InBody 770 also provides valuable information about your state of hydration by analyzing what is known as extracellular water, or water content outside of cells, (ECW) as well as total body water (TBW). These values provide important information that allows careful assessment of the healthy makeup of various body compartments, and how the water content varies between them. Increasing water intake is essential in elevating basal metabolic rate (BMR), which serves as a way to reduce body fat and increase lean body mass.
Body fat gets a bad rap, but your body needs it. There is an essential amount of fat that each body needs in order to maintain its natural functions. That amount will vary between body type, age, sex, physical activity level, and fitness goal. For the general population, the levels accepted as healthy are between 21-32 percent for women and 8-19 percent for men.1 Higher levels can lead to weight-related health risks such as Type 2 diabetes, certain types of cancer, and cardiovascular disease.
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.

Not much of a coffee drinker? Tea is also a natural diuretic, and types of herbal tea such as dandelion or fennel root can also lend a hand. In fact: When a recent study compared the metabolic effect of green tea (in extract) with that of a placebo, researchers found that the green-tea drinkers burned about 70 additional calories in a 24-hour period.
Weight loss tips # 1: Eat five times a day. Your body needs food every three to four hours, so instead of eating three large meals, try to schedule five smaller, more frequent meals throughout the day (breakfast-snack-lunch-snack-dinner). By staying full and energized, you'll avoid hunger pangs, maintain an even energy flow, make better, healthier food choices (no bingeing or craving) and enjoy the most efficient burning of calories.
A new German study found that when you drink 17 ounces of water (about two glasses) within a certain time frame, your metabolic rate shoots up by about 30 percent. Using these results, they estimate that by increasing your current water intake by 1.5 liters a day, a person would burn an extra 17,400 calories a year, resulting in about a five-pound weight loss.
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.
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. 
Wondering why it's so hard to lose that muffin top? There are so many environmental and personal factors that contribute to our putting on pounds and it's not enough to enroll in the latest fad diet or jog for half an hour every day to ensure weight loss. To successfully lose weight and keep it off you have to look at everything from your nutrition and fitness to your sleep habits and stress management. This may seem like a lot but Mountain Trek program can work for you.
* Results are not guaranteed. Results will vary based on each patient’s physical health, family history, diet and exercise, physical condition and adherence to the One Body program. The weight loss results described herein may or may not be typical. References to “losing inches” or “inches lost” means total combined inch loss from the waist, hips and thighs. No prescriptions or treatments (including testosterone injections) will be given unless a clinical need exists based on an examination, any necessary testing or labs, a medical consultation and current medical history.
Looking for the easiest possible way to lose weight? Grab your pajamas early and log some extra Zzzs! According to researchers, getting eight and a half hours of shut-eye each night can drop cravings for junk food a whopping 62 percent and decrease overall appetite by 14 percent! Mayo Clinic researchers note similar findings: In their study, adults who slept an hour and 20 minutes less than the control group consumed an average of 549 additional calories daily. That’s more calories than you’ll find in a Big Mac!
Big-box stores such as Costco or Sam’s Club are great money-savers, but frequenting them to buy groceries can be bad news for your fitness goals. That’s because a 2015 study in the journal Appetite found that the larger the bottle, bag, or box the food comes in, the larger we think the serving size should be. To come to that conclusion, researchers surveyed more than thirteen thousand people and found that when confronted with larger packages of cola, chips, chocolate, or lasagna, the shoppers tended to want to serve themselves larger portions.
A different way of viewing weight loss identifies the problem as not one of consuming too many calories, but rather the way the body accumulates fat after consuming carbohydrates—in particular the role of the hormone insulin. When you eat a meal, carbohydrates from the food enter your bloodstream as glucose. In order to keep your blood sugar levels in check, your body always burns off this glucose before it burns off fat from a meal.
old women big belly

