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5 Benefits of Switching To E-cigarettes
Everyone understands precisely how bad smoking tobacco can be, from the financial impact of spending over £10 on a pack to the debilitating health impact that can include lung disease and cancer. It is also accepted that the damage caused by smoking comes from the tar and toxins, not the nicotine, so vaping makes an ideal alternative.
ONE: The Cost Benefit
A good vaping starter kit can be purchased for less than the cost of two packets of cigarettes. Not only does switching to vaping start saving money by the end of the first week, but as the tobacco-free months roll by the savings accumulate.
With cigarettes costing around £10 a pack, a twenty-a-day habit will set you back £70. This means smoking is costing over £3500 a year.
Once you have your starter kit, the only ongoing cost to vaping will be the replacement coil heads and e-liquid. The coils will cost around £100 over the course of the year.
E-liquid comes in 10-100ml bottles and the average vaper consumes around 10ml per week (if they are mouth-to-lung vaping). Vaping in this style, a new vaper will spend about £15 per month on e-liquid.
In total, vaping can cost you less than £300 a year – offering a saving of over £3200!
TWO: The Flavours
Cigarettes are now only available in a range of one flavour now that menthol has been banned, whereas e-liquid for vaping devices comes in as many flavours as you can dream of.
One of the problems smoking causes is to kill off your sense of taste. This begins to return immediately you cease smoking, meaning that shortly after switching you’ll be wondering why you never opted to do it ages ago.
Cherry Bakewell? Fizzy Orange? Lemon Meringue Pie? Sweets, drinks, pastries – all manner of juices are out there to be enjoyed.
Everyone who has successfully switched from smoking to vaping will say how it was so much easier than the times they tried and failed with nicotine patches, sprays and gum.
This has been demonstrated by scientists too. A recent study by a team from Queen Mary University of London concluded: “The trial results suggest that when treating smokers who failed with stop-smoking medications previously, recommending a refillable EC with an e-liquid of strength and flavours of patient’s choice is a more effective approach than prescribing combination NRT.”
FOUR: Vaping Is Healthier
Electronic cigarettes aren’t safe, but they are far safer than smoking.
Public Health England has said that because vaping doesn’t produce the toxins and tar found in cigarette smoke it is “at least 95% safer”.
Studies looking at smokers with COPD have shown that switching to vaping has produced improvements in subject’s health.
FIVE: It’s Safer For Loved Ones
No smoke means no second-hand smoke, and Public Health England has stated that second-hand vape is a “myth”.
Switching from smoking to vaping will save you money, bring you new taste sensations, will work better as a tobacco quit aid, will improve your health, and is safer for those around you.


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Saturdays 5th, 12th, 19th & 26th August (4 sessions) 9.30am – 10.45am
No class on Saturday 2nd September
These fun, flowing classes are a great way to start the weekend. Physical postures tone muscles leaving you revitalised; breath work and relaxation brings you into the present moment, able to appreciate your down-time. These classes are suitable for beginners and more experienced.
Some yoga mats are available to borrow.
Ann has practiced Yoga since 2003, starting with athletic Ashtanga. Subsequently she found other styles gave different benefits. Her teaching reflects this diversity, incorporating aspects from dynamic Vinyasa Flow to restful Yin. She completed her teaching diploma at Yogacampus, London. She has completed the 200 hour yoga teacher diploma at Yogacampus, studying with teachers with a variety of outlooks such as Liz Lark, Richard Freeman, Graham Burns and Sarah Litton. She keeps up to date by attending workshops and seminars, and is registered with the Yoga Alliance.
Cost: £10.00 per session or £30.00 for four-block session

domain: health


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WildSide Salmon Oil Pet Supplement
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A few of our telephone volunteers have noted a change in their skin since taking tamoxifen, such as dry skin and a change in elasticity.
If you'd like me to arrange for someone to give you a call while you're waiting for replies on here, feel free to drop me a direct message through the forum with your name and number, or you can call us directly on 0345 077 1893. A staff member will have a chat to you first to talk through what you're experiencing, so that we can match you with a volunteer who's experienced something similar.
Hi. Is anyone suffering with bad skin since taking Tamoxifen? I've been on it for over a year now. My skin was great after chemo but now it's blotchy and dry. I use organic products and eat well, so l can only think it's my medication.


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Specialising in all areas of cosmetic surgery including liposuction, anti wrinkle Botox injections, laser treatments, dermal fillers, man boobs, acne scars, hair removal and much more…
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Lightsculpt Clinics pride itself on being on the cutting edge of cosmetic surgery, especially in relation to body contouring procedures such as Liquid Liposuction as well as Vaser Liposuction. Our surgical and non-invasive procedures utilise the latest in cosmetic technology, to guarantee your treatment will have optimum results..
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Dr. Claire - Aesthetic Doctor special interest in non surgical Aesthetic procedures, Specialising in Botox, Dermal Fillers and Sclerotherapy.
