The answer for me is simple, “Do the right thing despite any issues and stresses.” Despite anything negative in society and despite any direct impact on any person, one can do one’s best to simply choose to do the right thing. It’s not easy; it’s a bear at first. But wellness practices beget wellness. Most of us are victims of something, including our own brains, personalities, and proclivities. We have to work on awareness every day and do the right thing.

I have a fight next Saturday June 15th. Im currently 178 this morning, I need to weigh 170 Saturday at 5pm and expect to fight around 8pm. I know I shouldnt cut a lot of water but dont want to train extremely hard this week as im trying to recover as it is. I plan to do my regular training Monday and Tuesday and take off the rest of the week to rest. I started at 192 pounds and have lost them in the last few weeks naturally but have seemed to hit a plateau. What protocol would you suggest I use doc.
Not all fat is bad. Healthy or “good” fats can actually help to control your weight, as well as manage your moods and fight fatigue. Unsaturated fats found in avocados, nuts, seeds, soymilk, tofu, and fatty fish can help fill you up, while adding a little tasty olive oil to a plate of vegetables, for example, can make it easier to eat healthy food and improve the overall quality of your diet.
I’ve done this cut 2 times so far works great I dropped 17 pounds one time gaining 14 back in about 18 hours on my test cut before I dropped the weight class and I dropped from 147-127 the the last time and gained back 18lbs in 18 hours I struggled making weight the last time though spent an entire day at the sauna should I be working out while cutting if so how much trying to get this down to a perfect science cause I will be UFC champion so I would really appreciate the help!! Thx!
If you eat a carbohydrate-rich meal (lots of pasta, rice, bread, or French fries, for example), your body releases insulin to help with the influx of all this glucose into your blood. As well as regulating blood sugar levels, insulin does two things: It prevents your fat cells from releasing fat for the body to burn as fuel (because its priority is to burn off the glucose) and it creates more fat cells for storing everything that your body can’t burn off. The result is that you gain weight and your body now requires more fuel to burn, so you eat more. Since insulin only burns carbohydrates, you crave carbs and so begins a vicious cycle of consuming carbs and gaining weight. To lose weight, the reasoning goes, you need to break this cycle by reducing carbs.
Plain and simple: We just don't feel full by liquid calories in quite the same way as we do real food. Drinking a juice or caramel coffee drink, for instance, won't make you feel full the way eating a bowl of veggie- and protein-packed stir-fry will. So monitor your intake of juice, soda, sweetened coffee and tea, and alcoholic beverages. If you consume each of those beverages during the day, you'll have taken in at least 800 extra calories by nighttime — and you'll still be hungry. (Incidentally, alcohol may suppress the metabolism of fat, making it tougher for you to burn those calories.) Some other ways to skip sugar? Check 'em out here.
Finally decided to venture out for a run? Snack on some beets before you hit the pavement. A study published in the Journal of the Academy of Nutrition and Dietetics found that runners who ate baked beets before a 5K race ran 5 percent faster. Researchers suspect this is because beets are high in nitrates, a natural chemical that increases endurance and lowers blood pressure.
Thanks for the question here…when we say each gram of carbs holds on to 2.7g of water, that’s a little different than your protein question. Essentially what we’re saying is that for every gram of carbohydrate stored in the muscle, for example, 2.7 grams of water are literally bound up in that carbohydrate molecule. Likewise, when each gram of carb is depleted from the body, 2.7 grams of water are lost. So it’s simply a body weight issue. Lose 200 grams of carbohydrate from the body through exercise and a low carb diet, and close to 600 grams of water disappear too. Combined, that’s almost 2 pounds of weight lost. Cool, huh?

Fuel your body with wholesome, nutritious foods, and limit your intake of refined carbs (anything sugary or white-flour based). To maximize the calories burned through digestion and stave off hunger, get plenty of complex carbs (fruits, vegetables and beans) and eat a little protein with every meal. It doesn't need to be meat; nuts, lowfat dairy, tofu, and beans are all good vegetarian protein sources. 


