Hey Adam, it’s great to see you’re leading a healthy lifestyle and reaping the benefits of a good diet and exercise. My question is, what do you recommend for someone who isn’t overweight per se, but could still afford to lose a few pounds? I have less than 20 lbs that I need to lose before I get a flat stomach to start working on my abs. I’m a taller guy (above 6ft) if that makes any difference. What kind of exercise should I be doing?
Keto. Flexitarian. Paleo. Whole 30. Vegan. There are as many diets in existence as there are dangerous weight loss myths. So which eating style should you choose when you’re on a get-fit-quick and have just 10 days? Turns out, numerous studies have found it essentially doesn’t matter which plan you follow for rapid weight loss, be it low-carb or low-fat, as long as you’re eating fewer calories than you’re burning. The key is that it’s sustainable: a strategy that you can keep up for the week and a half—and beyond.
Roni starting blogging in 2005 as a way to stay accountable on her personal weight-loss journey. Six years later, she still blogs, but her mission is to inspire others and share her ideas to live a lighter, healthier life. Roni does this through openly and honestly chronicling her weight loss, health, and fitness goals. Roni also founded FitBloggin’, a conference to bring new and seasoned health and wellness, fitness, and weight-loss bloggers together for knowledge, personal growth, and networking. It's clear that Roni is committed to living a healthy lifestyle and sharing her passion with others. I'm so glad to know her professionally and personally.
Oh and Sara and I actually connected thanks to Pinterest! She had seen one of my posts on Pinterest and when she saw my website and read my weight loss journey, she saw that we had a lot in common. We emailed a bit, then talked on the phone, and we clicked instantly. It was, without a doubt, a God-led meeting and we have both been so blessed by every part of our friendship and business partnership!
The scale is not necessarily your friend. You may want to lose fat – but the scale measures muscles, bone and internal organs as well. Gaining muscle is a good thing. Thus weight or BMI are imperfect ways to measure your progress. This is especially true if you’re just coming off a long period of semi-starvation (calorie counting), as your body may want to restore lost muscles etc. Starting weight training and gaining muscle can also hide your fat loss.

About: Yes, it’s true Julie is not exactly a “new” blogger (she’s been doing it since 2011). But when you look at her blog, it’s easy to see why we added her here — she’s got the same caliber as the big guns, and deserves even more recognition than she’s already had. Julie decided some time back that she was going to make better decisions when it came to her health, but progress with weight loss, as she puts it, has been “S-L-O-W.” Determined and just happier with the way she feels, Julie carried on until she reached her goal weight. Today, she hovers between 150 and 170 pounds, blogging about what she eats, what inspires her and how she hopes to inspire others, too.
“Oolong, or ‘black dragon,’ is a kind of Chinese tea that’s packed with catechins, nutrients that help promote weight loss by boosting your body’s ability to metabolize fat. A study in the Chinese Journal of Integrative Medicine found that participants who regularly sipped oolong tea lost a pound a week, without doing anything else to change their diet or exercise habits.” — Kelly Choi, author of  The 7-Day Flat-Belly Tea Cleanse
Wow! Thank you so much for sharing your story…I would have never guessed you had dealt with such a thing. I”m in the process of losing over 75 lbs gained due to anxiety medicine. I too just woke up and had an epiphany that the medicine had turned me into someone I was not and I had to get off of it especially before having children. It’s definitely been a struggle, but I’ve seen the commercials on tv too and do not want to chance affecting my future children in any way and I want to be a better version of myself. For me personally, exercise, eating better, and therapy have worked to reduce my anxiety and panic attacks enough to stay off medicine.
Jen is a pillar of inspiration in the weight loss blogging community. She started a blog called “PastaQueen” in 2005 to document her journey. After losing nearly 180 pounds and sharing all about it on PastaQueen, Jen decided it was time for a change. While she knew that she should always cherish her weight loss, her life (and blog) now focus on weight management and a host of other wellness topics. She continues to encourage others as they start their own passage into fitness.

