Wednesday, November 25, 2020

Signs Of The Flu 2020

The influenza virus or flu for short affects up to 20. Peak flu season is approaching and it is important to know the signs and symptoms of the flu in case you become ill.

Examining How The Flu Progresses Day After Day

Muscle or body aches.

Signs of the flu 2020. Fatigue tiredness some people may have vomiting and diarrhea though this is more common in children than adults. Everything to know about the 2020-2021 flu season including information about the flu shot potential side effects symptoms and more. Other symptoms might include a sore throat body aches headache a stuffy or runny nose and a feeling of incredible tiredness.

Fever or feeling feverishchills. Children are also more likely than adults to have vomiting. Flu signs and symptoms usually come on suddenly.

The flu is a progressive illnessmeaning symptoms will worsen before they get better. A slight tickle in your throat body aches and a sudden fever could be some of the first signs that youre coming down with the flu. The list of flu symptoms is very similar to COVID symptoms.

Its important to note that not everyone with flu will have a fever. Muscle or body aches. An allergic reaction to the flu shot is incredibly rare but people with egg allergies may be slightly at risk.

Flu symptoms range from mild to severe and can include fever chills achy muscles sore throat cough and headache. People who are sick with flu often feel some or all of these symptoms. Flu is caused by infection with influenza viruses which differ from year to year.

Respiratory illnesses such as the flu COVID-19 and the common cold share similar traits. Runny or stuffy nose. Being aware of flu symptoms is especially important this year as we continue to battle the COVID-19 pandemic.

They include fever feeling feverish the chills and having a cough sore throat runny nose muscle or body aches headache and fatigue. These symptoms are representative and may vary by individual. Its important to get the flu vaccine if youre advised to.

It involves a lack of energy to perform even the most routine tasks. Check if you have flu Flu symptoms come on very quickly and can include. The flu is often confused with the common cold but flu symptoms develop more.

Fatigue tiredness Some people may have vomiting and diarrhea though this is more common in children than adults. Fever or feeling feverishchills. December 7 2020.

In the event someone with the flu is experiencing any of the emergency signs below please get medical attention immediately. People who have flu often feel some or all of these symptoms. A sudden high temperature of 38C or above.

Signs of an allergic reaction to the flu shot include difficulty breathing hives facial swelling paleness and weakness. Fever or feeling feverishchills cough sore throat runny or stuffy nose muscle or body aches headaches and fatigue. Symptoms which tend to strike suddenly include fever typically 101 degrees or higher chills muscle or body aches cough sore throat runny nose congestion headache fatigue weakness and shortness of.

Runny or stuffy nose. This is because our bodies are using more energy to fight off the flu virus. Extreme fatigue is the earliest telltale sign of influenza.

Your immune system will require more energy to create the antibodies necessary to fend off the flu. Less common are vomiting and diarrhea.

Sunday, November 22, 2020

Disinfection Is Generally Performed By

What is Disinfection. The level of disinfection is determined by several factors.

A Justified Process For Cleaning And Disinfection

Need of the Hour is to Stay Calm Clean.

Disinfection is generally performed by. Different disinfectants have different target ranges not all disinfectants can kill all microorganisms. Disinfection is the process of elimination of most pathogenic microorganisms excluding bacterial spores on inanimate objects. Disinfectants are generally distinguished from other antimicrobial agents such as antibiotics which destroy microorganisms within the body and antiseptics which destroy microorganisms on living tissue.

You can generally find disinfection processes outside of sterile processing departments in radiology respiratory therapy physical therapy endoscopy dental offices you name it. If manual cleaning and disinfection is performed with a cleaning-disinfecting agent steps 2 and 3 are skipped and visual control is performed after 6. In hospitals perform most cleaning disinfection and sterilization of patient-care devices in a central processing department in order to more easily control quality.

The presence of a biofilm a tightly adherent mass of bacteria and accumulated material. Disinfect your Home-Office Space time-to-time. Most disinfectors kill only living cells which is why the microbial population is only controlled to an extent when disinfected.

These levels will differ in the killing activity spectrum by each disinfectant in which high-level disinfection can generally meet sterilisation standards in terms of efficiency whilst intermediate-level disinfection is not sporicidal and a wider range of microorganisms can survive low-level disinfection Murray et al 2016. The chemicals used for this process are mainly chlorine iodine alcohol etc. Disinfect your Home-Office Space time-to-time.

