Limited to just 15 people each week, the Sunday to Saturday stay at the Ranch at Live Oak Malibu is designed to deliver sustainable results through a strict, “no-options” philosophy.   Tough workouts, physical endurance, yoga, and hiking are key elements of the program as well as the vegetarian cuisine sourced on the property. No cell phones are permitted and while accommodations are beautifully appointed, you won’t find televisions to distract you from activity.
Many patients will be in pain and have a loss of appetite after surgery.[25] Part of the body's response to surgery is to direct energy to wound healing, which increases the body's overall energy requirements.[25] Surgery affects nutritional status indirectly, particularly during the recovery period, as it can interfere with wound healing and other aspects of recovery.[25][29] Surgery directly affects nutritional status if a procedure permanently alters the digestive system.[25] Enteral nutrition (tube feeding) is often needed.[25] However a policy of 'nil by mouth' for all gastrointestinal surgery has not been shown to benefit, with some suggestion it might hinder recovery.[37]
A healthy diet and moderate exercise is the obvious answer. But the truth is that this is not all there is to it. Every body is different and every life is different. What works for me won’t work for you (maybe) and so the best ways to lose weight really depend on you, as a person. You already have an idea what works for you and what doesn’t, so definitely keep this in mind as you’re searching for a retreat.
But if navigating these choices seems confusing, that’s where Eat This, Not That! comes in. What really works are making little lifestyle tweaks, simple moves that help you slash calories, boost nutrition and build a healthy foundation. We’ve gathered up some of the easiest, most effective new tricks and tactics to help you shed those unwanted pounds and slim down for good.
weight loss at 47

As funny as it sounds, sleep deprivation may make you fat — and not just because you're susceptible to cases of the late-night munchies (although there's that too). There's tons of research that demonstrates getting less than the desired amount — about 7 hours — of sleep per night can slow down your metabolism. Plus, when you're awake for longer, you're naturally more likely to nosh. So don't skimp on your ZZZs, and you'll be rewarded with an extra edge when it comes to shedding pounds quickly.
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[29] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[29] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[29]
losing weight after 45 years old

I am having reconstructive surgery on my ankle in two days (5/16/13) and since I will be on my posterior for the few weeks after – at least no exercising – I’m looking for advise on dropping 20-30 lbs over the never 40 days so rehab will go better…stats – 5’9 204 – formerly athletic build now couch build – 47 yrs old – I have been a “Ferrisee” (better than Ferrasite) since listening to 4HWW and then 4HB – but need refocused guidance – from one and all – If this is the wrong string please let me know that as well.

How would you like to take all the great weight-loss results you’ve just read about—and double them? That’s what happens when you supplement your diet with a combination of vitamin D and calcium, according to a recent Nutrition Journal study. Just four weeks into the 12-week experiment, subjects who had taken these two nutrients—found in abundance in some Greek yogurt—lost two times more fat than the other group!
I decided to start the Fit Body Weight Loss Program with my wife as a way to keep each other accountable with our weight loss goals. In about 8 weeks I released 25 pounds and went from an uncomfortable 42 inch waist to a loose 38 inch waist line. The pictures show the difference and I feel great! I continued on the program to reset my metabolism and have maintained my weight loss. This program has made a huge difference in my health! My energy and endurance has greatly increased along with an overall general feeling of increased self esteem. Thank you for the instruction, help and encouragement! 
fastest way to lose weight around the stomach

