Everybody seemed to want to tell their younger self that the person they’re agonizing over and waiting on will almost certainly not be The One. If someone is giving you the run around, it’s because they’re not moving towards you. Let them go, and concentrate on yourself. It’s easy to get caught up in the drama of it, but if someone is making you feel small, unimportant, or messing with your head, they’re demanding too much from you and not giving back. DUMP HIM. OR HER.

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“Cutting back on processed carbohydrates is essential for weight loss after 40,” explains Jennifer Cassetta, clinical nutritionist, personal trainer and health expert from ABC’s “My Diet Is Better Than Yours.” “Maintaining blood sugar and insulin levels is vital to weight loss, so cutting back on foods that spike blood sugar and insulin is a must.” A good place to start would be by replacing the refined carbs in your diet with unsweetened steel-cut oatmeal. Oats are a solid source of blood sugar-regulating magnesium, a nutrient that also helps boost fat burn. Easy Weight Loss Tips For Women Over 40 Years Of Age

Heading backstage at the annual Victoria's Secret fashion show can be an intimidating experience—but it also leaves a lot of opportunity to pick up on some really stellar beauty tips. Case in point: Ab-tastic Josephine Skriver revealed to Fashionista that her favorite de-bloating method is simply to drink a mugful of hot water first thing in the morning and then again before bed. "It really helps clean me out, and it's cleared up my skin a lot," she said. "Think about cleaning your drain at home—if you do it with normal water, nothing really happens, but with hot water, it clears out the whole thing."
If there’s any kind of fat to avoid, it’s trans fats. These fatty acids have been shown to raise your bad cholesterol and lower your good cholesterol — that’s the opposite of what you want your dietary fats to do for your body. Butter and oil, on the other hand, can help reduce your cholesterol and encourage the absorption of fat-soluble nutrients.
"Celebrity plans have a tendency to promote a very quick fix, are hard to stick by and are touting all types of products and when the author doesn't have a degree in health, it can be very scary," agrees Rachel Beller, director of the Brander Nutritional Oncology Counseling and Research Program at the John Wayne Cancer Institute in Santa Monica, Calif.
If you've ever wondered how your favourite celebrities maintain their svelte figure, you're not alone. We admire their perfect bikini bodies from afar, assuming it's all because of their personal trainers and live-in chefs--and while that may be true, it's also because of their strict diets. Just in time for beach season, we're sharing the ten diets celebrities swear get them in tip-top shape. Surprising Foods That Slow Down Your Metabolism
Simply cutting back on calories usually isn’t an effective weight loss technique. We need to not only cut back on calories, but also to make sure we are choosing the right types of calories. Lean protein sources such as fish, lean meats, eggs, and tofu feed and preserve our muscle mass, keep us feeling full longer than other foods, and keep the blood sugar steady, preventing the energy spikes and lows that can lead to overeating. Build your meals around protein sources, and include a variety of fresh produce and small amounts of whole grains so that meals are balanced and healthy. Cut back on or eliminate empty calories that do not provide your body with nourishment but do contribute to weight gain, such as white bread, white pasta, and added sugars. Training after 35 Years Old *** STOP LIMITING YOURSELF
Flash back to the summer of 2014 when the baller slimmed down his 6-foot-8-inch-tall frame. When James showed off a six-pack in a series of Instagram posts, everyone got buzzing about what changes he’d been making. Dozens of news stories revealed the keto diet was the major reason. He told Sports Illustrated in September 2014 that he didn’t eat dairy, sugar, or carbohydrates for 67 days. The reasoning? To “test his mental fortitude.” Some outlets, including Business Insider, speculated he was trying to follow Kobe Bryant, who lost weight in his mid-thirties and ended up giving his career a second wind.

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Christy is a spokesperson, nutrition and food writer and blogger for Huffington Post and others, a recipe developer and YouTube video producer. She is regularly interviewed by CTV National News, CBC, The Globe and Mail and many more on nutrition and health. She has her finger on the pulse of the latest nutrition and food science and trends, and synthesizes and prioritizes it just for you.

