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Chair Yoga Is the New All-Ages Fitness Trend That Can Make You Look and Feel Younger – Best Life
Fitness 
Comments Off on Chair Yoga Is the New All-Ages Fitness Trend That Can Make You Look and Feel Younger – Best Life
It seems like every few months, social media delivers a new fitness trendthings like walking pads, rucking, and pilates, to name a few. Sometimes, these trends last for years and have the potential to change people's lives for the better; other times, they disappear as fads, more short-lived than Furbies and wedge sneakers (in the fitness realm, think hula hooping and jazzercise). So when the concept of chair yoga came across our for-you page on TikTok, it caught our attention. Keep reading to learn how this all-ages fitness trend can help you look and feel younger.
RELATED: Walking Pads Are the Latest Wellness Trend Everyone's Talking About. ae0fcc31ae342fd3a1346ebb1f342fcb
Chair yoga is exactly what it sounds like: a form of yoga that modifies traditional poses so they can be done while sitting on a chair or using one for support.
"It can be both gentle or rigorous, depending on how the chairs are used," says Patrick Franco, co-founder and instructor at YogaRenew in New Jersey. "It involves gentle stretches or enhancing more challenging postures, breathing exercises, and relaxation techniques."
Although the practice is currently trending, it isn't anything new. Chair yoga, which is also called adaptive yoga, was invented in 1982 by Lakshmi Voelker, a certified Kripalu yoga instructor and member of the International Association of Yoga Therapists. According to Google Trends, searches for the practice reached peak popularity in the winter of 2024, but there's been rising interest in the topic since around 2020. More than 2,500 teachers around the world are certified to teach this method.
The key draw to chair yoga is its accessibility. "It is super beneficial because it adapts the practice of yoga to suit the needs of a wider range of individuals," says Amine Rahal, founder of Gymless. "By bringing the practice into a seated or supported format, it opens up the world of yoga to those who might otherwise be excluded due to physical limitations or discomfort with traditional yoga mats and poses."
There's essentially no barrier to entry. Everyone can participate no matter their age, mobility, or fitness levelit's also a great exercise for those who are recovering from illness or injury, suffer from chronic fatigue, aren't able to or don't wish to get on the floor, or simply sit for long periods each day and need to get some movement into their schedules.
Experts say chair yoga has similar benefits as the traditional practice. "That includes calming the central nervous system, building strength, increased proprioception, improved neuroplasticity, as well as improved cognition, mobility, and stability," says Amy Zellmer, editor-in-chief of Midwest Yoga + Life.
Most experts agree there aren't many downsides to chair yoga, but there are some limitations. Franco says the practice may not provide the same level of cardiovascular, strength-building, and stability benefits as more vigorous forms of exercise: "While it can still improve flexibility, strength, and overall well-being, individuals seeking high-intensity workouts may find chair yoga insufficient."
Supplementing the practice with other forms of exercise as needed allows you to get the best of both worlds. "I have seen folks frown down upon chair yoga claiming it is making folks lazy, while in reality, it is making yoga accessible to those who can't do traditional asanaand let's not forget that asana is just one limb of yoga," says Zellmer.
RELATED: 7 Easy Stretches You Can Do at Your Desk Chair.
Of course, before you begin the practice, or any new fitness routine for that matter, you'll want to check with your doctor, especially if you have health concerns or limitations.
Once you're given the green light, getting started is easy. You could enroll in a class at a yoga studio or fitness center, or give it a try at home. Zellmer suggests finding a sturdy chair without armrests or wheels; if you're seated in a wheelchair, lock the brakes first.
Then, queue up an online video to walk you through your first few poses. As you develop a consistent practice, you'll start reaping all the benefits.
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Chair Yoga Is the New All-Ages Fitness Trend That Can Make You Look and Feel Younger - Best Life
Is Biden’s Fitness to Stand Trial Relevant to Presidency? – Daily Signal
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President Joe Bidens fitness to stand trial and his fitness to serve as president are not comparable standards, the forensic psychiatrist who led the movement to oust Donald Trump from the presidency via the 25th Amendment contends.
Dr. Bandy X. Lee, who edited The Dangerous Case of Donald Trump: 37 Psychiatrists and Mental Health Experts Assess a President, first released in 2017, said earlier this month that she did not judge Bidens cognitive decline to be a danger to his service as a president.
Last week, several Republican lawmakers responded to her comments, with many alleging a double standard for judgments of Trump and Biden.
In a detailed email sent Friday to The Daily Signal, Lee responded to both GOP lawmakers comments and The Daily Signals coverage of her comments in what she called too many misconceptions by lawmakers and in the news story.
The investigative report that special counsel Robert Hur released on Feb. 8 looking into Bidens mishandling of classified documents said Biden willfully retained and disclosed classified materials after his vice presidency when he was a private citizen at his home and office.
However, Hur said he would not seek charges because Biden would appear to a jury to be an elderly man with a poor memory and because his diminished faculties make it less likely he intentionally violated the law.
Robert Hur is not a mental health professional, and he commented on capacity to stand trial, not capacity to serve, Lee told The Daily Signal in the detailed email.
Several Republican lawmakers have made the comparison of Bidens capacity to stand trial and his ability to do the job of president.
