FitnessMagazine.com is a free membership website which provides a great range of exercise information, videos, recipes, and general advice for staying healthy and losing weight. There’s plenty to explore, with much of the content focused on specific areas of mental and physical fitness. You can also find information for particular dietary requirements, plus explore recipes which apply to specific diet plans. We were really...

Being in optimal ketosis for a prolonged period of time (say, a month) will ensure that you experience the maximal hormonal effect from eating a low-carb diet. If this doesn’t result in noticeable weight loss, you can be certain that too many carbs are NOT part of your weight issue and not the obstacle to your weight loss. There are, in fact, other causes of obesity and being overweight. The next three tips in this series might help you.
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.

This popular plan recently underwent a rebranding to create a more balanced program, changing its four-phase approach with the help of a science advisory board. The Atkins Diet is still low-carb, but you won't be chowing down on steak and eggs all the time to promote weight loss. Lean protein is still key, but there's more of a spotlight on fiber, fruit, vegetables, and healthy fats.


What you put on your plate is important, but healthy eating is also about being mindful of how much you consume. For example, your husband has pancakes with butter and syrup for breakfast, your son grabs a doughnut, and you opt for a cup of oatmeal with a handful of walnuts, a sliced banana, and a large glass of organic blueberry juice. You may win on nutrients, but when it comes to calories, you're dead last: That healthy-sounding meal adds up to almost 700 calories, more than a third of your allotment for the day.


“We try not to vilify any food, except sugar,” added Dr. Aronne. “Having it as a treat is what sugar is for; it’s not meant to be the main part of your meal.” Yet added sugars in the form of sweeteners and syrups to flavor processed foods sees the average adult eating 20 teaspoons of hidden added sugar every day, or an extra 320 calories, according to the USDA’s recent nationwide food consumption survey. And then there’s sugar-sweetened beverages like sodas, sports drinks, juices and flavored coffees and teas stirred with empty calories. “The typical glass of orange juice has three oranges in it; that’s the calories of three oranges. But it’s easy to drink a glass of orange juice and still eat a number of other things,” added Dr. Aronne. “You’re better off just eating a single orange and feeling full.”
WeightWatchers is one of the best known weight loss programs around. The reason it’s successful is that it’s often viewed as one of the easier programs to follow, helping you to change the way you think about and behave around food. Nothing is off limits, so you can still enjoy your favorite meals and snacks, even a drink of alcohol now and then, meaning...

This drug is an injected variant of a satiety hormone called GLP-1. It slows down how quickly the stomach empties and tells the brain that you don’t need to eat yet – a great idea for losing weight. As a bonus this drug works fine while one is on the keto diet and it works even better with intermittent fasting – for a rapid weight loss with no hunger.

Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L., Eckel, R. H., & Wright, Jr., K. P. (2013, April 2). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of the National Academy of Sciences of the United States of America, 110(14), 5695–5700. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619301/
You don’t have to be the next Usain Bolt in the making to enjoy some serious belly-slimming results from hitting the track from time to time. Even a moderate-rate jog a few times a week can blast through that belly fat; in fact, a study conducted at Duke University Medical Center found that, over the course of an eight-month study, overweight adult study subjects who jogged 12 miles a week lost the most belly fat and burned 67 percent more calories than participants who did an equivalent amount of resistance exercise, or a combination of cardio and resistance work.
Noom: To help you figure out how to prioritize or limit food items, Noom offers color coding. Green means go for it — “green” foods include veggies and grains, and these should make up a solid 30% of your diet. “Yellow” foods include lean meats and starches, and these can account for a touch more — 45%. “Red” foods (red meats and sweets) should appear less than both green and yellow, around 25%. When you log meals, the app lets you know how well you’re aligning with these proportions.
Social conditions such as poverty, social isolation and inability to get or prepare preferred foods can cause unintentional weight loss, and this may be particularly common in older people.[43] Nutrient intake can also be affected by culture, family and belief systems.[28] Ill-fitting dentures and other dental or oral health problems can also affect adequacy of nutrition.[28]
The fact of the matter is battling the bulge takes different strategies and approaches depending upon your genetics, your metabolism, your willpower, etc. What works for your buddy won’t necessarily be your be-all and end-all solution. To simplify things, we compiled plenty of tips to help rev your metabolism, lose your love handles, and unsheathe your abs. You’ll have to do some trial and error to deduce which ones work best for you (hey, losing weight is hard work). But if you put in the work (aka incorporate a few of these tips each week), you’ll be well on your way to a smaller waistline. Who said your glory days were in the past?
This is hardly surprising when you consider just how successful (or not) quick-fix diet solutions have proven to be. Research indicates that not only do nearly 70% of fad diets fail due to people neglecting to couple them an appropriate exercise regime, but 65% of people who successfully complete a fad diet will end up gaining all of their weight back within a matter of months.
Watching that extra junk around your trunk turn your body into a full-blown Buddha belly puts you at an increased risk for heart disease, diabetes, and early death. Luckily, losing the weight doesn’t have to take forever; with these 22 belly fat-fighting tips, you can shave two inches off your waistline in as little as two weeks. Think your age will stand in the way of your weight loss? The 20 Ways to Lose Your Belly When You’re Older will help folks of any age get on track to their best body ever.