Holiday weight – usually all but melted by Valentine’s Day – seems reluctant to budge when you throw your old tricks at it. If it seems that something important has shifted, you’re right. Your metabolism is slowing, and your muscle mass is decreasing. That’s a harsh reality, but there are some new tricks for you to learn to keep spry for years, even decades to come. We’ve listed 40 of them for you here so that you needn’t go gentle into that good night. Beat Menopause Belly Fat by Starving Your Fat Cells (Not Yourself)
A little action between the sheets can mean a lot less weight on the scale. Not only is sex a great stress reliever, helping to lower the amount of belly fat-storage hormone cortisol in your bloodstream, the results of a study published in Breast Cancer Research suggest that even moderate weight loss can help postmenopausal woman achieve a more favorable hormonal balance, making it easier to get in the mood. Fortunately, kicking the 27 Foods That Kill Your Sex Drive off your menu will have your libido soaring in no time.

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It’s no surprise that Victoria Secret models follow some strict diets, and Rosie Huntington-Whiteley is no exception. She follows a plan by Dr. Nigma Talib, who practices naturopathy, which is a system of treatment that focuses on diets, herbs, vitamins, and natural agents to heal, rather than surgery and prescription drugs. Dr. Talib doesn’t let you have sugar, dairy, gluten, or alcohol.
At 64 years old, Kim Basinger has been acting for nearly 50 years. The beautiful blonde began modelling in New York in the 1970s before moving to LA to pursue her acting career. She stared in Tim Burton’s Batman and won a golden globe for her role in Confidential. The mother of one and ex-wife of Alex Baldwin. Still smoking, so much so that she even appears in 50 Shades Darker.
When you’re busy with work, kids, and life, you can be tempted to grab food on-the-go or multitask through a meal. But you’re more likely to overeat -- and be hungry again soon after -- if you don’t focus on your food. Sit down for meals and tune in to what’s on your plate (not what’s on your TV or computer screen). That helps your brain realize when you’ve had enough. 

Difficulty on a Scale of 1 (I Feel Great!) to 10 (It Ruined My Life!): 1. This is worth a try! If you’re someone who doesn’t like to impose major restrictions on yourselves, adopting a low-key plan to eat fewer carbs (when possible) is relaxed and completely doable. Especially if you don’t beat yourself for the occasional slip-up, like eating pasta in bed, which happens to each and every one of us!

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Jerky is a good idea. I eat eggs for breakfast and on 18 hour fast days I eat a whole Avacado as soon as the 18 hours are up. I can’t do the carb back loading. I have to work out early in the morning or some would say night (2:30AM I am in the gym). I go to bed at 6:30 PM if I can). So I eat a sweet potato and a couple eggs in the AM, but when I am fasting I just have Bulletproof Coffee. I do a very l easy slow cardio on fast days.

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“Solitude sparks creativity,” Cozias says. Women over 40 aren’t afraid to be alone, in their leisure time or even in life. “Being alone often allows you time to get back to the hobbies and activities you enjoyed doing as a child. You can also get out into nature, absorb, and observe. When you take time for yourself, you get the chance to connect with emotions and your inner voice. This helps bring a quiet repose to your day which can actually make you a much better a partner in relationships.”

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Now that you know how many calories you eat each day, it's time to increase your metabolic rate. You're not going to rev up your metabolism by eating a huge calorie-filled breakfast or snacking more often. You're also not going to fill up on metabolism-boosting foods or sip on energy drinks or special teas. You're going to keep your diet exactly the same and increase metabolism with movement. 

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You’ve heard they're bad for you. But trans fats also slow down your body's ability to burn fat. "They have an altered shape and make your biochemistry run funny," Hyman says, explaining that trans fat binds to fat and liver cells and slows metabolism. Eating trans fat can also lead to insulin resistance and inflammation, both of which cripple metabolism and can cause weight gain. How To Lose Weight Fast For Men Over 40 (In 6 Easy Steps)
Suzanne Somers. Marilu Henner. Dr. Phil. Sylvester Stallone. You name the celebrity and odds are they've got a diet program complete with a book, a DVD, infomercial, and maybe even a line of supplements. And those that don't have their own diet, yet, may be outspoken advocates of the latest and greatest in fad diets from South Beach and Atkins to the new Hamptons diet.

