It is not that men don’t diet. They just do it differently. They tend to include more saturated fat in their diet, while women tend to completely avoid them. Nutritionists explain, as long as they keep their intake lower than 15 per cent of their total daily fat intake, saturated fat isn’t harmful. In fact, small doses of saturated fat can help them avoid testosterone depletion.

Salads are the go-to diet food, you’re probably thinking. How could they possibly keep me from losing weight? The problem is with what you put on the salad. “Salad items like nuts, fruits, some dressings and extras like croutons and cran-raisins, can actually add an extra 300-400 calories to the meal,” says Angela Godwin, FNP-BC MSN, clinical instructor at the NYU Rory Meyers College of Nursing. “Instead, greens and proteins can make a salad more filling with less fat.” Also, steer clear of “lite” salad dressings that secretly have high sugar content. Look out for these other weight-loss mistakes nearly everyone makes.
Fathi, Y., Faghih, S., Zibaeenezhad, M. J., & Tabatabaei, S. H. (2016, February). Kefir drink leads to a similar weight loss, compared with milk, in a dairy-rich non-energy-restricted diet in overweight or obese premenopausal women: A randomized controlled trial. European Journal of Nutrition, 55(1), 295–304. Retrieved from https://link.springer.com/article/10.1007/s00394-015-0846-9
Rather than “”diet “ consider “change in eating habits “ identify vegetables that u are willing to eat as well as fruits. At meals eat a protein of choice and fill up on fruits and vegetables until u have eaten enough. You may also have one carbohydrate at each meal and drink any drink that is sugar free( seltzer, unsweetened herbal tea with lemon, coffee with cream) eat well and watch the pounds fall off! Gud luck

From celebrity-endorsed to science-backed, finding the best diet for your body and lifestyle can be an exercise in frustration—definitely not the kind of exercise you need right now! To make your search easier, we've pulled together the 10 most popular diets based on which ones have consistently ranked highest on the annual U.S. News & World Report rankings, WebMD, and other current diet lists. Just know this: It's not about finding out which diet is the most popular overall but which one fits your goals and lifestyle the best. After all, the best diet for you is the one you can stick with (and enjoy)!


The secret to a slimmer stomach in no time? A whole lot of fiber in your diet. Although many people are loath to add carbs to their diet when they’re trying to lose weight, adding the right, fiber-rich ones can have inches off your belly in a hurry. In fact, researchers at Wake Forest Baptist Medical Center found that every 10-gram daily increase in soluble fiber was associated with a 3.7 percent decrease in dangerous visceral fat over five years. Those who were active got even leaner, shaving off twice that much fat in the same amount of time. To start ditching that extra belly fat today, add the 30 Best Foods For Fiber to your menu!

We all get by with a little help from our friends, and this is especially true of people who have lost weight and kept it off. In one study among women who went through a 12-week weight loss program, 74 percent of them maintained their loss or lost more in the three years after the program ended. Those who reported having a support system around eating well were more likely to keep the weight off. (Support around exercise didn’t seem to matter.) Another study found that the type of support you receive matters, too. Your friend who’s cheering you on isn’t likely to be as helpful as your friend who will pass on the fries when you’re trying to eat well. When you’re going out to eat, join friends who will support your healthy eating goals and go to a museum or movie with those who are less likely to be in it with you. Your pals who are in the trenches with you are more likely to hold you accountable, and that’s going to help you in the long run.

"Sleep is a cornerstone of weight management because of the impact it has on your hormones that control how you burn fat, how you store fat, and how you're maintaining muscle. The better your hormone balance, the better your weight management. I work my butt off to get eight hours a night, but right now I'm at six—the show is murdering me! Even if I go to bed early my son wakes up."
The Mayo Clinic Diet is the official diet developed by Mayo Clinic, based on research and clinical experience. It focuses on eating healthy foods that taste great and increasing physical activity. It emphasizes that the best way to keep weight off for good is to change your lifestyle and adopt new health habits. This diet can be tailored to your own individual needs and health history — it isn't a one-size-fits-all approach.
“The best way to stick with a diet, is for people to put the fewest restrictions on themselves as possible,” Langer says. “There shouldn't be anything in the world that they shouldn't ever eat again.” Similarly, Albers recommends ditching the “don’t” list entirely. “Instead of trying to stop an old negative habit, focus on building a positive new one,” she says. “New habits crowd out the old without the struggle of trying to stop a behavior.”

