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Rev. SHIRLEY A. GOLIANIS, D.D.
Doctor of Divinity,
Reiki Teacher/Practitioner, Angel Intuitive
Reiki Healing Session
"Thank you so much for Reiki, with everything going on, this was really nice."
"Thank you for everything, this was just perfect."
"With the overcoming of all my challenges, taking this time for me has been really nice. Thank you."
"This was just great, I'm so relaxed and balanced. Thank you again."
"I saw so many colors, colors of the rainbow. That was a really amazing healing session. Thank you."
"That was so incredbile and amazing! I really needed this. Thank you again!"
"This was just so relaxing and as a caregiver, I really needed this time to receive and give back to myself. Thank you so much."
"Thank you, I really needed this, it was perfect!"
"Thank you for Reiki, your energy is very warm, I feel grounded now and relaxed."
"That was so nice, the session felt very soothing. Thank you."
"Thank you for such a relaxing, healing session."
"Thank you for the 90 minute Reiki Massage; I feel great! The environment is very relaxing and you have a very successful touch that feels very advanced. You made me fall into a meditative state where I could completely relax.
"I fell into a meditative state and became very calm and felt so safe. Thank you so much.
This reminded me of biofeedback that was used in the 1970's, however this is very pleasant.
"Thank you so much for everything, as I feel so much more relaxed, especially my arm that was hurting me. Thank you!
"I take on so much from everyone, and have been so stressed, I could feel your loving energy and has made me feel uplifted and just want to thank you for that; thank you again."
"I feel relaxed, your are the best! I Loved it!
"This is my first Reiki experience and the session felt very relaxing. Thank you for everything."
"This was an amazing experience as I felt so much love coming from you. I feel incredibly peaceful and your hands, amazing. Thank you so much.!"
"This stuff really works, I feel like I can breathe again; thank you so much!!"
"I needed to be open and let you in and you seem as if you have been doing this for more than fifteen years. Thank you."
"I have been not feeling well, and thank you for the session, as I feel less congested and clear. Thank you."
"I feel lighter, I feel like I can run forever." The heaviness I felt when I first arrived is gone now." Thank you."
"I have experienced recent losses and am going through somethings right now. My energy was scattered, and now I feel at ease and more balanced. Thank you."
"Thank you, I was in so much pain, and feel better."
"You are so sweet. I am so relaxed, thank you."
"Thank you Shirley."
"I felt like I was floating, I missed you last week. I don't want to leave. See you next week, that was wonderful. Thank you."
"Thank you for giving me Reiki and relaxing me, I thoroughly enjoyed this session and do not want to go back to work, because I feel so calm and peaceful."
"This was so relaxing and so beautiful, the way you put me at ease immediately, I could feel all the anxiety, pain lift off and I drifted off into such a peaceful state. Thank you so much!"
"Shirley, I was so stressed and full of anxiety when I first got here for our session, and I have become so relaxed, you sent me to place where I was washed down a river, flowing freely as the water washed over me. I feel so good and your hands are wonderful!" "Thank you."
"Shirley, your hands, you have no idea how you transported me to such a beautiful place during our session. You are amazing. Thank you. "
"Thank you Shirley. I didn't know what to expect and now I understand what Reiki is and how wonderful I felt after my treatment. I felt alot of emotional release and feel lighter."
"I felt an emotional release when you worked on my side, where I had surgery, I was crying as I released feelings of resentment." Thank you Shirley. I will see you next week."
"This felt so good." Thank you. Thank you."
"This was really good and I feel good. I'll see you next week. Thank you."
"I feel so much better." "Thank you."
"This made me a believer, best experience of my life."
"This was my first experience with Reiki for myself. As Shirley traveled down my body and then got to my waist, and I felt a lightness exit out my right knee area. It was very exact and a definite release!"
Heidi Paddock, Ojai
"Thank you Shirley for Reiki, it was fantastic, very relaxing and I feel like dancing now. Is it o.k. to come back for another session?"
Mary Veillette, Ventura
"I feel so relaxed, coordinated and greatful for this healing session. Thank you so much. My headache is completely gone now."
Liliane Georges, Ventura
"I am relaxed now and enjoyed the session very much."
Patty McFadyen, Granada Hills
“I truly feel so much better, after a Reiki Treatment, I was left calm, rejuvenated, and focused. Shirley has wonderful healing hands.
Christina Hart, Three Rivers
"Your voice and hands have this unique calming effect. Thank you for Reiki. When can I get my next session?"
Cookie Becker, Granada Hills
"You are magnificent, believe and trust in your God-given incredibleness."
Virginia, Pfau Granada Hills
"Do you want to float on a cloud? I do! Shirley is my answer, magical, warm hands, soothing sounds, wonderful!"
Virginia Hancock, Granada Hills
"My pain level goes down and I'm now relaxed."
Susan Aigner, Granada Hills


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What Is In Leanbiome
LeanBiome is a brand-new dietary formula developed to improve gastrointestinal health. As the name defines, it targets the microbiome of the body and makes significant modifications to it. Supplying probiotic as well as prebiotic pressures to the body, it claims to reveal remarkable lead to the kind of weight-loss what is in leanbiome.
Fat burning is dull as well as difficult, but there are lots of manner ins which you can utilize to make it manageable. Naturally, you would certainly really feel unfortunate when you have to stop consuming your favored fast food and also control snacking. Taking aid from a few products would certainly make this battle easier. Among these items is the LeanBiome dietary blend, a weight loss supplement made with 100% all-natural components.
Everyone has a various metabolic price, as well as reducing the calories might not always help them slim down. In spite of surrendering on your favored foods and still no results turning up can be discouraging and also prompt individuals to quit their weight-loss trip mid-way.
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Can You Lose Weight Using Probiotics?
Probiotics are living germs that help in digestion, improve resistance and govern all body features. In contrast to the typical picture of ‘germs’ as pathogenic stress, many of them are in fact helpful for health and wellness and also are necessary to live a healthy life. There are numerous researches to disclose the potential of these probiotics as well as prebiotics in maintaining wellness which is why the use of extra types of these two is very usual.
“There is no magic in probiotic-based weight-loss. The presence of these helpful bacteria assists the body process and absorb food entirely and also shed stubborn fat layers for energy production.”
The diversity in the microbiome implies what is in leanbiome it has mostly all microbial stress that are needed to make improvements in health. However this equilibrium can be influenced by a modification in diet regimen or way of living. The signs of disrupted microbiota include acidity, windiness, irregular defecation, sluggish sensation, and also weight gain. As quickly as you begin taking probiotics, these problems solve, and also the very same happens when you start taking a probiotic supplement.
From the information collected, LeanBiome can conveniently be termed as one of the leading probiotic supplements nowadays, and there are plenty of reasons to trust this product. As per the main web site, it regulates brain and body sychronisation as well as controls the psychological as well as physical sides of excessive weight at the same time. The results include a faster as well as much better weight loss within a few weeks. This time might differ in all users, and the extremely overweight clients might take 3 to six months to see visible adjustments in health.
What is LeanBiome?
LeanBiome supplement is a fat burning formula made with probiotic and also prebiotic strains. According to the main internet site, this probiotic mix works on clearing the body from toxic substances, oxidative anxiety, free radicals, and other waste products preventing fat burning.
Sometimes, when the popular weight-loss diets and also the most efficient workouts stop working to function, the body needs a metabolic makeover. Taking a probiotic supplement everyday manages food cravings, lowers mood swings, as well as enhances digestion and tension while altering the fat storage capability of the body.
