Electronic Components, Distributor Inventories, Datasheets. We use Cookies to give you best experience on our website. Swarm behaviour - Wikipedia. A flock of auklets exhibit swarm behaviour. Swarm behaviour, or swarming, is a collective behaviour exhibited by entities, particularly animals, of similar size which aggregate together, perhaps milling about the same spot or perhaps moving en masse or migrating in some direction. It is a highly interdisciplinary topic. The term flocking is usually used to refer specifically to swarm behaviour in birds, herding to refer to swarm behaviour in quadrupeds, shoaling or schooling to refer to swarm behaviour in fish. Phytoplankton also gather in huge swarms called blooms, although these organisms are algae and are not self- propelled the way animals are. By extension, the term swarm is applied also to inanimate entities which exhibit parallel behaviours, as in a robot swarm, an earthquake swarm, or a swarm of stars. With Findchips Pro, find your saved. Foundations of Orientation and Mobility Third Edition Volume I History and Theory William R. From a more abstract point of view, swarm behaviour is the collective motion of a large number of self- propelled entities, such as banelings. Swarm behaviour is also studied by active matter physicists as a phenomenon which is not in thermodynamic equilibrium, and as such requires the development of tools beyond those available from the statistical physics of systems in thermodynamic equilibrium. Swarm behaviour was first simulated on a computer in 1. The model was originally designed to mimic the flocking behaviour of birds, but it can be applied also to schooling fish and other swarming entities. In recent decades, scientists have turned to modeling swarm behaviour to gain a deeper understanding of the behaviour. Mathematical models. In the topological distance model (right), the focal fish only pays attention to the six or seven closest fish (green), regardless of their distance. Early studies of swarm behaviour employed mathematical models to simulate and understand the behaviour. The simplest mathematical models of animal swarms generally represent individual animals as following three rules: Move in the same direction as your neighbours. Remain close to your neighbours. Avoid collisions with your neighbours. The boids computer program, created by Craig Reynolds in 1. In the zone of repulsion, very close to the animal, the focal animal will seek to distance itself from its neighbours to avoid collision. Slightly further away, in the zone of alignment, the focal animal will seek to align its direction of motion with its neighbours. In the outermost zone of attraction, which extends as far away from the focal animal as it is able to sense, the focal animal will seek to move towards a neighbour. The shape of these zones will necessarily be affected by the sensory capabilities of the given animal. For example, the visual field of a bird does not extend behind its body. Fish rely on both vision and on hydrodynamic perceptions relayed through their lateral line, while Antarctic krill rely both on vision and hydrodynamic signals relayed through antennae. However recent studies of starling flocks have shown that each bird modifies its position, relative to the six or seven animals directly surrounding it, no matter how close or how far away those animals are. It remains to be seen whether this applies to other animals. Another recent study, based on an analysis of high speed camera footage of flocks above Rome and assuming minimal behavioural rules, has convincingly simulated a number of aspects of flock behaviour. Job interview questions and sample answers list, tips, guide and advice. Helps you prepare job interviews and practice interview skills and techniques. International Journal of Engineering Research and Applications (IJERA) is an open access online peer reviewed international journal that publishes research. Swarm behaviour, or swarming, is a collective behaviour exhibited by entities, particularly animals, of similar size which aggregate together, perhaps milling about. Typically these studies use a genetic algorithm to simulate evolution over many generations in the model. These studies have investigated a number of hypotheses explaining why animals evolve swarming behaviour, such as the selfish herd theory. The queen does not give direct orders and does not tell the ants what to do. Instead, each ant reacts to stimuli in the form of chemical scent from larvae, other ants, intruders, food and buildup of waste, and leaves behind a chemical trail, which, in turn, provides a stimulus to other ants. Here each ant is an autonomous unit that reacts depending only on its local environment and the genetically encoded rules for its variety of ant. Despite the lack of centralized decision making, ant colonies exhibit complex behaviour and have even been able to demonstrate the ability to solve geometric problems. For example, colonies routinely find the maximum distance from all colony entrances to dispose of dead bodies. Stigmergy. The principle is that the trace left in the environment by an action stimulates the performance of a next action, by the same or a different agent. In that way, subsequent actions tend to reinforce and build on each other, leading to the spontaneous emergence of coherent, apparently systematic activity. Stigmergy is a form of self- organization. It produces complex, seemingly intelligent structures, without need for any planning, control, or even direct communication between the agents. As such it supports efficient collaboration between extremely simple agents, who lack any memory, intelligence or even awareness of each other. The concept is employed in work on artificial intelligence. The expression was introduced by Gerardo Beni and Jing Wang in 1. The agents follow very simple rules, and although there is no centralized control structure dictating how individual agents should behave, local, and to a certain degree random, interactions between such agents lead to the emergence of intelligent global behaviour, unknown to the individual agents. Swarm intelligence research is multidisciplinary. It can be divided into natural swarm research studying biological systems and artificial swarm research studying human artefacts. There is also a scientific stream attempting to model the swarm systems themselves and understand their underlying mechanisms, and an engineering stream focused on applying the insights developed by the scientific stream to solve practical problems in other areas. It is a hydrodynamic approach, and can be useful for modelling the overall dynamics of large swarms. Individual particle models can follow information on heading and spacing that is lost in the Eulerian approach. Species that have multiple queens may have a queen leaving the nest along with some workers to found a colony at a new site, a process akin to swarming in honeybees. Ants have highly developed sophisticated sign- based communication. Ants communicate using pheromones; trails are laid that can be followed by other ants. Routing problem ants drop different pheromones used to compute the . This emerges, even though there is no centralized coordination, and even though the neighbours for each particle constantly change over time (see the interactive simulation in the box on the right). It has become a challenge in theoretical physics to find minimal statistical models that capture these behaviours. It was developed in 1. Kennedy and Eberhart and was first aimed at simulating the social behaviour and choreography of bird flocks and fish schools. The system initially seeds a population with random solutions. It then searches in the problem space through successive generations using stochastic optimization to find the best solutions. The solutions it finds are called particles. Each particle stores its position as well as the best solution it has achieved so far. The particle swarm optimizer tracks the best local value obtained so far by any particle in the local neighbourhood. The remaining particles then move through the problem space following the lead of the optimum particles. At each time iteration, the particle swarm optimiser accelerates each particle toward its optimum locations according to simple mathematical rules. Particle swarm optimization has been applied in many areas. It has few parameters to adjust, and a version that works well for a specific applications can also work well with minor modifications across a range of related applications. The algorithm shows how altruism in a swarm of entities can, over time, evolve and result in more effective swarm behaviour. Individual insects seem to do their own thing without any central control, yet the colony as a whole behaves in a highly coordinated manner. The group coordination that emerges is often just a consequence of the way individuals in the colony interact. These interactions can be remarkably simple, such as one ant merely following the trail left by another ant. Yet put together, the cumulative effect of such behaviours can solve highly complex problems, such as locating the