We all get by with a little help from our friends, and this is especially true of people who have lost weight and kept it off. In one study among women who went through a 12-week weight loss program, 74 percent of them maintained their loss or lost more in the three years after the program ended. Those who reported having a support system around eating well were more likely to keep the weight off. (Support around exercise didn’t seem to matter.) Another study found that the type of support you receive matters, too. Your friend who’s cheering you on isn’t likely to be as helpful as your friend who will pass on the fries when you’re trying to eat well. When you’re going out to eat, join friends who will support your healthy eating goals and go to a museum or movie with those who are less likely to be in it with you. Your pals who are in the trenches with you are more likely to hold you accountable, and that’s going to help you in the long run.
From celebrity-endorsed to science-backed, finding the best diet for your body and lifestyle can be an exercise in frustration—definitely not the kind of exercise you need right now! To make your search easier, we've pulled together the 10 most popular diets based on which ones have consistently ranked highest on the annual U.S. News & World Report rankings, WebMD, and other current diet lists. Just know this: It's not about finding out which diet is the most popular overall but which one fits your goals and lifestyle the best. After all, the best diet for you is the one you can stick with (and enjoy)!
Instead of subjecting yourself to another endless workout, crank up the intensity and you’ll see results faster than you ever thought possible. The results of a study conducted at McMaster University in Ontario reveal that adult male study subjects who exercised intensely for a single minute had equivalent respiratory and metabolic changes to those who worked out at a slower pace for close to an hour, so if you want to burn through that belly fat, say so long to slow and steady.

More importantly, though, strength training does wonders for your body. It helps make bones denser, critical because our bones become weaker as we age, increasing the risk of osteoporosis — of the 10 million Americans suffering from the disease, 80 percent are women. (4) Strength training helps build lean muscle tissue, helping you lose more weight all over, including the dreaded belly fat. It also reduces your risk of type 2 diabetes and cardiovascular disease. (5)


Many people dread the thought of New Year, knowing they’re going to try and commit to a weight-loss plan or diet to shed the extra pounds accumulated during the festive season. Last year, a YouGov poll revealed that 37% of Americans decided they wanted to either eat healthier or exercise more and it’s unlikely those statistics will change much going into 2019.
Your phone, tablet, and television may be affecting your waist size in more ways that one. Obviously if you’re sitting on electronics then you’re not moving around and burning calories. But the effects go beyond just energy. Blue light from electronic screens can disrupt your circadian rhythms; so our addiction to electronics is reducing our sleep as people favor Netflix-bingeing to bed. Both of these effects have been linked to higher levels of belly fat. These 21 other terrible habits will make your belly fat worse.
But just because belly fat comes off a bit more easily doesn’t make it less dangerous. In fact, it’s the exact opposite. “Belly fat is unfortunately the most dangerous location to store fat,” says Dr. Cheskin. Because belly fat—also known as visceral fat, or the deep abdominal fat that surrounds your organs—is more temporary, it’s more active in terms of circulating in the bloodstream. That means it’s likely to raise the amount of fat in your blood (known as blood lipid levels) and increase your blood sugar levels, which as a result raises your risk of heart disease and type 2 diabetes.
After a cancer diagnosis sent her normally healthy lifestyle off-course, flight attendant Tracey Z. Dickson was heavier than she had ever been. When she was declared cancer-free, she hopped back on the treadmill and got her diet in order—and went from 158 pounds to 117. One of her diet secrets? "Instead of dessert, I'll have a baked sweet potato sprinkled with cinnamon," she says. "It tastes like I'm eating sweet potato pie, but for a ton less calories." For more healthy ideas on how to get your sugar fix, check out these desserts with 150 calories (or less).
It's recommended that adults should try to be active every day and should complete at least 150 minutes of moderate aerobic exercise per week - this could include cycling or walking at a fast pace. Alternatively, you could complete 75 minutes of vigorous aerobic exercise, which could include running or a game of football. You could split this up into easily manageable 30-minute workouts over 5 days of the week.
Focus on cardiovascular exercise. Cardiovascular exercise is one of the best ways to lose weight. Studies show that cardiovascular exercise like walking, jogging, and running is highly effective at any degree of intensity.[24] That's because cardio/aerobic exercise works the muscles in your arms, legs, and hips, and increases blood flow to all sets of muscles.[25] Effective cardio exercises include:[26]
You can get a lot of valuable vitamins and nutrients from fruit. However, when you just drink the fruit juice, you lose out on the fiber from the actual fruit that fills you up. As Rachel Harvest, a registered dietitian affiliated with Tournesol Wellness in New York, told Cosmopolitan, “Even 100 percent juice is just empty calories and another blood sugar spike.” If you’re serious about losing weight, here are 10 weight-loss products that are worth your money.

