If you’re already enjoying and eating foods high in fat along with protein, you might want to consider going on the keto diet. It’s been proven to be more effective at weight loss than a low-fat diet, and you’ll likely have an easy time transitioning to it. (9) Among my weight loss tips, going keto is the diet that produces the quickest results alongside significant health changes.
Try this interval-training trick on the elliptical trainer: Ride for 30 seconds as fast as you can, then immediately reverse your direction and ride for 30 additional seconds just as fast in the opposite direction. Rest 60 seconds, and repeat. The force of stopping your momentum, as well as going from a dead stop to full speed twice in the same interval, will give your fat-burning efforts a massive boost, says Alwyn Cosgrove, C.S.C.S.
We all want a toned, flat stomach. No surprise there. But since many women are still relying on crunches to get it, we want to make one thing clear: Crunching is not the most effective abs workout. "Crunches work only the muscles on the front and sides of your abdomen, but it's important to target all the muscles of the core to get more defined abs—including lower back, hips, and upper thighs," says Lou Schuler, co-author of The New Rules of Lifting for Abs. (Also try these 20 tricks for engaging your core and getting a sneaky abs workout.)
In addition, the healthy habits and kinds of foods recommended on the Mayo Clinic Diet — including lots of vegetables, fruits, whole grains, nuts, beans, fish and healthy fats — can further reduce your risk of certain health conditions. The Mayo Clinic Diet is meant to be positive, practical, sustainable and enjoyable, so you can enjoy a happier, healthier life over the long term.
If planning for and preparing healthy foods is the biggest obstacle to your weight loss, look no further than Jenny Craig. The program delivers prepackaged food to your home; you just heat (or open) and eat, and experts and users say the food tastes good, too. There's no counting calories, no forbidden foods, and little planning required. Reviewers say Jenny Craig is an ideal program for someone who wants a no-hassle diet. It's pricey, though, and, there's very little room for eating out or home-cooked meals.
One of the biggest mistakes women make when trying to figure out how to lose belly fat: too many crunches, too little cardio. No matter how toned your abs are, your belly won't look flat until you get rid of the layer of fat on top of them, says Jessica Smith, a certified personal trainer and star of fitness DVDs. For that, you need to rev your calorie burn. Interval training, in which you alternate high-intensity bursts of activity with easier bouts, has been shown to zap more belly fat than steady-paced moderate workouts.
Your parents weren’t kidding about how important veggies are for a healthy body. What they probably didn’t tell you, however, was that snacking on veggies is also one of the easiest ways to shed unwanted belly fat, too. According to a study published in the Journal of the Academy of Nutrition and Dietetics, opting for non-starchy veggies, like cauliflower, broccoli, and cucumber, as snacks helped overweight kids shed 17 percent of their visceral fat while improving their insulin sensitivity over a five-year period. Think snacking on veggies will leave you hungry? The 20 Most Filling Fruits and Veggies will have your belly satisfied in no time.
For example, you might not realize just how much you eat when you go out to happy hour with friends. But if you take the split second to take a step back and make yourself aware of that fact, you’re more able to make a healthy decision. “The awareness and then planning and coming up with strategies for what else I can be doing—that might give me the same benefit of eating those comfort foods that make me feel better,” says Gagliardi.