Part of the weight loss puzzle has to do with fighting inflammation, and incorporating the spice turmeric into your diet is an excellent way to do that. Like a myriad of other spices, the Indian cooking staple contains anti-inflammatory compounds. In a 2015 study in the journal Clinical Nutrition, researchers gave 117 patients with metabolic syndrome either supplements of curcumin—the active ingredient in turmeric—or a placebo. Over eight weeks, those who received the curcumin saw dramatic reductions in inflammation and fasting blood sugar.
(CONFRONT YOUR FEARS) A friend reminded me of this recently and as he did I remembered a fear. It was fresh and still made my skin prickle with anticipation even though it started many years ago. It feels like yesterday and I’m sure you have those moments too, the ones that never left you even though you shoved them away for a long time. It starts with the 6th grade physical fitness tests. They were the worst things ever except for the talented few that got the bright blue patches. These tests traumatized me. Mostly, the timed mile. Even though we were children it was expected that we run it and everyone did- except me. There wasn't much kindness or compassion in the process and once I realized that, it was something that I dreaded, avoided and ultimately feared. It’s so easy to take ourselves out of even trying when there’s no encouragement to try. When your gym clothes don’t fit right and you’re afraid of the attention that coming in last place will bring you. Year after year this test happened and year after year I walked it & then cried, faked being sick and then ultimately stopped showing up. I’ve never run a mile without stopping and it’s always been on my list of things I want to do but didn’t know if I would. But I want to now. No matter how long it takes me and for no one else other than myself. And now, after being here I would rather try and fail than not try at all. Now’s the time to tackle the fears, all of them no matter how small or how big. So one day I started by asking my trainer if we could work on learning how to run in between strength training. My voice raised and I stumbled over my words and I felt self-conscious again like that chubby little 6th grader in too tight of gym shorts. I was nervous putting this out into the world. He said absolutely and then the next day we did. Just like that. He took me through some movements to work on my stride and made me feel like this was something that I could do. And step by step it was. Only 45 seconds this time, but 45 seconds closer to my goal and each step we take towards our goals away from our fears count. Not always the end result matters most, but the time it takes to jog there.
Big-box stores such as Costco or Sam’s Club are great money-savers, but frequenting them to buy groceries can be bad news for your fitness goals. That’s because a 2015 study in the journal Appetite found that the larger the bottle, bag, or box the food comes in, the larger we think the serving size should be. To come to that conclusion, researchers surveyed more than thirteen thousand people and found that when confronted with larger packages of cola, chips, chocolate, or lasagna, the shoppers tended to want to serve themselves larger portions.
Some simple strategies, such as making protein a staple of meals and snacks or starting a weight loss routine with cardio before switching to weight training and resistance later on, can help support your weight loss goals. Many people find it beneficial to focus on small, achievable lifestyle goals to work on their emotional health alongside weight loss. For example, rather than looking for a low number on the scale, you may focus on reaching a point where you feel comfortable playing sports or attending a group fitness class. Similarly, aiming for moderate goals that can gradually build to bigger change can help you avoid the pitfalls of rapid, short-term solutions.
Nutritionist, Emma Wight-Boycott says: “Skipping meals is disastrous for weight loss! It has a three-pronged impact - firstly it causes blood sugar imbalance which makes us crave sugar or carbohydrates within 2 hours of our regular meal time. Secondly it makes our bodies burn muscle, not fat, for energy. Finally the body has its own 'food clock' (like a body clock for time) that regulates our metabolism and this becomes sleepy or sluggish when it is out of routine (think shift workers or jet lag)."
Plus, working out early could mean you get more sunlight, which is key to properly setting your body's internal circadian rhythm. In one study, people who basked in bright sunlight within two hours after waking were thinner and better able to manage their weight than those who didn't get any natural light, regardless of what they ate throughout the day.

