomen meestal te maken met overmatige calorie- en vetopname in combinatie met te weinig lichaamsbeweging. Zwaarlijvigheid kan tot ernstige aandoeningen leiden, zoals hartaandoeningen, artritis en diabetes. Ingredi. Indicaties- Honden met overgewicht ( obesitas)- Honden met suikerziekte (diabetes mellitus)- Honden met darmproblemen die verbeteren door een ho ..
Met deze pagina kun je aan de slag met het metabolisme dieet van Haylie Pomroy. Ga jij maar eens BFFM van BB'er Tom Venuto lezen. Die Plasings word hier gedoen met die nuutste uitsending heel bo. Latest weight- loss device approved by the FDA leaves some doctors 'appalled'A weight- loss device approved by the FDA last week has some doctors up in arms, with one even attempting to put together 4,0. That’s because they say the device, which lets patients pump some of the food they've just eaten directly from their stomachs into the toilet, isn’t safe and may lead to eating disorders. Gutman says he’s put together a group of 7.
Philadelphia-based Aspire Bariatrics is still trying to get FDA approval to sell the AspireAssist in the U.S., but it has been available in parts of Europe since late 2011. Reaction to the device has been, well, mixed: In a yearlong U. FDA to take the device off the market; his ultimate goal is to get 4,0. It is nothing but a bad trick. It’s like a bad joke. The approval is for people with a body mass index (BMI) of 3. After a meal, the patient waits 2. The process takes about 1. Kathy Crothall, president and CEO of Aspire Bariatrics, which makes the device and is based in King of Prussia, Pennsylvania. Gif from Aspire Bariatrics video. There are some obvious side- effects: the port valve can cause infections and the tube can leak. But some experts fear that the device itself might trigger eating disorders. That’s because the device, in some sense, mimics bulimia — a disorder where people binge eat and then throw up. It’s a device that makes bulimia okay. If they don’t chew long enough, the food gets stuck in the tube, which is no bigger than a straw, says Shelby Sullivan, who led one of the trials of the device on 1. Washington University in St. Louis with funding from Aspire Bariatrics. Lotta Frisk, 5. 2, who lost 1. And that may make patients eat less. Because of all the chewing, Wilcoxon says he has smaller meals and also eats more fruits, steamed vegetables, and grilled chicken, which are all easier to chew and aspirate with the device. He was 3. 89 pounds when he decided to get the device in the clinical trial at Washington University, after ruling out bariatric surgery for fear of the complications. The Food and Drug Administration approved a weight loss device on Tuesday that pumps food out of a person. While some have criticized the device as Aspire is a tasty, lightly carbonated beverage available in three flavours, Cranberry, Apple and Acai, and Mango Lemonade. Aspire's unique blend of active ingredients support sustainable healthy energy, calorie burn and weight loss. Aspire. Assist was more appealing, because it’s reversible. He also saw one of his best friends lose a lot of weight with a gastric band, a silicone device wrapped around the stomach that restricts the amount of food a person can eat — only to gain it back once the band was removed. He plans to keep the device indefinitely, he says. That’s because it still lets him enjoy his favorite foods. She argues that people who use the device make healthier choices for meals because they actually see what comes out of their stomachs and think twice about it. It looks about the same as it came in, it’s just chewed up. That makes some experts nervous about the long- term effects for patients like Wilcoxon. Will they regain all their weight back, as it’s often the case with temporary obesity treatments? That’s because most people regain weight after diets, often because they go back to unhealthy behavior. Others worry that the device will give patients the impression that they can eat as much as they want, because they can just pump the food out afterwards. Instead, curing obesity means changing eating habits, teaching patients to eat less and eat healthier foods, combined with exercise. They lost, on average, 1. While Aspire. Assist did perform better than counseling alone, the amount of weight patients lost isn’t impressive when you take into account how invasive the device is, Spaniolas says. The device is implanted with a 1. Both Frisk and Wilcoxon said they were in a lot of pain for about two weeks after getting the tube. And the FDA warns that the procedure comes with risks of infection, bleeding, vomiting, nausea, and sores on the inside of the stomach. Other surgical procedures produce more impressive results. The sleeve gastrectomy, a surgery that involves removing about 8. Gastric bypass, which basically . Bariatric surgeries prompt changes in hormones that can influence complications from obesity, such as diabetes, high cholesterol, and hypertension, says Rosenthal. Frisk says she had hypertension, type 2 diabetes, and depression when she weighed 3. She currently weighs 1. She says she’s not taking any blood pressure and diabetes medication, and she’s not depressed anymore. Aspire. Assist just sucks the food out instead of pumping it in, but the concept is the same. The device could create all kinds of complications, like infections, bleeding, and leaking. He says he wrote a letter of complaint to the FDA. I don’t think it makes any medical or physiologic sense. But with every new device, it takes time to determine whether it’s going to be successful. It's also Washington University in