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Although it’s true that egg whites are low in calories, fat-free, and contain most of the protein found in an egg, eating the entire egg is beneficial to your metabolism. The yolk contains many metabolism-stoking nutrients, including fat-soluble vitamins, essential fatty acids and—most significantly—choline, a powerful compound that attacks the gene mechanism that triggers your body to store fat around your liver. Worried about cholesterol? New studies have found that moderate consumption of two whole eggs per day has no negative effect on a person’s lipid (fat) profile and may actually improve it.
This fiber-filled smoothie star is packed with anemia-fighting folate and vitamin C to help your immune system combat winter colds with minimal effort. Good thing there are countless ways to reap the benefits of this leafy green besides blending it. Try cooking up a kale quiche or scramble. You can also coat the veggie with olive oil and salt before popping it into the oven if you’re craving a crunchy, and equally as healthy, snack. How I Lost 35 Pounds in 70 Days
Well, EU is well ahead.. As usual brexiter delsuion is pointless..In all areas, also crypto, EU is cautious, slow , serious and more effective in the long run.. the misinformation in this article is simple : EU regulated crypto and taking slow steps in order to avoid savage exploitation of the weak, and stop the greedy to have to much ..Logical, simple humane unlike brexiter stupidity where everything is in air, delusional and unicorn on the sky !!!

Unlike wild-caught, farmed fish contains higher levels of inflammatory omega-6 fatty acids. Plus, wild salmon is naturally red thanks to the astaxanthin-rich krill and shrimp they feed on. Since farmed salmon don’t feed on this cancer- and aging-preventing compound, manufacturers are forced to dye the fish artificially in order to market it. Next time you’re at the seafood aisle, opt for wild over farmed to gain anti-inflammatory and other healthful benefits.
Don’t you hate it when a super-sexy celeb is asked how they do it and the first thing they say is that they don’t exercise? Well, Megan Fox admitted to being just too “lazy” to attempt breaking a sweat. Instead, she downs shots of apple cider vinegar. This quick-fix diet trick, she says, “cleans out your system entirely. It will get rid of, for women who retain water weight from your menstrual cycle and all that, it gets rid of it really fast,"

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16. You’re eating on the run and bolting down your food – when you’re busy it’s easy to just scoff something at your desk or in your car. But when you eat too fast, you’re not chewing your food and it can pass through undigested. And stress can add to that by inhibiting your production of stomach acid and digestive enzymes. Not only are you missing the nutrients from the food, but undigested foods can damage your gut lining and seriously hamper your weight loss goals! How To Lose Weight Fast For Women Over 40 - Diet Plan To Lose Weight Fast
I am a 58 year old female and weigh exactly the same as I did at 16. I have always had a huge appetite and I still eat as much as the children and the men in the family. I have always exercised (I am a marathon runner) but have not found any of the scare stories to be true – I have not accumulated belly fat and my metabolism has not slowed down. I think these articles can be misleading and cause unnecessary worry about the ageing process. Burn Belly Fat Fast & Lose Weight With This HIIT Cardio Workout (No Equipment)
Another gluten-free grain, quinoa is loaded with protein as well as all nine essential amino acids that we need for energy and growth. What’s more, “Whole grains give us fiber, which is key to helping digestion and satiety,” Carrillo explains. “They allow you to stay satisfied for longer. Whole grains prevent the rise in blood sugar as well and help to regulate blood sugar. They also work to reduce cholesterol, which is heart healthy.” 9 Hormones That Lead to Weight Gain and Ways to Avoid It
 “I eat a salad every day. My need for cheese has to be controlled – that’s the thing I find hardest to resist! I also love peanut butter. If I have that on wholewheat toast in the morning, I don’t snack… I like to keep moving. I warm up every morning and do exercises and run up and down the stairs.” Choreographer and former Strictly judge Arlene, 74, slows down for no one! 

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I use urine strips to help determine whether my patients are burning fat (staying in ketosis) and detoxifying (staying alkaline). Your kidneys play an important role in maintaining acid-alkaline balance. Acidic foods can directly affect urine pH, which can be a clue about your health. And while urine testing isn’t completely accurate, it's a great way to stay accountable on a ketogenic diet.
“One thing that can age you is the intake of industrial seed oil,” says LeVeque. “A lot of times they oxidize and are very high in omega-6, which isn't necessarily a bad thing, but you're supposed to have a 1-to-1 ratio between omegas 3 and 6. Unfortunately, most Americans have a ratio of 15-to-1 or 25-to-1, which puts our bodies into more of an inflammatory state.” If you’re unsure of what industrial seed oils are, here’s what’s generally included under that food category: sunflower oil, canola oil, corn oil and cotton seed oil—most of which are found in dressings, marinades, crackers and chips. “Not only are these industrial oils high in omega 6, but they also oxidize and are oftentimes unstable, meaning they become a free radical in the body, which can obviously damage the skin.”

