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Health: Think Like a Doctor: A Cough That Won’t Quit

The Challenge: Can you figure out what is wrong with a previously healthy 75-year-old woman with a cough that just won’t quit?

Every month the Diagnosis column of The New York Times Magazine asks Well readers to take on a difficult case and offer their solutions to a diagnostic riddle. This month’s case revolves around a lively, elderly woman — a patient of mine — who suddenly develops a cough that persists and worsens over the course of several months. I’ll provide you with the notes, labs and imaging that amassed over the half a year it took to come up with an answer.

The first reader to provide the correct diagnosis gets a signed copy of my book “Every Patient Tells a Story” and the satisfaction of solving a case that had me pulling my hair out for weeks.

The Patient’s Story:

“Dr. Sanders, I’m still sick.” The slender 75-year-old woman shook her head sadly. “I hate to be a bother, but you’ve got to help me with this cough. It’s just about killing me.”

Her face was pale; there were dark smudges beneath her eyes, and she’d lost a lot of weight. Whatever she had, if it wasn’t killing her, it certainly was making her sick.

The Patient’s History:

Her problems had started a few months earlier. She’d come in to see me with a simple cough. It had started with a cold, but that infection was long gone and all that remained was this cough.

It was strange, she told me back then. She’d be fine during the day, with the occasional cough — but at night, when she lay down, it was unbearable. Indeed, she had slept in a chair the past two nights because in bed she kept waking up to cough.

Then, the day before, she’d had this strange pressure in her chest during one particularly forceful paroxysm. That scared her enough to pick up the phone and make an appointment to see me. It must have been quite a fright, since I usually saw her no more than once a year. It wasn’t that she didn’t like me, she told me the few times I’d seen her in the past; she just didn’t like doctors.

Although she was worried at that initial visit, I wasn’t. Her report that she’d spent the past couple of nights sleeping in a chair might have been a concern in some of my patients, since one sign of heart disease is this inability to lie down flat, but this woman had no risk factors for heart disease other than her age. She didn’t smoke — and never had. And she was in great shape. At 75 she had no medical problems; she ate right, and she exercised almost every day. She was one of my healthiest patients.

Her physical exam was normal that first visit. So was her EKG. I figured she probably had some leftover bronchospasm from a resolved upper respiratory infection. Or maybe this was bronchitis. So I gave her an inhaler to calm her twitchy airways and a short course of antibiotics, and I really expected the cough to disappear.

But the cough persisted. Indeed, each time she returned to my office or talked by phone over the next few months, her cough was just a little bit worse and she was a little sicker. None of the tests I’d ordered were particularly revealing, and none of the medications I had prescribed had helped. She was starting to get frustrated, and so was I.

In the Exam Room:

Seeing her now, I was more than frustrated; I was worried. She’d lost a lot of weight. Her normally thin face looked gaunt, and the fat that normally pads the temples and forehead was gone. Her eyes were tired and puffy. And she couldn’t get more than a few words out before a new paroxysm of coughing cut her off.

She couldn’t sleep, she told me between bursts of her barking cough. And she had no appetite. Even when she was hungry, the constant coughing made eating almost impossible. She had a new symptom as well: abdominal pain.

On exam, once again, I found nothing. She had no fever. Her lungs were clear. There were no enlarged glands suggesting an unresolved infection. Her abdomen was soft and had no tenderness. However, now when she coughed, dark yellow mucus came up. Whatever she had, it was clearly getting worse.

“Can’t you give me something for this cough?” she asked me once more.

The Most Common Symptom:

Cough is the most common single reason for a visit to a primary care doctor. Most of the time it’s caused by an upper respiratory infection or cold. But that type of cough usually resolves on its own. A persistent cough — like my patient’s — was a different story. It had many possible causes. The most common was some kind of environmental allergy. I treated her with antihistamines. They didn’t help.

Heartburn (also known these days as reflux) can also cause a cough, as the acid from the stomach irritates delicate tissues never designed to withstand it. I tried a couple of different types of anti-acid medications. They didn’t help either.

She said she never wheezed, but she did have some chest tightness and on occasion felt short of breath. Was this asthma? I gave her another inhaler. It didn’t work any better than the first one.

Those three diagnoses — allergies, reflux and asthma — were why most people kept coughing, most of the time. She clearly didn’t have what most people had. So what was left?

Could it be lung cancer? She had never smoked, but 10 to 15 percent of those who are found to have lung cancer didn’t smoke. Could this be tuberculosis? She had traveled throughout rural Central America decades earlier, so she could have been exposed.

A chest X-ray might have shown either of those diseases — but didn’t. In fact, it was completely normal. So was a second one, done weeks later when she still was no better.

I sent her for pulmonary function tests. The report said her lungs weren’t exactly normal, but the technician commented that her constant coughing made the test difficult to interpret. You can read the pulmonary function test report below.

The Right Test:

Now she was back in my office, sicker than ever. I was frustrated and starting to get nervous. Her weight loss was worrisome. And she had this new abdominal pain.

I had already referred her to a gastroenterologist to look for any evidence of reflux or even a malignancy. She was to get scoped the following week.

In the meantime, I sent a sample of her purulent sputum to the lab to culture. When those results were also unrevealing, I decided to get a chest CT — and finally, finally found something abnormal.
ACT scan of the patient’s lungs, with a magnification on the right.

Throughout the right lung there were areas of scarring and what is known as bronchiectasis, a particular type of scar tissue where the elastic component of the delicate airways appears stretched out and dilated, like a floppy waistband of a much-washed pair of shorts. (Bronchiectasis is visible in the area of magnification.)

Now I was worried and confused. Worried because this kind of lung injury made a patient prone to getting more infections. And confused because it wasn’t at all clear to me how this patient got it in the first place. Bronchiectasis is usually seen in patients who have a long history of serious lung infections. And this woman had had pneumonia a couple of times in the past decade, but otherwise nothing. I had an answer, a diagnosis, but not one that made sense. At least not right away.

It took me some time to figure it out, but I finally did.

What about you? Can you figure out what this woman had? And what test would you order to confirm it?

Friday June 7 3:08 p.m. | Updated Thanks for all your responses! You can read the correct answer at “Think Like a Doctor: A Cough Solved!”

Rules and Regulations: Post your questions and diagnosis in the comments section. The correct answer will appear Friday on Well. The winner will be contacted.
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Health: This Is Your Brain on Coffee

For hundreds of years, coffee has been one of the two or three most popular beverages on earth. But it’s only recently that scientists are figuring out that the drink has notable health benefits. In one large-scale epidemiological study from last year, researchers primarily at the National Cancer Institute parsed health information from more than 400,000 volunteers, ages 50 to 71, who were free of major diseases at the study’s start in 1995. By 2008, more than 50,000 of the participants had died. But men who reported drinking two or three cups of coffee a day were 10 percent less likely to have died than those who didn’t drink coffee, while women drinking the same amount had 13 percent less risk of dying during the study. It’s not clear exactly what coffee had to do with their longevity, but the correlation is striking.

Other recent studies have linked moderate coffee drinking — the equivalent of three or four 5-ounce cups of coffee a day or a single venti-size Starbucks — with more specific advantages: a reduction in the risk of developing Type 2 diabetes, basal cell carcinoma (the most common skin cancer), prostate cancer, oral cancer and breast cancer recurrence.

Perhaps most consequential, animal experiments show that caffeine may reshape the biochemical environment inside our brains in ways that could stave off dementia. In a 2012 experiment at the University of Illinois at Urbana-Champaign, mice were briefly starved of oxygen, causing them to lose the ability to form memories. Half of the mice received a dose of caffeine that was the equivalent of several cups of coffee. After they were reoxygenated, the caffeinated mice regained their ability to form new memories 33 percent faster than the uncaffeinated. Close examination of the animals’ brain tissue showed that the caffeine disrupted the action of adenosine, a substance inside cells that usually provides energy, but can become destructive if it leaks out when the cells are injured or under stress. The escaped adenosine can jump-start a biochemical cascade leading to inflammation, which can disrupt the function of neurons, and potentially contribute to neurodegeneration or, in other words, dementia.

In a 2012 study of humans, researchers from the University of South Florida and the University of Miami tested the blood levels of caffeine in older adults with mild cognitive impairment, or the first glimmer of serious forgetfulness, a common precursor of Alzheimer’s disease, and then re-evaluated them two to four years later. Participants with little or no caffeine circulating in their bloodstreams were far more likely to have progressed to full-blown Alzheimer’s than those whose blood indicated they’d had about three cups’ worth of caffeine.

There’s still much to be learned about the effects of coffee. “We don’t know whether blocking the action of adenosine is sufficient” to prevent or lessen the effects of dementia, says Dr. Gregory G. Freund, a professor of pathology at the University of Illinois who led the 2012 study of mice. It is also unclear whether caffeine by itself provides the benefits associated with coffee drinking or if coffee contains other valuable ingredients. In a 2011 study by the same researchers at the University of South Florida, for instance, mice genetically bred to develop Alzheimer’s and then given caffeine alone did not fare as well on memory tests as those provided with actual coffee. Nor is there any evidence that mixing caffeine with large amounts of sugar, as in energy drinks, is healthful. But a cup or three of coffee “has been popular for a long, long time,” Dr. Freund says, “and there’s probably good reasons for that.”

Correction: An earlier version of this post stated that coffee has been a popular beverage for thousands of years. It has been popular for hundreds of years, not thousands.