Christy Brissette, MS, RD is one of North America's top dietitians and a leading nutrition and food communications expert. She is the President of 80 Twenty Nutrition, a nutrition and food media company. Her mission is to end food confusion and dieting once and for all. Christy appears on national TV and is interviewed for international magazines, radio and websites. She empowers her clients to look and feel their best with the healing power of healthy, delicious food. She helps clients achieve results through cutting-edge, creative and fun meal plans and recipes. You can still enjoy your favourite foods and have the body of your dreams!
weight loss at 45 years old

Yes, freedom! Freedom from the routine you have back home and freedom from the judgemental glances you may receive from your colleagues. You are free to be who you are and how you are. You are free to be curious and even obsessed. You are free to be nervous and even scared. You are free to experience your weight loss journey in a totally raw and authentic way. Because you know why? That’s exactly what the retreat is for!
The average American consumes 15.5 pounds of pasta each year—and most of it is the refined white stuff. What’s the trouble with that? This type of noodle is almost completely void of fiber and protein, two vital nutrients for weight loss. To boost the belly-filling fiber and hunger-busting protein in your meal, opt for a bean-based noodle like Banza Chickpea Shells (2 oz., 190 calories, 8 grams of fiber, 14 grams of protein) or Explore Asian Black Bean Low-Carb Pasta (2 oz., 180 calories, 12 grams of fiber, and 25 grams of protein). Alternatively, whip up a batch of zoodles, or spiralized veggie noodles with the help of these 21 Mouthwatering Spiralizer Recipes.
Apparently there’s a special ingredient in grapefruit that, when eaten with a form of protein, triggers a fat-burning process and therefore results in weight loss. So, the idea is to start each meal with half a grapefruit, eat lots of protein and drink plenty of water and black coffee. While this diet may help you lose a few pounds, any weight lost will pile straight back on once you return to your normal diet. Such a drastic reduction in your intake of calories can also result in dizziness and an upset stomach, plus it’s so very boring!
Stavrou, S., Nicolaides, N. C., Papageorgiou, I., Papadopoulou, P., Terzioglou, E., Chrousos, G. P., … Charmandari, E. (2016, July 31). The effectiveness of a stress-management intervention program in the management of overweight and obesity in childhood and adolescence. Journal of Molecular Biochemistry, 5(2), 63–70. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996635/
The scientists ferried 20 overweight, middle-aged men by train and cable car to a research station perched 1,000 feet below the peak of Germany's highest mountain, Zugspitze. During the week-long stay, the men could eat and drink as much as they liked and were forbidden from any exercise other than leisurely strolls. The team measured the men's weight, metabolic rate, levels of hunger and satiety hormones before, during, and after their mountain retreat After a week up high, the subjects lost an average of 3 pounds. A month later, they were still 2 pounds lighter. The scientists' data showed this was likely because they ate about 730 calories less at high altitudes than they did at normal elevations. They may have felt less hungry, in part, because levels of leptin, the satiety hormone, surged during the stay, while grehlin, the hunger hormone, remained unchanged. Their metabolic rate also spiked, meaning they burned more calories than they usually did. A high-altitude weight loss strategy could be viable, though studies have shown peoples' appetites bounce back after about six months at high elevation, Leissner said. “If you could do intermittent periods for one week, then go down, and then go back up, this might actually be helpful.”
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. 

Yes, freedom! Freedom from the routine you have back home and freedom from the judgemental glances you may receive from your colleagues. You are free to be who you are and how you are. You are free to be curious and even obsessed. You are free to be nervous and even scared. You are free to experience your weight loss journey in a totally raw and authentic way. Because you know why? That’s exactly what the retreat is for!
Whether or not you’re specifically aiming to cut carbs, most of us consume unhealthy amounts of sugar and refined carbohydrates such as white bread, pizza dough, pasta, pastries, white flour, white rice, and sweetened breakfast cereals. Replacing refined carbs with their whole-grain counterparts and eliminating candy and desserts is only part of the solution, though. Sugar is hidden in foods as diverse as canned soups and vegetables, pasta sauce, margarine, and many reduced fat foods. Since your body gets all it needs from sugar naturally occurring in food, all this added sugar amounts to nothing but a lot of empty calories and unhealthy spikes in your blood glucose.
Head to San Diego, CA for a comprehensive health assessment at Lifewellness Institute (seriously, it takes 5.5 hours and basically eliminates the need for your annual checkups), then hop in the complimentary transportation that jets you off to Rancho La Puerta in Tecate, Mexico. Once there, you'll choose a holistic program to follow throughout your stay based on those test results, so you can really zero in on what your body needs to reboot (stress management levels, energy, or an inflammation rebalance, for example). With tons of farm-to-table cuisine—you'll head out to the fields before taking part in cooking classes–plenty of workout options, and rejuvenating spa treatments, there's no way you won't leave feeling refreshed. 

