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Modern Family actress Ariel Winter has made the headlines again and this time it was with her new beau, Luke Bernard. She has been very popular among fans and social media, especially when it comes to being trolled or body-shamed. Since she became candid about breast reduction surgery, she faced a lot of trolls and backlashes.

Winter, 22, has starred in Modern Family since 2009 and has also done voice-over for shows including, Sofia the First, Phineas and Ferb, Jake and the Never Land Pirates, Mr. Peabody and Sherman, Ice Age: The Meltdown and many more shows. In 2010, she won Outstanding Young Ensemble in a TV Series for her role as Alex Dunphy in the series Modern Family.

She has had a very disturbing past. In 2012, her sister Shanelle Workman filed to become her guardian allegedly claiming that Winters mother had been physically and emotionally abusive. In 2014, the court announced in favor of the sisters, giving guardianship to Workman. In 2015, she was officially emancipated.

In June 2015, Winter underwent breast reduction surgery at the age of 17. She has been very vocal about the uncomfortable stares, whispers and rumors that go around because of her size. A petit 15 years old with an F size, and working in a popular sitcom only drew unwanted attention and it pushed her to make the decision of undergoing the surgery at the age of 17.

After the surgery in November 2015, she was publically body-shamed on Instagram. According to CNN, Winter had uploaded a picture of herself with her nieces on a boat in a bikini. This attracted social media users to body-shame her, drawing comments like put on some clothes and asking for it. She later deleted the post from her Instagram account.

But she had a quick-fire response to that before deleting the post, Who knew that an innocent photo with my nieces would turn into this? The height of a girls skirt or whatever she is wearing for that matter, does not imply what she is asking for. It sickens me to think at 17 years old, a photo of myself with my nieces is suggesting that Im 'asking for it'. I typically never give power to the mean things people bravely say behind their computer screens on the Internet, but this is for the girls who are constantly bullied whether it be online or at school. You are not asking for anything because of what you are wearing- you are expressing yourself and dont you ever think you deserve the negativity as the consequence to what you are wearing- YOU ARE BEAUTIFUL. Celebrate you and dont let anyones comments allow you to think less of yourself. Us girls have to stick together!!!!!!

In an interview with Glamour, Winter opens up about her surgery. She talks about going through the physical and emotional pain of having huge breast, she also mentioned that the female side of her family has a history of big breasts. She also mentioned that she had spoken to her Modern Family co-star Julie Bowen about her desire to get the surgery and said, She was very really supportive and understanding.

Though she got the surgery, it would seem like she would avoid being trolled on the internet. But it did not spare her. In 2017, she wore a revealing dress at the Academy of Television Arts and Sciences television panel in Hollywood, attracting trolls on social media. People were calling her out for that, but she did not sit quietly. She ranted on Twitter, saying, Wear whatever you want people! As long as you feel good about yourself thats what matters.

In 2019, after she shed a few pounds, people body-shamed her for losing weight. In 2020, she spoke to Teen Vogue, A lot of people commented on my post like, No, she changed her antidepressant because she wanted to lose weight, Winter says, No! I thought every medication I was on, I was going to stay at that weight, and that was fine. It had nothing to do with that.

However, despite being under constant attack on social media, Winter has strongly held her ground. She has been very vocal about dealing with trolls and body-shamers. She has spoken openly about body shaming, trolls, cyberbullying and mental health.

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'Modern Family' star Ariel Winter isn't new to being body-shamed, but she always had a mic-drop response ready - MEAWW

24 year old Claudia Murray, had tried to lose weight several times over the years, trying everything from weight loss shakes, to all the fad diets under the sun but to no avail.

I would lose a few pounds, but of course as soon as I stopped, Id just gain it all back she admits.

However, it was after just six weeks after the birth of her youngest son, now a year old, she knew enough was enough.

Weighing over 17 stone, the young mum who also has twin four year old daughters, admits that her weight had got so bad, her little girls eventually stopped asking her to play with them, knowing all too well what the answer would be.

Swipe across to see Claudia's incredible before and after pictures

I was constantly on the couch just eating and it was really affecting the kids she says.

