Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. “Do what you like because it’s good for you,” Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
While you may think you’re doing yourself and your waistline a favor by stocking up on sugar-free goodies, the well-meaning habit is likely doing more harm than good. In a 2012 study in The American Journal of Clinical Nutrition, researchers found that those who drank diet beverages had higher fasting glucose, thicker waists, lower HDL (good) cholesterol, higher triglycerides, and higher blood pressure. In other words, sugar-free cookies, soda, and the like may seem like the healthier option, but they contribute to a bulging belly and negatively impact your health in multiple ways.
Ken has been in the healthcare industry for over 10 yrs where he started first as a Registered nurse and later as a Family Nurse Practitioner. He obtained his BSN from The University of Texas Medical Branch in 2008 and later a Masters of science in Nursing at Walden University. He loves and is dedicated to his patients. While not working, Ken enjoys traveling and some gardening. Ken is excited to help patients who are trying to live healthier lives by losing weight and having a wellness regimen.
Fitness Director Jeff Ford evaluates guests on the way in, testing your strength, flexibility, and balance. You also get a scan that reveals not just your weight, but how much muscle and fat you have. At the end, maybe you "only" lost two pounds, but you gained one pound of muscle and lost three pounds of fat, which means your body is closer to becoming a fat-burning machine.
After multivariate adjustment, including baseline RMR and dietary intervention group, baseline plasma PFAS concentrations, especially for PFOS and PFNA, were significantly associated with a greater decline in RMR during the weight-loss period (first 6 months) and a lower increase in RMR during the weight regain period (6–24 months). During the first 6 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were −45.4 (15.5) versus −5.0 (16.3) kcal/day for PFOS (Ptrend = 0.005) and −49.8 (15.9) versus −3.3 (16.1) kcal/day for PFNA (Ptrend = 0.002) (Model 3 in Table 4). During the period of 6–24 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were 0.9 (26.2) versus 94.6 (27.5) kcal/day for PFOS (Ptrend < 0.001); 12.7 (28.1) versus 69.3 (27.3) kcal/day for PFOA (Ptrend = 0.03); 24.6 (28.5) versus 81.5 (27.5) kcal/day for PFHxS (Ptrend = 0.03); 14.1 (27.7) versus 73.7 (27.6) kcal/day for PFNA (Ptrend = 0.02); and 23.1 (27.6) versus 66.5 (28.2) kcal/day for PFDA (Ptrend = 0.09) (Model 3 in Table 4). The results were similar when PFAS concentrations were treated as continuous variables (Table 4). When adjusting for RMR at 6 months (instead of RMR at baseline), the results maintained statistical significance. When changes in RMR or changes in thyroid hormones during the first 6 months were further adjusted for, the results remained largely unchanged. In the sex-stratified analysis, similar results were observed, although some associations did not reach statistical significance, possibly due to diminished power (S4 Table). No interaction between PFASs and sex on RMR changes was detected. The trajectory of changes in RMR among total participants according to tertiles of PFAS concentrations is shown in Fig 2. In addition, similar results were demonstrated when analyses were stratified by dietary intervention group.
We know you love binge-watching your favorite reality series, but it’s important to enjoy your meals sitting at your kitchen table—not in front of the television. Why? Carolyn Brown, MS, RD, of Foodtrainers, told us that in addition to commercials of unhealthy food and drinks increasing our cravings, TV is so distracting that it makes it harder to realize when we’re actually satiated. Science agrees with Brown: A study in the American Journal of Clinical Nutrition found that paying attention while eating can aid weight loss efforts while distracted eating can lead to a long-term increase in food consumption.
A native of the Pacific Northwest, Sara Lindberg, B.S., M.Ed., is a fitness expert and full-time freelance writer with 20+ years of experience. She holds a Bachelor’s of Science degree in Exercise Science and a Master's degree in Counseling. She’s spent her life educating people on the importance of health, wellness, mindset, and mental health, and she specializes in the mind-body connection, with a focus on how our mental and emotional wellbeing impact our physical fitness and health. 
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.

