The truth is there is no “one size fits all” solution to permanent healthy weight loss. What works for one person may not work for you, since our bodies respond differently to different foods, depending on genetics and other health factors. To find the method of weight loss that’s right for you will likely take time and require patience, commitment, and some experimentation with different foods and diets.
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.
A gastric band (the LAP-Band) is a restrictive band placed around the patient's stomach that gives the sensation of a full stomach after eating smaller portions of food, thus letting the patient eat less and lose weight without going hungry. But fitting the band requires surgery, with potential side effects – so here's a novel idea; making obese patients believe that they have an "imaginary" gastric band through hypnosis!
Learn how to balance stress, weight and nutrition during Cooper’s popular six-day “Wellness Week” program ($2,195, does not include accommodation). The program includes two personal training sessions, group fitness classes, three calorie-controlled meals a day and two dining-out experiences where guests learn how to choose healthy options. Before you get started, sign up for the six-to-eight hour comprehensive physical exam that includes a stress test, blood test, skin cancer screening, and CT scan, as it is one of the few that provides same-day results.
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.
Tennessee Fitness Spa recently had the honor of hosting VickyFlipFlop, a travel blogger who writes "for people who want to make the most of their annual leave, weekends, money and friends, by exploring the world, and a festival or two." Creating a video about her stay, we're excited to share that Vicky had a fun – and productive! – stay at our fitness camp for adults.  If you'd like to hear Vicky's thoughts about her time at Tennessee Fitness Spa, click on the video above!
foods for women over 40

“It can be easy for people to focus merely on what they are eating and on the weight loss progress,” says Mast. But sustainable weight loss relies on other factors as well. Mast emphasizes that finding a supportive community or one-on-one health coach is invaluable. Without a positive support system or the knowledge to develop a healthy eating plan, your weight loss is likely to stall. Speaking of which…
Though you may think skipping a meal such as breakfast will help you lose weight because you would be consuming fewer calories, numerous studies have actually shown that bailing on breakfast is bad for your waistline. Why, you ask? It turns out that skipping breakfast not only means you’ll likely consume more calories later in the day, but eating more calories in the later part of the day is a nightmare for metabolic circadian rhythms, which help keep your weight in check.

Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss in individuals who are overweight or obese can reduce health risks,[1] increase fitness,[2] and may delay the onset of diabetes.[1] It could reduce pain and increase movement in people with osteoarthritis of the knee.[2] Weight loss can lead to a reduction in hypertension (high blood pressure), however whether this reduces hypertension-related harm is unclear.[1][not in citation given]
If your doctor has recommended weight loss to improve a medical condition, if you have significant weight to lose, or if you want the help of physicians or other medical experts during your weight loss journey, then you'll want to choose a medical weight loss retreat. Most have physicians on staff to provide an evaluation when you check in and to monitor your health as you lose weight.
In a 2-year diet-induced weight-loss trial (the POUNDS Lost trial), we measured plasma concentrations of PFASs at baseline in 621 overweight and obese men and women and collected information on changes in body weight, resting metabolic rate (RMR), and other metabolic parameters during weight loss and weight regain over the 2 years the participants were on the study diet.
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.
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.
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.
Common sense states if you want to lose weight, then you shouldn’t have a large meal not long before going to bed. And now we have additional research to back up that hypothesis. A study published in the journal Obesity followed two groups of overweight women with metabolic syndrome on identical 1,400-calorie weight loss diets for three months. While both groups consumed 500 calories at lunch, one group consumed 700 calories for breakfast and a 200-calorie dinner (the “big breakfast” group), while the other group ate 200 calories at breakfast and 700 calories at dinner (the “big dinner” group). Even though the nutrient content of the meals was exactly the same for both groups, after three months the big breakfast group lost about two and a half times more weight than big dinner group.
It’s insane what some will do to have a slight edge in a fight. The biggest example that comes to mind is Anthony Johnson. The dude would walk around at like ~230 lbs and fight in the 170 lb weight class. He would rag-doll guys because of the huge size advantage. Of course, he always had trouble making weight, but it’s still a huge advantage if you can do it properly.
Data were adjusted for age, sex, race, education, smoking, alcohol consumption, physical activity, menopausal status (women only), hormone replacement therapy (women only), dietary intervention group, baseline free T3 and free T4 levels, and baseline RMR. LS, least-square; PFAS, perfluoroalkyl substance; PFDA, perfluorodecanoic acid; PFHxS, perfluorohexanesulfonic acid; PFNA, perfluorononanoic acid; PFOA, perfluorooctanoic acid; PFOS, perfluorooctanesulfonic acid; RMR, resting metabolic rate; T3, triiodothyronine; T4, thyroxine.
losing weight in my 40s

