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thinners

err is human.
contribute to error is a vile attitude ...
and take advantage of those mistakes is unforgivable.

Anecdote of office:

few years ago came to see a fat woman, with her husband.
After the usual preliminary talk, I said "I have one hundred and twelve kilos thinner.
That revelation shocked me: she looked fat, but very well made and fresh (it was quite high and graceful.) I did not understand how, after losing such an amount, could be shown as well as healthy, but as her husband does not contradicted, by the way I took it.
When the scale-up and as I have said that I can not convince anyone in a tris-behind the futility of it, start weighing my patients, as is what we are accustomed, when weighed, I said, the faithful marked eighty-five kilos.
- How much has come to regret the time that was more fat? - I asked for an answer terrible. "Eighty-five ... today is the day when I weighed more," he said very loose body.
- How, I say just under one hundred and twelve?
"Yes, true ... but adding the kilos I downloaded each time. The first time I got diet twelve, then I gained, the second nine, but recovered, and so, adding each downturn (sic) and get to the hundred and twelve that I said-(the fearless husband).
I started to laugh, the "joke" struck me as witty ... but it was a joke. It was the first and only time you hear such a confession-this very seriously and with absolute conviction-(Al After was a good way of seeing the glass half full).
Everything was as just one of hundreds of anecdotes that I can count.
This and many others have made me think. I have searched many explanations for this way of acting, I mean more diets dieting as if this were the reason of living for the vast majority of those who, for example, read this blog (you've read some of my arguments about .)
and time, and one, who lives thinking about these things, you are going on new ideas, all based on the blissful "evidence."

In the months of July and August 2007, convalescing a small surgery, and having much time to reflect, I arrived at a conclusion which I found very useful. To provide further evidence of the reasoning I went to this new wonder of the internet and looked at various forums and websites where the focus is on fat, obesity and methods of attack scenarios. The hours I spent reading the different opinions of the participants of each and the authors of each page allowed me to confirm the new hypothesis, and to excuse at first daunting, repetition in attempts carriers so troubling conflict of outs, and changes in strategies, which are taken at first with enthusiasm overwhelming, and abandoned soon after a crushing disappointment (although the results appear to be, or are, stimulants).

And here is the development of this new idea:
There are people who love to go fishing, we call them fishermen, hunters those who prefer to go hunting, brokers to who like the foot races, and those who swim, swimmers , etc. etc.
Why go fishing anglers, often to defy bad weather terrible, if not get very excited when the fishing is good, not too sad when bad? The answer is simple: because they are excited about what the ceremony is just "go fishing", because they know that for five or six hours will be alone with his soul in the vast quiet of the river or the soothing sound of the sea, purging his mind of the problems faced every day by carrying therapeutic navigate the path of "think of nothing", even though they know that nobody believes the old excuse of "I love to eat what I catch." Why
will climb the mountain, if it would be much easier and less tiring and risky to reach the summit by helicopter? Because they love the pleasure that I report the climbing as a sport, feeling full of risks and away from the rest of the world very close contact with nature, the small gains they get to the end of each stage of the ascent of the enormous satisfaction of reaching the summit.
And that could explain why runners, and players, and ...
Extrapolating, then how to call that "going to lose weight" once, and another and another and another?. .. thinning, of course. Are those who set a thousand times and subsistence allowances, knowing in her innermost being that they will return to the top, and the joy of some success will last as little as the sadness of a failure. And the reason for such attitudes, that anyone you do not understand anything about the subject might label as illogical explanations have already seen in the development of the blog: need to remove the guilt of having "gotten it" paying for the effort of being starved for a while, or seeking conform to the other ... and comply with the trite "Yes, I'm fat ... but I'm dieting," or overshadowing the tremendous conflict of fatness to seek, by the method of trial and error, the diet "defeat."

You see, my dear reader, the time is making things increasingly complex.

I ask humbly for forgiveness to those who did not know at the time to understand. Now the question seems to me quite clear.