In addition to your metabolism and hormones, the neural circuitry in your brain is fighting weight loss too. Food has a greater reward value after you’ve lost weight and the part of the brain that regulates food restraint becomes less active – meaning that while you’re eating more to feel full (courtesy of leptin), you’re also less aware of how much you’re eating.
The CDC found that the average adult consumes about 100 calories worth of alcohol daily, but favoring a glass of wine instead of beer or sugary cocktails can drastically reduce that figure and make your waistline slimmer. Plus, wine is a healthy alternative for those who don’t want to give up booze entirely. In addition to having fewer calories than most alcoholic beverages, red wine in particular is a good source of those waist-shrinking flavonoids that are also found in red fruits. Resveratrol, a particular flavonoid found in red wine, is believed to have heart-healthy benefits because it helps prevent blood vessel damage and reduces your bad LDL cholesterol. Just remember to imbibe in moderation.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Apparently there’s a special ingredient in grapefruit that, when eaten with a form of protein, triggers a fat-burning process and therefore results in weight loss. So, the idea is to start each meal with half a grapefruit, eat lots of protein and drink plenty of water and black coffee. While this diet may help you lose a few pounds, any weight lost will pile straight back on once you return to your normal diet. Such a drastic reduction in your intake of calories can also result in dizziness and an upset stomach, plus it’s so very boring!

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.
Eating sugary foods might be satisfying in the moment, but they can increase your cravings for more sugary foods in the future — and that only leads to trouble. "Many foods high in added sugar are also higher in calories and fill you up less than lower-calorie, still-sweet alternatives like fruit," says Amy Gorin, MS, RDN, owner of Amy Gorin Nutrition in Jersey City, NJ. But there are still ways to satisfy your sweet tooth without ODing on sugar. "When you're baking, cut out some of the sugar in recipes by adding in vanilla extract or cinnamon, blend unsweetened cocoa powder into a smoothie instead of honey, top your French toast with unsweetened frozen fruit instead of syrup, and nosh on a slab of watermelon instead of cookies."

old women with big belly


Great question, Cain. The cumulative stress of training for a competition and then cutting 10-20 pounds certainly does compromise the immune system. (So does competition itself, for a few hours after the event). Then, when you stuff hundreds of people in an arena or auditorium, all sharing their bacteria and viruses with those compromised immune systems…so getting a cold is the very common. All big athletic events are like this: marathons, tournaments, etc.
Sitting pretty in British Columbia, Canada, this boot camp vacation is a mountain-lovers dream thanks to stunning views, a wide variety of trails, and abundance of natural hot springs (eh hem, it's also the only mountain-based weight loss program in North America). Not only will you get to do daily hiking, yoga, and a slew of other fitness classes, but Mountain Trek guests also receive a personalized program of massage therapy, detox treatments, and nutrition classes all catered to your specific needs. In other words, if you're looking to stoke your metabolism, there's a fitness, food, and health class for that. Not enough? After you've been a guest once, there's the option to participate in their Adventure Trek program, which takes guests on an international adventure. The locations vary by year, but so far they've covered six to eight miles daily in Japan, the Amalfi Coast, and Bhutan. Passports ready? Check.

The degree to which exercise aids weight loss is open to debate, but the benefits go way beyond burning calories. Exercise can increase your metabolism and improve your outlook—and it’s something you can benefit from right now. Go for a walk, stretch, move around and you’ll have more energy and motivation to tackle the other steps in your weight-loss program.
Even if you don’t typically order take-out, research suggests that just the mere presence of take-out food increases your risk of being overweight. One study printed in the British Medical Journal found that just having a lot of take-out options near your work or along your commute to work makes you twice as likely to be obese. Though you obviously have little control over what kind of establishments populate where you live and work, this is just another reason to practice healthy eating as often as you can.

When grabbing grub at a fast-food restaurant, the “combo” or “value meals” are typically less expensive and make you feel like you’re getting a better deal, but oftentimes they’re also nutritional nightmares. A study in the Journal of Public Policy & Marketing shows that compared to ordering à la carte, you pick up a hundred or more extra calories by opting for the aforementioned cheap “value meals.” That’s because, when you order items bundled together, you’re likely to buy more food than you need or want, and end up overeating as a result. To keep your weight in check, order your food piecemeal instead.
“The Fit Body Weight Loss Program is the ONLY thing that has ever worked for me. I have already lost 70 pounds in nine months and I have dropped 6 dress sizes. I still have 20 more pounds to lose, which I believe I will lose in the next month. I feel better than I’ve ever felt and I have so much more energy! This was the greatest investment into my health I have ever done!”
In addition to the adverse effects of PFASs on estrogen-related pathways, animal studies suggest that PFOA and PFOS may also interfere with energy homeostasis and the endocrine system through other mechanisms [14,15,18,53], including the activation of PPARα and PPARγ [18,19], key regulators in fatty acid oxidation, differentiation and normal function of adipocytes, and glucose metabolism [20,54]. An experiment on human liver cells suggested that PFOA could alter the expression of proteins regulated by hepatocyte nuclear factor 4α [55], which is a key regulator of lipid metabolism and gluconeogenesis [56]. In addition, some animal studies have suggested that PFAS exposure might disrupt thyroid hormone homeostasis, possibly via influencing uridine diphosphoglucuronosyl transferases and type 1 deiodinase [17,57]. Of note, due to the species-specific toxicokinetics (e.g., the elimination half-lives are 3–8 years in humans and 17–30 days in mice and monkeys) and tissue distribution of PFASs [18], caution is needed when extrapolating findings from animal studies to humans. In addition, mechanisms need to be elucidated to interpret the findings that higher baseline PFASs, especially PFOS and PFNA, were associated with changes in RMR, which is a major determinant of weight maintenance, in both men and women [58,59]. Finally, whether the 5 major PFASs might have different biological mechanisms and perhaps exert additive or synergistic effects also warrants further exploration.