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Sesame Street - Happy Healthy Monsters

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The New Old Age Blog: Empathy Without Boundaries

Jean McFee Raichle, 94, is a remarkably cheerful woman. She lives in an assisted living center in Seattle staffed by aides who are warm and nurturing. She exists in the moment, mostly untroubled by her Alzheimer’s disease.

Only once in the past several years has her daughter, Marilyn Raichle, witnessed her become alarmed. That was when Marilyn was having problems at work and called to tell her mother about it.

“She could hear the stress in my voice, and I could feel her becoming anxious,” said Ms. Raichle, 63. “I saw that she was picking up on my emotions, and I just stopped right there.”

Ms. Raichle had stumbled onto a phenomenon experienced by many people with relatives who have Alzheimer’s: emotional contagion. The term refers to the way we sense the emotions of others through their facial expressions, tone of voice or body language, and reflect them without being conscious of doing so.

Babies have this innate ability to catch and mirror the emotions of those around them. And it’s not just humans who share this capacity: other primates, rodents and birds appear to have it, too, according to several scientific studies.

Now, new research published in Proceedings of the National Academy of Sciences finds that emotional contagion is heightened in people with mild cognitive impairment (M.C.I.) and Alzheimer’s. And the greater the level of cognitive deterioration, the more pronounced this emotional mirroring seems to be.

Several explanations may account for the finding, said Virginia Sturm, an assistant professor of neurology at the University of California, San Francisco, and lead author of the report.

As the hippocampus — the brain region that helps modulate emotional responses — atrophies in Alzheimer’s disease, emotional sensitivity may be heightened, she speculated. And the brain network associated with emotional connection and empathy may become more active as pathways involved in memory and internal reflection become impaired.

“These networks may have a reciprocal relationship” that’s not yet understood, Dr. Sturm said.

In their research, the San Francisco researchers asked caregivers, friends or relatives to fill out a questionnaire rating the emotional responsiveness of 62 people with M.C.I. and 64 with Alzheimer’s; 111 people with cognitive concerns served as a control group. Then, all the participants in the study received M.R.I. scans of their brains.

The scans showed that higher levels of emotional contagion were associated with atrophy in the hippocampus and other temporal lobe regions, predominantly on the right side. Those regions are involved in several social and emotional functions, including assessing the trustworthiness and perspectives of other people.

“Degeneration in these regions may make people less adept at identifying the emotions of others in pencil and paper tasks, but they’re still able to maintain emotional reactions and connections via other routes that don’t depend on higher-level cognition,” Dr. Sturm said.

Mary Sano, director of the Alzheimer’s Disease Research Center at Mount Sinai Medical Center in New York City, called the study “fascinating” and said, “We talk so much about the cognitive loss in M.C.I. and Alzheimer’s, but in fact the emotional disturbance is equally problematic.”

Irritability or emotional volatility in people with M.C.I. and Alzheimer’s are common; these may arise because “someone is picking up an emotional cue that they can’t put into a cognitive context and is therefore misunderstood,” Dr. Sano said.

Dr. Dylan Wint, director of education programs at the Cleveland Clinic’s Lou Ruvo Center for Brain Health in Las Vegas, said, “I often tell caregivers that as facts start to fade, feelings and tone of your interactions become more important.”

“A great deal of what our higher-order cognitive function does is inhibit or modulate our lower-level responses,” Dr. Wint continued. “As these higher-order functions fail, there’s less of a dampening effect and our instinctual responses rise to the surface.”

What can caregivers do? Dr. G. Allen Power, a geriatrician in Rochester, talks to groups around the country about this issue. “We have to be very aware of our body language — being centered, present, not being distracted — when we’re with someone with dementia,” he said. “If we’re not, they’ll pick up on it and it will begin to shut them down.”

“If we are calm, we can bring people with dementia to a calm place,” he said. “And if we are anxious, we can amp people up.”

Also, recognizing that people with dementia live in a world suffused with emotion can help caregivers understand the importance of identifying feelings that may underlie a patient’s behavior and respond to those, meeting needs that someone is no longer able to express directly.

If you’re getting frustrated with someone with dementia, try stopping and counting to 10, Dr. Power suggested. Think of a positive quality they have, and focus on that. “Any mind trick you can use to get a place of acceptance and being nonjudgmental makes a difference, because the person you’re caring for will sense that and respond to that,” he said.

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Vibrant Health Joint Vibrance, Powder, Gluten Free, 12.1-Ounce

Nearly everyone has some degree of cartilage breakdown by the age of 32 to 35. Today’s science has shown us that the function of cartilage-building cells (chondrocytes) can be sustained as long as their nutritional requirements are met.Glucosamine, a popular supplements for joint health, is converted to hyaluronic acid by chondrocytes, and primarily acts to rehydrate cartilage, giving it greater cushioning power. Chondroitin sulfate helps hold collagen fibers together in the formation of cartilage. But it takes more than glucosamine and chondroitin to provide first class nutritional support to chondrocytes. It takes Joint Vibrance.Joint Vibrance matches antioxidant botanical extracts and appropriate minerals to meaningful amounts of nutrients vital to the construction of cartilage.

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Cardiac Arrest

A cardiac arrest can best be described as a sudden and abrupt loss of heart function. This can occur in a person regardless of whether they have been diagnosed with heart disease but if this occurs suddenly and unexpectedly, it is called sudden cardiac arrest. Unfortunately, many people are prone to sudden deaths that occur usually within minutes after the initial symptoms. There are many reasons that a person can die suddenly from cardiac arrest, but the most common is if the patient suffers from cardiovascular disease.

Sudden death caused by cardiac arrest usually occurs because the electrical impulses in the heart become extremely fast. This is known as ventricular tachycardia. If the electrical impulses becomes extremely chaotic, is called to ventricular fibrillation. An arrhythmia or irregular heart rhythm makes the heart to suddenly stop beating. Bradycardia is when a cardiac arrest occurs because the heart has slowed down the right. There are many factors, other than heart disease and heart attacks that are known to cause cardiac arrest. These include suffocation, electrocution, respiratory arrest and trauma.

In as little as 4 to 6 minutes after cardiac arrest begins both brain death and permanent death. But cardiac arrest are reversible if treated within minutes. This is usually done by giving the patient an electrical shock to the heart to restore a normal heartbeat. This process is called defibrillation. Unfortunately decreases for every minute that passes where a patient does not receive CPR and defibrillation, the chance of survival by 10%. You find that very few attempts to resuscitate a patient will succeed after a period of 10 minutes or more.

There are no official statistics showing the number of cardiac arrests that occur around the world each year, but it is estimated that over 95% of people who suffer cardiac arrest will die before they reach the hospital. If defibrillation can be given to victims within five to seven minutes, 45% chance of survival. You'll actually find that dramatically reduces the death rate of young people suffering from a cardiac arrest. But we have many reports in the press over the years where young athletes have died due to cardiac arrest. The most common cause of death from cardiac arrest in young people is hypertrophic cardiomyopathy. This is where the walls of the ventricle is far larger than they should be, and in most cases this type of heart disease is hereditary. Unfortunately, the pumping Chamber of the heart far less than it needs to be, and therefore the heart must work much harder to pump blood around the body.

Death by cardiac arrest can be prevented and is most commonly associated with those who suffer from heart diseases. Among the most vulnerable are women aged 40 years or over as either smoke, suffer from high blood pressure or diabetes. Another well-known risk is syncope, which is where an individual will suffer the loss of consciousness or fainting. There are many different reasons why someone might faint, will be most important that they have an abnormal heart rhythm. Then there is always the fear that the next episode can cause cardiac arrest.

You will find that the frequency of sudden cardiac arrest is very related to the actual frequency of coronary artery disease. To reduce the risk of sudden death, it is likely that many more public health initiative must be inserted. It makes a lot of sense that if the adult population is increasingly aware of hypertrophic cardiomyopathy, the appropriate screening and action can occur, thus reducing the risk of death.

Current statistics show that around 335,000 Americans die each year of cardiac arrest. Doctors have issued a "chain of survival" that should be followed to give the best chance for survival.

The first step is to recognize the signs of either a heart attack or heart arrestImmediately call 911 or the emergency servicesCPR should be running immediatelyThe victims will need to be treated with an electric defibrillator as soon as possible, although it is most usually done by paramedicsThe victim gets some sort of advanced care, again usually from a medic, as a mounted breathing tube. They should then be taken to the hospital.

It is of the utmost importance that this sequence of events is followed if you think someone is suffering a cardiac arrest.

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The Healthy Gluten-Free Life: 200 Delicious Gluten-Free, Dairy-Free, Soy-Free and Egg-Free Recipes!

Warning, this is NOT ANOTHER GLUTEN FREE BAKING BOOK! It's a unique, gluten-free cookbook with everyday recipes that mix simple, home-style cooking with great taste and real, whole food ingredients. Every recipe is not only gluten-free, but also egg free, dairy free, soy free, white rice flour free, and bean flour free. Feel free to cheer!

In The Healthy Gluten Free Life, Tammy Credicott shows you just how easy and budget-friendly living a healthy, gluten-free life can be. By giving detailed instructions and a host of tips on everything from choosing quality ingredients to techniques on make-ahead meals to save you time down the road, Tammy will inspire you to step back into the kitchen and enjoy cooking again.

