You know the drill when it comes to losing weight: take in fewer calories, burn more calories. But you also know that most diets and quick weight-loss plans don't. Complete weight loss & fitness guide which includes easy & effective weight loss tips, gymming, weight training and yoga. Get weight loss diet plans & recipes. Photo Credit javi Weight Loss. Mom Who Weighed Over 300 Lbs. Was Determined to Lose Weight Without Surgery: How She Lost 145 Lbs. Quick Weight- Loss Tips Even Nutrition Pros Approve . Here's why: It may give you a psychological boost that helps you stick to your new habits; in studies, fast weight loss led to more pounds off overall plus longer- term success in keeping it off. However, “anyone can do a cleanse or an extreme plan,” says Lisa Lillien, founder of Hungry. Girl. com and author of the new book The Hungry Girl Diet. Close your kitchen for 1. That should be the time between your last bite at night and first in the morning, says Lauren Slayton, RD, author of The Little Book of Thin. If you finish dinner at 7: 3. Need motivation? Heading to the kitchen? Weight loss is the new rage throughout the world. In all this madness yoga breathing exercises provide an inexpensive and long term solution to weight loss and better. The key to lasting weight loss? Losing the weight quickly. Here's why: It may give you a psychological boost that helps you stick to your new habits; in studies, fast. ![]() Pour a glass of water. Stockybyte/Thinkstock. If it’s a clich. When you find yourself walking toward the kitchen, get a glass of water instead of food. Content continues below ad. Any time you reach for something to eat, ask these two questions: “One, am I hungry? And two, what am I hungry for? Or maybe you just really need a hug. Distract yourself for five to 1. That can have a big impact on quick weight loss. Eat an appetizer. Photodisc/Thinkstock. Prevention articles on weight loss, weight loss success stories, weight loss programs, smart nutrition tips, and need-to-know information on weight loss surgery.Choose wisely: Walters recommends beginning dinner with a broth- based soup or a salad. To avoid eating too quickly, keep your entr. One of the biggest mistakes Reno sees clients make is eating too much of everything else. If you eat proper portions of just two food groups—carbs and meat—you will accelerate weight loss and improve your health. Tip: Pasta should be the size of your fist; meat should be about 3 ounces, about the size of a deck of cards or bar of soap. Content continues below ad. Find new favorites. Stock/Thinkstock. Don't deprive yourself; deprivation is not a great place to start, says Walters.
Track your food. Digital Vision/Thinkstock. Often after working out, notes Lillien, people tend to overcompensate (“I just did Spinning, I can order the French toast at brunch!”) and eat more calories than they burn. That's less likely to happen if you write down what you eat. Toss your trigger foods. Digital Vision/Thinkstock“Everyone has foods that make them want to keep eating more,” says Lillien. When craving starchy picks like chips and pasta, she continues, “instead, I use tofu shirataki noodles made from tofu and yam flour—the whole bag has 4. Reno advises clients to get “hidden foods” out of the house so you don't have that crutch when you feel a need to binge. When you decrease your intake, your body will keep asking for it, but after two or three days, you’ll be amazed by how your body responds.” If you don’t feel like reading food labels, just try switching from processed choices (say, an energy bar) to whole ones (like an apple). Content continues below ad. Stop drinking your calories already. Stock/Thinkstock. It’s not just soda. Healthy- sounding juice, iced tea, and other beverages can be big calorie bombs. But cut them out, and you'll watch the number on the scale start to drop instead. A good interval workout—where you alternate short bursts of all- out effort with less- strenuous recovery zones—“is super effective and challenging—it will shake you and your body out of your comfort zone,” says Walters. Content continues below ad.
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Hot Photos Of Ginger Being The Spiciest Of The Spice Girls. The. Richest. 26. Shares. Share. On Facebook. Share. Email. Nowadays, Geri Halliwell may be your average 4. Ginger Spice (!!!), which was pretty much like being a female superhero in the . Halliwell was one of five members of the Spice Girls, which also included Emma Bunton as Baby Spice, Victoria Beckham (then Victoria Adams) as Posh Spice, Melanie Brown as Scary Spice, and Melanie Chisholm as Sporty Spice. With all their unique personalities, the girl band had a massive appeal to a wide audience. And when we say massive appeal, we really mean it. The Spice Girls sold 8. Cutting Diet Reddit Real Girls HiddenIn other words, girl power! The Spice Girls’ pop songs, which boasted feminist lyrics, appealed to young girls, but the look of the Spice Girls obviously appealed to men. They were often seen sporting the bare minimal when it came to clothing, but that’s about par with being a pop star. When it came to being the sexiest, spiciest Spice Girl around, though, Ginger obviously took the crown. She not only dressed the part, but she also acted the part. Cutting Diet Reddit Real Girls Albums![]() Ginger exuded sexuality and spiciness in every single interview. She even pinched a royal’s butt (more on that later). Below are 1. 5 photos of Ginger Spice being the sexiest and spiciest of the Spice Girls. You may wish it was 1. That Iconic Union Jack Dress Moment. Yes, you can totally see Ginger Spice’s underwear under the Union Jack dress, which is kind of the point. Also, it’s totally spicy. ![]() At the time, Emma Poole was the Spice Girls’ stylist and had Ginger Spice set to rock a black Gucci dress. Halliwell thought the simple black dress was too boring for her Ginger Spice persona, so she decided to make something herself. With Union Jack tea towels, Halliwell and her sister Karen made the dress two nights before the performance. ![]() Why a vegetarian diet guarantees slimming success: Cutting out meat nearly DOUBLES weight loss by changing how we store fat. Following a plant-based diet also. ![]() ![]() You read that right, she made that Union Jack dress out of tea towels. The dress went on to be the most expensive piece of popstar clothing sold in an auction, as it went for $5. Yes, a dress Halliwell made from tea towels sold for $5. Let’s just say this, you have to be pretty hot to wear a dress so short that everyone can see your knickers. Ginger Spice, The Bunny. Geri Halliwell never actually posed for Playboy, but rather she did a very hot photoshoot in a Playboy bunny costume. The above photo from the shoot is obviously very spicy. To the naked eye, someone slicing through steel using a high-temperature plasma torch just looks like a massive shower of sparks. But through the lens of a high-speed. Mainly, I eat real, whole foods and I eat less than I did before. I’m at 150 lbs as we speak. However, photos of Halliwell still did surface in Playboy. Before her time with the Spice Girls, Halliwell worked as a nightclub dancer and presented on the Turkish version of Let’s Make a Deal, both rather spicy career choices.