There are 30 pills in each container of LeanBiome, and also this container suffices for the whole month. Every pill is made with certain dietary active ingredients, playing a helpful function in weight reduction. It may work without diet plan as well as exercise, but the faster outcomes are observed when the supplement is used together with a healthy and balanced diet plan as well as active lifestyle.
Just How Does LeanBiome Aid in Weight Loss?
LeanBiome helps the performance of the body to digest, melt and build up fat from the food. It is based on a simple device that microbial pressures in the body are associated with food digestion and weight management. Diet tablets are typically considered hazardous and dangerous, which holds true when you are choosing an artificial item. If you are making use of a natural product, there are minimal threats entailed, what is in leanbiome as well as they are much better than any kind of trending diet pills brand.
LeanBiome is just one of these items that are easy to use and secure for long-term use. It boosts metabolic rate and also makes the body usage all of the calories obtained from food. The results include much better gastrointestinal health as well as immunity, which shows in the type of better lifestyle.
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What is Inside the LeanBiome Solution?
The biggest reason individuals fall for frauds in the supplement industry is that companies conceal information from them. A lot of these individuals do not even examine the components label, not to mention the various other information, which is an incorrect method, according to health experts. One need to always focus on the components he will take and recognize if any one of these ingredients is linked with side effects.
Every active ingredient included in the LeanBiome formula is chosen after undergoing the research study data revealing its advantages. Utilizing the original nutritional resource can additionally help acquire the probiotics, yet the supplement type has a better effectiveness than food; plus, it gives you multiple strains in one little capsule, and you do not need to eat a great deal of probiotics abundant foods each day. It is a vegan/vegetarian-friendly item, devoid of nuts, soy, milk, BPAs, as well as genetically changed active ingredients.
Although the exact resources for the LeanBiome active ingredients are not pointed out, the firm ensures they are trusted. The production happens in the United States, in an FDA-certified center. The end product is tightly packed right into costs plastic bottles and also secured to keep the top quality. The company also mentions that it checks every set via a third-party screening center to prevent the danger of contamination.
Greenselect Phytosome( GSP): this is a herbal remove made from eco-friendly tea yet with minimized caffeine levels and also higher catechin levels. It subdues cravings, regulates food desires, removes the body from toxic substances, and also saves from overeating. Therefore, the body starts shedding additional fat and also keeps a healthy weight.
Bifidobacterium longum: the supplement form of this bacteria can decrease body fat, enhance insulin feedback, control high blood pressure as well as change metabolism totally.
Lactobacillus Plantarum: while various other LeanBiome active ingredients work on weight reduction, this microbial strain specifically helps gain the weight back. It manages blood glucose levels and makes sure there is no free-floating sugar in the body.
Bifidobacterium breve: this LeanBiome active ingredient has all-natural anti-obesity benefits. It regulates bowel movement, saves from swelling, looseness of the bowels, as well as stomach discomfort, and protects against intestinal illness.
Bifidobacterium lactis: next in LeanBiome active ingredients is Bifidobacterium lactis, which lowers stubborn belly fat. It also saves from gastrointestinal problems, particularly in younger adults.
Lactobacillus Rhamnosus: this strain advertises fat burning as well as eliminates fat from the troublesome areas, consisting of the belly, upper legs, hips, and arms. It additionally saves from reabsorption of fat and gaining weight after losing it once.
Lactobacillus paracasei: it lowers persistent body fat as well as fixes the hidden issues that make it hard to slim down. It includes inflammation, contaminants, oxidative tension, free radicals, and others.
Lactobacillus Fermentum: this strain provides cholesterol management and also immunological advantages, directly influencing digestive health and wellness. It likewise saves from respiratory infections and also kidney and liver diseases.
Bifidobacterium bifidum: the surname in this list is Bifidobacterium bifidum, which makes food digestion better and much faster. It what is in leanbiome additionally regulates the awful bacteria in the gut and stops common digestion concerns.
Inulin: This active ingredient is prebiotic, which controls bowel movements and aids in digestion. Without inulin, issues such as unwanted gas, irregularity, and also level of acidity might show up, making food digestion uncomfortable. In addition to that, inulin assists in the development and also spread of probiotic germs and also contributes together with them in keeping gut vegetations.
Lactobacillus gasseri: this LeanBiome component is a probiotic pressure that speeds metabolic process, targets persistent fat, as well as controls appetite completely. It deals with decreasing BMI and also assists the body decline one whole dress size.
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Despite being a natural product, LeanBiome is not suitable for minor youngsters as well as pregnant and nursing females. It is likewise not recommended if an individual deals with underlying wellness concerns. If an individual does not recognize the duty of probiotics in weight management, contact a doctor to learn the advantages of probiotic supplements what is in leanbiome.
Note: The LeanBiome weight management supplement is exclusively offered online and also can be acquired with the official internet site at a reduced price utilizing this link.
- A simple, all-natural, as well as fast means to go down all harmful weight
- Fat reduction from the stubborn locations such as the stubborn belly, upper legs, and so on.
- High energy degrees throughout weight management as well as no weak point or sluggish feeling
- Healthy gut microbiota, with a best balance betweenbeneficial and damaging germs
- Natural components without any side effects or dangers
- Easy to use capsule form, premium packaging, and a travel-friendly container
- Reimbursement policy suitable on all orders of LeanBiome
- No prescription is needed, but the general age limitation relates to all customers
- Regulated cravings, and also minimized food aversions, particularly to unhealthy, deep-fried, and highly refined foods.
- Enhanced immunity and also security from pathogens triggering gastrointestinal illness
- Limited accessibility, as well as the only method to acquisition is through the official web site.
- Not readily available at drug stores, superstores, as well as Amazon what is in leanbiome.
- Supplies are marketing fast, as well as there is a high chance of stock ending
- Not suitable for minor individuals, pregnant and also breast feeding mothers
Private results may differ
Where to Get LeanBiome? Is it Budget-friendly?
LeanBiome is available available for sale on the main internet site below. You can position an order online, and also it will be supplied to your doorstep within three to five days. Buying from the main web site saves you from on the internet fraudulence as well as gives you a chance to take pleasure in promos and discounts.
Do not believe a person calling himself an authorized dealer due to the fact that the company has none. The orders are gotten by the company staff and also sent off from the stockroom directly.
It is not a pricey item as well as just calls for a little health spending plan. There are three means to buy it; you can purchase one, three, or six packs of bottles. Buying the bundle packs conserves more cash and provides you more containers for a minimal cost.
Here are the most up to date rates information.
- Obtain 30-day supply for $59.00 + $9.95 United States Shipping
- Get a 90-day supply for $240 + Free United States Delivery
- Get a 180-day supply for $540 +Free US Delivery
If you are only a few extra pounds over your target weight, utilizing one container would certainly suffice. But if you have even more weight to lose, consider getting a three or six container pack. The package loads save you from the initiatives of buying one bottle on a monthly basis. As the company has no membership offer as well as the product is constantly readily available in limited stock, a bundle pack is most definitely a far better option.
To position your orders for LeanBiome pills today, click here to check out the official web site.
LeanBiome Refund Policy
The results can be various depending upon a lot of variables, and it is likewise possible for LeanBiome to reveal no impacts on a user. If you see no changes in your weight despite utilizing this item for a few weeks, do not lose hope, your cash is saved with the firm.
All LeanBiome orders feature a 180-day money-back assurance. If there are no outcomes or the development appears really slow, the client can talk to the business as well as start a reimbursement request.