In healthcare settings objects are usually disinfected using liquid chemicals or wet pasteurization. The type and quantity of microbial contamination. Disinfection is a process that eliminates many or all pathogenic microorganisms except bacterial spores on inanimate objects.

Disinfectants work by destroying the cell wall of microbes or interfering with their. To disinfect semi-critical items that may be damaged by heat sterilization high-level disinfection may be performed by first cleaning the item of visible soil and then soaking the item in a liquid chemical germicide registered with the EPA as a disinfectantsterilant and cleared by the Food and Drug Administration FDA for use in sterilizing or disinfecting medical and dental instruments. Disinfection is often looked upon as a simple concept needing no advanced experience or education.

Disinfection is generally performed using an US Environmental Protection Agency EPA-registered hospital disinfectant such as quaternary ammonium compounds chlorine-containing compound phenolics or improved hydrogen peroxide HP. Methods of Disinfection Many disinfectants are used alone or in combinations eg hydrogen peroxide and peracetic acid in the health-care setting. Ad Hire Deep Cleaning Disinfection Sanitation Fogging Service Experts.

The complete elimination of all forms of microorganisms Disinfection. The specific germicide including its concentration and the exposure time. Process by which most but not all pathogenic microorganisms on innate surfaces are destroyed by heart or chemical means.

Disinfection can be achieved by physical or chemical methods. Disinfection can be performed on a floor using a disinfecting liquid applied to a mop. Chemicals used in disinfection are called disinfectants.

Disinfection describes a process of chemical destruction resulting in irreversible inactivation of bacteria. These include alcohols chlorine and chlorine compounds formaldehyde glutaraldehyde ortho -phthalaldehyde hydrogen peroxide iodophors peracetic acid phenolics and quaternary ammonium compounds. Hinged surgical instrument with handles scissors clamp and forceps are opened generally at 90 according to the manufacturers IFUs.

Disinfectants are also different from biocidesthe latter are intended to destroy all forms of life not just microorganisms. A process used to eliminate or inhibit the growth of bacteria and other pathogens causing infectious diseases in both humans and animals is called Disinfection. Ad Hire Deep Cleaning Disinfection Sanitation Fogging Service Experts.

Process of destroying all microorganisms on a substance by exposure to physical or chemical agents. A chemical or physical process of destroying all pathogenic microorganisms except spores or inanimate objectssurfaces. And the temperature and pH of the disinfection process Table 252.

The physical nature of the object. Need of the Hour is to Stay Calm Clean. Meticulously clean patient-care items with water and detergent or with water and enzymatic cleaners before high-level disinfection or sterilization procedures.

Wednesday, November 18, 2020

The Recording Of Information In A Patient's Medical Record

Provide documentation of a patients continuing health care from birth to death. Recording information in the medical record is called _.

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These advisories recommend that information be recorded in the patients medical record to permit estimating absorbed dose to the patients skin.

The recording of information in a patient's medical record. Medical records are an integral part of good quality patient care. Patients have a right of access to their own medical records under the Data Protection Act 1998 DPA. For access to records by a third party see Access to Health Records factsheet.

All requests for the release of medical records must be submitted in writing and must be dated and signed by the patient or the patients legally authorized representative. A written letter see instructions below A completed Authorization for Release of Protected Health Information PHI form. PHRs are not the same as electronic health records EHRs also called electronic medical records EMRs which are owned and maintained by doctors offices hospitals or health insurance plans.

Provide a foundation for managing a patients health care medical records these serve as legal documents in a lawsuit and provide clinical data for education research statistical tracking and assessing the quality of health care. Providing a copy of the consultations when patients may have been distressed. However state and institutional policies vary in request processes fulfillment costs and the time between when a request is made and honored up to 30 days per HIPAA with a one-time 30-day.

If mistakes are recorded in a patients file they may be replicated through the use of electronic record-keeping. You should make records at the same time as the events you are recording or as soon as possible afterwards. Traditional methods for patients to request medical records still exist.

The primary purpose of the medical record is to facilitate patient care and allow you or another practitioner to continue the management of the patient. Clinical observations decision making and treatment recommendations or plans should be recorded contemporaneously. The concept of sharing medical notes is known as OpenNotes.

