Belly fat is is different from fat elsewhere in your body. The extra weight some people carry around their waists, arms, and love handles isn’t the same — that’s subcutaneous fat, which sits beneath the skin and is relatively harmless, according to Harvard Medical School. The stuff in your belly, visceral fat, lodges deeper down, around your abdominal organs. It's metabolically active tissue that actually functions like a separate organ, releasing substances into the rest of your body that, in excess, can increase your risk of disease.
About: Laura is a health coach whose passion to help others overcome addiction and gain a satisfying life comes from her own history: For years she battled addiction (to food, cigarettes and many other things) and was taught to believe that as a woman, she was less valuable than a man. Trapped in her own mind and truly miserable, Laura one day realized that the key to overcoming her addictions was to make deliberate choices for every single thing she did — a mindset that taught her just how valuable she is. Now, she’s an extraordinarily strong-willed champion of women’s health who shares her knowledge and expertise with others. A true inspiration on so many levels.
Hi! I am 18 years old. My weight is 50 kilos. I really want to lose weight. I have a very nig tummy. But I don’t know hot to start this dieg since I’m really a rice eater. Rice is our main dish. I tried not eating rice before but I felt like I’m going to faint. I don’t have energy and I’m always hungry. I think my body is really used to have rice. Is it still possible to lose weight if there’s rice on my meal? Please help me. Hope to hear from you soon. Cheers!
Hey Adam bates. I am 13 years old. I am trying to lose weight. I weigh 160 pounds. I need help bad. I have been trying to lose weight for years now. I used to look extremely handsome. I was young and I had a girlfriend. I look back at pics and say what happen to me. Of course I got depressed my parents got divorced. Beefier they did they always fought and broke stuff. I ate a lot because of this help me. Thank u

Stress kills your health and is your biggest enemy when you’re trying to lose weight. Proven stress relievers are exercise (do it regularly — every day in some form), meditation (start with 5 slow, steady breaths through your nose and repeat), journaling, and happy hobbies (gardening, making art). You may need to invent your own brand of stress relief to find what works for you.
If you’ve been eating fast food for years, get real about your approach: You’re probably not going to stick to an organic, gluten-free, paleo overhaul for very long. "You want to change as little as possible to create calorie deficit," says Dr. Seltzer, who insists the best way to support sustainable weight loss is to incorporate small changes into existing habits. So instead of giving up your daily BLT bagels in favor of an egg-white wrap, try ordering your sandwich on a lighter English muffin. Or say you eat a snack bar every afternoon: Swap your 300-calorie bar for a 150-calorie alternative. "Your brain will feel the same way about it, so you won’t feel deprived," he says.
Running watches are the easiest way to track your progress, remain motivated and keep weight off. Depending how fancy you go, you can track pretty much any metric that works for you, certainly way beyond whether you’ve achieved your 10,000 steps. Whether it’s weight, BMI, resting heart rate, calories burned or activity level, the best running watch will track it all.

A lot of the lost weight you experience on crash diets is actually the loss of water weight. You're not only losing the fat that you want to lose, it also means your body isn’t getting the water that it needs. Dehydration doesn’t just cause discomfort from fatigue, headaches, and constipation; if prolonged, it can lead to more-serious issues, like the formation of kidney stones or even impaired kidney function.
Plain and simple: We just don't feel full by liquid calories in quite the same way as we do real food. Drinking a juice or caramel coffee drink, for instance, won't make you feel full the way eating a bowl of veggie- and protein-packed stir-fry will. So monitor your intake of juice, soda, sweetened coffee and tea, and alcoholic beverages. If you consume each of those beverages during the day, you'll have taken in at least 800 extra calories by nighttime — and you'll still be hungry. (Incidentally, alcohol may suppress the metabolism of fat, making it tougher for you to burn those calories.) Some other ways to skip sugar? Check 'em out here.
About: Annamarie’s weight loss story is nothing to sneeze at. She lost a staggering 180 pounds, and she did it all naturally, by eating right and exercising. These days, Annamarie’s in two modes: maintain her healthy weight and lifestyle...and share her personal tips and victories along the way. She’s the kind of blog you’ll want to follow if you want to tap into the day-by-day challenges (and empowerment) of a young woman who made it happen...and wants you to as well.