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Treatments Every Pregnant Woman Should Try and Why Pregnancy is a very joyous and exciting time in every woman’s ...
How Do I Know Which Skin Peel is Right for Me? If we all could have the porcelain skin ...
Top 5 Non-Invasive Anti–Ageing Treatments “Most People don’t grow up. Most People Age” – Maya Angelou Most of us ...
Most Popular Skincare Treatments For Men It’s no secret that men have become increasingly concerned with their appearance ...
Ask our doctors a question
Is Botox Painful? Very rarely, do I come across someone who requires topical numbing cream before BOTOX. Most people tolerate it very well indeed! But if you feel that you will need some pain relief, topical numbing cream is a very good option. Creams such as Emla can be applied prior to injections. Read full answer →
Reviews are a great way for us to gauge how happy our clients are :-
I was relatively nervous to have hollywood hair removal done but i must say that i was pleasantly surprised at how quick and “almost” painless the experience was. I am a very happy lady – thank you, Jean Wallington
I have had 3 sessions of hair removal with Zee and she has been fantastic
Thank You Lightsculpt – as a diabetic i have tried a few different diet programmes and none have worked like Neoshape – i lost 14 kilograms in 35 days – it is a great weight loss for Diabetics
I have been to Lightsculpt Bedfordview on numerous occasions and apart from being entirely happy , i would like to congratulate you on Hayley – she is remarkable. Very knowledgeable and thorough she is a true asset
Dear Lightsculpt team, I must commend you on the terrific post vaser care i have received. My whole experience with Vaser and Lightsculpt has been amazing – not too mention my tummy (which looks pretty good too)…. Over the moon
My skin looks a million bucks better of the last Jessner peel i had done – thanks Shammy
I can honestly say that out of all the Botox Injectors i have been to , Dr Sean has given me the best result. I opted for a natural look which he got spot on! Thank you Dr Sean
I had Botox done at Lightsculpt by Dr Claire 2 months ago – and i am so impressed (i think i am addicted)….My frown lines are totally gone, so too are my wrinkles next to my eyes – i honestly feel i look 10 years younger (im a botox believer!)
I am so excited about the Fatsculpt results i got – the procedure was really pain free and i was back at gym the next day …. Its 4 weeks later and i can see a big difference. Thanks Hayley, i was a winner – Kim
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Youdgee Deep Tissue Muscle Therapeutic massage Gun with 7 Therapeutic massage Heads & A number of Pace – Percussion Vibration Massager Device for Stiffness, Ache Aid, Soreness, Rest, Legs, Again, Neck- Handheld, Electrical
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Navigating the world of soaps can get complicated with all of the different options available today. These little bars are tasked with keeping our largest organ, our skin, clean, so it’s important to understand the difference between the commercial products that can strip the skin of its precious properties and the natural soaps that actually deliver the ultimate goal of cleansing with some bonus benefits.Read More
I've had family visiting from Oregon for the past week, which means I've
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wonderfully cooling and brightening organic face mask formulated with
several ingredients sourced directly from my local farmer's market.


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Chamomile Green Tea
This relaxing chamomile green tea blend offers numerous health benefits. This tea Improves sleep quality and helps relieve menstrual cramps and discomfort too.
A delightful green tea that promotes a sense of well-being. The aroma of jasmines relieves stress and enhances mood and its intensely smooth taste is accompanied by rich antioxidants.
The pleasurable infusion of butterfly pea flowers and premium floral green tea is loaded with antioxidants. This tea offers a majestic and refreshing taste with a hint of floral notes.
Delighting the senses, our delicately infused black tea with roses offers a warm, floral brew. It benefits the skin, indulging with its sweet, amber liquor.
Minimally processed silver needles blend harmoniously with lavender and rose petals, delivering a smooth, sweet taste with calming floral notes. Lavender promotes relaxation while benefiting the skin by soothing irritation.
Tales Of Blue
An exquisite blend of butterfly blue pea, chamomile, and green tea creates a smooth, enticing blue brew. Promotes sleep, benefits the skin, and eases menstrual cramps.
Indulge in the exquisite fusion of butterfly blue pea, chamomile, green tea, crafting a captivating blue elixir. Enjoy its soothing properties for sleep, skin enhancement and relief from menstrual cramps.


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One of the questions we get asked quite often is whether there really is a difference between products which are created for daytime and nighttime. The answer to that question is a resounding “yes”! Products which are created specifically for night are usually much richer and thicker, and are intended for use while you’re asleep so that they have longer to absorb into and work on your skin. Most night products wouldn’t be suitable for wearing under make up as the consistency isn’t quite right, but it’s possible to give your skin a much needed overhaul by using the correct products before you go to bed. Here are five of our favourite overnight products to boost your complexion and allow you to wake up with a radiant glow
This overnight mask from Aromatherapy Associates is designed to give your skin a potent boost of anti-ageing power. This is a deeply nourishing anti-ageing face mask that helps to smooth out lines and firm the skin, treating you to an overnight facial. It contains rose and frankincense essential oils and the potent botanical extracts, as well as strawberry seed extracts to deeply hydrate the skin and nourishing oils of rice germ and millet seed help protect against environmental damage.