Usually, a weight-loss plan combines elements of healthy eating and exercise to give its users the best chance of achieving their target weight. In addition to specifying a weekly menu plan or giving guidelines regarding calorie-intake and food selection, the best weight-loss plans of 2019 give you clear exercise regimes or allocate you fitness points for activities you perform on a day-to-day basis, like housekeeping, for example.
If you’re routinely skimping on the recommended seven to nine hours, or you have difficulty falling or staying asleep, it’s time to get serious about your bedtime rituals. Your better-sleep strategy includes: limiting caffeine past the early afternoon; sticking to alcohol caps of one drink for women, two for men (since alcohol can interfere with the quality of your sleep); and staying off the phone and iPad within an hour of bedtime.
“For some people, it’s knowing, ‘Typically I eat a whole sandwich,’” says Gagliardi. “‘Now, I’m going to make the decision to eat half a sandwich at lunch and save the other half for my dinner and essentially cut my calories in half. And they feel good about that. They’re not having to do math.” To get started, check out these 25 simple ways to cut 500 calories a day.
Many people chew gum as a way to stifle cravings or prevent mindless eating but this tactic may have an unfortunate side effect: belly bloat. Everyone naturally swallows a small amount of air when they chew but it’s magnified for people who chew gum, which causes gas and bloating. In addition, some artificial sweeteners have been shown to increase your appetite for junk food, so gum could be increasing your waistline on two fronts.
Very low levels of thyroid hormone usually indicate an autoimmune reaction to the thyroid gland itself. This means you’ll have to take thyroid hormone supplements orally, usually the stable form T4 (Levaxin), which your doctor can prescribe for you. Your body will transform this into the active T3 hormone when necessary. The supplement dose should be adjusted so that you reach normal hormone levels (TSH, T3, T4) and sufficiently alleviate symptoms – though a few people feel best when keeping TSH slightly below normal.

You start to link up the cost of points with the cost of certain foods on your body, without any item every becoming taboo or strictly off-limits. Our tester found the point system both easy-to-use and eye-opening. “I can’t believe how many ‘healthy’ or at least innocuous foods are actually bad for you,” she remarked, noting how diet staples like granola bars took a big bite out of her daily allotment of points.
"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."
Forget old low-carb diet plans that focused on processed protein bars and shakes. This year, the keto diet got high marks for low carb. Keto, short for "ketogenic," is all about training the body to burn fat for fuel. How? By eating fat—and lots of it. Most keto diets recommend getting at least 70 percent of your daily calories from fat and the rest from protein. The goal is to eat as few carbohydrates as possible. Proponents say it helps them drop weight fast with little or no hunger in addition to perks like more energy and mental clarity. (Interested? Here's everything you need to know about the keto diet.)

Experts say that Weight Watchers is one of the easiest programs to follow. There are hundreds of Weight Watchers recipes available, both in cookbook form and online, with pre-calculated points values for each recipe. Weight Watchers has its own line of frozen entrees, and Weight Watchers points values are often pre-calculated on other brands of frozen entrees. There are many other Weight Watchers-branded prepared foods available as well. Food preparation-wise, the program can be as easy or as difficult as your skill level in the kitchen.
The upshot of all these chemicals floating around is big trouble for big-bellied guys. In a study at the University of Alabama at Birmingham, researchers took 137 men of all ages and sizes and used seven different measurements to determine their risks of cardiovascular disease. The single best sign of multiple heart-disease risks? No, it wasn't the guys' family histories or their cholesterol profiles. It was the amount of abdominal fat they carried.
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.
Only 11% of Americans correctly estimate their ideal daily calorie requirements, according to one survey. The rest of us tend to overestimate, says Bonnie Taub-Dix, RD, a spokesperson for the Academy of Nutrition and Dietetics. Let's say you assume that consuming 2,000 calories per day will allow you to reach your target weight, but it really takes 1,800: Those extra 200 are enough to keep an additional 20 pounds on your frame. 

When Tufts University researchers studied the waistlines and diets of 459 people, they found that even in men of similar age and activity level, those who ate white bread frequently weighed more than those who didn’t. “The calories from white bread and refined grains just seem to settle at the waistline more than calories from other foods,” says Katherine Tucker, Ph.D., the study author.
The key to losing weight is eating fewer calories than you expend. That creates an energy deficit, so your body taps into other sources of fuel — namely, your fat stores — to make up the difference. You’ll be able to lose weight safely by creating an energy deficit of up to 1,000 calories a day, which will allow you to lose up to two pounds per week.