So what would be the upshot of all this?

Well if you like to go fishing, not fish but nothing to run but do not mean more than getting to the point of departure to hunt even though you know you're going to give away all the pieces you get ...; a diet even though you know that sooner or later will recover what you lost: FORWARD! (Provided they do not hurt yourself with hooks, not wrecking your joints in the race, do not hurt anyone with an erratic shot ... or do not get sick by malalimentarte or intoxicate with the harmful anorectic).

THANKS TO ALL THE READERS OF THIS BLOG, AND YOU ENCOURAGE ME, AND YOU DO NOT AGREE WITH MY OPINION, TO THE MANY WHO WERE MY FRIENDS, AND, ESPECIALLY, TO UNDERSTAND THAT IT IS A THOUSAND TIMES BETTER THAN THE MOST CRUEL TRUTH COMFORTER OF SCAMS.

Y PERDÓN POR SI, QUIZÁ, TAN SOLO HE CONTRIBUIDO A LA CONFUSIÓN GENERAL (JURO QUE NO HA SIDO MI INTENCIÓN).

Dr. Cesáreo Rodríguez

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six

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MITOS EN MEDICINA
(cuántas cosas perdemos de gozar porque la cultura popular dice that are harmful)

6 º MYTH: Can you eat green leafy vegetables and seed-containing foods very small when you have diverticula in the large intestine?

Are you one of the bearers of such a universal disease, it is highly likely that I will reply with a NOOO! Moreover, it is quite possible that several doctors tell me it banned on the grounds that the cellulose of leafy vegetables and the little seeds, for example, tomatoes, can cause inflammation of one or more diverticula (which in medicine called "diverticulitis" -Having the large intestine with diverticula is called diverticulosis "-), which can trigger an event far more serious: the peritonitis.
try to convince you that this is not just another myth.

A small lesson in basic pathology.

The large intestine (colon) is the penultimate of the digestive tube (the latter is the rectum, which ends at the anal opening).
begins in what we call "blind" (portion of which hangs "Appendix") with a diameter of 8 to 9 cm., And ends at the "sigmoid" immediately before the rectum, which has a diameter of between 2 and 3 cm.
Its total length is variable, and is, usual, usually from 90 to 120 cm. (Which is what puts us halfway between herbivores and carnivores strict, remember that humans are not strict herbivores -).
Its wall consists of three layers. The innermost is the one called "mucosa" in her work is carried out absorption, mainly water and salts.
The middle layer is the "muscle" as it consists of very special structure muscles, making movements for which it is designed.
The outermost layer is called "serous" and is part of what we know as "peritoneum." Obviously all this wall
receives blood that delivers nutrients and oxygen needed to stay alive and function. This blood is of arteries (and returns to the heart through veins), which together with nerves, making up an artery, vein and nerves called "neurovascular bundle."
These packets enter the colon through holes that allow you to reach the mucosa.
light of the colon (called the inner space and limiting "the colonic wall) is at a certain pressure (always greater than atmospheric) gas produced by fermentation of food. Pressure, which if normal, fully supports the muscular wall. But when the pressure becomes more permanently, the wall it is a stress that usually can not bear.
So slowly (over years), the pressure continuously increased, it pushes out to the mucus layer (the innermost), through holes that allow entry of "neurovascular bundles, and pushes the serosal (outermost), forming a pouch that hangs from the outer wall of the colon, and it communicates through a hole (which served as entrance to the neurovascular bundle) dilated now. THAT IS A "DIVERTICULUM." (Too bad not learned to draw on these messages. If I had you would understand everything better, but try to cope alone with the words. If there is anything you do not understand, please let me ask and I will explain another form).
In short, this is the pathology of the famous diverticula.