When you drink liquid carbs, like the sugar in soda, your body doesn't register them the same way as, say, a piece of bread, according to a review of studies published in Current Opinion in Clinical Nutrition & Metabolic Care. That means, even though you're taking in calories, your fullness cues aren't likely to signal that you're satisfied once you finish off a can. And that can lead to consuming more overall.
Choose the turkey sandwich over pizza and you think you're set, but again, looks can be deceiving. A turkey sandwich that comes on focaccia with cheese and mayo can deliver 970 calories. Two slices of pepperoni pan pizza total 520 calories. Put your sandwich in a spinach wrap instead of regular bread? It's the same difference, says Tara Gidus, RD, a former spokesperson for the Academy of Nutrition and Dietetics. "My clients think they get more nutrients and save on calories with 'healthy bread,' but often that's not the case."

About: Three years ago, Christina suffered a miscarriage, became depressed, gained weight and developed a horrible body-image problem. But that wasn’t who Christina was deep down. So, she switched her diet to gluten-free and started up a website dedicated to sharing healthy, good-tasting recipes that others could use to help them lose weight and live healthy. A certified nutritionist and yoga instructor, Christina’s blog has everything you need for practical tips to lose weight and hundreds of scrumptious, healthy recipes to help you along in your journey.
Thank you. It’s easy to click through your blog looking at your gorgeous home, your perfect children and your beautiful skinny self. This is a wonderful reminder that we are all human! I have also lost 100 pounds and still have a way to go…. it was refreshing to be reminded not to take for granted that you know what struggles someone else has faced.

●Halt bad eating habits. Before you cave to the crave, hit the pause button, recommends Pamela Peeke, author of the bestseller “The Hunger Fix: The Three Stage Detox and Recovery Plan for Overeating and Food Addiction.” Ask yourself: “Am I hungry? Angry? Anxious? Lonely? Tired?” Get in touch with your emotions and ask, “Am I’m emotional right now? Am I about to knee-jerk into overeating?”


"Your body needs a healthy balance of exercise and rest. Doing too much prevents the body from shifting excess fat. Exercising without rest can impact our levels of the steroid hormone cortisol and cause an increase of stubborn fat stored in the belly. Not allowing your body to recover can increase the risk of injury too, so make sure you factor in rest days to your plan."
” But Ben’s life has changed since he settled on the choice to get solid in 2008. He began running and has since contended in marathons and Ironman occasions. In 2019, he decided on the beautiful choice to stroll over the United States from L.A. to Boston. Come here for enterprise, photographs, and exhortation on working out and carrying on with a healthy lifestyle.
“Oolong, or ‘black dragon,’ is a kind of Chinese tea that’s packed with catechins, nutrients that help promote weight loss by boosting your body’s ability to metabolize fat. A study in the Chinese Journal of Integrative Medicine found that participants who regularly sipped oolong tea lost a pound a week, without doing anything else to change their diet or exercise habits.” — Kelly Choi, author of  The 7-Day Flat-Belly Tea Cleanse
Hi Adam, I am a 15 year old girl and trying to lose weight. I currently weigh 115 pounds and im trying to get to atleast 100. I tried to use your method and i waited two weeks but heres some bad news i got the same result. So i have a question is there an easier way to lose weight fast and without harming my health. I also would not like to half to go buy some drugs at the drug store. I’m not sure what to do considering i have searched the internet like a million times and found like nothing. So please help me!

Harder et al. reported that rapid WL could significantly decrease weight, triglycerides, total cholesterol (TC), low-density lipoprotein (LDL) cholesterol, fasting blood glucose (FBS), hemoglobin A1c, and fasting serum insulin (FINS) (16). Also, Wahlroos et al. reported that a significant decrease in waist circumference, body mass index (BMI), subcutaneous abdominal fat volume, and insulin resistance occurred after rapid WL (17).


