Sunday, August 26, 2018

Polycystic Ovary Syndrome Infertility

The types of female factors which can contribute to infertility are Polycystic ovarian syndrome poor ovarian reserve tubal blockage pelvic inflammatory disease uterine tuberculosis uterine problems endometriosis age-related factors tubal ligation advanced maternal age overweight or underweight hormonal imbalances thyroid problems low sexual desire etc. Polycystic ovary syndrome one of the most common endocrine disorders affects approximately 6 percent of women of reproductive age.

Pcos Symptoms Infertility And Treatment Andreia Trigo

Various medical options are used alone or in combination to treat subfertility associated with polycystic ovary syndrome.

Polycystic ovary syndrome infertility. The hormonal imbalance creates problems in the ovaries. Polycystic ovary syndrome is a disorder that doctors associate with an imbalance in female sex hormones. The ovaries make the egg that is released each month as part of a healthy.

This narrative review was conducted to provide an update. Jonathan Kort share important information on the condition below. Scott Morin and Dr.

This condition affects the ovaries but doesnt necessarily lead to infertility. Polycystic ovary syndrome PCOS is one of the leading causes of infertility being the most common endocrine disorder in women of reproductive age. Impairment of feedback between the hypothalamus-pituitary axis and ovary increases the secretion of estrogen decreasing the secretion of follicle-stimulating hormone FSH.

What is polycystic ovary syndrome PCOS. Some will have symptoms which suggest they may have PCOS such as irregular or absent periods and skin problems such as acne and unwanted hair growth. This syndrome presents with symptoms such as amenorrhea hirsutism and obesity.

PCOS is also a common and treatable cause of infertility. Polycystic ovary syndrome PCOS is a condition involving hormonal imbalances and metabolism problems. The imbalance can lead to a variety of.

Polycystic ovary syndrome PCOS is commonly observed in women of reproductive age. It affects approximately 5-10 of young women and often leads to difficulty conceiving. 1 The syndrome is the most frequent cause of.

PCOS is one of the most common but treatable causes of infertility in women. Obese women show poorer reproductive outcomes regardless of the mode of conception and higher body mass index BMI is associated with poorer fertility prognosis. This can affect the way a womans ovaries work and it is thought to affect around 1 in 5 women in the UK.

The cause of PCOS is multi-factorial and the mechanism is still unclear. Polycystic ovary syndrome PCOS is a very common endocrine condition in reproductive-aged women. Polycystic ovary syndrome is the most common endocrine disorder in women and a major cause of anovulatory infertility.

Diagnostic criteria include hyperandrogenism oligo-anovulation and polycystic ovary morphology 7 but many women with PCOS are also overweight or obese 8. Polycystic ovary syndrome often referred to as PCOS is a condition where women have an overabundance of eggs as a result of hormonal shifts including testosterone. A common female fertility problem is polycystic ovary syndrome PCOS.

Since infertility is so frequently an issue for women with polycystic ovary syndrome there is a long list of common medications and procedures to function as fertility treatments. Rotterdam consensus established precise criteria since two among three set the definition as follow. The aim of this study is to stress on the particularity of ovarian dystrophy and the management of the resulting infertility that represents an important rate of medical counselling of women desiring pregnancy.

Polycystic ovary syndrome is the most common. Though women with PCOS often worry they have cysts on their ovaries these are technically not cysts but antral follicles that reflect the normal fluid surrounding eggs. Polycystic ovary syndrome PCOS is one of the leading causes of infertility and many women with PCOS are also overweight or obese.

While there are many options some of the most common include. Anovulation hyperandrogenism and polycystic ovaries. Polycystic Ovarian Syndrome and Female Infertility Polycystic ovarian syndrome PCOS is the most common endocrine disorder in women of reproductive age associated with chronic anovulation and hyperandrogenism.

If youre wondering whether Polycystic Ovary Syndrome PCOS is the reason you are struggling to conceive the answer could be yes. Before beginning treatment for infertility possibly related to PCOS be sure that your health care provider rules out other causes. Polycystic ovary syndrome PCOS also known as polycystic ovarian syndrome is a common health problem caused by an imbalance of reproductive hormones.

In most cases fertility problems in women with polycystic ovary syndrome PCOS result from the absence of ovulation anovulation but anovulation may not be the only reason for these problems. Women with this condition can experience irregular periods abnormal hair growth acne and can have ovaries containing multiple small cysts.