Among those lawmakers, Rep. Claudia Tenney, R-N.Y., argued, Either President Biden is fit to stand trial, or he is unfit to serve as president. There is no middle ground.
Lee, who has worked for Yale, Columbia, and Harvard, responded, On the contrary, fitness to stand trial and fitness to serve are two different standards.
West Virginia Attorney General Patrick Morrisey, a Republican, made a similar comment to Tenney, to which Lee said, Actually, you can [compare fitness to stand trial versus fitness to serve as president], because they are two different standards.
Lee insisted that she and other mental health professionals conducted an evaluation of special counsel Robert Muellers 2019 report and determined Trump was not fit to be president. Mueller investigated allegations of a conspiracy between Trump and Russia to interfere with the 2016 presidential election.
Lee disagreed with a statement from a previous Daily Signal story on Wednesday that Neither Trump nor Biden were evaluated by medical professionals for mental fitness, which was meant to convey that neither man was personally examined. She contends the review of the Mueller report counted as an actual evaluation.
Again, there was a formal mental capacity evaluation done by a panel of the nations top mental health experts, for which Donald Trump failed every criterion, Lee wrote about her colleagues and her review of the Mueller report.
While the Mueller report did not establish that members of the Trump campaign conspired or coordinated with the Russian government in its election interference activities, several aspects of the report indicated temperament issues with Trump.
The press release that accompanied Lees and her colleagues 2017 evaluation said, Without diagnosing, these top experts on mental health demonstrate, through a standard procedure, that the president clearly poses a danger to the nation and the world in his role as commander in chief.
She also responded on Friday to several Republican members of Congress who said there was a double standard among the people who called for ousting Trump for supposed mental health reasons but who apparently have no problem with Biden.
In extended comments in her email to The Daily Signal, Lee was also dismissive of a cognitive test that Trump took in person while in office. She said this was a 10-minute screening.
He [Trump] passed a 10-minute cognitive screen by his personal physician who did not have proper qualifications or the training to do a fitness test, Lee told The Daily Signal.
Lee is the co-founder of the Violence Prevention Institute and is the president of the World Mental Health Coalition, a coalition specifically created to critique Trumps mental health, and author The Dangerous Case of Donald Trump.
Last week, Rep. Mary Miller, R-Ill., told The Daily Signal, There has been a glaring double standard. The same people who questioned President Trumps mental stamina after he passed a cognitive test are now defending Bidens mental acuity.
Rep. Mike Collins, R-Ga., told The Daily Signal, The only reason youd refuse a cognitive test is if you cant pass it.
Lee scoffed at this presumption.
If he [Collins] is referring to the one Donald Trump passed, there is another reason: it would be an insult, if not a grave concern, for a president to have to take that 10-minute screen (not a full test), Lee wrote in the email.
Referring to another lawmakers comment, Lee wrote, Again, Donald Trump did a 10-minute screen, which if he did not pass, he would be in a nursing home. She also noted, That was a 10-minute screen, on which hospitalized psychiatric patients get perfect scores.
Lee expressed that she was not happy with how Wednesdays Daily Signal news story came out. The story included comments from several GOP members of Congress.
I was told that a publication by The Heritage Foundation would at least be intellectual, she said (Heritage is the parent organization of The Daily Signal). There were just too many misconceptions, I had to respond.
She took exception to the storys reference that she defended Biden.
A psychiatrist does not defend a president; she detects (or not) signs of unfitness, regardless of person, Lee said.
She also disputed the previous Daily Signal stories that said making an assessment of either Trump or Biden without an in-person evaluation could violate the Goldwater Rule. Lee countered that it actually fulfills the rule.
The Goldwater Rule prevents psychologists from offering a professional opinion unless he or she has conducted an examination and has been granted proper authorization for such a statement. The American Psychiatric Association adopted the rule after a group of partisan Democratic psychology professionals declared that 1964 Republican presidential candidate Barry Goldwater was psychologically unfit to be president.
Lee said her previous evaluation of Trump didnt violate the rule. Rather, it fulfills the ethical guideline that precedes 7.3 (the Goldwater Rule), which is 7.1: Psychiatrists are encouraged to serve society by advising and consulting with the executive, legislative, and judiciary branches of the government.
Specifically, the 25th Amendment to the Constitution allows for the vice president and a majority of presidential Cabinet secretaries to determine whether a president is physically or mentally unfit to carry out the duties of the office. If the president is deemed unfit, the vice president would become acting president on a temporary basis.
Under the amendment, Congress could remove the president from office permanently with a two-thirds vote of both the House and Senate. That is a higher bar than for impeachment, which requires only a simple majority in the House to vote for impeachment and a referral to the Senate for a trial and possible removal from office.
Have an opinion about this article? To sound off, please emailletters@DailySignal.com,and well consider publishing your edited remarks in our regular We Hear You feature. Remember to include the URL or headline of the article plus your name and town and/or state.