Drinking plenty of water is essential for overall health, and is a great way to boost your weight-loss efforts. But if you’re getting your H2O from cheap bottled water, the bottle itself could pose a problem; Bisphenol A, commonly referred to as BPA, has been linked to obesity, and it’s still found in many cheap plastics. A 2011 Harvard study found that adults with the highest concentration of BPA in their urine had significantly larger waists and a chance of being obese than those without as much of the chemical in their systems. So if you must drink store-bought bottled water, check to see if the bottle is BPA-free. And whatever you do, don’t reuse the same bottle; constantly refilling the same plastic bottle can cause BPA to leak into the water.
About: Emma’s blogging personality is emphasized in her blog name. She’s a health and fitness junkie who uses her own life experiences to inspire others. For Emma, fitness is a release, and she wants it to be the same for her readers. Emma provides multiple recipes, weight loss tips and is an avid believer in “macro-counting,” eating the right kind of calories to maintain a healthy body weight.
If you want to shrink your gut, get enough protein in your diet. In this case, about 25 percent of calories. Why? For starters, protein makes you feel full and helps you build muscle (which increases metabolism, thereby making it easier to lose weight). Just as important, high-protein diets have been shown to be the best way of attacking belly fat. In one study, published in the International Journal of Obesity, Danish researchers put 65 people on either a 12 percent protein diet or a 25 percent protein diet. The low-protein dieters lost an average of 11 pounds, which isn't bad. But the high-protein subjects lost an average of 20 pounds--including twice as much abdominal fat as the low-protein group.
About: Blogs full of heart-felt writing and deep emotions are great, but it never hurts to toss in one with a laugh-out-loud humor to it as well. Enter Running off the Reese's blogger Cely. If her blog mantra “Because no one should have to choose between their pants and chocolate” doesn’t pull you in, her creative use of gifs and humorous style of writing will. Cely was diagnosed with rheumatoid arthritis at the age of 18 — a diagnosis she certainly didn’t let hold her back. She runs races (usually half-marathons or less), shares her experiences, has a long list of book reviews...and talks a bit about life in general in between. And it’s awesome.
It is possible to do more in less time — at least when it comes to your workouts. By incorporating interval training — that means bursts of high-intensity moves — you’ll give your metabolism a huge boost, says Glenn Gaesser, Ph.D., director of the Kinesiology Program at the University of Virginia and author of The Spark. If you usually jog at a consistent pace, try adding a 30-second to one-minute sprint every five minutes, or, if you’re on a treadmill, change up the incline for one-minute intervals.
This is a medical clinic providing weight loss surgeries. But their blog also has a lot of helpful information about losing weight and maintaining that weight loss without surgery. You can find posts about the types of conditions that contribute to weight gain, posts about personal weight loss journeys, and yes, tips and advice for those who might be considering surgery. Visit the blog.
About: Bonnie’s been sharing her life — and family of 7 — with readers for years. But the reason she found her way onto our list is because of what she started Jan. 2 — a full-on commitment to cut out the junk food, soda and other unhealthy habits and lose weight. More than three months later, and she’s more than succeeded. Her daily struggle is the kind of thing anyone who’s stopped and started and stopped and then started again can attest to. But what really makes it special is that this time, she not stopping.
I wasn’t happy at my heaviest, but I wasn’t really motivated to do anything about it until a ski trip with friends in 2004 put things in perspective. The vacation was a blast, but I quickly lost my getaway glow when I saw photos from our trip. Looking at the physical proof, I was embarrassed by how much weight I had gained. Every photo was a “bad” photo of me. I was so depressed that I threw most of them away.

Think about it: If you have a big plate, it may be easy to pile on the food until the plate is full, leaving you with portions that are way too large. "Since I regularly ate balanced meals, I knew it was my portions that had to be fixed," says Erika Cataldi. "I began using toddler plates; I could load them up and still feel like I was getting a lot." That optical illusion help Cataldi drop 70 pounds.
Diane’s blog is the place she shares her tips — and accounts her life as a self-teaching mother — with the world. Both her blog and her book, “150 Pounds Gone Forever”, are established in the weight reduction reasoning of good dieting, parcel control, and normal work out. On the off chance that you need to take the weight off and keep it off, take after Diane.

Jen just signed up for her first triathlon. That’s 3 miles of running, 10 miles of biking and 1/2 mile of swimming. All at once. Not bad for a woman who started out 50 pounds heavier. When you visit her blog, be sure to check our her “My Story” tab. Her essay explaining how she and running became “BFF’s” (despite the fact that she started out 50 pounds heavier and went through more hardship in a few years time than most people endure in 10) will have you laughing out loud and also deeply move you. She’s on a journey to fit and she’s taking everyone with her.