Wednesday, August 22, 2018

Big Freshwater Aquarium Fish

Click the image for larger image size and more details. That way the big fish will live healthily and safely.

Exotic Freshwater Aquarium Fish Online Shopping

Therefore only one male Betta should be kept in each aquarium.

Big freshwater aquarium fish. It is native to Guatemala and Honduras. Another extremely popular freshwater fish is the Betta. They are a hardy fish and they can eat regular fish flakes.

Above a 7 long Tinfoil Barb and below a 5 long Tinfoil. A colorful freshwater aquarium fish that are perfect for beginners are Guppies. You can find it in a huge palette of.

Not only its exotic coloration but also the shape of the discus fishs body is quite the sight. Click here for more information about Tinfoil Barbs. Although the behavior and characteristics tend to be the same from fish to fish Guppies come in a wide range of colors.

Bettas are vibrantly colored and easy to care for. Weve got a great selection of angels plecos cichlids livebearers tetras and much more. Male Bettas are notoriously aggressive towards other males.

Jack Dempsey Rocio octofasciata. These pictures show the exact fish that is for sale. These fish are usually sold in stores at a size of around two to five inches yet they can grow anywhere between one and two feet and have a lifespan upwards of 15 years.

The lifespan of Jack Dempsey is 5-7 years and it grows up to 8 inches. 58 rows One of the few freshwater aquarium fish that survive in cold water. We can find big freshwater aquarium fish for sale at the fish shop.

However we need to make sure that we buy from a reliable store so we can get a stable fish with little risk to get stressed. Below are 21 best pictures collection of freshwater aquarium design ideas photo in high resolution. The Checkerboard Discus is a cool-looking freshwater aquarium fish that will excite your visual senses with its bright color.

133 most popular aquarium fishes. If you have any sort of questions pertaining to where and the best ways to use httpswww you could call us at our web page. Theyre named for the pearl-like pattern of their bodies although sometimes go by the name lace gourami.

It is large freshwater aquarium fish with a striking appearance and attractive mannerism from the cichlid family. Large small peaceful easy and hard to keep tropical freshwater fishes. Buying one of these fish is a lifetime commitment and your tank will need to grow with the fish to house it properly.

Click on each picture to see a bigger picture. How to keep breed choose tank mates. Pearl Gourami are a really unusual freshwater tropical fish that we think will interest many beginner aquarists.

What we should remember is that we need to have bigger freshwater aquarium fish as the big fish tank mates. Tinfoils can grow to be 14 long and need a very large aquarium. Theyre classified as being Near Threatened conservation status.

Its not surprising why.

Will Fluconazole Treat Bv

No even though Diflucan fluconazole is in the same general family of antifungals it is used primarily to treat yeast infections. Does fluconazole help treat BV.

Fluconazole To Treat Bv Fluconazole Bacterial Vag Overnight Delivery

A new study from 2016 shows that taking oral fluconazole in pregnancy can significantly increase the risk of spontaneous abortion.

Will fluconazole treat bv. Metronidazole and fluconazole are used to treat different types of vaginal infections. I was treated for a yeast infection with Diflucan and Bacterial vaginosis with metronidazole and im still experiencing itching after finishing antibiotics and now have a sore throat. 6 Bacterial Vaginosis Symptoms Vaginal Odor.

Yeast is a fungus. BACTERIAL vaginosis is cause by bacteria which is different from yeast. Treatments Causes No even though Diflucan fluconazole is in the same general family of antifungals it is used primarily to treat yeast infections.

Following the completion of a standard treatment regimen prescribe oral metronidazole 2 g and fluconazole 150 mg administered once every month. Fluconazole is an antifungal. 31 It is important to.

Taking fluconazole is not recommended during pregnancy. Upwards of 3 million women will be diagnosed with this issue in the United States alone. Of the BV-negative women 10 out of 133 8 developed BV after 1 week and after 1 month 8 of them 7 were still BV-positive.

The presence of BV was studied in these patients with vulvo-vaginal candidosis after treatment with antifungal medication. Fluconazole is used to prevent and treat candidiasis. Then given diflucan fluconazole for a yeast infection.