This peel from Decleor is intended to be used every night after cleansing for a 28-day period. It contains green mandarin essential oils, resurfacing acids and soothing botanical oils to give the skin a natural glow and to help to reduce the first signs of ageing. Glycolic acid and natural fruit acids work to exfoliate your skin leaving it revitalised and glowing.
This overnight serum from Dermalogica is intended for very dry skin or skin which is showing premature signs of age. It contains argan and rose oils which combine to nourish and reinvigorate the complexion, leaving you with a natural glow by the time you wake up. It also contains peptides which supercharge the skin and encourage collagen production, to future-proof your face against fine lines and wrinkles.
The use of the word “matrix” in the title of this product might give you images of something futuristic – and you’d be quite right! This highly complex formula contains smart drone technology which provides accelerated lifting effect through increased collagen support. his revolutionary formula works throughout the night to help restore the natural balance to the skin, creating a protective matrix to help seal in hydration. A youthful, firmer feeling, less crumpled appearance is revealed by the morning.
Living in a city or a busy town can play havoc with your skin in ways you don’t even realise. Daily exposure to pollution can cause your skin to become dull and dry, which is why Murad came up with this moisturiser. It’s perfect for people with busy lives as it neutralises daily exposure to pollutants and free radicals while you sleep. A nourishing botanical blend smooths and reverses pollution-related dehydration as vitamin C helps reset brighter skin overnight.


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Every one of us dream about having a flawlessly formed body, regardless of where we find or in which culture we have a place with. This intrinsic craving leads the weight reduction supplements to take an agile entrance to the buyer market. These items by and large incorporate pills or herbs or some other restorative options that claim to help people losing their weight. Some of these items even pronounce that the clients of their item may get the outcome even inside fortnight. Then again, there are loads of civil arguments connected with this sort of revelation. This article will examine about distinctive issues related with weight reduction supplements and their part in the weight reduction process.
Sorts of supplements
There are distinctive sorts of fat killer weight reduction supplements accessible in the business that claim to make you more slender inside a predetermined time compass. Here is a brief outline of few famously utilized weight reduction supplements.
This is gotten from lobsters shell, and from shrimp and other shellfish. It is really an unpalatable fiber. The component it takes after is fat-tying took after by assimilation. Notwithstanding, there are no enough studies led to bolster the case. Rather diverse analysts inferred that there are couple of symptoms connected with the admission of chitosan, for example, clogging, gas and anaphylaxes.
In the vast majority of the cases, it is accessible in chromium picolinate design. Its capacity incorporates boosting of lean mass and also diminishing muscle to fat quotients. An extensive number of studies affirmed about the wellbeing of the use of this substance, on the other hand, there are bunches of level headed discussions related about its thought of one of the helpful weight reduction supplements.
Citrus Aurantium (Bitter Orange)
This is a home grown concentrate and is considered as a substitute for ephedra. In any case, there is no solid study supporting its claim as a weight reduction supplement.
Conjugated Linoleic Acid (CLA)
It is found in natural dairy items and hamburger. Its use as weight reduction supplement is acclaimed by diverse studies; nonetheless, none of them guarantee safe utilization for long run. It additionally helps in expanding lean body mass.
It works as a hunger suppressant. Exaggerates or delayed use causes a sleeping disorder, uneasiness and anxiety.
It is a water solvent fiber. It is found in Plantago ovato seeds. In the event that you take it preceding your dinner, it will issue you a feeling of satisfaction, subsequently comes about you eating less. It has been distinguished creating obstruction issue. Nonetheless, there is no sufficient evidence in the backing of its utilization as a weight reduction supplement.
Being hefty is such an issue, to the point that is specifically connected to social disgrace. In our general public, being stout is by and large not refreshing and mental self view matters a considerable amount in social connection. The people experiencing heftiness issue need respect toward oneself and self-assurance. Weight reduction supplement guarantee that they can decrease weight of a single person. These sorts of weight reduction supplements are truly prevalent among the masses, particularly among those people who consideration to have a mystical effect in their life. However, not in all the cases, these sorts of items are safe to utilize, especially it may come about critical negative effect in long haul and may cause mischief to body truly an awesome degree.