Her spiciest pre- Spice Girls move was posing in The Sun as a Page 3 girl. Halliwell was 1. 9 at the time and the spread is very, very Playboy. In fact, it’s so Playboy- esque that both Playboy and Penthouse acquired the photos and reprinted them after her rise to fame with Spice Girls. So, Halliwell’s always been rather spicy, long before becoming a Spice Girl. This may be what lead to her original name Sexy Spice, which was only changed Ginger Spice because it was more suitable for a younger audience. Say You’ll Be There. If Ginger Spice in the “Say You’ll Be There” music video isn’t the hottest thing in the world, we don’t know what is. Of course, all of the Spice Girls look outrageously hot as they sing their catchy tune in the desert in this music video. In the video, the Spice Girls are all dressed up as a band of female assassins/ninjas. They took inspiration from Pulp Fiction, in which Uma Thurman describes a group of foxy kick- ass women called the Fox Force Five. Pulp Fiction meets Spice Girls – it’s like everything . Apparently, Halliwell was actually the one to come up with the idea of using Pulp Fiction as inspiration for the music video, which makes her all the spicier. Halliwell took the assassin identity of “Trixie Firecracker” and rocked a zip- up leather shirt and short outfit, and knee- high red boots, aka the spiciest outfit ever. Reading, Robe And Boots. Geri Halliwell may not be showing too much skin in this photo, but she’s still very spicy. Also, she’s wearing red boots under her robe, which is weird, cool,and confusing all at the same time. Whatever the reason for her keeping her red boots on with her robe though, we approve. Halliwell is also reading USA Today, which we love. The Spice Girls were not a group of unintelligent women. Yes, they sang catchy pop songs and paraded themselves around in revealing clothing, but they knew exactly what they were doing. They used the attention they gained from the short shorts and sexy music videos to promote positive ideals into the world like, for example, girl power. Halliwell has even been quotes as saying, “When I came out of my mother’s womb, I screamed, . She went on to work with the UN to reduce maternal death, stop the violence against women, and stop the spread of HIV/AIDs. Ginger Spice was no dummy, and that’s very spicy. Ginger Spice As A Femme Fatale. A lot of Ginger Spice’s looks came from an earlier period. Her Spice Girls persona was very much a modernized pin- up girl and . With her fair skin, bright red hair, and red lipstick, she certainly looked the part. With her corsets that showed off her thin waist and ample curves, she also dressed the part. In the above photo, Halliwell is rocking some femme fatale vibes to the max. The black dress, Old Hollywood curls and black eyeliner just take you back to a time of black and white films. Of course, there was nothing old fashioned about the way Halliwell acted. When she met Prince Charles – actual royalty – she pinched his butt and told him that he was “very sexy.” Halliwell clearly left an impression on the prince. When she left the band, Prince Charles – again, an actual royal! Also, super spicy! Jessica Rabbit Vibes. Ginger Spice is rocking some major Jessica Rabbit vibes in the above photo. The strapless sequin red dress is like Jessica Rabbits’ dress literally came to life. Also, it’s the combination of two of the hottest red heads in history: Jessica Rabbit and Ginger Spice. Very spicy! It was actually Geri Halliwell’s red hair and fair complexion that almost kept her from joining the group. In 1. 99. 4, an ad was placed in The Stage, which read, “WANTED: R. U. 1. 8–2. 3 with the ability to sing/dance? Heart Management Ltd. Open audition. Danceworks, 1. Balderton Street. Friday 4 March. 1. Please bring sheet music or backing cassette.”Geri Halliwell didn’t go to the first audition because her face was too sunburned from a ski trip. Ginger problems, right? Apparently, she simply showed up to the second round because she’s spicy as hell. When they asked her how old she was, Halliwell replied with, “I’m as old as you want me to be. I’ll be 1. 0 with big boobs if you want.”It was that spicy answer that won them over and got her a spot in Spice Girls, despite skipping the first round of auditions. A Natural Beauty. While many photos of Geri Halliwell feature her rocking full- on Ginger Spice makeup and clothing, this photo is more stripped down and it’s absolutely stunning. Without the makeup and the cleavage, Halliwell is just as beautiful as ever. It was this beauty that Prince Charles was obviously very into – well, it was that or the butt pinching that he liked. Halliwell also had another admirer in the form of Russell Brand. After Russell Brand split from Katy Perry, he met Geri Halliwell at the 2. Olympics. Brand and Halliwell were then spotted going on several dates, with Brand admitting in an interview, “I’ve got a crush on Geri. Everything in the world is how it should be.” I mean, who in the world wouldn’t have a crush on Geri “Ginger Spice” Halliwell? The relationship was incredible short- live and ended just two weeks later. In 2. 01. 5, Halliwell married Christian Horner, a race car driver. You know how when you’re little all girls want to be pop stars and all boys want to be race car drivers? Well, these two really fulfilled those childhood dreams and then they got married. Match made in heaven. Bringing All The Spice. This is one of the most famous posters of the Spice Girls and it’s a great representation of all of their identities. Scary Spice is wearing a weird patterned jumpsuit, looking about as crazy as she always did. Honestly, girlfriend needed to renegotiate her contract because the shit they dressed Scary Spice in was dreadful. Baby Spice is rocking her usual baby doll dress and pigtails, looking like the most innocent person walking the earth. Sporty Spice is. Posh Spice is doing her whole fashionable thing. Then, there’s Ginger Spice, who is bringing all the spice. She rocking the shortest orange shorts that have ever been invented and showing off her tight stomach. Unfortunately, Geri Halliwell had really struggled with her body. She’s been outspoken about her battle with bulimia, admitting to weighing just 9. With all the pressure put on pop stars to look perfect (Remember when everyone flipped out over Britney Spears gaining weight?), it’s not shocking to hear that Halliwell had a hard time with her body. Fortunately, Halliwell says she now has a great relationship with her body and food, crediting motherhood for her new outlook. Still Hot As A Blonde. Ginger Spice not being a ginger almost feels like a crime, but we have to admit Geri Halliwell still looks hot AF as a blonde. If the dress Halliwell is wearing looks familiar, it’s because you’ve seen it on Jennifer Lopez. Jennifer Lopez showed up to the 2. Grammys rocking this sheer, plunging dress and the world basically exploded. Google actually credits Lopez wearing this hot dress as the reason you can search for photos via Google. Apparently so many people were searching for pictures of Lopez in this dress that Google was like, “Hey, there should be an option to just search for photos.”Well, wait a minute. Geri Halliwell actually wore the dress first. A month earlier, Halliwell rocked this dress at a Cannes award show. What Is The Red Pill? Mike Nudelman/Business. Insider. If a key opens a lot. But if one lock is opened by lots. As he tells it, . A table of girls, I went over to. Hi, can I get a sip of. Can I join you?'. What was the response? And I tried to go to a. But Redditredpill shared. Red Pill is not a dating advice. Those. who . Red Pill followers have their own politics. And they're growing: Eight months ago, Red. Pill had only 1. 00 followers. Today, it has more than. What is Red Pill all about? Kheel. The Red Pill is a collection of ideas encompassed by what. At the surface level there's nothing. Don't hate someone. CANNOT be. Women are, by nature. Accept this truth. Once you do, you can game women. That said, men and women are inherently different due. For. example, females should raise children at home and men should. Red Pill pays a lot of. Community members motivate each other and update. The common criticisms. There seems to be an inherent. It's called . Good game technique. If this sounds like a. Red Pillers see it as no worse than a woman wearing. Men tend to enjoy good looks. But while. it's pretty standard for a woman to artificially improve her. It's quite a double. Some members seem. But on the other (much. Red Pillers don't want to isolate. The situation. is . It can also be a person who's. And it can be for guys who. I wouldn’t say it’s hatred . But there is a. temporary anger. We have examples posted every day of women. Because in our. culture, women are mostly regarded as the 'good' sex, the one. Our subreddit pulls back the curtain and says. Hey look, these women are human just like everybody else. It’s. time to put away your idealistic views and embrace reality.'. There's a shorthand. Red Pill thought. She has become massively. She loved watching gay men f- -- in porn, just. She has just become. She is also on the 'all. He. eventually shuns society as a whole: . A urbanite might keep to his own. She says 'You tell me! He's not. here right now and when he is, he usually criticizes me.' I am so. This woman is all emotional. Women go crazy. when they're emotional. Time to make her doubt this bf and look. By Morpheus's own admission, Red Pill doesn't do much. Sure it’d be nice if reproductive rights were. A majority of our goals are personal and interpersonal. Not really something to write your congressperson. He loves lifting weights because he enjoys getting. They lob accusations of wasted time and money at him. More than 5. 0% of all marriages end. There's plenty of discussion. The woman who got less than four years in jail for cutting. Stories like these (and the ensuing. Our entire social structure is. Men are. restricted in their speech and conduct. Women can assault and beat men in public. There are new social customs to constrain. A man is forbidden to notice an attractive woman at. He is not to comment on it, talk about it or even look a. Nuclear rejections, public shaming are. Men are never, ever to even notice good looking. Attractive men are exempt from. The other side of the coin? Levork. A prominent feminist blogger who we'll call Alicia described Red. Pill to us as follows: . Let women catch up,' Red Pill says, 'Hey. Red Pill is quick to respond with data that purport. They use that approach to make it. The road to our forum. They want female attention and for one. From an outside. perspective, it seems like they're a bit too vocal about. It seems divisive rather than inclusive. I think there are many Red. Pill members who see it that way. But there are a lot of voices. It seems like The Red Pill is generally. Like any group or belief. But also like any other group, The Red Pill has some. I think that's likely the reason The Red. Pill has gotten the reputation of being misogynistic. They're helping. guys find confidence and actively seek self- edification. It's a. good idea, I'm just not in love with the execution. The goal of. an alpha should be to serve the world and improve other people –. Maybe the Red Pillers just. I think they'll get there.? The closest we came was. Here's an excerpt. I don’t know what I’m doing, but I want a really high value girl. I consider to be high. I don’t want what it has. I fully believe in my sexual. I don’t feel like I’m finding any girls to. Weight Loss Pill Qsymia Now for Sale Online. Sept. 1. 8, 2. 01. The prescription weight loss pill Qsymia is now for sale from certified pharmacies. Qsymia - - pronounced kyoo- SIM- ee- uh, according to Vivus Pharmaceuticals - - is the first new weight loss drug to reach market in 1. Vivus chose the name Qsymia after the FDA rejected a previous name, Qnexa. The FDA approved Qsymia last July, a few weeks after granting approval to another weight loss pill, Belviq, which is expected to hit the market in early 2. Qsymia and Belviq work in different ways.