To receive your medical records through written records you will need to submit one of the following to our Health Information Management HIM Department. Documentation In the problem oriented medical record POMR which of the following includes a record of the patients history information from the initial review and any tests. In the case of a minor the parent or guardian must sign the authorization.

Include relevant and up-to-date patient information. Documents you make including clinical records to formally record your work must be clear accurate and legible. Patients full name list any other names the patient may have had Patient Date of birth.

ErrorsMistakes in Patient Medical Records. HIPAA mandates the consumers right to access their medical records receive copies of them and request amendments to them. The following tips can help to ensure that your medical records are accurate.

COmpOnents Of a patients medicaL recOrd The medical record can be dissected into five primary components including the medical history often known as the history and physicalor hp laboratory and 12diagnostic test results the problem list. Giving patients more time to process information. Submitting a Written Request for Medical Records.

Patients and clinicians should embrace the opportunities On 5 April a new federal rule will require US healthcare providers to give patients access to all the health information in their electronic medical records without charge1 This new information sharing rule from the 21st Century Cures Act of 20162 mandates rapid full access to test results medication lists referral information and clinical. If a complaint or claim arises the records are likely to be examined closely by experts administrators lawyers and the courts. Authorizations MUST contain the following information.

Enabling patients to remember important advice particularly where there are language barriers. Covered entities are required by law to provide patients with copies of their medical records but not all records. EHRs typically contain the same basic information you would put in a PHR such as your date of birth medication list and drug allergies.

If any of these items are missing from the form or if the form is not signed and dated your request will be returned. This includes all matters that are relevant to the patients care such as history findings diagnoses treatments care rendered and advice given. Starting in April 2021 all medical practices will be required to provide patients free access to their medical records.

Under the 21st Century Cures Act consumers will be able to read notes that recap a visit to the doctors office as well as look at test results electronically. When made consensually recordings can benefit both patients and doctors by.

Safe.cdc Gov Check In

Avoid using local unscheduled aircraft. Have had a recent heart attack or stroke.

Covid 19 Vaccines Cdc

Will provide a new.

Safe.cdc gov check in. And v-safe will remind you to get your second COVID-19 vaccine dose if you need one. What is Vsafecdcgov Website. Asks should take less than 5 minutes to answer.

Make sure you have liability insurance. This website is dedicatedly working for the promotion and informative content about the V-safe mobile application which will help you alert the CDC for any side effects of the vaccine. Health Check-ins All set.

Translated information available in. People who have received the. V-safe Information Sheet Double-sided Use this information sheet to learn more about v-safe including instructions on how to register and complete health check-ins.

Httpswwwcdcgovcoronavirus2019-ncovvaccinessafetyvsafehtml 67 Complete a v-safe health check-in 1. Follow the instructions to complete the check-in. How long do v-safe check-ins last.

Español 한국어 Tiếng Việt 中文. Through v-safe you can quickly tell CDC if you have any side effects after getting the COVID-19 vaccine. Web surveys to provide personalized health check-ins after you receive a COVID-19 vaccination.

Have recently had any type of surgery especially stomach brain eye or orthopedic bone or joint surgery. If possible fly on larger planes more than 30 seats. Larger airplanes are more likely to have regular safety inspections.

The next check in. Have Health -safe will notify you for your first check-in 1018 AM v-safe after vaccination health checker Confirm your vaccine information Please confirm the followtng tnformaoon ts correct Manufacturer Pfizer-B10NTech Dose Confirm and click Submit Vaccination D Submit 1018 AM v-safe after vaccination health checker. Then you will get check-in messages once a week for up to 5 weeks.

And v-safe will remind you to. CDC does not schedule vaccination appointments. Go to vsafecdcgov.

Finally youll receive check-ins 3 6 and 12 months after your final dose of vaccine. Read the onscreen instructions and click Get Started. Receive a COVID-19 vaccination.

This particular feature of the tool allows you to maintain your health checkups and keep your environment safe from covid-19. 10 Things Healthcare Providers Need to Know about VAERS pdf icon PDF 346 KB Vaccine Reporting Systems. You will receive a text message with a verification code on your smartphone.

Register for V-Safe at httpsvsafecdcgov. Depending on your answers someone from CDC may call to check on you and get more information. The information requested will be on your vaccination record card.