There are an extensive variety of items that are really discovered to be insufficient furthermore their symptoms are truly discriminating in long haul use. Along these lines, it is constantly prudent that you ought to counsel your specialist former taking such sorts of weight reduction supplements. In the event of home grown supplements, there are deficient and clashing studies and surveys accessible in the business sector. These items are broadly known as fat terminator that work on softening calories and boosting bodys digestion system. In the majority of the cases, these sorts of weight reduction supplements are emphatically demoralized by medicinal professionals and exploration specialists for lacking naming of fixings and radical increment in circulatory strain and cardiovascular issues. Additionally, over the long haul, delayed utilizing of these weight reduction supplements may cause distinctive psycho-physiological intricacies.


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Join the club for access to free product drops
Clearing Skin Wash£65.00
Foaming cleanser helps clear skin and reduce visible skin ageing. Salicylic Acid, a Beta Hydroxy Acid, stimulates natural exfoliation to help clear clogged follicles and smooth away dullness that contributes to visible skin ageing. Menthol and Camphor help cool the skin. Contains extracts of Balm Mint, Eucalyptus and Tea Tree. Skin is left clean and prepped for optimal absorption of Active Clearing treatment ingredients.
Ratings & reviews
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As a representative with 2 companies that have CBD on the market and as a person with intractable pain and multple painful problems wirth my spine I can say that cbd does not work for everyone. It does nothing for me or for my mil who has a cancer like growth impeding her ability to swallow and has undergone radiation to shrink it. Everyone has a chemistry that’s personal to them for some it helps but for many it does not. With that in mind it’s a 50/50 chance of it helping and until you come out your pocket you’ll never know. Buyer beware.
These dosages are pretty standard in the consumer CBD industry and, per the research available, nowhere near the doses proven to be effective in clinical trials. NuLeaf Naturals, a prominent online CBD seller, sells 240 mg of oil for $38.50. It does not specify dosage but measures its CBD concentration in single drops; there are 100 drops per bottle, each containing 2.4 mg. You would have to take the entire bottle, according to Blessing, to get close to the absolute minimum dose that studies show might be effective for reducing anxiety. A $3 squirt of CBD oil on your ice cream or coffee? Probably right around 10 mg. You’d need 30 times that amount to get to the levels at which researchers have found stress-relieving results.
Because our hemp extract is a natural supplement that comes from a plant, it has a taste that some consider to be bitter and strong. While many of our customers like the flavor, some would rather find a way to mask it. If that’s you, try mixing the oil in honey, applesauce, or a smoothie. Another great option is to try our hemp extract in capsule form. These are easy to swallow with a glass of water or your favorite juice.
The Alchemist’s Kitchen and Clover Grocery are high-end stores that cheerfully tell customers where they source their products from and only stock brands with similarly transparent sourcing. This CBD usually comes from cannabis plants farmed in Colorado or Oregon, or, increasingly, states not normally associated with the cannabis trade. EarthE CBD, a prominent online seller of CBD products, for example, sources from local farms in New Jersey; it also publishes lab results on its website showing that its products have been tested to have no THC and the amount of CBD the company says they should have.
Willie’s Remedy, the “hemp derived cannabis products to supplement a legendary life well-lived” per their website, will debut in Colorado some time in September. From what little can be gleaned from the website, the whole bean coffee will be “small batch” roasted, “infused with full spectrum CBD oil derived from American sourced and organically grown hemp,” and sold in eight-ounce tins.
When considering our different dietary hemp products, know that they all come in two strengths. Our Original Hemp blends (Hemp Classic, Hemp Complete, & Signature Blend) all have 250+mg of cannabinoids per fluid ounce, and our concentrated blends have 1,500+mg per fluid ounce, six times the potency of our traditional oils. We’ve found that sometimes less is more, but nevertheless, some people like to take very large serving sizes of our hemp extracts.
Why should you care about the quality of CBD you buy? Because, the CBD industry is still in its infancy, and it’s easy to get confused, which leads to some brands taking advantage. That’s why we’ve examined the industry, brands and product for you. We’ve hand selected some of the top CBD brands out there; reviewed their history, product quality, price, and customer service for you. Now you can confidently make a more informed decision on which company to trust with your business.
Ingesting — think CBD lattes, edibles, or just a drop of oil on the tongue — is likely much less effective than inhaling, says Blessing. When CBD-containing oil is ingested, it wants to join the other fat in your body; most of the CBD taken this way will just stay in that fat, inert and never getting to the brain. When inhaled, CBD bypasses the digestive system, which wants to store fat.
One of the few cocktail lounges carrying CBD extract sourced from hemp plants, Copper Spoon in Oakland uses it for mocktails and cocktails alike. The non-alcoholic New Day features tumeric honey, carrot shrub, lemon and soda water with CBD, or you can add it to any of their regularly featured cocktails for $2, like Kisses from Yayamu, made with gin, Chareau, rhubarb amaro, strawberry shrub and lemon.
