text:
Chan Lowe: A Florida Halloween horror
I heard an interesting theory during our daily editorial board meeting this morning about why Rick Scott is doing so well in his race for governor against Alex Sink, despite the mountain of negative baggage the man carries around.
According to this theory, Charlie Crist is to blame. Evidently, when Charlie—way back during the primary season—forsook the Republican Party because he was losing to Marco Rubio in the polls, he so enraged the GOP rank and file for caving in to his own opportunism that they're turning out in angry droves to vote for Rubio.
They're going to teach the tanned turncoat a big fat lesson, and while they're in the voting booth, full of venom, they're going to vote Republican down the line, whether they've heard of Scott's complicated past involving Medicare fraud or not…or whether they even care.
This is as plausible a scenario as any I've heard. It's amazing that Scott has been able to get away with doing no editorial board interviews with any Florida newspaper, and refuses to comment on his past when asked, as if voters are being impertinent for wanting to know. His feet have never been held to the fire over his failure to provide tough, specific answers to the question of how he would balance the state's budget.
He's a pig in a poke. Nobody is saying that Alex Sink is any Lawton Chiles, but at least she has some experience in government. Are Floridians really ready to hold hands and jump off the cliff with this guy?


text:
That's scary...
Herp de derp. This space will be filled with words.
That's scary...
Oh my god
LightBlue2.0 has creepy eyes O_O
What the hell? I knew the time will come when they will invade earth and kill all of us...
Where did you see them? :D
Link please?
Someone must have really hated that particular mod/game to create so much alt accs.
Oh you won't find any links. Scummy stuff like this happens a lot.
Oh sweet Jesus
HAHAHAHAHAHAHA they've got a freaking army! xD
Red and Blue 2.0? THEY ARE EVOLVING!
I told them that socks will invade us but they didn't listen...
Mother of socks...!
Just when you thought it was safe...

subset: commoncrawl


text:
Kingsway Sports and Fitness Academy: Skill Lessons
Skill Lessons
Kingsway offers exceptional baseball & softball skill lessons at an affordable cost. With the skill lessons you can choose between any of the following; hitting, pitching, baserunning, fielding, and speed & agility.
- $30 per half hour
- $50 per hour
Contact Sean Laird @ firstname.lastname@example.com for more info!