It's an important day for people whose weight is destroying their health, says Sue Decotiis, MD, of New York's Manhattan Medical Weight Loss Physician, a practice specializing in obesity treatment. Decotiis has no ties to companies that make weight loss drugs. We are talking about the patient who is obese or very overweight with related health problems. Lifestyle change is hard for anyone, but obesity makes it harder. The body burns less and less fuel. Appetite increases. And exercise hurts. But that is why it is put in the hands of a prescribing doctor, who will follow the patient carefully, monitoring for side effects and educating the patient. One of the most troublesome is that the drug can cause birth defects if taken during pregnancy. Women of childbearing age must confirm with their doctor that they are using 1. Qsymia prescription. Other possible side effects include increased heart rate, suicidal thoughts or actions, and serious eye problems. Qsymia Health Benefits. Michelle Look, MD, of San Diego Sports Medicine and Family Health Center, treated patients in the Qsymia clinical trials. Continued. Now, in addition to diet and exercise, we have a medical therapy. The medication works only in combination with diet and exercise. ![]() The Mexican Pharma, Online pharmacy, Online Mexican Pharmacy, Cheap pharmacy, Online cheap pharmacy, Cheap medicine, Affordable medication, Cheap medication, Brand. ![]() Buy Medication Without a Doctor Prescription Online. We Offer a Wide Selection of the Most Popular Drugs at Affordable Prices. On Any Order Free Shipping! ![]() But taking the drug made it easier to cut calories and to become more active, says Gwen Barton. Barton, 5. 7, a New York City resident, volunteered for one of the clinical trials that led to Qsymia approval. Web. MD contacted Barton through Vivus' public relations firm. And within a month or so I was losing 2 to 3 pounds a week or more. Over the year- long study, she lost 5. Since the study ended, she hasn't been able to get the drug. She's now gained back 2. While the company plans to work to get its drug added to formularies, most people likely will pay out of pocket. The wholesale price of Qsymia - - that is, the price pharmacies will pay - - for a 3. Low dose (3. 7. 5 mg phentermine/2. Recommended dose (7. Three- quarter dose (1. Top dose (1. 5 mg/9. As part of a risk- reduction plan Vivus negotiated with the FDA, Qsymia will be available only to doctors who have completed a Qsymia provider- training program. The drug will be sold only through certified mail- order pharmacies. At this time, those pharmacies are CVS, Walgreens, and Kaiser Permanente (for Kaiser members only). Sources. SOURCES: Gwen Barton, New York City. Michelle Look, MD, San Diego Sports Medicine and Family Health Center. Sue Decotiis, MD, Manhattan Medical Weight Loss Physician, New York. Qsymia REMS web site. News release, Vivus. All rights reserved. Kids love the dramatic Mentos and Diet Coke. Time line of what happens when you drink Coca Cola :: Diet Coke isn. The startling reaction between Diet Coke and Mentos sweets, made famous in thousands of YouTube videos, finally has a scientific explanation. A study in the US has. Mentos and Coke are our generation's Baking Soda and Vinegar. Science of Mentos- Diet Coke explosions explained. By Hazel Muir. Video: The explosive reaction produced by adding Mentos to Diet Coke has at last been explained. Scanning electron microscope images show the roughness of mint Mentos (top and bottom left) and fruit Mentos (top and bottom right), the scale bars representing lengths from 2. Image: T Coffey/Dewel Microscopy Facility/AAPT)The startling reaction between Diet Coke and Mentos sweets, made famous in thousands of You. Tube videos, finally has a scientific explanation. Coke And Chlorine Experiment ExplanationMentos Geyser Science Project;. You know that dropping Mentos into Diet Coke causes a geyser to erupt. That is a fun demonstration.
A study in the US has identified the prime factors that drive the fizzy plumes from Coke bottles& colon; the roughness of the sweet and how fast it plummets to the bottle’s base.“If you drop a pack of Mentos into a bottle of Diet Coke, you get this huge fountain of spray and Diet Coke foam coming out,” says Tonya Coffey, a physicist at Appalachian State University in Boone, North Carolina. Theories abound as to why this happens, with some bloggers speculating that it is an acid- base reaction because Coke is acidic. Experiments in a 2. Discovery Channel programme Mythbusters suggested the chemicals responsible for the reaction are gum arabic and gelatine in the sweets, and caffeine, potassium benzoate and aspartame in the Coke. But there have been no rigorous scientific studies of the reaction until now. Fizzy liquids. To find out more, Coffey and a team of students tested the reactions between Diet Coke and fruit Mentos, mint Mentos, and various ingredients such as other mints, dish- washing detergent, table salt and sand. They also compared reactions using other fizzy liquids such as caffeine- free and sugary colas, as well as soda water and tonic water. All the reactions took place in a bottle angled at 1. The team also investigated the total mass lost in the fountain and the influence of the sweet’s surface roughness. The results showed that Diet Coke created the most spectacular explosions with either fruit or mint Mentos, the fountains travelling a horizontal distance of up to 7 metres. But caffeine- free Diet Coke did just as well, suggesting that caffeine does not accelerate the reaction, at least at the normal levels in the drink. Measurements of the p. H of the Coke before and after the experiments showed that its acidity did not change, ruling out the idea that a simple acid- base reaction drives the fountains. Instead, the vigour of the jets depends on various factors that affect the growth rate of carbon dioxide bubbles. The rough, dimply surfaces of Mentos encourage bubble growth because they efficiently disrupt the polar attractions between water molecules, creating bubble growth sites. Rough candy“Water molecules like to be next to other water molecules, so basically anything that you drop into the soda that disrupts the network of water molecules can act as a growth site for bubbles,” Coffey told New Scientist. Measurements showed that the surface tension in water containing the sweetener aspartame is lower than in sugary water, explaining why Diet Coke creates more dramatic fountains than sugary Coke. Another factor is that the coatings of Mentos contain gum arabic, a surfactant that further reduces surface tension in the liquid. Rough- surfaced mints without the surfactant did not create such large fountains. Mentos are also fairly dense and sink rapidly, quickly creating bubbles that seed further bubbles as they rise. Crushed Mentos that fell more slowly created puny fountains that only travelled about 3. Middle- school teachers are getting their students out onto the baseball field next to their school and doing this reaction, and their students love it,” says Coffey. Six Lawsuits and Scandals, Natalee Holloway, Ted Williams & More. He could probably use some time on his own couch. Phil Mc. Graw, TV’s most famous shrink, is currently in the middle of not one, not two, but three lawsuits that range from embarrassing to weird to serious. Certainly, Dr. Phil is no stranger to scandal: these three legal proceedings continue forward, but Dr. Phil’s tumultuous times are not relegated to the present—he’s had some epic fails in the past few years. In 2. 