The Healthy Gluten Free Life is filled with over 200 mouth watering recipes for every meal of the day, including breakfasts, snacks, dinners, side dishes, desserts, and more. In addition, each delicious recipe is accompanied by captivating color photographs to help entice you to the final tasty dish. Beyond the recipes, The Healthy Gluten Free Life guides you on how to:

    * Choose flours that work best for you & the recipe you're working with

    * Replace dairy & eggs in your recipes easily and without fail

    * Differentiate between the multiple gluten-free flours and starches on the market, giving you the confidence to modify any gluten-free recipe you choose

    * Create a week's worth of school lunches that your kids will love and not be embarrassed by

Get the taste & texture you remember from your pre-gluten free days with the added health benefits of whole grain flours, limited starches, lower sugar, and real, whole foods! The Healthy Gluten-Free Life helps bring your family back to the table, food allergies and all!

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Casein hydrolysates

The majority of people who exercise regularly are more than aware of the importance of the post workout nutrition. By consuming post workout protein, you can build your muscles and improve your overall performance. Furthermore, this is a great way to maintain a positive nitrogen balance inside the body. The importance of whey protein in this process are well documented, and it is generally accepted that whey protein hydrolysate (WPH) are absorbed quickly by the body. WPH is therefore considered to be one of the most effective forms of protein that you can consume post-workout. The recent introduction of casein hydrolysate, however, seems to be cold stir among those in the know.

The hydrolysate can literally be translated "product of hydrolysis". Hydrolysis can be best described as a chemical process that causes one substance to be broken down into smaller units. A protein hydrolysates are therefore a mixture of amino acids that are prepared usually by breaking down a protein with acid, alkali or enzyme. The reason why an original protein is broken down, making it easily digestible and therefore easier for the body to absorb.

Grow muscle it has to be a positive nitrogen balance (protein). However, we are aware that the basic protein are not sufficient on their own. Scientific research has shown that a high plasma amino acid itself is inadequate to actually promote protein synthesis. It also tells us that we need a fair level of amino acids as metabolic process requires the most. This is, of course, post workout, and it's important to keep both levels of amino acids and high plasma insulin. In theory, a protein that the body is able to absorb more quickly to be the most effective form of amino acid after a workout.

Scientific study in 2009 showed that ingestion of a protein hydrolysate is much more likely to accelerate protein digestion and absorption in the gut, then a normal protein. In fact, one can increase the proportion of dietary amino acids Hydrolysate as part of skeletal muscle protein. During this study was the main form of the Hydrolysate of casein hydrolysates used. It was proven that this form of protein managed to increase levels of insulin, which in turn will increase the rate of protein synthesis. Furthermore, this is a fantastic way to put carbs in muscles. So it seems that casein hydrolysate is an easily digestible and absorbed protein, it is also able to increase the insulin and therefore will increase the rate of protein synthesis.

Many people strongly believe that the casein hydrolysate is far more effective than whey protein hydrolysates. The reason for this is that some glucogenic amino acids are, meaning that during the metabolic process, they will be converted into glucose. This will actually explain why certain amino acids are related to insulin response above. Whey protein is known to be lower in some amino acids such as arginine, glutamine and phenylalanine. These are three of the major glucogenic amino acids. Casein is known to have a high content of these amino acids and threonine, which would suggest that the casein hydrolysates to be much more effective than whey.

Unfortunately, there is no relevant studies to back up this theory. There are also some data that compare the digestion of casein hydrolysates and WPH. Therefore we can only assume that casein hydrolysates holds an advantage over WPH. Casein protein that has not changed is perfect to drink as a night shake. This is due to the fact that it is very slow is melted and absorbed in the body. The molecules of casein protein is known to sit in my stomach together over a long period of time, thereby slowing the rate of gastric emptying.

Casein hydrolysates derived mainly from casein protein's found in a cow's milk. You will find that a normal good-casein hydrolysates will contain about 85% protein. Casein enzymatic hydrolysis, and then usually undergo solution will be treated by heat. After this solution will be concentrated and spray dried. This all sounds scientifically possible, but will use casein hydrolysates make any difference to your post workout nutrition? The main advantage of casein hydrolysate is that it allows you to make the most of your post workout nutrition as it also contains carbohydrates. This will directly increase your insulin into the blood which, as mentioned, can make a big difference for you after your workout. Many people consider casein hydrolysates be best of all post workout protein. Many of us, however, is careful to spend large sums of money on supplements that may turn out to be worthless. With that said, there is plenty of evidence to prove that the casein hydrolysate is useful and therefore it may do no harm as part of your post workout nutrition.

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Vibrant Health Rainbow Vibrance, Full Spectrum Superfood, 6.24-Ounces

Rainbow Vibrance red, yellow, blue & green fresh fruits and vegetables two-thirds of a pound of fresh fruits and vegetables concentrated in each scoop. Equivalent to 4½ servings of fruits and vegetables 3,974 ORAC units per serving; Gluten free. We do not live in a monochromatic world. In the realm of nutritional supplementation, red drinks are not enough. Blueberry, blackberry, grape, plums, peaches and apricots measure up well against the famous red fruits cranberry, raspberry, cherry and Camu-camu. But good health does not revolve solely around the strength of anti-oxidants in the diet. Soluble and insoluble fibers, indoles, sulphorohane, flavanols, flavonoids, and complex polysaccharides and carotenoids all play a part.

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DASH diet guidelines

The DASH diet, or Dietary Approaches to Stop Hypertension, was designed for those with hypertension or prehypertension; hypertension is the medical term for blood pressure. It is a low salt diet plan with additional benefits designed to reduce blood pressure. Not surprisingly, the concepts of this diet could be followed by anyone on a healthy eating plan because it includes a lot of fruits, vegetables and low-fat dairy. The DASH diet plan is supported by the National Heart, Lung, and Blood Institute, American Heart Association, Dietary Guidelines for Americans, US Guidelines for the treatment of blood pressure, and it is the basis of the USDA MyPyramid. This diet can provide benefits within 2 weeks after starting the plan; that’s a huge benefit for a lot of people. Many people are affected by hypertension, and many of those people don’t want to go on medication for it. Although some can’t avoid taking medication, following the diet plan can allow for them to really cut back on the amount that needs to be taken.

Eating Tips for the DASH Diet Plan

Make gradual changes
The slower you incorporate the changes, the more likely they will become habits and you will stick to them.

Limit sodium intake
Sodium intake should be between 1,500 and 2,300 mg per day, preferably somewhere near the lower end.

Limit consumption of certain fats
Trans fats, saturated fats, and cholesterol should be eaten on a limited basis. These fats are bad for the heart and can clog arteries.

Increase servings of produce and dairy
This diet includes plenty of fruits, vegetables and low-fat or nonfat dairy products.

Increase fiber and whole grain intakes
Fiber is great for the digestive system and has many other important functions; half of your grains should be whole grains.

Limit sugar intake
Refined sugar has become a big part of the American diet; try to reduce your consumption of added and refined sugars.
Reduce alcohol consumption. Alcohol is metabolized just like sugar.

Exercise for at least 30 minutes every day. It doesn’t have to be 30 minutes all at one time; it can be broken into 10 minute intervals or something along those lines. The exercise should be moderate intensity, meaning you shouldn’t be able to complete a whole sentence while you’re exercising. Exercising regularly can aid in weight loss and help reduce blood pressure.

Beware of empty calories
Foods that don’t provide any nutritional value are designated as empty calorie foods. Empty calories, however, can also come from beverages, such as sodas. Drink water, herbal teas, healthy juices, and skim milk.

Watch serving sizes
Learn how to recognize proper serving sizes and control your food intake.

Don’t deprive yourself
If you’re craving a sweet, go for it. Just make sure it’s not an everyday thing. If you completely deprive yourself, you’ll end up bingeing at some point…and regret it!

Increase calcium, magnesium, and potassium intake
Foods that are rich in these, respectively include milk, cheese, green vegetables, fortified juices, and soy products; green vegetables, potatoes, milk, shrimp, nuts, and whole grains; spinach, potatoes, tomatoes, bananas, cantaloupe, pears, and fish.

Servings for the DASH Diet
The following is the breakdown of where your daily calories should come from on this diet.
Total fat: 27% of calories
Saturated fat: 6% of calories
Protein: 18% of calories
Carbohydrate: 55% of calories
Cholesterol: 150 mg
Sodium: <2,300 mg
Calcium: 1,250 mg
Fiber: 30 g

Next is a list of the amount of servings you should get from each food group while on this diet.
Grains (at least ½ should be whole): 7-8 servings
Fruits: 4-5 servings
Vegetables: 4-5 servings
Dairy (low-fat or nonfat): 2-3 servings
Lean meats, fish, poultry: 2 or less
Nuts, seeds, legumes: 4-5 per week
Fats and sweets: 5 per week

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Wheat Belly Cookbook: 150 Recipes to Help You Lose the Wheat, Lose the Weight, and Find Your Path Back to Health

This cookbook companion to the New York Times bestseller Wheat Belly serves up 150 great tasting wheat-free recipes to help readers lose weight and beat disease.

Wheat Belly shook the foundations of the diet world when author and renowned cardiologist William Davis revealed that an epidemic of adverse health effects—ranging from minor rashes and high blood sugar to the buildup of stubborn belly fat (so-called "wheat bellies")—could be banished forever with one simple step: Saying goodbye to wheat. The Wheat Belly Cookbook takes readers to the next level with over 150 fresh and delicious wheatless recipes, including Breakfast Quesadillas, Braised Pot Roast with Vegetables, velvety Peanut Butter Pie—and surprising wheat-free hits like Blueberry French Toast, Bruschetta Chicken on Angel Hair, Spaghetti Bolognese and velvety Scones.