St. Louis, not University of Washington in St. Louis. Soylent: living on the meal replacement of the future. Lung Metastases Imaging: Overview, Radiography, Computed Tomography. CT scanning is the modality of choice for detection and follow- up of pulmonary metastasis, owing to its higher spatial, temporal, and contrast resolution and lack of superimposition of adjacent structures. It has been shown to have higher sensitivity than chest radiography (CXR) in the detection of pulmonary metastases. CT scanning is performed using a multislice technique, and no intravenous contrast is required for the detection of pulmonary metastases. Contrast may be useful when a nodule is located adjacent to the hilum and mediastinum. The sensitivity of nodule detection can be increased by using postprocessing tools such as maximum- intensity projection (MIP) or volume rendering (VR) or using cine viewing of data sets (see the images below). High- resolution CT (HRCT) scanning is used for detection of lymphangitic carcinomatosis. In this technique, spatial resolution is maximized by narrow collimation (1- 2 mm) and high- resolution reconstruction algorithm. The most common CT pattern of pulmonary metastasis is the presence of multiple pulmonary nodules (see the images below). These nodules are in a random distribution and are of varying sizes, owing to multiple episodes of tumor embolization or different tumor growth rates. Nodules of the same size are believed to be due to a shower of emboli that occurred at the same time. The margins can be smooth or irregular and can be either well defined or ill defined. The nodule has soft- tissue attenuation and can have a prominent pulmonary vessel heading into it, which is called the feeding- vessel sign. They are more common in the lung bases, owing to higher vascular supply. When the nodules are numerous, they are distributed diffusely throughout the lungs in a random pattern without any specific anatomical distribution; when nodules are few, they are predominantly subpleural. Multiple pulmonary nodules in a patient with known malignancy are highly suggestive of metastasis. Of multiple pulmonary nodules detected with CT scanning, 7. The American Journal of Gastroenterology is published by Springer Nature on behalf of the American College of Gastroenterology (ACG). Ranked the #1 clinical journal. The differential diagnosis of LC includes sarcoidosis and other chronic interstitial lung diseases such as silicosis, coal worker's pneumoconiosis. Urology Test Procedures Surgical Positions Stumper Terms Surgery Suffixes Respiratory Report Phrases Report Headings Radiology Psychiatry Physical Exam Prefixes. The venous return containing lymphatic fluid from body tissues flows into the lungs through the pulmonary vascular system; thus, all tumors have. Chapter 10 - Respiratory System STRUCTURE AND FUNCTION. The respiratory system extends from the breathing zone just outside of the nose and mouth. However, once the tumor grows out of the vessels into the adjacent interstitium and alveolar space and proliferates, the margins become irregular. A radiologic- pathologic correlation study showed that well- defined, smooth- marginated metastasis corresponded to an expanding alveolar space- filling type (eg, hepatocellular carcinoma); poorly defined, smooth- marginated metastasis corresponded to an alveolar cell type (adenocarcinoma); and poorly defined, irregular- marginated metastasis corresponded to an interstitial proliferating type (squamous carcinoma or metastases after chemotherapy). Some correlation also exists between the histological type of primary tumor and CT appearance of a lesion margin. For example, some metastases have smooth margins and, hence, cannot be distinguished from benign lesions based on margins. Since some metastases have irregular margins, the margins cannot be used as a factor to differentiate primary cancer in a solitary pulmonary nodule. The differential diagnosis for multiple pulmonary nodules includes infections (eg, histoplasmosis, coccidioidomycosis in endemic areas, cryptococcal and nocardial infections as opportunistic infections in immunocompromised patients, septic emboli, abscess, paragonimiasis, hydatid), granulomatous diseases (eg, tuberculosis, sarcoidosis), and vascular/collagen- vascular diseases (eg, Wegener granulomatosis, rheumatoid arthritis). Appropriate clinical history and a temporal radiographic pattern showing the evolution of ill- defined pulmonary opacities into organizing, more circumscribed nodules as part of the healing process is the key factor differentiating these from pulmonary metastatic disease. Follow- up CT scanning in 6 weeks to 3 months will show progression of metastatic nodules, while benign lesions show no growth, decrease in size, or undergo complete resolution. While these classic features are extremely helpful in narrowing the differential mainly down to metastases, it is the atypical features of lung metastases that are difficult to distinguish it from more benign lung pathology. Cannonball metastasis (see the image below) refers to the presence of few, large, well- circumscribed, and round metastatic masses. It is usually seen in metastasis from renal carcinoma, choriocarcinoma, colon cancer, prostate cancer, or endometrial carcinoma. Miliary nodules refer to numerous, small 1- 4 mm, same- sized nodular opacities that resemble millet seeds. Miliary metastases are seen in cancers of the thyroid (medullary carcinoma), kidney, breast, and pancreas, as well as in malignant melanoma, osteosarcoma, and trophoblastic disease. They are believed to be caused from a single massive shower of tumor emboli. Miliary nodules are seen in a random distribution within the secondary pulmonary lobule and involve the subpleural regions. The metastatic nodule initially proliferates from tumor emboli in the arteriole or capillary. Initially, a metastatic nodule is seen in a peripheral portion than the centrilobular structures. Only 1. 