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Is Biden's Fitness to Stand Trial Relevant to Presidency? - Daily Signal
Jimmy Pea Talks New Book ‘Finding Re2pite’ All About Faith & Fitness! – iHeart
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Best Selling Author Jimmy Pea dropped by the studio the other day to give us the inside scoop on his brand new book 'Finding Re2pite: When Faith and Fitness Meet Grace in Suffering' which available now. Jimmy has been a best selling author for years and even co-wrote a few fitness books with Mario a few years back but his life took a wild turn following a debilitating illness which struck him out of no where. This book delves into the story and shows how faith and fitness helped him find his way back to a sense of normalcy.
Mario and Jimmy talked all about that journey, their friendship over the years and more. Listen back to the full interview below and be sure to get your hands on a copy of 'Finding Re2pite' right here!
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Jimmy Pea Talks New Book 'Finding Re2pite' All About Faith & Fitness! - iHeart
Vi Is A VR Glove For Fitness, And Eventually A Headset – UploadVR
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A new VR startup wants to make a fitness-focused glove, and eventually a fitness-focused headset too.
Vi is being founded by XR entrepreneur Cix Liv, who previously cofounded the VR livestreaming tool LIV and the VR fitness tracker YUR. Liv was working on a mixed reality esports game called REK since 2022, but canceled it last year citing low audience interest as well as the technical and practical issues inherent in using headsets outdoors.
Joining Cix at Vi is engineer Eugene Nadyrshin, who designed a VR glove with haptic feedback back in 2018, and product designer Marcus Kane, who has experience with consumer electronics and previously produced renders of Quest Pro and Quest 3 before they were announced based on leaked CAD schematics.
Vi fitness glove prototype being tested with Apple Vision Pro.
The Vi glove is designed for resistance training. It features a pressure sensor that can sense the weight of dumbbell you're lifting, and an IMU (a chip with an accelerometer and gyroscope) that can sense the number of reps. Vi claims the goal is to be able to track resistance bands, push ups, pull ups, dumbbells, barbells, kettlebells, and more. It will support Apple Vision Pro first, communicating via Bluetooth as demonstrated in the video above. Vi says it's exploring Quest support, but that it may not be possible due to how Meta has locked down the Bluetooth stack.
The Vi headset on the other hand seems more of an aspiration than a solidified plan, at least for now. Liv tells UploadVR that it will based on Qualcomm's Snapdragon XR2 Gen 2 reference design headset, with a (non-lenticular) front display and a small battery in the rear strap to achieve a slim and balanced design. Vi is targeting 60-90 minutes of battery life, matching what Liv claims is the maximum typical VR fitness session. Liv tells us the headset shouldn't be expected until late 2025 or early 2026.
Vi's plan is to sell the hardware at cost and make the money on a subscription to its fitness service, which the headset will boot into, and the only application it will support at launch.
As always, we should note that mass producing and shipping consumer electronics is extremely challenging, and many (if not most) startups fail to deliver.
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Vi Is A VR Glove For Fitness, And Eventually A Headset - UploadVR
Doctors: Be aware of what health and fitness information smart devices can and cannot track – News 12 Bronx
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Feb 25, 2024, 3:16pmUpdated 4d ago
Doctors say people who use smart devices to track their health and fitness need to be aware of what the technology can and cannot track.
The Food and Drug Administration has issued a warning that any smart ring or smart watch claiming it can measure one's blood sugar levels without piercing the skin is unable to do so.
Those devices have not been approved or authorized by the FDA.
The concern is that patients will rely on these devices and receive inaccurate measurements and errors, which could be life-threatening.
However, doctors say some smart watches and devices can effectively track other important health and fitness information.
"There's some trackers that only check your step count. Then there's others like watches that can tell you how much sleep you're getting and the quality of your sleep as well as your heart rate, which can be important with someone with a potential underlying heart conditions," says Dr. Laxmi Mehta, a cardiologist with The Ohio State University Wexner Medical Center.
Dr. Mehta says because people have their smart devices on them the majority of time, the devices can sometimes resister potential issues that are not caught by tracking and testing set up by doctors.
"I've had some patients that we've put monitors on them for a whole month and we can't find anything because it's just infrequent, too infrequent. And when they have these devices, we're able to find out like, gosh, you know what they're experiencing is real. It's not anxiety, it's not something in their head. There's something real, but we just can't capture it on our monitors because the monitor is not worn too long," says Dr. Mehta
Cardiologists say smart devices have not been shown to help alert people to a potentially dangerous abnormal heart rhythm called atrial fibrillation.
If the condition goes undiagnosed for a prolonged period, it increases one's risk of having a stroke.
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Doctors: Be aware of what health and fitness information smart devices can and cannot track - News 12 Bronx
Local fitness coach joins team of all-women rowing from California to Hawaii – News-Press Now
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Local fitness coach joins team of all-women rowing from California to Hawaii - News-Press Now
Mike Trout takes HGH for a ‘thyroid’ condition" – When 11x All-Star outfielder was wildly accused by ex-Yankees … – Sportskeeda
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Mike Trout is one of the biggest names in the world of MLB. The player has been known for his performance on the pitch and has mesmerized his fans with it. However, at one point, it was speculated that the Angels star was using human growth hormones (HGH).
However, following the fallout from the Houston Astros sign-steal scandal, the MLB commissioners office shot down this speculation about Trout and the players' association. But even though the league flunked off such speculations, some still believed he was guilty of using it. Legendary Yankee Scott Brosius' son, David Brosius, was one of them.