The firm has an active consumer assistance group all set to assist clients with refunds. Upon get in touch with, it would request the order number, call information, and also banking information to confirm from records and also initiate the reimbursement procedure.
The company may ask to return the bottles by sending them to the firm address. Do not throw utilized or new bottles, and keep them secure in case you are asked to send them back.
The refund offer is just valid on orders bought from the official internet site. It does not facilitate the orders made via unapproved resources. Right here are the contact information of the business what is in leanbiome.
The time to apply for the refunds is up to 180 days after purchasing the item. The demands gotten by the firm hereafter time will certainly not be taken into consideration or approved. So enjoy the timeline meticulously. And also, this moment suffices to see the fat burning and metabolic changes in the body. Stick to the usage guidelines and also provide this product a complete chance to reveal its results. Speak with the company if you do not see it functioning.
LeanBiome Final Remarks
LeanBiome pills aim to boost the presence and also impacts of helpful bacteria inside the body. They can enhance food absorption, digestion, and also use to create power, without any fat accumulation to make the body obese. This is a blend of probiotic and also prebiotic strains, as well as every single one of them has scientific evidence of its efficiency.
There is no chance this supplement can fail for an individual, but if the individual is unhappy, he can make an application for a full reimbursement within 180 days of acquisition. If you have chosen to give it a try, do not believe any longer and go to the official internet site today to confirm the orders. The supply is marketing quick, and also it may finish soon. Acquire LeanBiome while it is still offered using this straight link to the main web site.

domain: health


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Almost every powerlifter uses a belt when squatting or deadlifting. … So should you wear a belt? If your goal is to maximize the amount of weight that you can lift, then yes you should wear a belt. However, the belt is to help reinforce your core and is not a replacement for a proper brace.
Can you squat more with a belt?
Yes! According to some research, wearing a belt will help increase all the above, at least for lower body exercises like the squat. … Some research has also shown that wearing a lifting belt during squats increases the muscle activity of the quadriceps and hamstrings muscles.
When should you squat with a belt?
Inna: The general rule is that when a lifter can squat their body weight or deadlift 1.5 times their body weight, they should start using a belt. In my experience, women who have had multiple children may need it sooner, as will lifters with a weaker core.
At what squat weight should I wear a belt?
For the main barbell lifts, Matt recommends that you bring in the belt once you can squat your bodyweight, deadlift 1.5X your bodyweight, and shoulder press . 75X your bodyweight. Before then, just go beltless. These are only general guidelines, not hard and fast rules, mind you.
Does wearing a belt weaken your core?
A weightlifting belt does not weaken your core. Wearing a belt can increase spinal stability and stiffness by supporting your natural core musculature.
Are squat belts worth it?
A really important benefit of the belt squat is that it allows an athlete to load the lower body without loading the spine or using the upper body, so it can be hugely useful for athletes with tricky backs and shoulders — even tight elbows can make the back squat problematic. Not so with the belt.
Is it better to squat without a belt?
Quite simply, it all comes down to your performance goals. If you’re serious about lifting heavier and getting stronger, then wear a belt, plain and simple. If you regularly squat and deadlift very close to your maximum weight or want to break through a plateau, try wearing a belt.
Is using a lifting belt cheating?
Using a belt will allow you to lift slightly heavier, but not using one could put you at risk for injury should anything go wrong during a heavy set. Straps aren’t really cheating if you use them on a rowing exercise and your goal is to keep your grip strength from limiting the reps you do.
How tight should lifting belt?
How tight should the belt be? As tight as you need it. But you can put a belt on too tight. You will know if it’s too tight if it’s limiting your mobility or range of motion.
Do lifting belts prevent hernias?
Typically caused by muscle weakness and straining, hernias can result from pregnancy, constipation, heavy weightlifting, persistent coughing or weight gain. … An exercise belt is designed to brace the lower back, not to provide support for the abdominal wall, so an exercise belt is not effective for preventing hernias.
Where should I wear my weight belt?
How to Wear a Weightlifting Belt
- Step 1 — Place the Belt Around Your Waist. Ideally, the weightlifting belt should sit just above your hip bone so that it can have full contact across the back, sides, and front of the torso. …
- Step 2 — Inhale Slightly and Tighten Belt. …
- Step 3 — Breathe and Expand Into the Belt.
15 янв. 2021 г.
Do sweat belts work?
These belts only work superficially and have a temporary effect. When you wear something thick on your waist, it’s natural that you will sweat more from your abdomen, which will make you lose water weight that can make you slimmer temporarily. … People feel that wearing slimming belt melts fat from the waistline area.
Are weight lifting belts worth it?
If you’re hitting machine weights all workout long, you do NOT need a weight lifting belt. Even athletes training bodyweight movements or dumbbell conditioning won’t find much benefit with a belt. Belts should only be needed when moving large amounts of weight on a barbell. Squat, deadlift, push press, etc.
Is it better to deadlift without a belt?
Yes, training with a belt increases intra-abdominal pressure, this isn’t trying to say otherwise. Although, training a cycle or a lift every so often without a belt can be a useful tool for ensuring that there’s proper cueing of the torso’s pressure during the deadlift, aka bracing techniques are on point.
Is it bad to deadlift without a belt?
Yes. You can lift with with good technique and develope core without belt. Maybe even better than with belt. But to train the absolute maximum single or a few reps, the very heavy weights, for most people the belt is helpful.
Why you shouldn’t wear a weight belt?
Lifting belts can increase intra-abdominal pressure. This intra-abdominal pressure is good in that it increases spine and core stability. … – wearing a belt is unnecessary (apart from making your waist look smaller and your shoulders look bigger). Over-reliance on lifting belts might also weaken the core musculature.


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Beetroot Juice - Organic
Shop online - Buy Eden Organic Beetroot Juice 750ml in the UK or from our Scottish store
Sorry, this product is out of stock at the moment! Would you like to receive an alert email when it's back in stock?
Eden Organic Beetroot Juice 750ml
For many years Beetroot Juice has been thought of as a great tonic that contributes to essential vitamins, minerals and nitrates and towards our 5 a day.
Eden Organic Beetroot Juice
For many years Beetroot Juice has been thought of as a great tonic that contributes to essential vitamins, minerals and nitrates and towards our 5 a day. But recent trials have shown Beetroot Juice to be effective in reducing blood pressure for up to 24 hours.
Organic beetroot juice*, lacto-fermented, antioxidant ascorbic acid *from controlled organic farming
Important Note: Before use (or consumption if applicable) please always check the label/leaflet/manual of the product for allergens!
Buy real Eden products in the UK
We sell real Eden and other Juices & Soft Drinks directly from our shop in Scotland and online throughout the UK.
View more products from Eden.
Where can you buy real Beetroot Juice - Organic safely online?
If you are wondering where you can buy Eden Organic Beetroot Juice 750ml safely online in the UK, then shop with us.
We are an actual health foods shop; with real people selling real foods and products. Our award-winning independent shop is located in Stirling, Scotland since 1976. You can buy our Juices & Soft Drinks in store or safely place an order with us online or over the phone.
Support local, independent, real shops in the UK!


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Norav ECG 1200M -Classic model
A PC-based ECG device that is ideal for hospitals and research centers, offering 16 Bit resolution and a very high sampling rate.