"Order without looking at the menu. Almost every restaurant has the basics—veggies, grains, and protein. If you go in knowing what you want, I guarantee you'll be able to make a meal. If you're too uncomfortable to ask for what you need, tell a white lie: Say you're allergic. I know it's controversial to suggest this, but women in particular can really have trouble standing up for their own needs. So if you want the broccoli soup puréed without cream, tell the waiter you're lactose intolerant."

My Calorie Counter is powered by EverydayHealth, and it’s hard to separate the two. My Calorie Counter provides a set of tools which allows you to track and monitor your nutritional intake each day, building meal plans and recording your weight. It produces varied diets for your nutritional needs, showing you precisely how many calories you have left remaining each day. What’s more, it’s...

There’s a reason everyone harps on about protein: Not only does it help keep you full, but it’s also responsible for repairing the tiny tears caused by strength training in your muscles. This helps them grow bigger and stronger, nudging out body fat in the process. As a general rule of thumb, aim to get at least 70 grams of protein throughout the day, says Dr. Cheskin. (These high-protein foods can help you reach that goal.)


The Mayo Clinic Diet is a long-term weight management program created by a team of weight-loss experts at Mayo Clinic. The Mayo Clinic Diet is designed to help you reshape your lifestyle by adopting healthy new habits and breaking unhealthy old ones. The goal is to make simple, pleasurable changes that will result in a healthy weight that you can maintain for the rest of your life.

All workouts are created equal. Should you be focusing on high intensity interval training (HIIT), training for a marathon or getting on the bodyweight bandwagon to torch the most calories and fat? “The best exercise is one that you enjoy, and one that you will actually do,” said Lieutenant Commander Katrina Piercy of the U. S. Public Health Service Commissioned Corps, and the federal lead for the 2018 Physical Activity Guidelines for Americans. Dr. John Jakicic, who chairs the American College of Sports Medicine Obesity interest group, agreed. “There is no perfect exercise,” he said. “They all count, and they all contribute in different ways. You might get something with HIIT that you might not get with yoga, and you get some benefits from yoga that you might not get with HIIT. It’s about moving, and it’s about burning calories.” So find what you can stick with in your life for weeks, months and years -- not just the first week of January. But don’t become one of the 67% of gym membership holders who never go; at around $60 a month on average, that’s wasting $720 a year.
The best low-cal diet plan isn't a diet so much as it is a method. CICO stands for "calories in, calories out" and is based on the mathematically sensible principle that as long as you're burning more calories than you're eating, you'll lose weight. All you need to get started is a way to track your calories—there are plenty of apps on the market although a pen and paper works great too—and a food scale to keep you honest about your portion sizes. (Also read this guide on how to safely cut calories to lose weight.) People love the simplicity and straightforwardness of the plan. And while it may not be the fastest way to lose weight, you're guaranteed to have success long term. (Just know that some weight-loss experts actually don't recommend calorie counting.)
Consider them “good carbs”. Their bulk takes up space in your stomach, helping you feel full and eat less. The top fiber food: beans, which contain 8g per 1/2 cup. Research shows that guys who added 12g of fiber a day to their diet lost a quarter of an inch from their love handles, without otherwise modifying their diet. Here are some of the best sources.
Eating less does more for weight loss than exercising more. Consider putting the money you’d spend on a gym membership toward healthy groceries, instead. “Trying to exercise your way out of your weight problem is very difficult (because) it’s very hard to exercise that much,” explained Dr. Aronne. Burning about 3,500 calories equals one pound; someone weighing 150 pounds walking for an hour would burn around 250 calories. “You really need to cut down on calorie intake to lose the weight. Exercise is better at preventing weight gain.” The recommended daily diet is around 2,000 calories, but if you want to lose weight, Dr. Avigdor Arad, the director of the Mount Sinai Physiolab, suggests that women consume between 1,200 to 1,500 calories a day on average, and men between 1,500 and 1,800 calories. But visit your doctor to see how your own metabolism, family history and any medications you’re taking could be influencing how easily you gain and lose weight, and what your nutritional needs are. “There is a lot of variation,” he said.
have been on the low carb (Ketogenic diet) OVER A YEAR. 20-30 gr for the first 6 months, currently about 40-70 grams daily since then. maybe once a week 70-100gr; High fat (love my whole cream). moderate amount of protein. use coconut oil in decaf with the cream. Since increasing carbs the weight loss has stayed about the same +/- 5lbs but waist size increased by 1-2inches. Noticed hair loss but I don’t know if it’s stress related (husband died just before Christmas).
Fighting belly fat is 80% healthy diet. Reduce calories by filling yourself up with protein, vegetables, whole grains, and replacing bad habit snacks with good ones. For example, if you have a sugar craving, replace your calorie laden latte with a Muscle Milk lite, one of my favorites, because it has zero sugar and a ton of protein that will satiate while also torching my sugar craving! Another great trick is a sprinkle of cinnamon in your morning coffee or oatmeal- the spice has been shown to help stabilize blood sugar. It also slows the rate at which food exits the stomach, which helps you feel fuller longer.
Salt, in moderation, is a good thing—the mineral is necessary for a healthy heart and brain. But too much salt and you’ll retain water, bloating up like a water balloon. Cutting salt is one of the primary ways to drop extra water weight (one reason you may see a big weight loss when starting a new diet!). Move the salt shaker off your table so you’ll get out of the habit of routinely salting all your food. Then if you taste your food and still really want salt you can still stand up and get some. For more weight loss benefits, add these fat-burning foods to your plate to help you lose weight.