Often diverticula are so many in a small portion of the intestine, the surgeons must operate to remove that portion, and thus avoid the ever present risk of diverticulitis.
And when examining the specimen discovered that within each there are small seeds (tomatoes, grapes, kiwis ...), and cellulose fiber sheets green (that humans can not metabolize, so we have to defecate, but before deleting placed on them. Normally these items out of the diverticulum to be dragged through the mucus that continually makes the mucosa) Hence the error: the target they are the ones that cause painful and dreaded "diverticulitis". Hence the ban on consumption. But they are wrong.

Diverticulitis occurs when the pressure is so great intraintestinal (remember the wall of a diverticulum is composed of only mucosa and serosa) that "inflated" to each of them. This high intraluminal diverticulum in each, crushing the neurovascular bundle, so that the mucosal-serosal wall begins to suffer "ischemia" (lack of oxygen). If the ischemia is prolonged, there is a "stroke" (death of tissue oxygen for serious misconduct), then rupture of the diverticulum, and, therefore, depart interintestinales spaces fecal material in the large intestine, which infect the peritoneum, and the cause of the famous "peritonitis."

So what causes these myocardial ischemia and those are not the little seeds or fibers of cellulose, but the hyper intraluminal colon.
The big question is: What is what produces the high intracolonic? And
answer is very simple: food in the colon produce foam (as we have seen): milk, yoghurt, soft cheese, mandarin oranges, and wheat flour.
Realistically, flour can not be eliminated completely from the diet of each, but if we reduce consumption to a minimum to require "the circumstances" and eliminate from our minds that the world contains milk (which can be replaced by cream, as this contains almost no lactose, milk sugar produced, as it ferments, the happy foam), yogurt and citrus mentioned, I assure you that having diverticula should not be very different from having green eyes. Next delivery

: DOES "empacho" SOMETHING REAL OR FANTASY IS POPULAR?

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Myth Myth Five (Part 2)

blog index for

MEDICAL MYTHS
(every thing we feel we have the habit of seeking an explanation. That's good. But if we err, we condemning the innocent. And as the real culprit is still free, you can still hurting us)

5 º Myth (Part 2): "HYPERTENSION any symptoms? WHAT? (Part II)

in the previous release we said that hypertension has a morbid fear that the pressure rises above certain limits, because if he does, he thinks, could have "an attack pressure, which paralyzed half his body, could leave him crippled for a long time or forever.
That has made that over the years have been awarded to high "warning signs" that "alert" to the wearer that it's not okay, so you need urgent help.
And poor hypertension, warning symptoms that are attributed are legion, but pure fantasy.
The most common of all headache (headache).
It is a mystery to find the origin of this myth.
past, when there were no modern antihypertensive drugs at our disposal, the classification of hypertension, the most serious is called "malignant hypertension", and the name was quite successful, because in those times, which was diagnosed this type, never die after two years of the diagnosis is made.
The bearer of this bad, I used to have a very unpleasant symptoms (would be nice if we wrote "torturous.")

in the previous release we said that the brain controls the pressure in your arteries. But that does not happen during sleep. When one sleeps, slowly, this superb protection wears off, until more or less then an hour after we sleep, the cerebral arteries have the same voltage than the rest of the body. That meant that, in malignant hypertension, his head began to ache. Pain was increasing with the passage of hours, until about the third stabbing became so ill that he awakened the morning. He could find no way to accommodate his head on the pillow ("it is as if it was resting on a log" I remarked thirty years ago), which forced them to rise, and, mysteriously, the pain disappeared without taking any kind of soothing, in less than an hour (is that the voltage regulators intracerebral arteries began to function in wakefulness, making it down).
This symptom, which was actually very rare to find (I remember only five cases in my first years of medical and then came the modern antihypertensive drugs, which are so effective as to have made to eliminate the classification of "malignant hypertension "-).
But as "hypertension headache" was a symptom that lasted centuries today, for those things in the atavistic, any headache in hypertension is attributed to a lack of control over their blood pressure. And there is the poor hypertension who have a headache, died of fear, to take the pressure where we first find someone to measure it (which means "who knows how to measure it.") Surely
find higher than usual, because the patient is frightened and newcomers. The logical deduction based on those erroneous evidence is that hypertension "means a headache." BUT THAT IS WRONG: hypertension can not give headaches because, it is higher, the brain regulates itself, and its artery is always "normal."
There are many causes of headaches. The most common is osteoarthritis, or correction of the cervical spine, and it still is "migraine" but never hypertension is one of them. Another