Metronidazole is an antibiotic used to treat bacterial vaginosis and trichomonas vaginal infections and fluconazole is an antifungal used to treat vaginal fungal infections caused by Candida. Bacterial vaginosis and yeast infections can cause similar symptoms but they require different treatments. Prescription yeast infection medications such as fluconazole Diflucan are taken by mouth.

At the start of oral antifungal treatment 63 of women with Candida were co-infected with BV. BACTERIAL vaginosis is cause by bacteria which is different from yeast. 6 Bacterial Vaginosis Symptoms Vaginal Odor.

Youll usually only need one dose but you may be prescribed. There are a variety of treatments that can be administered to women that have bacterial vaginosis. Bv is bacterial vaginosis and needs an antibiotic.

In women with candidal vaginitis treatment with oral fluconazole has been shown to be safe and as effective as seven days of treatment with intravaginal clotrimazole. Monthly single-dose oral metronidazole plus fluconazole treatment. When it comes to physical defects in a baby taking one 150 mg pill of fluconazole to treat vaginal candidiasis is considered safe.

Content on HealthTap including. Will it help cure bacterial vaginosis. I was on flagyl for a bacterial vaginosis infection 2 weeks ago.

At the completion of the vaginal boric acid treatment initiate metronidazole vaginal gel 075 twice weekly for 6 months. Yeast is a fungus. Learn to tell the two apart.

Treatment of vulvovaginal candidiasis involves oral fluconazole or topical azoles although only topical azoles are recommended during pregnancy.

Bacterial Vaginosis Treatment In Pregnancy

Topical Clindamycin dose is around 5g for treating bacterial vaginosis during pregnancy. Treatment is recommended for all symptomatic pregnant women.

Bacterial Vaginosis Michael Addidle What Is Bacterial Vaginosis

Vaginal antibiotics result in minimal risk to the fetus in pregnant patients.

Bacterial vaginosis treatment in pregnancy. Treatment may also reduce the risk for some STDs. 5 10 12 However antibiotic treatment for BV may reduce the risk of low birth weight and preterm rupture of the membranes among pregnant women with previous preterm deliveries. Male sex partners of women diagnosed with BV generally do not need to be treated.

Doctors may prescribe the usage of antibiotics in case of chronic or severe cases of BV. Treatment options include oral or vaginal metronidazole or clindamycin all of which provide high cure rates. Bacterial vaginosis BV is a complex extremely common vaginal condition and the primary cause of lower-genital complaints primarily malodorous vaginal discharge and odor Not a reportable condition the prevalence of BV among nonpregnant women ranges from 1530 with up to 50 of pregnant women found to be BV-positive 2 5BV has been related to many adverse gynecological.

Vaginal treatment with suppositories and sulfa creams may provide relief of symptoms but are deemed insufficient to prevent complications during pregnancy. If the woman is symptomatic. However bacterial vaginosis is not a sexually transmitted disease.

Advise that where possible she should reduce exposure to contributing factors such as vaginal douching and the use of antiseptics bubble baths or shampoos in the bath. A health care provider can treat BV with antibiotics but BV may recur even after treatment. This treatment may be preferable during pregnancy since the use of any drug during pregnancy should be minimized.

Bacterial Vaginosis is a common infection during pregnancy that affects up to 30 of pregnant women every year. Pregnant women are at an increased risk of contracting this infection due to the fluctuation of hormones happening in their body. Its also one of the most common infections in women who are pregnant affecting approximately 1.

Treatment with antibiotics for BV is safe for your baby during pregnancy and it may help reduce your risk for STIs. Antibiotics such as metronidazole aka Flagyl clindamycin and tinidazole are often prescribed and will destroy some of the bacteria that cause symptoms of bacterial vaginosis. Bacterial Vaginosis is associated with Preterm Labor Treat all symptomatic Bacterial Vaginosis cases in pregnancy but screening not indicated.

If you have BV. Oral administration of Clindamycin 300mg and Metronidazole 500mg treats BV during pregnancy. If you are experiencing symptoms that lead you to believe you may have bacterial vaginosis it is imperative to contact your healthcare provider to receive proper treatment.

Studies have been undertaken to determine the efficacy of BV treatment among this population including two trials demonstrating that metronidazole was efficacious during pregnancy using the 250-mg regimen. Treatment Guidelines and Updates. Complications of bacterial vaginosis may be associated with significant morbidity especially among pregnant women.