Ideal for physician offices
PC-ECG connects via USB to any PC
- 12 Lead ECG
- 16 Bit Resolution and High Sampling Rate
- Signal Averaging and Heart Rate Variability applications


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Our mission is to ease suffering and improve the quality of life for those within our neighborhood by providing safe, reliable access to medicinal cannabis for qualifying patients. We put health first by providing top quality cannabis products, as well as the information and knowledge necessary to safely and responsibly navigate this medication. Our goal is to advocate a proactive, professional and respectful mentality towards cannabis in order to better our common future.
We would love to meet you! Call us or visit us in-store if you have any questions, we will be happy to help. 19+ only, valid ID needed for all purchases and sign ups with either Diagnosis, Prescription Medicine, or a prescription for cannabis ---------------------------------------------- Marijuana, cannabis, medical marijuana, dispensary, marijuana legalization, dispensary near me, marijuana dispensary, dispensaries, medical marijuana card, dispensary near me, dispensaries near me, medical marijuana dispensaries, marijuana dispensaries, marijuana dispensaries near me, MMPR
Dealt with Scott and I have to say this is a first class operation with great staff and product. Prices were super reasonable to, bought a 6 gram sampler of various strains and I’m super impresse 👌.
Came in from out of town and staff was super friendly and helpful
This is very great place to go and the staff are very nice and thay allways have smile on there face .
store is roomy staff is friendly and the prices are reasonable and the weed is very good
This place is awesome I love weed. Thanks to my grandson I am now a new customer.
Royce B referred me here
love the store products are awesome,,love your store
Great location, Great store, Great prices.
Weed is good here and staff is very respectful
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Whether you need to launch a new senior preventive care program or just give your existing one a boost, use these five steps to help veterinary patients age gracefully.
Age isn't a disease, but it is true that seniors are more likely to develop disease than juvenile or adult pets. General practices play an important role by providing preventive care designed for each life stage a pet experiences. Most pet parents realize that as their pets age, they're likely to develop more medical problems. But their responses to the aging process are sometimes frustrating. We cringe when an owner says, "Rover's getting older now, so what's the sense of doing anything at this point?" We can't stop the clock, but there is a reason the life spans of our canine and feline friends are increasing: better medical care that begins earlier in the pet's life.
Fortunately, most clients today are much more compliant with recommended care for their seniors than even five or 10 years ago. With that in mind, the success with providing senior care is really based on how seriously team members believe in and advocate for it. Emphasis on this care is both medically gratifying and financially rewarding. If your clinic hasn't made this a high priority, this is a great time to do so.
Ask yourself this: Does your clinic truly focus on senior pet care? Sure, most small animal clinics run age-appropriate diagnostics for sick pets. But do you encourage special testing and diagnostics for seniors that look and act healthy? We often talk about clients being compliant, but the first step is asking if your clinic is compliant with the standard protocols practiced at high-quality clinics.
The good news is that it's not too late to start. Or if you have a program, then this is a good opportunity to improve client compliance. As our practices see revenue from product sales and vaccine visits declining, it becomes much more important and gratifying to focus on medical care. To build a successful program, it's key to avoid cutting corners. Use these steps to get started.
STEP 1: Educate yourself
Before you launch—or revamp—your program, use your practice software to determine the percentage of senior pets you serve. Most of us have an aging pet population. Nearly 50 percent of my patients are 7 years or older. The second question is, does senior screening often lead to early disease detection? Consult your reference lab for current data—they have plenty of it. In general, we found that about 20 percent of seniors have at least one abnormality that's worth tracking. If you now believe it's worth having a senior program in place, move on to step 2.
STEP 2: State your goal
Why are you launching a senior wellness program? For example, the goal of our senior program is to educate clients about age-appropriate preventive care for their senior pets and the significance or diagnostic tests to identify disease early.
STEP 3: Educate the team
If you want to focus on senior care, the whole team must speak "senior." Remember you can only be a good patient advocate if you really understand what you're promoting and why. If you're a manager, it's a good idea to host several one-hour meetings to briefly educate your team on common senior diseases, such as renal failure, diabetes, Cushing's disease, and hyperthyroidism, to name a few, and elaborate on how catching these early can lead to effective treatments. Create reading assignments to enhance what you're teaching and test everyone on it. The whole team should know the basics of common diseases. This is the best way to make sure every employee is an effective advocate.
STEP 4: Educate the pet parent
Create marketing and educational materials to help promote senior wellness care. Here are some elements of a program that you should keep in mind.
STEP 5: Create a program
Senior prevention programs can come in all shapes and sizes. For the simplest program, you may just promote a senior blood screen. I know a doctor who recently bought a practice that previously had no emphasis on senior care. He sent out a letter promoting a senior blood screen. The practice promoted a 20 percent savings, and it was a successful campaign.
My favorite approach is to offer a complete package for senior pets. It's an all-inclusive package that mimics our standard-of-care packages, promoting the message that it's all the care your pet needs for the year. You can market these as you want: Pay one price up front, or split it into semi-annual payments or even monthly payments. These work well if you educate the client properly and price the package right. I recommend a 20-percent discount.
While it's a popular program, it isn't for everyone. If a client refuses these services, we offer our senior heartworm health screen. We package a heartworm test and a senior blood screen with a thyroid test and a urinalysis. We discount this package 20 percent, because we get special pricing on this test from the lab—and most hospitals can. Just ask for a promotion. I've learned that most clients are aware of screening and are at least a little interested, and when the price is right they'll bite. It's good for the pet, because we have at minimum a baseline—good for the owner, because we can catch health issues early, and good for the clinic, because good medicine is good business. Just remember, if pets get sick in a month or three months, they'll need another test.
You or your managers may have been reluctant to launch—or revamp—a senior prevention program in the current economy. I believe it's a great time to offer packages and promotions. Clients still want good care for their pets, but they also want a discount or package that provides value. That's why it's important to find the right package and price point for your area.
If your clinic hasn't been putting its all into promoting senior care, there's no better time than now. You've got lots of seniors at your clinic, and this is about offering more high-quality medical care, which is the future of veterinary practice. Now's a perfect chance to improve client compliance, which can improves the health of your practice as well as the health of the pets you serve.
Dr. Jeff Rothstein, MBA, is president of Progressive Pet Animal Hospitals and Management Group in Michigan. Send questions or comments to email@example.com.


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FOR SENSITIVE ACNE-PRONE SKIN
At the beginning of this month I had a nasty reaction to a couple of new makeup products and it felt like all the hard work I had done to clear up my skin this year had immediately been undone. I broke out terribly and in my attempts to cure it, I managed to over-exfoliate my skin and thus irritate it even further. I was left with rough skin texture, flakiness and an overall uncomfortable state due to skin dehydration. I had to call out a skincare SOS.
I did a mini skincare shelf overhaul, eliminating any harsh or heavily scented products from my routine, and paused my Differin regimen for a week. The last products standing were used morning and night religiously until my skin went back to normal. I wanted to share my routine in case anyone out there is experiencing bouts of increased irritation and sensitivity.
Cleanse - Glossier Milky Jelly Cleanser
I use this morning and night. It's gentle, free of synthetic fragrance, doesn't sting my eyes and it's good at removing makeup, too.
Hydrate - Bioderma Hydrabio Serum
This next step is important: I stopped using a towel to dry off. I take a couple of pumps of this lightweight hydrating Bioderma serum and pat it into my skin along with the residual water on my face. This enables the hyaluronic acid in the serum to bring in some of that hydration from the water into the skin and it makes my skin feel so refreshed, also alleviating tightness. It has a light fresh fragrance to it and while I would prefer this product without any synthetic fragrance, the scent is very very minimal and I do not find it irritating. Bioderma Hydrabio Sérum is a great option if you have oily but dehydrated skin. If you have drier skin, you might not find it hydrating enough by itself so you might want to pair it with the Hydrabio Créme. I personally love the serum and it's perfect for me, especially leading into the warmer months.