Additionally, readers will also learn how to:

  • Dodge symptoms of "wheat withdrawal" experienced by about 10 percent of dieters, ensuring a smooth transition to this new healthy eating plan

  • Set up their wheat-free kitchen, including important prep techniques, shopping lists, and strategies to get the whole family on board

  • Avoid regaining a wheat belly while eating out at restaurants and parties—plus exciting meal ideas guests will love

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Diet for pregnant women

There are many things for pregnant women worry, nutrition is just one of them. pregnant women are under an incredible amount of pressure to make everything right for their child, and it often seems that everyone has an opinion – and of course there's a reason why. pregnant women have an enormous responsibility to meet, and it is hard to know just where to look for reliable information.

Diet for pregnant women is extremely important, both for the pregnant woman herself and her future children – the food as a pregnancy woman eats can influence both the development of her Fetus, and how she is experiencing her pregnancy. The foods that pregnant women choose to eat provides all the nutrients and energy for her Fetus, as well as supporting its own slightly changing health needs. The concept of "eat for two" is not entirely correct, since the needs of pregnancy is not quite the same thing as easting of a completely separate person – and many of the limitations and special dietary needs of pregnant women is sought over in this analogy — but the term is more or less true. Pregnant women eat more and different ways to support the other potential person inside them.

Pregnant women need to eat more, and should expect to get some weight. Twenty-five pounds or more should not be surprising for healthy women. Individual weight gain may vary with obese women in general need less weight and thinner women often find they need more to support their energy levels. In most cases, none of these errors. Too much weight during pregnancy, but should be avoided because it will not make either the child or the woman something good.

A good way to think about where the extra nutrients for pregnant women to come from thinking about what the fetus needs as it grows. The fetus requires minerals and vitamins for their growth, especially calcium, iron and folic acid. Drink an extra glass of milk every day, early in pregnancy, is a good start and all increases most women need in the first few months. In recent months, an extra piece of fruit or bread, along with the milk, healthy ways to meet this need for extra energy and provide calcium.

Many pregnant women find that having three small, sleek, light meals a day and then have snacks often helps them to maintain energy better and suffer less of abdominal discomfort associated with pregnancy, such as nausea and heartburn. In thinking of snacks are fruit and healthy dairy products like yogurt and cottage cheese a lot better than cake and other goodies. Baked goods often have hidden calories and fat in them, and often do not support the nutritional needs of pregnant women particularly well.

Pregnant women need a little extra fat – especially important to diet for pregnant women is Omega-3 fatty acids. This is also somewhat controversial because the toxicity for fish is a good source of Omega-3 has been questioned. Pregnant women can, but try to eat lower toxicity, fish that are high in fatty oils in moderation to support brain development. Sardines, mackerel and wild-caught salmon is often seen as a good choice when consumed in moderation.

Pregnant women should avoid alcohol. Alcohol has thoroughly proven to negatively influence the development of the fetus, especially when consumed in excess during the first few months of pregnancy. Some doctors may occasionally allow some moderate alcohol consumption for pregnant women, but normally in the form of a small amount of wine.

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You Are Your Own Gym: The Bible of Bodyweight Exercises

From an elite Special Operations physical trainer, an ingeniously simple, rapid-results, do-anywhere program for getting into amazing shape.

As the demand for Special Operations military forces has grown over the last decade, elite trainer Mark Lauren has been at the front lines of preparing nearly one thousand soldiers, getting them lean and strong in record time. Now, for regular Joes and Janes, he shares the secret to his amazingly effective regimen—simple exercises that require nothing more than the resistance of your own bodyweight to help you reach the pinnacle of fitness and look better than ever before.

Armed with Mark Lauren’s motivation techniques, expert training, and nutrition advice, you’ll see rapid results by working out just thirty minutes a day, four times a week—whether in your living room, yard, garage, hotel room, or office. Lauren’s exercises build more metabolism-enhancing muscle than weightlifting, burn more fat than aerobics, and are safer than both, since bodyweight exercises develop balance and stability and therefore help prevent injuries. Choose your workout level—Basic, 1st Class, Master Class,and Chief Class—and get started, following the clear instructions for 125 exercises that work every muscle from your neck to your ankles. Forget about gym memberships, free weights, and infomercial contraptions. They are all poor substitutes for the world’s most advanced fitness machine, the one thing you are never without: your own body.

Price: $16.00

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Health: Premature ejaculation

Erectile dysfunction is a very common type of sexual dysfunction for men. Nearly one in every three women develop erectile dysfunction at some point in their lives. There are two forms of erectile dysfunction, premature ejaculation or rapid ejaculation. Premature ejaculation occurs when a person ejaculates too quickly. Basically comes to premature ejaculation cause a guy to ejaculate from just a small amount of sexual stimulation. In some cases, it may not be premature ejaculation but pretty ejaculation begins immediately after penetration.

Cause of erectile dysfunction
Premature ejaculation, rapid ejaculation is just side effects of erectile dysfunction. Erectile dysfunction itself is caused from having sexual anxiety. If you are too eager for sexual stimulation and get worried about staying hard can it cause you to ejaculate prematurely. Although the condition is not always caused by your mentality during sexual interaction and it can be a physical condition as well.

From the research that has been done on the subject up to this point, it is possible that rapid ejaculation occurs after your penis is too sensitive. If this is the case then it would cause you to ejaculate quickly just from small and regular sexual turn sensations there for most people, it would be just a simple.

Of course, there are the psychological causes of the condition as well. Premature ejaculation, as already mentioned, is usually caused psychologically by having sexual anxiety. This is a common problem that many men feel they're not stay hard or satisfy their partner so it ends up being an ultimate let down for them and they ejaculate too quickly.

Treatment of erectile dysfunction
Also treat conditions can change your mentality and becomes more focused on enjoying yourself during sex, there are some possibly erectile dysfunction treatments that you can consider. If you have trouble getting your mind in the right condition during sexual activities, you can visit a psychologist to get counseling.

Usually, the best results from this if you and your partner go to sessions together and is completely open with each other. You may also be recommended to do some exercises that will focus on the enjoyment of the activity and not the actual results. In some situations, you can also propose to complete some stress exercises as well.

Erectile dysfunction treatments for the condition that developed hormone problems would include adding or removing medicine from your daily routine. There are some medications that can cause erectile dysfunction but you should not delete them without the doctor's permission.

If you suffer from diabetes, it is imperative that you get the correct medication, diet plan and exercise often to maintain good blood sugar control. If you avoid this it will cause erectile dysfunction to become more serious.

It is also possible that you have caused irreparable damage to the blood vessels or nerves that are associated with your penis. If that is the case, then some possible erectile dysfunction treatments to you cover by means of a vacuum device for injection therapy, medication, vascular surgery, or get penile implants.

Instead of going into detail on each of these erectile dysfunction treatments you can do further research on them later. Your doctor will also be able to determine which is the best method of treatment for you.

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The Beauty Detox Foods: Discover the Top 50 Beauty Foods That Will Transform Your Body and Reveal a More Beautiful You

In her bestselling book, The Beauty Detox Solution, Kimberly Snyder—one of Hollywood's top celebrity nutritionists and beauty experts—shared the groundbreaking program that keeps her A-list clientele in red-carpet shape. Now you can get the star treatment with this guide to the top 50 beauty foods that will make you more beautiful from the inside out. Stop wasting your money on fancy, expensive beauty products and get real results, while spending less at your neighborhood grocery.

– Enjoy avocados and sweet potatoes for youthful, glowing skin

– Snack on pumpkin seeds for lustrous hair

– Eat bananas and celery to diminish under-eye circles

With over 85 recipes that taste as good as they make you look, you can finally take charge of your health and beauty—one delicious bite at a time.

Price: $17.95

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How hearing AIDS work?

Our hearing is considered one of the most important senses. This is normal since it allows you to be careful with some dangers that you cannot see. an example would be a car coming around the corner, where you will hear the car before you actually see it. Hearing is very important when you communicate with each other as we usually speak and then listen, or vice versa. But many people are deaf from birth or find that hearing deteriorates as they get older. This can be a very daunting experience, but thankfully we have hearing aids to help us.

Initially, it is important to recognize how our ears actually hear sounds. Sound can best be described as a form of energy that we can overhear. Usually when something makes a sound it will usually vibrate and force the air molecules to move around far more energetically. This will cause many amounts of air molecules to crash into each other and then create good energy. These specific waves of sound energy will be traveling in many directions until it finally reaches your ears.

Large external flap on the ears, known as limbs, is actually shaped as they are to collect sounds coming from many directions. It is then able to funnel sound directly into the ear canal, which is the hole that leads to your inner ear. You will then find the end of the ear canal is the eardrum. The eardrum vibrates when sound waves hit them. in addition, there are three small bones in the skull that can detect vibrations from the eardrum and will forward them to the cochlea. The three small bones called the hammer, anvil, and stirrup, cochlea, a snail that shaped organ that is filled with fluid and small hairs. Sound vibrations will cause the liquid in the cochlea to travel back and forth while small hairs to detect vibrations. This, in turn, sends an electrical signal to the brain which then will be heard as a noise.