Getting a BV in pregnancy may result in premature birth low-birth-weight baby and an infection in the uterine after a delivery. Antibiotics are medicines that kill infections caused by bacteria. Updated recommendations for the treatment of bacterial vaginosis Level A evidence 1 Recommendation Metronidazole oral 500 mg twice daily for 7 days.

BV may be transferred between female sex partners. Oral metronidazole and metronidazole combined with erythromycin have been shown to reduce pregnancy complications associated with bacterial vaginosis. BV is the most common vaginal infection in women between ages 15 and 44.

Bacterial vaginosis treatment during pregnancy Clindamycin and Metronidazole. These findings suggest that commercially available yogurt may restore the microenvironment and pH of the vagina thus representing a viable treatment of bacterial vaginosis. The antibiotic may be oral taken by mouth or a cream or gel that you put into your vagina.

13 Provision of treatment for TV or BV in. This infection occurs when there is too much of a certain bacteria in the womans vagina. However metronidazole administered at 500 mg twice daily can be used.

What are the treatment options for bacterial vaginosis during pregnancy. Systematic reviews from developed countries of antibiotic treatment for these conditions in asymptomatic pregnant women show no significant reductions in adverse pregnancy outcomes. Prescribe oral metronidazole 400 mg twice a day for 5 to 7 days.

Current 7-day oral treatments are clindamycin and metronidazole.

Tuesday, August 21, 2018

Direct Patient Care Definition

The Direct Primary Care DPC model is a practice and payment model where patientsconsumers pay their physician or practice directly in the form of periodic payments for a defined set of primary. The Direct Care model is set to see enormous growth as doctors recognize that the model can offer a better more efficient way to deliver more patient-centric healthcare.

Direct Patient Care Dpc Tiers Used To Classify Departments During The Download Table

The term direct healthcare is sometimes used to describe direct-to-consumer business models such as concierge care and direct primary care which allow individuals to purchase healthcare services directly from a provider.

Direct patient care definition. However a guiding principle to consider for defining direct patient care is. Direct care refers to interventions that are carried out by having personal contact with patients. Patients who use direct primary care dont pay monthly health insurance premiums or copays.

Ensure our services can meet patient needs in the future. Direct patient care Hands on face -to-face contact with patients for the purpose of diagnosis treatment and monitoring. The activities that a physical therapist participates in that have a direct influence on the care of a specific patient or client.

For example direct-care interventions include cleaning an incision administering an injection ambulating with a patient and completing patient teaching at the bedside. Direct care is care that is directly to the patient this may even be on a one-to-one basis where care is provided directly to the patient. Where We Are Headed.

Examples include assessment performing procedures teaching and implementation of a care plan. We also use information we hold about you to. Processing for indirect care purposes.

This work can be fee based or pro bono work. Review the care we provide to ensure it is of the highest standard and quality. The management of healthcare or social care systems and services.

Float A work location for HCP who do not work at least 75 of the time in a single. The direct care practice operates on patient membership fees and does not rely on insurance reimbursements. It cuts the insurance providers out of the process erasing the need for patients and providers alike to file health insurance claims.

Direct care the provision of services to a patient that require some degree of interaction between the patient and the health care provider. Direct patient care includes preventative care and first line supervision. Direct patient care activities or clinical services means activitiesservices in which an employee provides direct service to patientresidents in a clinical setting including the emergency department inpatient bedside operating room other clinical specialty treatment area or in the case of a patient served by a home health care agency or health service firm the individuals home.

Investigate patient queries complaints and legal claims. Define Direct patient care. According to the CASPA patient care experience is defined as having direct responsibility for a patients care while healthcare experience is both paid and unpaid work in a health or health-related field where you are not directly responsible for a patients care but may still have patient interaction.

Referrals in health care involve sending a. Means the provision of health care services directly to individuals being treated for or suspected of having physical or mental illnesses. Handbook suggests that there are two types of patient care direct and indirect.

Direct primary care is a financial arrangement made directly between a patient and healthcare provider. It was only in the 20th century that health insurance outpaced out-of-pocket pay as the primary revenue source for medical practices. Direct Care is a medical practice model where providers contract directly with patients.

So Direct Patient Care means actually providing care and doing for patients. The Direct Care practice breaks this model by giving providers a recurring source of revenue at a price point that they determine. We often think of DPC as hands-on.