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.


Don't banish certain foods. Don't tell yourself you'll never again eat your absolutely favorite peanut butter chocolate ice cream. Making all treats forbidden is sure to make you want them even more. The key to long-term success is making healthy choices most of the time. If you want a piece of cake at a party, go for it! But munch on the carrots rather than the chips to balance it out.
Work your core. When many people think of core strengthening, they think of stomach crunches. Crunches are helpful for building abdominal muscles, but contrary to popular belief, crunches won't do much to lose the layer of fat stored in your belly, and can actually cause significant damage to the spine.[34] Instead, try a workout routine that strengthens your whole core, like yoga, or try abdominal presses and planking.[35]
As with many foods, there are healthy versions and ones that make promises they can’t deliver. Some bars that promise “pure protein” have the same nutritional value as a candy bar, so it’s important to research before purchasing. Rather than just counting calories, check out the actual ingredients; is it made up of real food? Skip protein bars for weight loss that include soy in favor of ones that use proteins that include leucine, valine and isoleucine. The protein, plus the fiber and fat, will be what plays a key role in keeping you full throughout the day.

Little treats keep you from feeling deprived, so every day, allow yourself a bit of something you love (aim for 150 calories each). This kind of moderation is the difference between a "diet" and a lifestyle you can stick with forever. For salon owner Caitlin Gallagher, who lost 125 pounds, that meant replacing her nightly bowl of ice cream with a square of chocolate; social worker Brittany Hicks, who lost 100 pounds, started baking mini versions of her favorite pies.
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.
We’ve now arrived at tip number 16. If you’re still having trouble losing weight, despite following the 15 pieces of advice listed above, it might be a good idea to bring out the heavy artillery: optimal ketosis. Many people stalling at weight plateaus while on a low-carb diet have found optimal ketosis helpful. It’s what can melt the fat off once again.
If you're specifically looking to target your belly, we have some bad news: you can't spot-target fat loss. That means you can do crunches or planks all day long, but you won't specifically burn belly fat. Instead, you can lose body fat overall, including from your belly. And by avoiding certain belly-bloating foods and with some strategic exercise, you will inevitably see results in your belly.
A relatively new offering, the Nutritarian diet is based on maximizing the amount of healthy vitamins, minerals, and trace nutrients in your food, balancing your hormones, and avoiding toxins. The plan—created by Joel Fuhrman, M.D., author of The End of Dieting—is nutrient-dense, plant-rich, and includes anti-cancer superfoods to help you not just lose weight but live a long, disease-free life. (P.S. Follow these guidelines to make sure you're absorbing all the nutrients from your food.)

If you can keep up motivation and accountability without the assistance of an app or a like-minded community, the book should give you all necessary tools. While we weren’t floored by Mayo’s online offerings, the app does have one cool feature (if you can get it to work): Enable your camera to eyeball the correct size of any food item in comparison to a virtual baseball, hockey puck, set of dice.