Unfortunately, the actual Path between the outer ear and the brain can be damaged or blocked in a number of ways and this can lead to hearing loss or even someone become deaf. The most common form of hearing loss is due to the hairs in the cochlea are damaged. Fewer hairs, smaller stimulus is sent to the brain, thus it means sounds will need to be higher to hear them. This is where a hearing aid is so good that someone who has impaired hearing. If anyone has suffered a loss of hair cells in the cochlea, a hearing aid can make a huge difference.

A hearing aid can best be described as an electronic sound amplifier. In reality, they are no different than a person on the stage with a microphone, or a person who speaks to a large crowd through a loudspeaker. All hearing aids actually contains a microphone, amplifier, a speaker and a battery to power them. But instead of being as big as a microphone or speakers, they are usually small and unobtrusive and can be worn just behind your ear or just inside the ear canal.

The most common type of hearing aid is behind the ear and will usually consist of two separate parts. First, it is a hard plastic bag containing a small amplifier, speakers, microphone, just behind the ear. This should then be linked via a hose to a plug which is called the ear mold. Mold is shaped to fit inside a person's ear canal. The microphone will then pick up sounds around you and instantly turn them into an electric current. The amplifier will then be able to increase the size of the current, and the speaker then becomes original audio to a much louder sound. This amplified sound will eventually make its way into the ear mold. Another style of hearing aid is the in the ear hearing aid. This has exactly the same components, but they are all equipped with a device which can be pushed directly into the ear canal. One in the ear hearing aids are very discreet and you will often not be able to tell if someone is carrying a.

There are two main types of hearing aid and these are analog and digital. An analogue hearing aid will be able to convert sound to electrical currents and increase these flows, before converting them back to make the audio appear higher. Digital hearing aids usually cost a lot more money, and are considerably more sophisticated. They are known to convert audio to a numerically coded signal before turning back to the sound. You can also set up a digital hearing aid that highlight specific audio or even blocks the unwanted noise. Unfortunately, that analog hearing aids just reinforce all with exactly the same amount.

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Your Shape Fitness Evolved

Introducing Your Shape Fitness Evolved, a revolutionary fitness game for Kinect for the Xbox 360 video game and entertainment system from Microsoft. Your Shape’s proprietary Player Projection technology puts your body into the game for the ultimate experience. You’ll control the game intuitively with your voice and body as you create your desired fitness experience.

Choose a personal trainer to help you meet your specific fitness goals, take a Yoga or Martial Arts class, or play fun, family-friendly mini-games. As you exercise, you’ll receive specific feedback on your every move, thanks to the game's real-time precise tracking system. Plus, you’ll interact with captivating visual effects that respond to your movement and impact. You’ll have so much fun that you won’t notice how hard you’re working until you see the results!

Price: $19.99

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Lupus disease

If you are a woman, chances are that you, someone in your family, or a friend is afflicted with lupus disease. This chronic autoimmune disease is prevalent, occurs mostly in women, and can make life painful and difficult for sufferers. What lupus disease does is cause the body’s immune system – usually used to fight off disease and dangerous bacteria – to instead attack itself. Lupus disease can cause this attack to affect any part of the body, and the attack generally results in painful inflammation of the afflicted body part and tissue damage.

Lupus disease occurs approximately 9 times as often in women as it occurs in men, and often attacks people between the ages of 15 and 50. Interestingly enough, people of non-European descent also seem to represent the brunt of lupus disease cases.

So what happens to sufferers of lupus disease? Well, studies of people with lupus disease have shown that the disease most often affects the heart, joints, skin, lungs, blood vessels, liver, kidneys and nervous system. If that sounds like almost all the major body systems, that’s because it unfortunately is. Luckily, the body’s central operating unit, the brain, is not among the list of body systems generally affected by lupus disease.

When someone, usually a woman of non-European descent, finds herself suffering from lupus, she is prone to outbreaks commonly called “flares.” During these flares, the disease acts up, causing the body to attack itself and the woman to feel pain. When the flare is over, lupus disease is said to have gone into remission, meaning that it is no longer causing the body to attack itself. Unfortunately, it is generally just a matter of time before lupus disease strikes again.

Fortunately, lupus disease is treatable, but as with many autoimmune diseases, the primary treatment for lupus disease has to do with treating the symptoms instead of the underlying cause. To do this, doctors prescribe medicines such as corticosteroids and immunosuppressants. Unfortunately, there is no cure for lupus disease, but fortunately the disease can be managed with proper treatment. For a long time, lupus disease was a fatal disease, but now that medical science has turned its attention to curing lupus disease, fatalities from this dangerous disease have become infrequent. For example, the survival rate among lupus victims in North American is 90% at 10 years and 78% at 20 years. With treatment, lupus suffers can live a productive life.

Wondering if you may have lupus? Let’s examine the signs and symptoms. First, it is important to note that lupus disease can be difficult to diagnose because it often mimics the signs and symptoms of other illnesses. For example, the common initial symptoms of lupus disease are fever, malaise, joint pains, fatigue and myalgias (muscle pain.) As you can see, these symptoms are fairly general, and for that reason, doctors often mistake lupus for another disease.

That’s why doctors often look to secondary symptoms such as dermatological symptoms. About 65% of lupus disease sufferers complain of skin symptoms, and one very telling skin symptom associated with lupus disease is called the “butterfly rash.” This rash appears on the face and is in the tell-tale butterfly shape. They can also suffer from thick, scaly red patches on the skin, ulcers in the mouth, nasal cavity, and vagina, and skin lesions. The joints can also be affected in lupus disease, though joint pain is often not debilitating. Further, anemia and heart problems can result from lupus disease.

If you think that you may be suffering from the signs and symptoms of lupus disease, contact your doctor immediately. Bring up your concern during your clinical visit, because lupus disease is often diagnosed as other conditions before it is discovered.

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Healthy Origins Probiotic 30 Billion Cu's Shelf Stable, 150 Count

A powerful blend of 8 friendly bacteria strains. Help support a positive balance of micro flora in the intestines. The stomach acid resistant to ensure that the maximum amount of friendly bacteria reach the intestinal tract to exert their greatest benefits. Stable at room temperature.

Price: $89.99

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Healthy Home Update: It’s Time For Real Solutions

How one custom home builder is working to educate others on how our homes can negatively or positively impact our health.  An insider’s look at healthy homes and why the real message has only now begun to emerge. Just do a search on the words “healthy home” and a list of websites emerge that deal with one primary issue: indoor air quality.  Clearly this is an area of concern for today’s homeowner; however, luxury homebuilder Jenkins Custom Homes has begun an initiative to educate others on what makes a home truly healthy.  By creating a website ( as well as a Twitter feed (@HealthyNewHome), Jenkins is using their expertise as industry leaders in the field of new home construction to send the message to the general public about what it really means to have a healthy home.  

Austin, TX—you needn’t look far for information on healthy homes.  The question Bethany Jenkins asks is this: are you really getting the full story? And if the mainstream media provides any clues, the answer is no.  A healthy home means more to award-winning homebuilder Jenkins Custom Homes than just improving the quality of the air you breathe.  It means providing homeowners with adequate lighting to help prevent the degradation of their eyesight.  It means allowing space for exercise equipment – or even in in-home gym, if possible.  It means installing top of the line water filtration systems, which can reduce the toxins present in their drinking water.  It means designing a home with a kitchen that is easy to access and a dream to use.  And that is just the tip of the iceberg say owners Shan and Bethany Jenkins.

“We had a close friend who was undergoing experimental cell treatment.  He was not allowed to move home until his home was certified as a ‘Healthy Home’.  His was our first ‘Healthy Home’ and we’ve been working with doctors and allergists since then to continually improve the process,” says Bethany Jenkins.  With this kind of passion fueling them, it is no surprise that they are leading the way in their industry.  And by marrying technology with home building, Jenkins has become not only a top local builder, but a source others turn to for information worldwide, thanks to their new website.  

Shan Jenkins, owner of Jenkins Custom Homes, says, “It’s time we consider whether or not our homes are truly the safe havens we intend them to be.” As proof, Bethany Jenkins asks homeowners to consider these three areas before deciding on what constitutes a truly healthy home:

·         What does good health really mean?  Most people would define it in broader terms than just the quality of the air we breathe.  

·         What place has more of an impact on our “whole health” - the overall health of our bodies, minds & spirits - that than our homes?

·         How can we call our homes truly healthy homes if they are not our personal oasis, a place where we can truly rest and relax?

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Healthy Ponds® 11004 Blast, 3.17 Pound Box of 12 Water Soluble Packets

Provides an added boost of treatment for seasonal spikes in your pond's nutrient level due to hot weather, excessive runoff, etc. Blast accelerates the decomposition of organic matter through a non-toxic, proprietary blend of bene?cial bacteria. Best used in conjunction with the Healthy Ponds® AquaSpherePRO, Floating Lily, or Submersible Dispenser. Includes 12 pre-measured, easy-to-dispense water soluble packets. Made in USA.

Price: $129.99

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Fahey Thin Fast Assist New Diet Program Makes Dieting Tastful Offers New Featured Website For Health

Studies have also shown that there may be a metabolic benefit to guarana, especially when combined with other powerful natural ingredients. Fahey Thin Fast Assist a patented extract from an African Mango called Irvingia gabonensis (IGB0131) has been shown to help support leptin sensitivity (the “hunger hormone”) in overweight people. In a recently published study, African Mango demonstrated beneficial effects upon leptin blood levels, followed by weight loss and inches off the waistline.