For almost all of Americas history Americans paid their provider directly for care. However work that is hands-on may not qualify as Direct Patient Care. The element of providing healthcare must be present.

Direct patient care refers to activities that assist the patient in meeting their basic needs Indirect patient care refers to activities that focus on maintaining the environment in which nursing care is delivered and only incidentally involves direct patient care. However this model is a much smaller segment of the overall market. As the name suggests direct care describes a relationship between a healthcare provider and a patient that does not involve intermediaries such as insurance companies.

Saturday, August 18, 2018

Riverbend Hospital Springfield Oregon

SACRED HEART MEDICAL CENTER - RIVERBEND SPRINGFIELD OR. -- Medical staff at RiverBend Hospital cared for a patient who met preliminary criteria for being at risk of having novel coronavirus officials told KEZI.

Oha Riverbend Hospital Broke Nurse Staffing Rules

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Riverbend hospital springfield oregon. Day Surgery is a multi-specialty surgery center co-located on the Sacred Heart Medical Center RiverBend Campus. Riverbend Hospital Springfield Oregon Jobs Jobs. When compared to other surgery centers we perform better than Best in Class with fewer incidents of hospitalizations and infections.

3333 Riverbend Drive Springfield OR 97477 Zoom in to see interstate exits restaurants and other attractions near hotels. RiverBend officials also said there is no need to be alarmed. 23 days ago-- Two people were sent to the hospital early Thursday morning after a crash involving a semi-truck near the Beltline and Interstate 5 interchange in the Eugene-Springfield areaOfficials on scene said a white car carrying two people was traveling westbound.

3333 Riverbend Drive Springfield OR 97477 Lane County 541 222-7300 www. Day Surgery at RiverBend is a multi-specialty ambulatory surgery center with more than 60 surgeons offering state-of-the-art care in a private and personal setting serving Springfield and Eugene Oregon. The contact information on this site will connect you to the resources at each Oregon hospital to receive a cost estimate.

Apply to Environmental Specialist Receptionist Nurses Aide and more. It is a general medical and surgical facility. Ad Hospitality courses NT Australia Full-Time hospitality internship.

3333 RIVERBEND DRIVE Springfield OR 97477-8800 Map and Directions. It has been given a rating of 2 stars based on summary of quality measures. PeaceHealth Sacred Heart Medical Center at RiverBend has updated their hours and services.

7 days ago Two sent to hospital after early morning crash. Riverbend Annex 123 International Way Springfield OR 97477. Ad Hospitality courses NT Australia Full-Time hospitality internship.

These measures reflect common conditions that hospitals usually treat. 93 reviews of PeaceHealth Sacred Heart Medical Center at RiverBend Went to the Clinics section of the hospital and they were a winner too. We provide ENT General GYN Neuro Orthopedic Pain Management and Podiatry surgical care.

Springfields Riverbend Hospital is a 388-bed regional medical center serving the Willamette Valley. This hospital has been recognized for Patient Safety Excellence Award. Show Recent Past Grades.

Get directions reviews and information for Riverbend Annex in Springfield OR. Officials said the patient was not diagnosed with coronavirus and was released from the hospital. SACRED HEART MEDICAL CENTER - RIVERBEND is a Voluntary non-profit - Private Medicare Certified Acute Care Hospital with 347 beds located in SPRINGFIELD OR.

Menu Reservations Make Reservations. Apply to Staffing Coordinator Registered Nurse Registered Nurse - Recovery and more. PeaceHealth Sacred Heart Medical Center at RiverBend.

To contact PeaceHealth Sacred Heart Medical Center Riverbend for an estimate either. Sacred Heart Medical Center at RiverBend is a medical facility located in Springfield OR. General Information Billing Hospital Patient Financial Services 541-686-7191 Billing Hospital Patient Financial Services toll free 800-873-8253 General InformationPatient Locator 541-222-7300 General InformationPatient Locator toll free 800-288-7444 Lost Found 541-222-1160 Medical Records Sacred Heart 541-686-6841 Parking Information 541-686-6866 Pre-Registration 541-686-7166 Pre.

View this hospitals Leapfrog Hospital Survey Results. Thank you for your interest in a career with Day Surgery at RiverBend. PeaceHealth Sacred Heart Medical Center at RiverBend in Springfield OR is rated high performing in 5 adult procedures and conditions.