shortest route in a network of possible paths to a food source. The organised behaviour that emerges in this way is sometimes called swarm intelligence. A colony of ants can collectively select (i. Selection of the best food source is achieved by ants following two simple rules. First, ants which find food return to the nest depositing a pheromone chemical. More pheromone is laid for higher quality food sources. Ants in the nest follow another simple rule, to favor stronger trails, on average. More ants then follow the stronger trail, so more ants arrive at the high quality food source, and a positive feedback cycle ensures, resulting in a collective decision for the best food source. If there are two paths from the ant nest to a food source, then the colony usually selects the shorter path. This is because the ants that first return to the nest from the food source are more likely to be those that took the shorter path. More ants then retrace the shorter path, reinforcing the pheromone trail. This area of biomimetics has led to studies of ant locomotion, search engines that make use of . They may gather in a tree or on a branch only a few meters from the hive. In this new location, the bees cluster about the queen and send 2. The scout bees are the most experienced foragers in the cluster. An individual scout returning to the cluster promotes a location she has found. She uses a dance similar to the waggle dance to indicate direction and distance to others in the cluster. The more excited she is about her findings the more excitedly she dances. Interview Questions and Answers, Job Interview Tips, Advice, Guide.
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Caveman Doctor often discusses ketogenic diets in his posts and podcasts (whatever a podcast is). However, he frequently gets questions regarding a ketogenic diet as. An error occurred while setting your user cookie. Please set your. browser to accept cookies to continue. This cookie stores just a. ID; no other information is captured. Accepting the NEJM cookie is. ![]() Free online pharmacy compare service for consumers with many brand and generic discount drugs from USA, canadian, mexican, indian and international online pharmacy. Plotter Paper for Wide Format Inkjet. 20lb Inkjet CAD Bond 36 x 150 Foot Roll - 4 Roll Carton - FREE SHIPPING. ![]() ![]() ![]() ![]()
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Show me what works best!)I think it’s a bit sad that using this plant, that has been held in such high regard throughout history all over the world going back thousands of years, has become such a taboo thing. Arguably without good enough reasons! That you should HAVE TO detox from weed after enjoying your weekend. For some people it’s either that, or constantly worrying about unsuspected, random drug tests. But it is what it is.. For the sake of simplicity, let’s start with the basics of weed detox! The Basics of THC Detox. Dear child has many names. Marijuana, the plant of focus on this website, goes by many names. So does the use of it and the cigarettes filled with it. To avoid any confusion as to what we’re detoxing from here (and also because it’s such a long and hilarious list!). These are common words we use for our beloved green friend and the consumption of him/her; marijuana, weed, THC, cannabis, grass, pot, green, bhang, hashish, hash, dope, hemp, herb, ganja, ganj, Mary Jane (MJ), Acapulco Gold, doobie, doobage, doob, bone loco weed, Panama Red, Maui Wowie (Maui Waui), sinsemilla, sensimillia, twig joint, spliff, blunt, roach, reefer, wacky baccy, whacky tobacco, cheeba, bud, buddha, chronic, dank, marihoochie, mull, yarndie, kif, leaf, blow, smoke, black, tea, stuff, dagga, charas, jimmy, exotic cheroot, toke tube, bowl, dabs, sativa, indica. This list is in no way complete, so feel free to make use of the comment section to suggest additional names for our mutual friend. Marijuana may or may not make you stupid, but one thing is for sure from seeing this list above. It clearly doesn’t tamper with your creativity or imagination! Moving on to more serious matters: The THC molecule. Most of us feel profound and immediate effects after smoking or consuming marijuana. When these subside, there will still be marijuana metabolites remaining. Chemical remnants and residue that are still inside your body. These are called cannabinoids and are what can be detected in your blood, urine, hair, saliva and finger nails. Drug tests screen for the. That is, if no steps towards detoxing THC are taken. This is also the reason detoxing from cannabis use is trickier and takes so much longer than say from heavier drugs such as cocaine, heroin, opium, LSD, MDMA/extacy, GHB. As an interesting sidenote, marijuana is classed as a Schedule 1 drug just like extacy, heroin, LSD and GHB. It’s thus considered just as heavy in the eyes of the law, with jail as a possible consequence! It is however legal for recreational use in Washington, Alaska and Colorado, and as medical marijuana in nearly half of the states. Sadly, for many on medical marijuana legally, a pre- employment drug test can punish you still! How it compares to other drugs in reality aside from duration in your system is up for debate however. When it comes to the duration marijuana remains in your body, one could argue that for most people this is irrelevant to passing your drug test. What matters is rather for how long the pot can give a positive test result. THC and its metabolites, like most medicines, have a half life in the body (of 1 to 2 weeks). This means that the concentration will get lower and lower, but it won’t be gone completely for a very, very long time. Most drug tests in the U. S. The general consensus is that it can remain detectable. This is no different from my own experience helping other people get clean. It is actually not uncommon at all for the heavy smoker to have detectable levels on a urine test for 2- 3 months after quitting. That’s especially true for those who don’t actively put effort into proper detoxification. In your blood, traces generally remain for a few days tops, but can stay for a week or longer in chronic and heavy users. It gets stored in the fat cells and then released over time into the blood. In your hair weed use can be detected from months back. A typical hair drug test for daily, chronic users goes three months back. Your saliva generally holds detectable amounts of THC residue for 1- 2 days, but in some regular smokers for a week or up to 1. Exactly how long detectable amounts of THC will stay in your system is impossible to say for certain however. It depends on several factors, such as: The time since you last smoked weed. How frequently you smoke. In what quantities. The strength/potency of your weed and strain. Your metabolism. What you eat. Your body fat percentage. How much you exercise and sweat. Your weed detoxification efforts. All of these individually can have a large impact on your marijuana detox duration. You can probably see why it’s hard to set a general marijuana cleanse timeline. How Do Detoxification And Detox Remedies Work? Here’s one way to flush, although I don’t particularly recommend it for this purpose. Detoxing from weed serves the purpose of flushing the body of THC and its detectable metabolites. This speeds up the possible withdrawal period and also allows you to pass a drug test a lot sooner than if you were not actively trying to detox. Your body detoxifies naturally all by itself. But it takes time. Something you don’t always have enough of if you have a drug test coming up any time soon. In such cases you may need to help your body along a little bit. Common ways of action to aid the weed detox process have to do with increasing the amount of fluids you excrete through urinating and sweating. For example, many THC detox supplements have diuretic properties. Many remedies also increase your metabolism to speed up your body’s natural toxic substance clearing mechanisms. Supplying your body with proper nutrition will also help it do what it’s supposed to do more efficiently. A word of caution however is that attempts at detoxing THC too rapidly can alter your urine sample in ways that can make it seem suspicious and unacceptably diluted or contaminated for a urine drug test. This is mainly useful for heavier users who are addicted and having trouble with detoxing weed or even tapering off. The withdrawal is basically the period it takes the body while detoxing to get back into its normal balanced state. Speeding up the detox process will thus help achieve this state faster. During this period some people experience physical, psychological and emotional symptoms. Weed acts as a numbing agent and when suddenly being without it facing reality and ones feelings can get rough at first. Note however that most people when quitting weed only experience minor physical discomfort from which they quickly recover, if any discomfort at all. More or less common symptoms can include: insomnia and sleeplessness, depression or euphoria, vivid dreams and nightmares, night sweats, mood swings, anger and irritability, fear or anxiety, loss of the sense of