Speaking of intervals, high-intensity interval training (otherwise known as HIIT) has been shown to be incredibly effective for weight loss. Because the workouts are so intense, you don't need to put in an hour — or even 30 minutes — at the gym. According to the American College of Sports Medicine, seven minutes is all you need to get in the best shape of your life.


Sheryl’s story is a touching one. After spending 21 years in an abusive relationship and battling obesity her whole life, Sheryl decided it was time for a change. She started her blog back in April of 2012 at a weight of just over 300 pounds, and gave herself a deadline of 500 days to get her body (and emotions) to a place where she’s not only comfortable - but confident as well. A year later, she’s down almost 50 pounds - quite the feat when you consider that she suffers from many health issues - including chronic headaches and severe back and knee problems. Sheryl is still fighting every day to get where she wants to be, and she is sure to trust readers by putting herself out there in a completely honest and open fashion.
I was doing so well, getting into a routine again and eating well, and then HURRICANE MICHAEL. I had to eat fast food (no fresh fruit and vegs) for almost a month. I just got my Instant Pot, and was able to buy fresh veggies and fruit again…I didn’t realize how much I’d miss them!! I’ve always loved fresh fruit and veggies (except avocados, mushrooms, cauliflower and strawberries and blueberries). But, I also love potatoes, rice, bread, chips – anything salty.

Thanks, I know the amount of food I was consuming was low working to increase (did I mention I’m Vegetarian) options are limited. Yes I am on the candida diet for a purpose, because of the access of yeast in my body, but I have been told it helps to lower weight. I wasn’t talking about weighting myself every day (saving that for every 2 weeks) I was just talking about a difference in my body. After I’m finished this candida diet I plan on continuing on a weight loss diet similar to what you are on, yet side I don’t eat meat I find it hard to get foods high in calories that are healthy, any suggestions. Thanks for your time.
Well, I should begin on the child hood years.  As a child I was not over weight.  I was pretty active as a child, my weight didn’t go up till I hit puberty.  I guess all that candy and soda caught up with me.  However when I hit about 15, the weight came back off, I was a cheerleader in the fall, and I played softball in the spring,and did a lot of other activities in between.  Then when I hit 18 I really started to work out.  I kind of got obsessed, I was working out to Carol Alt’s VCR tapes (remember VHS tapes?) and I got into the best shape ever.  I am 5’11 and made it to 135 lbs, not too shabby.  However, I didn’t eat that much and felt horribly guilty when I did eat.  Not good!  Honestly I don’t know what happened after that, to why I stopped working out that is.  I guess that’s when I hit age 20.  The discovery of pizza, beer, bars, guys and friends.
Weight loss can be intentional, such as from dieting and exercise, or unintentional and be a manifestation of illness. Weight loss can result from a decrease in body fluid, muscle mass, or fat. A decrease in body fluid can come from medications, fluid loss, lack of fluid intake, or illnesses such as diabetes. A decrease in body fat can be intentionally caused by exercise and dieting, such as for overweight or obesity. Weight loss is normal after pregnancy. Other causes of weight loss include, but are not limited to, cancer, viral infection (such as CMV or HIV), gastroenteritis, parasite infection, depression, bowel diseases, and overactive thyroid (hyperthyroidism).

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.
While there are definitely situations that call for rapid weight loss, those situations should be closely monitored by a doctor and a dietitian to ensure that it is done safely. Otherwise, severe restriction should never be a means of shedding unwanted pounds. Instead, eating more of the right foods, choosing nutritious combinations, and properly scheduling meals and snacks to increase metabolism should be part of a healthy, balanced, and successful weight-loss plan.
Thanks for sharing Brittany! I love your honesty and could not have used this post more today. I have been struggling with weight gain the last couple of years and keep falling into this loop hole of not eating clean. I work out 5 days a week, however my diet has not changed and so I have struggled. I will be definitely looking into this book as well to give me a new outlook and starting point. Kudos to you to maintaining a busy life of family, running a business and healthy lifestyle. I am inspired that if someone like you can make the change anyone can! Hugs