Fahey Thin Fast Assist can help with weight loss there was a recent impressive human clinical data revealed that African Mango supports weight loss of over 20 pounds on average in 10 weeks. Fahey Thin Fast Assist has combined all of the world’s most popular super fruits find more info online at

Green Coffee Bean Extract, Green Tea, Guarana, Garcinia Cambogia, with the only patented form of African Mango (IGB121) to bring you a miraculously powerful supplement that could help you cleanse your body, lose significant body weight and inches of abdominal fat while providing increased and sustained energy levels so you can get more out of life. Fahey Thin Fast Assist website you can find more information:

Fahey Thin Fast Assist,, has shown green tea extracts are capable of reducing fat digestion by inhibiting digestive enzymes. Others have shown thermogenic properties of green tea (probably brought on by the interaction between its caffeine content, and catechin polyphenols)1. Thermogenesis is the process of the body burning fuel (fat) without making chemical energy (the calories are released as heat).

Fahey Thin Fast Assist, Green Coffee is a potent, natural antioxidant that helps protect the body from free-radical stress and damage. It aids in burning fat, enhancing healthy weight management without drug side effects. Fahey Thin Fast Assist has the key ingredient in aiding healthy weight management. Fahey Thin Fast Assist only use the purest green coffee bean giving customers the highest possibly effectiveness while trying to obtain your weight management goals. Fahey Thin Fast Assist website you can find more information:

Fahey Thin Fast Assist has long recommended natural solutions for healthy weight loss because they are completely safe and don’t have any of the negative side effects that can harm the body extensively. With Fahey Thin Fast Assist African Mango Diet, you get the natural solution doctors prefer with a clinically tested supplement that can help burn body fat. Doctors everywhere want you to lose weight and with Fahey Thin Fast Assist African Mango Diet, you now have the natural solution to healthy weight loss your doctor’s recommended.

Fahey Thin Fast Assist could help remove toxins, poisons, waste, and unhealthy bacteria from your body, and feel cleanser, lighter, and more energized! Fahey Thin Fast Assist is here to coach and cheer you on to weight-loss success with Health and Wellness Resources! This is your resource for healthy tips, to connect with other active members on Facebook, learn how others have been successful with Health and Wellness Resources, and talk to a coach or trainer who can help you get maximum results. Fahey Thin Fast Assist website you can find more information:

Fahey Thin Fast Assist powerful appetite suppressant helps block fat production in your body while reducing your appetite. It works by blocking an enzyme in your body called ATP citrate lyase that is responsible for allowing carbohydrates to be stored as fat.

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Chinese Red Enless Knot Feng Shui Coins to Attract Wealth and Health - 2 sets

Authentic recreations of Qing era coins are bound with red string and a hand tied Endless Knot to create a set of good luck charms. The endless knot is an ancient symbol from India, which traveled across Asia with the spread of Buddhism. As an emblem of wisdom and longevity it has been embraced by cultures all over the world. Its said to have no beginning or end and is commonly associated with religious ideas of infinity. As one of the 8 auspicious symbols of Buddhism, it embodies the infinite wisdom and compassion of the Buddha.

Chinese Taoism has also adopted the endless knot and incorporated it into Taoist traditions. Combining the endless knot with Feng Shui coins is said to improve energies for health and wealth together. The round coins with a square hole represent heaven and earth. Tradition holds that putting three coins together and binding them with a red string completes a Taoist trinity of Heaven, Earth and Humanity. The tied coins become a good luck charm for bringing prosperity and fortune to the holder.


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Cook"n Vegetarian - Meatless Meals for Healthy Living

Meatless Meals for Healthy LivingProduct InformationThe diet of choice for many world cultures for millennia vegetarian cuisine iswidely recognized as innovative exciting and appetizing as well as healthy.With Cook'n Vegetarian you have the benefit of healthy foods in half the time.Plus you get all the benefits of the Cook'n recipe engine like menu planninggrocery lists calorie counting and recipe organization.  With theincreasing interest in healthier eating as well as ethical concerns about animalproducts more and more people are discovering that there is life after meat.

In grocery stores and greenmarkets everywhere the selection of fruits andvegetables has never been so impressive. The Cook'n Vegetarian CD assembleshundreds of the world's best vegetarian dishes to celebrate the diversity ofchoice in a vegetarian diet.  Featuring recipes for tasty and healthfulmeatless dishes made with fresh ingredients the whole family will love theCook'n Vegetarian CD also includes a selection of "almost-instant"recipes with preparation times of 30 minutes or less.  Includes 377recipes.  Many of the Cook'n Vegetarian CD's recipes use less fats sugarsand salts and bring out the natural nutritional properties in everyday foods.Treat yourself or your family to healthy eating.

Product FeaturesCook'n will: Search thousands of recipes in seconds--just tell it what you have on hand Adjust recipe serving sizes automatically Organize your own recipes E-mail recipes to your friends Print your recipes on decorative 3x5 cards Create weekly menus Make grocery shopping lists Search the inter for coupons Analyze the nutritional value of your recipes Download recipes & shopping lists to your Palm Pilot!Electronic CookbookSimply tell Cook'n what ingredients you have on hand and in seconds Cook'nwill suggest several delicious recipes. Or use Cook'n's exclusive "RecipeBrowser" feature and page through

Price: $29.95

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Cook'n Healthy and Hearty

DVO's new Cook'n Healthy & Hearty CD comes with MOUTHWATERING photos and over 400 DELICIOUS RECIPES that your family will love.These hearty favorites taste great...oh and guess what...they're healthy too!Leave it to Betty Crocker to put together a quality collection of recipes that are both healthy and hearty.Every main dish is under 400 calories with 12 or fewer grams of fat. And the desserts are even better!Sometimes we resist changing our diets because we think we won't be able to eat what we like.

We think that if we want to eat better we will be left with boring dishes that leave us feeling unsatisfied. Not here!With over 400 flavorful recipes you'll be sure to find recipes that satisfy time and time again. Discover what you're craving in chapters on meat poultry seafood meatless and even grilling! You'll never grow tired of the abundance of appetizers breads sides and desserts we have to offer.System Requirements:Pentium processor or better Windows 95/98/2000/NT/Me 8 MB RAM 2x CD-ROM drive 60 MB HD spaceOptional Requirements:Palm OS Handheld or compatibleFormat: WIN 9598MENT2000XP Genre: REFERENCE / LIFESTYLE UPC: 615029000803 Manufacturer No: 80

Price: $19.99

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Healthy Eating Habits for Sustained Weight Loss

Dr. Carol Ginandes provides you with an inner toolkit to help you regulate your blood pressure over time. This audio set is a comprehensive, six-session training program packed with hypnotic suggestions and guided inner exercises to teach you how to diminish your stress response, downshift into a state of comfort and ease, and normalize your blood pressure. Use the program along with the medical treatment and healthy lifestyle changes to help offset the significant medical risks associated with hypertension.

Benefits of using the program: 1. Lower/normalize your blood pressure 2. May be able to avoid or lower the use of blood pressure medications which have many undesirable side effects. 3. Protect yourself from the array of health threatening conditions associated with chronic hypertension. 4. Learn how to improve your mood and emotional mastery in the face of many of the stressful challenges your life presents you with. 5. Create an overall sense of emotional and physical wellbeing. Feel much better about yourself and what you are doing to foster your health. 6. Become motivated to change unhealthy habits instead of feeling resigned and passive about an inevitable decline in health.


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Healthy Slow Cooker Recipes : Deliciously Easy Meals To Live Healthy &amp; Lose Weight (Deliciously Easy Recipes)

#1 Healthy Slow Cooker Cookbook!

Thinking about what to put on the table for dinner? Tired of the same old recipes? Want to make something quick, super flavorful and healthy?

All new Healthy Slow Cooker Recipes cookbook is here with fresh crock-pot meal ideas that will help you:

1. Save Time & Money
2. Lose Weight & Live Healthy
3. Create Delicious Meals & Put A Smile on Everyone's Face!

Eating healthy & losing weight can't be easier!

This book also offers tips on how best to use your slow cooker to create light & healthy meals bursting with flavor. There's something for everyone with Beef recipes, Chicken recipes, Pork recipes, Side Dishes and Dessert Recipes, as well as Vegetarian recipes.

Some of the fantastic recipes you will find in this book are:

Smoky Chipotle-Apricot Pot Roast
Tender Flank Steak Tacos with Tomatillo Salsa
Spicy BBQ Pulled Chicken
Tender Asian Chicken with Sesame & Ginger
Greek Pork Tenderloin with Kalamata Olives
Curried Pork Loin with Raisins & Cashews
Aromatic Cannellini & Arugula Soup
Easy Vegetarian Lasagna
Lemon Scented Wild Rice & Wheat Berry Pilaf
Light & Fresh Citrus Cheesecake

Scroll to the top of this page and click the buy button now!


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Lysol Healthy No-Touch Hand Soap, Gadget Only, Stainless Steel Look Colors May Vary

LYSOL healthy touch no-touch hand soap system helps eliminate the millions of germs that your hands can pick up each day. It automatically senses hands and dispenses just the right amount of soap. Handwashing is one of the most important steps you and your children can take to help you stay healthy and with the LYSOL healthy touch no-touch hand soap system, you and your family will never have to touch a germy soap pump again. What's more, the system's antibacterial hand soap kills 99.9% of bacteria on hands, so it's ideal for use in the kitchen or bathroom.