Check with your doctor to see when it is safe for you to travel. Check with your auto insurance policys international coverage and get more coverage if needed. You may also want to call or check the website of your local pharmacy.

After completing the information requests the CDC will send text messages to your. The questions v-safe asks take less than 5 minutes to answer. Enter your name mobile number and other requested information.

The Advisory Committee on Immunization Practices ACIP will hold its second emergency meeting to discuss JJJanssen COVID-19 Vaccine on April 23 2021. If you need a second dose of vaccine v-safe. Enter the code in v-safe and click Verify.

Chest pain pneumothorax or a severe chronic respiratory disease. CDC and FDA have recommended a pause in the use of the Johnson Johnsons Janssen COVID-19 vaccine in the United States out of an abundance of caution effective Tuesday April 13 2021. Web surveys to provide personalized health check-ins after you.

The CDC has launched V-safe a smartphone-based tool that uses text messaging and web surveys to provide personalized health check-ins after an individual receives a COVID-19 vaccination. Through v-safe you can quickly tell CDC if you have any side effects after getting the COVID-19 vaccine. You can report post vaccination side effects at Vaccine Adverse Event Reporting System VAERS hhsgov close.

V-safe web pages feature information on how to register and complete a v-safe health check-in including step-by-instructions with images troubleshooting FAQs and contact information for technical support. When you receive a v-safe check-in text message on your smartphone click the link when ready. 9 vdih iwhu 9dfflqdwlrq hdowk qwyknntgegkxg c tgokpfgt vgzv oguucig htqo x uchgctqwpf r o nqecn vkog hqt vjg pgzv ejgem kp wuv enkemvjg nkpmkpvjg vgzv oguucig vq uvctv vjg ejgem kp aikok.

Will send you a text message each day to ask how you are doing. CDC Centers for Disease Control and Prevention - Your Online Source for Credible Health Information. Vaccine Adverse Event Reporting System VAERS VAERS is the national system that collects reports of adverse events that happen after vaccination.

Get personalized health check-ins after you receive a COVID-19 vaccine. If you need a second dose of vaccine v-safe will provide a new 6-week check-in process so you can share your second-dose vaccine experience as well. Sign-up with v-sage for check up after your shot at v-safe cdcgov Report side effects to help everyone learn more about the vaccine.

Just click the link in the text message to start the check in. During the first week after you get your vaccine v-safe. If you need help scheduling your second dose contact the location where you received your first dose or use the vaccine management or.

Then you will get check-in messages once a week for up to 5 weeks. Depending on your answers someone from CDC may call to check on you.

Fever For 10 Days

In rare cases a persistent low grade fever with no known cause may be a sign of cancer. 3 days prior had dental work temp crown.

When Can I Be Around Others Again

The researchers defined fever as a body temperature of 38C 1004F or higher and measured cytokines using a multiplex microbead-based immunoassay.

Fever for 10 days. A fever is an increase in your body temperature. A person has not had fever for at least 24 hours. The cause of your fever may not be known.

Fever is generally defined as greater than 1004F 38C. Antibiotics usually arent prescribed just because a child has a fever that is lasting a long time. Symptoms typically appear between two to 14 days.

Fever Care for Young Children - WebMD Many how many days is it normal to have a fever. A constant plateauing of fever can also be a sign of respiratory distress a complication associated with COVID severity. April 29 2020 by Dominique Michelle Astorino.

A fever can mean a lot of different things but most low-grade and mild fevers are nothing to worry. Persistent chronic fevers are typically defined as fevers lasting more than 10 to 14 days. What followed was a fever that raged for 10 days.

The symptoms are improving. Guidelines from the Centers for Disease Control and Prevention say that even if you feel better you still should wait 10 days after symptoms started and go 24 hours without a fever before. Although a fever 1004F is a common symptom of COVID-19 people may be infected with the coronavirus but not have fever.

Some people may have a low-grade fever at first and then get worse over time. It occurs when you have a fever above 1009F 383C for 3 weeks or more. A persistent fever can be a symptom of leukemia Hodgkin disease or non-Hodgkin lymphoma.

I called the doctor 10 days ago and they said it was likely h1n1 and not to come in because they are not testing or treating with any anti virals at this point. This is called fever of unknown origin. Viral illnesses - The Royal Childrens Hospital As a general rule in can viral fever last for 10 days that cause infections to survive.