Fennel, peppermint, and ginger have all been shown in research studies to have calming effects on the belly. They work by enhancing digestive enzymes so your food gets moved through your system faster. And faster-moving food means a flatter tummy. In addition, peppermint reduces cramping and gas, ginger helps with nausea and inflammation, and fennel is a diuretic to help you stop retaining water.
The menstrual cycle itself doesn’t seem to affect weight gain or loss. But having a period may affect your weight in other ways. Many women get premenstrual syndrome (PMS). PMS can cause you to crave and eat more sweet or salty foods than normal.4 Those extra calories can lead to weight gain. And salt makes the body hold on to more water, which raises body weight (but not fat).
‘Lastly, if your nutrition is on point but you still have excess tummy fat, then you need to look at your training. There’s a real craze for high-intensity workouts and really pushing yourself at the moment, but training is a stress on the body, and if you’re not giving it the tools to manage that stress and recover from it, then it can lead things like excess belly fat.

Invest in single-serving containers. The National Institute of Diabetes and Digestive and Kidney Diseases says that a serving size on a food label may be more or less than the amount of food you should eat, depending on your age, height, sex, and weight. Once you're done cooking, place the excess servings in the containers to eat for lunch or dinner tomorrow. That way, you won't polish off everything in one sitting.

Regardless of where you stand, the fact is that the Paleo way of eating is becoming increasingly popular, as are "nutritional reset" programs based upon Paleo, such as the Primal Blueprint 21-day Challenge hosted by Marks Daily Apple, or the Whole30 program, popularized by the New York Times bestseller, It Starts with Food: Discover the Whole30 and Change Your Life in Unexpected Ways (Est. $15).
While you can get tests to evaluate the cortisol level in your blood, only you can determine your own innate level of stress. Take some time to evaluate if you are living in a constant (or close to constant) state of stress. You might also notice increased anxiety levels, mood swings, trouble sleeping, fatigue (including feeling tired but unable to wind down) and high blood pressure.

I’m in favor of any program that promotes whole foods over hyper-processed fare, and this is one thing the popular diet plans can agree on. Overly processed foods have been linked to weight gain, perhaps because many unhealthy packaged foods (think: potato chips, ice cream, frozen pizza, cookies and the like) lack the fiber found in many whole foods, including vegetables. Fiber helps fill us up, and research suggests that by simply adding more fiber to your menu, you can lose weight nearly as well as a more complicated approach. Consistently choosing whole foods is one way to do this.
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.
IBS, or irritable bowel syndrome, is the most common gastrointestinal disorder. IBS symptoms include nausea, diarrhea, constipation, stomach pain, and bloating—So. Much. Bloating. While the causes aren’t all known, it’s thought to be linked to lifestyle factors like diet, exercise, hormones, and stress. Sufferers often find that making changes in these areas eliminates or reduces their IBS (and their stomach circumference!). Here’s how these 10 myths about fat can keep you from losing weight.
As women age, weight creeps up too, with the average women gaining about one pound per year in their 40s and 50s, resulting in an added 10 to 15 pounds. The drop in estrogen levels during this time of perimenopause (the years leading up to menopause) contributes to weight gain and can change the way you distribute fat. You may gain weight in your belly more readily than you did in younger years.
In general, losing weight by following a healthy, nutritious diet — such as the Mayo Clinic Diet — can reduce your risk of weight-related health problems, such as diabetes, heart disease, high blood pressure and sleep apnea. If you already have any of these conditions, they may be improved dramatically if you lose weight, regardless of the diet plan you follow.
If you're dehydrated, it can be hard to tell if you're hungry or just thirsty. If you're craving a mid-day snack, have a glass of water and wait a few minutes before reassessing how hungry you really are. Water also helps food move through your digestive system, lessening feelings of bloating. It's a good idea to keep a water bottle with you throughout the day. Add in cucumber slices or fresh fruit to infuse flavor.
The upgrade is a touch steeper than it is for other tracking app upgrades — most run $4–5 per month. But we found that those inexpensive alternatives were chaotically organized and slow to respond, elements that had us avoiding opening them at all. SparkPeople and Lose It! both came with lots of lag time and finicky search bars that made us hesitant to launch the apps, let alone log in three or more times a day.
Walking puts all of the abdominal muscles to work. Make sure you swing your arms and contract your midsection while you walk, and maintain a brisk pace. Once you get your body accustomed to a daily walk, you'll hate to go a day without it. Walk for at least thirty minutes each time to achieve the aerobic effect, and be sure to drink plenty of water.