00. 4, for instance, he settled a class- action lawsuit over his diet supplements for Shape Up! Phil have something like the opposite? Through a representative, he would not comment for this story. But let us review! Recently, a member of Dr. Bert’s AC/Fast-5 Diet Facebook group mentioned that supporting Dr. Bert’s work was a good gesture. That statement really struck me. The 20/20 Diet: Turn Your Weight Loss Vision into Reality is published by Bird Street Books and is available now at the following retailers: Amazon. Does the diet plan formulated by Doctor Oz work? Find out in WebMD's Ultimate Diet review. Looking to lose a few extra pounds? Mark Hyman has developed a 10-Day Detox diet that can help you lose weight fast. Read about how the diet works, then print. Phil’s show is a show about real people, not abstract academic concepts. When he sits down with someone suffering from a seriously incapacitating illness. ![]() Current Lawsuit: Ouch, the Dog Bit Me! It’s bad enough to be sued, but to be sued over a dog bite? Janet Harris alleges she got an infectious disease after Dr. Phil’s dog allegedly bit her. Harris is a skin- care specialist who has been a frequent guest on his show and, according to her lawsuit, was close friends with Dr. Phil’s wife, Robin Mc. Graw. Harris is claiming that after Dr. Phil’s Korean Jindo, Maggie, bit her, instead of taking Harris to a hospital, to avoid publicity, he procured antibiotics via a friend who was a nurse. Harris is alleging that the improper treatment led to her infection and caused tremors in her right hand, and permanent hearing loss. Phil’s attorneys are asking the lawsuit be dismissed because Harris had signed an arbitration agreement and she has no case. ![]()
Current Lawsuit: The Natalee Holloway Defamation Case Then there’s the case of the Kalpoe brothers, onetime suspects in the disappearance and murder of Natalee Holloway. Phil’s program on the blonde beauty’s disappearance heavily featured Deepak Kalpoe and Satish Kalpoe. They allege that show’s portrayal of them—using hidden- camera footage edited in an allegedly misleading way—constituted defamation. On Tuesday the judge allowed the deposition of Holloway’s mother, Beth—which Dr. Phil’s legal team had tried to prevent. Joran Van der Sloot was eventually indicted, and is the only official suspect. When the suit was first filed, Paramount Studios (which is now called CBS) released a statement dismissing the accusations. Phil show, our editing process and the accuracy of the program that we aired. We will vigorously defend against these baseless claims. Simpson civil case. Phil House—which was being filmed for a show in 2. December 2. 00. 7)—she had been held captive and “forced to be in the same room with a completely live naked man while he exposed his entire naked body, genitals and all.” In court docs, it says she was in treatment for her “problems with men.”Thank You! You are now subscribed to the Daily Digest and Cheat Sheet. We will not share your email with anyone for any reason. After an appeal by Dr. Phil, the case is moving forward. In an email to The Daily Beast, her attorney wrote, “The court disagreed with his attorney's position and we are commencing discovery with the intent to take the matter to trial.” Dr. Phil’s lawyers deny all charges, and released a statement regarding Dieu’s case that read in part: “All of Shirley Rae Dieu’s claims are without merit. Phil is never alone in the House with any of these guests and all of his interactions are captured on video and/or audiotape. Dieu expressed her discomfort, and producers ascertained there was nothing they could do to help her, they called a car service to return her to her home.”4.) Past Problem: The Ted Williams Fiasco When the homeless man with the golden voice from Cincinnati became an overnight media sensation in January, many feared the worst. The onetime addict, who admittedly had family troubles and a drinking problem, was given first- class express entry into Hollywood, gifted with job offers and appearing on every talk show on TV. Within days, it was revealed that Williams was still drinking and that he had a not- so- ready- for- prime- time- TV family life. Phil came to the “rescue.”After members of the family appeared on the show in an interventionlike setting, Williams got into a fight with his daughter at the Renaissance Hotel, and police were called. No charges were filed. And during a sit- down interview on his show, Dr. Phil cornered a quivering and shamefaced Williams to admit that he had not, in fact, been sober for the last two years, and then told Williams he needed to go to rehab. The good doctor paid for his stay at a fancy private rehab in Texas, but Williams didn’t appear terribly excited to go. He checked out 1. He told E! I don't want to bash him in any way. I walked out of treatment because it was a little scripted, I felt. There was no anonymity.”5) Past Problem: The Britney Spears Intervention During the Britney’s- shaved- her- head- and- gone- crazy days of January 2. Cedars- Sinai Medical Center. The only people who could get to her were her family members and doctors, but Dr. Phil had other ideas. Reports surfaced (via his own reps) that he’d managed to get in the good graces of the Spears family, and had spent an hour with her as he walked her to her car. His cover was blown when, after yapping about Spears on TV to CBS’ Early Show, saying that the family “was very frustrated that she was apparently wasn’t going to be held for a longer period of time,” it was unclear if he had even spent more than 1. TMZ later reported that Spears had left the room when he had arrived and had not interacted much with him, as by that time she was on her way to being released. He had planned to do a special on his show about Spears, but that backfired when an incensed Spears family called him out. Lou Taylor, Lynne Spears’ business manager, told the Today show that Dr. Phil had crossed the line.“The family basically extended an invitation of trust for him to come in as a resource to support them, not to go out and make public statements. He was not invited to make this part of a public display or part of the media. Phil apologized, tail carefully tucked between legs.“We had planned to tape a Dr. Phil Now show today, focusing not on the tabloid side of Britney's latest problems, but instead on the very serious issues surrounding this case,” he said in a statement. The girl, Victoria Lindsay, was being punished for things she had allegedly posted on Myspace. The attack quickly gained national attention, with the accused being dubbed “The Polk County 8.”Wait, did you say, “national news story?”Cue Dr. Phil, entering stage right. Eager to nab an inside interview about the attack, an employee of Dr. Phil’s staff went down to Florida and bailed out the alleged ringleader, Mercedes Nichols. The news was leaked by a bondsman and the gambit quickly backfired on the celebrity talk- show host, who denied that he’d instructed the man to bail out the interviewee. The man was identified by TMZ as a lower- level production assistant who had coughed up $3. Nichols’ bond. When caught on camera, he told the other news reporters trying to interview his prized catch: “We have exclusivity!”Dr. Phil’s reps released a statement to the press, apologizing once again for the show’s bad judgment, but not before passing the blame. In this case, certain staff members went beyond our guidelines re: the bail being paid. These staff members have been reprimanded and our policies reiterated. In addition, we have decided not to go forward with the story as our guidelines have been compromised. She won Best Feature at the Newswomen’s Club of New York Front Page Award for her Village Voice cover story, about sober DJs and promoters in the nightlife industry. Best Teas for Weight Loss. A steaming cup of tea is the perfect drink for soothing a sore throat, warming up on a cold winter’s night, or binge- watching Downton Abbey. But certain teas are also perfect for doing something else—helping you shed extra weight. Each of these 5 Best Teas for Weight Loss has its own individual, magic properties, from dimming your hunger hormones to upping your calorie burn to—literally—melting the fat that’s stored in your fat cells. Oh, and they can also help reduce your risk of heart disease and diabetes, too. THE METABOLISM BOOSTER: Green Tea. DRINK THIS: Lipton, Yogi. BECAUSE IT: Unlocks your fat cells. Before a workout, turbocharge the fat- blasting effects by sipping a cup of green tea. In a recent 1. 