Many cafes across the nation are starting to serve CBD coffee in house. Whether it be as permanent additions to their menu or during special events such as those we host at Trichome, coffee shops see CBD as a beneficial new offering in addition to their traditional caffeinated drinks. We are only going to see more coffee shops offering CBD-infused drinks as time goes on. As long as coffee shop owners are using CBD derived from hemp (such as the CBD products we sell), they can serve it legally in all 50 states. If you are interested in serving CBD coffee at your shop, feel free to sign up through our wholesale page for deep discounts.
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In late June, the US Food and Drug Administration could approve the Epidiolex, a pharmaceuticalized form of CBD for several severe pediatric seizure disorders. According to data recently published in the New England Journal of Medicine, the drug can reduce seizures by more than 40%. If Epidiolex wins approval it would be the first time the agency approves a drug derived from the marijuana plant. (The FDA has approved synthetic THC to treat chemotherapy-related nausea.)
Buying CBD OIL has never been easier. Since CBD Oil from the Hemp plant does not contain unlawful measures of THC, it is legitimate in every one of the 50 states. This is imperative to individuals everywhere throughout the US who need CBD however can’t get it locally. What’s more, legitimate CBD is accessible for home conveyance in every one of the 50 states meaning numerous individuals don’t need to move to a state with sanctioned Medical Marijuana. Additionally, in states where medicinal weed is lawful, buyers utilizing this hemp plant type of CBD don’t need to obtain a medical marijuana card.
Even some of the claims made by recreational CBD sellers aren’t bullshit, in the abstract. CBD really does show some anti-inflammatory properties. It really does have anxiolytic effects, in certain situations. Of course, it’s the scammy nature of herbal supplements that a seller can say something like “CBD has been indicated to reduce anxiety” (a true statement!), even though the actual product you’ve got in your hand has never been indicated to do so. Nutmeg, for example, will act as a dangerous psychoactive drug at high levels, but it would be deranged to put “scientific research has shown that nutmeg can get you high as hell” on a pumpkin spice latte. It’s correct, but it’s also incredibly misleading.
Cibaderm® offers a full line of CBD hemp oil body care products. Their CBD Hemp Oil Body Wash contains a unique blend of CBD hemp oil and organic steam-distilled essential oils. The Cibaderm® Body Lotion and Moisturizer is packed with 50 mg CBD Hemp Nourish™ to leave the skin silky soft. The Hand Cream contains 25 mg CBD combined with powerful antioxidants like vitamin E. Cibaderm® also offers innovative hemp CBD infused hair care products, including Hemp Shampoo and and CBD Hemp Soft™ Conditioner.
Jump up ^ Devinsky, Orrin; Cilio, Maria Roberta; Cross, Helen; Fernandez-Ruiz, Javier; French, Jacqueline; Hill, Charlotte; Katz, Russell; Di Marzo, Vincenzo; Jutras-Aswad, Didier; Notcutt, William George; Martinez-Orgado, Jose; Robson, Philip J.; Rohrback, Brian G.; Thiele, Elizabeth; Whalley, Benjamin; Friedman, Daniel (22 May 2014). "Cannabidiol: Pharmacology and potential therapeutic role in epilepsy and other neuropsychiatric disorders". Epilepsia. 55 (6): 791–802. doi:10.1111/epi.12631. PMC 4707667. PMID 24854329.
I suffer fr migraines. Currently having Botox injections every three months for the last three years. This has helped went fr 24 to 30 migraines a month to 6 to 8 , now I'm back up to 14 to 20 a month. My doctor thought CBD oil might help. I have also started having anxiety attacks for a year now. I'm really confused with the dosages. Any thoughts would b helpful
In fact, numerous studies have looked at the relationship between CBD and pain, and the results are promising. Researchers have looked at various kinds of pain – from joint pain to cancer pain. One finding is that CBD increases levels of glutamate and serotonin – both neurotransmitters that play a role in pain regulation. And CBD’s anti-inflammatory properties help by tackling the root cause of much chronic pain.


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Author : Yvonne Hertz.
Published : Wed, Aug 21 2019 :5 PM.
Format : jpg/jpeg.
Studies show that a lifestyle approach to nutrition, not a short term crash diet, is most likely to lead to permanent weight loss. You should consult with a health care professional before starting any diet, exercise or supplementation program, before taking any medication, or if you have or suspect you might have a health problem. Monitor your weight or the way your clothing fits on a weekly basis and add or take away calories from your current diet according to what has been happening with your body.
A special worksheet is provided for documentation of your daily food intake and physical activity. Very little typing is required. You make selections from pop up menus about your daily activities. Upon request, your daily activities are compared against dietary guidelines, and some recommendations are made to improve your diet plan. The worksheet is printable. Use it as a reference guide, to construct a healthy diet plan.
Choosing a healthy diet plan may require the services of a certified nutritionist, with medical input by your physician. This could entail two trips to the doctor`s office, and a number of sit-downs with the nutritionist, before you even get started. This is the preferred way to start a healthy diet plan, especially if you are under a doctor`s care for diabetes, hypertension, or heart disease. Planning is essential to establish the don`ts, and to determine the extent of the do`s. You don`t want to regret not taking these initial steps later on.