humor, increased or decreased sex drive, loss of concentration, headaches, body odor, coughing up phlegm, loss of appetite, digestion problems and cramps, nausea and vomiting, tremors and shaking, dizziness, kidney pains, hormone changes, impotency, low immunity and chronic fatigue. Natural Things You Can Do To Aid Your Detoxification Process. Before we get into the fastest and most efficient methods that involve marijuana detox products. I’d like to list a few things you can start doing right now to greatly aid your body’s natural marijuana detox capacity and hence make it faster overall. You will notice that they all have to do with the processes mentioned above in some way, since that is how all detox works. These are great if there is still some time until your drug test. If it is within a week or two (or longer if its a urine test and you’re a regular smoker) you may want to use these only to complement your weed detox and focus more on the products mentioned later as to not take any unnecessary risks. Eat the right foods. There are foods that will make your marijuana detox faster and smoother. On the other hand: There are also foods that will do the opposite and actually slow down your detox. Since THC is fat soluble you’ll want to avoid fatty foods like the plague since this fat can absorb the THC and give it new opportunities to re- enter your blood- stream and tissues. This is what you’re NOT supposed to eat. Yes, more of this! You want nutritious food rich in antioxidants so that your body can work optimally and fiber that will help redirect THC out of your body through stools and help lessen reabsorption of it from inside the intestines (sorry, but that means no junk- food). Legumes and whole grains are good for fiber. Fruits and vegetables in general are great for detoxing. Consider foods that are rich in the vitamin niacin such as avocados, tuna and potatoes. Niacin is a real “flushing- vitamin” and thus good when you want to clear your system. Foods that have lots of electrolytes such as potassium, magnesium and vitamin C are helpful. Citrus and lemon juice comes to mind. Tomatoes, melons, bananas, leafy green veggies, herbal teas etc. The classic cranberry juice, golden seal, Palo Azul tea and even vinegar can also be of benefit, but only as part of your diet to detox over time. Don’t trust the myths about these ones, they will not make you pass your test. But enough about food: Drink, Drink, Drink. Did I mention the word drink? Am I telling you to swap one drug for another here? Of course not! I am however telling you that no detox can be effective if you don’t drink enough. Water is what our bodies use to aid in transporting and flushing things out. That includes toxins, which includes THC metabolites. Without sufficient fluid there can be very little movement. And that’s bad. Drinking a lot is the best way to ensure that you’re excreting as much fluids as possible in the form of urine and sweat. And with this fluid the stuff that you want to get rid of. It also helps cleanse your kidneys. What you drink isn’t as important as it is that you stay hydrated in general. Water is awesome, but juices and other low- fat beverages will do the trick as well. ![]() ![]() Diabetic Menus Pre Diabetic Diet. Home. Sign- Up. Gluco. ![]() ![]() Why You Should Think Twice About Vegetarian and Vegan Diets. Brand X Pictures/Stockbyte/Thinkstock. There are many reasons why people choose to go vegetarian or vegan. Some are compelled by the environmental impact of confinement animal feeding operations (CAFO). Others are guided by ethical concerns or religious reasons. I respect these reasons and appreciate anyone who thinks deeply about the social and spiritual impact of their food choices. It is this last reason that I’d like to address in this article. This idea has been so thoroughly drilled into our head that few people even question it anymore. But is this really true? Plant- based diets emphasize vegetables, which are quite nutrient dense, and fruits, which are somewhat nutrient dense. However, they also typically include large amounts of cereal grains (refined and unrefined) and legumes, both of which are low in bioavailable nutrients and high in anti- nutrients such as phytate, and they eschew organ meats, meats, fish and shellfish, which are among the most nutrient- dense foods you can eat. Several studies have shown that both vegetarians and vegans are prone to deficiencies in B1. EPA & DHA, and fat- soluble vitamins like A & D. Let? Find out! Vitamin B1. B1. 2 deficiency is especially common in vegetarians and vegans. The takeaway is that the most recent studies using more sensitive techniques for detecting B1. Find program websites, online videos and more for your favorite PBS shows. When talking about a Grain Brain lifestyle, and the very similar ketogenic diet, it Turner Gas Company is family-owned and has successfully served customers for over 75 years. We are the market leader in energy and chemical transportation, marketing. Diabetic neuropathies are the most prevalent chronic complications of diabetes. This heterogeneous group of conditions affects different parts of the nervous system. Civil Engineering Applications for the use of consulting engineers, structural designers, and architects. Free online pharmacy compare service for consumers with many brand and generic discount drugs from USA, canadian, mexican, indian and international online pharmacy. Greens Blue Flame supplies propane tank installation services and propane delivery in the Houston, TX area. We also offer bulk commercial delivery. B1. 2 deficient, compared to just 5% of omnivores. B1. 2 deficiency can cause numerous problems, including: Fatigue. Lethargy. Weakness. Memory loss. Neurological and psychiatric problems. Anemia. And much more. Studies have shown that kids raised until age 6 on a vegan diet are still B1. In one study, the researchers found. Any defect in this area may have far- reaching consequences for individual functioning. A common myth amongst vegetarians and vegans is that it. If you've been reading HCG diet reviews read my account of phase one and two plus my actual daily losses. Unlike other HCG reviews this is my personal. But plant foods said to contain B1. B1. 2 analogs called cobamides that block the intake of, and increase the need for, true B1. There are a few vegetables listed in this paper that have higher levels of bioavailable calcium, but it. This suggests that trying to meet your daily calcium needs from plant foods alone (rather than dairy products or bone- in fish) might not be a great strategy. Iron. Vegetarians and omnivores have similar levels of serum iron, but levels of ferritin. Moreover, although vegetarians often have similar iron intakes to omnivores on paper, it is more common for vegetarians (and particularly vegans) to be iron deficient. For example, this study of 7. Germany found that 4. Plant- based forms of iron are also inhibited by other commonly consumed substances, such as coffee, tea, dairy products, supplemental fiber, and supplemental calcium. This explains why vegetarian diets have been shown to reduce non- heme iron absorption by 7. This is another case where bioavailability is important; many plant foods that contain zinc also contain phytate, which inhibits zinc absorption. Vegetarian diets tend to reduce zinc absorption by about 3. ![]() We handle a wide range of commodities and package designs. One study suggested that vegetarians may require up to 5. In this context, an essential fatty acid is one that can. However, an increasing body of research has highlighted the benefits of the long- chain omega- 3 fatty acids EPA & DHA. These fatty acids play a protective and therapeutic role in a wide range of diseases: cancer, asthma, depression, cardiovascular disease, ADHD, and autoimmune diseases, such as rheumatoid arthritis. While it is possible for some alpha- linolenic acid from plant foods to be converted into EPA & DHA, that conversion is poor in humans: between 5- 1. EPA and 2- 5% for DHA. Fat- soluble vitamins play numerous and critical roles in human health. Vitamin A promotes healthy immune function, fertility, eyesight and skin. Vitamin D regulates calcium metabolism, regulates immune function, reduces inflammation and protects against some forms of cancer. These important fat- soluble vitamins are concentrated, and in some cases found almost exclusively, in animal foods: primarily seafood, organ meats, eggs and dairy products. Some obscure species of mushrooms can provide large amounts of vitamin D, but these mushrooms are rarely consumed and often difficult to obtain. Plants contain beta- carotene, the precursor to active vitamin A (retinol). While beta- carotene is converted into vitamin A in humans, the conversion is inefficient. To get the same amount from plant foods, you. Moreover, traditional cultures consumed up to 1. RDA for vitamin A. It would be nearly impossible to get this amount of vitamin A from plant foods without juicing or taking supplements. But don’t vegetarians live longer than omnivores? At this point you might be thinking, “Well, so what if plant- based diets are lower