According to the United States Department of Agriculture, a half-cup of granola has anywhere between 200 and 300 calories, 12 to 16 grams of sugar, 3 to 15 grams of fat (depending on low-fat options), and nearly 40 grams of carbs. Plus, granola is usually mixed with something, like yogurt or fruit, which only increases its caloric value. “Although you may think starting your day with a bowl of granola is the healthy thing to do, the calories can easily add up to over 600 calories, just at breakfast,” says Toby Amidor, MS, RD nutrition expert and author of the Greek Yogurt Kitchen.
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The best diet is the one we can maintain for life and is only one piece of a healthy lifestyle. People should aim to eat high-quality, nutritious whole foods, mostly plants (fruits and veggies), and avoid flours, sugars, trans fats, and processed foods (anything in a box). Everyone should try to be physically active, aiming for about two and a half hours of vigorous activity per week. For many people, a healthy lifestyle also means better stress management, and perhaps even therapy to address emotional issues that can lead to unhealthy eating patterns.
Tapsell, L. C., Dunning, A., Warensjo, E., Lyons-Wall, P., & Dehlsen, K. (2014). Effects of vegetable consumption on weight loss: A review of the evidence with implications for design of randomized controlled trials [Abstract]. Critical Reviews in Food Science and Nutrition, 54(12), 1529–1538. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/24580555
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 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.

Yasmine Farazian, a professor at an art and design college, can thank Rania Batayneh, M.P.H., author of The One One One Diet, for the easy rule of thumb that helped her shed 50 pounds: At each meal, she made sure to eat one carbohydrate, one protein, and one fat. Finally, Yasmine had the template for making a healthy, well-balanced meal that she needed. "I would have the bun, beef patty, and avocado," she says. "And if I wanted fries, I'd ask for lettuce instead of the bread."


If you’re only getting a minimal amount of sleep each night, that leaves more time for you to snack and make otherwise unhealthy decisions that could affect your weight loss. Although it will vary from person to person on how much sleep you actually need to be most effective (and therefore make progress toward your weight loss goals), the ideal number is typically 7 or 8 hours, says Dr. Cheskin. (Struggling to get that shut-eye? This doctor-approved breathing exercise will help you fall asleep fast.)
Packaged meal programs: Many diet plans rely on meal-replacement bars, shakes, or other snack type foods. Still others rely on frozen entrees as a major part of your diet. Ask yourself if you are okay with a bulk of your diet relying on prepackaged snacks, shakes, or frozen meals, or if you prefer the flexibility of cooking your own meals or eating out frequently.
Want to instantly burn more blubber in your workout? Research conducted at Brunel University found listening to your favourite tracks will increase your endurance by a massive 15 per cent. And if you really want to turn your weight loss up to 11, Social Psychological and Personality Science found that heavy bass increases your sense of personal power to help you get the most out of the gym.
Markwald, R. R., Melanson, E. L., Smith, M. R., Higgins, J., Perreault, L., Eckel, R. H., & Wright, Jr., K. P. (2013, April 2). Impact of insufficient sleep on total daily energy expenditure, food intake, and weight gain. Proceedings of the National Academy of Sciences of the United States of America, 110(14), 5695–5700. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3619301/
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.)
Losing weight on autopilot is appealing. But in the age of meal-delivery services (Blue Apron happens to be Whole 30-approved) — is there really a market need for gimmicky Nutrisystem? Our taste buds tell us no. You could easily recreate its no-prep diet by stocking up on breakfast bars, Lean Cuisine lunches, and signing up with the likes of HelloFresh for fast, healthy dinners. (Rough calculations tell us this approach would be equal or less than the monthly price of Nutrisystem.)
“Don’t bring home foods you don’t want to snack on. If others in the house like treats, buy ones you dislike to avoid temptation. And keep your healthier foods—including veggies and high-protein snacks—front and center in the pantry, fridge, and freezer. When it came to losing 100 pounds, this is one of the things that helped me the most.” —Jamie Gold, 56, certified kitchen designer and author of New Bathroom Idea Book
While you may be tempted to eat as few calories as possible to lose weight more quickly, as mentioned above, it’s important that you don’t cut more than 1,000 calories from your daily diet or eat fewer than 1,200 calories a day — even if that means your energy deficit is smaller than 1,000 calories. Eat too little and you’ll slow down your metabolism and put yourself on track to regain the weight — often with a few extra pounds.
In a way, moderate-intensity physical activity is that "magic pill" a lot of people are looking for, because the health benefits go beyond keeping your waistline trim: Not only can it reduce your risk of cancer, stroke, diabetes and heart attacks, but studies have shown that physical activity can significantly improve the moods of patients with major depressive disorders.
If figuring out what to put into your body is too overwhelming, start with how much you're serving yourself. The easiest way to do this? Swap out your plates for smaller ones, like mother of two Jeanenne Darden did. With the help of this trick, she managed to lose an amazing 22 percent of her body weight, going from 187 pounds to 146 pounds. "I ate normally," she says. "I just ate less of everything." Pro tip: This trick is even easier with some cute portion-control dishware.