It was heartbreaking to have to tell them no all the time but anytime I would try to get up to do anything I was left out of breath.

I couldnt run around with them, I coundt get on the trampoline with them and eventually I noticed they had stopped asking me.

They had obviously realised there was no point and that really gave me a wake up call that I needed to get my ass in gear and do something about it.

In fact things had gotten so bad, Claudia admits she had to stop doing her weekly shop, when she became so heavy, she struggled to simply walk around the store.

I couldlnt get around the store without having to sit down to rest as Id gotten so heavy, it was that bad.

Claudias sister had already lost eight and a half stone with Slimming World, so she decided to sign up with her mother for moral support in May, 2018 and has not looked back since.

In less than a year, she had lost over five stone, dropping from a size 22 to a size 10-12. and is now a Slimming World Consultant herself, running groups in MountRath and Naas in Kildare.

Nothing worked for me before, but this was just learning tiny changes that make a massive difference she explained.

You dont have to cut anything out and you can still eat anything you want, just tweak it. For example, rather than cooking with ordinary oils, getting one calories spray like Fry Light.

Youre not cutting out any carbs, you can still have those, if you do want any more treats like a bar of chocolate you can still have those using your Syns.

The idea is not to deprive yourself of anything. That made all the difference to me, before I would have cut out bread, and pasta, I thought you couldnt have any of those foods when youre trying to lose weight. Now none of that is off limits.

Claudia also revealed, her partner lost four stone without even joining the group himself, as the entire family switched from eating out and takeaways to home cooked meals.

And the entire family has benefited from the change as Claudia got a whole new lease of life, telling us, I just love that I dont have to say no to my kids anyway I can go out and play with them and that is incredible.

That was my goal from the beginning, that I could go for a walk with my kids, get on the trampoline with them and play with them without feeling like I was on my deathbed.

And sharing her advice to others struggling with their own weight, Claudia urges them not to be afraid to join a weight loss group.

I never thought I could lose weight and here I am after losing more than five stone she says. My family didnt think I would stick to this,and now nearly a year later, Im still at it, and even got a new career out of it, when I became a Slimming World Consultant.

The hardest part of starting is walking in those doors,the first time, but I guarantee when you do, you will be welcomed with open arms, there is absolutely no judgement. I know its so scary but take the first steps because your life will change completely.

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Kildare mum of three, Claudia Murray, transforms her life and lands new career after five stone weight loss - RSVP Live

Weight loss at home or perhaps more accurately, avoiding weight gain at home is suddenly a big deal for a lot of us. A few weeks into self isolation and/or social distancing and you start noticing something peculiar: although you are not eating more, your favourite jogging pants feel a bit tighter than they used to. That's because you do less physical activity than before; but even that is the case, with our handy tips, you'll see that it is not all that difficult to avoid weight gain in isolation.

Managing your weight is beneficial for both your physical and mental wellbeing. With a few simple tricks and lifestyle adjustments, you can make sure the pounds stay off and who knows, you might even shed a few kilos in the process. The fact is, the best way to lose weight fast is to pay close attention to your diet. Not surprisingly, the best way to get a six pack is to eat right (and, to some degree, to work out).

The tips below can be used on their own or you can even combine them as you see fit. Very important, however, is not to overdo it and do vigorous exercising while not eating much at all. That is just plain dangerous and can get you injured in no time. Be sensible and if you had any issues with obesity before or really unfit, consider talking to a health professional first before you implement any drastic changes in your lifestyle.

(Image credit: The Protein Works)

It's really not rocket science: if you don't want to out on weight, you have to stop eating more than your body needs. Even if before the mandatory isolation you have been living a relative sedentary lifestyle, being indoors for 99% of time means you are burning less calories than you used to. And this means you should eat less to adjust to this new lifestyle.

Of course, you can offset the lack of outdoor exercising with indoor exercising but there are other ways to keep the waist slim that doesn't involve gruelling physical activity. And the best of them all is to be more mindful about how and what you eat.

Without trying to convert anybody to mindfulness and being present, try stopping for a second anytime before you raid your cupboard for some food. Ask yourself the question: am I hungry or just bored? Was there anything I was supposed to do before I decided to eat? Something I had to deal with? Unhealthy eating habits often stem from procrastination and us not wanting to deal with the task at hand.