There is plenty that you can do to get even more out of your walks. Stephanie Cyr began her 102-pound weight loss journey by walking for an hour each night—but there was a catch. "I mapped out a 3-mile course that took me through the hills in my neighborhood," she says. Live in a flat area? Alternate 1 minute of super-fast walking with 1 minute of slower walking for a calorie-torching interval routine.
A recent increase in exercise using kettle bells has also increased my weight and I have heard about this before so wasn’t concerned but I am still increasing weight so thought I’d better look at what I’m eating as well. (By the way kettle bells are amazing for your core). Looking at Adam’s lists, I was horrified to see cereal had so much sugar – even the bran and fruit kind and with milk this doesn’t appear to be the good start to the day I had thought. So it’s fruit tomorrow!

I’m not a big milk chocolate fan, and I do love dark chocolate the best. I made different kind of chocolates and things for my family. My family and I eat so different, that I try to incorporates everyone’s taste buds. 🙂 Your right, moderation of anything and you can still lose weight. That took me a long time to learn that. It’s nice to know you can eat more than carrots and celery! Thank you so much Susan for the kind words!
In fact, anything that is white or can be white. So no pastas, no rice, no breads, no oatmeal, no potatoes, etc. However, I still ate a ton of carbohydrates. I just ate better high-fiber carbs such as black beans, kidney beans, and lentils. The latter I didn’t really enjoy, so most of my meals were made up of beans. The picture to the left is an example of what I would eat for supper. This night I had a spread of black beans, cooked frozen veggies, and sliced ham. I basically substituted the ham for any other meat – chicken, beef, or pork mostly – and alternated between black and kidney beans. Note – if you find your food getting bland, try using mustard and pepper. For lunch, I’ll often take 1/2-1 can of tuna, 1-2 cups of frozen veggies, and a big scoop of bean, cook in the microwave, add a couple squeezes of mustard and pepper and shake.
It is possible to do more in less time — at least when it comes to your workouts. By incorporating interval training — that means bursts of high-intensity moves — you’ll give your metabolism a huge boost, says Glenn Gaesser, Ph.D., director of the Kinesiology Program at the University of Virginia and author of The Spark. If you usually jog at a consistent pace, try adding a 30-second to one-minute sprint every five minutes, or, if you’re on a treadmill, change up the incline for one-minute intervals.

Make sure to program your cardio exercise in with your weight training the right way, though — a 2017 study found that performing cardio and weight training workouts on alternate days was far more effective for burning belly fat than stacking the workouts on top of each other in the same session. Put the two together, and watch that unhealthy midsection shrink.


Glad you started to work out! It took me to my mid 30’s before I started to workout! Now I do it at least 5 times a week! You feel so much better about yourself and your doing something good!! I’m glad you have a family that supports your healthy eating! Sometimes it can be hard when they don’t!!! Keep up all the great work and keep educating yourself on a healthy lifestyle!
Even tiny changes in how and when you eat can add extra pounds or shut down the weight loss process. Did you start skipping breakfast or other meals? Did you try to lose weight by cutting out all sugar but now you’re bingeing on sweets ? Are you eating too many dairy foods to get extra calcium for bone health? If you’ve eliminated meals or changed your diet for what you thought were health reasons, your weight can go up.
But I've seen some women beat themselves up over a few extra pounds, even though this does little more than destroy their self-worth. Berating yourself will not help motivate you to control your weight and improve your health. So the next time those negative thoughts creep into your head, recognize them for what they are and replace them with positive ones.
At 28 years old, Anna is looking (and feeling) pretty sharp. But it wasn’t always that way for her. Anna had spent her entire life being overweight, but last July, she decided to really do something about it. Anna has already lost over 90 pounds, and she’s managed to do it in just 10 months. Anna also is certain to lay it all out there for her fans, giving tips and advice, being honest about what works and doesn’t work and share her own thoughts along the way. She even gives readers a handy “how-to” guide on how to lose weight while traveling, and you’re sure to come back to catch up with her facetious manner of speaking day-in and day-out.
And at the gym, that difference just gets exacerbated. Women, worried about bulking up, tend to lift lighter weights and focus more on cardiovascular fitness, while men tend to gravitate toward the kind of heavy lifting that boosts muscle composition and metabolic rate, says Jim White, a Virginia Beach-based nutrition expert and certified personal trainer.
Karol K. teaches how to save on the popular Flex Belt, and discusses the basics of TRX training (learn more). He contributes articles on fitness training, working out, and losing weight in general. He also enjoys writing occasionally for WeightLossTriumph. He’s a fan of healthy living and being in shape no matter what. In his personal life, he proves that one doesn’t have to struggle to be healthy.