This is not a rough-around-the-edges weight loss boot camp that you will find at a discounted price on Groupon (though those have their value, too). Instead, this is a wellness retreat that teaches you how to move your body in a way that opens up attunement and respect for what it’s capable of. The movement will show you your own strength, both for the ability to move it and for the ability to commit to it. It’s an empowering experience to learn how to move your body. I promise that you will fall in love with your body when you realize just what it is capable of. 

Often people think that drinking fruit juice is a great way to get one of their 5 a day. While this is true for a lot of fruit juices just be careful. Some juices work by juicing out all of the fibre goodness in the skin and substance and just contain all of the sugary excess which can add up to a hefty load of sugar - just check the back of the bottle to make sure what you're drinking isn't the equivalent of a liquid doughnut.
While understanding your body composition may not seem like an important concept in a generic weight loss plan, it represents a clear measure of unseen risk. You see, as excess body fat accumulates around your organs, it begins to act as an independent endocrine organ secreting inflammatory compounds and increasing insulin resistance that may lead to metabolic syndrome, a constellation of elevated blood pressure, cholesterol, and a state of insulin resistance (diabetes).

And lastly, quick weight loss diets, alone, don’t provide dieters the opportunity to learn important healthy habits that they need to sustain their goal weight for life. This is why transitioning to a longer-term traditional weight loss plan is important. When dieters invest in a well-balanced comprehensive long-term weight loss plan — that may include a fast weight loss phase — they learn healthy habits like portion control, finding time for exercise and moderation. Ultimately these are the skills that will keep them lean for life. 
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

Good question, Craig. As I posted above, HS wrestlers (also, many other grappling sport athletes) aren’t given the full 24 hours to recover from depletion. Some sports have mat-side weigh-ins. Others are just given a few hours after weigh-in to replenish. For these sports, athletes are best served focusing on year-round nutrition strategies, ones that help them stay at a weight very close to the weight they’d like to compete at.
A healthy rate of weight loss is typically anywhere from ½ to 2 pounds per week, she says. But try not to get too caught up in these weekly numbers. Instead, focus on consistency when it comes to eating well and working out. “The best thing to do is to slowly change your habits and build sustainable, healthy eating patterns over time,” says Rumsey.
Welcome to Whistler Fitness Vacations! We are an intensive weight loss immersion, exclusively for women of beginner fitness levels. Exclusively for those who outside of healthy weight range, our program is striving to be Canada’s leading luxury weight loss retreat. With weekly programs from May through September, each guest is lodged in private suites at the beautiful Westin Resort and Spa Whistler. Since 2008, we’ve run almost 400 retreats; helping women like you smash their goals, upgrade their health, and feel better about the body they’re in.
Savor the finest fresh and healthy food at Hilton Head Health. Our executive chef’s love for food and nutrition shines through in True Restaurant’s multi-ethnic, locally sourced cuisine. Thoughtfully prepared meals and snacks served at True are the foundation of our weight loss and wellness programs. No matter your path or individual dietary needs, eating at True is truly a pleasure.
New research from the University of Michigan Life Sciences Institute has determined that the popular holiday spice can help fight obesity thanks to cinnamaldehyde, an essential oil that gives cinnamon its flavor. According to researchers, cinnamaldehyde improves metabolic health by acting directly on fat cells, inducing them to start burning energy via thermogenesis. To work cinnamon into your diet, try sprinkling some on oatmeal or sipping on cinnamon tea.
While we're sure you meant well when you set that New Year's resolution to lose weight—and actually stick to it this time—research shows most people ditch their goals by the end of February. But we say it's time to recommit, what with warm weather on the horizon and swimsuits getting pulled out of the closet. And since we may or may not need a little kick in the pants to get started (and figured you might, too), we rounded up the top weight loss retreats that do just that. So instead of focusing on the kids, work, and the 12,000 errands you have to run, book a flight and focus on getting back to, well, you. Because yes, it really is smart to take care of yourself first. Pinky promise.
Potter describes how her reignited sex life with ex-husband Alex has helped her lose 98 pounds. “I can't move much in bed, but I burn 500 calories a session –- it's great exercise just jiggling around," Potter told "Closer." Potter, who had been consuming 10,000 calories a day, hopes to reach her goal weight of 532 pounds with the help of Alex. The two have sex up to seven times each day. Alex, who weighs just 140 pounds, does most of the work in the bedroom.
Guests who sign up at this lavish resort can expect an intense, yet detoxifying experience. The weeklong boot camp ($5,800 during the summer) incorporates nine to ten hours a day of stimulating mind and body exercises. Each morning begins with a four-to-five hour group hike through a mountain trail followed by a fresh, organic meal. The resort implements a 1,500-calorie a day diet that excludes alcohol, caffeine and processed sugars. After lunch, guests will participate in low-impact, moderate activities, such as water aerobics, weight training and yoga. The ranch’s program includes accommodation as well as activities and meals. The resort accommodates 16 guests at a time and provides a private room with a queen size bed and bathroom for each guest. As a part of the resort’s detoxifying approach, it does not provide Wi-Fi or cell service, however guests can access a communication center for a limited time each day.
is old fat harder to lose