Many diet plans cut out entire food groups, which can create nutrient deficiencies as well as health problems. For instance, if the diet is very low in carbohydrates and you have type 1 diabetes or type 2 diabetes, it’s probably not a good fit. And if it’s too restrictive and you’re pregnant or breastfeeding, it’s not a good idea, either. Keep in mind that pregnancy is not a time for weight loss. Speak with your doctor before making any changes to your diet if you are pregnant or breast-feeding.
As women age, weight creeps up too, with the average women gaining about one pound per year in their 40s and 50s, resulting in an added 10 to 15 pounds. The drop in estrogen levels during this time of perimenopause (the years leading up to menopause) contributes to weight gain and can change the way you distribute fat. You may gain weight in your belly more readily than you did in younger years.
How to naturally lose weight fast Being a healthy weight offers many health benefits, as well as a feeling of wellbeing. Fast weight loss is rarely easy, but it is possible to lose weight safely and efficiently by eating a healthful diet and adopting strategies that maximize the body’s potential to burn calories. Learn how to lose weight fast here. Read now
The most important thing when it comes to weight-loss plans is to view them as a tool rather than a set of restrictions. If you don’t like one of the exercises or want to substitute one ingredient for another, go for it. As soon as a weight-loss plan becomes a weight around your neck, your motivation and dedication will take some serious knocks, so making sure the plan suits you is your best chance of success.
One advantage of a commercial weight loss program is that you mitigate your risk of side effects when compared with a diet cobbled together yourself.  There’s a lot that can go wrong in a diet; if you restrict your food intake too severely, you’ll be missing out on vital micronutrients or your macronutrient balance can get thrown off.  In contrast, if you are too lax, you won’t end up losing much weight.

While you can get tests to evaluate the cortisol level in your blood, only you can determine your own innate level of stress. Take some time to evaluate if you are living in a constant (or close to constant) state of stress. You might also notice increased anxiety levels, mood swings, trouble sleeping, fatigue (including feeling tired but unable to wind down) and high blood pressure.
The amount you move around and how often you do it will change during your life, but you may not notice it happening. Did you used to play sports, dance a lot, take long walks with your dog, or run around every day after your kids? If you’re not doing any of those things now, or exercising at all, your body won’t burn calories or use energy in the same way and your weight will change.
“I have one heck of a sweet tooth, and so I have to refuse to bring candy, cake, or sweets into the house, period,” say Lin Williams, who’s lost 105 pounds. Instead, if she wants a treat she has to want it bad enough to get up, get in the car, leave her home, and go to the store—a process that rarely feels worth it. And on the rare occasion she does indulge? “I get exactly what I want and enjoy every bite of it!” she says.
Make sure that you don't get hungry by eating small portions throughout the day at regular intervals. Between your meals, eat a 150-calorie snack to keep your metabolism burning and to stave off hunger. Be sure that you don't eat a fattening snack such as sweets or crisps. When you're hungry, your body conserves calories and slows down your metabolic processes.
Fitness and diet guidelines are also a good way of educating clients about the benefits of living a healthy lifestyle. Armed with this information, clients can have a better appreciation of the diet program and how this can help them achieve their desired results. Online resources, guidelines and consultants give clients a better understanding of the diet program and increases compliance.
Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. "Do what you like because it’s good for you," Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
Why does this popular plan work? For one thing, it pushes wildly healthy staples to the forefront (think: nuts, vegetables, fruit, olive oil). For another, it's simply delicious, thanks to it's focus on fresh, simply prepared dishes like grilled fish with lemon and whole wheat pita with hummus. Science agrees: One meta-review of 16 studies, found the eating M.O. helped those on it lose an average of 8.5 pounds.