Treat - Pai Copaiba & Zinc Serum
This gentle natural blemish-busting serum is loaded with soothing ingredients and while it will not heal blemishes as quickly as hardcore clinical ingredients like salicylic acid or benzoyl peroxide, it's all that my skin can handle at the moment. Zinc PCA has antibacterial properties and is able to kill acne-causing bacteria as well as reduce inflammation. I also started taking Zinc supplements in order to give my body a boost from within.
Treat 2.0 - Paula's Choice Resist Anti-Aging Clear Skin Hydrator
OMG, this stuff is amazing. I am already dreading the day it runs out and am planning to repurchase. If you have combination-oily skin and suffer from adult acne and an uneven skin tone, you need this in your life. It leaves my skin feeling hydrated without a hint of stickiness, greasiness or discomfort. Leaves a satin finish on the skin and I have no problems layering makeup on top of it. If you have dry skin, this is not the product for you.
It is designed to be the last step of your skincare routine (or semi-last step if you use it during the day before sunscreen), so layering a hydrating serum underneath works like a charm for my oily yet dehydrated skin. It's loaded with great ingredients that help reduce pore size, refine skin texture and promote clarity of the skin. I love that it has a satin finish, it sinks in really fast and doesn't leave my skin oily or shiny after I apply it. I love it for both morning and evening use, and I appreciate the fact that it comes with a pump. Love Love Love!
Sealing It In - La Roche Posay Cicaplast
This has been a skincare cupboard essential for many years. I always repurchase it and have it on hand. I first discovered it back in 2012 when I started getting lots of professional grade acid peels and my skin needed lots of help to heal and regenerate. It's a product designed for post-procedure skin and it forms a protective antibacterial barrier, speeding up the skin's healing process. I applied this all over my face when I first started using Differin and my skin got really irritated. I now use it just on spots where I have active breakouts or post-blemish marks that need a little bit of extra help to heal. If you are prone to irritation and you have sensitive skin, you will appreciate this product.
It's been a little over a week of this routine and my skin is feeling really nice and balanced. It is no longer tight from dehydration, it is no longer flaky, and the active blemishes have subsided. Hallelujah! I have since started incorporating Differin back in my evening routine - I skip the Pai serum and use Differin 30 mins after my skin has dried completely post cleansing & Bioderma serum.


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CLIV Barrier Power by AMI Cosmetic Co.,Ltd.
Dosage form: cream
Ingredients: GLYCERIN 0.08g in 1mL
Labeler: AMI Cosmetic Co.,Ltd.
NDC Code: 59535-4801
Disclaimer: Most OTC drugs are not reviewed and approved by FDA, however they may be marketed if they comply with applicable regulations and policies. FDA has not evaluated whether this product complies.
water, caprylic/acpric triglyceride, squalane, cetearyl alcohol, niacinamide, hydrogenated lecithin, beheric acid, stearic acid, shea butter ext, tromethamine, argania spinosa kernel oil, betaine, sodium hyaluronate, spent grain wax, xanthan gum, sodium carbomer, etc
keep out of reach of the children
after face wash, apply suitable ampoule (serum) and lotion for your skin type and apply moderate amount of the product on the fact and pat softly for better absorption
・Stop using the product when you have skin problems or the
product disagrees with your skin
・Stop using the product immediately and consult a dermatologist if you have redness, swelling, itching or irritation on the skin while or after using the product.
・If the product gets into the eyes, don't rub but rinse with water.
・Don't place the product in any place where it will be subjected to extremely high or low temperatures or direct sunlight.
for external use only
|CLIV BARRIER POWER
|Labeler - AMI Cosmetic Co.,Ltd. (631055345)|
|Registrant - AMI Cosmetic Co.,Ltd. (631055345)|
|Eyesome Co., Ltd.||557795360||manufacture(59535-4801)|
Medically reviewed on Mar 6, 2018
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.


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NOURISH. HYDRATE. LUXURIOUS.
Our luxurious lip oil formula is a power-packed hybrid: an oil-based treatment with the shine and pigment of a gloss. Infused with Bilberry Seed Oil, Milk Thistle Extract, and Vitamin E providing anti-aging benefits. Lovingly LipTM cushions lips and provides sheer to medium coverage with a light, non-sticky, smooth and silky finish.
KEY INGREDIENTS + BENEFITS:
- Bilberry Seed Oil: packed with antioxidants to provide intense hydration; balanced ratio of Omega 3 + 6 which form a protective barrier on the lip.
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Plant Medicine Retreat
A Spiritual-Psychedelic Healing Retreat
SOLD OUT 2023, pre-register for 2024, Fort Erie ON
Join us on a transformational weekend retreat.
Pre-register for 2024
Your Plant Medicine Retreat Itinerary
What to expect at this year's Plant Medicine Retreat
Introduction to Plant Medicines
Getting ready for your journey.
Includes group integration coaching.
1:1 Energy Healing Sessions.
Safety and connection are a priority on retreat for all participants in order to establish the right setting for healing. Know that your feeling safe and connected on retreat is important to us, please let one of us know if you need anything.
This retreat is designed as an introduction to plant medicine and though a deep healing journey is expected; the experience is designed to be an introduction to working with plant medicine, sound, somatic movement + reiki healing.
It is recommended to follow a protocol for several days leading up to and including the day of, and after the ceremony. Get plenty of rest and stay hydrated. Avoid sugar, dairy, gluten, and red meat. Refrain from consuming alcohol a minimum of 3 days before and after.
Medication and supplements will be addressed in your client intake form and discussed prior to the retreat to ensure all participants individual details are addressed and done so privately.
Due to limited spaces available, deposits are non-refundable. If you have made your balance payment and you are unable to attend due to illness or emergency circumstances at the time of the retreat, your payment can be transferred to another upcoming retreat, program or services. Please note you choose to attend another retreat that is of greater value; you will be asked to pay the difference.
We will provide you with a full list at registration. Please no artificial scents such as perfume, however natural scents such as essential oils, incense, sage, etc. are ok.
Pre-register for 2024.


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Leptitox review 2020 – how it can help you to lose weight
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Glycolic acid, a naturally occurring compound found in fruits, beets, and sugarcane, has gained popularity in the skincare industry for its exfoliative and anti-aging properties. As a chemical exfoliant, it can effectively treat various skin concerns, from acne to wrinkles. However, understanding its benefits and proper usage is essential to avoid potential risks and side effects.
II. What is Glycolic Acid?
Glycolic acid is a colorless and odorless compound that naturally occurs in certain fruits, beets, and sugarcane. While the substance can be derived from natural sources, cosmetic and pharmaceutical companies typically use lab-synthesized glycolic acid in their topical products to treat skin conditions or improve skin texture and appearance.
As a member of the alpha hydroxy acids (AHAs) family, glycolic acid shares a similar chemical structure with other AHAs such as citric acid (found in citrus fruits), malic acid (found in apples), and lactic acid (found in milk). However, glycolic acid stands out among these AHAs due to its smaller molecular structure, allowing it to penetrate deeper into the skin and provide more significant benefits.
III. Properties of Glycolic Acid
Glycolic acid possesses a unique set of properties that contribute to its effectiveness in skincare. As an exfoliative agent, it dissolves dead skin cells and oils, removing the outermost layer of the skin without the need for harsh scrubbing. This gentle yet effective exfoliation process can help treat various skin concerns such as acne, hyperpigmentation, and visible signs of aging.