in some nutrients. Everyone knows vegetarians live longer than omnivores!” While it’s true that some observational studies suggest that vegetarians and vegans enjoy longer lifespans, these studies were plagued by the “healthy user bias”. The healthy user bias is the scientific way of saying that people who engage in one behavior that is perceived as healthy (whether it is or not) are more likely to engage in other behaviors that are healthy. For example, vegetarians tend to be more health conscious on average than general population; they are less likely to smoke or drink excessively and more likely to exercise, eat fruits and vegetables and take care of themselves. The healthy user bias is one of the main reasons it. For example, say a study shows that eating processed meats like bacon and hot dogs increases your risk of heart disease. They also drink and smoke more, exercise less and generally do not take care of themselves very well. How do we know, then, that it. In other words, instead of comparing the “average” meat eater (who tends to be less health conscious) with the “average” vegetarian (who tends to be more health conscious), what happens when you compare vegetarians and omnivores that are both health- conscious? Thankfully, we have a study that did just that. It compared the mortality of people who shopped in health food stores (both vegetarians and omnivores) to people in the general population. This was a clever study design. People who shop in health food stores are more likely to be health conscious, regardless of whether they eat meat, which reduces the likelihood that the study results will be thrown off by the “healthy user bias”. What did the researchers find? Both vegetarians and omnivores in the health food store group lived longer than people in the general population. Nor was there any difference in rates of heart disease or stroke between the two groups. These long- chain omega fats are found exclusively in marine algae and fish and shellfish, so the only way to get them on a vegetarian diet would be to take a microalgae supplement (which contains DHA) or bend the rules and take fish oil or cod liver oil as a supplement. Still, while it may be possible. Vegan diets are low in B1. A & D, calcium, and EPA and DHA. This explains why some people seem to do well for years on these diets, while others develop problems very quickly. From an evolutionary perspective, is difficult to justify a diet with low levels of several nutrients critical to human function. While it may be possible to address these shortcomings through targeted supplementation (an issue that is still debated), it makes far more sense to meet nutritional needs from food. This is especially important for children, who are still developing and are even more sensitive to suboptimal intake of the nutrients discussed in this article. Unfortunately, many are not aware of the potential for nutrient deficiencies posed by their dietary choices. I hope this article can serve as a resource for anyone on a plant- based diet, whether they choose to start eating meat (or animal products, in the case of vegans) again or not. Like what you’ve read? Sign up for FREE updates delivered to your inbox. I hate spam too. Your email is safe with me. Diabetic Neuropathy: A Position Statement by the American Diabetes Association. Most common among diabetic neuropathies is chronic DSPN, accounting for about 7. A simple definition of DSPN for clinical practice is the presence of symptoms and/or signs of peripheral nerve dysfunction in people with diabetes after the exclusion of other causes. Experimental studies suggest a multifactorial pathogenesis of DSPN (Fig. A prevailing view of the pathogenesis is that oxidative and inflammatory stress may, in the context of metabolic dysfunction, damage nerve cells (3. Estimates of the incidence and prevalence of DSPN vary greatly (2. DCCT/EDIC (2. 7,4. DSPN occurs in at least 2. DSPN may be present in at least 1. Rates in youth with type 1 and type 2 diabetes approach those observed in adult populations (4. DSPN has been associated with glycemia (1. There is emerging evidence that DSPN, especially the painful small- fiber neuropathy subtype, may be present in 1. DSPN is the most important cause of foot ulceration, and it is also a prerequisite in the development of Charcot neuroarthropathy (CN) (5. The reader is referred to several other reviews that cover this topic (5. Foot ulceration and CN are both recognized as late complications of DSPN (5. These late complications drive amputation risk and economic costs of diabetic neuropathy and are also predictors of mortality. DSPN is also a major contributor to falls and fractures (5. These recurrent minor injuries may further contribute to the pathogenesis of CN (5. Screening and Diagnosis. Recommendations. All patients should be assessed for distal symmetric polyneuropathy starting at diagnosis of type 2 diabetes and 5 years after the diagnosis of type 1 diabetes and at least annually thereafter. BConsider screening patients with prediabetes who have symptoms of peripheral neuropathy. BAssessment should include a careful history and either temperature or pinprick sensation (small- fiber function) and vibration sensation using a 1. Hz tuning fork (large- fiber function). All patients should have an annual 1. BElectrophysiological testing or referral to a neurologist is rarely needed for screening, except in situations where the clinical features are atypical, the diagnosis is unclear, or a different etiology is suspected. Atypical features include motor greater than sensory neuropathy, rapid onset, or asymmetrical presentation. BPatients with type 1 diabetes for 5 or more years and all patients with type 2 diabetes should be assessed annually for DSPN using medical history and simple clinical tests. Up to 5. 0% of patients may experience symptoms of DSPN (Table 2), whereas the rest are asymptomatic. Patients may not volunteer symptoms but on inquiry may reveal that they are experiencing numbness or other positive symptoms of DSPN. Table 2. Symptoms and signs of DSPNSymptoms vary according to the class of sensory fibers involved. The most common early symptoms are induced by the involvement of small fibers and include pain and dysesthesias (unpleasant sensations of burning) (1,4,5. Neuropathic pain may be the first symptom that prompts patients to seek medical care and is present in up to 2. DSPN (6. 1–6. 3). Characteristically, the pain is burning, lancinating, tingling, or shooting (electric shock–like); occurs with paresthesias; presents in varying combinations; and is typically worse at night. Neuropathic pain may be accompanied by an exaggerated response to painful stimuli (hyperalgesia) and pain evoked by contact, e. Neuropathic pain can lead to interference with daily activities, disability, psychosocial impairment, and reduced health- related quality of life (6. The direct and indirect economic burden associated with neuropathic pain is substantial (6. The involvement of large fibers may cause numbness, tingling without pain, and loss of protective sensation. Loss of protective sensation indicates the presence of DSPN and is a risk factor for diabetic foot ulceration. Patients can also initially present with an insensate, numb foot due to the loss of large fibers. Patients frequently state that their feet feel like they are wrapped in wool or they are walking on thick socks. It is the loss of the “gift of pain” that permits patients with plantar neuropathic ulcers to walk on the lesions, inducing chronicity, frequently complicated by infection (7. The following clinical tests may be used to assess small- and large- fiber function distal to proximal (Table 2): Small- fiber function: pinprick and temperature sensation. Large- fiber function: vibration perception, proprioception, 1. A 1. 28- Hz tuning fork can be used for the assessment of vibration perception. Assessment of light- touch perception using a 1. Perkins et al. The 1. Assessments should follow the typical DSPN pattern, starting distally (the dorsal aspect of the hallux) on both sides and move proximally until a sensory threshold is identified (7. Combining at least two examinations will increase the sensitivity and specificity of detecting DSPN, as demonstrated in several cohorts of patients with type 1 and type 2 diabetes including children and adolescents (2. The diagnosis of DSPN is principally a clinical one (Table 2). A combination of typical symptomatology and symmetrical distal sensory loss or typical signs in the absence of symptoms in a patient with diabetes is highly suggestive of DSPN and may not require additional evaluation or referral. As up to half of the patients may be asymptomatic, a diagnosis may only be made on examination or, in some cases, when the patient presents with a painless foot ulcer. Clinicians should note that the 1. DSPN screening and diagnosis is different than the diagnosis of the “high- risk foot” for ulceration, a late DSPN complication that requires that four sites (first, third, and fifth metatarsal heads and plantar surface of distal hallux) be tested on each foot (8. Consider excluding neuropathy with causes other than diabetes (Table 3) by undertaking a family and medication history and performing relevant investigations (e. B1. 