I gather that by consuming copious amounts of water, you decrease the concentration of sodium in the cells and plasma, which decreases anti-dieuretic hormone activity, which enhances pissing (correct me if I’m wrong). Is osmolality the regulated variable here??? If so, would it not fall to within normal ranges after the excess water is pissed out, thereby reducing diuresis? If there is further pissing, there must be some residual effect of ADH, or perhaps some other explanation? Any idea of how much water is actually lost through this residual process?
To date, evidence on the influence of PFAS exposure on body weight change and metabolic parameters has been limited and has been primarily generated from cross-sectional studies that could not establish causal relationships [30,44–47]. In addition, the causes of weight change are likely heterogeneous (including diet, physical activity, and medications) and often not well understood in observational studies. Prospective evidence linking PFAS exposure with body weight regulation was primarily from studies that examined prenatal or early life exposures to PFASs in relation to body weight later in life, and the results were somewhat mixed [21–27,48,49]. For example, in 3 birth cohort studies conducted in European populations, maternal concentrations of PFASs were significantly associated with offspring body weight and other anthropometric and metabolic traits, primarily among girls [21,23,25]. However, other studies generated inconsistent findings regarding maternal PFAS exposure and offspring BMI or obesity risk, with no sex difference [22,24,49]. In addition, recently, in the European Youth Heart Study, Domazet et al. demonstrated that higher plasma PFOS concentrations during childhood, but not adolescence, were associated with greater adiposity in adolescence and young adulthood [48].
One weight loss counselor who offers the program said it's not the urine, but the hormone in it that takes off the pounds. “It's human chorionic gonadotropin,” said Iris McCarthy of Success Weight Loss Systems. She said hCG tricks your brain into thinking your body is pregnant. McCarthy said science has shown her hCG helps the body metabolize faster. “This will help you have patience to learn how to change your ways and change your relationship with food,” said McCarthy. 

Bali is the perfect place to jump-start your detox journey. The tropical climate practically pulls toxins out of your body for you. The tropical fruit makes healthy eating a breeze. Enjoy raw food meals that were picked fresh that same day. Participate in exercise classes with your resort and attend yoga classes at one of the many yoga studios in the area. Achieve healthy weight loss as your body learns what it means to thrive. Learn how to lead a healthier lifestyle by living in Bali for your weight loss journey. With all of the raw food, yoga and surf,  this whole weight loss thing will be a pleasure. 
Dining out can kill your hard-earned weight loss wins—and so can boozing too hard. To stay on track with your better-body goals, order your glass of wine or cocktail near the end of your meal. That way, the sweetness can act as a low-cal dessert. Plus, it won’t lower your inhibitions before your meal, which may prompt you to order something unhealthy off the menu.
As far as sugar goes, high-fructose corn syrup is the worst of the lot. The man-made substance is a combination of corn syrup (which itself is 100 percent glucose) and pure fructose, making it a unique nightmare for your waistline. In one study, researchers fed subjects beverages sweetened with either glucose or fructose. Though both groups gained the same amount of weight over a two-month period, the fructose group gained its weight primarily as belly fat because of the way this type of sugar is processed in the liver. To avoid the belly-bloating HFCS trap, make sure you look at nutrition labels carefully and ditch the processed snacks and fruit drinks.

how womeny calories for a 40 year old woman


Since weight loss can be an exhausting and rigorous pursuit, many travelers choose to begin their journey at a relaxing spa. Typical spa offerings, like fitness classes, massage, chef-driven menus make the weight loss process feel less stressful. Some of these fitness and weight loss resorts are located within luxury hotels, while others have stand-alone campuses.
exercises for 10 year olds to lose weight

Pritikin was the first comprehensive lifestyle program in America, addressing many of modern society’s health concerns, including obesity, heart disease, high blood pressure, and diabetes. The 1-3 week programs are all-inclusive programs and focus on quality food without deprivation, to avoid returning to a yo-yo dieting mindset. Guests are immersed in classes, exercise, weight-loss counseling, and physician care that inspires them with an “I can do this!” approach.
.. the deal on offer from the European Union is completely unacceptable. It doesn’t take back control of our laws, our money and our borders ... John Redwood is absolutely right as usual!It is UNBELIEVABLE that we have a PM that refuses to recognise the truth of the matter and the extent of her continuing delay and betrayal of the people's clear vote in the Referendum!
Cooper Weight Loss offers a comprehensive and medically supervised weight loss program, which has as a Female Focus, to help women lose weight healthfully through exercise, nutrition guidance and encouragement from other women who are striving for similar goals.    The Cooper Aerobics center is based in Dallas and local residents can benefit from the program as day guests, while the Cooper Hotel & Spa is available for longer term or residential guests.
Not only is drinking lemon water a healthy, low-calorie alternative to soda or juice, but lemons themselves have also been shown to contribute to weight loss. Just one of the citrus fruits contains an entire day’s worth of vitamin C, a nutrient that has the power to reduce levels of cortisol, a stress hormone that triggers hunger and fat storage. Additionally, lemons also contain polyphenols, which researchers say may ward off fat accumulation and weight gain. Believe it or not, even the peel is beneficial because it is a potent source of pectin—a soluble fiber that’s been proven to help people feel fuller for longer. According to a study published in the Journal of the American College of Nutrition, participants who ate just 5 grams of pectin experienced more satiety.