In addition to its exfoliative function, glycolic acid also acts as a humectant, attracting and binding water to skin cells. It achieves this by increasing the synthesis of glycosaminoglycans, molecules that draw water into the skin, thus keeping it hydrated and maintaining its moisture levels.
Research has shown that glycolic acid has antibacterial properties as well. At specific concentrations, it can inhibit the growth of bacteria, making it a beneficial ingredient in treating acne and other bacterial skin infections.
Lastly, glycolic acid has anti-aging effects on the skin. It can reduce sun damage and increase collagen and hyaluronic acid production, both of which give the skin elasticity and structure. These properties make glycolic acid a popular choice for individuals seeking to minimize the visible signs of aging.
IV. Benefits of Glycolic Acid for the Skin
Given its unique properties, glycolic acid has a range of benefits for the skin. One of the main advantages is its effectiveness in treating acne. By chemically exfoliating the skin, glycolic acid helps unclog pores, reducing the formation of comedonal acne caused by the accumulation of oil and dead skin cells. Additionally, its antibacterial properties can further aid in alleviating acne-related issues.
Another benefit of glycolic acid is its ability to reduce UV damage. Exposure to ultraviolet light can result in photoaging, which manifests as sunspots, hyperpigmentation, and wrinkles. Glycolic acid has been shown to be an effective treatment for sun damage and may even have a protective effect against UVB rays, helping prevent further damage to the skin.
Glycolic acid can also contribute to the improvement of fine lines and wrinkles. As skin ages, it naturally loses elasticity and plumpness, resulting in the formation of wrinkles. Glycolic acid increases skin levels of hyaluronic acid, a substance that helps keep the skin moisturized, stimulates collagen production, and improves the quality of elastin, promoting skin elasticity. This makes glycolic acid a popular choice for those seeking to minimize visible signs of aging.
Lastly, research suggests that glycolic acid may be effective in treating warts, small, hard growths on the skin caused by viruses. Studies have shown that glycolic acid treatments can help flatten and normalize the color of warts, although complete clearance of warts may vary among individuals.
V. Risks and Side Effects of Glycolic Acid
While glycolic acid offers numerous benefits for the skin, it is essential to be aware of the potential risks and side effects associated with its usage. One such risk is the increased vulnerability to UV damage. As glycolic acid exfoliates the skin, it removes the top layer of skin cells, leaving the underlying cells more susceptible to sun damage. It is crucial to wear sunscreen daily when using glycolic acid and for at least one week after discontinuing its use. Additionally, avoiding tanning beds is highly recommended.
Irritation is another potential side effect of glycolic acid use. Some people may experience redness, inflammation, itching, swelling, or burning after applying products containing glycolic acid. These symptoms are not an indication that the product is working – if they occur, the product should be washed off immediately, and its use should be discontinued. Overusing glycolic acid or using it near the eyes can also cause irritation.
Hyperpigmentation is another risk associated with glycolic acid. Although glycolic acid can effectively reduce hyperpigmentation, using strong or irritating skincare products can also cause it. People prone to hyperpigmentation should use gentle, non-irritating exfoliants and consult with a healthcare professional before incorporating glycolic acid into their skincare regimen.
VI. Choosing the Right Glycolic Acid Product
Selecting the appropriate glycolic acid product depends on the desired results, concentration, and pH level. When choosing a product, it is essential to consider your specific skincare concerns and goals, as well as your skin type and sensitivity. Glycolic acid is available in various forms, including cleansers, toners, liquid exfoliants, serums, moisturizers, acne treatments, and face masks or at-home peels. Generally, leave-on formulas tend to yield better results, as they allow the acid more time to work on the skin.
For those new to glycolic acid, it is advisable to start with a product containing a low concentration of around 8%. This approach enables you to begin with a weaker solution and gradually increase the concentration if necessary. It is also helpful to choose a product with a pH level that is not too acidic. Most over-the-counter (OTC) products have a pH of around 4, which is only slightly more acidic than the skin's natural pH. If the concentration or pH is not listed on the product, the manufacturer may be able to provide the information.
When selecting a glycolic acid product, it is essential to follow these tips: consult with a healthcare professional, especially if you have an ongoing skin condition; conduct a patch test to determine skin tolerance; and introduce one new product at a time to monitor its effectiveness and identify any adverse reactions.
VII. How to Use Glycolic Acid Safely and Effectively
To ensure the safe and effective use of glycolic acid, it is crucial to consult with a healthcare professional, such as a dermatologist, before incorporating it into your skincare routine. This is especially important if you have an existing skin condition or concern. Glycolic acid may not be suitable for everyone, and a healthcare professional can help determine if it is the right choice for your skin.
Before using glycolic acid, conduct a patch test by applying the product to a small, inconspicuous area of skin that is not on the face. This will allow you to observe any potential reactions and determine if your skin can tolerate the product. If no adverse symptoms occur, you can proceed to apply it to your face.
Start with a low concentration of glycolic acid and use it infrequently at first. If your skin feels smoother and does not show any signs of irritation, you can gradually increase the frequency of usage, following the product label's instructions. It is essential not to use glycolic acid more often than recommended by the manufacturer or your healthcare professional.
Limit your usage to one glycolic acid product in your skincare routine. There is no need to use an entire line of skincare products containing glycolic acid, as one product is sufficient to provide the desired benefits. Introducing one new product at a time also allows you to monitor its effectiveness and identify any potential reactions.
It is recommended to use glycolic acid at night, as it can increase the risk of sunburn. Always apply sunscreen as the last step in your skincare routine before going outside while using glycolic acid and for at least one week after discontinuing its use. This will help protect your skin from potential UV damage caused by the increased sensitivity from using glycolic acid.
In conclusion, glycolic acid is a versatile skincare ingredient with exfoliating, hydrating, antibacterial, and anti-aging properties. Its benefits include acne treatment, UV damage reduction, improvement of fine lines and wrinkles, and wart treatment. However, it is essential to be aware of the potential risks and side effects, such as UV damage, irritation, and hyperpigmentation, and to use glycolic acid safely and effectively.
Consulting with a healthcare professional, conducting a patch test, and following proper usage guidelines are crucial steps in ensuring glycolic acid works to improve your skin's health and appearance. By choosing the right product and incorporating it into your skincare routine responsibly, you can experience the benefits of glycolic acid and maintain your skin's radiance and vitality.
At Angela Caglia Skincare, our mission is to provide expert guidance and high-quality products to help you achieve your skincare goals. Explore our range of skincare solutions and find the perfect glycolic acid product to suit your needs, backed by our commitment to your skin's health and well-being.


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Kshs 7500 per person • 85 mins | This is our signature treatment and we are so proud to introduce this service as it really concentrates on your full body and face. Enjoy a 60 mins deep tissue massage to release tensions and stress. After your full body massage, your well trained therapist will continue massaging your face with rose quartz stones to increase lymphatic flow, reducing puffiness and increasing circulation to boost collagen production. The so called Gua Sha Face Massage is the latest hit all over the world showing some amazing results if you do it once a week consecutively.
THE SUMMER FEELING
Kshs 11000 • 130 mins | When you just can’t get enough of that summer feeling… 30 minute Body Scrub our NEW Tropical Salt Scrub. 30 minute Illuminate Wrap. Bilberry & Chamomile Facemask packed with antioxidants. Finish with a 60 minute Nourishing & Relaxing Full Body Massage to transport you back to those invigorating summer days.