2- week study, participants who combined a daily habit of 4- 5 cups of green tea each day with a 2. Thank the compounds in green tea called catechins, belly- fat crusaders that blast adipose tissue by triggering the release of fat from fat cells (particularly in the belly), and then speeding up the liver’s capacity for turning that fat into energy. ![]() ![]() ![]() ![]() Keep the burn going; check out these 8 Daily Habits to Blast Belly Fat. THE POUND- A- WEEK MELTER: Oolong Tea. DRINK THIS: Bigelow, Stash. BECAUSE IT: Boosts metabolism. Oolong, a Chinese name for “black dragon,” is a light, floral tea that, like green tea, is also packed with catechins, which help to promote weight loss by boosting your body’s ability to metabolise lipids (fat). A study in the Chinese Journal of Integrative Medicine found that participants who regularly sipped oolong tea lost six pounds over the course of the six- week time period. That’s a pound a week! For more belly- shrinking secrets—including the truth about eating carbs at night—don’t miss these 8 Simple Ways to Boost Your Metabolism. THE CRAVINGS CRUSHER: Mint Tea. DRINK THIS: Tazo, Teavana. BECAUSE IT: Wards off the munchies. Fill a big teacup with soothing peppermint tea, and sniff yourself skinny! While certain scents can trigger hunger (a trick Cinnabon figured out long ago), others can actually suppress your appetite. One study published in the Journal of Neurological and Orthopaedic Medicine found that people who sniffed peppermint every two hours lost an average of 5 pounds a month. ![]() That trick is one of our essential 8 Ways To Lose Weight While You Sleep. THE FAT BLOCKER: White Tea. DRINK THIS: Twinings, The Republic of Tea, Celestial Seasonings Sleepytime. BECAUSE IT: Prevents new fat cells from forming. White tea is dried naturally, often in sunlight, making it the least processed and richest source of antioxidants among teas (as much as three times as many polyphenols as green tea!). A study published in the journal Nutrition and Metabolism showed that white tea can simultaneously boost lipolysis (the breakdown of fat) and block adipogenesis (the formation of fat cells) due to high levels of ingredients thought to be active on human fat cells. Many foods can help keep your heart at its best. Some help lower your blood pressure. Others keep your cholesterol in line. So add these items to your shopping cart. Weight Loss The Monday Dieter Plan. Whether you overindulged this weekend or just want to start fresh, the Monday Dieter plan is all about setting yourself up for. Black Weight Loss Success. The Official Blog of the Black Women Losing Weight Community. Tips, articles and weight loss resources for African American Women. Diet & Weight Loss Articles Weight-loss devices: How they work Weight-loss devices—including gastric balloons, a vagus nerve stimulator, and an external stomach. ![]() ![]() If there’s such a thing as diet tea, this is it. THE HUNGER HALTER: Rooibos Tea. DRINK THIS: Celestial Seasonings, Harney & Sons. BECAUSE IT: Regulates fat- storage hormones. Rooibos tea is made from the leaves of the “red bush” plant, grown exclusively in the small Cederberg region of South Africa, near Cape Town. What makes rooibos tea particularly good for your belly is a unique and powerful flavanoid called Aspalathin. Research shows this compound can reduce stress hormones that trigger hunger and fat storage and are linked to hypertension, metabolic syndrome, cardiovascular disease, insulin resistance and type 2 diabetes. Healthy food The Best Superfoods for Weight Loss These 15 foods are loaded with flavor, nutrients, and, best of all, fat-burning potential. Yup, sometimes the kettle can be as effective as the kettlebell. Reasons To Eat More Blueberries. Blueberries contain antioxidants, which work to neutralize free radicals linked to the development of cancer, cardiovascular disease, and other age- related conditions. These little powerhouses provide tasty ways of staying healthy. Low in fat — coming in at about 8. ![]() Just a handful can satisfy your daily fiber requirement. Plus, blueberries are an excellent source of manganese, which plays an important part in bone development and converting carbohydrates and fats into energy. Discover how else this little fruit can help your health in big ways, from improving brain health to fighting urinary tract infections to possibly preventing cancer. Get Your Dose of Vitamin CBlueberries contain tons of vitamin C; one serving gives you almost 2. Bottom Line: The blueberry is a very popular berry. It is low in calories, but high in fiber, vitamin C and vitamin K. Blueberries are the King of Antioxidant Foods. Losing weight is difficult, and weight loss aids and fad diets appear daily – making weight loss even more challenging. Natural weight loss tools hold certain. Do you know how abundant grapefruit health benefits are? From preventing cancer to promoting weight loss, the health benefits of grapefruit are many. Appointments at Mayo Clinic Mayo Clinic offers appointments in Arizona, Florida and Minnesota and at Mayo Clinic Health System locations. Request Appointment. ![]() Vitamin C helps collagen formation and also maintains healthy gums as well as a healthy immune system. Blueberries pack 1. C per cup. According to the Journal of Orthomolecular Medicine, vitamin C reduces intraocular pressure, decreasing the potential for developing glaucoma, which refers to various eye conditions that damage the optic nerve — the second most common cause of blindness in the United States. Improve Heart Health. Cardiovascular disease is a major public health concern in the United States. Currently, it is the leading cause of death in both men and women. High blood pressure, high blood sugar, and obesity are some of the common conditions that lead to increased risk of heart disease. The base for all of the blueberries health benefits are in fact that they are extremely rich in antioxidants, which help support overall health and immune system. A recent study, however, suggests that berries, including strawberries and blueberries, may reduce the risk of heart disease in women, due to their high content of anthocyanins. Anthocyanins are part of a sub- class of flavonoids, which may help to counter the buildup of plaque and improve cardiovascular health. According to the study, women who eat three or more servings a week of blueberries or strawberries may reduce their risk of heart disease.