You may say you want to lose weight to feel good about yourself. “Why?” Noom asks again. “It’s like peeling back the layers of an onion,” Noom explains, “And yes, tears might be involved too!” By the time our tester answered the third “Why?” she had indeed gone deep — even in the guise of a 40-year-old mom. The ultimate Why she came up with: “To enjoy life and bring joy to others.”
In what is perhaps the biggest buzzkill of all time, sex doesn’t quite count as cardio or burn a significant amount of calories: Women burn about 3.6 per minute. "It’s still a good idea," Dr. Seltzer says, citing the activity’s other benefits, like increasing the output of the neurotransmitters serotonin and dopamine, which naturally reduce food cravings.
So what can we do with all this knowledge? Tempting as it is to get discouraged, we can actually find it encouraging. Biology is not destiny, after all. “Lifestyle choices are immensely powerful,” Peeke says. And on the heels of any tidal wave of new research is sure to come a trickle of weight-loss advice that can be more customized and more effective to help men and women with their weight-loss obstacles, no matter what they are.
Rounding out the top three for best weight loss programs on the U.S. News and World Report 2016 rankings, the Biggest Loser meal plan uses a pyramid system with fruits and veggies setting the foundation. Simple tenets back the plan: for example, being mindful of portion control, keeping a food diary, and exercising regularly. So, yes, work will be involved, but the plan is sustainable in the long-term and a likely way to shed pounds.
To start off, aim to do ab work 3 or 4 times a week on non-consecutive days with at least 24 hours of rest in between sessions, says Gagliardi. During those sessions, you can start with simpler moves like crunches, bicycle crunches, and planks. Even though you may only be directly targeting your abs 3 or 4 times a week, you should still be activating your core (aka, tightening your ab muscles) in every workout you do, says Gagliardi.

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.