text:
Sarah McClain, MHS
Lead Analyst
Coverage and Analysis Group
Centers for Medicare and Medicaid Services
Mail Stop C1-09-06
7500 Security Boulevard
Baltimore, Maryland 21244-1850
Dear Ms. McClain:
Thank you for the opportunity to
comment on the Centers for Medicare and Medicaid Services' (CMS's) national
coverage analysis (NCA) tracking sheet for
intensive behavioral therapy for obesity (IBTO) (CAG-00423N). America's Health
Insurance Plans (AHIP) is the national association representing nearly 1,300
health insurance plans providing coverage to more than 200 million Americans.
We are pleased to submit these comments on behalf of our members.
General Comments
AHIP and our member plans support CMS's efforts to ensure
that Medicare beneficiaries receive access to safe and effective preventive
health services, procedures, and treatments that can improve health outcomes,
as determined by current and robust clinical evidence. Health insurance plans
have a long-standing commitment to preventive services and provide coverage for
services recommended by the U.S. Preventive Services Task Force (USPSTF). While
health plans have been implementing the USPSTF recommendation on screening and
behavioral interventions around obesity, there are several issues that CMS
should address prior to determining coverage for IBTO.
Because the USPSTF aims to update its recommendations every
five years[1]
and the recommendation prompting this NCA was last published in 2003, CMS
should confer with AHRQ and the Task Force regarding the next evidence review
for this topic and possible date when the recommendation will be reconsidered.
This recommendation is currently listed as a topic in the review process[2] on
the USPSTF web site. It is important that CMS coverage policy align with the
updated USPSTF recommendation.
The 2003 USPSTF recommendation was based on reviews that
included programs that used non-licensed providers, including health educators
and case managers, as well as dietitians, psychologists, nurses and physicians.
The durations of the programs were varied, ranging from 12 weeks to 12 months, while
some extended beyond a year. While the IBTO approach may benefit some patients,
there are no data regarding the benefit of IBTO from a population
If implemented, our members believe that this intervention
must be considered utilizing medical necessity guidelines based on scientific
evidence with established thresholds for appropriate patients, including visit
frequency and defined goals over a defined time frame, and criteria specifying
the appropriate licensed professionals to provide IBTO. CMS should consider developing
a certification program to identify providers whose IBTO programs offer the
elements described by the USPSTF in the forthcoming evidence review and
AHIP's member health insurance plans have implemented and
operationalized the USPSTF 2003 recommendation on screening and behavioral
interventions for obesity. However, given the number of unresolved issues
referenced above and the need for clarification on these issues prior to
implementation of IBTO nationally, additional information is needed for our
industry to comment further on this proposed NCA. We urge CMS to work with AHRQ
and the USPSTF to ensure the evidence reviewed and recommendations align.
Thank you for the opportunity to
comment on this important issue.
Carmella Bocchino
Executive Vice President
Clinical Affairs and Strategic
April 08, 2011
Centers for Medicare & Medicaid Services
Coverage and Analysis Group
Office of Clinical Standards and Quality
ATTN.: Louis Jacques, MD
CC: Joseph Chin, MD, MS, and Sarah McClain, MHS
Re: Intensive Behavioral Therapy for Obesity - National Coverage Analysis and Determination Request (CAG-00423N)
Dear Dr. Chin and Ms. McClain,
Eisai is pleased to submit comments to the Centers for Medicare & Medicaid Services (CMS) on the National Coverage Analysis for Intensive Behavioral Therapy for Obesity (IBTO). We applaud CMS's efforts to examine coverage for obesity preventive services in a timely and cohesive manner. Specifically, our comments will address key issues and evidence related to the effectiveness of counseling and behavioral interventions, as well as pharmacotherapy as an adjunct to behavioral interventions.
Since the release of the 2003 USPSTF B recommendation for screening and intensive behavioral interventions for obese adults, new evidence has emerged further supporting the effectiveness of intensive behavioral interventions for the obese, as well as interventions for overweight adults, and pharmacotherapy as an adjunct to behavioral interventions for the obese. We believe there is sufficient evidence to support the coverage of screening, and intensive behavioral interventions for obese and overweight adults in the Medicare population, and that obese individuals benefit from access to a full spectrum of proven weight loss interventions. Additionally, we believe this is an opportu nity for CMS and the U.S. Preventive Services Task Force (USPSTF) to coordinate the conduct of an evidence review to aid both coverage policy and USPSTF recommendations. Accordingly, we recommend a thorough evidence review on obesity interventions be conducted to inform a coverage policy and to update the 2003 USPSTF recommendations on screening and interventions for obeSity.
Eisai is a research-based human healthcare company which strives to meet the diverse healthcare needs of patients and their families and caregivers, and believe in primary and secondary preventive health measures as critical to advance population health.
Obesity in Adults is Contributing to the Growth of Comorbid Conditions and Healthcare Costs
The Health Burden of Obesity
We believe there is an urgent need to address the obesity epidemic in the U.S. due to the high proportion of the population that is obese and the comorbidities often associated with being obese.1,2 Data from 2007 to 2008, as part of the Center for Disease Control's (CDC) National Health and Nutrition Examination Survey (NHANES), demonstrated that obesity rates, defined by a body mass index (8MI) of 30 or greater, are rising and that 32.2 percent of adult men and 35.5 percent of adult woman are obese.3 Furthermore, a 2009 Congressional Research Service Report for Congress, indicated that if the growth in obesity continues, nearly half of the elderly population will be obese in 2030.4
Obesity has been linked to a variety of chronic conditions, including cancer, cardiovascular disease, stroke and diabetes.5 In the elderly, obesity can worsen many conditions associated with aging, such as type 2 diabetes, hypertension, heart disease, and cancer.6 For example, obesity in the elderly has been associated with functional limitations, including reducing activities of daily living and instrumental activities of daily living, as well as a 25 percent increased risk for osteoarthritis (cA) in hip joints, and an over 300 percent increased risk of OA in knee joints.7, 8 Additionally, recent studies demonstrate that, in older adults, the decline in insulin sensitivity often correlated with type 2 diabetes, is associated with abdominal obesity and physical inactivity.9
The Economic Burden of Obesity
Nearly half of obesity related costs in the U.S are covered by public programs such as Medicare and Medicaid, and data consistently demonstrate that obese patients contribute more to healthcare costs than normal weight patients.10 For populations over the age of 55, AHRQ's Medical Expenditure Panel Survey data demonstrated that, in 2002, mean total expenditures for obese patients was $7,235, which was significantly higher than normal weight or overweight individuals whose mean total expenditures were $5,390 and $5,478, respectively.11
Due to the harmful health effects of obesity, as well as obesity's contribution to rising healthcare costs, we feel strongly that there is a critical need to provide services to prevent and care for overweight individuals, especially Medicare beneficiaries.
Weight Loss Leads to Significant Improvement in Clinical Outcomes
While the detrimental health effects of obesity are significant, fortunately many obesity-related disorders are reversible as weight loss in obese individuals, including the elderly, has been proven to produce favorable clinical outcomes.12,13,14 A 2006 systematic review of studies assessing obesity, in adult populations with an average age greater than 60 years, demonstrated that a weight loss of 3 to 4 kg over 1 to 3.3 years was correlated with improved clinical outcomes such as reductions in diabetes and hypertension, and increases in glucose tolerance and physical functioning.15 Furthermore, a 2011 study showed that adults who maintained weight loss for one year, as compared to individuals who did not lose weight, had more favorable total cholesterol, low-density lipoprotein (LDL) cholesterol, triglycerides, and diastolic blood pressure.16
These studies indicate that achieving and maintaining weight loss in obese adults can improve clinical outcomes for the patient. Additionally, weight loss not only improves clinical outcomes but also reduces costs. In 2008 the CDC estimated that if an overweight individual maintained a 10 percent weight loss, that person's lifetime medical costs would be reduced by $2,200-$5,300 due to decreases in hypertension, type 2 diabetes, heart disease, stroke, and high cholesterol.17
USPSTF 2003 Recommendations for Screening and Intensive Behavioral Interventions for Obese Adults Was Favorable but Recommendations Need Updating to Incorporate New Evidence
Counseling and Behaviora/lnterventions Are Effective Methods to Support Weight Loss in the Obese Elderly Population
For the last decade there has been a growing body of evidence supporting behavioral interventions as a method to achieve weight loss, but more recently new data has emerged focusing specifically on the success of interventions in the elderly population. A systematic review of obesity studies published between 1980 and 2005 on individuals age 60 years or older, indicated that intensive behavioral interventions can be successful for the elderly population.18 The systematic review demonstrated that behavioral, dietary, and exercise interventions helped to achieve a weight loss of 3 to 4 kg over 1 to 3.3 years which was associated with reductions in diabetes and hypertension, and increases in glucose tolerance and physical functioning.
New data also indicate that exercise interventions in older obese individuals can help to achieve improvement in health outcomes.19 A 2007 study indicated that obese individuals who were physically fit and walked 30 minutes or more most days of the week, had a lower risk of allcause mortality than healthy weight individuals, which highlights the need to provide exercise interventions for older adults.
We believe obese patients should have access to covered high intensity behavioral interventions. The 2003 USPSTF recommendations define high intensity behavioral interventions as more than one person-to-person (individual or group) session per month for at the first three months of intervention. We agree that the data supports the need for interventions to occur more than once a month.
Counseling and Behavioral Interventions Are Effective Methods to Support Weight Loss in the Overweight Population
New data has also emerged on the effectiveness of interventions in the overweight population, defined by a 8MI of 25-29.9. A meta-analysis published in 2005, including 36 studies and 3495 older adult participants, showed that behavioral and cognitive-behavioral weight reduction strategies are effective methods to support weight loss in both obese and overweight populations.20 The average frequency of intervention was once every two weeks for an average of 12 weeks. Additionally, the meta-analysis indicated that more frequent interventions produced greater weight loss among both populations, and that behavioral therapy combined with diet and exercise also increased weight loss as compared to behavioral or cognitive interventions used alone.
We recommend that intensive behavioral interventions be covered by Medicare for overweight populations, and that these interventions be more frequent than once a month sessions, as the data indicates that more frequent interventions increase the likelihood of greater weight loss.
Obese Patients Benefit from Access to a Spectrum of Proven Weight Loss Interventions
A variety of weight loss interventions exist and recent data indicate that obese patients benefit from access to more than one type of weight loss intervention.21 A meta-analysis covering 24 studies and 13,326 adults showed that three-component interventions achieved greater weight reductions than one or two component interventions.22 Interventions included individual sessions, family involvement and problem solving strategies that emphasized life style changes. Further supporting the need for multi-intervention strategies, The Counterweight Programme, an evidence-based weight management model, employed a successful mUlti-intervention strategy for adults age 18-75. A variety of evidence-based approaches were utilized including patientcentered goal setting, prescribed eating plans, group sessions, physical activity, weight maintenance strategies and anti-obesity medication. The results of the program indicated 43 percent of fully compliant patients achieved a weight loss of 5 percent or more at 12 months.23
Obese Patients Benefit from Medica/Interventions that Include Pharmacotherapy as an Adjunct to Behaviora/lnterventions
The 2003 USPSTF recommendations on screening for obesity discussed pharmacotherapy, and the associated adverse effects of pharmacotherapy, but specific recommendations on pharmacotherapy were not included in the published guidance. However, since the release of those recommendations, additional published data exists on the clinical success and cost effectiveness of weight lost drugs, in particular as an adjunct to behavioral interventions.24
Several anti-obesity drugs are FDA approved for obese individuals or are under investigation. Many of these drugs have been proven not only to be effective for weight loss, but also for reducing cardiovascular risk factors.25 As an example, data published in 2005 indicated that Orlistat, an inhibitor of gastrointestinallipases. reduced weight loss, improved metabolic risk factors and reduced the risk of developing type 2 diabetes when used in addition to dietary intervention.26
In addition to the demonstrated clinical effectiveness of weight loss drugs, many weight loss drugs have also been proven to be cost effective. A review of 14 published studies on the costeffectiveness obesity drugs indicated that these medications are within the range of what is typically regarded to be cost-effective.27