Fighting constantly with your S.O.? It’s time to address your issues head-on. "Research has shown that cortisol, the hormone that's released during stressful activity, is linked to fat storage,” says Gina Guddet, couples counselor and co-author of Love Metabolism. “And poor communication between couples is the most common type of stress that you tend to experience."
Don’t get too excited, this diet isn’t as fun as it sounds. True, it does consist of eating cookies for breakfast and lunch but these aren’t tasty chocolate chip cookies, they contain a mere 90 calories per cookie and are made with low GI ingredients such as whole wheat flour, bran and oats. You’re allowed to have a high-protein dinner and then if you’re still hungry, you can treat yourself to two more cookies.
That’s one way the beautifully presented, animal-protein-centric food comes in. Of course, protein is excellent fuel, but the meal plan is also meant to prove that healthy choices don’t require deprivation. You can eat more or less like a normal American, red meat and all (though they accommodate vegetarians handily). Between the reasonably sized meals and copious snacks (to keep blood sugar even), I was never hungry, and occasionally doubted that it really added up to 1,200 calories a day (1,400 for men)—though the fat-measuring scale convinced many of us otherwise.
Inspired by the Hanging Gardens of Babylon and built in the style of a relaxed Mediterranean seaside village, Sianji Wellbeing Resort is the perfect setting to embrace a new and healthy lifestyle.  The programs focus on a total wellness experience, combining physical, spiritual and mental aspects, including nutrition, medical exams, fitness and sports activities, soothing spa treatments, and lifestyle seminars and classes.
People tend to find one workout routine and stick to it but it’s important to switch things up every now and then, especially in terms of cardio. Instead of simply running or walking, try to vary your speeds as you go. Researchers at Ohio State University found that walking at varying speeds can burn up to 20 percent more calories compared to maintaining a steady pace, so get moving!
I dont mean any disrespect and this article is tremendous, but, I dont understand why you suggest that you will do your best to answer questions, etc. but no one does? I do realize it would be a lot of work to do so but isnt that the whole point here? I could really use a response and I imagine most other questions here are of time sensitivity. Either way, thank you for the great info!

French superstar chef Michel Guérard is famous not just for his fantastically refined food but for something that seems wholly at odds with fine dining: weight loss. At his deeply chic manor-house hotel in Gascony, Guérard combines a delicious, low-calorie diet with sculpting treatments using sulphur- and magnesium-enriched water from the nearby hot spring. In between trips to the spa there is time to exercise with a personal trainer. It all feels very doable and therefore easier to maintain later, as does the calorie-controlled diet. The food is limited, but mouthwatering. A three-course lunch of tangy white-bean and tomato salad with soft pear followed by sea bass in a vegetable-and-herb tea is just over 500 calories. And that includes the chocolate-cream pudding.
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.
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.
Forget weight-loss teas, firming creams and other fad-products. How about washing your fat away with a specially designed soap? In the 1930s a soap was marketed as having “magical fat-dissolving properties”. If the goodness of the soap could get rid of dirt on the skin, surely it could penetrate deeper and target a flabby belly? Or at least that was the idea behind the soap.
However, if a HIIT workout or piling on muscle mass seems too daunting, simply move for two-ish minutes to whittle your waistline. Why, you ask? Research printed in the journal Physiological Reports showed that people who did five 30-second bursts of max-effort cycling, followed by four minutes of rest, burned 200 extra calories that day. If you incorporate this technique into your workout routine just a few times per month, you can burn thousands of additional calories per year.
There’s some truth to the old adage that breakfast is the “most important meal of the day,” and if you’re looking to blast belly fat, what you eat at the start of each day can make all the difference. According to a study from the University of Missouri-Columbia, a high-fiber, high-protein breakfast may be the most important investment you can make for your waistline. The study showed that eating breakfast triggered women’s brains to release dopamine, a feel-good chemical that helps to control impulses. In other words, eating a balanced breakfast decreases your chances of reaching for that 3 p.m. candy bar and keeps your belly slim.