2, folic acid, thyroid function, complete blood count, metabolic panel, and a serum protein immunoelectrophoresis) (8. Table 3. Differential diagnosis of diabetic neuropathies. Electrophysiological testing or referral to a neurologist is rarely needed for diagnosis, except in situations where the clinical features are atypical, the diagnosis is unclear, or a different etiology is suspected (2,3. Atypical features that warrant referral include motor greater than sensory neuropathy, asymmetry of symptoms and signs, and rapid progression. Foot Complications. The simple yet comprehensive clinical exam is principally designed to identify those at risk for the late complications who need education on preventative foot self- care and regular podiatric foot care. Recently an even simpler foot exam, the “3- minute diabetic foot exam,” has been proposed (8. This is intended not only for physicians but also for other health care professionals who may only have 1. Recommendations. Tight glucose control targeting near- normal glycemia in patients with type 1 diabetes dramatically reduces the incidence of distal symmetric polyneuropathy and is recommended for distal symmetric polyneuropathy prevention in type 1 diabetes. AIn patients with type 2 diabetes with more advanced disease and multiple risk factors and comorbidities, intensive glucose control alone is modestly effective in preventing distal symmetric polyneuropathy and patient- centered goals should be targeted. BLifestyle interventions are recommended for distal symmetric polyneuropathy prevention in patients with prediabetes/metabolic syndrome and type 2 diabetes. BPathogenetic Therapies. Despite the recent major advances in elucidating the pathogenesis of diabetic neuropathy, there remains a lack of treatment options that effectively target the natural history of DSPN (8. DSPN once established. Several pathogenetic pharmacotherapies have been investigated (3. Advances in DSPN disease modification need to be confirmed with further robust evidence from clinical trials, together with a better understanding of the mechanisms of action of promising treatments (8. Pain Management. Recommendations. Consider either pregabalin or duloxetine as the initial approach in the symptomatic treatment for neuropathic pain in diabetes. AGabapentin may also be used as an effective initial approach, taking into account patients’ socioeconomic status, comorbidities, and potential drug interactions. BAlthough not approved by the U. S. Food and Drug Administration, tricyclic antidepressants are also effective for neuropathic pain in diabetes but should be used with caution given the higher risk of serious side effects. BGiven the high risks of addiction and other complications, the use of opioids, including tapentadol or tramadol, is not recommended as first- or second- line agents for treating the pain associated with DSPN. ENo compelling evidence exists in support of glycemic control or lifestyle management as therapies for neuropathic pain in diabetes or prediabetes (3. At present, pregabalin and duloxetine have received regulatory approval for the treatment of neuropathic pain in diabetes by the U. S. Food and Drug Administration (FDA), Health Canada, and the European Medicines Agency. The opioid, tapentadol, has regulatory approval in the U. S. It is important to mention that only a few trials that targeted pain in peripheral neuropathic pain were carried out in DSPN alone. However, the results of studies performed on peripheral nondiabetic neuropathic pain or mixed neuropathic pain may be applicable to patients with neuropathic pain due to DSPN. Although there are broad general agreements among the recommendations, there are some inconsistencies that are, in part, a consequence of whether the guidelines are specific for painful DSPN or whether they address neuropathic pain due to all causes (1. Nutrition, Fitness, Medical, Wellness - MSN Health & Fitness. Top workouts to get flat, sexy abs. ![]() ![]() ![]() ![]()
![]() Hiring now for the Summer!!! Be part of the Crew at The Port of Newcastle! Part Time/Full Time needed. Must have Smart Serve. Pleasant, friendly and outgoing. Find internships and employment opportunities in the largest internship marketplace. Search paid internships and part time jobs to help start your career.![]() ![]() We never have to worry about whether or not the data is current, Sammi's command and control system ensures that we are always communicating with the satellite in real- time. In addition, Sammi's sophisticated graphics make the data easy to read and understand. Because of Sammi, a project that could have taken months was completed in days. With its cutting- edge products, it is a great example of how Bay Area Houston sends innovation around the world. Sammi is very important in our system. ![]() B A B Y L O N F L O R A LWelcome to Babylon Floral Design, Denver's most unique flower boutique, specializing in cutting edge floral design and unique gift items. We strive to provide the most exquisite arrangements and service for individuals and events by transforming thoughts and feelings into floral art, using color, texture, form and style to communicate. Please feel free to browse our gallery and blog to get a sense of what we do and then visit our order page for our unique approach to ordering flowers. We hand select our flowers daily and carry a large assortment of fresh orchids and tropicals along with seasonal picks. For special requests, call the day before and we'll order what you want. We are happy to offer city- wide delivery and an association with a consortium of fine florists, offering outstanding floral design for nationwide and international delivery. If you want to make a purchase and your billing address and/or credit card is outside the United States, please call the shop to order. We provide secure online ordering 2. Sundays or most major holidays. ![]() Robot Check. Enter the characters you see below. Sorry, we just need to make sure you're not a robot. Carp Fishing Website with loads of different tips tricks methods tactics to help fool carp to help catch big fish. Finding The Right Contractor Shouldn't Be Painful Doing the right home improvement or remodeling project can add real value to any type of home, if done correctly and. ![]()
![]() For best results, please make sure your browser is accepting cookies. ![]() Welcome to Babylon Floral Design, Denver's most unique flower boutique, specializing in cutting edge floral design and unique gift items. We strive to provide the. Goddard Space Flight Center GSFC renews long term contract with Kinesix for support of their satellite testing and command & control. Drummond Company is a proven leader in the coal industry but also wholly owns ABC Coke, Jasper Oil, Perry Supply, & various real estate developments. Bruno's Marketplace offers gourmet food products from Northern California, including Bruno's Wax Peppers, Sierra Nevada Chileno Peppers, Waterloo BBQ Sauce, Bruno's. ![]() No matter how much it hurts, no matter how hard it gets, you got to keep grinding. And that's how we're gonna win. We're gonna save Cass, we're gonna ice the Devil, and we're gonna shank the Darkness. And anyone that gets in our way, well, God help them. He and his brother are members of the Winchester and Campbell families, and Dean is also the destined vessel of the archangel. Michael. He and Sam are also the surrogate sons of Bobby Singer. Dean is best friends with the angel. Castiel, close friend to the late prophet Kevin Tran, and reluctant ally of Crowley. Dean has an ex- girlfriend, Lisa Braeden who he lived with for a year when he thought Sam was in Hell. She has a child named Ben, who Dean acted as a father for during that year. Dean is also the former apprentice of Alastair. Dean's main role in the series is being the self- appointed guardian of Sam and often going to extreme lengths to protect him regardless of personal cost. Often in these occurrences Dean finds himself the center of a much larger picture. He was then cured by his brother using purified blood. Eventually, the Mark was removed, but the price was that the Darkness has now been released into the world, something Dean tried to avoid. He was the eldest child of John and Mary Winchester. When his parents had an argument when he was about three, Dean comforted his mother, promising her that John still loved her. Dean was soon joined by a brother, Sam. Shojin ryori or Zen Buddhist temple cuisine is the beacon of hope for a vegetarian in Japan. The monks make it possible to enjoy delicious, healthy, creative.Six months later, Azazel visited the house to feed Sam demon blood. Mary tried to stop him, leading Azazel to set the nursery on fire with Mary pinned to the ceiling. He then instructed his son to get out of the house as fast as he could. Dean ran out and watched as the flames destroyed his home, his childhood, and his mother. WebMD experts and contributors provide answers to your health questions. Dean Winchester (born January 24, 1979) is a human and hunter as well as a member of the Men of. The Alternative Daily shares alternative health news on stress, sleep, alternative diets with a newsletter and health eBooks. Supported Belly Down Twist. From a seated position, place the bolster along the middle of your mat. You may choose to put the bolster on a gentle incline using blocks. If you are on holiday I would say relax, don't bother with any training while you're there, just enjoy yourself and give your muscles a break, then. The Survival Center's Food Storage Page Short and Long-Term. The Survival Center's New YouTube Channel. Emergency Foods, MRE's, Freeze Dried Food. John left Lawrence with Dean and Sam before Dean's fifth birthday. According to Dean, he bulls- eyed every one of them. Dean has cited this story as one of his fonder memories of his father. When he came back, he found the Shtriga feeding on Sam. John returned in time to scare the Shtriga off. For a long time Dean was haunted by his failure to defend his brother. In 1. 