1- 1. 2 % were shown to be located in the central bronchovascular bundle, . When the metastasis subsequently grows, it appears to be connected with the bronchovascular bundle, which is called the mass- vessel sign. Small, random metastatic nodules in secondary pulmonary lobules are randomly distributed with no uniform relationship to secondary pulmonary lobular structures. Cavitation is seen in 4% of metastases (vs 9% of lung primaries). These tumors initially are solid and later become a cavitary lesion with thick and irregular walls. See the images below. Cavitation can also be caused by a check- valve mechanism of tumor infiltrating into bronchial structures. Head and neck cancers in males and genitalia cancers in females are the common causes. Squamous cell carcinomas are the most common (7. GI tract, breast), transitional cell tumors, and sarcomas are also known to cavitate on CT scans. On CT scans, 1. 0% of squamous carcinoma metastases were shown to cavitate, while 9. Cavitated metastasis usually has thick and irregular walls. Thin- walled cavities are seen in sarcomas, which are the ones that often result in pneumothorax. See the images below. The differential diagnosis for cavitating nodules includes septic emboli (eg, septic patients, intravenous drug abusers), lung abscess, tuberculosis, angiitis, Wegener granulomatosis, and rheumatoid nodules. Nine percent of primary lung tumors cavitate, most commonly squamous cell cancers. Spontaneous pneumothorax is an uncommon presentation of pulmonary metastasis. Osteosarcoma is the most common tumor known to produce pneumothorax. Pneumothorax has been shown in 5- 7% of osteosarcoma metastasis. Aggressive sarcomas and nonsarcomatous tumors can also produce pneumothorax. The proposed theory behind spontaneous pneumothorax is tumor necrosis in peripheral subpleural nodules resulting in a bronchopleural fistula with subsequent pneumothorax. The differential diagnosis for pneumothorax includes rupture of a subpleural bleb, trauma, mechanical ventilation complications, and underlying lung diseases (eg, cystic fibrosis, tuberculosis, fibrosis, sarcoidosis). Metastasis from teratoma of the testis may show complete fibrosis or necrosis after chemotherapy. Thin- walled air cysts, which contain no viable tumor, are present at the site of treated metastasis. Multiple thin- walled cystic metastases are also seen in metastasis from angiosarcoma. This is the second most common type of presentation for angiosarcoma metastasis after multiple pulmonary nodules. Rupture of subpleural cystic metastasis may result in pneumothorax. Proposed mechanisms for thin- walled cysts are (1) excavation of a solid nodular lesion through discharge of necrotic tumor material, (2) infiltration of tumor cells into walls of preexisting bulla, (3) a ball- valve effect caused by circumferential growth of tumor around small bronchioles resulting in bronchiolar obstruction, and (4) proliferation of tumor cells forming blood- filled cystic spaces anastomosing the network of sinusoids. Calcification is seen in metastasis from osteosarcoma, chondrosarcoma, giant cell tumor of the bone, mucinous adenocarcinoma, and treated metastatic choriocarcinoma. Reasons for calcification vary but include bone formation in primary bone tumors (osteosarcoma, chondrosarcoma), dystrophic calcification (papillary thyroid cancers, giant cell tumor of bone, synovial sarcoma, treated metastasis), and mucoid calcification (mucinous adenocarcinomas of the GI tract, breast, thyroid, ovary). Punctate calcification may be seen following hemorrhagic necrosis in angiosarcoma. In osteosarcomas, dense, eccentric calcification/ossification is seen. In rare instances, calcification may develop at the site of pulmonary metastasis (typically from a testicular primary site) that has vanished after chemotherapy. CT scans cannot help differentiate calcifications or ossifications due to metastasis from calcifications or ossifications due to other lesions. Another atypical feature of metastatic disease is nodular density surrounded by a halo of ground- glass attenuation or ill- defined fuzzy margins (ie, the CT halo sign). This is seen in hypervascular primary tumors such as choriocarcinoma (parenchymal hemorrhage), angiosarcoma (fragility of neovascular tissue resulting in rupture of vessels), or renal carcinoma. A ruptured vessel secondary to fragile neovascular tissue leads to hemorrhage, causing the ground- glass halo on CT scans. The differential diagnosis for this appearance includes invasive aspergillosis, candidiasis, tuberculoma, Wegener granulomatosis, minimally invasive adenocarcinoma, pneumonia, eosinophilic pneumonia, abscess and lymphoma in immunocompromised patients (due to fibrin, less dense inflammatory reaction, edema, or less densely arranged malignant cells histopathologically), or post biopsy. Achlorhydria Symptoms, Diagnosis, Treatments and Causes. Achlorhydria: Introduction. Achlorhydria: A deficiency of hydrochloric acid in the digestive juices in the stomach. The resulting high p. H prevents normal food digestion. The abnormality may be caused by such things as pernicious anemia, autoimmune thyroid disease and chronic gastritis.
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