In January 2020, David, via his Instagram post, publicly accused the 11-time All-Star of using his medical condition as a loophole to take HGH. He also speculated that the league knew everything but looked the other way around because Trout was their 'best player.' His post read (via Bleacher Report):
However, this didn't go so well for the Brosius. He faced much backlash and criticism for his wild accusations towards the 9-time Silver Slugger winner. The next day, he deleted the post and apologized for what he said about the player.
Mike Trout has flunked off possibilities of leaving Angles in a trade move. The 32-year-old has been his team's biggest star ever since joining in 2011.
According to reports, Trout dismissed any idea of him leaving the Angels clubhouse soon. He has made it clear that he has no current intentions to make a trade move until the end of his contract. However, he has kept doors open for every option. Talking about his future at the club, the star said:
With the new season starting in a few more days and the Spring Training ongoing, Trout will look forward to starting on a good note and helping his team reach success and win the championship he desperately longs for.
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Mike Trout takes HGH for a 'thyroid' condition" - When 11x All-Star outfielder was wildly accused by ex-Yankees ... - Sportskeeda
Peter Kay’s Incredible Weight Loss Journey: How He Shed 50 Pounds in Two Years – Deccan Herald
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Peter Kay is a British comedian and actor who has recently shown off his impressive weight loss in rare public appearances. He has reportedly lost over 50 pounds in the past two years by changing his lifestyle and diet. He revealed that he decided to lose weight after being cast as a soldier in a movie. He said that he did not know many soldiers who were his size, so he started doing intermittent fasting, cutting carbs, and exercising more.
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Kay has been away from the spotlight for several years, after canceling his tour in 2017 due to "unforeseen family circumstances". He made a surprise comeback in 2022, performing at the Manchester Arena and the O2 in London. He received a standing ovation from the fans, who noticed his slimmer figure and new look. He also joked about his weight loss, his kidney stone operation, and his life before technology.
Kay has been praised by his fans and colleagues for his weight loss transformation and his return to comedy. He also reunited with his former co-star Susan Boyle, who he collaborated with for a Comic Relief song in 2011. The pair posed for a photo together, which Boyle shared on her Instagram. She wrote: "A reunion 12 years in the making! Susan Boyle & Peter Kay back together again after she went to see his hilariously brilliant show Peter Kay Live in Glasgow."
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PhenQ is a strong and natural weight loss formula that works on different aspects of weight loss. It works to lower appetite and burn fat at the same time to make sure maximum weight loss results. PhenQ is a new weight loss supplement that is specially made to help people losing weight faster, while stopping more fat storage in their bodies. Click Here to see Phenq Prices
PhenQ pills are made with a strong mix of ingredients that are chosen well because of their special properties. All the ingredients work together to target all the aspects related to weight loss. The main purpose of PhenQ diet supplement is to give a complete and all-in-one solution to people for losing extra weight and body fat.
PhenQ is made with powerful ingredients to burn body fat cells, stop their making, and boost metabolism to start thermogenesis in the body for faster calorie burn. At the same time, PhenQ helps in controlling appetite and increasing energy and mood so that you can show the best productive side of yours. The new way of PhenQ diet pills has made it different among a lot of weight loss products and a common choice for losing extra pounds effectively and safely.
PhenQ pills have shown to be a good weight loss solution for people having troubles with obesity and health issues. With its many-sided approach, PhenQ has been ranked as the top fat burner in the market. Following are some main ingredients in PhenQ that helps in stopping sugar cravings, lowering appetite and burning fat:
PhenQ Side Effects
As per the customer reviews, there are no big bad side effects said with the use of PhenQ supplement till now. Some of the customers have some small side effects like feeling full, sick, or headaches in the first days, but these usually go away as the body gets used to the supplement.
PhenQ diet pills are safe for healthy grown-ups and the maker says not to use it if you are under the age of 18. Also, it is not good for pregnant or feeding women. Though, PhenQ weight loss supplement is totally safe to use and gives no side effects, but it is good to talk about your health problems with your doctor before starting any new supplement.
Where to buy PhenQ? PhenQ weight loss supplement can be got only from its official website .
The makers have made sure that you are getting a real PhenQ product to get the best weight loss benefits. So, its buying is only from its official website.
What is in PhenQ? A Look at PhenQ Ingredients These are the main ingredients in PhenQ.
-LACYS RESET
-LACYS RESET is a scientifically tested and patented ingredient in PhenQ. It mixes alpha-lipoic acid and cysteine, two strong antioxidants that have many health benefits.
Research shows that -LACYS RESET makes your metabolism faster, gives you more energy, and helps you lose weight by lowering body fat and keeping lean muscle.
A clinical study in the Journal of Obesity showed that people who took -LACYS RESET had big drops in body weight, body fat percentage, and waist size compared to the placebo group.
Capsimax Powder
Capsimax Powder is a mix of capsicum, piperine (black pepper extract), caffeine, and niacin (vitamin B3). It is known for making your body warmer, which helps your bodys metabolic rate and burns fat.