99. 1, when Dean was in sixth grade, he made his first sawed- off shotgun. Don't you ever talk about mom! Dean finally resigned himself to telling Sam the truth. He's fighting them right now. Disappointed with John's lying and absence, Sam gave Dean a Christmas present intended for his father: an amulet. Dean wears the amulet from this time on. As a result, he was sent to a reform school run by a man named Sonny who is an ex- con that turned his life around and eventually got the charges against Dean dropped. While living at the home, Dean flourished. Dean as a 1. 6 year old. He became a high school wrestling champion, made friends and was doing well in school. Dean met a girl named Robin who was Dean's first love interest. She shared Dean's desire not to go into the . Dean's dreams at the time was to become a rockstar or a mechanic and he was supposed to go to a dance with Robin, but his father returned the night of the dance to pick him up and refused to delay even for one night. Sonny offered Dean the chance to stay permanently, but Dean reluctantly left because he couldn't leave Sam. After convincing John, they all go out, see the sights, ride on the subway, eat a lot of pizza, etc. Then one night at midnight, when Sam and John are tuckered out and sleeping, Dean snuck away from them and went to CBGB where he gets completely drunk for the first time, despite being . Dean snuck in to the bar, and he describes it as . Then a woman walks to Dean and asks him to join her and her friends at a table, which Dean immediately agreed to. Though they get him drunk, Dean says it wasn't . But at that same moment, John then shows up, and when he says . Dean was freaked out because John was just standing there not saying anything. Even a boy with a safety pin through his nose and a . So after getting him out of there, Dean yelled at him for embarrassing him and tells John he hates him. But John stopped, turn to Dean, and responds, ? It's not my job to be liked. It's my job to raise you right. As it burns, Dean thinks to himself he's only sixteen and he's seeing things normal teenagers would never even know of. From that point, Dean chooses to forget being regular and embraces the hunting life. I'm sitting there and looking into the fire and thinking to myself, 'I'm sixteen- years old. Most kids my age are worried about pimples, prom dates. I'm seeing things they'll never even know. In November 1. 99. John . While Sam was having trouble with a bully named Dirk, Dean got a girlfriend, Amanda. He became uncomfortable when she asked him to meet her parents. When she caught Dean cheating on her with another girl, she challenged him, charging that his . Like the way you are with you brother. You spent so much time trying to convince people that you're cool, but it's just an act. We both know that you're just a sad, lonely little kid and I feel sorry for you, Dean.? Don't feel sorry for me. You don't know anything about me. At this time, Dean also gave Sam advice over the phone on how to talk to girls. However, he spent most of his time in Lisa Braeden's loft. While there, he became estranged from Dean and his father and didn't speak to them for at least a couple of years. During this time, Dean met Cassie Robinson while he and John were in Athens, Ohio, for a hunt. She and Dean dated for a couple of weeks. Before Dean left, he told Cassie the 'big family secret' about hunting. It was then that Cassie promptly called him 'nuts' and dumped him. Dean hunted a Vetala by himself during this period. Dean never encountered Edward's race of monster before or since but was able to kill him by slitting Edward's throat with a silver- coated steel knife. After killing Edward, Dean was found by his 1. Cole who believed Dean had murdered his father. Saving people, hunting things, the family business. Twenty- two years later, the demon responsible for their mother's death kills Sam's girlfriend, Jessica Moore. Together, Dean and Sam go on a road trip to fend off supernatural creatures and search for their father, John, who occasionally leaves new missions for them to complete. During the course of the episode, the shape- shifter assumes Dean's form, causing police to believe that Dean is responsible for the murders. The shapeshifter also gains insight on Dean's inner conflict, partially revealing his secret self- loathing and resentment of his father being gone and Sam leaving them to go off to college. However, Dean kills the shape- shifter while it is still in his form, and the authorities officially declare him dead. You got to go to college. I mean, I had to stay home. You don't think I had dreams of my own? Where the hell where you? You could have a life. And sooner or later, everybody's gonna leave me. In Asylum, while influenced by the spirit of Doctor Ellicott, Sam tries to shoot Dean in a spirit- induced rage over Dean's insistence in obeying John's orders rather than going to California to find their father. In the following episode, Sam actually does leave Dean, insisting he and John are both selfish because all they care about is revenge. Later, Dean tells Sam he was always proud of how he pursued what he wanted. Sam eventually goes looking for Dean when he can't reach his brother on his cell phone. Later, he is saved by a faith healer, Roy Le Grange, whose wife is controlling a Reaper. When Dean asks why he was saved, Roy Le Grange says he looked into Dean's heart and saw . And it isn't finished. Dean becomes upset with Sam and insists that they keep fighting together. Nobody's dying tonight, not us, not that family, nobody. That evil son of a bitch ain't getting any older than tonight, understand me? After Dean realizes this, The Yellow- Eyed Demon pins him and Sam to a wall and reveals that John favors Sam over Dean. The demon also tells Dean that he was responsible for sending the demon's children back to Hell. After Dean makes a sarcastic remark about the situation, the demon tortures him and Dean pleads for his father's help before losing consciousness. While Sam is driving to the hospital after Dean and John were injured, a demon- possessed driver drives his truck into the Impala, causing massive damage to the car and the Winchesters inside. Five minutes later Dad's dead and The Colt's gone. You can't tell me there's not a connection there. I don't know how the demon was involved, I don't know how it went down exactly, but Dad's dead because of me and that much I do know. I never should've came back. And I should've stayed dead. In the first episode of Season 2, In My Time of Dying, Dean is in a coma and a reaper, Tessa, tries to convince him to cross over. In an effort to save Dean, John makes a deal with Azazel, trading his life for Dean's. Before John dies, he tells Dean that someday Dean may have to kill Sam. This, however, Dean's hides under hunting and at first brushing off every attempt Sam did to make him talk about his feelings. Dean became more reckless and harsh, particularly in hunting until Sam finally made him get more of a handle on it. Because if it wasn't, you would've just found something else to kill. Except when you're hunting because then you're downright scary. You're tailspinning, man. And you refuse to talk about it and you won't let me help you. It is revealed that Dean has a rather impressive police record with charges including credit card fraud, breaking and entering, and grave desecration. Although Sam and Dean are able to prove that the murders were actually committed by one of the detectives on the case, it is unclear whether or not the charges against Dean were ever officially dropped. However, the problem still remains that the authorities have realized that Dean is not dead as they had previously believed. Dean's self- loathing and guilt increases, believing John should've went out fighting against the yellow- eyed demon, not bargaining and getting tortured for his sake. Changing Protein Recommendations? To see any graphs, charts, graphics, images, and quotes to which Dr. Greger may be referring, watch the above video. As I’ve talked about before, to help keep cancer- promoting growth factors (like IGF- 1) in check, we need to maintain an adequate, but non- excessive, protein intake. I’ve talked about what was excessive. So it was easy; you divide your ideal weight in pounds by three, and that. But, to be on the safe side, they recommended closer to . RDA. Well, recently, a group of researchers published a paper arguing that there may be fundamental flaws in the ways protein requirements have been calculated in the past, based on some faulty assumptions. Taking that into account, the new recommendations from this group, based on this preliminary evidence, would be about 2. They think most people now probably need about . Well, at least that would make. My REAL Instant Knockout Review: 3 BIG Reasons It's The Best. Product Reviewed: Instant Knockout Fat Burner Review Rating. OUT OF 5. Rob Miller. Propane is used in a number of applications, the most common being a heating fuel. While the Houston heating season is limited, our location, size and industrial.We must look at Filipino boxing legend Manny Intriguing new research is adding weight to the notion that when you eat could be just as important as what you eat. Note: This is just a review. Click Here to visit the official Instant Knockout website. Achieving a rock hard body is never easy. It takes a healthy diet, dedication to workouts, and the right mindset to keep yourself from “cheating” with 3 slices of pizza. Another important aspect to getting a ripped physique is taking the right supplements. One such supplement I recently got a chance to personally test out is called Instant Knockout, which is a fat burner designed to help you shed away that stubborn layer of fat from the hard to target areas. So what is it about this formula that makes it so effective. I’m going to talk a little bit about how the supplement works first, but if you would like to skip ahead to my personal results then you can click here. You can also watch the video below: What is Instant Knockout? Instant Knockout is an all natural fat burning supplement that aims to help not only suppress appetite, but also target unwanted fat deposits. ![]() It does this through the use of a proprietary formula which includes the following ingredients: Vitamin B6 and B2, Zinc, GTF Chromium, Green Tea extract, Green Coffee bean extract, Cayenne Pepper, Glucomannan, Caffeine, and Bioperine (black pepper extract). Now. instant knockout contains 3. To give you an idea of how much caffeine that is, a typical cup (8 oz) contains about 1. ![]() AXS.com brings you inside access to tickets, artist news, and exclusive stories on concerts, tours, sports teams, family events, arts, theater, and festivals. The Ultimate Cutting Diet Revware is a leading metrology software and equipment manufacturer Ron Arvine, President of Arvine Pipe & Supply Co., Inc. ![]() The combination of caffeine, green tea, chili pepper, and glucomannan (1. Click Here for a picture of the label. If you didn’t already know, chili pepper has been studied for it’s weight loss properties. It actually works in 2 ways. Oz, Oprah, and “The Doctors”. While research is still in the infancy stages, Green tea has been shown to act as a potent antioxidant, and can help to boost metabolism and remove fat from fat cells. Use IKO in Combo With Phenibut As an Effective Pre- Workout. Since I’ve written this review, the chief complaint behind Instant Knockout seems to be the caffeine content. While it’s true that enormous amounts of caffeine like this can give you a huge spurt of energy, it can also cause a jittery, anxious, and uncomfortable feeling. About 6 months ago I tested out a substance called Phenibut, which is used to help give you a calm, relaxed feeling and quell any anxiety. It also works AMAZING for sleep. I used Phenibut in low doses (2. Instant Knockout during one of my recent workouts, and the results were truly AMAZING. Not only did I get the full fat- burning and energy producing effects from the Instant Knockout, but the Phenibut completely eliminated any anxiety I was experiencing from caffeine overload. This combo would be especially helpful for guys that work out later in the day after work, who need a good boost in their workouts but are concerned about any anxiety and insomnia creeping into their sleep patterns. One thing I want to note is that should you decide to stack Phenibut with Instant Knockout, that you do so only 1 – 2 times per week, with at least a 3 – 4 day break in between doses. Phenibut has a tendency to build up a tolerance quite rapidly and can be habit forming if taken more often than this. If you decide to stack this, follow these directions exactly: 1.) Take a low dose of Phenibut (about 2. COMPLETELY empty stomach about 1 – 2 hours before your planned workout session. It literally takes that long to kick in. Take 1 – 2 capsules of IKO 3. Leave Your Review Below! References. 1. Already slimmed down from a size 3. Yes. No. 56 out of 6. Thank you for your feedback. Works Great So Far, but.. Jan 2. 0, 2. 01. 5 by Too much caffeine.. Taking all 4 capsules throughout the day just made me feel really jittery, so I cut it down to just one pill in the am and one before working out and so far so good! Was this review helpful to you? Yes. No. 52 out of 6. Thank you for your feedback. Instant Knock the Fat Out! I lost 2. 0 pounds in one month using Instant Knockout. My workout routine is more intense.. I can work out for 3. Fat is melting off me. My hubby is taking it too and he lost 4 pounds within a week. This product is an integral part of my stack. Was this review helpful to you? Yes. No. 50 out of 5. Thank you for your feedback. Works But Some Side Effects. I think I been taking this too late in the day bc Im having a hard time falling asleep at night. ITs gotta be the caffiene, but other than that it works really good. Was this review helpful to you? Yes. No. 32 out of 3. Thank you for your feedback. Rob Miller: Yeah I definitely recommend that you take it no later than 6 pm, or at least 5 - 6 hours before bedtime. Rob. Supplement. Critique. Lamar's Review. This stuff is garbage. Took it for 3 months and I have lost 1 pound. I hit the gym 5 days a week, and rarely eat anything other than grilled chicken with rice. All this talk about ? Yes. No. 43 out of 6. Thank you for your feedback. User Questions and Answers. User Questions and Answers. If I can tolerate 1 capsule fine, is it okay to try taking 2 capsules twice a day instead of 1 four times? Yes. No. 9 out of 1. Thank you for your feedback. It's got quite a bit of caffeine so it will affect you the same way caffeine usually affects you.- Rob. Was this question helpful to you? Yes. No. 12 out of 1. Thank you for your feedback. I'm wondering if you can use instant knock out if you injured an not exercising to maintain,as don't want to see my hard work go to waste il b starting slowly by swimming next week I have disc problems so wondering can it be effective wile injured to help not see years of hard work go to waste. Linda. It will still do what it does as a fat burner and appetite suppressant, but you won't burn as many calories as you were when you were exercising, so you results will be less pronounced.- Rob. Was this question helpful to you? Yes. No. 5 out of 5 people found this question helpful. Thank you for your feedback. Can a type 1 diabetic take instant knockout to lose stubborn belly fat - Hector Because of you condition and the fact that you take prescription medications, you should check with your doctor before taking any supplement. Yes. No. 4 out of 4 people found this question helpful. Thank you for your feedback. So I've been reading up on this product. Seems legitimate , I trust the reviews. I'm a bigger guy up top and have gained significant muscle , I'm looking to help lose the beer gut. Will IKO help get rid of the fat without depleting the existing muscle? IKO will increase your energy and metabolism, and burn fat. In order to maintain your muscle and strength, you'll need to continue to work out hard. Yes. No. 4 out of 4 people found this question helpful. Thank you for your feedback. Click Here To Visit The Official Instant Knockout Site www. Instant. Knockout. Sign Up For Our FREE 4. What Is The Best 8- Week Diet Plan For A Summer Ready Body? TOPIC: What Is The Best 8- Week Diet Plan For A Summer Ready Body? The Question: The summer is steadily approaching and now is the time to start getting ready for those three beautiful months when everyone will want to have their tops off. What is the best 8- week diet plan for a summer ready body? What supplements would work best for this 8 week plan for a summer ready body? What are the benefits of this plan? Would it work for everyone? Show off your knowledge to the world! The Winners: Prizes. Most people know that an effective diet is key to getting into lean shape. And most people know that in order to lose weight, you must burn more calories than you consume. But that is about as much as many people know. Even many bodybuilders make many mistakes which hinder their progress. Many others get no results at all when using similar diet protocols. This article will help you to avoid many of the common mistakes