I was a vegan for ten years before I started eating meat again recently due to low energy and a few health issues. I started with bone broths and putting those in my beans (that I was soaking, sprouting and 2x boiling). Then I moved to eggs. I also found a good source for raw milk and made my own kefir. My body loved all of these things and my energy


The pro football player turned outfielder for the New York Mets told GQ in February 2017 that he followed the keto diet and reported his favorite source of fat was avocado. The guy really loves avocados, and says he probably eats about four a day, adding them to everything from guacamole to smoothies. He rounds out his diet with eggs, sea bass, steak, and vegetables like asparagus. How I lost 50 lbs at 47 years old | My Weight Loss Journey

Since making her screen debut in 1979, the name Diane Lane has become an institute in Hollywood. The 53-year-old actress has been in too many feature films to name. She has also been up for a number of best actress awards. This includes nominations for an Academy Award, a Golden Globe and a Screen Actors Guild Award for her role in Unfaithful. Nowadays, you catch the Hollywood veteran as Martha Kent in the Justice League movie and on the silver screen for her upcoming part in House of Cards.
IN ALL MY YEARS counseling clients – including many celebrities and dignitaries who must remain unnamed – I've never recommended celebrity-endorsed quick fixes like cleanses over common sense. But whether I like it or not, celebrity fad diets are often mimicked by their fans of all ages, who may be vulnerable to eating disorders and unrealistic expectations about how these eating plans will actually change their lives (or not). Fortunately, there are a few celebrities whose eating, exercise and lifestyle habits my colleagues and I applaud. Here are a few famous folks you can follow with a clear conscious (for now, at least):
What does it take to get the body of a Victoria’s Secret angel? A low-carb diet and two-hour workouts each day. That’s apparently what Lima did to prep for the Victoria’s Secret Fashion Show a few years back, according to an article from The Cut. Her diet was primarily made up of green veggies, protein, and protein shakes or cereal bars as snacks. Since then, it seems she’s stuck to a keto diet, according to a story published in September 2017 in Harper’s Bazaar.

Have a few cups of java for a metabolism boost, but if you’re never seen without a mug at your lips, that could work against you, says nutritionist Amy Shapiro. Caffeine is a natural appetite suppressant. If you’re constantly consuming it, you may not eat much—or realize how hungry you really are—until you get home for dinner. “Not eating enough throughout the day can make your metabolism sluggish,” she says. “By the time you eat dinner, instead of immediately using that food for energy, your body is aggressively storing it as fat, just in case it will be deprived again.” What's Causing Your Belly Fat After 50 and How To Lose It


This fad diet reminds many of Atkins — and if you want to live life like Kate Middleton’s sister, you should certainly try it. Healthline explains Dr. Pierre Dukan, a French general practitioner, created the diet. It consists of meals that are high-protein and low-carb. There are also four phases of the diet: The first two are when you’ll lose the most weight, and the last two are designed for the long-term maintenance of your goal weight.

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Muscles are what keeps our metabolism high and as we age, our muscles slowly start to get smaller, therefore allowing our metabolism to slow down. To counteract this, Shapiro recommends that we start lifting weights. “No, you won’t get big and bulky. In fact, you’ll stay lean,” she says. That’s because weight training causes you to burn more calories per workout than cardio sessions, and you continue to burn them post workout. And that’s not all—click here to discover 40 Ways to Lose 4 Inches of Body Fat!
In order to gain more muscle weight for the job, he toldEntertainment Weekly that he packed on the protein (unsalted chicken and spinach), though his eating schedule was more...unorthodox. Called the "16-8 Diet," Jackman would fast for 16 hours of the day and then eat 5,000 calories in eight hours (about twice the recommended daily amount for men).