Diet plans are usually divided into three categories, namely Low Carb, High Carb and High Protein. Menu choices also include vegetarian, gluten-free, allergy and diabetic-appropriate meals. It is essential that you consult with a doctor or a nutritionist before enrolling in a diet program this is to ensure that the diet plan is in-tune with their health condition.
If you've been trying to eat healthy for a long time, you know how quickly you get sick of chicken breasts and broccoli. Break out of your diet rut with the Middle Eastern diet. It's based on the same principles as the Mediterranean diet but with more of an emphasis on plant-based foods and a different flavor profile. With all the tasty and healthy spices, you'll never get bored of making dinner and you'll get all the same heart-healthy benefits as its geographical cousin's diet.
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.
The HMR Program uses meal replacements – think low-calorie shakes, meals, nutrition bars and hot cereal – in phases, coaching from experts, physical activity and an emphasis on fruits and vegetables to help dieters shed pounds fast. While last year the diet shared the No. 1 ranking in this category with the Biggest Loser diet, this year it has the top spot to itself. "This diet makes it easy to lose weight fast and would likely be effective for someone who wants to lose weight for a specific event," one expert said. "However, as far as long-term healthy-habit-forming, this diet falls short" in part because dieters don't learn to make their own healthy food choices.

Many diets, including Atkins and the keto diet, fit into this umbrella. A typical low-carb diet limits carbs to less than 60 g daily, but this can vary, according to the Mayo Clinic. (15) In a September 2015 review published in PLoS One, people following low-carb diets saw modest weight loss — although study authors note that long-term effects of the diet require further research. (16)
This principle involves eating low-energy-dense foods and can help you lose weight by feeling full on fewer calories. Healthy choices in each of the other food groups in moderate amounts make up the rest of the pyramid — including whole-grain carbohydrates, lean sources of protein such as legumes, fish and low-fat dairy, and heart-healthy unsaturated fats.
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.
As a result, about four in 10 Americans are obese -- that’s a whopping 93.3 million adults -- which increases their risk of heart disease, stroke, type 2 diabetes, certain cancers and early mortality, and cost the country $147 billion in medical costs in 2008, according to the CDC. Nearly 80% of American adults are also not getting enough aerobic and muscle-strengthening activity, which is linked to about $117 billion in annual health care costs and 10% of premature mortality, according to the U.S. Department of Health and Human Services.

"When we’re lacking in sleep, our body’s hormones get thrown off balance which can impact our hunger levels the next day. We all have two hormones that affect our appetite: ghrelin and leptin. When we don’t get enough sleep, our ghrelin levels (the hormone that makes us feel hungry) rise, and our leptin levels (the hormone that makes us feel full) drop. This means that when we’re awake, we tend to eat more but feel less satisfied. Try going to bed a little earlier than usual to avoid this imbalance and remember to remove any distractions that might prevent you from nodding off."
HCG, or Human Chorionic Gonadotropin, is a hormone produced during pregnancy by the placenta after implantation, and doctors sometimes prescribe it for fertility issues. But this hormone has also gained popularity as a weight-loss supplement — and using it as such can be dangerous. In fact, the U.S. Food and Drug Administration (FDA) warns against purchasing over-the-counter hCG, as these supplement products are illegal. (34)

Those trans fats on your menu are hiding out in plain sight and sabotaging your lean belly plans every time you eat them. If a food product says it contains partially hydrogenated oils, you’re eating trans fat, which can increase your risk of heart disease, high cholesterol, and obesity with every bite. In fact, research conducted at Wake Forest University reveals that monkeys whose diets contained eight percent trans fat upped their body fat by 7.2 percent over a six-year study, while those who ate monounsaturated fat gained just a fraction of that amount. Instead of letting harmful trans fat take up space on your menu, fill up with the 20 Healthy Fats to Make You Thin.
Popularized by the documentary Forks Over Knives, the Ornish diet is a low-fat, plant-based diet plan based on whole grains, vegetables, fruits, and legumes. It's based on a lacto-ovo style of vegetarianism, allowing only egg whites and nonfat dairy products. It's packed with vitamins, fiber, and lots of filling plants to keep you satiated. Some studies have shown it can reverse heart disease and have beneficial effects on other chronic health conditions. (BTW, there is a difference between a vegan diet and a plant-based diet.)