Could I ask a question (or two?!)? I’m just starting to design a blog that’s around weight loss and fitness (it is specific and not as vague as I’ve made it sound!). When I see even genuine blogs you always see the person when they’ve reached physical perfection (which is great) but what do you do if you’re blogging at the beginning of that journey? I don’t know what image to put on my home page at this point – I kinda am more happy the starting point being on a My Journey page but I’m a bit lost as to what to put on the home page or having running through the blog as a consistent image (until I reach my goals)? What do you think? Also, is there a best format/way to construct the chronological record of your journey – what’s the best blog-site architecture for this type of routinely updated journey??
I am 29 years old and weight 149.80 lbs. I weighed 190 almost two years ago. I have been struggling trying to lose the last 25 lbs to reach my goal. My biggest problem is that I lose almost all of the weight from my upper body but none of the fat has budged from my under arm (jiggly arms), inner thighs, knees or calves. I’m at a lose as what to do now.
Carb crazy? Consider this: Refined carbohydrates, such as bread, potatoes and rice, create a surge in insulin that in turn drives down your resting metabolic rate, explains Aronne. "It's important to keep carbohydrates in your diet, but really focus on fruits, vegetables and whole grains, which have less of an effect on insulin levels," he explains. And when buying whole-grain breads and cereals, make sure the first ingredient listed is whole wheat, whole oat or cracked wheat.
Although I am not tiny or super duper in shape, I feel that I am finally at a comfortable and healthy weight that I can maintain while being busy and always on the go. My routine over the last year has been to try and eat fairly healthy during the week and then cheat a little on the weekends. If I splurge at one meal, I try and drink a healthy shake or a plate of veggies at the next to “make up for” the last meal. As I said before this is NOT health advice, just how I maintain my weight without counting every calorie. I am  not one of those people with a crazy metabolism who can eat whatever they want so I have to be conscious about it all the time. Boo to any of you who are that way. I am forever jealous. One thing that has really helped me to start losing some again recently has been an alkaline diet. I honestly FEEL so much better too!
About: Shannon’s a fit girl, but her mission in life is to get even fitter — and motivate others to join her along the way. She’s also a full-time marketing executive, but her true passion is bringing together and inspiring them to reach their goals. You’ll find her posts are full of positivity, motivation, practical tips for exercising (without killing yourself) and even fun fashion bits. If the sun was shining through a blog, it would be shining through Shannon’s.
One of the great things about Stefanie’s blog (other than it being extremely creative and fun to browse around), is that she not only lost 50 pounds since 2008, but has managed to keep it off - all by making complete 180 degree changes in her life. She used to hate running. Now, she is obsessed with it. She used to devour meat. Now, she is a vegetarian. She used to eat fattening foods. Now, she eats clean. After making the changes initially, something clicked for Stefanie, and she kept at it. Her mission now is to make healthy living attainable and realistic for anyone who stops by - a mission she works to complete through her writing every single day.
“Stop focusing on calories and start focusing on the quality of the foods you eat. High-quality diet options are natural, whole, minimally processed foods, like vegetables, fruits, nuts or seeds that offer a lot more nutritional value in the form of vitamins, minerals, healthy fats and fiber. These foods help tame hunger naturally and nourish our cells at the deepest level so that we aren’t left with constant cravings. — Michelle Loy, MPH, MS, CSSD, Registered Dietitian Nutritionist and owner of Go Wellness in Orange County, California
What’s one poor decision that David sees people over the age of 50 making all the time? Skipping meals, most likely because of a decreased metabolism. “As we age, our hormones change,” she says. “Estrogen and testosterone gradually decrease over time, which leads to fat accumulation due to the body not processing sugar, as well. We also lose more muscle mass as we age, causing our resting metabolic rate to decrease. However, skipping meals can cause you to be deficient in important key nutrients needed as we age, such as overall calories and protein. Eating regularly throughout the day and getting enough calories/protein will help with higher energy levels and maintain muscle mass, which means a higher metabolism.”
“When you’re anxious, your body feels like it’s under a tremendous amount of stress all the time. This is why anxiety is a powerful trigger for weight gain. Two of the most proven cures for anxiety are exercise and spending time in nature. Combine both with an outdoor run or bike ride and race away from the anxiousness. Making this habit part of your lifestyle can help you stay lean for life.” — David Zinczenko, author of the Zero Belly Cookbook