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Try adding or subtracting 100-200 calories per day, and test that level for about a week before you make a decision. The rest of your daily calories can come from carbs. If you are willing to track calories, use a maintenance figure you know is accurate as a starting point, or multiply your body weight by 15 to get an approximation of your maintenance calorie level. If you have 150-200 pounds to lose, you will need to add an additional 400 calories per day to your diet plan. Do NOT go below 1,200 calories per day or you may lose your hair, your muscles, and any chance of winning the Lotto. If you require a 1,500 calorie diet, simply add 150 more calories to your daily diet. The above calculations are based on average calorie intake of 2250 calories.


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Kawakawa Cleanser 60ml
An elixir of powerful ingredients to cleanse and uplift your skin and body. Suitable for all skin types.
The Kawakawa component of this product have been extracted in NZ lab-tested Organic Hemp Seed Oil in-house, all with love.
NZ Hemp Seed Oil, Kawakawa extract, Jojoba beads, Water, Prunus Amygdalis Dulcis (Sweet Almond) Oil, Glycerin, Olive Oil, Macadamia Seed Oil, Cetearyl Wheat Straw Glyocisides, Cetearyl Alcohol, Sodium Stearoul Glutamate, Phenoyxethanol
Cautions: Please check with your practitioner if you have allergies to any of the above ingredients or have any concerns.


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If you’re a caregiver to an elderly parent, or loved one, you will, I’m sure, be constantly on the look-out for different equipment and supplies that will make their life easier. To get your purchases covered by Medicare or Medicaid, they’ll need to qualify as Durable Medical Equipment.
Durable Medical Equipment is generally considered to be medical equipment which –
- is “durable” – able to withstand repeated use over a sustained period of time
- is used for a medical reason – it must be medically necessary, and not just to make things more comfortable
- is not something which is usually useful to a person who is not sick or injured
- expected to have a lifetime of at least 3 years
Even if the equipment qualifies as a DME, if your loved one doesn’t have a doctor’s, or treating practitioner’s, prescription stating that the device is a medical necessity it will not get coverage from either Medicare, or Medicaid.
Contents Overview & Quicklinks
Medicare covered DME
I am going to start with Medicare covered DME as the rules are only slightly different from Medicaid, but it is Medicaid which varies, and not Medicare.
Medicaid has a more flexible and wider range of DME than Medicare due to its funding, which is both federal and state level, which I will outline once I have dealt with Medicare.
DME, typically covered by Medicare
To qualify for these DME under Medicare, you will need to have Original Medicare Parts A and B to qualify.
- Part A (Hospital Insurance) covers Durable Medical Equipment for beneficiaries who are living in skilled nursing facilities
- Part B (Medical Insurance) covers Durable Medical Equipment for those living at “home”
To find a Medicare supplier in your area, you can use this link at Medicare.gov
If you don’t find the DME you are looking for in my list of included Medicare DME below, you can use this link to Mediace.gov
List of DME typically covered by Medicare
Alternating Pressure Pads and Mattresses
Audible/visible Signal Pacemaker Monitor
Pressure reducing beds, mattresses, and mattress overlays used to prevent bed sores
Bed Side Rails – if you own a hospital bed which takes side rails, but they did not come with the bed, medicare will cover these
Bed Trapeze – covered if your loved one is confined to their bed and needs one to change position
Blood sugar monitors
Blood sugar (glucose) test strips
Canes (however, white canes for the blind aren’t covered)
Continuous passive motion (CPM) machines
Continuous Positive Pressure Airway Devices, Accessories and Therapy
Cushion Lift Power Seat
Digital Electronic Pacemaker
Electric Hospital beds
Gel Flotation Pads and Mattresses
Glucose Control Solutions
Infusion pumps and supplies (when necessary to administer certain drugs)
Manual wheelchairs and power mobility devices (power wheelchairs or scooters needed for use inside the home)
Mobile Geriatric Chair
Nebulizers and some nebulizer medications (if reasonable and necessary)
Oxygen equipment and accessories
Patient Lifts (a medical device used to lift you from a bed or wheelchair)
Postural Drainage Boards
Self-Contained Pacemaker Monitor
Sleep apnea and Continuous Positive Airway Pressure (CPAP) devices and accessories
Urinals (autoclavable hospital type)
Whirlpool Bath Equipment – if you are home bound and the pool is medically needed. If you aren’t home bound, Medicare will cover the cost of treatments in a hospital.