If you are a big fan of fried food, one obvious way to reduce calorie and fat intake is to get one a best air fryer. Air fried food isn't necessarily as delicious as deep- or even shallow-fried, but it does retain a fried/roasted taste and mouth-feel whilst using as little as a tenth of the fat of frying or roasting. We know they're in demand right now, cos they keep selling out.

Tefal Actifry Genius 2in1 Air Fryer | Sale price 270 | Was 300| Save 30 at AmazonThis air fryer is also a slow cooker and casserole/curry maker, with a robotic stirring paddle doing all the actual work for you while you work out. With a 1.2 kg capacity, it's very family friendly, and that dome on top is actually see-through, so you can view your dinner as it cooks.View Deal

Tefal Optigrill | Sale price 120 | Was 170 | Save 50 at VeryJust like a George Foreman grill, but without the George Foreman element, this has presets for cooking burgers, chicken, bacon, sausage, 'red meat' and fish, with a further setting for cooking food from frozen. There's 600 square centimetres of non-stick, die-cast aluminium cooking surface, and a large juice tray to catch all that fat you are now not consuming. Serves 2-4.View Deal

Another way to to eat less is to face how much we eat in general. Considering the amount of processed food we eat, it's easy to count the amount of caloriesand macronutrients (lipids[fat]/carbs/protein) we consume by using apps that scan barcodes of food items and does the adding up for us.

The best known of these apps is MyFitnessPal, but there are many other apps that can do the same thing. Garmin watches can integrate with it o you can see calories consumed vs calories burned on your wrist. Fitbit does a similar thing with its Fitbit Premium service. You can currently grab a free, three-month trial of Fitbit Premium, which should hopefully belong enough

By realising just how many calories are in certain food items we eat, we can make more educated decisions about snacking in the future. Can you eat a box of Jaffa cakes in one sitting? That's 450 'bad' calories consumed and to burn it off, you would have to do an hour of HIIT workouts. Which you probably won't.

Fitbit Versa 2 | Sale price 159.99 | Was 199.99 | Save 40 at AmazonThe Fitbit Versa 2 is always getting price cuts and is currently 40 off at Amazon UK. See below for the best prices in your country. The stylish Versa 2 features advanced cardio tracking as well as step and sleep tracking, and has Alexa built in. It's not got GPS but, of course, you don't need that indoors anywayView Deal

Fitbit Charge 3 | was 149.99 | now 89.99 at AmazonThe new Fitbit Charge 4 with GPS will be on sale shortly but as we noted, if you are concerned with activity and avoiding weight gain at home, that is less useful. So why not try to snap up one of the remaining stocks of the Charge 3 at a knockdown price instead? If you're outside the UK, see below for the best prices for Fitbits near you!View Deal

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(Image credit: Getty Images)

Even if you don't want to swap out Mars bars for kale and broccoli, you can drastically reduce calorie consumption by only eating in a certain time-window a day. Probably the most popular way is to do intermittent fasting. There are two ways to go about it: either the 5:2 diet or the 16:8 fast diet.

With the 5:2 diet, you restrict calorie intake for two days a week, down to 700-800 calories, while for the rest of the weeks you eat normally. The 16:8 diet is a daily fast, where you eat only in an 8-hour window. With the latter, the most convenient way is to fast while you sleep: have your last meal at around 8 pm, and have the next one at 12 pm the next day. This way, you sleep through most of the fats, making it super easy to do so. Well, somewhat easier anyway.

Wild West Original Jerky, 12 x 35g bags | 21 at AmazonFor a calorie-dense but nutritious snack, nothing beats jerky or biltong cured meat snacks high in protein. This Wild West Original comes in handy 35g bags, to keep yourself fuller for longer. It's packed full of protein to help build muscle after a workout (13.2g per pack, to be precise), and is gluten free.View Deal

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(Image credit: Sundried)

Drinking more water is beneficial for a lot of reasons and now that we are all grounded in our homes, people can't really use the usual excuse not to drink more, which is "I'll need to go to the toilet more often", since the loo is really always available at home (we hope so anyway).