All package rates are quoted per person based on double deluxe accommodations and are subject to availability. High season, weekends and holidays may be higher. When purchasing a wellness package, early departures will be assessed at 100%. Room tax not included. Villa suites and single occupancy are available at higher rates. Spa treatments, when included in a package, cannot be substituted. Substitutions will void package price. Twenty-four-hour notification is required for all cancelled or changed appointments to avoid a 50% cancellation fee. Missed appointments will be forfeited and charged at full price. Offers are not valid in conjunction with any other discount, promotional event or seasonal special. Spa & salon services, golf, outdoor adventure trips & Wellness Center services can be added to any package foran additional fee.
When eating out or picking up a quick lunch on your break, ask for any sauce or dressing on the side. Though these emulsions often add flavor to a dish, they’re also frequently packed with empty calories, added sugar, and a whole host of other unhealthy stuff that makes shedding pounds that much harder. For example, just one three-tablespoon serving of Panera Bread’s Greek dressing has 230 calories. 3.5 grams of saturated fat, and 310 milligrams of sodium. By asking for the sauce or dressing on the side, you have more control over how much of it you eat, and you could easily save yourself a few hundred calories.
In what is perhaps the biggest buzzkill of all time, sex doesn’t quite count as cardio or burn a significant amount of calories: Women burn about 3.6 per minute. “It’s still a good idea,” Dr. Seltzer says, citing the activity’s other benefits, like increasing the output of the neurotransmitters serotonin and dopamine, which naturally reduce food cravings.