A random, double-blind, placebo-controlled study in the Journal of Clinical Nutrition found that people who had Capsimax Powder had a higher energy use and fat burning rate during exercise compared to the placebo group.
Chromium Picolinate
Chromium Picolinate is a mineral that helps control blood sugar levels and lower cravings. Scientific studies have shown that Chromium Picolinate can make insulin work better and help your body manage your weight.
A random, double-blind, placebo-controlled study in Diabetes Technology & Therapeutics found that people who took Chromium Picolinate had big drops in body weight, dietary fat mass, and hunger compared to the placebo group.
Caffeine
Caffeine is a well-known substance that has been shown to give you more energy, make you more focused, and make you better at sports.
Many studies, including a summary of studies in the International Journal of Obesity, have shown that caffeine use is linked to small weight loss and more fat burning.
PhenQ Reviews: How PhenQ Helps You Lose Weight-
What Are The Risks, And What Do People Say About It (2023)PhenQ is a new and advanced weight loss pill that helps you reach your weight loss goals. Do you feel frustrated by the endless weight loss articles and products that dont work for you?
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As you keep reading, we will explore the world of PhenQ Reviews, a new and amazing weight loss pill that has impressed many people with its ability to burn fat.
Get ready to be amazed by real stories, scientific facts, and expert views, all aimed at giving you a truthful and helpful review of this amazing product.
Find out how to unlock your weight loss power and start a new journey toward a healthier, happier you.
What is PhenQ?
PhenQ is a new and advanced weight loss pill that helps you reach your weight loss goals.
It is a strong mix of natural ingredients carefully picked for their special qualities, all working together to help different parts of your weight loss efforts.
PhenQ diet pills aim to give you a complete solution by burning the fat cells in your body, stopping the making of new fat cells, speeding up your metabolism, making you less hungry, giving you more energy, and making you feel better at the same time. This special formula makes PhenQ different from other weight loss products in the market, making it a popular choice among those who want a safe and effective way to lose weight.
What is PhenQ? PhenQ is a new and advanced weight loss pill that helps you reach your weight loss goals.
It is made and sold by a reliable company; Wolfson Berg Limited. Wolfson Berg Limited is a respected name in the area of diet pills, known for their care for quality and safety. With a focus on using top ingredients and following strict making standards, Wolfson Berg Limited makes sure that PhenQ meets the best industry marks.
How Does PhenQ Help You Lose Weight? How PhenQ Weight Loss Works! PhenQ uses a many-sided way to help people reach their weight loss goals. The special mix of ingredients in PhenQ works together to help different parts of your weight management, making your body burn fat better and improving your well-being.
Heres how PhenQ formula works.
Fat Burning One of the main ways PhenQ helps you lose weight is by increasing thermogenesis. This process makes your body warmer, leading to a faster metabolism. As a result, your body burns the fat you have more easily, helping you lose fat for good.
Appetite Suppression PhenQ has ingredients that help stop cravings and make you less hungry. By making you feel full, it helps you eat less calories, making it easier to keep a calorie deficit needed for weight loss.
Energy Boost Many weight loss plans often make you tired and low on energy. PhenQ solves this problem by having ingredients that give you a steady energy boost. This helps you stay active, do regular exercise, and live a healthy life.
Nopal CACTUS
Nopal CACTUS, from the prickly pear cactus, is rich in fiber and antioxidants. It helps you lose weight by making you feel full and eating less calories.
A study in the journal Nutrition Research found that people who had Nopal CACTUS had lower hunger levels, less sugar cravings and more satisfaction compared to the control group.
L-Carnitine Fumarate
L-Carnitine Fumarate is an amino acid that helps make energy and burn fat.
Research suggests that L-Carnitine Fumarate can make fat burning better and help you lose weight. A review and summary of studies in Obesity Reviews found that L-Carnitine helped lower body weight.
What is INNOSLIM? A Look at INNOSLIM Ingredients These are the main ingredients in INNOSLIM.
INNOSLIM
INNOSLIM is a special mix of ginseng and astragalus extracts. It has been proven to have anti-fat effects and can help control blood sugar levels.
A study in the Journal of Medicinal Food showed that people who had INNOSLIM had drops in body weight, waist size, and fasting blood sugar levels compared to the placebo group.
Vitamin B3, B6, and B12
Vitamin B3 (niacin), B6 (pyridoxine), and B12 (cobalamin) are important B vitamins that help with metabolism and energy making. They help turn food into energy and make the nervous system work well.
While studies linking these vitamins to weight loss are few, their overall importance for energy making and overall health is well-known.
Makes Your Natural Metabolism Faster P
henQ is different from other weight loss supplements because it targets your bodys natural metabolism. Its special formula makes your metabolic rate faster, helping your body burn calories and fat better. This metabolic boost makes PhenQ different, allowing you to lose weight for a long time.
Read the rest here:
Peter Kay's Incredible Weight Loss Journey: How He Shed 50 Pounds in Two Years - Deccan Herald
Exercise helps keep pounds off after taking a weight-loss drug, study shows – The Washington Post
Long Term Weight Loss Comments Off on Exercise helps keep pounds off after taking a weight-loss drug, study shows – The Washington Post
The new weight-loss drugs that suppress appetite and reduce food cravings can be quite effective at helping people drop pounds, with many losing at least 10 or 20 percent of their body weight while they take the medications.