Anaerobic exercise, on the other hand, primarily uses sugar as its fuel. This doesn’t mean that it’s not good for weight loss, though. Anaerobic exercise helps build muscle, and as we explained above, this will help you burn calories even when you’re resting. Anaerobic exercises are generally high intensity, for example sprinting and weight lifting. 

Though many believe chewing gum keeps you from mindlessly eating, the minty treat has its own drawbacks that can lead to a bigger belly. Not only does chewing gum cause you to swallow tummy-bloating air, many gums also contain sugar alcohols and artificial sweeteners like sorbitol and xylitol that can cause bloat. If you have to have something to chomp on, go for an organic variety like Glee gum or Simply gum instead. They’re still low-cal, but they don’t use those sweeteners that’ll make you puff up.
In one four-week Spanish study, researchers found that eating a calorie-restricted diet that also included four weekly servings of legumes aided weight loss more effectively than an equivalent diet sans the pulses. Those who consumed the legume-rich diet also saw improvements in their bad LDL cholesterol levels and systolic blood pressure. Next time you’re cooking something starchy for dinner, consider eating fiber and protein-packed lentils instead.
Unintentional weight loss may result from loss of body fats, loss of body fluids, muscle atrophy, or even a combination of these.[25][26] It is generally regarded as a medical problem when at least 10% of a person's body weight has been lost in six months[25][27] or 5% in the last month.[28] Another criterion used for assessing weight that is too low is the body mass index (BMI).[29] However, even lesser amounts of weight loss can be a cause for serious concern in a frail elderly person.[30]
Also some research shows that the human body is primed to consume most of its calories during daylight hours. But the lifestyle is problematic for many: Because family meals and dinners with friends often are scheduled for after sunset, “people who try to stop eating after 7pm can’t do it every day for the rest of their lives,” says Dr. Seltzer, who supports an alternative strategy: Eating a hearty meal at your regular dinnertime.
While having a scale in the house isn’t right for everyone, research has shown that it can help encourage weight loss by providing a level of accountability. When Cornell University researchers observed dieters who weighed themselves daily, they discovered that the routine of stepping on a scale helped those people lose more weight than those who weighed themselves less frequently. To avoid being thrown off by natural fluctuations in body weight, try stepping onto the scale the same time every day.
Boredom isn’t just bad for your brain, it’s also bad for your waistline, especially if you’re trying to shed some pounds. According to a study in the Journal of Health Psychology, boredom actually strips you of your ability to make smart food choices; you become an “emotional eater,” What’s more, boredom turns you into the worst kind of emotional eater because you not only make the wrong food choices but also eat much more fattening foods than you normally would. To stave off boredom, try taking a walk or relaxing with a good book.
Spirulina is a high-protein seaweed supplement that’s typically dried and sold in powdered form. The dried stuff is about 60 percent protein, and, like quinoa, it’s a complete protein—deeming it a great weight loss tool. A tablespoon of the blue-green algae delivers 8 grams of metabolism-boosting protein for just 43 calories, plus half a day’s allotment of vitamin B12, which can encourage weight loss by giving you more energy and boosting your metabolism. Try tossing some spirulina into a smoothie and watch the pounds melt off.
High fiber diet benefit # 1: The "fill" factor - Because high fiber diet foods like fruits and vegetables supply plenty of bulk to your meals without adding a lot of calories, they keep you feeling full longer and help you lose weight, according to a study at the Human Nutrition Research Center at Tufts University. Researchers concluded that a low fat diet works only if it’s also a high fiber diet - rich in healthy foods like fruits, vegetables and whole grains, all of which fill you up on fewer calories and less fat. In contrast, a low fat diet that is low in fiber and high in sugar, salt and preservatives can lead to bloating and weight gain.
This award-winning spa believes self-discovery is the path to a balanced life and offers more than 90 different activities and classes to honor this belief. Guests can sign up for the healthy living workshops, which focus on topics from grief to relationships and everything in between or the integrative wellness classes. As for exercise, the resort offers “Latin Splash,” where guests water dance to Latin music, a high intensity circuit class, meditation, body conditioning and much more. Throughout each day, participants are encouraged to take a dip in one of the swimming pools, test out the climbing wall or Zipline, hit some balls at one of the two tennis courts and chill out in one of the Zen desert gardens.
You can avoid a mindless binge by adding visual traffic lights to your snack. Researchers at the University of Pennsylvania and Cornell University gave one set of students a bowl of uniform yellow chips, while another group had their regular snack layered with differently colored chips. Students who had their snack segmented ate 50 percent less than those with a uniform bowl.
Twenty-seven out of 124 patients in the Japanese cohort and 13 out of 86 patients in the UK cohort showed significant BW loss. Patients with BW loss showed significantly worse survival in both cohorts. Multivariate analyses revealed that BW loss was an independent factor for decreased survival (Japanese cohort: p = 0.047, UK cohort: p = 0.013). A 6.1% loss of BW was chosen as the optimal cutoff value to predict the 2-year mortality from the initial presentation. The stratified analysis revealed that a 6.1% or greater BW loss could predict worse survival specifically in cases without a greater than 10% decline in forced vital capacity (FVC).
how womeny calories for a 40 year old woman