made, and get the best possible results for a summer- ready body. Diet. What Is The Best 8- Week Diet Plan For A Summer Ready Body? Before getting to the actual diet, there are many things that need to be covered. The mechanisms behind successful fat loss are just as important as the diet itself. By understanding these, you will be able to tell which diet plans will work well, and why other diet plans which seem to be good, are not really that great at all. Some Fundamental Principles & Concepts. Common Mistakes: There are many common mistakes that can hinder fat loss results. Some of them are a result of poor information. Others are simply a result of negligence; it is easy to make some of these mistakes without even realizing it. I myself have made some of them, and did not realize it until they began to cause problems. Not Eating Enough: Not consuming enough food, or enough of the right foods will hinder your fat loss goals in many ways. The fewer calories you consume, the more efficient your metabolism becomes. In most cases, efficiency is a good thing. In this case, it is not. If calories levels are too low, your muscle tissue stands a much bigger chance of being burned for energy. Decreased calories can also significantly reduce performance in the gym. Eating Too Much: Eating too many calories, or too much of the wrong foods is just as bad. On one hand, eating more will cause your body to burn more total calories, and will make your metabolism more inefficient. However, this is a tool which must be used intelligently; it does not mean you can eat as much as you want. Not Eating Frequently Enough: Nearly every bodybuilder understands on some level that eating smaller, more frequent meals is important. There are some that know it is helpful, but are unaware of just how important it really is. Even worse, there are some who stubbornly believe that it does not matter. Maintaining a supply of protein is crucial for building muscle, and it is very important for fat loss & preventing muscle loss as well. The body cannot store protein for future use, so providing a steady stream of amino acids is extremely important. Too many people think in terms of daily energy balance. They think of calorie per day, or grams of protein per day, which is plain silly. Why not count in calories per 2 and half days, or grams of protein per week? It makes just as little sense. Eating frequently is important for providing your body with just enough nutrients it needs at that given moment. Thinking In Terms Of 2. Hour Energy Balance: Too many people think in calories per day, total carbs per day, or grams of protein per day. Your body however, does not share this same though process. When you consume food at any time, your body will use what it can, and store the rest as fat. Amazingly, many people who know this still pay little attention to moment- to- moment energy balance. They consume a large part of those during the time of day when they are less needed. Later on, when their body needs, and can use carbohydrates, less are consumed. Glycogen stores do not get replenished to the same degree. Some protein ends up being burned as energy, because sufficient carbs were not available at that moment. However, extra muscle tissue was lost, and less fat was burned. Possibly little to no fat may have been burned. Moment- to- moment, or hourly energy balance is much more important that daily energy balance. Their reasoning behind this is that 'lots of people' 'get results', by only eating 2- 3 meals per day. This is ridiculous, and is like saying that because some people can score decent grades on tests without studying, that studying is not important for doing well. Not Paying Attention To Meal & Nutrient Timing: As mentioned before, the amount of food consumed at any particular time is an important concept. Similar to calorie needs at any given moment, the body has specific needs for certain macronutrients at any given movement. There are times when carbohydrates are more ideal, and there are times when fats are more ideal. Not paying attention to this, and thinking that you are good to go just because you met your macro. Quotas, is another mistake. Consuming Too Few Carbohydrates: Very low carb, or ketogenic diets are a fairly popular method of weight loss. While people do get results with these types of diets, they are neither necessary, nor ideal for fat loss. Again, something may 'work' for some people. But that does not mean it is ideal, or without serious drawbacks. Carbohydrates are crucial for ideal performance in the gym. Having optimum performance is very important for losing fat. Having a certain level of carbohydrates in the body is also important for sparing muscle tissue from catabolism. Carb cycling can be an excellent method, if used intelligently. But drastically reducing carbs yields many more drawbacks than possible benefits. Not Consuming Enough Fats: Even people who understand the importance of fats in the diet sometimes unknowingly reduce fats way too much when cutting. Therefore, it is important to pay special attention to fat intake to ensure that you are getting the optimal quantity and types of fat. They are important for metabolic function, skin health, immune health, and many other things. Essential fatty acids, especially omega- 3 fatty acids, are largely responsible for many of these benefits. Fish oil, which contains the omega- 3 acids DHA and EPA, can provide some outstanding benefits for anyone trying to get the best possible body for summertime. More information on that will be given later. View Fish Oil Products Sorted By Top Sellers Here. Not Drinking Enough Water: It would be hard to find a bodybuilder who did not know the importance of consuming sufficient amounts of water. However, it would be rather easy to find one who did not actually consume enough. The biggest reason this happens comes from relying on thirst. In many people, the thirst mechanism is not a reliable measure of when water is needed. As a general rule, your urine should stay clear or a very light yellow. If it starts to significantly darken, it could be a sign of dehydration. Water: The Macronutrients: Here we will briefly cover the macronutrients, their role in the body, and basic consumption guidelines. Protein: Proteins are made up of amino acids, and are used to build nearly every tissue in the body, including muscle. There are 2. 0 main amino acids, 1. Therefore, if you are lacking in just 1 essential amino acids, results can be hindered. To ensure that you get all necessary amino acids, consume a variety of protein sources, ideally with one of those being from meat. For a 2. 00 lb person, this is 2. With proper nutrient timing, muscle mass can often be built with less. However, slightly higher protein intake offers further benefits for fat loss, including hormonal benefits, increased thermic effect, and better maintenance of muscle mass while on a diet. Good Protein Sources: Carbohydrates: Carbohydrates are the prime source of fuel for exercise, as well as for the brain and nervous system. Carbohydrates are used to replenish glycogen stores, which is important for providing the body with a store of glucose. Aim to consume 3. Good Carbohydrate Sources: Whole grains. Oats. Fruits. Fibrous vegetables. Starchy vegetables. Whole grain pastas or breads. Sprouted breads. Fats: Fatty acids are an essential nutrient in the body. With regards to fat loss, they are especially important for hormonal production, including testosterone and thyroid hormones. They also play roles in protein synthesis, immune system health, skin health, joint health, and much more. Some of the fats can come from saturated sources, but ideally limit this to one- third or less of total fat intake. Aim to consume 2. Good Fat Sources: Fish oil. Flax seeds & oil. Olive oil. Fish. Nuts. Coconut oil. Avocados It can be hard to consume all of your fats from these sources. Eggs & lean meats are ok as a source of fat, but make sure that these make up the smaller, rather than the larger share of your fat intake. Hormones That Influence Fat Loss: Testosterone: Testosterone levels are important for building & maintaining muscle, as well as influencing fat loss. You can help to maintain ideal levels by consuming sufficient fats, getting enough rest, and by using certain nutritional supplements which will be discussed later. Insulin: Insulin is a double- edged sword. It is essential for protein synthesis and facilitating the uptake up nutrients into muscle cells, among many other things. High levels at certain times are desirable. A low/moderate, constant level is desirable most of the time. Nutrient timing is key to having optimal levels of insulin at the right times. Cortisol: Cortisol is a catabolic hormone which helps to break down fat and muscle into glucose. High levels trigger muscle breakdown much more than fat. Certain levels are necessary for health & balance. Glucagon: Glucagon is a catabolic hormone which triggers liver glycogen breakdown, and in come cases, protein breakdown. |
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June 2017
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