"premonitory symptoms" are "dizziness (or vertigo, to be precise in the use of common language, and I make this reference because in modern medicine the word" Vertigo "has been replaced by" dizziness type two. "What is one to make, we have to change the nomenclature to which we ourselves believe that" we are moving forward in knowledge. " One day in a conference an "expert" told us that diabetes-that it improves sulfodependiente tablet-taking, which we usually call "Type II" , from now on be called "Type 2", using Arabic numerals . When asked why the change, the "expert" told me that "because the Roman II, could be confused with the once" (sic). - Is there diabetes type 3, 5, 7, 8 or 10? - le I asked. He looked at me with disdain, and went on very loose body. Needless to say, I got up and went home, where I usually find it much More interesting than the dogma.
vertigo (feeling that everything revolves around us, or we who turn), you can have two origins usual.
One is circulatory in severe osteoarthritis of the neck, raising her head, for example to hang the laundry on the clothesline, posterior neck arteries collapse, no longer carry blood and produces an electrical derangement small body of which speak a few lines down, and then that ugly feeling (which ends instantly when you look ahead, because the arteries descolapsan-).
The other, more common, is purely electric. We
in the inner part of both ears, a great gadget that we call "Labyrinth", which helps to ensure the most important of the senses: the sense of balance . Is what gives us the perception of how our body in space (vertical, horizontal, sideways, etc..). If one of these gadgets are sick (for example, take the patient is left), the right will tell our brain that we are upright and facing forward (which is true), while the left-the ill-will tell that are tilted to the left. Such disparate information that our brain will not be computerized, resulting in a sense that the whole tour, or can not walk "rights" (such as drunks, who were upset alcohol his mazes).
Obviously, that was very comfortable doing their usual job, and suddenly it happens, for example, that everything revolves around you (or is it the turning), he feels a huge panic, making a call urgency, the first thing it does is take the pressure. And is high.
In such cases the pressure is high for two reasons: the terror he feels he suddenly and without apparent cause vertigo feels horrible that suggests a cerebral catastrophe imminent, and a physiological reason that makes the pressure rise, by reflex mechanisms, when the brain suffers from vertigo.
MORAL: The pressure does not produce vertigo, or dizziness, or instability of motion, but all of them "up the pressure."

And the last most common "pressure attacks" is the nosebleeds (epistaxis). Seeing blood
leave a place where they should (not injury, for example), produces panic, especially if the bleeding is nasal. All hypertension associated with this phenomenon. I've heard, with astonishment, that many doctors have told patients with epistaxis: "Thank God that He bled from his nose, because if the blood had come from an artery in his brain ... ... ... ... ...
I feel embarrassed for these views. Imagine what goes through the mind of the patient for the rest of the time left to live.
The blood from the nose is because an enlarged vein (varicose veins), which suddenly began to bleed (most of the time is because of what they call Otolaryngologists, elegantly, "rinodactilomanía" which is nothing more than the habit of poking their noses with their fingers.) That
nosebleeds, produces so afraid that if he takes the pressure who are suffering, it will be elevated. Then again the commentary "Misplaced" your nose is bleeding because his blood pressure is high, thank God it was in his nostrils and not ...

In short:
Hypertension "does not give any symptoms," that's why I always say to it is a silent enemy.