Going way beyond your BMI–-a measure of your height and body weight--the scale calculates your percentage body fat, including your visceral fat area (VFA), which provides the most accurate measure of your risk for adverse cardiac events such as heart attack and stroke. BMI is not a true reflection risk of your cardiac risk since increased skeletal muscle mass in relation to height can elevate your BMI, falsely elevating cardiometabolic risk.
“Chia seeds aren’t just a pet, they’re a party in your mouth. I’m a huge fan of them because they’re chock-full of heart-healthy omega-3s, fiber, protein, and calcium,” Sarah Koszyk, MA, RD, founder of Family. Food. Fiesta. tells us in 26 Most Overlooked Ways to Lose Weight. “Chia seeds are easily absorbed by the body, so they’re very nourishing and satiating. Every day I add them to my breakfast smoothie or pair them with yogurt or cottage cheese along with some blueberries.”
Have you ever found yourself trying not to eat that piece of chocolate cake you’ve been craving all day, so you end up eating everything else in its path (and probably still eat the cake, too)? One way to enjoy some of the foods you want without reaping the negative consequences is to allow yourself a few bites. This tactic has helped many of my patients who are going on vacation or dealing with the struggle of powerful cravings.
At The Ranch, guests choose from indoor and outdoor activities that help them to feel physically and mentally restored. The Ranch guests who stay in Westlake Village take advantage of services at the California Health and Longevity Institute, including body fat and metabolic testing, cooking classes, and a 1,400 calorie-a-day organic, plant-based diet.
In this diet-induced weight-loss trial, higher baseline plasma PFAS concentrations were associated with a greater weight regain, especially in women, possibly explained by a slower regression of RMR levels. These data illustrate a potential novel pathway through which PFASs interfere with human body weight regulation and metabolism. The possible impact of environmental chemicals on the obesity epidemic therefore deserves attention.

We’ve already established how chewing thoroughly can ensure you eat a meal at a leisurely pace, but there are other tricks you can use to slow down, too, like giving your fork a break between bites. A study in the Journal of the American Dietetic Association found that slow eaters took in 66 fewer calories per meal, but compared to their fast-eating peers, they felt like they had eaten more. While 66 calories might not sound like much, cutting that amount out of every meal adds up to a weight loss of more than 20 pounds a year!


Delight in our first-rate spa. Nutrition and fitness are just part of your holistic journey. Retreat to The Indigo Spa to rejuvenate your body and soul with spa services designed to complement healthy lifestyles. Nurture yourself with natural treatments that inspire peace and tranquility, and reward yourself for your progress in Hilton Head Health’s weight loss and wellness programs.
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.
These simple guidelines outlined by our founder are still the powerful basic elements of our Integrated Healthy Lifestyle Model for women. Through the expertise of our highly trained professional staff and the thought leadership they bring to Green Mountain at Fox Run, our programs are always informed by the latest science and innovation. Based on the principles of mindfulness, our philosophy represents a triumph of fact over fiction, and of freedom over fear.

weight loss at 45 years old

×