DME not typically covered by Medicare
Augmentative Communication Device
Bed Exit Alarms
Bed Sensor Pads
Beds – Lounge
Blood Glucose Analyzers
Braille Teaching Texts
Caregiver Paging Systems
Catheters – except those which are used for permanent medical conditions where the catheter is considered as a prosthetic
Chair Exit Alarms
Chair Sensor Pads
Contact Lenses – Medicare helps pay for corrective lenses if you have cataract surgery to implant an intraocular lens
Disposable Bed Protectors
Door Exit Alarms
Electrical Wound Stimulation
Exit Alarm Mat
Eye Glasses – Medicare helps pay for corrective lenses if you have cataract surgery to implant an intraocular lens.
Heat and Massage Foam Cushion Pad
Heating and Cooling Plants
Humidifiers – not room humidifiers
Injectors (hypodermic jet pressure powered devices for Insulin injection)
Motion Sensor Exit Systems with Pagers
Over bed Tables
Paraffin Bath Units (if not Portable)
Portable Room Heaters
Portable Whirlpool Pumps
Preset Portable Oxygen Units
Pull String Alarms
Raised Toilet Seats
Special TV Close Caption
Speech Teaching Machines
Surgical Face Masks
Telephone Alert Systems
Television Assistive Listening Devices
Walk in Bathtubs
If this was not enough information, you can read a full article with greater detail on what DME’s are not covered by Medicare here.
What is the purchasing procedure for Medicare covered DME ?
To move ahead with a DME purchase for home use covered by Medicare, you will need –
- to be enrolled in Medicare Part B
- a prescription signed by their Medicare enrolled doctor, or treating practitioner, which states the equipment is a medically necessary
- purchase the medical equipment from a Medicare-enrolled supplier
If the doctor and the suppliers are not Medicare-enrolled, Medicare will not cover any of the payment.
A hospital or nursing home (skilled nursing facilities – SNF’s) cannot qualify as a “home” for Original Medicare Part B, if you are claiming equipment for use at “home”. However, you will be covered under Medicare Part A.
A long-term care facility, such as an assisted living facility, can qualify as a “home” for you under Original Medicare part B.
Medicare’s definition of a home ?
- it can be your own home
- it can be the family home
- it can be in the community, such as assisted living
What do you do now you have the prescription ?
If Medicare accepts to cover your DME, and you used a Medicare-enrolled “participating” supplier who accepts assignment, then –
- you will pay your co-pay of 20% of the Medicare-approved price,
- Original Medicare will pay the remaining 80% of the Medicare-approved price
- if you have not yet met their annual deductible, you will have that to pay as well
Why do you need, to find a Medicare-enrolled “participating” supplier ?
If you don’t use a Medicare-enrolled “participating” supplier, you may end up paying way more for the equipment than you would otherwise.
Firstly, you have to use a Medicare-enrolled supplier, as these are the suppliers who have accepted to take payment from Medicare, and they have also met all of Medicare’s required standards of service.
But it goes further…..
Medicare-enrolled suppliers fall into two different groups –
- Medicare Suppliers
- Medicare “Participating” Suppliers
Medicare “Participating” Suppliers are those suppliers who have agreed to what is known as “assignment” – this obliges them to only charge the Medicare-approved price.
- the Medicare-enrolled “Participating” supplier can only charge you the 20% co-pay of the Medicare-approved price
- if you have not met your annual Medicare deductible for the year in case, you will have to pay this as well
If the supplier is not a “Participating” Supplier ?
A Medicare-enrolled supplier who is not a “Participating” Supplier, has –
- agreed to take payment from Medicare at the level of the Medicare-approved price
- but can charge you up to 15% more than the Medicare-approved price for equipment
And the result –
- Medicare will pay the supplier 80% of the Medicare-approved price for the DME
- You will pay the supplier the 20% co-pay of the Medicare-approved price + the difference in price between the Medicare-approved price and the supplier’s price
- And you will also have to pay your annual Medicare deductible if you haven’t yet done so.
So make sure you are using a Medicare-enrolled “Participating” Supplier, and always make sure the supplier accepts “assignment”.
What qualifies as a DME if your parent is in a skilled nursing facility ?
If you are being cared for in a Skilled Nursing Facility or hospital, any necessary DME is covered under Medicare Part A (Hospital Insurance). The facility is responsible for providing any required DME for up to 100 days.
What DME do Medicare Advantage plans cover ?
Medicare Advantage Plans are offered by Medicare-approved private companies contracted to provide at least the same coverage as to Original Medicare Parts A and B.
By law, Advantage plans must provide equal coverage for DME to Original Medicare, and will often have extra DME benefits, such as hearing and visual equipment coverage under their plans.
Medicare Advantage Plan providers will require you to use health care providers and suppliers who participate in their networks.
If you don’t use a health care provider or supplier in your plan’s network, you may find that you will have no coverage and be burdened with the entire cost.
What qualifies as a DME for Medicaid ?
A state can have a number of different Medicaid programs, Home Based Care Services and waivers, each with different eligibility guidelines, resulting in hundreds of programs for Medicaid across the US.