Collectively, this data indicates that the use of pharmacotherapy is not only an effective clinical intervention, but also a cost-effective one for the adult obese population. We recommend that obese individuals have access to the full spectrum of weight loss interventions, including access to pharmacotherapy interventions as an adjunct to behavioral interventions. Medicare beneficiaries and providers need a complete armamentarium to fight against obesity.
Evidence Exists to Support Coverage of Screening and Intensive Behavioral Interventions for the Obese and Overweight Medicare Patient Population
Eisai believes there is sufficient evidence to support the coverage of screening, and high intensity counseling and behavioral interventions for obese and overweight adults, and that these patient populations benefit from access to more than one intervention a month. Additionally, obese populations would benefit from access to the full spectrum of proven interventions, including pharmacotherapy as an adjunct to behavioral interventions. In light of new evidence generated since the publication of the 2003 USPSTF recommendations on screening for obesity in adults, we believe a thorough updated evidence review is needed to inform an appropriate coverage policy and to support an update the 2003 USPSTF obesity screening recommendations.
Eisai appreciates this opportunity to offer feedback to CMS on this important coverage decision, and we look forward to continuing to collaborate with CMS. We appreciate your consideration and are happy to provide further information or assist with any additional questions. We would welcome the opportunity to meet with eMS to answer any questions you may have about the evidence and how Eisai can support a more formal evidence review. Please feel free to contact Steve McMillan, Director, Federal Public Policy at stephen email@example.com should you have any questions or wish to discuss our comments in further detail.
April 8, 2011
The Honorable Donald Berwick, MD
Administrator, Centers for Medicare and Medicaid Services
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Washington, DC
Subject: CAG-00423N National Coverage Analysis Comments
Attention: Dr. Joseph Chin and Ms. Sarah McClain
Dear Dr. Berwick:
Transformation of our nation's health care system from an illness-treatment system to a value-based, quality health and wellness system is a vital and achievable goal. It can be accomplished through integration of strong primary care and preventive care services with acute and community-based care. Recent estimates of skyrocketing rates of obesity and weight-related chronic disease only increase the importance of Medicare coverage policy on this topic. The evidence is clear:even small changes such as a sustained weight loss of just 10%, reduce the likelihood of type II diabetes by 50%[1] and decreases lifetime medical costs by $2200[2].
The Medicare National Coverage Analysis on Intensive Behavioral Counseling for Obesity wisely identified the two components essential to effective, quality service to assist individual patients, improve population health, and lower health costs – the appropriate frequency and provider of service. Weight Watchers is pleased to offer comments based on our 50-year history of delivering effective, community-based care to HOW MANY? MILLIONS OF PEOPLE and conducting decades of research. Our work, coupled with other extensive clinical and research evidence, shows that:
If carefully crafted, the March 10th Medicare National Coverage Analysis on Intensive Behavioral Counseling for Obesity can align Medicare coverage to deliver better quality care, improve population health, and lower health costs. Below, please find the irrefutable evidence to support these comments.
Based on an extensive evidence review, the 2003 USPSTF recommended a B rating for intensive behavioral counseling for obesity.According to the Evidence Review, what proved effective was either behavioral counseling in weekly, one-hour sessions OR four hours of behavioral counseling sessions monthly (group or individual) over at least 12 weeks. (Some programs were longer.) This evidence review also found that reduction in either frequency or duration of counseling reduced efficacy and did not earn the B rating. Bottom line: anything less than high-intensity behavioral counseling should not be considered. [McTigue K, Harris R, Hemphil B, Lux L, Sutton S, Bunton AJ, Lohr KN. Screening and Interventions for Obesity in Adults. Summary of the Evidence for the U.S. Preventive Services Task Force. Ann Intern Med 2003;139(11):933-49.]
Since the 2003 USPSTF Evidence Review, new research continues to demonstrate that regular, weekly behavioral counseling over at least 12 weeks leads to sustained, clinically significant weight loss for more than half of the enrollees.
Appropriate Provider to Achieve Quality, Scalable Outcomes
Since publication of the 2003 USPSTF Evidence Review and B-rated Recommendation for Intensive Behavioral Counseling for Obesity, extensive clinical research has examined the effectiveness of trained, lay educators to deliver lifestyle, behavioral counseling. These studies find uniformly that trained, lay educators providing community-based group counseling are as effective or more effective than primary-care based counseling. The following identifies a few, key studies, in chronological order:
2003: A multi-center, randomized, parallel-group, 2- year trial found community- based, trained lay-education intensive behavioral counseling was correlated with both weight loss and weight-loss maintenance. [Heshka S et al. JAMA 289:1792-1798, 2003.]
2007: A NIH funded pilot found weight loss results were comparable when behavioral interventions were provided by trained lay-people or health care professionals. [Pinto AM, Kearns M and Wing RR. Effectiveness of a Novel Weight Loss Approach that Combines Brief Standard Treatment and a Commercial Program. Annals of Behav Med 33 (Suppl):S140, 2007]
2008: The DEPLOY study demonstrated significant reductions in risk factors (i.e. weight loss) among subjects with pre-diabetes with intensive group behavioral counseling by trained lifestyle coaches. [Ackerman, RT et al. Am J Prev Med 35: 357-363, 2008.]
2010: Increased attendance at weight-loss program meetings facilitated by trained role models was associated with significant improvement in weight, waist circumference, fasting insulin and glucose, and HOMA among overweight and obese adults. [Melanson J and Lowndes J. Am J
Lifestyle Med 4: 275-281, 2010.]
2010: A study evaluating usual source of care versus referral to community- based, trained, lay educators found statistically significant weight loss with the community-based, intensive behavioral counseling interventions. [DB Wilson, RD Johnson, RM Jones, AH Krist, SH Woolf, SK Flores. Patient Educ Counseling 2010; 79(3):338-343.]
2010: A recently released trial found that one-thirdof those referred to intensive diet counseling by non-healthcare providers sustained weight loss of 5% of initial body weight for one year . These results were substantially better compared to standard care provided in a primary care setting. [Jebb S et al. Obesity Reviews 2010; 11 (Suppl 1):S240.]
2011: Attendance at a weight-loss program using dietary and behavioral intensive counseling by trained-role models found reduction in cardiovascular risk factors.[Milsom V et al. Changes in Cardiovascular Risk Factors with Participation in a 12-Week Weight Loss Trial Using a Commercial Format. (publication pending).]
The prevalence of obesity and the looming crisis it poses for our health care system will require a full-range of effective, scalable, scientifically proven, and consistent (similar outcomes across all sites of service) providers of weight loss solutions for those struggling with obesity. Given the size, scope and time needed to address obesity effectively, traditional office-based physicians simply cannot meet the need without assistance from community-based, trained, lay counselors who can add capacity, value, and consistency.
With about one-third of the US population obese and another quarter overweight and at risk of obesity, it is essential to use a consistent, effective and efficient model to deliver intensive behavioral counseling on healthy diet and lifestyle. Group counseling delivered by trained lay leaders shows substantial evidence-based success and its lower cost of service offers value essential to address the public health crises our nation faces.
Figure A below lays out average costs for the US and makes the case quite clearly.
Figure A: Cost for One Hour Group Session per Person
Medicare –
Medical Nutrition Therapy [97804] $28[3]
Medicare- Diabetes Self Management [G0109]$37.38[4]
Lay Lead Behavioral
Counseling [Published
The Medicare National Coverage Analysis on Intensive Behavioral Counseling for Obesity wisely identified the two components essential to effective, quality service to assist individual patients, improve population health, and lower health costs – the appropriate frequency and provider of service. The clinical and research evidence is well developed and extensive:
If you have any questions regarding the evidence cited in this letter or that is part of the publication record, I would be happy to speak with you in person of by phone. Please do not hesitate to contact me at firstname.lastname@example.com
Karen Miller-Kovach, MBA, MS,RD
Chief Science Officer
[1] Hamman et al., Effect of Weight Loss with Lifestyle Intervention on Risk of Diabetes, Diabetes Care, September 2006, 29(9): 2102-2107, 2105.
[2] Oster et al., Lifetime Health and Economic Benefits of Weight Loss Among Obese Persons, Am J Public Health, October 1999, vol. 89 No. 10, 1536-1542, 1536.
[3] www.findacode.com
[4] www.findacode.com
[5] www.weightwatchers.com
April 10,
To Whom It
May Concern:
Obesity is
one of the most challenging health crises this country has ever faced. In the
U.S., two-thirds of adults and nearly one third of children and teens are
currently obese or overweight, putting them at increased risk for more than 20
major diseases, including Type 2 diabetes and heart disease. According to a
2009 economic analysis by Health Affairs,
obesity-related health costs a total of $147 billion annually. Medicare and
Medicaid pay for an estimated $61.8 billion of these obesity-related health
costs. We must find new solutions to
control these costs.
Both the U.S.
Preventive Services Task Force and the Medicare National Coverage Analysis on
Intensive Behavioral Counseling for Obesity are moving in the right direction
to help solve our nation's obesity crisis. A number of studies now show that
trained lay counselors can provide effective obesity behavioral counseling,
provided that it is done weekly for at least 12 weeks of treatment. The fact
that the U.S. Preventive Services Task Force has now given this research a B
rating opens the door to an important, scientifically proven way to help
millions of overweight and obese Americans conquer their added pounds and reduce
their risk of chronic diseases. Relying on trained lay professionals to deliver
this counseling provides an important new opportunity to help reduce weight and
with it, obesity-related health care costs.
The USPSTF comprehensive evidence review of literature found randomized
clinical trial evidence showing intensive behavioral counseling, defined as
weekly engagement for three months, produced modest and sustained weight loss. [McTigue K, Harris R, Hemphil B, Lux L,
Sutton S, Bunton AJ, Lohr KN. Screening
and Interventions for Obesity in Adults. Summary of the Evidence
for the U.S. Preventive Services Task Force. Ann
Intern Med 2003;139(11):933-49.]
A multi-center, randomized,
parallel-group, two-year trial found community based trained lay-education
intensive behavioral counseling was correlated with both weight loss and
weight-loss maintenance. [Heshka S et
al. Weight Loss With Self-help Compared
With a Structured Commercial Program: A Randomized Trial. JAMA 289:1792-1798,
NIH-funded pilot showed that weight loss results were comparable whether
behavioral interventions were provided by trained lay-people or health care
professionals. [Pinto AM, Kearns
M and Wing RR. Effectiveness of a Novel Weight Loss Approach that Combines
Brief Standard Treatment and a Commercial Program. Annals of Behav Med 33 (Suppl):S140, 2007]
2008: The
DEPLOY study demonstrated significant reductions in risk factors (i.e. weight
loss) among subjects with pre-diabetes with intensive group behavioral
counseling by trained lifestyle coaches. [Ackerman, RT et al. Translating the Diabetes
Prevention Program into the Community: The DEPLOY Pilot Study. Am J Prev Med 35 : 357-363, 2008.]
Increased attendance at weight-loss program meetings led by trained
role models was associated with significant improvement in body weight, waist
circumference, fasting insulin and glucose blood levels, and HOMA among
overweight and obese adults. [Melanson J and Lowndes J. Type 2 Diabetes Risk Reduction in Overweight
and Obese Adults Through Multidisciplinary Group Sessions: Effects of Meeting
Attendance. Am J Lifestyle Med 4: 275-281, 2010.]
A study evaluating usual source of care versus referral to
community-based, trained lay educators found statistically significant weight
loss with the community-based intensive behavioral counseling
interventions. [DB Wilson, RD
Johnson, RM Jones, AH Krist, SH Woolf, SK Flores. Patient weight counseling choices and outcomes
following a primary care and community collaborative intervention. Patient Educ Counseling 2010;
A recently released trial found that 1/3 of those referred to intensive
diet counseling by non-healthcare providers sustained weight loss of 5% of
initial body weight for two years and results were substantially better when
compared to standard care provided in primary care setting. [Jebb S et al. Referral to a commercial
weight management programme enhances weight loss achieved in primary care. Int J Obes 11: Suppl 1, 2010.]
* * * * *
In closing, the
Medicare National Coverage Analysis on Intensive Behavioral Counseling for
Obesity wisely identified two components essential to effective, quality
service to assist individual patients in their weight loss efforts, improve
population health, and lower health care costs.
Those factors are the appropriate frequency of service and the provider
of service. The clinical and research
evidence is well developed and extensive:
Should you
have any questions regarding the evidence cited in this letter or that is part
of the publication record, I would be happy to speak with you in person of by
phone. Please do not hesitate to contact
me at firstname.lastname@example.com or by
phone at 406-686-4844.
Barbara J.
Moore, PhD President and
CEO Shape Up