About: She had us with her name, but diving a little deeper, Shawn’s creativity really sinks the hooks in. Her “about” section is written like a sad (and playful) fairytale, but it’s her very real struggle that also touches a nerve. Shawn’s always been a hard worker, but her pursuit of education and a career took a toll on her body — causing weight gain and a deep depression. Shawn started Shrederella as a way to take back her life and chronicle the journey, and she’s done one heck of a job. Follow her for an authentic person with real struggles that you will surely relate to — plus a host of delicious, healthy recipes and fitness tricks.
Fiber is a type of carbohydrate that your body can't digest, and it helps regulate the body's use of sugar as it slowly passes through your digestive system. Increasing your daily fiber intake can result in greater satisfaction after meals, less blood-sugar spiking and crashing, and subsequent reductions in the amount of calories eaten for the rest of the day. When trying to trim belly fat, aim to get at least 25 grams of fiber in your diet each day. Foods that are rich in fiber include pulses, like lentils and beans; apples and pears, with the skin; nuts and seeds; and cruciferous vegetables like broccoli and Brussels sprouts. Try this recipe for Tabbouleh with Chickpeas for a fiber-packed side dish or a one-dish dinner!
One of the most striking things about Grace’s story is that she overcame more than just obesity (an extremely difficult thing to overcome in and of itself). After years of hating herself, Grace turned to addiction to cope with her low self-image. She abused alcohol, drugs and food for years - and it wasn’t until drinking herself into a stupor and waking up extremely sick the next morning that Grace realized it was time to make a change. Over the next few years, she started exercising and eating right, overcame her addictions, and lost over 80 pounds. Now, Grace uses her blog as a platform to stay consistent. She is honest about her struggles and recognizes that she can’t be perfect, but doesn’t let that stop her from trying to maintain a healthier lifestyle every day.

Any movement counts. The numbers are daunting: The 2018 Physical Activity Guidelines for Americans suggest a minimum of 150 minutes (2.5 hour) of moderate-intensity aerobic activity a week (walking briskly, playing doubles tennis, raking leaves), or 75 minutes (one hour, 15 minutes) of vigorous-intensity activity (running, a strenuous fitness class, carrying groceries up stairs), as well as muscle-strengthening activities (resistance training and weightlifting) two days a week. But if you want to lose weight, work up to 300 minutes of moderate-intensity activity a week, or 150 minutes of vigorous-intensity activity. “But doing something just a few minutes a day to get started has benefits,” said Piercy. “So parking farther away when you’re running errands, getting up from our desks and going down the hall instead of sending an email -- those are things people can start incorporating into their daily lives now that may be a little easier than saying, ‘Oh my gosh, I have to figure out how to fit 2.5 hours of activity into my week.” If you are starting from zero physical activity, Dr. Jakicic suggests taking a 10-minute walk five times a week, shooting for 50 minutes a week, and building on from there once it becomes habit.
i am 39 years old and have a good 35 lbs to lose. like you i ate whatever i wanted as a teen and stayed very thin (and i did literally no exercise) but then i hit 21 or so and realized i needed to cut back on calories and jog as weight slowly came on. then at 28-30 i got back to my teenage weight of 114 by jogging and watching carbs, i got married at 34 and since then pounds have just crept on for both my hubby and myself… i have tried everything :/
When you open up Lynn’s blog, the first thing you will notice is an absolutely stunning transformation - a severely obese woman that now looks like she has never been obese. And then you’ll start reading, and you’ll realize Lynn is special not just because she lost 150 pounds, but also because she did it by changing her overall mindset. Lynn was simply tired of losing and gaining and losing and gaining again through diet after diet. Lynn’s writing style will suck you in. It’s easy, flowing and intimate, and she’ll immediately have you coming back again and again.
Blood samples (5 mL) were collected at the beginning and at end of the study during the 12-hour fasting condition. The samples were centrifuged at a low level and serum was separated. Biochemical measurements were performed immediately after sampling. Fasting blood sugar (FBS), high-density lipoprotein (HDL), very low-density lipoprotein (VLDL), triglycerides (TG), and TC were measured by an auto-analyzer (Hitachi, USA). The Friedewald formula was used to calculate LDL levels. Fasting serum insulin concentration was measured by enzyme linked immunosorbent assay (ELISA) kits (Mercodia). The homeostatic model assessment (HOMA) was calculated with the formula: HOMA-IR = [FBS (mg/dL)*FINS (μU/mL)] / 405. (23). Quantitative insulin sensitivity check index (QUICKI) was calculated on the basis of suggested formulas: 1 / [log (Insulin μU/mL) + log (Glucose mg/dL)]. (24). The HOMA-B (pancreatic beta cell function) was computed as follow: 20 × FINS (μIU/mL)/fasting glucose (mmol/mL)-3.5. Insulin sensitivity was derived using the formula: HOMA-S (insulin sensitivity) = 22.5/(insulin (mU/L) × glucose (mmol/L)). All biochemical assays were performed in duplicates and the mean was calculated for each subject.