In a diet-induced weight-loss setting among overweight and obese individuals, higher baseline plasma PFAS concentrations were significantly associated with greater weight regain, especially in women, accompanied by a slower regression of RMR. These findings suggest that environmental chemicals may play a role in the current obesity epidemic. More studies are warranted to elucidate the mechanisms underlying the link between PFAS exposure and weight regulation in humans.
Somewhere buried the “I am Woman, hear me roar” is a self-critical overweight woman who is down on herself and disillusioned because of her negative body image, throwing up her hands not knowing what, where or how to win this almighty battle. Asking themselves, “How did I lose myself? How do I find happiness? How do I take time out for ME without feeling so guilty?”
Comment Rules: Remember what Fonzie was like? Cool. That’s how we’re gonna be — cool. Critical is fine, but if you’re rude, we’ll delete your stuff. Please do not put your URL in the comment text and please use your PERSONAL name or initials and not your business name, as the latter comes off like spam. Have fun and thanks for adding to the conversation! (Thanks to Brian Oberkirch for the inspiration)
Despite the common perception that you need to drop pounds slowly in order to maintain your weight loss, the exact opposite is true. In fact, you’re more than five times as likely to succeed in your long-term weight-loss goals if you start out of the gate by dropping pounds rapidly, according to a 2010 study in the International Journal of Behavioral Medicine. To set yourself up for weight loss success, make sure you focus on diet and exercise.

Body fat gets a bad rap, but your body needs it. There is an essential amount of fat that each body needs in order to maintain its natural functions. That amount will vary between body type, age, sex, physical activity level, and fitness goal. For the general population, the levels accepted as healthy are between 21-32 percent for women and 8-19 percent for men.1 Higher levels can lead to weight-related health risks such as Type 2 diabetes, certain types of cancer, and cardiovascular disease.
Services offered: There is almost no diet, fitness, or weight loss service that is not offered at The BodyHoliday. The resort offers quality nutrition services, Ayurvedic diet and wellness services, expert fitness training, and an extensive line-up of activities including sailing, swimming, bootcamp, hiking, paddle board, spinning, stretching, tennis, combat fitness, water volleyball, archery, and much much more. A full spa is also available.