text:
Additional Category
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Note: This topic has been unedited for 1847 days. It is considered archived - the discussion is over. Do not add to unless it really needs a response.
I have been using the Narutopedia a lot recently and i have been selecting different types of jutsu for my Naruto based Dungeons and Dragons campaign. This site has helped a great deal. Though there is one thing notice with the categories. It doesn't have a Non-Elemental Ninjutsu category. For jutsu like the rasengan, Shadow Strangle, etc. Jutsu that require no chakra nature involved. Jacob Alex Armstrong (talk) 21:40, April 14, 2011 (UTC) Jacob Armstrong
We have Special:BrowseData. You can filter pretty much everything with it. Omnibender - Talk - Contributions 23:17, April 14, 2011 (UTC)


text:
Browsing by Author "Sringam, Phonkanok"
Now showing items 1-2 of 2
Construction of a language proficiency for students in Thailand. Department of Applied Foreign Languages Thailand. Faculty of Liberal Arts Rajamangala University of Technology Phra Nakhon Sringam, Phonkanok; Sangounpong, Weena; Mekparyup, Jatupat; Tangam, Wilailuk; Wongsupaluk, Nattachai (2015-11-13)This research aims to establish and measure the quality of students' language proficiency Thailand for foreigners. Practical application Thailand Faculty of Liberal Arts Rajamangala University of Technology Phra Nakhon The ...
Creative Writing Achievement of the Bachelor Degree Students Learning from Computer Multimedia based training and Traditional based training by Modem Thai Song as Aids Sringam, Phonkanok; Tangam, Wilailux; Iamsumang, Amnart (2011-09-12)


text:
Nathan Arthur Byham
Position: TE
Height: 6-4 Weight: 268 lbs.
Born: June 27, 1988 in Franklin, PA
High School: Franklin
College: Pittsburgh (school history) (Byham college stats)
Drafted by the San Francisco 49ers in the 6th round (182nd overall) of the 2010 NFL Draft.
Weighted Career AV (100-95-...): 0 (15060th overall since 1950)
Other SR Links: College Football at Sports-Reference.com
|0 Accepted Penalty


text:
So I listened to Gresh and Zo for about 10 mins today while I was in the car.
They said that their sources within the Patriots organization tell them Chandler Jones will be ready for Houston.
Anyone know anything about this? I can't find anything that says whether he'll play or not.
If not, guess we'll find out Wed/Thurs if he's practicing


text:
Happy Christening to my baby nephew Joseph Mykell. He is a sleeping prince and doesn't care to the noise in his surroundings. He is just 2 months old and it seems a brilliant baby boy. I hope you'll grow up as a good Christian in our community. I have been busy this weekend attending all special occasions of relatives and friends. I can't resist because this would only happen in their lives once.
Sunday, November 30, 2008
Welcome to our World
14 comments:
- kittykat said...
I love christening..I so love kids..I miss my own nephew..
- November 30, 2008 at 1:57 AM
- Sam said...
Hi sis,
That's good to know. hehehe I too loves kids.
Have a blessed day!!!
- November 30, 2008 at 2:13 AM
- Babette said...
How cute, tulog na tulog sya. He's big for his age. How are you Sam?
- November 30, 2008 at 4:18 AM
- gLoR!e said...
i giggle to pinch his face!:D so cute...:)
- November 30, 2008 at 10:15 AM
- bluedreamer27 said...
oh what a wonderful moment gheeehwelcome to the christian world baby joseph
hello sam thanks foir visiting my site and have a great day to you
- November 30, 2008 at 10:04 PM
- Sam said...
Hi Mama,
Yes he is, nahirapan ang Mommy nya ilabas sya 8.8 lbs ba nman.
Ok lng po, naiiraos pa nman ang life... hehehe thanks for asking.
How about you?
Keep on smiling it's good for the health!
- November 30, 2008 at 10:41 PM
- Umma said...
Super cute naman ang baby kahit tulog na tulog sia..
- November 30, 2008 at 10:44 PM
- Sam said...
Hi Glorie,
Feel free to pinch it. Hehehe
Have a great day!!!
- November 30, 2008 at 11:55 PM
- Sam said...
Hi Blue,
Thanks for bouncing back...
Enjoy and have fun...
- December 1, 2008 at 12:05 AM
- Bill said...
Wow he is a very cute baby.How have things been going Sam.
- December 2, 2008 at 9:04 AM
- SHIELA said...
welcome to the christian world baby. ang cute naman nang nephew mo, sarap kurutin ang pisngi :)
- December 3, 2008 at 2:20 AM
- Friendz said...
Wow!!! he is a very cute...
have a nice day !!!
- December 4, 2008 at 1:53 AM
- iceah said...
cute sleepy head c:
- December 4, 2008 at 4:05 AM
- tikno said...
Cute baby and... congratulation.
- December 11, 2008 at 4:29 AM


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Most people go through life battling feelings of mediocrity or depression. For others perhaps life may posit a satisfactory level of contentment. Yet genuine wholehearted happiness, the kind that makes you want to leap out of bed every morning and take on challenges by their horns, remains a distant dream for humanity. Hollywood star Jim […]
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in Plants
Can someone tell me what my daughter has inherited please.
..that's a seed pod from a Fremontodendron...
I agree with salino freemontodendron should have a spectacular mass of yellow flowers
When pruning get well covered and gloved - the small hairs on the stems get everywhere and make you itchy.
Not just itchy they hurt!
Thanks all for the info.
Lost mine this year, presumably from the cold start to the year. It's sprouting from the base again so not all bad.
anyrunning tips please ?
Oops...any pruning tips please ?
Just keep it to the size you want. Don't let it get out of hand as then you have to get in amongst it to prune and its horrible. Prune after flowering and honestly, wear long sleeves and gloves!
ManyMany thanks for your advice, Linda.
Take out any growth which is coming out from the wall and don't be scared to cut back to keep it within its boundaries as it will put on a lot of growth. Now, is a good time to prune. I never shredded this but put it straight in to the recycling bin. I loved my shrub but never looked forward to the little hairs. They look so innocent and at first you may not even see them but believe me they are there! I'm scratching just thinking about those hairs!


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San Antonio, now the seventh-largest city in the United States, has a dynamic and diverse economy. The city has a strong foundation in the energy, real estate, heavy equipment, construction and financial services businesses that have built Texas. In addition, San Antonio is fast becoming a leader in the new economy, including the health sciences and biosciences, telecommunications, aerospace, technology and internet security businesses, and is a growing center for international business.
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Our San Antonio office opened in 1991, and since that time has been among the fastest-growing law firms in the city. We have attracted attorneys with the highest degree of talent and character: the kind of people you would trust with your most important matters. In 1998, the San Antonio and Austin offices of the prestigious Texas firm of Small, Craig and Werkenthin joined Jackson Walker. Then in 1999, we welcomed the attorneys from the Alamo City's largest intellectual property law firm. More recently in 2001, the law firm of Gresham, Davis, Gregory, Worthy & Moore, which was one of San Antonio's oldest firms, added its attorneys to our ranks, bringing with them their blue chip clients to whom they have provided over a century of service.
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Only 3,000 enrolled so far for Obamacare in Texas
In program's first month, only some 3,000 Texans have chosen coverageNovember 13, 2013 Updated: November 13, 2013 11:05pm
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Fewer than 3,000 Texans selected a health insurance plan in the first month of enrollment for the Affordable Care Act, according to much-anticipated federal data released Wednesday.
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A federal judge has sentenced a former fundraiser for ex-Illinois Gov. Rod Blagojevich and former U.S. Rep. Jesse Jackson Jr. to two years in prison.
Raghuveer Nayak, 58, had previously pleaded guilty to federal health-care fraud charges. On Monday he apologized before he was sentenced in Chicago federal court, asking the judge to have mercy on him and his family. The Chicago-area businessman faced up to 23 years in prison.
Prosecutors have alleged Nayak offered to raise $1 million for Blagojevich's campaign if the then-governor named Jackson to President Barack Obama's old Senate seat.
Nayak wasn't charged, but prosecutors said the offer should be considered at his sentencing. However the judge said he didn't put much weight on Nayak's role in the Blagojevich scandal when determining Nayak's sentence.


text: Microsoft to 'democratise' Xbox One game development Gaming 21 March 14 by Philippa Warr Strike Suit Zero: Director's Cut Microsoft is hoping to democratise development when it comes to getting games on the Xbox One.Speaking about the company's ID@Xbox self-publishing programme, corporate vice president Phil Harrison told VentureBeat that over 250 developers have access to the toolset and are working on games."In 120 days, we have more [independent] developers working on Xbox One in the ID program than we had lifetime on 360," he said."We want to democratise development as best we can. Clearly, while we're giving out dedicated dev kits to developers, there's a finite supply of those, so we're not able to open the doors completely. But you can see that the quality and depth and variety in the games we're showing here."The programme has previously come under fire for its launch parity requirement, which demands that a game launch on Xbox at the same time as other platforms. Vlambeer's Rami Ismail said at the time, "it's hell getting a game to work on PC, it's awful getting it to work on PC, Mac, PS4 and Vita. Adding another format on top of that is insane."More recently Microsoft representatives told Edge that launch parity can be assessed on a case-by-case basis where a game has signed up to a timed exclusive on a different platform. Harrison added that the 26 newly announced launch markets for Xbox One will also provide a boost to the programme. "Partnering that with the ID@Xbox program means that I hope we find really culturally relevant local products and experiences coming to our platform. That will really accelerate us." Latest on wired.co.uk