Drinking plenty of water can help metabolism and, most importantly, it can also help you feel fuller for longer. The best combination is eating more fibrous food more vegetables, mainly and drinking plenty of water. Cold-pressed bars are okay as a snack too with lots of water, although they are by nature quite high in sugar.

Low-sugar protein bars and savoury snacks like beef or vegan jerky are a great alternative to chocolate bars as a mid-afternoon snack. Nuts are okay although they are very energy dense (high in good fats) so you should only eat a small portion at the time.

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(Image credit: Fitbit)

Although we are stuck indoors, having a fitness tracker or running watch around your wrist can still be beneficial. One of the more casual feature of these fitness wearables is the 'movement reminder' that prompts you, once every hour, to get up and walk for a bit. Now, being in isolation doesn't help but getting off from the sofa periodically can be beneficial for your overall wellbeing nevertheless, even if it is just to have a stretch or to put away some washing.

Fitness trackers and running watches also measure calories burned so you it can adjust your calorie consumption to your calorie expenditure. These devices are not ultra precise but they will give you a good estimate nevertheless.

Garmin Forerunner 645 Music 249 | Was 349 at Wiggle | Save 100|Not the best Forerunner watch perhaps, but the 645 Music is an excellent deal at this price. Offering advanced calorie tracking as well as expert analysis of your steps, cardio, running, cycling and sleep, this Garmin watch has long battery life and looks great. It also doubles as a smartwatch, with alerts for messages, calendar appointments etc.View Deal

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(Image credit: Sixpad)

SIXPAD Abs Fit 2 | Buy it for 222 at AmazonAs used by Cristiano Ronaldo, no less, this is certainly not going to help you avoid weight gain on its own, but it could help add the finishing touches to your six-pack, if your home weight-loss drive is really successful. Amazon also sells all manner of abs belts by brands we have never heard of, for about 20. Needless to say we dont recommend these.View Deal

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(Image credit: Tanita)

Just like fitness trackers, bathroom scales the smart scale variety can also measure energy expenditure and tell you how many calories you burn, as well as other deets about your body, like bone/muscle mass and, most importantly, body fat percentage. They don't even cost the earth either: the Tanita BC-401 body composition monitor is less than 80 and measures 10 different body metrics. Cheaper than getting a Garmin Fenix 6 Pro, for sure, although the Tanita BC-401 won't be that much of a help when it comes to navigating forest trails, unlike the Garmin's offline topographic maps.

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(Image credit: Fitbit)

HIIT workouts have never really gone out of fashion but they are definitely 'in' at the moment, mainly because they are an effective way to burn calories and can be done indoors, using your bodyweight only, a kettlebell, dumbbells, treadmills, exercise bikes, rowing machines and basically everything you can think off. We have seen a gym water bottle tabata workout before, too.

Should you be considering doing HIIT workouts, we have an article about why should you try HIIT and also an ever expanding list of free apps and online workouts that can help you get started. Or you can follow along Joe Wicks' daily HIIT workouts for kids on Youtube as well.

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Continued here:
How to lose weight at home and avoid weight gain: our 7 best tips for home weight loss - T3

Just like their younger counterparts, people who have reached a certain age also strive to lose weight. Some for medical reasons and others for being able to keep fit and healthy. However, it might be a little difficult to lose weight once you reach the age of 50. Lowered metabolism, a drop in hormone and conditions like menopause in women of this age all contribute to making weight loss a difficult journey as you grow older. It also risks certain nutritional deficiencies that may lead to other health complications further on in life.Here are six tips you can follow to make the journey of weight loss after 50, safer and healthier.Concentrate on metabolismThe bodys metabolism is the rate at which it can burn fats. The slower your metabolism, the more time it will take to burn fat. It is said that the bodys metabolism slows down by 2% every decade after you turn 20. Given this, you have to be consistent in your weight loss journey to see results. Here are a few ways you can accelerate your metabolism. Drinking cold water is known to increase your metabolism. Room temperature, on the other hand, does not amp up your rate of metabolism It is advisable to choose to stand rather than sit whenever possible Green tea is a good antioxidant and also increases your metabolism Adding zinc to your diet is a good way to amp up your metabolic rate. Oysters, red meat and poultry are good sources of zinc

Keep a track on your dietAs you grow older, your level of activity during the day reduces. Given this, you need to take extra care of your diet. Here are a few tips to help you watch what you eat in a day.