If you like eating meat and want to lose weight, you might be tempted to try this recent extreme diet fad that proponents have made some pretty outrageous claims about. One: that eating nothing but meat can cure you of autoimmune diseases. The problem is that there’s no good research to support that notion, or any other health claim, for that matter. Indeed, omitting foods known to be good for you — fruits and veggies among them — can lead to a bunch of unwanted side effects, including constipation and potentially dangerous nutrient deficiencies. Still, since you’re cutting out so many food groups, there’s a decent chance you’ll lose weight, experts say. Regardless of any possible benefits you might see, this restrictive approach is definitely one you’ll want to ask your doc about before you even consider diving in.
What's more trustworthy than a diet built by experts from the Mayo Clinic? Created by doctors, nutritionists, and all-star chefs, the plan has a few phases: In the first, you should lose 6 to 10 pounds in two weeks. After that, you can expect to lose 1 to 2 pounds a week until you reach your goal weight. You're also given plenty of resources and advice to help you keep the weight off.

As you exercise, calories are burned and your body fat percentage decreases. So, exercising not only helps you lose belly fat, it also sheds fat from other areas. Running and walking are two of the best fat-burning exercises. Plus, the only equipment you need is a good pair of shoes. Between the two, running burns more calories, but walking really isn’t too far behind.


One of the biggest differentiating factors of Weight Watchers is their famous claim that you can eat whatever you want. A points-based system allows members to select which indulgences they want to spend their calories on, and that’s also one of the secrets to its success. When people feel that they aren’t being restricted, psychologically, it is easier for them to follow a diet plan. This is part of what you’ll get from a Weight Watchers membership:

If planning for and preparing healthy foods is the biggest obstacle to your weight loss, look no further than Jenny Craig. The program delivers prepackaged food to your home; you just heat (or open) and eat, and experts and users say the food tastes good, too. There's no counting calories, no forbidden foods, and little planning required. Reviewers say Jenny Craig is an ideal program for someone who wants a no-hassle diet. It's pricey, though, and, there's very little room for eating out or home-cooked meals.
Usually, a weight-loss plan combines elements of healthy eating and exercise to give its users the best chance of achieving their target weight. In addition to specifying a weekly menu plan or giving guidelines regarding calorie-intake and food selection, the best weight-loss plans of 2019 give you clear exercise regimes or allocate you fitness points for activities you perform on a day-to-day basis, like housekeeping, for example.

Only 11% of Americans correctly estimate their ideal daily calorie requirements, according to one survey. The rest of us tend to overestimate, says Bonnie Taub-Dix, RD, a spokesperson for the Academy of Nutrition and Dietetics. Let's say you assume that consuming 2,000 calories per day will allow you to reach your target weight, but it really takes 1,800: Those extra 200 are enough to keep an additional 20 pounds on your frame. 
Another win for your morning cup of joe: Caffeinated coffee keeps things moving through the digestive tract. Since staying regular is key to a tighter-looking tummy, drinking about 8 to 16 ounces of java at the same time every day can help you stay on schedule. Remember: Sugary drinks can lead to weight gain, so skip fancy flavorings and synthetic sweeteners containing sugar alcohols, which can cause bloating.
Where commercial weight loss programs go hands-on, the Mayo Clinic Diet goes streamlined. The vibrant, best-selling hardback (that looks a lot like a fun middle school health textbook) is the first resource for diet information, you can also employ the sleekly designed but minimalist app, plus a full website of tips, recipes, and workouts. Those patient enough to cycle through all of Mayo’s resources will find lots of solid health information.
Hu, T., Mills, K. T., Yao, L., Demanelis, K., Eloustaz, M., Yancy, Jr., W. S., ... Bazzano, L. A. (2012, October 1). Effects of low-carbohydrate diets versus low-fat diets on metabolic risk factors: A meta-analysis of randomized controlled clinical trials. American Journal of Epidemiology, 176(Suppl. 7), S44–S54.  Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3530364/
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