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Williams Partners LP Stock Downgraded (WPZ)
TheStreet) -- Williams Partners (NYSE: WPZ) has been downgraded by TheStreet Ratings from buy to hold. The company's strengths can be seen in multiple areas, such as its increase in net income, expanding profit margins and good cash flow from operations. However, as a counter to these strengths, we also find weaknesses including a generally disappointing performance in the stock itself, disappointing return on equity and generally higher debt management risk.Editor's Note: Any reference to TheStreet Ratings and its underlying recommendation does not reflect the opinion of TheStreet, Inc. or any of its contributors including Jim Cramer or Stephanie Link. NEW YORK (
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- The net income growth from the same quarter one year ago has significantly exceeded that of the Oil, Gas & Consumable Fuels industry average, but is less than that of the S&P 500. The net income increased by 5.3% when compared to the same quarter one year prior, going from $243.00 million to $256.00 million.
- 37.29% is the gross profit margin for WILLIAMS PARTNERS LP which we consider to be strong. It has increased from the same quarter the previous year. Along with this, the net profit margin of 14.82% is above that of the industry average.
- Regardless of the drop in revenue, the company managed to outperform against the industry average of 10.3%. Since the same quarter one year prior, revenues slightly dropped by 5.0%. The declining revenue has not hurt the company's bottom line, with increasing earnings per share.
- The company's current return on equity has slightly decreased from the same quarter one year prior. This implies a minor weakness in the organization. In comparison to the other companies in the Oil, Gas & Consumable Fuels industry and the overall market, WILLIAMS PARTNERS LP's return on equity is significantly below that of the industry average and is below that of the S&P 500.
- In its most recent trading session, WPZ has closed at a price level that was not very different from its closing price of one year earlier. This is probably due to its weak earnings growth as well as other mixed factors. Looking ahead, we do not see anything in this company's numbers that would change the one-year trend. It was down over the last twelve months; and it could be down again in the next twelve. Naturally, a bull or bear market could sway the movement of this stock.
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In 2005, NIHers contributed just over $2 million
to the annual charity drive. Last fall, in order to spur the campaign to new heights, NIH director Dr. Elias Zerhouni pledged to grow a beard if employees topped that total.
What emerged on his cheeks in early January was a silvery stubble that he said felt like a Brillo pad. It was hard on my wife. Growing a beard, he said, was difficult. I had never done it before. But it was fun. I think its a really tangible way to say thank you to the employees.
I think Larry [Tabak, NIDCR director, whose institute led the CFC charge this year] did a fantastic job.
Gathered in the first floor lobby of Bldg. 1 to celebrate a "slam dunk" CFC campaign are (from l) Tabak, whose institute led this year's campaign; NIDCR's Carol Beasley; Zerhouni; NIDCR's Thomas Murphy; and CFC facilitator Kristin Oliver.
NIDCR hosted several basketball-themed events that drew hundreds of participants. NIHers enjoyed music, food, and basketball free-throw contests with the Divas and Dudes cheering squad on hand to root for contestants.
Free-throw winners received a basketball signed by Gary Williams, head coach of the University of Maryland mens team, and an iPod for a deserving keyworker or contributor in their institute.
IC directors got into the act with their own free-throw competition that was held in front of Bldg. 1 and refereed
by Zerhouni, who also participated.
I didnt think I could throw anything in the basket
and I did three, he noted. I was so proud of myself.
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Williams & Connolly LLP725 Twelfth Street, N.W.Washington, D.C. 20005
Joe Petrosinelli has an active civil and government investigations/criminal litigation practice. He has tried numerous cases in federal and state courts, and also has represented clients in litigation and government investigations matters in Europe, Africa, India, Latin America, and the Caribbean.
Mr. Petrosinelli's civil practice focuses on products liability and mass tort/class action litigation. He has represented manufacturers and suppliers of chemicals, pharmaceuticals, industrial equipment, and various other products in civil cases across the United States and internationally. Mr. Petrosinelli is currently lead counsel for Pfizer in federal multi-district litigation concerning the smoking cessation medication Chantix. He has litigated a wide variety of other types of civil matters as well, including antitrust, securities, and professional liability cases.
Mr. Petrosinelli also has extensive experience in all types of government investigations and criminal litigation, including federal grand jury practice and trial and appellate work in federal and state courts. He has defended both individuals and large corporations against allegations of mail and wire fraud, false claims, government contracts fraud, FCPA violations, healthcare fraud, securities fraud, and antitrust violations. He and two of his partners successfully represented the petitioner before the U.S. Supreme Court in Cleveland v. United States, 531 U.S. 12 (2000), a leading case on the interpretation of the federal mail and wire fraud statutes.
Mr. Petrosinelli has also been involved in the firm's sports law practice. He is a certified agent of the National Basketball Players Association, and has represented athletes, professional clubs, and club executives in litigation and contract matters.
Mr. Petrosinelli was born and raised in Rhode Island. He received his B.A. from Brown University in 1988 and his J.D., magna cum laude, from Georgetown University Law Center in 1991. He joined Williams & Connolly LLP in September 1991. Mr. Petrosinelli is a member of Williams & Connolly's Executive Committee. He previously served on the firm's Executive Committee from 2005 to 2009 and its Hiring Committee from 2001 to 2005. Mr. Petrosinelli is an Adjunct Professor of Law at Georgetown University Law Center, where he teaches a course in trial practice focused on expert witnesses.


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May 2, 2016
HOUSTON,TX. (AP) - Police are seeking a gunman after one person died following a shooting during a social media-advertised party in Houston.
Police say someone in the crowd opened fire early Wednesday as officers broke up the party at a house.
Police say the victim was shot several times and died at a hospital. His name and age were not immediately released.
KTRK-TV reports more than 400 teenagers and older college students showed up for the party advertised on Facebook and Twitter.
Neighbors had complained about the noise and called police.
(Copyright 2012 The Associated Press. All rights reserved.)
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In Love with Copenhagen
Fall in love with Copenhagen while enjoying a delightful dinner!
Radisson Blu Royal Hotel, CopenhagenStay at the Radisson Blu Royal Hotel and fall in love with Copenhagen. Start your day with a delicious breakfast while glancing out over the bustling streets of Copenhagen. Then stroll to the magical Tivoli Gardens, indulge in shopping at Stroeget and perhaps rest your feet in Nyhavn. These are alll must-visit destinations for anyone staying in Copenhagen. After hours of fun and entertainment, a 3-course dinner in the Café Royal is ready for you. Here you can relax and enjoy a delicious dinner reminiscing on the experiences of the day.
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Knowledge is Power!
Brave Kids harnesses United Cerebral Palsy's (UCP) knowledge of health and disability issues that has been accruing for more than sixty years. Connecting individuals and families with the resources and services they need helps fulfill UCP's mission of advancing the independence, productivity and full citizenship of people with a spectrum of disabilities.
A good starting place to find resources for children with special needs in your community is your State Title V/Children with Special Health Care Needs Program. Under federal law every state has a program to assist children with disabilities or chronic conditions and their families.
Look up your State program's contact information.
Is there a topic or resource you need and don't see listed here? Tell us about it!UCP does not endorse, takes no responsibility for, and exercises no control over the referenced organizations or their views, or contents, nor does it vouch for the accuracy of the information contained on external links, but offers this further information as a service to our visitors.