Because the different states are also contributing funds to the programs, as well as the federal funding, what is considered durable medical equipment can vary from state to state, and even program to program.
Medicaid and state programs for in the home
Medicaid programs which are for individuals in their homes, rather than in skilled nursing facilities, are called “Home and Community Based Services”, “Waivers” or “1915 Waivers”.
The programs, or waivers, have been developed to help individuals maintain their independence in their homes, and to provide the care services and equipment needed.
They will pay for “home medical equipment”, and unlike Medicare, often cover 100% of the cost.
This is the area where what qualifies as a DME will vary the most, and these programs will have the greatest breadth of equipment that may be considered within the category.
The term “home”, for HCBS programs and waivers purposes, means the beneficiary must be in –
- their own home
- their family home
- a group home
- an assisted living facility
- a custodial care facility
Some state waivers allow for a system called Consumer Direction. The participant is given a budget for living their requirements, which they may spend under the guidance of a financial planner.
The budget can be used to buy durable medical equipment.
On a program with Consumer Direction if a walk in bathtub, grab bar, bath lift, or shower chair is considered a medical necessity, and is within the allotted budget, they may well be able to have one.
None of these would qualify under Medicare.
Money follows the person
The program Money follows the person was created to make it possible for the elderly to leave nursing facilities, and to return them to their homes, or assisted living facilities.
Durable medical equipment, which is required for the persons to return to their homes, is bought by the program.
If it is deemed critical for you to have a certain piece of equipment to return home, and without which it would not be possible, or safe, the program will get it.
So again, what can qualify as a DME is broader than the range of equipment allowed under Medicare.
To find your State Medicaid State Agency
To get in touch with your State Medicaid Agency, click here.
Step 1 –
Once you have clicked on the link above, look for the section that I have outlined in red, in the image below.
Step 2 –
Select your state form the drop-down menu, and click on the button marked “GO”.
You will get all the contact info for your State Medicaid Agency.
How do you purchase equipment on Medicaid and state funded programs ?
For anything to qualify for Medicaid and state programs, you generally still have to –
- get your doctor, or therapist, to write a medical justification letter, making it clear the equipment is medically necessary
- contact a Medicaid-approved DME supplier, and give them the medical justification letter from the doctor, or therapist
- the supplier will need to fill out a Prior Approval Application
- the Prior Approval document is sent to the Medicaid state office for approval or refusal
- if the request is unsuccessful, you will be notified as to why, and how you can appeal the decision
- if the purchase of the equipment is approved, the supplier will have it delivered to you
For any Medical Equipment to qualify as Durable Medical Equipment for Medicare, it must be “medically necessary” and able to stand up to repeated use over a sustained period of time.
Medicare will also always buy the least expensive version it can of any equipment, so if your parent wants any upgrades from the basic model, they will have to pay the extra themselves.
The most important aspect of getting coverage for your loved ones DME is to make sure that you check that their doctor providing the prescription is Medicare-enrolled, and that the supplier is a Medicare-enrolled Participating Supplier who accepts “assignment”.
Medicaid is more flexible in what it counts as DME’s due to the nature of its funding and structure of programs and waivers on the state level.
Due to the fact that there are so many programs in all the different states, what a state will be willing to consider as a DME can vary considerably.
The above would be seen to be most true in the wide range of HCBS programs and waivers designed to keep people residing in their own homes by offering assistance for them to do so.
I’m Gareth, the author and owner of Looking After Mom and Dad.com
I have been a caregiver for over 10 yrs and share all my tips here.


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Four Men Have Close Escape From Death After Using Fake Impotence Meds
Written by Richard Simmons| Tuesday, 14 February 2012| There is 1 comment
Reports from Singapore show that four men are lucky to be alive after they consumed some erectile dysfunction medication which caused two of them to pass out and the other two to be incoherent and struggle to walk.
The reports which come from the Singapore Health Sciences Authority said that the men who were aged between 30 and 78 developed very low blood sugar levels which were probably caused by the fact that there was a powerful diabetic medicine Glibenclamide in their blood stream.
This is not the first time that we have come across the use of Glibenclamide in illegal erectile dysfunction medication and it seems that the criminal manufacturers of these products are completely unaware of the dangers that it can cause. At the time of the reports one of the men was still not able to communicate and there are concerns that the medication could have done permanent damage to his health.
This story may seem to be extremely shocking to you but at Ukmedix News we see hundreds of these types of stories every year despite the fact that health authorities around the world try and warn men to stay away from any erectile dysfunction medication which does not come with a doctor’s prescription. Buying fake erectile dysfunction medication can kill and the men in this case are lucky to be alive.
The only safe erectile dysfunction medications are Viagra, Cialis and Levitra and they should only be purchased following a consultation with a doctor, online or otherwise and should only be consumed if a prescription has been issued.
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