But in the real world and despite the drugs effectiveness, as many as half of users quit the drugs within a year, studies show, because of their expense, side effects or for other reasons.
Afterward, the pounds almost invariably creep back, and, almost as worrying, the weight people regain tends to be almost exclusively fat, with little muscle. The result is that they are often metabolically less healthy than before theyd begun the drugs.
But an important, new, long-term study of people who used and then quit one of the weight-loss drugs suggests there may be a simple, accessible way to stave off unhealthy weight regain after stopping the drugs: exercise.
In the study, people who exercised while using a weight-loss drug kept off far more of their weight after quitting the medication than people who didnt work out, and they maintained more muscle.
Signe Srensen Torekov, a professor of biomedical sciences at the University of Copenhagen in Denmark and senior author of the new study, said the results strongly indicate that people using the drugs may be able to preserve a healthy weight, even after they quit the medication. But they do need to do exercise.
Most obesity experts agree that the holy grail of healthy, long-term weight loss is maintenance. Shedding pounds is possible for many people, in the short term. Keeping it off can seem almost impossible.
The new class of GLP-1 diabetes or weight-loss drugs, with brand names such as Ozempic, Wegovy, Zepbound and Mounjaro, seem to be intensifying that dynamic. GLP-1 is short for glucagon-like peptide 1 agonist; these drugs mimic the effects of the substance GLP-1.
Most people lose substantial weight rapidly on these drugs. But if they stop, the pounds typically return almost as quickly.
But is this rebound inevitable?
Torekov and her colleagues devised a multiyear, multipronged effort to find out.
It began with 195 Danish adults with obesity but no other major illnesses. They were put on an extremely low-calorie diet, under the supervision of the scientists, to rapidly lose about 30 pounds. Since this was to be a weight-maintenance study, the scientists wanted them to drop pounds fast, and then move to the maintenance phase.
For that phase, the researchers assigned some of the volunteers to start taking Saxenda, known generically as liraglutide, an early GLP-1 medication, to see if the drug would help them maintain and even augment their dieting weight loss. Saxenda is made by Novo Nordisk, the company that also makes two similar drugs the diabetes drug Ozempic and the weight-loss drug Wegovy.
(The study was funded in part by the Novo Nordisk Foundation, a charitable organization affiliated with Saxendas maker. The pharmaceutical company itself had no oversight of the study or its results, a company spokesperson said.)
A separate group of volunteers started the same drug, but also a supervised exercise program, with twice-weekly, half-hour group spinning classes and 15 minutes of high-intensity, full-body resistance training, along with two at-home jogs or similar workouts. The exercise was mostly vigorous, meaning strenuous enough that people could barely talk while they were working out.
A control group didnt exercise and received a placebo, instead of liraglutide. (Although the prescribing information for Saxenda says it should be used in conjunction with a low-calorie diet and increased physical activity, that recommendation is often ignored.)
After a year, almost everyone who took the drug had maintained the lower weight or lost more weight.
Those combining the drug and exercise had lost the most, though. Theyd dropped about six pounds more than those on the drug alone, and more of those pounds consisted of fat, instead of muscle.
The researchers published those results in 2021 in the New England Journal of Medicine. Then they began the most revelatory aspect of their study. They ended the medications and exercise sessions for everyone, leaving people to maintain or regain their weight-loss completely on their own.
After a year passed, the researchers invited all the volunteers back to the lab. One hundred and nine returned and researchers checked their body weight, body composition and current exercise habits.
For some, the year had been discouraging. Those whod earlier taken the weight-loss drug without exercise regained about 70 percent or more of all the weight theyd lost since the start of the study. Most of these regained pounds were in the form of fat, not muscle, so they wound up with relatively higher percentages of body fat than before starting the drug.
Theyd gained weight in an unhealthy manner, Torekov said.
But those whod exercised while taking the drug had maintained considerably more of their weight-loss during this phase. Many remained at least 10 percent lighter than at the studys start, and at least some of the weight theyd regained was muscle, leaving them with a healthier body composition than the other groups.
Its easy to understand why the exercisers added fewer pounds after stopping the drug, Torekov said. They were still exercising, even without supervision or nudging from the scientists. According to questionnaires and activity trackers, they generally continued to work out for several hours a week, voluntarily.
These findings suggest about two hours a week of vigorous exercise, may be a good goal for staving off weight regain after ceasing a weight-loss drug, she continued. Mixing aerobic and resistance exercise is probably best.
Meanwhile, those whod taken the drug without exercise were almost completely sedentary now, averaging fewer than 30 minutes of exercise a week.
More of the ones who had not exercised while medicated had complained of fatigue during treatment and afterward, Torekov said, which may have contributed to their inactivity now.
Overall, the results make a strong case for the importance of adding exercise to a regimen that includes a GLP-1 medication, said Daniel Drucker, a diabetes expert and senior investigator at the Lunenfeld-Tanenbaum Research Institute in Toronto, whose research helped pave the way for the GLP-1 drugs. He wasnt involved with the new study.