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This is the original version of this extremely popular article. It has since been updated by Bee and posted in Nourished Magazine. There are 49 comments on this article, if you have any questions for Bee, they may have already been answered here, otherwise feel free to ask again at the new version here.
What is Candida?
Candida is the short name used to describe yeast overgrowth in the body. The technical term is Candidiasis. It is a yeast that is a single cell fungi that belongs to the vegetable kingdom. Like their "cousins" the molds, they live all around us. One family "Candida Albicans" lives in all mucus membranes, i.e. intestines, eyes, ears, bladder, stomach, lungs, vagina, etc. It is one of the billions of other friendly organisms that serve a useful purpose in the body. One of its important functions is to recognize and destroy harmful bacteria.
However, Candida is not intended to overgrow and get out of control while the body is alive. This is only intended to happen when the body dies, when it's function and characteristics change in order to break down the body.
How Candida Affects Us?
When Candida Albicans is under control it poses no problem, but when it gets out of control it begins to overgrow causing numerous symptoms and health problems from the top of the head to the tips of the toes, from migraines to nail fungus. It can result in symptoms inside (pain and malfunction of organs, even brain lesions) and outside (eczema and hives). It can also cause problems with the mind and emotions.
What Causes Candida to get out of control?
A healthy immune system keeps Candida in balance with the other micro organisms in the mucous membranes but under certain conditions it begins to overgrow and get out of control. The causes of immune system dysfunction are varied and complex, but antibiotics are the biggest culprits because they wipe out friendly micro organisms, in the digestive system. Because Candida is resistant to antibiotics the imbalance of micro organisms allows it to take over. It begins to change its shape and starts to overgrow; raising large families called colonies.
These colonies excrete toxins that circulate throughout the body further weakening the immune system and creating havoc throughout the body. The Candida produces very long root-like structures that penetrate intestinal walls leaving microscopic holes which allows toxins, undigested food particles, bacteria and yeast to enter the bloodstream. This condition is known as the "Leaky Gut Syndrome", which causes food allergies and many health problems. These root-like structures also causes considerable damage to the walls of the intestines resulting in malabsorption of nutrients.
Adding to the problem of malabsorption are nutritional deficiencies that also weaken the immune system. Today's standard diet lacks the necessary nutrients to maintain a healthy immune system. It is loaded with sugar, carbohydrates, hydrogenated oils and fats (trans-fats), white flour products, processed foods, food additives, preservatives, pesticides, and heavy metals. This, in addition to foods being irradiated (exposed to high levels of radiation to extend shelf life), and being grown in nutrient depleted soil, long storage and transportation time, and improper handling, cooking and microwaving that goes on in most homes, further depletes nutrients available. All of these factors contribute to a weakened immune system.
Candida causes many health problems and symptoms including allergies, fatigue, headaches, digestive disorders, vaginitis, arthritis, muscle weakness, joint pain, nasal congestion, pain or tightness in the chest, blurred vision, ear problems, hypoglycemia, multiple sclerosis, Crohn's disease, foggy thinking, loss of memory and a host of other ailments.
The Candida Control Program
In order to get Candida overgrowth under control four things need to be done simultaneously:
- Eliminate foods that feed Candida
- Build up the immune system
- Kill off Candida overgrowth
- Plant good bacteria in the digestive tract
1. Eliminate foods that feed Candida
Candida overgrowth is mainly fuelled by:
- sugar
- refined carbohydrates
- gluten grains
Candida's main food supply is sugar and all forms of it, such as lactose contained in dairy products, honey, glucose, fructose, and sugar substitutes, i.e. Nutrasweet, aspartame, saccharin. Eliminating sugar is the most important part of the Candida Program. All fruit, except lemons, are also very high in sugar and should be extremely limited during the initial stages of the program, along with some vegetables that are very high in sugar, such as carrots, yams, sweet potatoes, parsnips and beets. Sugar also contained is most processed foods such as smoked luncheon meats, ketchup, cereal, and yogurt making it important to read labels carefully. Following is a partial list of the names for sugar and sweeteners.
Names for Sugar and Sweeteners
Aspartame, carob powder, corn starch, crystalline carbohydrate dextrin, dextrose, disaccharides, galactose, glucose, levulose, malts of any kind, maltitol, maltodextrin, maltose (malt sugar), manitol, mannitol, mono-saccharides, sucrose, Nutrasweet, polydextrose, polysaccharides, ribose, saccharin, sorghum, suamiel, succanat, xylitol.
It has been known for many years that sugar greatly depresses the immune system. In the 70s Linus Pauling knew that white blood cells needed a high dose of vitamin C. That was when he came up with his theory that high doses of vitamin C were needed to combat the common cold. But Vitamin C and glucose have similar chemical structures and they compete for one another upon entering the cells. If there is more glucose around less vitamin C will be allowed into the cell, and interestingly taking Vitamin C also helps curb sugar cravings.
These are a few of the negative effects sugar has on health:
- Sugar contributes to the reduction in defense against bacterial infection
- Sugar upsets mineral relationships in the body
- Sugar interferes with absorption of calcium and magnesium
- Sugar can interfere with the absorption of protein
- Sugar can change the structure of protein
- Sugar can increase the body's fluid retention
- Sugar can cause hormonal imbalances
- Sugar is an addictive substance and can be intoxicating, similar to alcohol
High carbohydrates
Candida also feeds on high carbohydrate foods such as starches and grains, i.e. breads, pasta, pizza, cereals, baked goods and potatoes. Vegetables high in carbohydrates include beans, beets, squash, zucchini, corn, peas, parsnips and carrots. Grain foods (wheat, rice, corn, oats, etc.) store their energy as complex strands of sugar molecules, a starch. Starch breaks down into individual sugar molecules (glucose, or blood sugar) during digestion. All carbohydrates eaten turn into glucose (blood sugar), but only 58% of the protein and about 10% of the fat eaten are converted to glucose.
Gluten Grains
Most Candida sufferers are gluten intolerant. Gluten is an elastic and gluey protein found in wheat, rye, barley, oats, spelt, kamut, triticale and it is hidden in an endless variety of processed foods. Triticale is a new hybrid grain with the properties of wheat and rye, while spelt and kamut are gluten-containing wheat variants and are likely to cause problems similar to other wheat varieties. Gluten-containing grains have come to be used extensively in breads and other baked goods because of their "glutinous," sticky consistency.
Gluten grains feed Candida because they have a high glycemic index just like sugar, and like sugar, creates insulin resistance within the cells which leads to blood sugar problems like hypoglycemia and diabetes. The cells become resistant to insulin as they try to protect themselves from the toxic effective of high doses of insulin caused by high intake of sugar and simple carbohydrates. As the cells become insulin resistant, the pancreas produces more insulin which creates a vicious cycle. This exhausts the pancreas eventually leading to its breakdown resulting in diabetes.
Gluten grains contain a protein that is difficult to digest and interferes with mineral absorption and causes intestinal damage. This damage makes the intestines incapable of absorbing nutrients such as proteins, carbohydrates, fats, vitamins, minerals, and even water in some cases.
Our grain food supply also contains mycotoxins (a toxin produced by a fungus), especially found in corn and wheat. Mycotoxins can suppress our normal immune function. See the section on Yeast, Mold and Fungus for more information.
2. Build up the immune system
Building up the immune system requires:
- Eating the right foods
- Taking essential supplements
- Avoiding yeast, mold and fungus
Eating the right foods
If the wrong diet is constantly consumed, or if yeast overgrowth damage is never reversed from previous drug and antibiotic use, a cure can almost never be achieved. Eating the right foods is the most important aspect of getting Candida under control and building up the immune system.
The "Candida Control Diet" is high in protein and good saturated fats and oils, and low in carbohydrates, and contains no sugars, grains or processed foods. All foods must be as fresh and natural as possible, and free of additives, pesticides, heavy metals, irradiation, mycotoxins, etc.:
Meats and fats should be from organic grass-fed free-range animals and from good oils such as coconut, palm and fish. Fish should be from non-farmed sources and as free of mercury and other pollutants as possible. Vegetables should be from reliable certified organic sources.
Protein - It is important that Candida sufferers eat a high protein diet from a selection of high quality protein foods, i.e., dairy products, eggs and meat. Proteins are found in all types of food, but only meat, eggs and cheese contain complete proteins, providing the eight essential amino acids your body cannot produce on its own. Incomplete proteins are contained in vegetables, fruits and grains. Amino acids provide the structure of all living things and in the human body they make up the muscles, ligaments, tendons, organs, glands, nails, hair and body fluids (except bile and urine). Enzymes, hormones and genes are also made up of various amino acids.
Protein in the diet slows the breakdown of carbohydrates, which decreases the need for insulin secretion by the pancreas. It also stimulates glucagon release, that hormone that unlocks our stored fuel.
The best protein sources are meats that aren't mass-produced, such as lamb, buffalo, bison, ostrich, venison or other wild game, or naturally-raised meat including poultry, eggs, beef, and pork.
To obtain enough protein 3-6 ounces of meat per meal is required, depending on exercise levels.
Good Fats & Oils - Good fats and oils are equally important to protein in the diet and they are essential to getting Candida under control. They not only increase the body's ability to absorb nutrients from the foods eaten but also provide the most efficient source of energy. They also provide the building blocks for cell membranes and a variety of hormones and hormone-like substances.
Good fats act as carriers for important fat-soluble vitamins A, D, E and K and for the conversion of carotene to vitamin A, for mineral absorption and for a host of other processes. The kinds of fats consumed greatly influence the assimilation and utilization of vitamin D.
Cholesterol is the body's version of fat, and contrary to popular belief cholesterol, is your best friend. Cholesterol's job is to repair and protect, and it is essential for nourishing the brain and nervous system. The brain is 70% cholesterol and it could not function properly without it. Hormones like estrogen and testosterone are made from cholesterol. Bile salts (for digestion) are made from cholesterol. Cholesterol is also a powerful antioxidant.
Cholesterol is a substance vital to the cells of all mammals. There are no such things as good or bad cholesterol, in fact your body produces three to four times more cholesterol than you eat. The eminent American physician and scientist George Mann called the cholesterol theory "the greatest scientific deception of this century, perhaps of any century."
Essential Fatty Acids - There are also two types of essential fatty acids that must be obtained from the diet and these are omega-3s and omega-6s. They are called essential because we have to get them from food because our bodies can't manufacture them from other fats. Most people's diets contain an excessive amount of omega 6 fats, therefore it is important to ensure the diet contains more omega 3 rich foods to offset this imbalance.
Good sources of omega 3s are animal meats and eggs. Grass-fed meats are a good source of omega-3s and 6s, however the best type of omega-3 fats are found in fish. That is because the omega-3 in fish is high in two fatty acids crucial to human health, DHA and EPA. These two fatty acids are essential in preventing heart disease, cancer, and many other diseases. Because of the high mercury content of fresh fish the best way to obtain these important fatty acids is to take fish oils in their purest form.