This is called a low grade fever. They said just to go to the ER if had difficulty breathing. On 811 started running 101 fever.

What are common causes of a fever. To my certain recollection I had never had a fever for more than two days at a time. A high grade fever happens when your body temperature is 103F 394C or above.

COVID-19 unleashed on me a 10-day fever like no other. It is also possible for a person to be asymptomatic no fever or other symptoms and still spread the virus to others. Sed rate showed inflammation - 45.

Or fever may come and go. 10 days since symptoms first appeared and. Prolonged Fever of Unknown Origin.

I have had flu like symptoms for 10-12 days including a lower grade fever for 10 days 99-101 degrees. 24 hours with no fever without the use of fever-reducing medications and. Kids Health Info.

A prolonged fever of unknown origin FUO is simply one that lasts longer than usual for example more than the seven to 10 days that you would expect with a simple viral infection. And I became weak. Food felt so tasteless that I was forced to sustain myself on kanji gruel or rice porridge.

On 812 went to doctor and cbc showed slighly elevated white blood cells 115. Normal body temperature is 986F 37C. 10 days have passed since the first symptoms appeared.

Unknown Fever for 10 days scfan05 I was wondering what could be the causes of my fever headache and neck pain. Most fevers usually go away by themselves after 1 to 3 days. Other symptoms of COVID-19 are improving Loss of taste and smell may persist for weeks or months after recovery and need not delay the end of isolation.

A fever is one of the most common symptoms of COVID-19 the disease caused by the novel coronavirus. While COVID-19 sees patients suffering from mild fever if the temperature doesnt come down by day 9 or 10 it could turn into a sign of pneumonia or blood infection.

Tuesday, November 17, 2020

Pennsylvania Hotels With Pools

4-stars Hotels in Pennsylvania. Taxes and fees that are shown are estimates.

8 Top Spa Resorts In Pennsylvania With Prices Photos Trips To Discover

Prices are the average nightly price provided by our partners and may not include all taxes and fees.

Pennsylvania hotels with pools. Ad Comprehensive guide to 2021s Best Hotels Pennsylvania. Curated by delving into the coolest hotel pools we could find all around the US this list includes a range of qualifiers from family friendly to beautiful views to ultra-luxurious. And most of all.

These hotels with indoor pools in Pennsylvania have great views and are well-liked by travelers. Find traveler reviews candid photos and prices for 608 hotels with a swimming pool in Pennsylvania United States. 30 Best Value of 37 Pennsylvania Resorts.

505 Doubletree by Hilton Hotel Reading -. Ad Book your Hotel in Pennsylvania online. Pet Friendly Hotels in Pennsylvania.

Our variety of 72 Philadelphia hotels with pools gives you a range of prices and options so you can find one that works for you. Honeymoon Resorts in Pennsylvania. What Are Some of the Best Hotels With Pools in Philadelphia.

Romantic Hotels in Pennsylvania. 5-stars Hotels in Pennsylvania. On the campus of the University of Pennsylvania the hotel has 245 rooms.

Northeast Philadelphia guestrooms with kitchens Outdoor pool Fitness center Garden. These hotels with a pool in Pocono Mountains Region have been described as romantic by other travelers. Swimmingpool sundeck great facilities.

Best Price Guarantee up to 80 Off. Pennsylvania Hotels with Free Parking. Pennsylvania Hotels with Hot Tubs.

Best Pennsylvania Hotels with a Swimming Pool on Tripadvisor. Come on in the waters fine. Best Price Guarantee up to 80 Off.

Pennsylvania Hotels with Pools. Central House Family Resort. Ad Comprehensive guide to 2021s Best Hotels Pennsylvania.

Every room at this hotel features a flat-screen TV. Great staff very very kind and helpfull. 3-stars Hotels in Pennsylvania.

These are our guests favorites. The Lodge at Woodloch - Traveler rating. 2400 Willow Street Pike Lancaster PA 17602 888-251-4379 or 717-464-2711.

AmishView Inn Suites - Traveler rating. Spa Resorts in Pennsylvania. Not just a pool but an indoor water playground.

Ad Special Rates in Airports Hotels. Four Seasons Resort Hualalai at Historic Kaupulehu. DoubleTree Resort by Hilton Lancaster.