Tina Haupert is a Boston-based Lifestyle Influencer and the creative mind behind Carrots ‘N’ Cake, a healthy living blog that serves to help everyday people achieve more balance through fitness, nutrition, and general best practices to improve one’s holistic personal wellness. Tina’s weight loss journey began in 2004 when she decided to get serious about her health and her body image. Two years and 23 pounds later, she reached her weight loss goal all while developing healthy lifestyle habits that she’s been able to maintain to this day.

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.
About: Their blog may be described as just “another” runner, but it’s anything but. The blog is chock full of tips, advice, nutrition information — and lots of personalized posts — from “mothers” who banded together to run, and realized just how much they loved it. The blog also works as a personal cheerleader, a way to connect with moms and women who started running (grumbling), tolerated it, started to like it (there are moments) and ultimately fell in love (addiction level).
About: Normally, we’d skip right on over a blog that doesn’t identify the author’s name, but the woman authoring “Frantic at Forty” gave us pause. Why? Because her story is one that so many can relate to — a woman about to enter midlife trying to make sense of things and lose weight. The author started the blog just before she turned 40 as a way to stay accountable while she started out to give herself the only gift she wanted — thin. She’s lost plenty of weight, and, even more importantly, found some happiness in the process. We just hope that turning 40 doesn’t mean an end to her blogging.
●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?”
There are a couple of things I tried my best to remember each day. One of the biggest things was portion control. Portion control makes such a difference! What I mean is having one serving of something instead of two or three. It means that when I went out to dinner, I would eat half of my giant plate and take the other half home for lunch the next day. I think I always thought my body needed more food than it actually did. I used to eat something as soon as I started feeling hungry, but it's actually totally normal for our stomachs to feel hungry sometimes. That isn't to stay you should starve yourself by any means, but let yourself get hungry before you go in for a big meal. I remember packing multiple snacks (granola bars, pretzels, candy, etc.) for the 3 hour drive from Kirksville to St. Louis, which just wasn't necessary at all - I now pack one snack like some fruit or granola.  
Samantha started out at 425 pounds. After trying every fad diet out there, Samantha finally realized that keeping track of her calories using MyFitnessPal, as well as finding fitness routines she truly liked, would be the key to weight loss and a newfound happiness. Now, 125 pounds down and counting, she’s almost unrecognizable. Her blog is unique in that rather than just using it exclusively as a weight loss diary, Samantha also takes the time to share new information about happenings in the health and nutrition world as well. You can also find her musings on how to find happiness in life at her other blog: sheissparkling. 
Hilary, like many bloggers, started writing online as a way to keep herself accountable as she struggled to lose weight and get fit. She went down over 40 pounds, but then received the joyous news that she was pregnant. Despite a temporary hiatus from weight loss, Hilary didn’t stop blogging about striving to stay healthy and deal with some of the bright - and not so bright - sides of pregnancy. Her daughter is due in June, and Hilary will most certainly be sharing all the joys of motherhood coupled with the pursuit to lose weight again soon.