Friends are helpful not only because they can double as workout buddies or help hold you accountable for appropriate diet and exercise, but also because they’re a surefire way to combat gut-growing feelings of loneliness. A study in the journal Hormones and Behavior found that those who feel lonely experience greater circulating levels of the appetite-stimulating hormone ghrelin after they eat, causing them to feel hungrier sooner. Over time, folks who are perennially lonely simply take in more calories than those with stronger social support networks, so be sure to fit time with pals into your busy schedule.

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.

Have you ever noticed children take forever to eat? That’s a good thing. A 2015 study found when people took 30 seconds in between bites, they stopped eating when they were no longer hungry, so they saved calories and pounds. This example of more chewing and less weight gain has been proven in several studies. We tend to consume more food than necessary as we age because emotion and stress can take over. To combat this, I suggest going back to childhood habits by using smaller plates and chewing longer. A smaller plate will make a smaller portion of food seem bigger. Focusing on slowing down your eating will help fill you up without filling you out.
In 1973, a registered dietitian named Thelma Wayler took over an empty dorm room at Vermont’s Green Mountain College, and quietly started a revolution. Like most visionaries, Thelma was way ahead of her time in realizing that diets and fads were not the key to ending struggles with eating and weight loss. So she started a different kind of self-care retreat for adult women that was based on science and freedom of choice: Green Mountain at Fox Run.
Sure, you certainly need to drink plenty of water to help expedite the process of ridding your body of excess sodium, you can (and should!) also consume high-water content foods. Reach for cucumbers, tomatoes, watermelon, asparagus, grapes, celery, artichokes, pineapple, and cranberries — all of which contain diuretic properties that will also help you stay full due to their higher fiber content.
In a new study, Stanford University researchers put more than 600 overweight adults on either a healthy low-fat or low-carb diet. It turns out, participants had similar levels of weight loss success on each plan. Researchers looked for clues (such as insulin levels and gene patterns) to see if there are any factors that might make someone more successful on either diet, but after combing through the data, they were not able to make any connections. Since it may take years before scientists discover individual traits that could lead to more success on one plan compared to another, for now, we can learn a lot — and lose a lot! — by recognizing the dieting advice that all experts agree on.
Tennessee Fitness Spa recently had the honor of hosting VickyFlipFlop, a travel blogger who writes "for people who want to make the most of their annual leave, weekends, money and friends, by exploring the world, and a festival or two." Creating a video about her stay, we're excited to share that Vicky had a fun – and productive! – stay at our fitness camp for adults.  If you'd like to hear Vicky's thoughts about her time at Tennessee Fitness Spa, click on the video above!
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.
For those new to the Mayr cure, this efficacious diet plan developed by Dr Franz Xaver Mayr is based on the principle that giving an overworked digestive system a break allows other parts of the body to repair themselves. Such are its remarkable effects that the method has reached legendary status when it comes to tackling fatigue, arthritis, migraine and sleep problems. The food is healthy, modern Mayr at its best - no sugar, no dairy, no alcohol. Many people come here to lose weight, others to press pause, still more for an annual health MOT. The vast medical department offers everything from traditional massages and intravenous drips to bone-density measurements and hi-tech oxygen therapy used by astronauts. The diagnostics are mind-bogglingly impressive - blood tests, mineral tests, cardiovascular tests, intolerance tests - all of which dictate your treatments, as well as lay bare the real state of your health.