Reduce Cancer Risk. Remember anthocyanins? Not only do they give blueberries their blue color and help improve heart health, but they may also help attack cancer- causing free radicals and possibly even block tumor cells from forming, according to a study from the University of Illinois at Urbana- Champaign, which focused on the effects of blueberries on prostate cancer. While research is ongoing, the scientists found evidence to suggest blueberries are a potential therapeutic agent for early stage prostate cancer or a possible means of prostate cancer prevention. ![]() Fight UTIs. Urinary tract infections (UTIs) are caused by bacteria that take hold and grow inside the urinary tract, causing an infection. Symptoms don't always present themselves, but can include the strong, persistent urge to urinate, strong- smelling urine, and pelvic pain in women. In fact, UTIs are 1. UTI during their lifetime, according to the University of Maryland Medical Center. You've probably heard that cranberries can help fight UTIs — with doctors often recommending either eating the fruit or drinking cranberry juice. That's because cranberries contain compounds that prevent bacteria from sticking to bladder walls. Similarly, blueberries can help ward off UTIs. Like cranberries, blueberries contain substances that inhibit bacteria from binding to bladder tissue. Eating antioxidant- rich foods like blueberries can help reduce symptoms. Boost Brain Health. Scientists at the USDA research center have been studying the bene. Through studies with rats, researchers have found that object memory loss, which occurs normally with age, can be prevented and even reversed by feeding blueberries to older rats. And in a study of nine human subjects, led by Robert Krikorian and his team at the University of Cincinnati, researchers found that older adults who were given blueberry juice scored higher on memory tests than those receiving a placebo. This study supports continued research on how blueberries may serve as a preventive method for cognitive decline. Sources: Schmidt BM, Erdman J, Lila M. Differential effects of blueberry proanthocyanidins on androgen sensitive and insensitive human prostate cancer cell lines. Cancer Letters. 2. Cassidy A, Mukamal K, Liu L, Franz M, Eliassen H, Rimm E. High Anthocyanin Intake Is Associated With a Reduced Risk of Myocardial Infarction in Young and Middle- Aged Women. Circulation. 2. 01. Boyd H. Eye Pressure Lowering Effect of Vitamin C. Journal of Orthomolecular Medicine. The Benefits of Drinking Water for Your Skin. Claims have been made that drinking water gives you a radiant, healthy, younger- looking complexion, while others say it has no effect on skin's appearance whatsoever. Which is true? The fact is that skin is an organ, and just like any other part of the body. And skin cells, like any other cell in the body, are made up of water. Without water, the organs will certainly not function properly or at their best. If your skin is not getting the sufficient amount of water, the lack of hydration will present itself by turning your skin dry, tight and flaky. Dry skin has less resilience and is more prone to wrinkling. As water is lost in large quantities every day, you need to replace it somehow. The unfortunate truth about drinking water and skin is that water will reach all the other organs before it reaches the skin. So, it's important to apply water to our skin and keep it there - this will not only show a visible difference in hydration, but it can prevent wrinkles, as well. So what is the best way to add water to the skin? ![]() Apply a hydrating moisturizer within 2 minutes of leaving the bath or shower. The skin is still porous and is vulnerable to products that are applied following the bath or shower, allowing better absorption. Apply a product containing hyaluronic acid prior to your moisturizer, such as Skinceuticals Hydrating B5 Gel (available at Jeune Skin Care). Hyaluronic acid holds 1,0. Drink more water. Drinking at least 8 glasses a day will help rid the body and skin of toxins. Everyone will not agree that water consumption will improve skin. Many people often report that by increasing their water intake, their skin has a more radiant glow. Those who suffer from acne have reported the same results. Nothing will happen overnight, but even a good couple of weeks of increasing water intake should be enough for you to see how hydration affects your own skin. Or stop by Transformations at 2. Deming Way in Middleton to browse our skin care products. We're open Monday- Friday, 8am- 5pm, with extended hours until 7pm on Wednesdays. ![]() Water is a very essential component to remain healthy. Here are the amazing health benefits of drinking water discussed along with benefits for skin & hair. Metabolic Rate Increases Slightly With Water Consumption. ![]() ![]() ![]() ![]() ![]() ![]() ![]()
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Zaca Lane, Ste 1. San Luis Obispo, CA 9. Toll Free U. S.: 1- 8. Direct Dial: (8. 05) 5. Email: info@inlinewarehouse. Customer Service Phone Hours: Mon - Fri: 8: 0. Sat: 9: 0. 0am - 4: 0. Sun: Closed - Please Order Online. Retail Hours: Mon - Fri: 9: 3. Sat: 9: 3. 0am - 3: 3. ![]() Sun: Closed (Pacific Time Zone)Order Information. IW website features real- time inventory. COD's have a $7. 5. ![]() No Cash or Personal Checks accepted. MONEY ORDER. To pay with a money order, call and place your order by phone Then mail your Money Order to the address above referencing your order #. Your order will process the same day it arrives. PAYPAL. Open an account at Pay. Pal. com if not having one, and place online. The confirmed address on your Pay. Pal account should match the shipping address. First Time Orders. In an effort to protect ourselves as well as cardholders from fraud, we ask that first time customers ship to the billing address of the credit card. Once customer history is established, orders may ship wherever you like. If unavoidable, we naturally will work on a case- by- case basis in an effort to get your order out. Thank you in advance for your understanding on this matter. Security. Our online ordering system uses industry standard SSL security encryption. Your information is transmitted using an encryption algorithm that only we can decode. We reveal only the last four digits of your credit card number when confirming an order. Of course, we transmit the entire credit card number to the appropriate credit card company during order processing. Shipping Information. IW knows that getting your order in perfect condition is a major concern. This is why we offer fast, affordable, and reliable shipping. Flat Rate Two Day Shipping Details$5 Two Day Shipping through UPS on shipments over $5. Offer valid in the Contiguous US only. Promotional pricing automatically offered at checkout for qualifying orders. If not shown, the order does not qualify (call with questions). Due to size constraints, shipments requiring more than one package will incur additional costs if not meeting requirement(s) on their own. Shipment must have an actual and dimensional weight of 1. Long, large or heavy items such as hockey sticks, wheel bags and goals are therefore excluded. Does not apply to drop ship items. Does not include Saturday delivery. Offer not retroactive on prior purchases. Order ships once all items are in stock unless otherwise requested. Limited Time Offer. Free Ground Shipping Details. FREE Ground shipping is provided on shipments over $5. UPS Ground shipments under $5. Due to size constraints, shipments requiring more than one package will incur additional costs if not meeting requirement(s) on their own. Offer valid in the Contiguous US only. Does not include Saturday delivery. Does not apply to drop ship items. Order ships once all items are in stock unless otherwise requested. Limited Time Offer. Free Return Shipping on all Skates Details - IWin Memberships Only. This benefit is exclusive to IWin Members - Not a Member? FLAT- RATE TWO- DAY SHIPPING RESTRICTIONS: Skates shipped using the previous Two- Day Shipping Promotions, . Returns are still welcomed, but shipping would be the responsibility of the consumer. Otherwise, standard shipping and return guidelines apply. Will you ship in stock items immediately if something is out of stock? If an item is out of stock, the expected arrival time is given online. In stock items can ship immediately if requested, but otherwise will ship altogether once all items are in. Split shipments would need to meet one of the FREE shipping requirements above to avoid shipping charges. All orders placed before 2: 3. Pacific Standard Time, are shipped that same day (excludes weekends and holidays). Re- Routing a package after shipment is subject to a $1. UPS/Fed. Ex charge to do so. What if something is missing from my order? IW prides itself on quick and accurate shipments. However, should a discrepancy exist, notification is to be made within 4. IW cannot be held responsible for a package or its contents after such a time. What if I'm shipping outside of the United Skates? For more detailed information on international orders, please refer to our International Page. Shipment Options & Transit Days. Delivery delays due to weather or other actions deemed beyond the shippers control are not eligible for refund. Standard Overnight delivers the next business day normally by 4: 3. Priority Overnight delivers by 1. Saturday delivery is available on Priority Overnight packages plus a $1. Saturday Delivery Fee. UPS 2nd Day Air delivers in 2 business days from the day your order ships (may take 3 days for parts of Alaska and Hawaii). Guaranteed. Ground may take up to 5 business days from the day your order ships. Those destinations closer to California take a shorter amount of time. Ground times are not guaranteed. See transit days map below. Golden State Overnight (GSO) is available to California residents with delivery the next business day by 6pm to all of the zip codes they accommodate (delivery time depending on zip code). In addition, GSO provides Saturday delivery to most zip codes at no additional charge. To request Saturday delivery, contact one of our representatives at 8. If available in your area they will make the appropriate label for you. If not, it would arrive the next business day (Monday). For orders under $5. Priority Mail delivers in approximately 3- 7 business days from the day your order shipped. No tracking available. Guaranteed Lowest Prices. IW will match or beat any posted overall price advertised in- store or online. All that is required is that the item be in- stock and the price can be confirmed. Price match requests are to be made by phone and will be confirmed once the order is placed. 