The results are very encouraging, agreed Robert Kushner, an endocrinologist and professor at Northwestern University Feinberg School of Medicine, who specializes in weight loss. But further studies will need to be performed to see if a less intense exercise routine has similar effects on weight maintenance when people stop a GLP-1 drug.
The study has other limitations. It used liraglutide, which is not as potent as more-recent obesity drugs. But I would expect the results to be directionally similar with the newer GLP-1 drugs, Drucker said.
It also involved relatively healthy Danes, who may not be typical of other people hoping to lose weight. And the studys exercise routine wasnt merely vigorous, which can be challenging. It was also free and closely supervised during the first year, a luxury unavailable to many of us.
Still, for now, the study tells us that to stave off weight regain and hold onto muscle during and after treatment with an obesity drug, its really important you have an exercise program, Torekov said.
Do you have a fitness question? Email YourMove@washpost.com and we may answer your question in a future column.
Originally posted here:
Exercise helps keep pounds off after taking a weight-loss drug, study shows - The Washington Post
Weight loss surgery has long-term benefits for people with diabetes, study finds – WVTM13 Birmingham
Long Term Weight Loss Comments Off on Weight loss surgery has long-term benefits for people with diabetes, study finds – WVTM13 Birmingham
Bariatric surgery, also called weight loss surgery, leads to better blood sugar control and less medication use long-term in people with type 2 diabetes than non-surgical management with medications such as insulin and metformin, a new study found.Related video above: Am I a candidate for weight loss surgery?The study, published Tuesday in the journal JAMA, compared the blood sugar levels and medication regimens of 262 people who were randomly assigned to undergo weight loss surgery or non-surgical medical management, such as medication and lifestyle changes, for type 2 diabetes after seven to 12 years.Participants who had weight loss surgery had significantly lower blood sugar levels and were on fewer diabetes medications than those who did not undergo surgery, the researchers, from the University of Pittsburgh and other institutions, wrote. They were also more likely to achieve diabetes remission, which is defined as having non-diabetic blood sugar levels for at least three months without medication.This research "provides the most robust evidence to date of the long-term efficacy of bariatric surgery for improving control of type 2 diabetes," Dr. Thomas A. Wadden, a professor of psychology and former director of the Center for Weight and Eating Disorders at the Perelman School of Medicine at the University of Pennsylvania, wrote in an editorial that was published along with the research.Weight loss surgery is a procedure in which the digestive tract is altered typically, the size of the stomach is reduced to help a person lose weight, according to the National Institute of Diabetes and Digestive and Kidney Diseases.The resulting reduction in food intake and neurohormonal changes also lower blood sugar and thereby treat type 2 diabetes, Dr. Marilyn Tan, chief of the Endocrinology Clinic at Stanford Health Care, who was not involved with the research, wrote in an email to CNN."Though it's a more invasive option than traditional diabetes medications and is a large commitment, it's also an investment in long-term health," Tan said.Most health-care providers don't currently recommend weight loss surgery for type 2 diabetes unless a person has a body mass index (BMI) of 35 or higher, and less than 1% of those people end up pursuing surgical treatment, according to the study.However, Wadden said in an email to CNN that the new findings support the expanded use of bariatric surgery for those with a BMI less than 35 who have trouble controlling their blood sugar with medical management alone."I hope these results will encourage more insurers and payers to cover bariatric surgery for patients with type 2 diabetes and a BMI of 30 to 34.9," he said. "It is a highly effective, long-term therapy for these individuals."Non-surgical medical management for type 2 diabetes involves lifestyle changes like reducing carbohydrate intake and increasing exercise, and using medications like metformin and occasionally insulin, Tan said. The goal is to lower hemoglobin A1c, the measure of average blood sugar levels over three months, below 7%."I've had multiple patients where despite hundreds of units of insulin a day, and despite their best efforts, they are unable to get their A1cs below 10%," Tan said. "Then, after bariatric surgery, they can maintain A1c levels below the diabetes range without any medications. They also note that with the weight loss, they can be more active."Further research is needed to compare the clinical outcomes and cost efficacy of weight loss surgery and the new generation of anti-diabetes medications, such as Ozempic and Mounjaro, the editorial says.The weight loss people have after surgery is key to improving diabetes outcomes as well as heart health, Tan said. Weight loss improves the body's response to insulin, reduces inflammation and helps lower blood pressure and cholesterol. It can also improve arthritis so people can exercise more, she added.The findings from this study also support the heart health benefits of weight loss surgery. People in the surgery group had significantly higher HDL or "good" cholesterol and lower triglycerides, a type of fat that can raise the risk of heart disease and stroke.Despite the benefits, people are often hesitant to have weight loss surgery because it is invasive and comes with some risks, Tan said.The study found that anemia (a lack of healthy red blood cells), bone fractures and gastrointestinal complications such as abdominal pain, nausea and vomiting were more common in people who had weight loss surgery.These known complications result from nutritional deficiencies that can happen when the digestive tract is surgically altered. People who have surgery must change their diet and take vitamins regularly to avoid these problems, Tan said.People who have the surgery can also gain back any weight lost, Tan added."Despite having the surgery, weight regain is possible if patients revert back to prior eating habits and quantities," she said.The study found that 51% of surgically treated participants achieved full remission of type 2 diabetes one year later, but only 18% maintained remission at seven years. This reduction in remission after surgery, which has been observed in previous research, is probably due to a combination of weight regain and the loss of insulin-producing cells over time, according to the editorial.Even short-term diabetes remission has benefits in terms of reducing diabetes-related complications, such as eye, kidney and peripheral blood vessel disease, the editorial says.Although bariatric surgery has a higher upfront cost than medical management about $33,000 before insurance coverage it is considered to be more cost-effective about five years after surgery, according to the editorial.