Weight training is the ultimate way to burn calories fast. "A pound of muscle burns up to nine times the calories of a pound of fat," explains Richard Cotton, M.A., chief exercise physiologist for myexerciseplan.com. Weight training increases your resting metabolic rate, which is the number of calories you burn while sitting on your butt. What's more, it gives your metabolism an added boost after you exercise, staying in overdrive for up to two hours after the last bench press, according to a study published in Medicine & Science in Sports & Exercise. Strapped for time? Try these quick moves: squats, bench step-ups, lunges, push-ups, pull-ups and planks. In a pinch, just do single sets of 10 for each exercise — you'll get optimal results for the time invested.

losing weight as you age


.. 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!
It's also important to limit how often you step on the scale. We suggest using it only once per week so you don't get discouraged. It may also benefit you to take weekly progress photos. That way, you'll notice those small changes and feel motivated to keep going. It may also be helpful to get your body fat percentage checked as you go, but it's not essential.
27. Use tech and other tools to your advantage. "I started out just by cutting little things like soda out one by one so I wouldn't burn myself out mentally and give up. I then discovered counting calories on MyFitnessPal, which was [a huge help] for me in my weight loss. A few years in, I lost my way a little bit and found Renaissance Periodization diet templates, which helped me rebuild a healthy relationship with food."

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!


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.
While overnight oats remain a healthy and trendy breakfast, there’s one healthy oatmeal trend that’s also making waves: Zoats! The funny-sounding name actually describes a very straightforward (but delicious) dish made from shredded fiber-filled zucchini, oatmeal, milk, spices and nutrient-packed add-ins such as nuts and fruit. We love how the dish makes it easy to add veggies to your morning meal—somewhere it’s rarely found. Another win: Adding zucchini to your oatmeal adds bulk to your breakfast bowl without the need for extra cereal, ultimately saving you calories.

According to researchers, late sleepers—defined as those who wake up around 10:45 a.m.—consume 248 more calories during the day, as well as half as many fruits and vegetables and twice the amount fast food than those who set their alarm earlier. If these findings sound troubling to you night owls, try setting your alarm clock 15 minutes earlier each day until you’re getting out of bed at a more reasonable hour.
I don’t often batch cook because myself and hubby usually eat the same things so I don’t mind cooking each night.. but now and then I do cook up huge batches of Spag bol etc. I always find it tastes better when you reheat as well. But I know plenty of people who work long hours and they cannot be bothered to cook a big meal after work so having batch cooked stuff in the freezer to re heat works great for them and stops them being naughty or ordering a takeaway.Just remember this is a marathon.. not a sprint! It may take you a months or years to get to your goal weight. But if you stick with it you will get there. I am still a long long way off reaching mine but I want to enjoy life along the way and not starve myself and be miserable. Stick with it and most importantly be happy!
Afternoons often include a TRX strength class or cardio boxing, both of which I have fallen in love with, or meeting up with my trainer for a personal training session. One of my primary goals here is to be strong so we're really working on strength training. I wrap up with hip-hop dance or yoga. Even though they’re totally different classes, each bring me joy. If that sounds like a lot of exercise, it is, but even though it's more movement than I've ever done in my life, it's always fun and there's no pressure to do it. I don't have to do this many classes and some days I choose to rest.
Hiley Fulgence is a professional Personal Trainer, Nutritionist, and Sports Massage Therapist who has worked around the world helping people to improve their fitness, achieve better overall health, and maximize their performance. At the BodyHoliday, he specializes in nutrition for weight loss, assessment and treatment for injury prevention and rehabilitation, and sports science testing & performance enhancement. As a former track and field athlete, he brings a unique enthusiasm and compassion, along with the determination to improve his clients’ physical wellbeing.
Rancho La Puerta was founded nearly 70 years ago as the original destination fitness resort and spa.  The ranch offers an Executive Wellness program, natural wellness therapies, mindfulness sessions, and nutrition by a panel of expert practitioners. Follow up care is through the WellnessFX online program, which permits guests to access lifelong wellness from home before, during and after a visit to the Ranch.
“They may be small, but these sweet-tasting fruits contain a hefty amount of actinidin, a natural enzyme unique to kiwifruit that aids in digestion by breaking down protein in the body. Kiwifruit also contains prebiotic fiber, which primes the gut for healthy digestion,” Scritchfield says. “Research indicates that a daily serving of green kiwifruit helps increase bowel movements. So, cut in half, scoop with a spoon, and pop into your mouth like nature’s Tums (SunGold kiwis, with a yellow flesh and tropical taste, offer three times the vitamin C of oranges and as much potassium as a medium banana).”
First things first: Whether you do or don't want to lose weight is totally personal; if you want to, great, but if you don't, that is perfectly fine as well. If weight loss is one of your goals this year and you don't know where to start, you're not alone. Nearly a quarter of the Americans who resolve to change something about their lives this New Year’s will be hoping to shed some pounds—and preying on these doe-eyed resolvers will be all manner of “fast weight loss solutions.” They’ll guarantee instantaneous results or promise to make the pounds melt off without you having to change a thing. The reality is, losing weight in a safe, healthy, and effective way is a lot more complicated than that.
Can you guess what this diet involves? That’s right, eggs and lots of them. Nigella Lawson’s ex-husband, Charles Saatchi, reportedly lost four stone in 10 months by eating nothing but eggs. If the thought of eating only eggs has you reaching for the sick bucket, you could also add some low carbohydrate vegetables and lean protein. We think this is definitely one to avoid, after all, we all know what happens after one too many eggs…
(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.
The mean (SD) age of the 621 participants was 51.4 (9.1) years, with a mean (SD) baseline BMI of 32.6 (3.8) kg/m2. Participants lost an average of 6.4 kg of body weight during the first 6 months and subsequently regained an average of 2.7 kg during the remaining study period. In comparison with the POUNDS Lost participants not included in the current study due to the lack of plasma samples at baseline, the participants included were slightly older (51.4 versus 49.1 years, P = 0.01), but there were no significant differences in other characteristics, including body weight and RMR (S1 Table). 