Cardio improves definition and burns the fat that covers your muscles, especially belly fat. Combining regular aerobic exercise with strength training will give you the slimming effect you've been going for. After all, toning without cardio is like building a house on a weak foundation. Blast calories with these 20-minute cardio workouts from celebrity trainer Jackie Warner.
After multivariate adjustment, including baseline RMR and dietary intervention group, baseline plasma PFAS concentrations, especially for PFOS and PFNA, were significantly associated with a greater decline in RMR during the weight-loss period (first 6 months) and a lower increase in RMR during the weight regain period (6–24 months). During the first 6 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were −45.4 (15.5) versus −5.0 (16.3) kcal/day for PFOS (Ptrend = 0.005) and −49.8 (15.9) versus −3.3 (16.1) kcal/day for PFNA (Ptrend = 0.002) (Model 3 in Table 4). During the period of 6–24 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were 0.9 (26.2) versus 94.6 (27.5) kcal/day for PFOS (Ptrend < 0.001); 12.7 (28.1) versus 69.3 (27.3) kcal/day for PFOA (Ptrend = 0.03); 24.6 (28.5) versus 81.5 (27.5) kcal/day for PFHxS (Ptrend = 0.03); 14.1 (27.7) versus 73.7 (27.6) kcal/day for PFNA (Ptrend = 0.02); and 23.1 (27.6) versus 66.5 (28.2) kcal/day for PFDA (Ptrend = 0.09) (Model 3 in Table 4). The results were similar when PFAS concentrations were treated as continuous variables (Table 4). When adjusting for RMR at 6 months (instead of RMR at baseline), the results maintained statistical significance. When changes in RMR or changes in thyroid hormones during the first 6 months were further adjusted for, the results remained largely unchanged. In the sex-stratified analysis, similar results were observed, although some associations did not reach statistical significance, possibly due to diminished power (S4 Table). No interaction between PFASs and sex on RMR changes was detected. The trajectory of changes in RMR among total participants according to tertiles of PFAS concentrations is shown in Fig 2. In addition, similar results were demonstrated when analyses were stratified by dietary intervention group.
Trans fats, which are typically found in processed foods with partially hydrogenated oils, should be avoided when buying, cooking, or ordering food because of the role they play in weight gain. As noted in the journal Obesity, these unhealthy substances have been found to pack on the belly fat in monkeys. As it turns out, they’re not great for humans either. “Trans fats cause inflammation in the body leading to insulin resistance and impairing the body’s ability to use glucose properly, resulting in excess fat storage around the belly,” says Tina Marinaccio, MS RD CPT in 50 Ways to Shrink Your Belly. Trans fats, which are created by partially hydrogenating vegetable oils, are beloved by manufacturers because they increase the shelf life of processed foods, but they are no friend to your waistline. “Trans fats may be lurking in any processed or fried food such as chips, baked goods, and even butter spreads,”Marinaccio warns.”To avoid them, check the ingredients for hydrogenated or partially hydrogenated oils.”
Grocery shopping on an empty stomach is never a good idea because research has shown it inhibits your ability to make smart choices about what you wish to eat. In a study published in JAMA Internal Medicine, researchers found that even short-term fasts can lead people to make more unhealthy food choices, picking a higher quantity of high-calorie foods. Fill up before you shop in an effort to avoid buying foods that won’t help you lose weight.
Held at our luxury resort in the centre of Ubud, the ARMA Health & Detox-Spa Resort has everything and more for your healing holidays. Explore the area on our walks and trips, take a dip into one of our swimming pools, or relax in our tranquil gardens. Enjoy our spa treatments and bodywork as part of your program, wander through rice paddy terraces, over bridges and around romantic lily ponds.
Push yourself, surprise yourself, believe in yourself: “Go lower.” he said. I looked at him questioning what he just said to me as if I didn't hear it at first and then moved my gaze from him to over at the chair behind me. I paused. Squats. My initial instinct was to try to do them on the chair because I had done them there just a month before, and I knew I could do it. It was comforting to know I could. The only difference this time was I was hoping to do more of them to put me into the improvement category and to be honest -just to get them done. A lot had happened in that time since the last time and I know I had gotten better at so much BUT I was still uncertain I could go as low as I was being asked to go. “You mean low like ON the step?” I asked, even though I already knew the answer. “Yes, on the step. Go