Friday, August 17, 2018

Is 180 Blood Sugar High

Is blood sugar in the 180-220 range bad. However most of the signs and symptoms of high blood glucose dont appear until the blood glucose level is higher than 250 mgdl.

What Is A Normal Blood Sugar Level Diabetes Self Management

If a person notices any symptoms of either extremely low or.

Is 180 blood sugar high. Scale of normal blood sugar range Hyperglycemia occurs when the blood sugar is above 130 mgdL while fasting or greater than 180 mgdL after eating a meal. You have tested your blood sugar after eating and the result was 180 mgdl. Lets have a look at the blood sugar gauge.

Blood sugar 180 mgdl 999mmoll - is that good or bad. A high blood sugar level is over 180 mgdl. Blood glucose is commonly considered too high if it is higher than 130 mgdl before a meal or higher than 180 mgdl two hours after the first bite of a meal.

Based on the ADA guidelines above if your blood sugar is above 180 mgdL two hours after a meal it is considered above the normal range. And if you have a blood sugar level of 300 or up remember its a medical emergency and you need to get consulted immediately. Consuming more carbohydrates or a larger meal than usual.

The dawn phenomenon and the Somogyi effect. Although 120 is not too high ideally you do want to gain very good control of your blood sugar levels by following a healthy diet and doing regular exercise. Why do blood sugars go up for type 2 diabetics while fasting.

American Diabetes Association Glucose Goals for people with Diabetes. Above 240 the diabetes is listed as out of control. There are two main causes of high blood sugar in the morning.

Its the same mechanism as Dawn phenomenon but as long as youre fasting the liver keeps dumping. Less than 180 mgdL. Consider the following factors.

As a result levels of glucose in the blood stream can reach high levels causing hyperglycemia or high blood sugar. A blood sugar target is the range you try to reach as much as possible. You didnt have enough insulin the night before.

The corresponding A1C is 79. Blood sugar 180 mgdl 999mmoll after eating - is that good or bad. Most doctors agree that controlling blood sugar so it stays below 180 mgdl but not below 140 mgdl is best for very ill patients in intensive care units ICU.

You may also have high blood sugar in the morning because. If you can get your fasting level between 90-100 mgdl 5-55 mmoll and your 2 hour reading between 120-140 mgdl 66-78 mmoll then that is optimal. An ideal range of blood sugar level is 90-160.

If your blood sugar was 180 not long after you ate that could be normal. A blood sugar chart identifies ideal levels throughout the day especially before and after meals. Tips for healthful living with diabetes Most people can manage their diabetes in.

What might cause your glucose or blood sugar to rise. The corresponding A1C is 79. Ideally your blood sugar will be 80130 mgdL before a meal and less than 180 mgdL after a meal.

These are typical targets. Non-diabetics blood sugar rises after eating and thier natural insulin brings it down. Less clear is what the best target blood sugar should be for inpatients who are admitted for general surgery or non-critical medical conditions.

This is caused by diabetic neuropathy a complication of. We help you interpret your blood sugar values. Lets have a look at the blood sugar gauge.

You have tested your blood sugar and the result was 180 mgdl. Less than 180 mgdl. This will make your blood sugar go up.

A blood sugar reading above 180 milligrams per deciliter mgdL is considered above normal and can bring on these symptoms although its possible to. The high blood sugar feels pretty icky but the adrenal hormone surge that precedes each surge of glycogen from the liver feels SUPER icky. Try checking it 4 hours after.

Hidden Causes of High Blood Sugar Levels in the Morning High blood sugar in the morning may be caused by the Somogyi effect a condition also called rebound hyperglycemia It also may be caused by dawn phenomenon which is the end result of a combination of natural body changes. High blood sugar can cause sudden or unexplained weight loss. 80 to 130 mgdL.

The liver is dumping sugar. Two hours after the start of a meal. High blood sugar can also cause numbness burning or tingling in the hands legs and feet.

We help you interpret your blood sugar values. A level which points towards 160-240 is a called a very high level. Your blood sugar targets may be different depending on your age any additional health.

This occurs because the bodys cells arent getting the glucose they need so the body burns muscle and fat for energy instead.

Low Calorie Dense Meals

Ive lost 25 pounds eating this way without. Zesty tuna pitta salad. Low Calorie Density Foods What I Eat In A Day Part 2 Youtube Start C...