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:

The primary strength of the current study is that the cause of weight changes was well characterized. Unlike previous observational studies in which reasons for weight changes were usually unknown, this weight-loss trial applied energy restriction to induce the weight changes. Moreover, repeated measurements of body weight, RMR, thyroid hormones, leptin, and other metabolic biomarkers allowed documentation of longitudinal associations between PFAS exposures and changes in these parameters during the weight-loss and weight regain periods.
This resort is tailored specifically for women in need of a mind, body, and soul rejuvenation. Through its variety of programs, Green Mountain emphasizes a non-diet approach and aims to instill a new way of thinking into its guests. The resort, which houses only 40 to 45 women at a time, has earned a spot on SpaFinder’s readers’ choice list of Best Weight Loss for Women for nine consecutive years. Most of its programs are based off of a four-week curriculum, but guests can choose to stay one week at a time. The facility’s 12-week “Train Your Brain” program ($25,000 for triple accommodation) is also available for women in need of a more intense program. Guests can add on targeted tracks for extra support with issues such as binge eating, Polycystic Ovary Syndrome, diabetes and more.
At 9 a.m., I take a fitness class. My current go-to is a treadmill interval class, which energizes me in a whole different way than a cup of coffee does. That is followed by a medicine ball class done with partners, which is a fun way to combine strength and cardio training. Next is a group meditation, followed by an hour to recover, read, or write in my journal.
Fit Body Weight Loss is an all-natural, holistic weight loss clinic based in Gilbert, Arizona. We work with clients from all over America. We offer a therapeutic nutrition program that combines REAL, nutrient dense foods, supplementation, coaching, education and individualized support to safely and reliably achieve healthy, RAPID results. Place your order online and it will be conveniently delivered to your home or office within days.
At a quick glance, that candy bar (or a bottle of juice, bag of crackers, or bag of nuts) appears to contain 220 calories. But a closer look may reveal that it provides two or more servings—which more than doubles those calories. Be sure to take a close look at the nutrition facts before digging in so you know exactly what you're eating and can plan the rest of your meals and snacks accordingly.
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.
My size has always been a part of my story. I never felt ashamed of my weight or pressured to change myself. I loved my body and loved eating good food—I was even a food blogger in New York City. Yet after 14 years in New York, my life turned upside down. I'd just ended a long-term relationship and needed something new, so I decided to make a big change and moved to Greenville, South Carolina. 

what to do after 40


We have a wide array of fitness activities, pet free and pet friendly housing options, life-changing educational workshops, healthy meal plans, and optional pampering services such a massages and pedicures. You are sure to be rejuvenated and ready to implement lifelong changes when it is time to check-out of the spa. Join us for a fun fitness vacation at our adult weight-loss spa, nestled in the beautiful foothills of Tennessee; an award-winning fitness resort.
My name is Rita Jean. I am so thankful for Fit Body Weight Loss. It has given me new hope that I will lose the weight once and for all. Its been 40 years of weight struggles for me and finally I found something that actually works for me. lost over 20 pounds this month, and best of all, for the first time in many years my blood sugar is at a healthy level. My doctors are pleased with my results and I am thrilled being able to do the things I love again, like sing for my church and even exercise daily! That alone is a miracle! With the help of my Coach, Christina Jordan, I have left those dark days behind me where I was too tired and lacked any motivation or self control to take care of myself. I am in control and working towards my goals now! I thank God for Fit Body and for my newly returned health!
My days here are very different than what they were before I came to the retreat. Most days I’m up at 8 a.m., but the last few weeks I’ve been inspired to wake up earlier to take a sunrise beach walk. I am not a morning person normally, but it’s turned out to be a surprisingly beautiful way to start the day. After that, I have breakfast. I can choose from a lot of different options as long as I stay withing my calorie goal for each meal. My favorite is either oatmeal and berries with coffee or scrambled eggs with vegetables. Sometimes I'll have a smoothie.
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.”
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.
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.
Unfortunately, metabolic compensation isn’t your body’s only strategy to prevent weight loss or encourage weight gain. Hunger hormones – leptin and ghrelin – are also at play. Fat cells produce leptin, which tells your brain when you’re full. Fat cells also shrink when you lose weight, producing less leptin and meaning you don’t feel as full. Strike one. Ghrelin, produced by the stomach, tells the brain it’s time to refuel. When you lose weight, ghrelin levels rise, prompting you to want to eat more frequently. Strike two. Research suggests that neither leptin levels nor ghrelin levels return to a normal baseline for at least a year.

At 9 a.m., I take a fitness class. My current go-to is a treadmill interval class, which energizes me in a whole different way than a cup of coffee does. That is followed by a medicine ball class done with partners, which is a fun way to combine strength and cardio training. Next is a group meditation, followed by an hour to recover, read, or write in my journal.


You’ll see some trendy low-calorie diets, including the M-Plan Diet and the 3-Day Military Diet, advertised online and in fashion magazines or tabloids. Their attention-grabbing strategies often appeal to dieters who are looking for something new and something easy. The plans are generally not backed by legitimate weight loss companies, physicians or registered dietitians and they are usually not effective for long-term weight loss.