If you’ve got weight to lose and you want it gone fast, try swapping out your usual proteins in favor of fish. Not only is fish lower in calories than an equivalent amount of beef or chicken, a study published in Obesity reveals study subjects who added omega-3 fatty acids, like those found in fish, to their diets shed more weight and had an easier time keeping it off than those who skipped them.
Spending more time in the kitchen can help you shed belly fat, as long as you’re cooking with the right foods, according to one 2017 study. After analyzing data from more than 11,000 men and women, UK researchers found that people who ate more than five homemade meals per week were 28 percent less likely to have a high body mass index, and 24 percent less likely to carry too much body fat than those whole only downed three meals at home.
Very good article. Many of the people I work with have health issues related to type 2 diabetes so this article gives excellent direction for those struggling to manage their health condition with an appropriate diet that they can sustain. Counting calories is not necessarily the answer. Often times, people cannot understand why they just cannot lose weight or how they became diabetic or what to do about it. Thanks a lot.
Also, the natural sugar in fruit does affect your carbohydrate intake — especially if you eat a lot of fruit. This may temporarily raise your blood sugar or certain blood fats. However, this effect is lessened if you are losing weight. If you have diabetes or any other health conditions or concerns, work with your doctor to adjust the Mayo Clinic Diet for your situation. For example, people with diabetes should aim for more vegetables than fruits, if possible. It's a good idea to snack on vegetables, rather than snacking only on fruit.
Build muscle. Muscle burns more calories than fat. So adding strength training to your exercise routine can help you reach your weight loss goals as well as give you a toned bod. And weights are not the only way to go: Try resistance bands, pilates, or push-ups to get strong. A good, well-balanced fitness routine includes aerobic workouts, strength training, and flexibility exercises.
The meals shown here are "templates" that you can vary any number of ways to please your tastebuds and avoid eating the same old thing every day. Follow them and you'll get between 2,400 and 2,800 calories per day. That should provide plenty of calories for all but the most severely obese, while allowing most guys to lose fat around their middles at a steady pace. (Don't worry about hitting the numbers on the nose every time. If you exceed your fat quota during lunch, for instance, just cut back a little during dinner.)
At any given time, there are dozens of weight-loss hypes in the marketplace that claim to take off 10 pounds in 10 days, or whatever. Desperation can tempt us to try anything — from "clean eating" to cutting out food groups entirely. Keep in mind: Just because an avocado-walnut-"crunchy"-kale-salad dripping in coconut oil is deemed "clean" by a so-called "expert" on your Instagram feed does not make it an unlimited food. Moral of the story? Avoid fads, eat real food, watch some Netflix, and unwind (perhaps with a glass of wine in hand). Now that's my kind of detox.