I didn’t realize just how many calories I was consuming, so tracking what I ate helped keep me aware of what I was putting in my mouth. I don’t count calories anymore, but I track macros (protein, carb, and fat grams) to keep my diet balanced and in check. Macros allows me to have my carrots and cake, too! If you’re interested in learning more or want to work together, check out my macro plan options!
Happy Valentine's Day! ❤️ Feeling sassy in my favorite recent purchase, this @eloquii jacket. Layered over a $22 dress! See the full outfit (the shoes 😍) at link in bio. Shop your screenshot of this pic with the LIKEtoKNOW.it app http://liketk.it/2uEoE #liketkit @liketoknow.it #LTKcurves #xoq #ootd #psootd #louisvilleblogger #celebratemysize #plusmodelmag #stylebeyond22 #the24plus
Hi. I weigh 220 and am 5’8’’. I’m obviously overweight but I’m not in terrible shape, I play sports twice a week and try to run one or two times a week also. I have a 5K coming up in 2 weeks and I plan to do an event on June 1 where I need to be 210 pounds. I don’t want to stop at 210, I want to be back under 200 again. I don’t think I eat terrible, I eat granola in the morning and lunch during the week and try not to go nuts at nighttime. My vice is beer on the weekends, I am not an alcoholic but I can easily put back a six-pack if I wanted to on a Friday or Saturday night when hanging out with friends. Other than the beer, I only drink water, green tea, and coffee – no sodas or sugary drinks.
Jen always has a sugary snack at 10:00 am, Jane loves to eat chocolate at night, they did not realize it but they have a daily pattern and we can use that to our benefit. If you see that you always want something sweet at 10:00 am, have a sweet breakfast like oatmeal, it will curb that craving before you have it and guess what? Pattern broken and extra calories consumed no more.
Beth has struggled with her weight for nearly her entire life. Overweight since puberty and then obese throughout high school and college, Beth tipped the scales at 250 pounds. In early 2009, she resolved to take better care of herself, which included quitting smoking and running for exercise. Initially, Beth didn't drop weight as quickly as she would’ve liked, so she took a look at her eating habits. She joined Weight Watchers where she learned how food should be measured and weighed, and how much she should eat in a day.

As shown in Table 2, WL is statically the same in both groups (-5.47 ±1.46 and -5.12 ± 1.12 for slow and rapid WL, respectively, P > 0.05). The results of body composition, systolic and diastolic blood pressure, and heart rate are given in Table 2. A significant reduction in anthropometric indices and RMR were detected in both groups. Significant differences in blood pressure and heart rate were seen in the 2 groups. Waist circumference and hip circumference in slow WL group had a significant reduction compared to the rapid WL group.
If you want to lose weight fast, your best bet is the HMR Program, according to the health experts who rated the diets below for U.S. News. While these diets enable quick weight loss for those with a short-term goal – there's a strong chance you'll drop significant weight within the first 12 months – keep in mind that this is markedly different from long-term weight loss, which is more important for your health.
Too little sleep or too much sleep can throw your stress and regulatory hormones out of whack, and may lead to weight gain. A single night of sleep deprivation can increase levels of ghrelin (a hormone that promotes hunger), making you more likely to overeat the next day. Reduced sleep may also lead to fatigue during the day (duh) and less physical activity, which may be another reason why people who regularly don't get enough sleep tend to gain weight.
What a great article. Are you sure you weren’t writing about me? (LOL) But your 12 tips are fantastic. One of the biggest challenges I found was not starting a weight loss program, but sticking with it! Oh just this once I can have that donut or slice of cake, etc. One piece isn’t going to hurt right? Your article was not only very, very, helpful and informative, but also inspiring. Thank you for pointing out that you CAN achieve your goals! Thanks for a really great post, I enjoyed reading it!
Becky struggled with her weight nearly her entire life—her weight hitting nearly 250 pounds at her highest. After years of trying to lose weight, she finally had a breakthrough when she decided to change her mindset about weight loss. Before it was all about finding a quick fix—now, her philosophy is about making one small change at a time. With her new mindset, Becky was able to lose over 100 pounds! She shares healthy, and not-so-healthy recipes on her blog, along with healthy living tips and motivation.
Hey Adam, recently I lost my husband in since I lost him i find myself getting bigger and bigger I need to know what I can do to lose at least a 150 pds.im 5’5 and im concern if I dont lose the weight that my grand baby won;t have a grandmother for long because im getting heavy and dont know why,I don’t eat much but I seem to keep putting on weight and when I look at my self in the mirror I get depressed.Im even woundering if the dr atkins works will you please email me back or responed