Avoid all newfangled fats and oils (trans fats) - Candida sufferers cannot afford to jeopardize their health by consuming toxic oils and fats and must avoid all of the newfangled polyunsaturated fats and hydrogenated vegetable oils (margarine, Canola oil, safflower oil, etc.), called trans fats. These newfangled fats and oils are not only toxic and increase the body's need for vitamin E and other antioxidants, but also depress the immune system. All trans fats, found in margarine and shortenings used in most commercial baked goods and most processed food, should always be avoided even by healthy people.
All of these fats and oils are extracted by a process called hydrogenation. This process employs: 1) High heat, 2) A metal catalyst such as nickel, zinc, copper, or other reactive metals and 3) Hydrogen gas. This is a volatile combination that results in an extremely toxic product that the body reacts to like plastic.
Even when refrigerated, hydrogenated oils stay liquid and go rancid very easily. Vegetable oils should never be heated or used in cooking, except for extra virgin olive oil, which must be handled with care.
The most common newfangled trans fats on the market to avoid are derived from plants such as canola (from rape seed), soy, safflower, corn, and flaxseed. These plants have evolved a variety of toxins designed to protect themselves from "predators," such as grazing animals. These toxins block digestive enzymes that break down protein in the stomach. They seem to be specifically designed to effect mammalian enzymes that are are necessary for digestion, production of thyroid hormones, clot removal, immunity and general adaptability of cells. Therefore using such plants to produce oils and fats is unnatural.
The more appropriate kind of fat for health is saturated fat, in spite of what we've been led to believe, which plays many important roles in body chemistry. But saturated fats have been given a bad name by the oil and food manufacturing industry with the sole purpose of selling their products. This is also true for drug companies who perpetuate the cholesterol myth and low-fat diets in order to sell drugs.
The truth is, natural fats and oils have components found only in them, which are health-promoting, and the newfangled trans fats are now known to be disease-causing. These health-giving saturated fats are stable and do not become rancid easily and they do not draw upon the body's reserves of antioxidants nor do they initiate cancer or irritate the artery walls.
Healthy saturated fats are an important part of any healthy meal. It draws nutrients out of foods and slows digestion so that natural enzymes and the assimilation process can take place. Healthy saturated fats include butter, tallow, lard, and fish, palm and coconut oils.
Butter - Butter and cream from raw milk produced by organic grass-fed cows are tasty, important saturated fats in the diet. Butter added to vegetables and meats, and cream added to soups and sauces ensures proper assimilation of the minerals and water-soluble vitamins in foods.
Many trace minerals are also contained in butterfat, including manganese, zinc, chromium and iodine. In areas far from the sea, iodine in butter protects against goiter (enlarged thyroid). Butter is also extremely rich in selenium, a trace mineral with antioxidant properties.
Coconut Oil - Coconut oil is another healthy saturated fat that contains many properties that are beneficial to Candida sufferers which are anti-bacterial, anti-viral and anti-fungal. It also kills off yeast overgrowth. Coconut oil supports immune system function, supplies important nutrients necessary for good health and improves digestion and nutrient absorption.
The fat in coconut oil is easily digested and absorbed, unlike the newfangled trans fats that act like plastic in the body. It puts little strain on the digestive system and provides a quick source of energy necessary to promote healing. Coconut oil is absorbed directly from the intestines into the portal vein and sent straight to the liver, whereas other fats require pancreatic enzymes to break them into smaller units.
Look for unrefined coconut oil, since most commercial coconut oils are refined, bleached, and deodorized. It is highly resistant to spoilage and has a long shelf life (up to 2 years at room temperature). Coconut oil has a high burning point and is a perfect oil for cooking. Coconut oil can be taken by the tablespoonfuls with meals to aid digestion. A good therapeutic dose is 1 to 2 tablespoons with fat containing meals.
Fish oils - Fish, unlike mammals, birds and reptiles, do not respond to sunlight and rely on vitamin D found in phytoplankton and other fish. They must feed on phytoplankton and other fish in order to obtain and store significant vitamin D in their fat, flesh, skin, and organs.
Unfortunately, eating most fresh fish, whether from the ocean, lakes and streams, or farm-raised, is no longer recommended because of their dangerously high mercury levels. Unless reliable sources can be found it is strongly recommended to avoid eating all fish since their high levels of mercury dramatically compromises health.
The only safe sources of fish are those that have been tested and shown not to contain detectable levels of mercury and other toxins. Since fish are the best source of Vitamin D, and essential fatty acids (EFAs) are so essential to health, they must be obtained without eating fish.
The best sources of vitamin D are cod liver oil and halibut liver oil, and EFAs are found in all fish oils. Look for oils that are free of chemical modification and processing, purified to the highest standards, routinely tested and free from detectable levels of mercury, cadmium, lead, PCBs and other contaminants.
A good therapeutic daily dose of cod liver oil or plain fish oil liquid is one teaspoon for every 50 pounds of body weight per day. If you weigh 150 pounds that would be about one tablespoon (three teaspoons) per day.
Essential Fatty Acids (EFAs) - There are also two types of essential fatty acids that must be obtained from the diet and these are omega-3s and omega-6s. They are called essential because we have to get them from food because our bodies can't manufacture them from other fats. Most people's diets contain an excessive amount of omega 6 fats, therefore it is important to ensure the diet contains more omega 3 rich foods to offset this imbalance.
Good sources of omega 3s are animal meats and eggs. But there is an important difference in the ratio of omega-6s to 3s according to how the animals are fed and raised. For example, grain-fed beef can have ratios that exceed 20:1, but grass-fed beef is down around 3:1. Similar ratios are found in all grain-fed versus grass-fed livestock products. Grass-fed livestock are rich in all the fats that are health-enhancing and provide the body with goods fats for the production of cholesterol. Similarly free-range fed chickens produce eggs with an omega 6:3 ratio of 1.5 to one, whereas the "supermarket egg" has a ratio of 20 to one.
Grass-fed meats are a good source of omega-3s and 6s, however the best type of omega-3 fats are found in fish. That is because the omega-3 in fish is high in two fatty acids crucial to human health, DHA and EPA. Because of the high mercury content of fresh fish the best way to obtain these important fatty acids is to take fish oils in their purest form as mentioned above.
Carbohydrates - Low carbohydrate consumption is an important aspect of the Candida Control Diet since high carbohydrate foods feed the Candida. Carbohydrate foods are any foods that are not protein or fat, including all vegetables, grains and fruits. Since grains and most fruit, except lemons, are eliminated on the Candida Control Diet this leaves a wide variety of vegetables that are healthy to consume. Vegetables with the lowest carbohydrate index are green beans, broccoli, cauliflower, cabbage, turnips, spinach, asparagus, celery, peppers, kale, mustard greens, and Chinese cabbage. Some vegetables also inhibit the growth of Candida such as raw garlic, onions, horseradish, cabbage, broccoli, turnip, and kale.
Avoid Soybean and Soy-based foods - Soybeans contains large quantities of natural toxins or "anti-nutrients," including potent enzyme inhibitors that block the action of enzymes needed for protein digestion. These inhibitors are not completely deactivated during ordinary cooking and can produce serious gastric distress, reduced protein digestion and chronic deficiencies in amino acid (proteins) uptake. In test animals, diets high in enzyme inhibitors cause enlargement and pathological conditions of the pancreas, thyroid malfunction and other diseases including cancer. Soybeans also contain haemagglutinin, a clot-promoting substance that causes red blood cells to clump together.
Soy also contains one of the highest percentages of pesticides of any of our foods and is 99% genetically modified. Soybeans are also high in phytic acid, present in the bran or hulls of all seeds, which blocks the uptake of essential minerals - calcium, magnesium, copper, iron and especially zinc - in the intestinal tract. Candida sufferers must avoid soy and all soy products in order to get well.
Salt & Spices - Salt is a very important part of a balanced diet, along with other beneficial spices. It plays an important part in the primary processes of digestion and absorption. Salt activates the first enzyme in the mouth, salivary amylase, and sodium chloride (salt) is used to make hydrochloric acid, a secretion needed for digestion. It is also important in keeping the proper balance of salt to potassium.
Salt has gotten a bad name just like the conspiracy against saturated fat. But most salt consumed today is not good for health since it highly-processed and is loaded with heavy metals and other harmful substances.
The best salt to consume is a good ocean sea salt that is hand-harvested, unprocessed, certified, and contains a natural balance of minerals. One such salt is Celtic Sea Salt which contains over 90 minerals and is very similar to the chemical make-up of our own blood. Taking this salt is the best way to obtain trace minerals. An excellent electrolyte drink is simply pure water with about 1/4 teaspoon of Celtic Sea Salt for every 6 ounces.
Taking essential supplements
Candida sufferers need to build up their immune system by supplementing with certain essential vitamins and minerals, that are yeast-free and sugar-free, including:
Calcium/Magnesium Citrate, with "elemental amounts" containing 800-1,200 mgs. of calcium with an equal ratio of magnesium.
Chlorella is a whole-food that contains a wide array of vitamins, minerals and enzymes. It helps build the immune system, detoxifies heavy metals and other pesticides in the body, improves the digestive system, improves energy levels and normalize blood sugar and blood pressure. Take two capsules three times a day.
Vitamin B Complex (non-yeast), 50 mgs. twice a day.
Vitamin C with bioflavonoids, 1,000 mgs. twice a day.
Vitamin D (with vitamin A) - take 1 teaspoon per 50 lbs. of body weight per day of a high quality cod liver oil or fish oil
Vitamin E, containing natural alpha tocopherol, (d-alpha tocopherol is synthetic), that is not from a soy source, 400 IU twice a day.
Bee Wilder has a wealth of knowledge and experience both as a former sufferer of candida and convenor of the candida support group. Since the 1980s when Bee could eat only a few types of foods and was so sensitive to yeasts she had to adminster herself an allergy shot every day, she has not only fully recovered but now is more robust than ever. Bee lives in Calgary, Alberta, Canada and continues to research natural health and nutrition. She is available for advice via email.
In part 2 of this discussion Bee offers her proven methods to ridding the body of unwanted Candida spore.
To explore this topic further we recommend…
The Yeast Connection : A Medical Breakthrough
Candida Albican Yeast-Free Cookbook, The : How Good Nutrition Can Help Fight the Epidemic of Yeast-Related Diseases
Complete Candida Yeast Guidebook, Revised 2nd Edition : Everything You Need to Know About Prevention, Treatment & Diet
Nourishing Traditions: The Cookbook that Challenges Politically Correct Nutrition and the Diet Dictocrats
About the Author...
Bee Wilder has a wealth of knowledge and experience both as a former sufferer of candida and convenor of the candida support group. Since the 1980s when Bee could eat only a few types of foods and was so sensitive to yeasts she had to adminster herself an allergy shot every day, she has not only fully recovered but now is more robust than ever. Bee lives in Calgary, Alberta, Canada and continues to research natural health and nutrition. You can find more articles and support at her website: Healing Naturally by Bee