It might be a good idea to practice intermittent fasting. It keeps your metabolism up and gives your gut much needed rest. It also keeps a check on your insulin levels leaving you more active. Increase the amount of protein you consume. It helps in your metabolism and is also necessary for the upkeep of your muscles thus saving you from muscle degeneration which commonly begins at this age. Eat vegetables before you eat carb-rich foods. Vegetables make you feel fuller, reducing the number of carbohydrates you have. It is important for you to have a balanced diet so that you leave out no essential nutrients. Nutrient deficiencies are common at this age, which can lead to other complications at later stages.

More here:
Here is how to easily lose weight after turning 50 - Times of India

Click here for more details. What were you weight loss goals at the beginning of the year? Have you met your weight loss goals? Are you moving in the right direction? Is it hard to stay on track?

Losing "stubborn" fat is hard and as you get older - it just gets harder and harder. You might go to the gym five days a week, sweat on the treadmill for an hour, and see maybe a pound or two drop in a month. Is that really worth your time? Or... imagine going to a medical facility, laying down, spending 25 minutes relaxing, then getting up and finding out you've lost two inches around your waist. Which do you prefer? What if you could keep doing that and losing more and more fat until you looked like you did years ago? If you have any interest in this and how it works when it comes to inch loss, you should stop what you're doing and call the office for an appointment immediately. This new treatment technology - now available in Tucson - uses a special light therapy to trick your mitochondria (in your fat cells) to release their fat content. ULTRASLIM is now cleared for prescription use in the United States as the only noninvasive treatment for immediate fat removal without dieting, exercise, or pills.This treatment is safe and painless! If you eat better, drink plenty of water, stay away from sugars, and carbohydrates, this can lead to permanent fat loss without surgery. Here's a heads up. If you have tried liposuction in the past - you know that when you"regain the weight" it goes to different places-making your body look distorted and then unfortunately, you're back to where you started, only worse. With this technology we don't destroy your fat cells. What we do is we simply drain the contents of the fat cells so you lose the inches and look good again.

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Tucson Morning Blend A gentle, easy way to lose the weight you want Heather Rowe 2 - KGUN

Dr. Michelle McMacken says those hoping to lose weight should 'start from a place of kindness' towards themselves (Photo: Adobe. Do not use without permission)

A leading plant-based medic has shared everything you need to know about losing weight on a whole-food plant-based diet in this exclusive Plant Based News video.

Michelle McMacken, MD is Assistant Professor of Medicine at NYU School of Medicine and the director of Bellevue Hospital Weight Management Clinic.

According to Dr. McMacken, her first weight loss tip is to 'start from a place of kindness to yourself'.

She adds: "I say that because having directed a weight management program for 15 years, what I've seen is that people get incredibly frustrated. It's a challenging process, and people can get really down on themselves because ultimately there are a lot of factors outside of our control that can go into maintaining our body weight.

"And so, while there are lots of things we can do to address our body weight, it's important to start from a place of compassion and kindness to yourself."

Dr. McMacken pointed out some of the specific difficulties people can have when losing weight, one being that many get to a point where it becomes more difficult to lose weight.

"That's not anyone's fault, or a lack of willpower," she said. "It's just biology. So it's important to be realistic about where you're going with it, and not be hard on yourself, and to minimize the shame you might feel if you slip-up, because again, everybody is human.

"So what I often will tell patients who come to see me when they are trying to lose weight, is that I'd like very much not to focus on the number on the scale. In fact, I have patients when they come to see me who we don't even check their body weight, because that can actually frustrate people more if it's not going as quickly as they would like or if it's going in the wrong direction."

She recommends instead focusing on tracking the behavioural changes you're making - as that is something tangible people are in control of.