The starter kit includes a dispenser, one hand soap refill, and four aa batteries. When you use the LYSOL healthy touch no-touch hand soap system, you'll know you're helping your family by fostering proper and effective handwashing to help prevent the spread of germs. Antibacterial hand soap refills for the LYSOL no-touch hand soap system are enriched with moisturizing ingredients and available in four great scents:refreshing grapefruit essence (refill only) soothing cucumber splash aloe vera and vitamin E with moisturizers antibacterial total care.

Price: $7.99

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Perfect Pressure, Healthy Heart: A Systematic Hypnotic Approach For High Blood Pressure

Dr. Carol Ginandes provides you with an inner toolkit to help you regulate your blood pressure over time. This audio set is a comprehensive, six-session training program packed with hypnotic suggestions and guided inner exercises to teach you how to diminish your stress response, downshift into a state of comfort and ease, and normalize your blood pressure. Use the program along with the medical treatment and healthy lifestyle changes to help offset the significant medical risks associated with hypertension.

Benefits of using the program: 1. Lower/normalize your blood pressure 2. May be able to avoid or lower the use of blood pressure medications which have many undesirable side effects. 3. Protect yourself from the array of health threatening conditions associated with chronic hypertension. 4. Learn how to improve your mood and emotional mastery in the face of many of the stressful challenges your life presents you with. 5. Create an overall sense of emotional and physical wellbeing. Feel much better about yourself and what you are doing to foster your health. 6. Become motivated to change unhealthy habits instead of feeling resigned and passive about an inevitable decline in health.

Price: $49.00

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The Healthy College Cookbook

For nearly a decade, The Healthy College Cookbook has offered time-pressed, budget-crunched students a simple way to enjoy home cooking in their own small apartment kitchens or even dorm rooms. Written by students for students, the book offers hundreds of simple, healthful alternatives to dreary cafeteria fare. The first edition was so successful it returned to print 17 times.

Now, this best-selling cookbook has been revised, expanded, and enlivened for a new generation of students. One hundred brand-new recipes have been added to the old favorites, including expanded breakfast options, recipes for the ever-popular George Foreman Grill, new smoothie creations, and pizza toppings for storebought crusts, English muffins, and pita bases. Recipes require only a handful of easy-to-find ingredients. The book is packed with vegetarian options, and every recipe is as nutritious as it is delicious. Most can be prepared in less time than it takes to order pizza.

Most college students are new to cooking, and The Healthy College Cookbook contains a wealth of information and tips for the novice. It explains cooking terms, describes common spices, and offers basic, sensible advice on stocking a kitchen with equipment and food staples.

The book isn't just for novices, however. Even the most discerning young palates will appreciate zesty Garlic Green Beans with Tofu or lively Mandarin-Mint Salad. These recipes are so quick, so inexpensive, and so delicious that they're bound to become dinner party favorites, years past graduation.

Price: $14.95

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The Healthy Gluten-Free Life: 200 Delicious Gluten-Free, Dairy-Free, Soy-Free and Egg-Free Recipes!

Warning, this is NOT ANOTHER GLUTEN FREE BAKING BOOK! It's a unique, gluten-free cookbook with everyday recipes that mix simple, home-style cooking with great taste and real, whole food ingredients. Every recipe is not only gluten-free, but also egg free, dairy free, soy free, white rice flour free, and bean flour free. Feel free to cheer!

In The Healthy Gluten Free Life, Tammy Credicott shows you just how easy and budget-friendly living a healthy, gluten-free life can be. By giving detailed instructions and a host of tips on everything from choosing quality ingredients to techniques on make-ahead meals to save you time down the road, Tammy will inspire you to step back into the kitchen and enjoy cooking again.

The Healthy Gluten Free Life is filled with over 200 mouth watering recipes for every meal of the day, including breakfasts, snacks, dinners, side dishes, desserts, and more. In addition, each delicious recipe is accompanied by captivating color photographs to help entice you to the final tasty dish. Beyond the recipes, The Healthy Gluten Free Life guides you on how to:

    * Choose flours that work best for you & the recipe you're working with

    * Replace dairy & eggs in your recipes easily and without fail

    * Differentiate between the multiple gluten-free flours and starches on the market, giving you the confidence to modify any gluten-free recipe you choose

    * Create a week's worth of school lunches that your kids will love and not be embarrassed by

Get the taste & texture you remember from your pre-gluten free days with the added health benefits of whole grain flours, limited starches, lower sugar, and real, whole foods! The Healthy Gluten-Free Life helps bring your family back to the table, food allergies and all!

Price: $34.95

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The Healthy Green Drink Diet: Advice and Recipes to Energize, Alkalize, Lose Weight, and Feel Great

Celebrities, models, and nutritionists to the stars are all about the "green" drink—here's how to enjoy them at home.

One juice or smoothie a day—made from green vegetables such as kale, cucumber, celery, and spinach—works wonders for organ health, immune system strength, and weight loss. Now the founder of offers a persuasive argument for adding a green drink to your day, as well as recipes for dozens of different variations.

Why drink green?
•Green leafy vegetables are extremely alkaline and great for lowering your blood pH and remedying many common ailments and diseases.
•By juicing or blending the vegetables into a delicious smoothie, you can enjoy the goodness of many more cups of greens that you could possibly eat in one sitting.
•The juicing process also breaks down or removes the fibers of the plants so their nutrients are able to get into your system quicker.
•The “green drink” approach offers dieters the chance to add something rather than take it away, without guilt.

A cleansing detox drink is a fantastic, tasty way to consume all your necessary vitamins and minerals without having to resort to a processed multivitamin. Plus, green-drinkers quickly start to crave more fruits and vegetables, leading them to a healthier diet over all. The Healthy Green Drink Diet gives health enthusiasts all the tools they need to add green drinks to their daily routine and feel the wonderful, energizing results through and through.

80 color illustrations

Price: $16.95

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Waring Pro JEX328 Health Juice Extractor

Fresh juice is an important part of a healthy diet. This Waring juice extractor lets you create your own special blends. The commercial-quality stainless steel blade and powerful 550-watt motor mean quick and efficient juicing of fruits and vegetables. Unit is easy to disassemble and is dishwasher safe. Comes with a recipe book for new ideas. Available in white or stainless steel. Be sure to keep an extra supply of juice filters on hand. Sold separately.

Price: $100.00

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Eating good Exposition and living MyCityShows - Austin, adds a healthy Platinum Sponsor incubation station.

AUSTIN announced the sponsorship of the event being held from 10-20 5/4/2013 Saturday at 7601 Burnet road today Accelerator for a healthy life and good food Expo and Austin CPG (consumer product goods) companies and market validation incubation station. Incubation station top portfolio companies are participating, will exhibit new products to sample. Event will feature activities healthy and natural products, services, food,. Portion of the event proceeds will bound mobile bread and fish meal and home and grocery warehouse available to disadvantaged families and individuals Austin regional.

Incubation station to achieve sustainability and provides necessary resources to successful participants will include the ( leader and its 12-week entrepreneurship program graduates from a great success rapidly growing connections and money growth needed from dedicated mentor industry professionals and includes education, entrepreneur. Incubation station participating companies food, health and beauty AIDS, the clothing category.

• Austin was made from EastCiders - alcohol apple cider, vintage and antique Apple varieties.
• Black eyed peas world-flavored with all natural ingredients to provide free genetically modified beans trans fats, cholesterol-protein-rich and flavorful to snack.
• All local GoodSeed burgers - gourmet veggie burgers are made from natural ingredients vegan, liberating gene transgenic soy free, wheat free, nut free;
• Snack - Primizie Primizie Crispbreads creating true chef snack bar there. They enjoy the addictive, taste and thick special chip cuts a distinctive crunch.
• Thunderbird Energetica-soy is all whole foods energy bars, dairy, gluten-free 100% bio-degradable, die in added sugar packaged in compostable wrappers.
• Sanderson-food-winning salsa, steak & barbecue sauce and chips.
• Odor products – to blunt A complement to have heart in toilet paper over sanitary disposable wipes.
• Raven + Lily-women, empowering socially responsible brand fair trade and environmentally friendly design partnership dedicated artisans of India and Ethiopia,. And
• Criquet - vintage golf shirt made from 100% organic cotton Polo-style shirt and good green life; and
• Verb-at all affordable, professional grade hair care products made in the USA.

Speakers such as the American Diabetes Association, registered nurse educators and educators from the biometrics experts are provided by health information and education sessions, 10-17. For a limited time and is available at, discount tickets for admission. Will be 65 years or older admitted free. $ 3, Family $ per admission, 5.

About my city show:
Shows kisaichi, Austin, Texas based event management is oriented company brings communities subjected to charitable favors and unique personal touch events local vendors. But they do from suppliers of consumer goods and services of local access and convenient venue to purchase from local vendors while helping you can sample, as well as local non-profit organizations.

About incubation station:
Is the Accelerator for enterprise incubation station CPG (consumer product goods) market validation. To achieve optimum success fast and sustainable growth necessary connections and capital growth from only ment industry professionals and gives entrepreneurs access to important resources. Incubation station portfolio companies is an intensive 12-14 to maximize the success of the mentoring program and participate to the design week. Our goal is education and want to start effectively, make the "location of the consumer products company" Austin entrepreneur competition in this market access. Follow the profile of the portfolio companies choose.