low. You can do it, do just one. I know you can.” He reminded me and smiled in a playful way that pushed me. And I felt it. That he genuinely believed in me. It’s amazing to me that he believed in me so deeply that day when I wasn’t sure if I believed in myself on the same level. Sometimes others see us before we see ourselves and it’s sometimes necessary when we hear from them what we should be telling ourselves all along. Even though I had been telling myself one thing that day - it was there. The desire to want to go for it even though I immediately went for the easier option and didn’t push myself. I’ve never really needed to push myself physically or known how to. But in that moment I just needed a reminder and reason to go for it and he saw me and gave it to me. It’s better to try it and not accomplish it than to not have tried at all so I decided to go as low as I could no matter how low I couldn't go. I moved my legs shoulder width apart, put my weight on my heels and I hesitantly lowered myself, lower, lower and then I felt the step under me. I stopped mid squat, looked up, and smiled, surprised, “I did it!?!?” He smiled right back and quickly said, “yeah, but now KEEP GOING!” And I raised myself up before lowering myself back down and up and down again and up and down again and did just that- kept going.
Considering that only 1 in 10 Americans meet their produce requirements, it’s pretty safe to say you need to eat more veggies. And no matter what food philosophy you subscribe to, veggies are a big part of the program. Vegetables have a lot going for them: They fill you up for very few calories, and they flood your body with the nutrients it needs to fight diseases, like heart disease, type 2 diabetes, and some cancers.
The 1920s Mission-style hotel-turned-spa has 46 guest rooms, including private rooms and courtyard suites, double lodge rooms and double cottage rooms.  Classes include walking, hiking, swimming and fitness classes such as stretching, dancing, cardio sculpting, yoga, and Pilates. Guests are encouraged to take as few or as many classes as they would like.
Don't get me wrong — exercising at any time is good for you. But evening activity may be particularly beneficial because many people's metabolism slows down toward the end of the day. Thirty minutes of aerobic activity before dinner increases your metabolic rate and may keep it elevated for another two or three hours, even after you've stopped moving. What that means for you: You're less likely to go back for seconds or thirds. Plus, it'll help you relax post meal so you won't be tempted by stress-induced grazing that can rack up calories, quickly.
A therapist convinced Marion Corns, 35, she had had surgery to fit the band by talking her through the procedure while in a trance. Hospital smells were even pumped into the room to boost the effect. Housewife Marion, who has slimmed from 15st 6lb to 11st 7lb, said: “Bizarrely I can even ‘remember' being wheeled into theatre, the clink of the surgeon's knife and smell of the anaesthetic.”
After multivariate adjustment, including baseline RMR and dietary intervention group, baseline plasma PFAS concentrations, especially for PFOS and PFNA, were significantly associated with a greater decline in RMR during the weight-loss period (first 6 months) and a lower increase in RMR during the weight regain period (6–24 months). During the first 6 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were −45.4 (15.5) versus −5.0 (16.3) kcal/day for PFOS (Ptrend = 0.005) and −49.8 (15.9) versus −3.3 (16.1) kcal/day for PFNA (Ptrend = 0.002) (Model 3 in Table 4). During the period of 6–24 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were 0.9 (26.2) versus 94.6 (27.5) kcal/day for PFOS (Ptrend < 0.001); 12.7 (28.1) versus 69.3 (27.3) kcal/day for PFOA (Ptrend = 0.03); 24.6 (28.5) versus 81.5 (27.5) kcal/day for PFHxS (Ptrend = 0.03); 14.1 (27.7) versus 73.7 (27.6) kcal/day for PFNA (Ptrend = 0.02); and 23.1 (27.6) versus 66.5 (28.2) kcal/day for PFDA (Ptrend = 0.09) (Model 3 in Table 4). The results were similar when PFAS concentrations were treated as continuous variables (Table 4). When adjusting for RMR at 6 months (instead of RMR at baseline), the results maintained statistical significance. When changes in RMR or changes in thyroid hormones during the first 6 months were further adjusted for, the results remained largely unchanged. In the sex-stratified analysis, similar results were observed, although some associations did not reach statistical significance, possibly due to diminished power (S4 Table). No interaction between PFASs and sex on RMR changes was detected. The trajectory of changes in RMR among total participants according to tertiles of PFAS concentrations is shown in Fig 2. In addition, similar results were demonstrated when analyses were stratified by dietary intervention group.