Many diet plans rely on meal-replacement shakes, bars or other snack type foods, while others rely on frozen entrees as a major part of your diet, like Medifast and Nutrisystem. Ask yourself if you want the bulk of your diet relying on prepackaged snacks, shakes or frozen meals, or if you prefer the flexibility of cooking your own meals or eating out frequently.


The plan promotes long-lasting, sustainable changes, and undoubtedly a bounty of research backs this up. In fact, one December 2013 study in the American Journal of Medicine shows that people following Weight Watchers were close to nine times more likely to lose 10 percent of their body weight, compared to people following a self-help diet plan. (20)
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.
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.
MyFitnessPal: An app widely recommended by trainers and fitness enthusiasts, MyFitnessPal is great for tracking macros. Goal macros: 50% carbs, 30% fat, 20% protein. It further breaks these general guidelines into specific gram amounts that make it easy to see how some macros add up quick (carbs) and others don’t (protein — hitting 64 grams takes conscious effort!).
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.
While any diet that reduces your intake of fat, sugar, and carbohydrates will help you lose weight, a weight-loss plan can offer you much more and give you a much better chance of long-term success. As weight-loss plans have been developed by dietitians, fitness coaches and nutritionists, they are designed to help you lose weight safely and progressively, while altering your attitude to food and encouraging you to adopt healthier habits.

Do it better: The best way to know if you're eating too much is to write it down. "Even if you note it on a napkin and then throw it away, that's okay. Just the act of writing makes you more aware," says Taub-Dix. Portion control cues help too: A baseball-size serving for chopped veggies and fruits; a golf ball for nuts and shredded cheese; a fist for rice and pasta; and a deck of cards for lean meats.
That doesn’t mean you need to ditch the scale, though. Studies continue to point to the fact that monitoring your weight can be an effective strategy for losing weight and discouraging weight gain (another healthy pursuit) provided it doesn’t cause any emotional distress. Just don’t get married to a number on the scale or get caught up in a set number of pounds you’d like to lose. Instead, settle on how you’d like to feel. Maybe you’d like to be more energetic or perhaps you’d like to manage your health without the need for medications. You can accomplish these goals without losing much weight.
Lose It! This two-week phase is designed to jump-start your weight loss, so you may lose up to 6 to 10 pounds (2.7 to 4.5 kilograms) in a safe and healthy way. In this phase, you focus on lifestyle habits that are associated with weight. You learn how to add five healthy habits, break five unhealthy habits and adopt another five bonus healthy habits. This phase can help you see some quick results — a psychological boost — and start practicing important habits that you'll carry into the next phase of the diet.
Instant oatmeal may be a lot quicker to make than traditional oats, but what you gain in convenience you lose in nutritional value. Many of the oatmeal’s healthy properties are stripped away in processing, explains Stephanie Lincoln, an eating psychology specialist and the founder and CEO of Fire Team Whiskey Military Health and Fitness. Plus, sugar is added during manufacturing. These two factors turn instant oatmeal into a high glycemic index food, making you feel hungry even after you’ve just eaten. One study found that people who ate instant oatmeal for breakfast instead of eggs were found to eat 81 percent more food during the day. And one thing you don’t want when you’re trying to lose weight is the munchies. Next, don’t miss these 42 easy tricks for losing weight fast.
Sorry keto -- the Mediterranean diet is king. Endurance athletes and celebrities like LeBron James and the Kardashians have raved about the high-fat, low-carb ketogenic diet -- which was among Google’s most-searched terms this year. But Dr. Louis Aronne, an endocrinologist at NewYork-Presbyterian and Weill Cornell Medicine who runs the Comprehensive Weight Control Center, noted that the Mediterranean diet “is the only diet that has been proven in trials to promote weight loss and reduce the risk of heart attack, stroke and other cardiovascular diseases.” This meal plan includes using olive oil rich in healthy omega-3 fatty acids as your main cooking oil, and loading your plate with fruits and vegetables, whole grains and lean protein like fish and chicken, with the occasional piece of red meat. The American Heart Association recommends a similar diet that emphasizes whole, unprocessed foods, particularly fruits, veggies and whole grains, as well as low-fat dairy products, nuts and legumes, and non-tropical vegetable oils, while reducing salt, sugar and trans fats.
Because men are larger than women on average and have more muscle to support, men can usually eat more calories while still losing weight, compared to women. Portion control may be especially important for women. In one study, women who ate smaller portions of food (and less food overall) had lower BMIs than women who limited or avoided a certain type of food.2 This approach seems to work better for women than men.3
"Your body needs a healthy balance of exercise and rest. Doing too much prevents the body from shifting excess fat. Exercising without rest can impact our levels of the steroid hormone cortisol and cause an increase of stubborn fat stored in the belly. Not allowing your body to recover can increase the risk of injury too, so make sure you factor in rest days to your plan."
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!
Mindfulness matters. “If you slow down and stop just mindless eating, you often realize you don’t need to eat as much as you thought you did; you’re already full,” said Dr. Steinbaum.” Part of this is watching portion sizes, which have ballooned in restaurants over the past 40 years, leading adults to consume an average of 300 more calories per day now than they did in 1985. Did you know that one serving of bread is actually just one slice? Or one serving of pasta or rice is just half a cup? And a serving of cheese is only two ounces, or the size of a domino? You’re probably eating much more than you realized. “There have been multiple studies that see keeping a food journal is effective,” said Dr. Steinbaum. “When you start paying attention, you can really see what you’re doing.”