Hilton Head Health is recognized as a world leader in destination weight loss and wellness resorts. Our community of supportive dieticians, psychologists, wellness educators, fitness trainers, chefs and spa therapists draws upon H3’s decades of experience to create personalized medically based weight loss programs that will help you achieve real results and set you on a path towards sustained health and wellness.
Moving your muscles against resistance helps them grow and get stronger. Having more muscle mass also means that you burn more overall calories. Resistance training has profound effects on your bones and joints, and helps to prevent osteoporosis (loss in bone mineral density), sarcopenia (loss of muscle mass), and lower-back pain, assuming you use proper exercise form.6
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.

After multivariate adjustment, including baseline RMR and dietary intervention group, baseline plasma PFAS concentrations, especially for PFOS and PFNA, were significantly associated with a greater decline in RMR during the weight-loss period (first 6 months) and a lower increase in RMR during the weight regain period (6–24 months). During the first 6 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were −45.4 (15.5) versus −5.0 (16.3) kcal/day for PFOS (Ptrend = 0.005) and −49.8 (15.9) versus −3.3 (16.1) kcal/day for PFNA (Ptrend = 0.002) (Model 3 in Table 4). During the period of 6–24 months, comparing the highest to the lowest tertiles, the least-square means (SEs) of RMR change were 0.9 (26.2) versus 94.6 (27.5) kcal/day for PFOS (Ptrend < 0.001); 12.7 (28.1) versus 69.3 (27.3) kcal/day for PFOA (Ptrend = 0.03); 24.6 (28.5) versus 81.5 (27.5) kcal/day for PFHxS (Ptrend = 0.03); 14.1 (27.7) versus 73.7 (27.6) kcal/day for PFNA (Ptrend = 0.02); and 23.1 (27.6) versus 66.5 (28.2) kcal/day for PFDA (Ptrend = 0.09) (Model 3 in Table 4). The results were similar when PFAS concentrations were treated as continuous variables (Table 4). When adjusting for RMR at 6 months (instead of RMR at baseline), the results maintained statistical significance. When changes in RMR or changes in thyroid hormones during the first 6 months were further adjusted for, the results remained largely unchanged. In the sex-stratified analysis, similar results were observed, although some associations did not reach statistical significance, possibly due to diminished power (S4 Table). No interaction between PFASs and sex on RMR changes was detected. The trajectory of changes in RMR among total participants according to tertiles of PFAS concentrations is shown in Fig 2. In addition, similar results were demonstrated when analyses were stratified by dietary intervention group.
Are you considering a visit to a weight loss resort? Many smart dieters begin their journey away from home to get a clean break from the habits and lifestyle practices that led to weight gain in the first place. It's a smart approach if you can afford the luxury, but a visit to a health spa is not cheap, so it's smart to do your homework before you decide where to go.
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.
.. 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!
Weight loss isn’t a linear event over time. When you cut calories, you may drop weight for the first few weeks, for example, and then something changes. You eat the same number of calories but you lose less weight or no weight at all. That’s because when you lose weight you’re losing water and lean tissue as well as fat, your metabolism slows, and your body changes in other ways. So, in order to continue dropping weight each week, you need to continue cutting calories.
easy way for to lose belly fat

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.
Decision fatigue is real, and it could be hindering your ability to shed some pounds. A study published in Social Science and Medicine found those who have high levels of what’s called “skill discretion”—i.e., they exercise control by getting things done themselves—tended to have lower BMIs. In contrast, those who are constantly deciding on courses of action for others may eventually come down with decision fatigue and make ill-informed choices, such as ordering that piece of cheesecake for dessert.
It’s natural for anyone trying to lose weight to want to lose it very quickly. But evidence shows that people who lose weight gradually and steadily (about 1 to 2 pounds per week) are more successful at keeping weight off. Healthy weight loss isn’t just about a “diet” or “program”. It’s about an ongoing lifestyle that includes long-term changes in daily eating and exercise habits.