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.

Not eating enough fiber may be a major reason women are getting fatter and flabbier. To ditch the fat and show off firm, beautiful abs, you need to eat at least 25 grams of fiber daily, says leading fiber researcher David J.A. Jenkins, M.D., Ph.D., D.Sc., professor of nutrition at the University of Toronto, and a member of the National Academy of Sciences (NAS) Food and Nutrition Board. Fiber, which is the indigestible part of fruits, vegetables and whole-grain foods, helps you achieve flat abs for three reasons:

One of the best new examples of a weight loss spa is Skyterra Wellness Retreat about an hour from Asheville, North Carolina. It's a small program that encourages longer stays (one to four weeks) where everyone eats the same delicious, healthy meals at communal tables. They exercise together, attend lectures together, even go into Asheville for a bit of chocolate and coffee at French Broad together!
If you would like to pair your weight loss experience with a trip to an exotic location, you'll have plenty of options. International weight loss resorts cater to fitness and travel savvy clients all over the globe. You're likely to feel pampered at many of these hot spots which may make the weight loss process feel more indulgent and can make dieting and exercise easier.
InBody is a treasure trove of information, not just a measurement of your body weight which you get from a traditional body scale. No calipers, immersion in water, or sitting into a pod, it simply involves stepping on the platform, holding both handles and placing your feet on the specially marked areas to measure body composition in your trunk and lower extremities.
5. Start with one small change. "I realized that a lot of sugar and calories that I consumed came from drinks, so I challenged myself to drink only water—no sugary drinks!—for 30 days. After just one successful week, I decided to add another challenge: to cut back on the carbs I was eating. When I did eat bread, I switched to wheat bread and when I wanted rice, I used brown rice."
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. 
food for 40 year old woman

Even if you fill up on produce, lean proteins, and whole grains, according to British Journal of Nutrition findings, when you think about the quality of your diet, you’re likely forgetting about all the unhealthy food that also finds its way to your mouth. People tend to exaggerate the good foods they eat and underestimate the bad stuff, says study author, Kentaro Murakami, PhD of Japan’s University of Shiga Prefecture. While it’s not necessarily intentional, it’s likely one of the reasons why it’s so hard for people to lose weight. For example, you might grab a handful of candy at a co-worker’s desk or a sample at the mall and then forget about it altogether. Our advice: To get a more accurate overview of your diet, keep a detailed food journal on your phone—yes, that means you should include that food court sample, too. Whether you snap photos or keep a written log is totally up to you—both tactics will work. The more food records dieters kept over the course of 30 months, the more weight they lost, a study in the American Journal of Preventive Medicine found.

Making your sandwich with two slices of bread is so last year. Aid your slim down efforts by opting for whole-grain bread over white and preparing your sandwich “open-faced” style—the fancy name for kicking the top piece of bread to the curb. Doing so keeps about 70 to 120 calories off your plate. If losing some bread leaves your tummy rumbling, beef up your meal by munching on a cup of baby carrots or sugar snap peas. These pop-in-your-mouth veggies are loaded with fiber and water, which can help aid satiety and weight loss efforts. For even more amazing weight loss tips, check out these 50 Best-Ever Weight-Loss Secrets From Skinny People.

average weight for a 44 year old woman

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