Bariatric surgery, also called weight loss surgery, leads to better blood sugar control and less medication use long-term in people with type 2 diabetes than non-surgical management with medications such as insulin and metformin, a new study found.
Related video above: Am I a candidate for weight loss surgery?
The study, published Tuesday in the journal JAMA, compared the blood sugar levels and medication regimens of 262 people who were randomly assigned to undergo weight loss surgery or non-surgical medical management, such as medication and lifestyle changes, for type 2 diabetes after seven to 12 years.
Participants who had weight loss surgery had significantly lower blood sugar levels and were on fewer diabetes medications than those who did not undergo surgery, the researchers, from the University of Pittsburgh and other institutions, wrote. They were also more likely to achieve diabetes remission, which is defined as having non-diabetic blood sugar levels for at least three months without medication.
This research "provides the most robust evidence to date of the long-term efficacy of bariatric surgery for improving control of type 2 diabetes," Dr. Thomas A. Wadden, a professor of psychology and former director of the Center for Weight and Eating Disorders at the Perelman School of Medicine at the University of Pennsylvania, wrote in an editorial that was published along with the research.
Weight loss surgery is a procedure in which the digestive tract is altered typically, the size of the stomach is reduced to help a person lose weight, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
The resulting reduction in food intake and neurohormonal changes also lower blood sugar and thereby treat type 2 diabetes, Dr. Marilyn Tan, chief of the Endocrinology Clinic at Stanford Health Care, who was not involved with the research, wrote in an email to CNN.
"Though it's a more invasive option than traditional diabetes medications and is a large commitment, it's also an investment in long-term health," Tan said.
Most health-care providers don't currently recommend weight loss surgery for type 2 diabetes unless a person has a body mass index (BMI) of 35 or higher, and less than 1% of those people end up pursuing surgical treatment, according to the study.
However, Wadden said in an email to CNN that the new findings support the expanded use of bariatric surgery for those with a BMI less than 35 who have trouble controlling their blood sugar with medical management alone.
"I hope these results will encourage more insurers and payers to cover bariatric surgery for patients with type 2 diabetes and a BMI of 30 to 34.9," he said. "It is a highly effective, long-term therapy for these individuals."
Non-surgical medical management for type 2 diabetes involves lifestyle changes like reducing carbohydrate intake and increasing exercise, and using medications like metformin and occasionally insulin, Tan said. The goal is to lower hemoglobin A1c, the measure of average blood sugar levels over three months, below 7%.
"I've had multiple patients where despite hundreds of units of insulin a day, and despite their best efforts, they are unable to get their A1cs below 10%," Tan said. "Then, after bariatric surgery, they can maintain A1c levels below the diabetes range without any medications. They also note that with the weight loss, they can be more active."
Further research is needed to compare the clinical outcomes and cost efficacy of weight loss surgery and the new generation of anti-diabetes medications, such as Ozempic and Mounjaro, the editorial says.
The weight loss people have after surgery is key to improving diabetes outcomes as well as heart health, Tan said. Weight loss improves the body's response to insulin, reduces inflammation and helps lower blood pressure and cholesterol. It can also improve arthritis so people can exercise more, she added.
The findings from this study also support the heart health benefits of weight loss surgery. People in the surgery group had significantly higher HDL or "good" cholesterol and lower triglycerides, a type of fat that can raise the risk of heart disease and stroke.
Despite the benefits, people are often hesitant to have weight loss surgery because it is invasive and comes with some risks, Tan said.
The study found that anemia (a lack of healthy red blood cells), bone fractures and gastrointestinal complications such as abdominal pain, nausea and vomiting were more common in people who had weight loss surgery.
These known complications result from nutritional deficiencies that can happen when the digestive tract is surgically altered. People who have surgery must change their diet and take vitamins regularly to avoid these problems, Tan said.
People who have the surgery can also gain back any weight lost, Tan added.
"Despite having the surgery, weight regain is possible if patients revert back to prior eating habits and quantities," she said.
The study found that 51% of surgically treated participants achieved full remission of type 2 diabetes one year later, but only 18% maintained remission at seven years. This reduction in remission after surgery, which has been observed in previous research, is probably due to a combination of weight regain and the loss of insulin-producing cells over time, according to the editorial.
Even short-term diabetes remission has benefits in terms of reducing diabetes-related complications, such as eye, kidney and peripheral blood vessel disease, the editorial says.
Although bariatric surgery has a higher upfront cost than medical management about $33,000 before insurance coverage it is considered to be more cost-effective about five years after surgery, according to the editorial.
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Weight loss surgery has long-term benefits for people with diabetes, study finds - WVTM13 Birmingham