The Oaks at Ojai was founded by Sheila Cluff, a wellness visionary who created cardiovascular dance in the 1950s (later known as aerobics) and inspired Mel Zuckerman to open Canyon Ranch back in the '70s. It calls itself "America's best spa value" with affordable rates that include overnight accommodations, three delicious and calorie-conscious meals a day, your choice of 15 fitness classes per day, and evening entertainment and seminars.
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. “You want to change as little as possible to create calorie deficit,” says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. “Your brain will feel the same way about it, so you won’t feel deprived,” he says.
You want to feel good about the body that you’re in, not because of how it looks but because of how it feels. You want to have the energy to do the things you love to do even after doing the things you need to do. You want to have a healthy body that finally represents the healthy mind and spirit you’ve worked so hard to achieve. And you just want to wear that damn pair of pants that you have been dying to fit into, amiright?
Sure, trampolines are built for kids, but as an adult, using one for rebounding is a great way to flatten your tummy and get rid of excess fat. “Not only is it a great cardio workout (which is the first step to tightening up your midsection) but it makes your core work like crazy so you are getting the cardio plus the toning: everything you need for a tight tummy!” explains Hope Pedraza, a Certified Personal Trainer through American College of Sports Medicine in 50 Ways to Shrink Your Belly. To get a comprehensive workout using a mini trampoline, Pedraza suggests jumping, lifting your knees up high, twisting, adding some light weights to move around while you’re jumping, and moving in all directions in different planes.
To maximize weight loss, guests will eat a high-protein/low-carb Paleolithic-inspired diet, starting the day with a fresh juice and continuing with alkalizing raw fruit and vegetables and fresh seafood. The trip fee includes an in-depth personal training course in the guest's home country, three weeks in advance in order to prepare for the trip, and one week on return.
Unintentional weight loss can occur because of an inadequately nutritious diet relative to a person's energy needs (generally called malnutrition). Disease processes, changes in metabolism, hormonal changes, medications or other treatments, disease- or treatment-related dietary changes, or reduced appetite associated with a disease or treatment can also cause unintentional weight loss.[25][26][27][31][32][33] Poor nutrient utilization can lead to weight loss, and can be caused by fistulae in the gastrointestinal tract, diarrhea, drug-nutrient interaction, enzyme depletion and muscle atrophy.[27]

A healthy diet and moderate exercise is the obvious answer. But the truth is that this is not all there is to it. Every body is different and every life is different. What works for me won’t work for you (maybe) and so the best ways to lose weight really depend on you, as a person. You already have an idea what works for you and what doesn’t, so definitely keep this in mind as you’re searching for a retreat.
We have a wide array of fitness activities, pet free and pet friendly housing options, life-changing educational workshops, healthy meal plans, and optional pampering services such a massages and pedicures. You are sure to be rejuvenated and ready to implement lifelong changes when it is time to check-out of the spa. Join us for a fun fitness vacation at our adult weight-loss spa, nestled in the beautiful foothills of Tennessee; an award-winning fitness resort.
More than half of the attendees at In:spa are repeat visitors thanks to a realistic, holistic approach to wellness. Cal Reiet, a fantastically smart 15-bedroom manor house, provides the perfect base. Programmes are a mix of combined activities (HIIT workouts, a 10km coastal hike, yoga) and more tailored, emotionally nourishing sessions (nutrition advice and massages). It's not particularly flexible, but relinquishing decision-making for a week is hugely relaxing, as is exercising in such lovely surroundings. At the heart of the experience is the food, a menu of mainly vegetarian dishes such as seed bread slathered in almond butter and avocado, turmeric and pea salad. It's a programme that will keep making you feel better, even long after you have left.
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.
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.

The bigger your plate, the bigger your meal, Brown reminds us. How so? While smaller plates make food servings appear significantly larger, larger plates make food appear smaller—which can lead to overeating. In one study, campers who were given larger bowls served themselves and consumed 16 percent more cereal than those given smaller bowls. Swapping dinner for salad plates will help you eat more reasonable portions, which can help the pounds fly off your frame! To kick even more calories to the curb, use small red plates. Although the vibrant hue may not match your dining room decor, the color can help you eat less, according to a study published in the journal Appetite. Researchers suggest that the color red reduces the amount we’re likely to eat by subtly instructing the mind to stop noshing.
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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.

When eating out or picking up a quick lunch on your break, ask for any sauce or dressing on the side. Though these emulsions often add flavor to a dish, they’re also frequently packed with empty calories, added sugar, and a whole host of other unhealthy stuff that makes shedding pounds that much harder. For example, just one three-tablespoon serving of Panera Bread’s Greek dressing has 230 calories. 3.5 grams of saturated fat, and 310 milligrams of sodium. By asking for the sauce or dressing on the side, you have more control over how much of it you eat, and you could easily save yourself a few hundred calories.


No, genistein isn’t a trendy food item that’s about to blow up—it’s a compound that can help you lose weight. According to a study of female mice printed in The Journal of Nutrition, genistein has the power to decrease food intake and body weight. Scientists suspect this is because of the compound’s ability to turn down the genes for obesity and reduce your body’s capacity to store fat. To add some genistein to your diet, incorporate peanuts, beans, and lentils into your meals.
Hilton Head Health is recognized as a world leader in destination weight loss and wellness resorts. Our community of supportive dieticians, psychologists, wellness educators, fitness trainers, chefs and spa therapists draws upon H3’s decades of experience to create personalized medically based weight loss programs that will help you achieve real results and set you on a path towards sustained health and wellness.

weight loss over 40 before and after

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