So the big question is: How will I know if my blood pressure is high? Well
is very simple: if you are already an adult, check your tire pressure once a year, winter, this is critical, as the cold increases the pressure of everyone, and especially a day pressure air is low (at low atmospheric pressure, blood pressure rises. After three days of being the lower atmosphere, the pressure is normalized, and, conversely, when the atmospheric pressure rises suddenly, low blood pressure, but the third day of high atmospheric pressure, the voltage returns to normal levels), atmospheric pressure is low, he said, and you have rested at least 15 minutes before drinking. If this takes the pressure is below 150/85, no controlled again until next year at a similar day.
If in such action, or more, see a clinician. But no fear: TENÉRSELE NOT AFRAID OF THE PRESSURE, BUT RESPECT (MUCH RESPECT) .

repeat, means the pressure has ceased to be the enemy who was in the past. With new drugs (and yet to come) has become a "lesser evil."
And if it is still higher because of the terror that produces the misinformation (or counter-). Tengámosle lot of respect, but never fear.

in hypertensive Tips for respectful:
Never stop taking the medicine your doctor ordered.
never cease to attend the visit.
never let anyone take the pressure if not your doctor or someone to whom he derived.
always wear hat in winter (70% of body heat is lost through the scalp).
Although they are very sensitive to cold, keep warm as do the people around him (I always tell my patients: "If you have numbed hand, puts the fire and does not hurt ... but you are burning").
never have a home blood pressure monitor is a device that only serves to scare them.
If you have recurrent epistaxis, do not take the pressure every time it happens, and go to an otolaryngologist for them to solve the problem.
If you get headaches frequently, attend the clinician to investigate why it hurts. But never do take the pressure, which is the most intolerable pain, because if the pressure is high nothing will happen, but if you know will be filled with anguish for free, which will worsen the picture of suffering.
If you have dizziness or vertigo, or unsteadiness of walking, see your clinician so that if he can not solve the problem, referral to a neurologist. And in those cases not taken the pressure in a crisis. If you already know it has to be augmented Why torture yourself with the numbers?
And again: even if you feel extremely well, get to take the pressure for doctor at least once a year.

Next delivery: we'll see (so much to demystify ...).

How To Write A Confidentiality Clause

Myth Five (Part 1)

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MYTHS IN MEDICINE
(often popular belief does more harm than the most profound ignorance)

5 º MYTH (Part 1): "HYPERTENSION any symptoms? WHAT? (Part One)

Hypertension is the second condition Chronic health of all medicine (the first is the disruption caused as a result of poor diet).
And in hypertension where popular belief has had more influence with their myths (obviously influenced against).

Do you have a headache?: Has high pressure. Does
dizziness?: Their hypertension is uncontrolled.
Are you bleeding from his nose? (On why the doctors call "epistaxis"): the pressure must be through the roof.
And so a number of symptoms are those that "warn" hypertensives "things are not right."

Then suddenly begins to feel headache or dizziness, or start, for no apparent reason, bleeding from his nose (or feel anything unusual, things that are so numerous that it would be boring list), runs to the pharmacy or the nurse in the corner, or call the medical emergency ward (if he did not commit the folly have a home blood pressure). We take (or take) the pressure, and is indeed high, as assumed.
Then come the tips of the "people who know", "Take another tablet Ya! - Or" Rest and eat without salt, "or" Go running to consult your doctor. O
emergency physicians who have not even seen a instead, they put under the tongue an anxiolytic (before was worse, because they had the habit of putting there the contents of a capsule of nifedipine -10 mg, which was much, much more damaging than having high blood pressure). Given an injection of a diuretic (usually one called furosemide), are left with the "patient" two or three quarters of an hour, checking that the pressure has fallen, and leave as campers.

All these actions to increase the pressure seems logical and normal. But not for nothing.
The fundamental question is why patients with hypertension are terrified that way when their blood pressure rise unexpectedly? And the answer is what everyone expects: because they fear the consequences of having a "ATTACK OF PRESSURE" . Who does not know anyone who has suffered? Have remained hemiplegic, that means that half his body has lost a greater or lesser extent, mobility, and in half the cases where this has happened on the side of his right hand, usually can no longer speaking, because the brain center where he coordinates the complex process of issuing the word is in the same hemisphere that coordinates skilled movements of the hand (and leg on same side). Come on: the right-handed right hand, which are the majority, when the hemiplegia is on the right side, and backward on the right-left members.