If you are looking for a taste of the Ivy League The Inn at Penn A Hilton Hotel is at your service. Ad Special Rates in Airports Hotels. 505 Silver Birches Resort - Traveler rating.

Korman Communities Northeast Philadelphia Rushwood. Featuring an indoor pool Drury Plaza Hotel Pittsburgh Downtown offers accommodations in Pittsburgh. Family Resorts in Pennsylvania.

Very nice hotel in the center of Pittsburgh which is also a beautiful town. From top to bottom. Ad Book your Hotel in Pennsylvania online.

Monday, November 16, 2020

Causes Of Left Sided Heart Failure

High blood pressure hypertension Coronary artery disease and heart attacks. Its sometimes called systolic heart failure.

Right Sided Heart Failure Differential Diagnosis Grepmed

Left-sided heart failure can cause swelling in your lungs that leads to breathing problems.

Causes of left sided heart failure. This can stress the right side. During systolic heart failure. Myocarditis is an inflammation of the heart muscle.

When the left ventricle fails increased fluid pressure is in effect transferred back through the lungs ultimately damaging the hearts right side. Left-sided and right-sided heart failure may have different causes. The accumulation of blood in the lungs caused by left-sided heart failure makes the right ventricle work harder.

Its most commonly caused by a virus including COVID-19 and can lead to left-sided heart failure. There are two types of left-sided heart failure. Left-sided heart failure means your left ventricle does not work correctly.

The most common are outlined below. Coronary artery disease. Right-sided or right ventricular RV heart failure usually occurs as a result of left-sided failure.

Some of well known causes of left sided heart failure are as follows. Heart failure may not cause symptoms right away. This can be caused by heart muscle weakness or stiffness or a heart valve problem.

When the left side of the heart is failing it cant handle the blood it is getting from the lungs. When the right side loses pumping power blood backs up in the bodys veins. The right side of your heart brings in circulated blood from your body.

The backflow of blood in the pulmonary circulation due to left heart failure pushes against capillary walls around the alveoli. The pressure in the left atrium increases as the oxygen-rich blood from the lungs are backed up since the left ventricle is not pushing out this blood fast enough or efficiently. Left-sided heart failure can be caused by underlying health problems ranging from mild to severe.

Ad Schedule your heart checkup today in Katy TX. Causes of Left-Sided Heart Failure. Left-sided heart failure is caused by conditions that weaken or stiffen the muscle of the left ventricle or that obstruct or overload blood flow through the left ventricle.

Most commonly left-sided heart failure is caused by heart related diseases such as coronary artery disease CAD or a heart attack. Congestive heart failure CHF occurs when the heart muscle does not function normally leading to fluid retention or reduces blood flow. Its usually triggered by left-sided heart failure.

There is a long list of potential left-sided heart failure causes. It may not fill with blood as it should or it may not pump blood out to your body properly. Pressure then builds up in the veins of the lungs causing fluid to leak into the lung.

Most often heart failure is caused by another medical condition that damages your heart. The most common cause of left-sided heart failure is coronary artery disease CAD. What is right-sided heart failure.

It happens when your heart is weak or enlarged. Narrow or leaky heart valves. This can be caused by heart muscle weakness or stiffness or a heart valve problem.

Heart failure can affect the right side of the heart or the left side. Increase in blood pressure. As a result pulmonary blood pressure increases and causes fluid of low-protein content to move from the blood into lung tissues due to the pressure variant.

Reasons for Left Sided Heart Failure. Heart failure with reduced ejection fraction HFrEF happens when the left side of your heart doesnt pump blood out to the body as well as normal. Around 2 of every 100 people are likely to be affected by left sided.

The most common causes of left-sided heart failure include. This is because your left ventricle doesnt squeeze forcefully enough during systole which is the phase of your heartbeat when your heart pumps blood. Left-sided heart failure or left ventricular failure LVFis a reduction in the output from the left ventricle.

Other left-sided heart failure causes can include. This includes coronary heart disease heart inflammation high blood pressure cardiomyopathy or an irregular heartbeat. Systolic heart failure is the most common cause of heart failure.

This refers to the narrowing of the arteries that supply blood and oxygen to the heart hence heart failure via. Infections of the heart muscle or damage of the muscles due to some other disease. Ad Schedule your heart checkup today in Katy TX.

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...