Dr. McMacken's third tip is not to rely on willpower, which she joked 'extinguishes by about 1pm'.

"It's not really a good strategy for longterm weight loss - to rely on denying yourself, and willpower, and trying to white-knuckle yourself through a dietary plan," she said.

"What I think is much more important is to change your environment, and that looks like changing the foods that you just happen to have in your home, working with whoever you live with to help strategize with you...changing your routine - so that if you know you have a habit of walking past a certain bakery each day and getting a donut, it would be better just to walk on a different block so you're not tempted to do that."

Go here to see the original:
Plant-Based Doctor Reveals Her Top Tips For Weight Loss - Plant Based News

When 35-year-old Surya Gaur was diagnosed with pre-diabetes and hypertension, he knew he had to change the way he was living his life. On top of that list was getting back in shape and reducing all the extra kilos. A teacher by profession, Surya chose the mantra he often taught his students i.e. persistence is the key to success. The journey did test his determination and will power, but he certainly came out as a winner! Here is his immensely inspiring weight loss journey.Name: Surya GaurOccupation: Teacher

Age: 35 yearsHeight: 5 feet 7 inches

City: New Delhi

Highest weight recorded: 90 kgs

Weight lost:18 kgs

Duration it took me to lose weight: 8 months

The turning point: A lot of people dont realise that more than the weight itself, it is all the lifestyle diseases that haunt someone who is overweight. I was in my 30s when I was diagnosed with pre-diabetes and hypertension. I realised that I must be doing something really wrong that my health is in such poor shape, so early in my life. I did not wish to lead the rest of my life feeling exhausted and lethargic because of all the extra kilos that I was shouldering. That was the point I decided to lose weight and get back in shape. Since that day there has been absolutely no looking back and I feel like a completely different person now.

My breakfast: A bowl of wheat flakes with milk

My lunch: A portion of brown rice and a bowl of dal

My dinner: 1 chapati made of the multigrain flour and a bowl of sabzi

Pre-workout meal: A cup of black coffee

Post-workout meal: Protein shake

I indulge in: I did not believe in the concept of cheat days. So, I did not have any cheat days or cheat meals for 6 whole months.

My workout: I stuck to the basics when it came to working out. I made it a point to go for a brisk walk for at least 45 minutes every morning, without fail. I finished it off by drinking a glass of lukewarm water mixed with a teaspoon of apple cider vinegar (ACV).

Fitness secrets I unveiled: On my journey, I have realised nothing quite pays off like being persistent. So, you need to continue even when the going gets tough and understand that there are no shortcuts to losing weight.Low calories recipes I swear by: I vouch on boiled chicken with brown rice.

How do I stay motivated? I had promised myself that if I am able to shed all the extra kilos, I will get the hair treatment I had wanted for so long! This was enough to keep me motivated to continue my weight loss journey.How do you ensure you dont lose focus? I weighed myself every Monday and also clicked a picture. I had made it a target to lose around 500 grams per week. This short yet achievable goal made sure that did not lose my focus.Whats the most difficult part of being overweight? When you are overweight, you tend to feel lethargic and lazy all the time. I felt as if I did not have enough energy to make it through the day.

Originally posted here:
Weight loss story: This teacher lost 18 kilos in just 8 months by brisk walking every day! - Times of India

Editor's note: Find the latest COVID-19 news and guidance in Medscape's Coronavirus Resource Center.

Currently, living donors are urged to go ahead with the preliminary steps in the process remotely, but in-person appointments and transplants are largely on hold. Deceased-donor transplantations deemed essential surgeries are moving forward, but surgeons are having to use their best judgment to determine whether the kidney's donor was infected with COVID-19.

Rapidly evolving concerns about the effect that COVID-19 is having on kidney transplants was a hot topic at the virtual National Kidney Foundation 2020 Spring Clinical Meetings.

The COVID-19 concerns are being added to longstanding issues in the transplant community, such as the debate about whether patients who are obese should be required to lose weight before they can be considered for kidney transplantation.

Obesity can cause complications in kidney recipients, experts agree, but views on how much emphasis should be put on pretransplant weight loss differ.