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Should a special limited time coupon code be happening at a greater discount, IWin Members are awarded the discount even if unaware of the promotion. No more searching for coupon codes or being disappointed when expired. Membership discount also works on all our affiliate sites: Ice Warehouse, Inline Warehouse Hockey, Inline Warehouse Fitness, Inline Warehouse Aggressive and Derby Warehouse. You win! IWin Membership Exclusive Benefits. No Hassle Discount Every Order* - No Confusing Points to Calculate. Free Return Shipping on Skates**Priority Same Day Shipping. Members Only Promotions*Discounts are not applicable online to manufacturer price restricted items or to previous purchases. IWin discount cannot be combined with other discount promotions. Discount does not apply to IWin Membership gear, items priced ending in '7' (e. SALE items, promo items, gift certificates, taxes, shipping and similar charges.** Free Return Shipping on Skates is provided for those in the contiguous 4. To receive a pre- paid label, simply call 8. If after 7 days, you may still return, but shipping would then become your responsibility. IW allows 3. 65 days from time of purchase to return items in new condition. By joining the IWin Membership you agree to the terms and conditions of the membership. By joining the I Win Membership you agree to receive advertising emails from IW. IW does not sell or rent any personally identifiable information about you to any third party. IW may at any time terminate or modify the IWin Membership program without any further obligations to Members. Memberships are nontransferable and rules are void where and to the extent prohibited by law. Click here to visit the IWin Membership page. Returns. In the event you need to return or exchange an item, IW offers: NO- RESTOCKING FEES3. DAYS TO RETURNSimply print and complete our Returns Form located here or on the back of your invoice, and make sure your item(s) meet the below requirements. 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FREE Items or promotions you receive as a result of a purchase must be returned as well if not making an exchange. Interview Questions and Answers, Job Interview Tips, Advice, Guide. The nephrotic syndrome. NEPHROTIC SYNDROME OVERVIEWThe term . More detailed information is available by subscription. This damage allows proteins in the blood (such as albumin) to leak into the urine, causing increased excretion of protein (proteinuria) (see . Eventually, blood levels of albumin become reduced. Accompanying abnormalities of kidney function lead to accumulation of fluid in the tissues (edema). How are glomeruli damaged? ![]() In some cases, damage is confined to the kidneys alone. In other cases, organs other than the kidney are also affected (such as in diabetes mellitus or systemic lupus erythematosus). People with minimal change disease have normal or very mild abnormalities of the glomeruli. FSGS causes collapse and scarring of some glomeruli. The cause of primary FSGS is unknown, although some cases (usually in children or young adults) are the result of a genetic defect, an infection, or a toxic response to a drug. Membranous nephropathy — Membranous nephropathy is a condition in which the walls of the glomerular blood vessels become thickened from the accumulation of protein deposits, causing increased . Kidney disease amongst diabetics is commonly called diabetic nephropathy. Statistically, around 40% of people with diabetes develop nephropathy but it is possible. Treating Glomerulonephritis and Nephrotic Syndrome. If you have nephritis that was caused by an infection, your doctor may prescribe antibiotics. Home > HUS Information > What is Hemolytic Uremic Syndrome (HUS), and Why is it so Deadly? What is Hemolytic Uremic Syndrome (HUS), and Why is it so Deadly? ![]() Some patients with more advanced disease can develop the nephrotic syndrome. Lupus — Lupus is a disease that can affect multiple organs of the body, including the kidney. Nephrotic syndrome is common in people with severe lupus. Kidney failure may develop in some people. Increased excretion of protein may lead to . ![]() Swelling (edema) can also occur in the feet or ankles after sitting or standing for any period of time. Weight gain can occur rapidly. Uncommonly, weight loss can occur in people who are losing large quantities of protein in the urine. This may be due to malnutrition or an underlying condition, such as poorly controlled diabetes mellitus, a chronic viral infection, or cancer. Kidney failure — Some people with nephrotic syndrome have a gradual decline in kidney function, which causes no symptoms in the early stages. ![]() ![]() However, as kidney function continues to worsen, symptoms of kidney failure can develop, including shortness of breath, weakness and easy fatigability (from anemia) and loss of appetite. Blood lipids — The concentration of lipids (cholesterol and/or triglycerides) can become greatly elevated in nephrotic syndrome. If persistent, this may increase the risk of coronary artery disease. Blood clots — People with nephrotic syndrome are at an increased risk of blood clots in the veins or arteries. Clots in the veins can travel to the lungs. This can be dangerous, or even fatal. In addition, almost all patients are given an angiotensin- converting enzyme (ACE) inhibitor or an angiotensin receptor blocker (ARB), which lower blood pressure, prevent worsening of kidney disease, and reduce the amount of protein excreted in the urine. Diabetes mellitus — The optimal treatment for diabetic kidney disease is not well understood, although the best approach likely includes intensive management of blood sugar levels, cholesterol, and blood pressure. Lupus — People with lupus who have nephrotic syndrome or evidence of worsening kidney function can be treated with steroids and other medications that suppress the immune system. Most people respond well to such a regimen. Minimal change disease — People with minimal change disease almost always respond initially to treatment with glucocorticoids (steroids). However, relapses are common, and additional treatments are often required. Secondary FSGS is treated primarily with ACE inhibitors or ARBs. In many people, a period of . During this time, an ACE inhibitor or ARB is recommended and it is important to keep blood pressure and cholesterol levels controlled. Additional treatment, including medications that suppress the immune system, may be needed if membranous nephropathy progresses. Without immunosuppressive treatment, approximately 1. ![]() ![]() Gain 2 pounds per week; Gain 1.5 pounds per week; Gain 1 pound per week; Gain 0.5 pound per week; Maintain my current weight; Lose 0.5 pound per week. You know the importance of good nutrition and exercise, but how do you feed a picky eater or encourage a child who hates sports to play outside? The term nephrotic syndrome refers to a group of symptoms and laboratory findings that may occur in people with certain kinds of kidney (renal) disease:High levels of. As a result, most people with mild symptoms are advised to delay immunosuppressive treatment until/unless symptoms worsen. Edema and ascites often improve in people who follow a low- sodium diet and take a . If nephrotic syndrome persists, treatment is needed to lower blood cholesterol. Most people are initially treated with a cholesterol- lowering medication called a statin. Related topics for patients, as well as selected articles written for healthcare professionals, are also available. Some of the most relevant are listed below. Patient level information — Up. To. Date offers two types of patient education materials. Start studying bstrandable NCLEX OB/Peds 3 of 3. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Nephrotic syndrome is a disorder of the glomeruli (clusters of microscopic blood vessels in the kidneys that have small pores through which blood is filtered) in. Nephrotic syndrome is a group of symptoms that, together, show that your kidneys are not working as well as they should. These symptoms include. View the latest health news and explore articles on fitness, diet, nutrition, parenting, relationships, medicine, diseases and healthy living at CNN Health. The Basics — The Basics patient education pieces answer the four or five key questions a patient might have about a given condition. These articles are best for patients who want a general overview and who prefer short, easy- to- read materials. Patient education: Chronic kidney disease (The Basics)Patient education: Lupus and kidney disease (The Basics)Beyond the Basics — Beyond the Basics patient education pieces are longer, more sophisticated, and more detailed. These articles are best for patients who want in- depth information and are comfortable with some medical jargon. Patient education: Protein in the urine (proteinuria) (Beyond the Basics)Patient education: Diabetes mellitus type 1: Overview (Beyond the Basics)Patient education: Diabetes mellitus type 2: Overview (Beyond the Basics)Patient education: Systemic lupus erythematosus (SLE) (Beyond the Basics)Patient education: Edema (swelling) (Beyond the Basics)Patient education: Renal (kidney) biopsy (Beyond the Basics)Patient education: Low- sodium diet (Beyond the Basics)Patient education: High cholesterol and lipids (hyperlipidemia) (Beyond the Basics)Patient education: Warfarin (Coumadin) (Beyond the Basics)Professional level