About: Kelsey’s blog is packed with easy-to-follow healthy recipes and fitness routines (and they’re not just your run-of-the-mill workouts, either). They’re formulated or endorsed from Kelsey herself — a 50 pound weight loss success story. Kelsey had been pretty fit and thin her whole life, but shortly after leaving college, countless nights of eating out and drinking led to her packing on an extra 50 pounds. Unhappy, Kelsey decided to make a change. What’s especially inspirational about her story is that she did so slowly. She made small changes, slowly started eating cleaner and eventually lost all the weight. Now, five years later, she’s still fit and sharing her story on her blog and in her books, fitness routines and recipes with readers. She even hosts weight loss challenges (with cash prizes) to really cheer people on and give them incentive to keep going.
“The best thing you can do for your belly is to give up processed foods. A study in the journal Food & Nutrition Research found that our bodies burn only 50 percent as many calories digesting processed foods as they do real foods. So it’s like eating twice as much, even if the calories are the same!” — Mark Langowski, celebrity trainer and author of  Eat This, Not That! for Abs

About: The truth is we all love a good success story — they show us what other people, real people that went through the same things we did, were able to achieve. They also give us ideas on how we can kickstart our own weight loss journey and succeed. The Weigh We Were is a one-stop shop for all those stories, real stories from other people who lost weight, plus how they did it. It’s just the place to get ideas from similar people to see what might work and what won’t.
A year ago you couldn't find a fitter man than Drew of Fit2Fat2Fit, but then the personal trainer decided to take on a new project in order to better understand what his overweight clients were going through. He gained 70 pounds over six months—going from "fit to fat"—and is now in the process of going from "fat to fit." Along the way he's learned a lot about the mental struggles of weight loss, as well as the physical: check out his post about feeling too self-conscious to dance with his wife.
You snack on fruit, count calories, and get some form of exercise most days. So when you step on that scale and the needle stays put, you wonder what the heck you're doing wrong. Even with clean eating and  good fitness habits, you may be making a few small mistakes that can lead to a plateau and derail your results. Here's how to upgrade your already-healthy habits to finally reach your get-slim goal. (Snack AND lose weight with this box of Prevention-approved treats from Bestowed.)
I have been following the slow-carb diet for nearly 3 weeks with no significant weight loss. I will admit I have made a few tweaks to fit my lifestyle. I go to the gym at 5:30am and do not have time or the desire to eat a big breakfast before going. So I normally make a whey protien shake with water and about 1/4 cup frozen berries (I know fruit is a no-no) when I get home from the gym at 7. I then eat breakfast – eggs, black beans and spinach at 10. Lunch is either a salad with beans or slice of deli turkey or chili. I have not eaten any grains, sweets etc… I do use milk in my coffee instead of heavy cream. Why is heavy cream a better choice? I do have a glass of red wine at night and an occasional serving of sugar free gelatin. I take a spin class 2-3 days a week and run 20 miles per week as I am training for a Ragnar Relay.
Gabel, K., Hoddy, K. K., Haggerty, N., Song, J., Kroeger, C. M., Trepanowski, J. F., … Varady, K. A. (2018, June 15). Effects of 8-hour time restricted feeding on body weight and metabolic disease risk factors in obese adults: A pilot study. Nutrition and Healthy Aging, 4(4), 345–353. Retrieved from https://content.iospress.com/articles/nutrition-and-healthy-aging/nha170036
Klein, S., Burke, L.E., Bray, G.A., Blair, S., Allison, D.B., Pi-Sunyer, X., et al. (2004). Clinical Implications of Obesity With Specific Focus on Cardiovascular Disease: A Statement for Professionals From the American Heart Association Council on Nutrition, Physical Activity, and Metabolism: Endorsed by the American College of Cardiology Foundation. Circulation; 110(18): 2952-2967.
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