FRESH & FEEL GOOD
Kshs 14000 • 240 mins | Enjoy a full body exfoliation with the wonderful Lavendar and Lemongrass scrub to rid yourself of all the dead skin cells and leave you feeling smooth and clean. Follow this with a holistic massage to melt away any tensions. Feeling tranquil and calm, you will then enjoy a 60 minute facial to replenish your skin and make sure your face matches your body with a beautiful glow. Finish your spa day with a classic manicure and pedicure.
REGENERATE & RECUPERATE
Kshs 9000 • 120 mins | This package takes you to a happy place! We will start with our new Jani full body scrub “De-Stress” to exfoliate your skin and remove all the dead skin. All polished and clean, you will enter the steam room. Just enjoy the quiet time – no phone, no noise – relax and be in the moment while the steam is clearing the pores, clearing your blocked airways and warming up your body to stimulate blood circulation. After the steam, enjoy a 60 mins Aromatherapy massage.
FULL BODY JUMP START
Kshs 10500• 100 mins | A 20 minute full body scrub with the refreshing and stimulating properties of peppermint will awaken your body and mind. Shower off the scrub smelling divine, lie back to enjoy a 60 minutes deep tissue full body massage. A wonderful eye patch mask will work its magic during the massage. The eye patch mask is packed with collagen, perfect for tired and ageing skin around the eyes. After your massage the mask is removed and the treatment ends with a light face massage using the hydrating moisturiser. We promise that this package will jump start your body and mind.
get up and glow
Kshs 20500• 5 hours | This package has all the right ingredients to set your body alight from within. Starting with a 30 minutes NEW luxurious Pina Colada Body Scrub to sluice all the dullness away, a 30 minute fine, anti-ageing Gold Body Wrap to get rid of the impurities inside, and a delicious 1 hour Art of Aroma massage for ultimate relaxation. Next, the Gold Facial so everyone can see that you have been rejuvenated. Finish your spa day with a Classic Manicure and Pedicure in our well designed nail area. This package accelerates cellular metabolism, re-mineralises the skin, fortifies the immune system, activates circulation and drains clogged lymph systems. This is the one you need to give your body and skin that all-round boost. You will feel uplifted, your body glows all over and it is worth every shilling.
THE COME BACK
Kshs 7000 per person • 90 mins | Remove dead skins cells with our latest edition the beautiful smelling NEW Coffee & Orange Salt Scrub which promotes detoxification while promoting blood circulation. Enjoy a 60 minute relaxing full body massage afterwards. Feel strong and re-energised again. For a deep tissue massage top up 1000.
Kshs 10500 per person • 120 mins | This fantastic package is made for everyone and anyone. We just love it and so have our clients who have tried and tested it. It begins with a 30 minute Thyme and Bergamot Salt Scrub making you feel very refreshed. Your skin cannot get enough of it and your senses are stimulated by the beautiful smell of Thyme and Bergamot. Switch off completely and enjoy a 90 minute HOT Stone Massage. Hot Stone Massages are not only relaxing and beneficial for releasing tension but are also beneficial for boosting your immune system and promoting a good night’s sleep.
MEN’S STRESS BUSTER
Ksh 10000 • 120 minutes | Take time out of your busy schedule and book yourself in for a 90 mins deep tissue massages followedby a 30 mins Reflexology. You deserve to it and be free of tensions and stress.
Revive and Relax ( only available in Gigiri)
Ksh 6000 • 75 minutes | We are delighted to launch this new package! Our new infrared sauna has been installed in one of our spacious en-suite rooms in Gigiri. The benefits of a red-light sauna session are endless but to mention a few : improved collagen production, increased blood flow, greater cell regeneration, reduces inflammations, muscle recovery, tissue regeneration and so much more. The session will be 15 mins max.
Relax further with a 60 mins holistic massage after the sauna session or choose a deep tissue at an extra cost of Kshs 1000. Depending on your concerns, we can offer a full sport massage at an extra cost of 3000 Kshs ( additional time 30 mins ). Enjoy herbal teas and some fruit kebabs in our relaxation area or gardens.


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Gently cleanses the skin from make-up and dead layer of the epidermis and excess sebum.
The product itself has 5 variants: - Acerola (Barbados cherry) – has a tonic, Regenerating effect, improves skin tone. - Blueberries– evens the complexion, tightens pores, and combats wrinkles. - Aloe Vera – has a moisturizing effect. It relieves irritation, as well heals minor wounds. - Grapefruit – cleanses the pores of blackheads, controls the production of sebaceous glands, restores elasticity and firmness of the skin. - Lemon – brightens skin, struggling with black dots. It gives the skin a healthy tone, exfoliate dead skin cells .
Skin type - All skin types
How to use After taking proper amount with making rich lather, massage all over the face. Then rinse it off with lukewarm water.
Ingredients Active Ingredients: Purified Water , Glycerin , Pre - Stick Acid, Lau Rigs Acid, Potassium Hydroxide, Stearic Acid, Cocamidopropyl Betaine, Glyceryl Stearate, Blood Not -100 Stearate, Polysorbate 20 , Glycol Distearate ,


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As a personal trainer, you field a lot of varied questions from clients, friends, and family. Are you prepared to answer them? While your scope of practice limits recommendation of supplements, it is important to be able to provide clients with information.
HMB supplementation is not new. It has flown under the radar for years, mostly popular with serious bodybuilders. Your clients interested in changing their body mass and building muscle may read about it and want to know more.
HMB is a protein-related supplement that is considered safe and effective for some purposes. It may help improve body composition, muscle recovery, and muscle mass.
HMB is beta-hydroxy beta-methylbutyrate. It is a metabolite of the amino acid leucine, which means that when you consume leucine, it is converted to HMB, among other molecules. Athletes, especially bodybuilders, have long used HMB to promote muscle growth and to improve performance.
Many people also use leucine, as part of a branched chain amino acid (BCAA) supplement, to enhance performance. It may be that the metabolite HMB is responsible for the positive effects of BCAA supplements.
Leucine, possibly through HMB, promotes muscle hypertrophy and strength. It reduces muscle breakdown and increases muscle growth. If HMB is behind the benefits offered by leucine and BCAA supplements, it may make sense to go straight to the source and supplement with HMB.
The research on HMB supplementation is mixed but many studies provide evidence for benefits. Studies range from using HMB in trained athletes, untrained non-athletes, older adults, and cancer patients. There is some variation between populations, but in general HMB seems to have several benefits.
When combined with regular strength training, HMB supplements increase fat-free body mass. In other words, it promotes a shift in body composition from more fat and less muscle to less body fat and more lean muscle mass. Studies show the effects are similar in men and women. (1)
While many studies show that HMB supplementation increases lean body mass, some see no effect in trained athletes. (2) The results here are mixed, but the evidence is clear that HMB does support lean body composition in people with little or no experience weightlifting. Your new clients may benefit more from an HMB supplement than your experienced lifters.
HMB may affect lean body mass through its mechanism of action: reducing proteolysis, the breakdown of proteins and muscle tissue, and increasing protein synthesis. Not only do these actions promote muscle growth and strength gains, but they also promote recovery.
The International Society of Sports Nutrition takes the position that HMB supplementation enhances post-workout recovery. (3) HMB reduces muscle damage, promoting quicker recovery. It also seems to decrease the DOMS (delayed-onset muscle soreness) that many people experience after a workout. HMB seems to be effective for recovery in both trained athletes and untrained people.
Learn more about the mystery that is DOMS and why some people seem to suffer more than others post-workout.