A self-proclaimed blogger, fashion-lover, social media marketer and writer, Emmie’s blog isn’t just about reaching a goal weight. It’s about taking it one day at a time as she goes from 455 pounds to “whatever healthy looks like” for her. Emmie’s already lost over 113 pounds, but that’s far from stopping her. Emmie’s blog inspires others, and it gives people the perfect outlet to chuckle at witty humor, look at pretty clothes, read honest product reviews and even partake in fun giveaways.
Make sure to program your cardio exercise in with your weight training the right way, though — a 2017 study found that performing cardio and weight training workouts on alternate days was far more effective for burning belly fat than stacking the workouts on top of each other in the same session. Put the two together, and watch that unhealthy midsection shrink.

Your weight loss regimen is great. I have cut out the carbohydrates that I was consuming a lot of such as pizza, potatoes, bread and the list goes on. I have also stopped drinking regular milk and the results are amazing. I do use a supplemental pill the African Mango to assist in my weight loss journey. I have already lost 9 pounds and loving the progress. I hope people really understand the benefits of this program and utilize it because it works – you just need to give your body the chance.


My weight was pretty consistent throughout middle school, high school, and into college. As a middle schooler, there was so much going on in just trying to develop as a human that fitness, nutrition or creating a healthy lifestyle was never going to be a priority. I exercised by figure skating (I used to be a competitive figure skater!), track and field, and soccer (I played goalie for one year so honestly I shouldn’t even count that.) I also remember many sleepovers spent eating pizzas, candy, and soda. I specifically have one memory of me and a friend challenging each other to eat entire medium pizza from dominos by ourselves…and we both succeeded…so that’s where I was as a 7th grader. I remember feeling bigger than a lot of girls and embarrassed about my weight sometimes, but I had super great friends, kept busy with activities, and overall was supported and I think that is why my weight never got me down too much. Overall, I probably lived a generic middle school life.

About Blog After years of yoyo dieting, Julie Obiamiwe decided in 2014 to lose the weight for good and maintain a stable weight from then on out. By 2015 with her shape beginning to change but progress a bit slow on the scales, she decided to set up a weight loss journal to make herself accountable and in June 2016. The YoYo Chronicles came into existence. Follow her journey as she faces down various challenges including a sedentary job as a legal aid solicitor, peri-menopause, menopause to name a few.
Biz is a healthy recipe developer and creator of the blog, My Bizzy Kitchen. For years, she struggled to maintain a healthy weight after working a desk job for close to ten years. When the time came to get serious about her health, she was diagnosed with Type 2 diabetes and has since been learning to navigate her weight loss while being an insulin dependent diabetic. She shares her weight loss journey and her healthy, diabetes-friendly recipes, as well as a healthy dose of humor, on her blog.
Part of slimming down involves a simple, sensible exercise and an easy-to-follow nutrition plan. This full week of meals will take the guesswork out of grocery shopping and prepping with nutritionist-approved breakfast, lunch, and dinner ideas. If you have a higher activity level, check out these 1,300-, 1,400-, 1,500-, and 1,800-calorie meal plans as well.
Can a food-loving chef lose weight? Tony of The Anti-Jared said yes, to the tune of more than 200 pounds. When he started coughing up blood and having other severe health problems in 2008, the chronic yo-yo dieter decided that he was finally losing the weight for good. And he's made good on that promise to himself. But his primary motivation for the weight loss and for keeping it off was so he and his wife could have another baby. Unfortunately the baby did not survive, but the poignant lessons he learned&mdas;and wrote about in his post The Butterfly—go far beyond losing weight for a loved one.
Plus, I think it’s important to pay it forward. I’ve been blogging since March 2011 and in August 2014 I  turned blogging into my full-time career. Over the years I learned a lot from other bloggers so now I feel it’s my turn to turn around and help others up the latter. Starting in 2018 I’m starting a new blog called Big Boss Moves where I talk more in-depth about my blogging experiences. Until then I hope you find this information helpful.
If you’re allergic or sensitive to a certain ingredient and continue eating it, you’re likely to struggle with losing weight. The food is triggers inflammation, as your body fights against it. As you continue eating the same food that’s making you ill, the inflammation continues, making you a lot more susceptible to extra pounds and other health issues.
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