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La-bibbida-bibba-dum! La-bibbida-bibba-do!
Happy Tell a Joke Day!
August 16, 2009, 05:03:51 PM »
A middle eastern king was down on his money and began to sell off his valuables. The last of these was the Star of the Euphrates, at that time the most valuable diamond in existence. He went to a pawnbroker who offered him 100,000 rials for it. "Are you crazy?", said the king. "I paid one million rials for this gem! Don't you know who I am?"
The pawnbroker replied, "When you wish to pawn a star, makes no difference who you are."
Because I can,
also because I don't care what you want.
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Posts: 5127
Re: Happy Tell a Joke Day!
Reply #1 on:
August 16, 2009, 06:43:31 PM »
3 old ladies are sitting on a park bench when a flasher comes up and opens his trench coat. The first old lady has a stroke. The second old lady has a stroke. And the third old lady couldn't reach.
That which can be asserted without evidence, can be dismissed without evidence.
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Posts: 2931
Re: Happy Tell a Joke Day!
Reply #2 on:
August 16, 2009, 07:28:23 PM »
Geek Joke
A SQL query goes into a bar, walks up to two tables and asks, "Can I join you?"
Gaming Trend Senior Member
Posts: 1193
Re: Happy Tell a Joke Day!
Reply #3 on:
August 16, 2009, 07:53:16 PM »
A drunk gets up from the bar and heads for the bathroom. A few minutes later, a loud, blood curdling scream is heard coming from the bathroom.
A few minutes after that, another loud scream reverberates through the bar.
The bartender goes into the bathroom to investigate why the drunk is screaming.
"What's all the screaming about in there?" he yells. "You're scaring my customers!"
"I'm just sitting here on the toilet," slurs the drunk, "and every time I try to flush, something comes up and squeezes the hell out of my nuts."
The bartender opens the door, looks in, and says, "You idiot!
You're sitting on the mop bucket!"
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Re: Happy Tell a Joke Day!
Reply #4 on:
August 16, 2009, 09:42:54 PM »
Larry was late getting home from his accounting job.
When he arrived, his wife asks, "what took you so long?"
He said, "I stopped and got a tattoo."
She asked of what and where.
He replied, "a dollar bill on my penis."
She asked, "why would an accountant get a dollar bill tattooed on his penis?
Larry said, "Well, you know I like to see my money grow. I like the way it feels in my hands. I like to play with my money and the next time you want to go shopping and blow a few hundred bucks, you can stay home and blow them here."
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I have personal text.
Re: Happy Tell a Joke Day!
Reply #5 on:
August 17, 2009, 12:39:07 PM »
A cop comes around a curve in the road and sees a bad accident.
A man and a woman both dead from a car crash. The accident seems to have no explanation but he looks up on the hill and sees a monkey waving his arms at him as if to say something.
The cop says, "hey monkey ... you know what happened?"
monkey: Motioning with his arms drinking a bottle of some kind
cop: "They were drinking?"
monkey: Nods head vigorously
cop: "What else?"
monkey: Mimes smoking a joint
cop: "They were smoking dope?"
monkey: Nods head vigorously
cop: "There must have been more. This is a very strange accident. Monkey! What else?"
monkey: Mimics sexual relations
cop: "They were screwing?"
monkey: Nods very vigorously
cop: "This still doesn't make any sense. Hey monkey! What were you doing to know all this?"
monkey: makes motion as if he were driving and looking behind him
A man reads in the paper of a white gorilla in a zoo far away, and he decides that he has to see it. Because he's afraid of flying, the journey will be a long and arduous one but he simply cannot resist. He sets out on his trip and travels by car to the docks, and catches a boat across a huge ocean. After weeks of sea travel he arrives at the other side and takes a train to the zoo.
When he sees the white gorilla he can't believe his eyes, it's the most beautiful thing he's ever seen. He simply must get a closer look, so he goes to the zoo manager and begs to be allowed into the gorilla's cage.
After much arguing the man finally persuades the manager to let him in to the gorilla's cage, but before he does he tells the man that whatever he does he must not, under any circumstances, touch the white gorilla. The man agrees and is led to the cage.
He tiptoes into the cage and is amazed, the gorilla is even more beautiful close up than it was from a distance. The white gorilla just sits quietly and looks at the man. After a while the man gets use to being so close to the gorilla and it seems so peaceful and calm that he starts to think that there can't be any harm in touching it. He slowly moves closer and closer to it, all the time the white gorilla just looks calmly at him. He reaches out his arm and gently touches the gorilla.
Just as his hand makes contact the gorilla jumps up and starts roaring. The man turns and runs to the exit, getting there just before the gorilla. He leaps through the door and the keepers slam the door just in time.
The gorilla pulls at the door and to the man's horror the bars start to bend. The man runs out of the zoo and to the train station and jumps on the train, which as luck would have it is just leaving. He glances back and can see the gorilla chasing after the train, but not gaining on it. The train arrives at the docks and the man quickly scampers aboard the boat.
The boat leaves and the man thinks he's safe at last. He relaxes and starts to enjoy the leisurely cruise back across the ocean. The day they're due back in port he's walking on deck when he sees a small shape in the water trailing behind the boat. He can't make it out so he borrows a pair of binoculars from someone. He focuses on the small shape and is horrified to discover that it's the white gorilla, swimming behind the boat.
The boat then arrives in port and the man hurries through customs and rushes to his car. He drives off just in time to see the gorilla climbing out of the ocean from his rear view mirror. He drives as fast as he can to his house and runs in locking the door behind him. All the time being followed be the huge white gorilla. The gorilla starts pounding on the door and having seen what it did to the cage at the zoo the man knows it won't take it very long to get in. He runs from room to room trying to think of a place he can hide. He hears the door shatter and dives into a wardrobe and pulls the door closed behind him. Outside the gorilla is going mad trying to find the man, he's ripping things up and tearing out doors. Finally he comes to the wardrobe the man is hiding in and rips the door off. The gorilla sees the man and smiles, reaches out a massive hand and gently touches him and says...
"Tag, you're it".
Just a little hiccup.
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Re: Happy Tell a Joke Day!
Reply #6 on:
August 17, 2009, 05:09:50 PM »
You are traveling in a car at a constant speed. On your left side is a
double decker bus and on your right side is a fire engine traveling at
the same speed as you.
In front of you is a galloping pig which is the same size as your car
and you cannot overtake it. Behind you is a helicopter flying at
ground level. Both the giant pig and the helicopter are also traveling
at the same speed as you.
What must you do to safely get out of this highly dangerous situation?
Get off the children's Merry Go Round, you're hammered.
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Posts: 371
Re: Happy Tell a Joke Day!
Reply #7 on:
August 17, 2009, 05:48:27 PM »
An amphibian goes to a bank to borrow money for a house. The only thing he has for collateral is a kitchy tiki statue. The officer in charge, Ms. Patricia Whack, brings the application to the vice president with her concerns..... no solid income, no real collateral, etc.
The VP looks over the statue and says:
"Its a knick-knack, Patty Whack.
Give the Frog a Loan."
Gaming Trend Staff
Gaming Trend Senior Member
Posts: 71766
La-bibbida-bibba-dum! La-bibbida-bibba-do!
Re: Happy Tell a Joke Day!
Reply #8 on:
September 02, 2009, 02:43:17 PM »
sure, Joke Day 2009 has come and gone, but this was too good to pass up:
Hola, happy hump day! Here's a joke, courtesy of Ensaine.
'Bless me Father, for I have sinned. I have been with a loose girl'.
The priest asks, 'Is that you, little Joey Pagano?'
'Yes, Father, it is.'
'And who was the girl you were with?'
'I can't tell you, Father.. I don't want to ruin her reputation'.
"Well, Joey, I'm sure to find out her name sooner or later so you may as well tell me now. Was it Tina Minetti?'
'I cannot say.'
'Was it Teresa Mazzarelli?'
'I'll never tell.'
'Was it Nina Capelli?'
'I'm sorry, but I cannot name her.'
'Was it Cathy Piriano?'
'My lips are sealed.'
'Was it Rosa DiAngelo, then?'
'Please, Father, I cannot tell you.'
The priest sighs in frustration... 'You're very tight lipped, and I admire that. But you've sinned and have to atone. You cannot be an altar boy now for 4 months. Now you go and behave yourself.'
Joey walks back to his pew, And his friend Franco slides over and whispers, 'What'd you get?'
'Four months vacation and five good leads.'
Because I can,
also because I don't care what you want.
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Monday, January 30, 2012
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