Once you reach age 40, the weight-loss tactics you used in your 20s seem to stop working. You can no longer refuse dessert and fit in extra workout once a week to effortlessly drop a few extra pounds. Even if you make every effort to eat healthfully and exercise when possible, the number on your scale keeps climbing. Weight loss over age 40 still responds to eating fewer calories than you burn, but hormones, life's obligations and natural muscle loss makes this equation harder to achieve. Quick weight-loss efforts only backfire as they fail to teach you how to sustain any weight loss and endanger your energy and health. Stick to the safe rate of losing 1 to 2 pounds per week to get your weight on track.
Before you try anything else, make sure there isn’t an underlying factor interfering with your weight loss, like a thyroid condition. Did you know that nearly 1 in 5 adults over 40 suffer from thyroid problems that can interfere with weight loss? Your thyroid is the main regulator of your body’s metabolism, so having an over or under-active thyroid gland (hyper or hypothyroidism) can truly interfere with weight loss. Talk to your doctor if you’re having trouble losing weight and also experiencing any of the following symptoms of a thyroid disorder:

Bodybuilders have long sworn by eating every few hours to keep their muscles fueled, but don’t discount the weight loss potential of three squares a day. A study in the journal Hepatology put two groups of men on weight-gain diets. One group divided the calories among three small meals with snacks in between while the second group ate the same number of calories in three square meals. While both groups gained weight, researchers found that belly fat—the dangerous kind that increases heart-disease risk—only increased in the high-meal frequency group. Overweight Beginner Low Impact Home Workout (Burn 300Cals under 20mins) | Joanna Soh
Make sure you eat breakfast. Eating a nutrient-rich morning meal (like oatmeal with almonds and berries, or a spinach-and-feta omelet with a slice of whole-grain toast) shortly after getting out of bed literally wakes up your metabolism. "Eating breakfast gets the engine going and keeps it going," Hyman explains. It's hard to argue with these results: According to the National Weight Control Registry (an ongoing study that tracks 5,000 people who lost an average of 66 pounds and kept it off more than five years), 78% of those who keep it off eat an a.m. meal every day.

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During his stretch as one of the best point guards to ever play for the Knicks, Carmelo Anthony has been known to cleanse. Specifically, he’s taken part in a 15-day spiritual cleanse called “the Daniel Fast” (reports say it affected his game). Foods you can’t eat: meat, carbs, dairy, coffee, alcohol, and sugar. Foods you can eat: vegetables, whole grains. Hormones and Weight Gain after 40's
One study found that premenopausal women who ate 30 percent of their calories from protein (half of which was from dairy foods) for 16 weeks lost more fat and gained more muscle than those who ate a lower protein diet. That result continues with age, as other studies have found that people who eat more protein lose less muscle as they get older. That’s key to preventing your metabolism from slowing down. It’s all about maintaining your muscle mass and even building more muscle with resistance exercise and getting enough protein.
The older you get, the more likely it is for your hormones to get out of whack and affect your weight. One main hormone that will be affected is estrogen. Imbalances in estrogen can cause your body to retain more fat and fluid, and can even lead to depression. Another problematic hormone is cortisol, which is directly related to retention of fat in the abdomen. Cortisol is released by stress, and as you age it is also released in higher levels. Though exercise can help alleviate stress and get your hormones in check, you should consult a medical professional for your specific needs.
The best exercise for weight loss is strength training, or working out with weights. This will not only prevent the muscle loss discussed above, but will also accelerate your metabolism and replace your current body fat with muscle. Strength training provides many other wonderful health benefits as well, including stronger bones, lower blood pressure, a sharper memory, and reduced risks for heart disease, cancer, and type 2 diabetes.

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If you have room in your budget, put it to belly-fighting use by getting some light-blocking curtains. They make a huge difference when it comes to falling asleep. Outside light makes it harder for your mind to shut down, even if you think you’re immune to such instinctive signals. Melatonin, the hormone involved in putting your body to sleep (a prime fat-burning opportunity) is compromised when light is present.