Austin EastCiders:
Antique cider Apple varieties, tannin and acid widely experienced since the prohibition in the United States produces no taste. Is Apple made traditional hard cider. Are made from Apple Cider means ban while many cider apple orchards were destroyed. Using real cider apples, we add anything not in existence no colorings, artificial sweeteners don't concentrate, fruit not surprisingly, ferment naturally with wild apples.

Global beans:
All natural ingredients natural gene recombinant free green bean pea world in flavor (artificial flavors, colors or sweeteners). They are your average "Wasabi peas" is-they are available in 7 unique and delicious flavors. Snacks are great, they are rich in protein and trans fat and cholesterol-free. World peas are low in fat and calories than the average potato chips (1 serving is only 105 calories and 2 g fat).

World peas not snacking. They crushed the topping or use in salads, soups and flavorful for those. Using Favorites world beans let you know!

GoodSeed Burger:
Goodseed Burger is a burger homemade gourmet vegetable and pure local ingredients in Austin, Texas. Our burgers using soaking and sprouting grains and beans, are properly prepared. Is mineral rich and Patty all our nutrient dense Super food, seeds, vegetables, and grains. Vegetarians are gene recombinant free also make soy free, free, free, wheat, nut free.

Sanderson food:
Largest regional brand Texas Texas Salsa brand has become most popular Texas salsa that is one. Our Salsa almost every grocery retail chain H.E.B, Kroger, Wal-Mart, super target, Randall and Tom Thumb, central market, whole foods-can be found in Brookshire, United States southwestern regional grocery and Brookshire brothers, etc. We are ok Wal-Mart stores, La, several States, such as AR, NE, KS, MO, also on and branched, found in East Coast, fresh market stores.

Thunderbird Energetica:
Overall Thunderbird Energetica spectacular tasting food then specializes in creating energy bar. Including a strong pure ingredients unique, provides consumers and plant-based goodness Thunderbird bar high nutrient density, convenient package. Handmade meticulous attention at each bar is? Nest and mother becoming available whole fresh provide a global food.

Press & media contact:
Michael Romanies
Sales and marketing of fuel
P.o. box 201269
Austin, Texas 78720 State-United States
(512) 832-9995
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Zumba Fitness Exhilarate Body Shaping System DVD (Multi, Small)

Shed the Pounds. Feel the Thrill. Are you ready to party yourself into shape. Move it, shake it and rock it out with red hot dance steps and pulsating Latin and world rhythms. With the four disc Exhilarate Body Shaping System, you won’t want to stop. Crank up the music, torch the calories and turn your at home workout into a rockin’ dance fitness party Now you can own the Exhilarate Body Shaping System as a 4 DVD set You’ll get five exhilarating workouts with varying levels of intensity: “Step by Step,” a basic guide to break down the steps; “Activate,” a 45 minute, easy to follow class to get you started; “Ripped: Zumba Toning,” the body sculpting workout using our exclusive maraca like Zumba Toning Sticks; “Mix,” a rhythmic journey around the world; and “Exhilarate ,” the original full length fitness party experience. Plus, you’ll get a bonus 5th DVD: “Rush,” a 20 minute workout to amp you up The set also includes one pair of 1lb. Zumba Toning Sticks to help you shake, rattle and rock your way to sexy, leaner muscles, as well as the Exhilarate Program Guide featuring a 10 day weight loss plan and more.the 4th DVD has two (2) workouts "Mix" and "Ripped-Toning". "Ripped-Toning" only consists of a workout with Toning Sticks. 

Contents of the DVD Set

Total DVD Run Time 2:06:42

Exhilarate 5 (4+1) DVD Run Times Step-By-Step (Total Run Time 60:21)
Step By Step 59:45
How to use this DVD 0:36

Activate (Total Run Time 47:33)
Activate – 41:00 How to Use this video – 0:26
Tips and Techniques – 2:56
Get to know your instructors – 3:11

Exhilarate (Total Run Time 1:03:49)
Exhilarate – 59:30
How to use this video – 0:26
How to find a Zumba Class – 2:16
Get to know your instructors – 1:37

Ripped/Mixed (Total Run Time 2:06:42)
Ripped-Toning – 31:28
Get To know your instructors – 1:34
Zumba Mix – 54:27
Zumba Mix (w/ breakdowns) – 1:31:51
Breaking down the moves – 37:33
Meet Beto Perez – 1:49

Rush (Total Run Time 36:33)
Rush – 23:09
How to use this video 0:26
Zumba Wear Ripping and Cutting – 9:56
Get to know your instructors – 1:49
Outtakes – 1:18

Price: $59.95

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Healthy hearts at Jennings Motor Group

The Cardio Vascular Disease (CVD) project, co-ordinated by Gareth Harding, is being run jointly by the four Tees Primary Care Trusts, including Stockton, Hartlepool, Middlesbrough and Redcar and Cleveland, with the aim to reduce premature deaths from Cardio Vascular Disease and increase life expectancy. CVD project co-ordinator, Gareth Harding, said; “The screening service we offer is an early warning system aimed at identifying any underlying CVD risk before it becomes a serious problem.”

When Colin Massey, sales manager, at Jennings Ford’s Cargo Fleet Lane super site in Middlesbrough, received a letter informing him about the Heart Check Screening available to staff, he thought it was an excellent opportunity for him and his colleagues to get the once over. Because the test is carried out on a block booking basis within the workplace, Colin had to find a minimum of 15 members of staff who fitted relevant criteria to take the test.  

Members of staff had to be aged between 40 and 74, have no history of cardiovascular disease (including Stroke, Diabetes, and Heart Disease) and not had a Healthy Heart Check within the last five years. The number of staff at Jennings’ site in Midddlesbrough who volunteered for the test, exceeded the minimum total, but this wasn’t a problem for the NHS Trusts, who willingly accommodated the extra three members of staff who wanted to participate.

44-year-old, Colin, volunteered to be the first member of staff to undergo the test, which took only 20-30 minutes to complete and was carried out by a team of specialist nurses from the Primary Care Trusts. Each screening, which is entirely free to employers, consists of a simple finger-prick cholesterol test, blood pressure and pulse readings, in addition to a BMI (body mass index) height and weight calculation.

Following completion of the tests, Colin, was taken through a FINDRISC lifestyle questionnaire, which detects people at risk of type 2 diabetes, and at the end of the assessment, was given a cardio-vascular disease risk score. The results place the patient in one of three risk groups including low, medium or high. Gareth Harding, went on to say; “The patient is not diagnosed with cardiovascular disease on the day, they are simply given an indication of their personal risk of developing one of the vascular diseases including heart disease, stroke, kidney disease and type 2 diabetes within the next ten years.”

With consent, the patient’s GP is also informed of the results and if necessary, referrals to other NHS services are made. Throughout the screening, Jennings’ staff received general health advice on how to maintain or improve their health, which they found informative and beneficial. Staff were also given the opportunity to see a model of a clogged artery, which results from a build-up of a substance called plaque on the inner-walls of the arteries.

Colin Massey, sales manager at Jennings Ford’s Middlesbrough dealership said; “The Cardio Vascular Disease project is an excellent health initiative which has been set up by the Primary Care Trusts and is something my colleagues and I were more than willing to support with our participation.” Colin added; “A simple and painless 20 to 30-minute test, which identifies those at risk of developing cardiovascular illness, could effectively save someone’s life.” The successful screening at the Cargo Fleet dealership, resulted in a further 16 members of staff at the group’s Yarm Road site in Stockton, also taking part.

The Healthy Heart Check Workplace Screening Programme was launched in 2009 and started with only a small team of NHS nurses who carried out the checks.  Today, the team consists of a nurse bank of over 30 specialist nurses performing assessments in workplaces spanning the entire Teesside area. In the last two years, the NHS Trusts has screened over 5,000 individuals spanning dozens of businesses and community venues across Teesside.  Gareth Harding, concluded; “We have enjoyed successful screenings at a wide range of organisations, from local authority to chemical and process plants as well as large retail companies and schools and colleges.  We have even helped groups of small businesses deliver the screening as part of a collaborative screening event.”

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got fitness? Funny decal sticker Brand New!

DECAL DETAILS: WHITE DECAL 2" (inches) high, and proportional width but not more than 8" maximum length. You can apply this to any smooth dry surface.Such as the outside of a car window. Are stickers high quality material that look wonderful on texture and design. Also you customize any text in the stickers, example: got ........?(something else) I' M SEND ARE INSTRUCTIONS FOR APPYING VINYL STICKERS. Please note: Vinyl decals are intended for one-time application. Shipping is FREE , but not combine shipping charges from DIFFERENT listings.

ALL STICKERS ARE MADE ONCE PAYMENT IS RECEIVED. IT WOULD TAKE A COUPLE OF DAYS TO MAKE THEM, PROBABLY 3 DAYS TO SHIP. PLEASE KEEP IN MIND THAT YOUR ORDER WILL BE SHIPPED AS SOON AS THE PRODUCT IS PERFECTLY MADE AND ASSEMBLED. We offer a wide variety of designs that can be adjusted to any object chosen, for instance: ceramic mugs, mouse pads, Coasters, Switch Plate Covers, Outlet Plate Covers, Funny T-Shirts, License Plates, key chains,stickers etc. We invite you and your family to visit our on store, and please feel free to contact us regarding any assumptions or questions you might have on our products, we will gladly answer all of your questions. Thank you so much for visiting us!


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