"These diets are so restrictive that of course you're going to lose weight fast because you're not eating enough calories to sustain basic activities of your body, let alone any exercise. That's nothing that any person can sustain for the long term," Hogan said. "The weight's going to come back if you do lose any weight, and then it's going to be harder to lose weight in the future."

If you don’t have an established exercise routine, simply walking is the best first step toward weight loss. “Walking is a pretty good entry point for people,” says Gagliardi. This is particularly true if you have been out of the gym for a while and want to ease back into a workout routine. One small study published in The Journal of Exercise Nutrition & Biochemistry found that obese women who did a walking program for 50 to 70 minutes three days per week for 12 weeks significantly slashed their visceral fat compared to a sedentary control group.
Focused strength workouts 1-2 times a week- First, focus on building muscle with straightforward strength workouts.  This can be a total body workout twice a week or split routines for upper and lower body.  And 'straightforward' workouts doesn't mean you have to do boring exercises.  There are great kettlebell exercises that can increase your strength just as well as regular dumbbells and don't forget you can also use resistance bands as well.  Just make sure you're lifting enough weight.
Drink at least 2 liters (0.53 US gal) of water each day. Water has the double effect of both hydrating your body and filling your stomach with a certain volume of a liquid that has zero calories. The Institute of Medicine determined that an adequate intake (AI) for men is roughly 3 liters (0.8 US gal) (about 13 cups) of total beverages a day. The AI for women is 2.2 liters (about 9 cups) of total beverages a day.[12]
The efficacy of Nutrisystem boils down to portion control. A tiny tray of frozen tuna casserole doesn’t provide a lot of nutrients or satisfaction, but if that’s all you have for dinner, you’re keeping calorie count low. We entered in a couple Nutrisystem meals and found their point count to be mid-high, between 7 and 9. Ultimately, tiny amounts of not-wholesome foods doesn’t teach you to eat well.
Virtual gastric band uses hypnosis to make the brain think the stomach is smaller than it really is and hence lower the amount of food ingested. This brings as a consequence weight reduction. This method is complemented with psychological treatment for anxiety management and with hypnopedia. Research has been conducted into the use of hypnosis as a weight management alternative.[17][18][19][20] In 1996 a study found that cognitive-behavioral therapy (CBT) was more effective for weight reduction if reinforced with hypnosis.[18] Acceptance and Commitment Therapy ACT, a mindfulness approach to weight loss, has also in the last few years been demonstrating its usefulness.[21]

Consult your physician and follow all safety instructions before beginning any exercise program or using any supplement or meal replacement product, especially if you have any unique medical conditions or needs. The contents on our website are for informational purposes only, and are not intended to diagnose any medical condition, replace the advice of a healthcare professional, or provide any medical advice, diagnosis, or treatment.

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