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Want to see those numbers on the scale get smaller? Try adding some fish to your meal plan. Research published in Obesity reveals that adding some omega-3s to subjects’ diet helped them lose more weight, keep it off longer, and limit those nagging hunger pangs. For women over 40, omega-3-rich fish, like salmon and tuna, are a particularly good choice; studies suggest that adding them to your diet may reduce your risk of hot flashes, too.
Since making her screen debut in 1979, the name Diane Lane has become an institute in Hollywood. The 53-year-old actress has been in too many feature films to name. She has also been up for a number of best actress awards. This includes nominations for an Academy Award, a Golden Globe and a Screen Actors Guild Award for her role in Unfaithful. Nowadays, you catch the Hollywood veteran as Martha Kent in the Justice League movie and on the silver screen for her upcoming part in House of Cards.
Aim for a breakfast that has plenty of high-fiber carbs: When researchers at the University of Sydney in Australia compared the effects of high-fat and high-fiber-carbohydrate breakfasts, they discovered that people who ate the fatty meal got hungry sooner afterward. "High-fiber carbohydrates take longer for your body to digest and absorb than fats; thus they don't cause rapid changes in your blood sugar, so your hunger is kept at bay longer," says study coauthor Susanna Holt, Ph.D. Some good choices: a bran-rich breakfast cereal with low-fat milk; whole-grain toast topped with low-fat ricotta and sliced banana or berries; an egg-white veggie omelette with whole-grain toast.

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Greek yogurt fanatics have two undeniably strong facts supporting their habit: Quality Greek-style yogurt is low in calories and boasts an impressively high protein count. A six-ounce serving of plain Greek yogurt contains around 100 calories and nearly 20 grams of metabolism-revitalizing protein versus regular low-fat varieties of yogurt, which average nine grams of protein per six ounces and clock in at 100 calories or more. And sprinkle in some chia seeds, and try these 50 Best Chia Seed Recipes on Instagram! How To Lose Weight After 40
We have been admiring the beauty of strawberry blonde, blue-eyed Naomi Watts since she made her screen debut in 1986. Although she is English, she first appeared in Aussie drama, For Love Alone. And we have claimed her as our own ever since. At 49-years old, Naomi Watts has stared in King Kong, The Divergence series and The Impossible. She has received nominations like Academy Award, Screen Actors Guild and Golden Globe Award for Best Actress. Men Over 40 Workout - How to Build Muscle at 40+ Years Old

According to holistic health coach Seth Santoro, a key element of your strategy for getting fighting fit at 40 is to increase cardio workouts, and to do them in a fasted state. “Hit the gym and do some treadmill sprints on an empty stomach to burn fat,” he says. “Your body is already in a calorie deficit, and it will ignite its fat-burning ability.” Glycogen levels are depleted during sleep, so your body will utilize a greater percentage of your body fat as an energy source.
This is the single most beneficial article I have ever encountered in my searches for the past few years to be honest – following this to a T and have lost 13lbs in 3 weeks – feel great. This is better than anything I have tried in the past. I will say I am doing the ketogenic fasting daily, on the 8/16 schedule. After the first week, I don’t even feel hungry anymore during the fast – I set myself for no eats from 8pm – Noon, but now go until 1-2pm before I start up again, still shut down at 8pm regardless. I have been kayaking, working out, and no loss in strength/stamina – much the opposite. Feel great, solid mental state – good stuff here. Been sharing it with friends.

Actually it does not have to be a stress factor, true logging food gives a great insight In August i decided that enough is enough looking atbmyself in the mirror. I reached a point that I weighed a colossal 134 kilos. I started with a 500kCal deficiency diet an started to be more active! Two time a week to the gym for cardio and core training (half hour each) an two times walking fast (not running to spare my knees) for at fist 5km upping this every time, now at 8km. I started loosing abt 1 kilo a week, now i’m 22 kilos down and counting. 

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I eat mostly whole30 (I have 8 ounces of red wine at night). I am 42 year old mother (20 month old and 7 year old) I am having the hardest time losing my BELLY. I was exercising 3 times a week at the gym with circuit training, but my knees are bad so I had to modify all the exercises. Anyway, I just bought book and I am hoping this will help. I have a bad dairy allergy so will need to omit the butter and dairy. Any other advice or help would be greatly appreciated. I hate being a fat mom.
The Dukan diet, which hails from France, involves three phases. It starts with a phase of all protein, followed by certain vegetables on certain days, then comes the phase in which you get to add some foods such as cheese and bread. In the final phase, you more or less maintain that third phase, except you revert to an only-protein day one day of the week.

SOURCES: Madelyn Fernstrom, PhD, director of the University of Pittsburgh Medical Center Weight Management Center and associate director of the UPMC Nutrition Center in Pittsburgh. Pamela Peeke, MD, assistant clinical professor of medicine at the University of Maryland School of Medicine in Baltimore. Michi Yukawa, MD, MPH, acting instructor, department of medicine, division of gerontology and geriatric medicine at the University of Washington in Seattle.

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