While the evidence is mixed in trained athletes, the general consensus is that a supplement of HMB does improve strength, growth, and power in muscles. Untrained people see the greatest effects, but lifters and bodybuilders also get the benefits, according to most studies.
Because the impact is greater in untrained individuals, HMB may be particularly useful for people who are sedentary or have health problems that lead to muscle wasting. As we age, we tend to lose muscle mass naturally, so HMB may help older adults hold onto more muscle tissue. Patients with illnesses that cause muscle wasting, like advanced cancer, may also benefit.
What seems to be important in getting this effect is the combination of HMB with strength training and resistance exercise. Older adults, obese clients, or people with muscle wasting may benefit from physician-directed, appropriate training along with a supplement.
There's a lot of information out there about muscle gain and improving muscle strength. The truth is that muscle building isn't that complicated. Give your clients this guide to building muscle to answer all their questions.
Because HMB helps improve body composition, reducing fat and increasing muscle mass, it could be a useful tool for weight loss programs. Most studies focus on athletic performance and muscle building, but the benefits of HMB lead directly to a healthier weight and body composition.
Essential to using this supplement to aid a healthy weight is exercise. Most of the benefits of HMB supplementation are found in people engaging in training sessions, specifically strength and resistance training. Make sure your clients understand that HMB cannot help them lose weight if they are sedentary.
Your clients looking into supplements will find products that combine these two substances. Creatine is an amino acid that most people get from eating meat. It is not an essential amino acid because the body can synthesize it from glycine and arginine.
Most creatine in the body is converted to phosphocreatine and stored in muscle tissue. There it helps produce more ATP, the energy currency of cells. The more ATP you have, the more energy you have for exercise, which is a common reason why people supplement creatine.
Research evidence suggests that creatine supplements are especially useful for bursts of energy in sports like weightlifting and sprinting. (4) It may also boost muscle mass and slow protein breakdown.
The evidence for increased benefits by combining HMB and creatine is mixed. A review of multiple studies found that the combination improves sports performance and body composition but not recovery. (5)
Another study found no performance improvements in athletes when using the combination as compared to the use of creatine alone. (6) Creatine and the creatine/HMB combination are generally considered safe.
Studies have found that there are no adverse effects when supplementing with 3-6 grams of HMB per day. This includes in elderly participants. Animal studies showed no adverse effects even with very large amounts of HMB. (1)
These studies even show that there are potential benefits beyond any potential for muscle growth (1):
Decreased total cholesterol
Decreased LDL cholesterol in people with high levels
Decreased blood pressure
Improved wound healing and immune system function
While studies have looked at safety in doses up to 6 grams, most results suggest no or minimal benefits past 3 grams per day. Even studies of just 1.5 grams of supplement shows there are benefits at this level. Three grams is likely the ideal amount for most people.
The International Society of Sports Nutrition position paper recommends that HMB is most effective when used within 60 minutes of a training session, ideally prior to the exercise. The paper also suggests that you'll get the most benefits from HMB when taken daily for two weeks prior to an athletic event.3
Your scope of practice as a personal trainer, or even as a nutrition coach, is limited. You generally cannot recommend supplements or amounts to clients. What you can and should do is provide clients with information and suggest they talk to their doctors about what supplements would be safe and appropriate.
This is especially true for clients with health problems. While HMB may be useful for people struggling to maintain muscle tissue due to illness, it is essential that they talk to their doctors first. HMB seems to be safe for everyone, but only an individual's doctor can confirm this.
Having answers to questions is an important part of being a nutrition coach and personal trainer. Clients come to you for information and expertise on fat loss, strength gains, fitness-related nutrition, and more. So be ready to provide it even if you can't actually recommend supplements like HMB.
Interested in nutrition as it relates to fitness? Get the ISSA's Nutritionist course to learn everything you need to launch a career dedicated to helping clients achieve their health and fitness goals.
Panton, L.B., Rathmacher, J.A., Baier, S., and Nissen, S. (2000, September). Nutritional Supplementation of the Leucine Metabolite Beta-Hydroxy-Beta-Methylbutyrate (HMB) During Resistance Training. Nutrition. 16(9), 734-9. Retrieved from https://pubmed.ncbi.nlm.nih.gov/10978853/
Wilson, G.J., Wilson, J.M., and Manninen, A.H. (2008). Effects of Beta-Hydroxy-Beta-Methylbutyrate (HMB) on Exercise Performance and Body Composition Across Varying Levels of Age, Sex, and Training Experience: A Review. Nutr. Metab. (Lond.).5(1), doi: 10.1186/1743-7075-5-1. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2245953/
Wilson, J.M., Fitschen, P.J., Campbell, B., Wilson, G.J., Zanchi, N., Taylor, L., Wilborn, C., Kalman, D.S., Stout, J.R., Hoffman, J.R., Ziegenfuss, T.N., Lopez, H.L., Kreider, R.B., Smith-Ryan, A.E., and Antonio, J. (2013, February 2). International Society of Sports Nutrition Position Stand: beta-hydroxy-beta-methylbutyrate (HMB). J. Int. Soc. Sports Nutr.10(6). Retrieved from https://jissn.biomedcentral.com/articles/10.1186/1550-2783-10-6
Mayo Clinic. (2017, October 12). Creatine. Retrieved from: https://www.mayoclinic.org/drugs-supplements-creatine/art-20347591
Fernandez-Landa, J., Calleja-Gonzalez, J., Leon-Guereno, P., Caballero-Garcia, A., Cordova, A., and Mielgo-Ayuso, J. (2019, October). Effect of the Combination of Creatine Monohydrate Plus HMB Supplementation on Sports Performance, Body Composition, Markers of Muscle Damage and Hormone Status: A Systematic Review. Nutrients.11(10), 2528. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6835217/
Mangine, G.T., VanDusseldorp, T.A., Hester, G.M., Julian, J.M., and Feito, Y. (2020). The Addition of β-Hydroxy β-Methylbutyrate (HMB) to Creatine Monohydrate Supplementation Does Not Improve Anthropometric and Performance Maintenance Across a Collegiate Rugby Season. J. Int. Soc. of Sports Nutr.17(28). Retrieved from https://jissn.biomedcentral.com/articles/10.1186/s12970-020-00359-4
By becoming an ISSA Nutritionist, you'll learn the foundations of how food fuels the body, plus step by step methods for implementing a healthy eating plan into clients' lifestyles.
Receive $50 off your purchase today!


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As with any popular and growing industry, there is a lot of misleading information derived from opinions an rumors, not facts. You have been probably trying many other ways to lose weight, but were not happy with the results, and totally neglected to become healthier in the process. Yes, many of us neglect the becoming healthier aspect while losing weight by skipping meals, eating foods containing less nutrients instead of more, drinking less water not more, eating more sugar, while all this wrong choices are actually preventing you from losing weight and become healthier. Then, after months or years of struggling and frustration, you end-up gaining the weight back or not even losing much weight.
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- Weekly Nutrition & Grocery Shopping Classes, every Tuesday at 7:00 PM, and are open to all existing customers.
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Living a Healthy Active Lifestyle & Changing Lives Every Single Day
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Beverly Hills, CA
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NYC Health & Nutrition is the only nutrition center in New York City & Beverly Hills, CA that offers Weight Loss, Health & Nutrition Consultation (All-in-One), along with weekly office visits and unlimited dedicated phone, text and email follow-ups & support during the entire weight loss, health, nutrition, detox or sports nutrition program, in order to really help you reach your goals.
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