"Kidneys are a limited resource and we can't transplant everyone," said Kenneth Woodside, MD, a transplant surgeon and associate professor of surgery at Michigan Medicine in Ann Arbor.

The implications of obesity for transplant patients were discussed in a virtual presentation by Woodside and Meera Harhay, MD, associate professor of medicine at Drexel University College of Medicine in Philadelphia.

A link between obesity and death from cardiovascular disease after kidney transplantation was seen in a previous study. The meta-analysis showed that patients who are obese are twice as likely to die from cardiovascular disease after kidney transplantation as patients with a healthier weight, Woodside explained.

Cost to the healthcare system is also higher for kidney recipients who are obese, Woodside said.

Average accumulated Medicare payments for the first 3 years after transplantation ranged in cost (in 2012 US dollars) from $109,623 for living-donor recipients who had body mass index (BMI) of less than 18.5kg/m to $143,529 for those with a BMI over 40kg/m, according to an unpublished study of more than 8000 patients by Tayyab Diwan, MD, and colleagues from the University of Cincinnati.

"You really see a jump at the BMI 30 mark," Woodside pointed out.

There are practical concerns as well, he explained.

"It takes longer to sew in kidneys in obese patients, so there's more delayed graft function," he said. And "to sew vessels, you need to be able to see the vessels. Retractors are only so long."

There is no question that surgical complications are a big factor in patients who are obese, said Harhay, but there are several problems with mandated pretransplant weight loss and BMI cutoffs at transplant centers.

One is the steady increase of morbid obesity in the United States, which would limit access to an ever-rising number of patients.

Although there is no national standard BMI cutoff, 66 of 67 transplant programs in the United States use a BMI cutoff of 35 to 40kg/m, according to a previous study.

And 21% of transplant programs did not list any candidate with a BMI of 40kg/m or higher from 1995 to 2006, according to a study of all waiting-list registries in the United States.

"What that means is that in the United States, if you have end-stage kidney disease and morbid obesity, your access to a kidney transplant might depend more strongly on what transplant program you live near what they're willing to do than your own health status," Harhay explained.

"A BMI cutoff of 35kg/m would exclude about one in five adult incident dialysis patients in the United States from a kidney transplant evaluation, and a cutoff of 40kg/m would exclude one in 10 incident dialysis patients," she said, citing data from the US Renal Data System.

In addition, BMI does not equal body composition. "A person with a high BMI could be muscular, and that could be protective," Harhay said. "BMI doesn't differentiate between where fat is stored."

Importantly, it's hard for anyone to lose weight, let alone people who are on dialysis and perhaps also working. "Dialysis is an exhausting procedure and end-stage kidney disease is an exhausting condition," she emphasized.

But tips for patients with end-stage kidney disease who want to lose weight were provided at the virtual meeting by Karen Greathouse, RD, a transplant dietitian from the University of Michigan Health System in Ann Arbor.

"The key to successful weight loss is not just losing the weight, but being able to maintain that for 5 or more years," she said.

The big problem with many diets is the lack of programs to support people. "We're trying to give handouts and expecting people to go with it," she explained.

Diets that include unusual combinations of food or that have a particular eating sequence are not sustainable, Greathouse pointed out.

She said she recommends individualized action plans with a dietitian for people with end-stage kidney disease. Dietitians will stress lifestyle changes and the importance of combining dietary changes with exercise, she noted.

And smaller goals relieve anxiety and increase the chances of success. Some people are given instructions to lose 50pounds, which "puts them at the bottom of a well trying to climb out," she explained.

And healthcare providers often tell people to limit fruits and vegetables because they contribute to fluid complications or high potassium levels.

"I can't tell you how many times I've heard patients say they've been told not to eat salad because it contributes to fluid," Greathouse said.

"When you're increasing fruits and vegetables, you're having better bowel movements, you're lowering your potassium deposits and fluid," she explained. "Processed foods have more potassium than the fruits and vegetables, and that's what a lot of our patients are eating."

National Kidney Foundation (NKF) 2020 Spring Clinical Meetings. Presented March26, 2020.