information — Professional level articles are designed to keep doctors and other health professionals up- to- date on the latest medical findings. These articles are thorough, long, and complex, and they contain multiple references to the research on which they are based. Professional level articles are best for people who are comfortable with a lot of medical terminology and who want to read the same materials their doctors are reading. ![]() Acute kidney injury (AKI) in minimal change disease and other forms of nephrotic syndrome. Causes and diagnosis of membranous nephropathy. Diagnostic approach to the patient with subacute kidney injury in an outpatient setting. Differential diagnosis and evaluation of glomerular disease. Assessment of urinary protein excretion and evaluation of isolated non- nephrotic proteinuria in adults. Lipid abnormalities in nephrotic syndrome. Pathophysiology and treatment of edema in patients with the nephrotic syndrome. Overview of heavy proteinuria and the nephrotic syndrome. Renal vein thrombosis and hypercoagulable state in nephrotic syndrome. Urinalysis in the diagnosis of kidney disease. Etiology, clinical features, and diagnosis of minimal change disease in adults. Treatment of minimal change disease in adults. Treatment of idiopathic membranous nephropathy. The following organizations also provide reliable health information. Our peer review process typically takes one to six weeks depending on the issue. Nephrotic syndrome in children - NHS Choices Nephrotic syndrome is a condition that causes the kidneys to leak large amounts of protein into the urine. This can lead to a range of problems, including swelling of body tissues and a greater chance of catching infections. Although nephrotic syndrome can affect people of any age, it's usually first diagnosed in children aged between two and five years old. It affects more boys than girls. Around 1 in every 5. It tends to be more common in families with a history of allergies or those of an Asian background, although it's unclear why. The symptoms of nephrotic syndrome can usually be controlled with steroid medication. Most children with nephrotic syndrome respond well to steroids and aren't at risk of kidney failure. However, a small number of children have congenital (inherited) nephrotic syndrome and usually do less well. They may eventually have kidney failure and need a kidney transplant. What problems can it cause? Most children with nephrotic syndrome have times when their symptoms are under control (remission), followed by times when symptoms return (relapses). In most cases, relapses become less frequent as they get older and often stop by their late teens. Some of the main symptoms associated with nephrotic syndrome include: swelling – the low level of protein in the blood reduces the flow of water from body tissues back into the blood vessels, leading to swelling (oedema). Swelling is usually first noticed around the eyes, then around the lower legs and rest of the body. When these are lost, children are much more likely to get infections. Some children with nephrotic syndrome may also pass less urine than usual during relapses. This can increase their risk of potentially serious blood clots. During a relapse, the blood also becomes more concentrated, which can lead to clotting. Causes of nephrotic syndrome. Most children with nephrotic syndrome have . This means that their kidneys appear normal or nearly normal if a tissue sample is studied under a microscope. The cause of minimal change disease is unknown. Nephrotic syndrome can sometimes occur as a result of a kidney problem or another condition, such as: These problems tend to be more common in adults with nephrotic syndrome. Diagnosing nephrotic syndrome. Nephrotic syndrome can usually be diagnosed after dipping a dipstick into a urine sample. If there are large amounts of protein in a person's urine, there will be a colour change on the stick. A blood test showing a low level of a protein called albumin will confirm the diagnosis. In some cases, when the initial treatment doesn't work, your child may need a kidney biopsy. This is when a very small sample of kidney tissue is removed using a needle so it can be studied under a microscope. Managing nephrotic syndrome The main treatment for nephrotic syndrome is steroids, but additional treatments may also be used if a child develops significant side effects. Most children have relapses until their late teens and need to take steroids when these occur. Your child may be referred to a childhood kidney specialist (paediatric nephrologist) for tests and specialist treatment. Steroids. Children diagnosed with nephrotic syndrome for the first time are normally prescribed at least a four- week course of the steroid medicine prednisolone, followed by a smaller dose every other day for four more weeks. This stops protein leaking from your child's kidneys into their urine. When prednisolone is prescribed for short periods, there's usually no serious or long- lasting side effects, although some children may experience: increased appetite weight gain red cheeks mood changes Most children respond well to treatment with prednisolone, with the protein often disappearing from their urine and the swelling going down within a few weeks. This period is known as remission. Diuretics. Diuretics, or . They work by increasing the amount of urine produced. Penicillin. Penicillin is an antibiotic, and may be prescribed during relapses to reduce the chances of an infection. Dietary changes. You may be advised to reduce the amount of salt in your child's diet to prevent further water retention and oedema. This means avoiding processed foods and not adding salt to what you eat. Get tips on how to cut down on salt. Vaccinations. Children with nephrotic syndrome are advised to have the pneumococcal vaccine. Some children may also be recommended the varicella (chickenpox) vaccination between relapses. Live vaccines, such as MMR, chickenpox and BCG, shouldn't be given while your child is taking medication to control their symptoms. Additional medication. Other medications may be used alongside or in place of steroids if your child's remission can't be maintained with steroids or they experience significant side effects. Additional medications that may be used include: levamisole cyclophosphamide ciclosporin tacrolimus mycophenolate rituximab Albumin infusions. Most of the protein lost in nephrotic syndrome is a type called albumin. If your child's symptoms are severe, they may be admitted to hospital to receive albumin infusions. Albumin is slowly added to the blood over a few hours through a thin plastic tube called a cannula, which is inserted into one of the veins in their arm. Caring for your child at home. If your child has been diagnosed with nephrotic syndrome, you'll need to monitor their condition on a daily basis to check for signs of relapses. You'll need to use a dipstick to test your child's urine for protein the first time they urinate each day. The results of a dipstick test are recorded as either: negative – 0mg of proteinuria per decilitre of urine (mg/d. L) trace – 1. 5- 3. L 1+ – 3. 0- 1. 00mg/d. L 2+ – 1. 00- 3. 00mg/d. L 3+ – 3. 00/1,0. L 4+ – over 1,0. 00mg/d. L The result for each day needs to be written down in a diary for your doctor or specialist nurse to review during your outpatient appointments. You should also note down the dose of any medication they're taking and any other comments, such as whether your child is feeling unwell. If the dipstick shows 3+ or more of protein in the urine for three days in a row, this means your child is having a relapse. If this happens, you either need to follow the advice given about starting steroids or contact your doctor. You should seek immediate medical advice if: your child has come into contact with someone who has chickenpox or measles and your doctor has told you that your child is not immune to these illnesses your child is unwell or has a fever your child has diarrhoea and is vomiting Congenital nephrotic syndrome. Congenital nephrotic syndrome is usually caused by an inherited faulty gene. For the condition to be passed on to a child, both parents must have a healthy copy of the gene and a faulty one. This means they don't have nephrotic syndrome themselves, but there's a one in four chance that any children they have will develop the condition. Treating congenital nephrotic syndrome. If your child has congenital nephrotic syndrome, they'll need frequent albumin infusions to help them grow and develop normally. This often requires a stay in hospital. Sometimes parents can be trained to administer the treatment at home. Your child will be regularly reviewed at a clinic, where their blood pressure, growth, weight, kidney function and bone health will be monitored. It can be difficult for parents to decide which option is best, so you should talk to your doctor about the pros and cons of hospital- based and home- based treatment. Dialysis and kidney transplants. In some cases, your doctor may recommend surgery to remove one or both of your child's kidneys. This will stop proteins being lost in your child's urine and reduce their risk of potentially serious problems, such as blood clots. This means they'll be dependent on dialysis, where a machine replicates kidney function, from an early age until they can receive a kidney transplant. A person only needs one kidney to survive, so a living person can donate a kidney. Ideally, this should be a close relative. Read more about kidney transplants. Information about your child. If your child has congenital nephrotic syndrome, your clinical team will pass information about him or her on to the National Congenital Anomaly and Rare Diseases Registration Service (NCARDRS). This helps scientists look for better ways to prevent and treat this condition. You can opt out of the register at any time. Find out more about the NCARDRS register. Page last reviewed: 2. Next review due: 0. |
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June 2017
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