More than 400 genes have been linked to obesity and weight gain and they can affect appetite, metabolism, cravings and body-fat distribution. The exact degree to which you can be genetically predisposed to weight gain or obesity is unclear, but genes have been associated with difficulty losing weight even as you increase physical activity or low-calorie diets. Much like weight management on the whole, addressing a genetic predisposition for obesity is much easier from a preventative standpoint than a reactionary one.
When you start a new program that your body is not accustomed to, expect to be a little sore, tired, or both. Start at a comfortable pace. Going all out the first few times you exercise could leave you feeling so sore that you have to take the next week off. Spending four weeks on the couch instead of in the gym will put you right back at square one, which just plain sucks.
A calorie isn’t always a calorie. Eating 100 calories of high fructose corn syrup, for example, can have a different effect on your body than eating 100 calories of broccoli. The trick for sustained weight loss is to ditch the foods that are packed with calories but don’t make you feel full (like candy) and replace them with foods that fill you up without being loaded with calories (like vegetables).
Why a top-pick? This comprehensive program is personalized for each guest to meet his or her specific needs. Each guest consults with the Wellness Manager before arrival and then connects again with him after the retreat. Guests bring home individualized nutrition and fitness programs as well as tools to guide mindful eating practices and skills to address roadblocks that typically interfere with long-term weight loss and weight maintenance.
Weight loss, in the context of medicine, health, or physical fitness, refers to a reduction of the total body mass, due to a mean loss of fluid, body fat or adipose tissue or lean mass, namely bone mineral deposits, muscle, tendon, and other connective tissue. Weight loss can either occur unintentionally due to malnourishment or an underlying disease or arise from a conscious effort to improve an actual or perceived overweight or obese state. "Unexplained" weight loss that is not caused by reduction in calorific intake or exercise is called cachexia and may be a symptom of a serious medical condition. Intentional weight loss is commonly referred to as slimming.
You will likely lose weight on any diet if you eat less than 910 calories a day. But losing 10 pounds in 3 days is both unlikely and unhealthy. To lose just 1 pound of body fat, you need to reduce your daily calories by about 500 a day for a whole week. That’s giving up 3,500 calories over the course of 7 days. To lose 10 pounds in 3 days would mean decreasing your calorie intake by 35,000 calories in just 3 days! The Academy of Nutrition and Dietetics recommends a slow and steady weight loss of no more than 1/2 to 1 pound a week. Otherwise you are losing muscle and water, as well as weakening your bones. You also are much more likely to gain it all back.
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.

A study in the journal Cell found that our gut microbes are just as affected by changes to our circadian clock as we are. When we shift our sleep-wake cycles, our gut flora changes, and beneficial bacteria are replaced by the growth of bacteria that have been linked to obesity and metabolic disease. When traveling across different time zones, it’s important you travel armed with healthy, fiber-rich snacks your gut will love.

44 year old woman weight loss


The Dietary Guidelines Advisory Committee dropped their longstanding recommendation that we should limit dietary cholesterol. Decades of research have shown that it has little effect on blood cholesterol levels, and the government’s outdated recommendations have done little more than send scrambled messages about the pros and cons of eating eggs and shrimp. So go ahead and scramble up an omelet—with the yolk. Eating the entire egg is beneficial to your body because it contains metabolism-stoking nutrients, including fat-soluble vitamins, essential fatty acids, and choline—a powerful compound that attacks the gene mechanism that triggers your body to store fat around your liver. To learn more about the flat-belly benefits of eggs, check out these What Happens to Your Body When You Eat Eggs.
Stress is a big no-no at Mountain Trek. The stress hormone cortisol is public enemy number one here, because it messes with metabolism. Everything that happens during the weeklong program is focused on vanquishing it: a diet free of foods that might cause digestive stress, a strict no-devices policy meant to keep guests from thinking about work, and lots of physical exertion to produce endorphins and other feel-good hormones that counteract it. (Oh, and also to burn fat.)
During the 3 days of the diet, balanced nutrition is lacking. Some of the foods that are recommended are high in salt and fat and would not be appropriate for people with certain medical problems like heart disease, high blood pressure, diabetes, or high cholesterol. You may not be getting enough vitamins, minerals, and fiber while you are on the diet. If you are taking medicine for your diabetes and want to try the 3-day diet, it's important to talk with your doctor first about how to adjust your medicine.

before and after 40 pounds

×