Absolute Sanctuary Thailand fitness and weight management retreats range from 7-10-14 days,  and include meeting with a panel of medical experts for consultations and analysis, fitness assessments, nutritionally balanced spa cuisine from the resort’s Love Kitchen (providing whole foods, vegetarian and raw cuisine), nutritional supplements, group yoga and fitness classes,  cardio bootcamp and aquarobics, personalized fitness, herbal steam rooms and infrared sauna sessions, spa treatments and more.
The Lenox Health Resort Weight Loss Program at Canyon Ranch eschews what it calls “tedious, cookie-cutter weight-loss directives and dreary menus” and instead offers guests a whole-person program with access to top experts in nutrition, exercise physiology, life management, and lifestyle medicine – all working to tailor the best weight loss plan for each guest. Stays range from 1 week and longer, with an all-inclusive no-tipping plan with meals and lodging. 

BodyHoliday’s “Stronger Me” Retreat is a comprehensive weight loss program based on a combination of fitness activities, calorie-controlled cuisine, education, relaxation and fun.  BodyHoliday starts your program before you even arrive, with a consultation with its resident nutritionist/dietician, who devises your meal plan based on your health and weight goals, and once you arrive, you’ll be immersed in a activities from fitness to cooking classes.  The retreat includes a good measure of education to equip you with the knowledge and tools you’ll need to continue your new healthy lifestyle when you return home.
Like protein, fiber slows the rate at which your body plows through carb calories so you feel full for longer and maintain steadier blood sugar levels, one reason why research consistently links fiber intake to weight loss. That means fibrous whole grain bread tends to be a better choice than white bread and also explains why fruits, which contain fiber and valuable vitamins in addition to sugar, beat straight-up candy every time.
If stone fruits aren’t your thing, peel a banana instead and watch your belly bloat disappear. A study in the journal Anaerobe found that women who ate a banana twice daily before meals for two months reduced belly bloat by 50 percent. Researchers believe this is because bananas are packed with potassium, which can reduce water retention. The yellow fruits are also a good source of fiber, which will keep you feeling full.
Calcium and vitamin C team up well to boost metabolism, and broccoli is just one of several healthy foods that contains both nutrients. What sets broccoli apart from the others, however, is that the green veggie also contains kind of fiber that’s been shown to increase the digestion, absorption and storage of food, also known as the thermic effect of food (TEF). A revved up metabolism combined with an increased TEF is a match made in weight loss heaven, so consider incorporating broccoli into a tasty stir-fry, or serving it as its own side dish.
Fermented foods: These enhance the function of good bacteria while inhibiting the growth of bad bacteria. Sauerkraut, kimchi, kefir, yogurt, tempeh, and miso all contain good amounts of probiotics, which help to increase good bacteria. Researchers have studied kimchi widely, and study results suggest that it has anti-obesity effects. Similarly, studies have shown that kefir may help to promote weight loss in overweight women.

There’s no denying dinner rolls are delicious, but you don’t need to take the “breaking bread” aspect of a meal so literally. Instead, steer clear of the bread basket and munch on a leafy green salad instead. If the carb-heavy starter is still too tempting to avoid, try nibbling on a high-fiber snack before sitting down to eat, such as a handful of nuts. The fiber found in nuts will keep you satiated, meaning you won’t be as easily induced to reach for the bread and butter, and you’ll be swapping out unhealthy fats for healthy ones. It’s a win-win!
The next time you’re making a salad, why not throw some watercress in there? The green veggie is an excellent source of folate, which has been shown to stimulate weight loss. In fact, a study in the British Journal of Nutrition found that those with the highest folate levels lose about 8.5 times more weight when dieting than those with the lowest levels of folate. What’s more? A separate study in the British Journal of Cancer found that higher dietary folate intake reduces the breast cancer risk. In addition to watercress, other good sources of folate include spinach, asparagus, and papaya.
Our Programs include lots of fun, discovery and pampering! With a wide range of activity-based and educational classes from cooking to healing, Yoga, Pilates & Fitness, detoxifications, cleanses & Raw Food, oil massages, trips and much more! This is possibly like no other holiday you’ve ever experienced, and one that will have you returning home feeling fit, free and refreshed. That’s what we’re all About!
Jump up ^ Mann, T; Tomiyama, AJ; Westling, E; Lew, AM; Samuels, B; Chatman, J (April 2007). "Medicare's search for effective obesity treatments: diets are not the answer". The American Psychologist. 62 (3): 220–33. doi:10.1037/0003-066x.62.3.220. PMID 17469900. In sum, there is little support for the notion that diets ["severely restricting one’s calorie intake"] lead to lasting weight loss or health benefits.
Learning to understand and embrace who you are is the crucial foundation of the work you’ll do at Green Mountain at Fox Run. And where better to find yourself than in the beautiful green mountains of Vermont? Nestled on a hill overlooking Okemo Mountain and the Green Mountain Forest, Green Mountain at Fox Run operates out of a former ski and corporate retreat. Set on 26 tranquil wooded acres, this peaceful location features an informally-appointed facility with simple classrooms, well-equipped physical activity rooms, a spacious, homey dining room, and a comfy living room where you can curl up and watch a movie, or share your life story with new friends.

HIIT (High Intensity Interval Training) is a type of workout becoming more and more widespread through gym classes and exercise videos such as P90X and Insanity. This way of exercising yields great results because they combine high intensity movements with very little rest in between. As a result, you can fit in a fantastic fat-burning workout in a short amount of time.
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).

weight for 40 year old female

×