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Lisa Riley, is best known for playing Mandy Dingle in Emmerdale as a guest appearance on the show in 1995 and joined the regular cast permanently in 1996. She left in 2001, however later returned in 2019. She has recently opened up about her battle with her weight and confidence. Lisa - who has gone from a dress size 28 to a size 14 - has been showing off her weight loss on social media and it hasnt gone unnoticed by fans, with many flooding her Instagram photos with comments.

The Emmerdale star said she now looks at old photos of herself and asks whos that girl as she no longer recognises her old self.

Lisa slimmed down after giving up alcohol and junk food in 2012, but was left with a huge amount of excess skin.

The actress relied on a simple trick to slim down. At the beginning of her weight loss journey, Lisa watched her portion sizes and has now added a minimum of 30 minutes of exercise a day to her lifestyle.

Opening up about her decision to lose weight, Lisa told the Mirror: I started thinking about my own health.

READ MORE:Catherine Tyldesley weight loss: How the Coronation Street star lost huge amount of weight

People forget how gigantic I was. With the skin removal I lost 12 stone, one pound.

The surgeon chopped off one stone, four pounds. Since then my weight has more or less stayed the same.

Commenting on her new diet, Lisa added: Now, for lunch I eat either a bowl of soup or a plain jacket potato. Im never going to be a size 28 again.

The actress is known for playing Mandy Dingle in Emmerdale, but the soap has been suspended temporarily because of the coronavirus outbreak and Lisa is currently self-isolating at home.

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Over the weekend, Lisa shared a selfie, encouraging her followers to stay at home.

The sun is shining but I beg you PLEASE stay inside and respect the lives of EVERYONE.

Last year she shared a clip of her workout routine on a cruise with Strictly Come Dancing.

She captioned the video, which showed her sweating as she worked out on a machine: So here I am doing what I do best working out HARD.

Fans soon commented on the Instagram video as they encouraged her on her fitness journey.

You really are enjoying exercise, one comment read.

Wow you are so beautiful. A second added.

In 2012, the soap star shared her secret to maintaining her new weight loss.

I was the classic over-eater but I have completely changed my attitude towards food, said Lisa, whose favourite foods were crisps, crumpets, white bread and pasta.

I used to go out for a meal and have a starter, main and pudding. No wonder I was gaining weight.

Lisa Rileys Honesty Diet book was released last year and retails at 16.99. The diet plan came out on top five weeks running as the cheapest way to lose weight on ITVs Save Money: Lose Weight - costing just 11.79 for every pound lost.

Lisas Honesty Diet focuses on eating lots of fresh food and working out, with the focus on enjoying what youre eating and being as inexpensive as possible.

In 2017 she filmed a documentary detailing her weight loss titled Lisas Baggy Body Club.

Speaking in the film, she said: I feel like a balloon thats had all its helium taken out.

This encouraged her to open up about the battle on her ITV documentary. The actress underwent a tummy tuck, surgery to remove the loose skin from her thighs and the removal of excess skin on her arms.

Despite the tummy luck leaving scars behind, Lisa shared that it was worth it to get rid of the saggy skin.

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But in fact, that is not at all times potential. A house train bike is a very sensible planfor these with youngsters, since mother and father can preserve an ear out whereas nonetheless squeezing in time for themselves with out having to plan their regimes round childcare.

And in accordance to Rhian Stephenson, the CEO of cult indoor cycling studioPsycle, research have proven that highway cyclists who use stationary bikesfor shorter, excessivedepth interval coaching can considerably enhance efficiency on the highway with out having to put in hours and hours of labor.

Plus, this is a type oftrain which is just about accessible to anybody, no matter expertise and prowess. Its a great place to begin when you lack confidence. Its low skill pretty much anyone can use a staticbike regardless of coordination, which means you can train hard without having to worry too much about mastering technique. Its easierto progress at the start, and newer bikes can give you output readings like watts, distance, and calories,so you can easily track your workout.he says.

Stephenson agrees. Most people feel comfortable riding a bike so theres very little barrier to entry. One of the great things about indoor bikes is that you can have a class with a huge spectrum of capabilities all ridingtogether. As youre in control of your resistance, you can train with anyone and work at your own pace.

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