Fiber expands in your stomach and also takes time to digest, both of which help keep you feeling full for longer. Good sources include whole grains, veggies, and whole fruit (not juiced). Healthy fats like olive and nut oils—in moderation—improve flavor, give you energy, and help your body use certain nutrients. Alexandra Shipper added healthy fats, such as avocado, to protein sources like eggs and fish on her way to dropping 55 pounds.
Spending more time in the kitchen can help you shed belly fat, as long as you’re cooking with the right foods, according to one 2017 study. After analyzing data from more than 11,000 men and women, UK researchers found that people who ate more than five homemade meals per week were 28 percent less likely to have a high body mass index, and 24 percent less likely to carry too much body fat than those whole only downed three meals at home.
When researchers at the University of Tennessee put a group of volunteers on one of two diets—one high in calcium and one not—and cut each group’s calorie intake by 500 calories, they found that the people getting calcium lost twice as much weight (an average of 13lbs) compared with people on the standard diet. Study author Michael Zemel, Ph.D., believes extra calcium helps the body burn more—and store less—fat.
Avoid fad diets. It's never a good idea to trade meals for shakes or to give up a food group in the hope that you'll lose weight — we all need a variety of foods to get the nutrients we need to stay healthy. Avoid diet pills (even the over-the-counter or herbal variety). They can be dangerous to your health; besides, there's no evidence that they help keep weight off over the long term.
Diet programs should not only be suited to a client’s health needs but also be attune with their budget. Aside from providing customizable menus, some diet programs also offer clients price-based menus. Some companies offer one-time diet plans as well as free trials. A money back guarantee is certainly a welcome for those who don’t find success with the diet program. Pricier diet programs don’t always translate to a successful and effective diet. The ultimate measure of an effective diet program is the client’s compliance with the recommended diet. 
Potassium, magnesium, and calcium can help to serve as a counter-balance for sodium. Foods that are rich in potassium include leafy greens, most "orange" foods (oranges, sweet potatoes, carrots, melon) bananas, tomatoes, and cruciferous veggies — especially cauliflower. Low-fat dairy, plus nuts, and seeds can also help give you a bloat-busting boost. They've also been linked to a whole host of additional health benefits, such as lowering blood pressure, controlling blood sugar, and reducing risk of chronic disease overall.
“Every morning I drink a cup of warm water with half a lemon squeezed into it, a teaspoon of apple cider vinegar, and a dash of cayenne pepper,” says Michelle Keough. This helps her start her day off on a healthy note while getting her hydrated after a long night. This trick, combined with eating meals built around protein and veggies, helped her lose 20 pounds and keep it off.
Once you’ve completed your weight-loss plan comes the hardest part of all – maintaining your weight. Hopefully, during the course of your weight-loss plan, you’ve not only acquired some useful diet tools and exercise ideas, but you’ve also met with other people trying to achieve similar goals. Use those tools and support group to help you keep the pounds from piling back on.

Real talk: It could take weeks or months to see the metabolic effects of exercise on the scale, and even then, building muscle, which is denser than body fat, could lead to weight gain. "Do what you like because it’s good for you," Dr. Seltzer says, noting the way exercise is awesome for your heart, mental health, and more—and that not all measure of progress can be seen on the scale.
The Academy of Nutrition and Dietetics (AKA the top nutrition authority in America) released a revised paper this year saying that both vegetarian and vegan diets are best for people's health as well as the environment. If you're not ready to make a complete shift to meatless and cheese-less, consider "part-time" vegan and vegetarian plans, where you eat mostly plant-based at breakfast and lunch or on weekdays, and then eat fish, meat, dairy, and eggs only during designated times.
Get all that? Basically, the differences between groups were minimal. Yes, the low-fat group dropped their daily fat intake and the low-carb group dropped their daily carb intake. But both groups ended up taking in 500 to 600 calories less per day than they had before, and both lost the same average amount of weight (12 pounds) over the course of a year. Those genetic and physical makeups didn’t result in any differences either. The only measure that was different was that the LDL (low density lipoprotein) was significantly lower in the low-fat group, and the HDL (high density lipoprotein) was significantly higher in the low-carb group.
We all get by with a little help from our friends, and this is especially true of people who have lost weight and kept it off. In one study among women who went through a 12-week weight loss program, 74 percent of them maintained their loss or lost more in the three years after the program ended. Those who reported having a support system around eating well were more likely to keep the weight off. (Support around exercise didn’t seem to matter.) Another study found that the type of support you receive matters, too. Your friend who’s cheering you on isn’t likely to be as helpful as your friend who will pass on the fries when you’re trying to eat well. When you’re going out to eat, join friends who will support your healthy eating goals and go to a museum or movie with those who are less likely to be in it with you. Your pals who are in the trenches with you are more likely to hold you accountable, and that’s going to help you in the long run.

To encourage ketone production, the amount of insulin in your bloodstream must be low. The lower your insulin, the higher your ketone production. And when you have a well-controlled, sufficiently large amount of ketones in your blood, it’s basically proof that your insulin is very low – and therefore, that you’re enjoying the maximum effect of your low-carbohydrate diet. That’s what’s called optimal ketosis.
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