Imagine an "attack" of that type.
John is having lunch while talking animatedly with his wife. In a moment he began to feel strange: you have trouble holding the knife in his hand, because the force is lost in her second to second, at the same time note that the corner of his mouth is tipping, what difficult to deliver voice, difficulty also worsens rapidly, note that each time makes it more difficult to establish the right things but in his brain to think properly, or baste the phrases in his brain feels well basted. Begins to feel a terrible panic, and so instinctively tries to stand, but as the leg on the same side also lost the forces (which is not noticed when sitting), collapses.
Now who is in a panic is your wife. Kneels down, lying flat on the floor and starts to question what is happening desperate. But he does not respond, first because it is clouded, and second because he can not utter words.
She runs off to seek help, and when it arrives, the first thing you do is take your blood pressure. As expected, is very high, say by way of example that has 260 mm of mercury systolic ("maximum pressure" as the call usually) and 165 mm in diastolic blood pressure (or "minimal" as we call it almost always). Clarification: doctors and nurses have the habit of branding the blood pressure in millimeters of mercury, other people do it in inches of mercury (in centimeters and communicate them to our patients their pressure to speak the same language), by As for all the world John has, after the "attack", 26 / 16.5. "The consequence of all this?:
John has suffered" an attack of pressure. "

But it is false, what John has suffered a stroke. (The more often a transient ischemia-needed blood in an area of \u200b\u200ba cerebral hemisphere, which produces "neuronal suffering" - or a heart attack, permanent absence of blood in the same area, which triggers the death of the millions of neurons that make up that portion of the brain that handles the movement of the upper and lower half away, and the speech center, if the opposite half is half right hand, as we saw above-).
But perhaps John was not hypertensive, or if it was, their blood pressure levels were always bounded because it was a good patient, taking medications faithfully, and she attended each visit with your doctor without miss any.

What happened then?
The brain is the organ care of the whole economy, and is the most readily reveals any failure in that care.
Like the rest of the body is nourished and oxygenated blood. Blood runs through your arteries at a given pressure. But as is the body that commands everyone else, has been given a grace that others do not: You can adjust the pressure of his own arteries. For a very complex mechanism, regardless of pressure from the rest of the body is high, he always keeps the tension in your arteries to the level it should be (almost all lower general blood pressure).

Suppose two neighboring areas of brain, and call them and A B . Each has an artery that irrigate it. sector say that it supplies to 1 artery, and the industry B 2 artery. As a precaution, the artery 1 out very small arterioles that lead to the sector B, and artery 2 arterioles ranging A sector (in addition, each sector receives arteries arterioles, say, 3, 4, 5 ... but not so cumbersome to explain, let's stay only with the 1 and 2 ).
There is a universal disease which known as "atherosclerosis" .
That word comes from the Greek athéeree: means porridge and other Greek word, Skléeroosis, which means hardening .
artery consists of three layers, each called "coat" the inside (or close), the mean (which is muscle) and external. Atherosclerosis is the formation of deposits or yellowish plaques in the intima and the innermost portion of the tunica media, cholesterol and other substances that over the years calcifying go. In this plate is called atheroma . This occurs in the arteries of large and medium caliber.
Most of the time, these plates are slowly closing the lumen of the artery, until in a moment, the surface roughness of each atheroma results in the formation of a small blood clot that completely blocked. There occurs a type of "stroke", called "thrombosis" (word derived also from the Greek thrombo , meaning clot).
By going slowly closing, say, the artery No. 1 the 2 through their side is going to send blood to that neurons in the area A are not deprived of nutrients and, most importantly, oxygen. But the moment that the thrombus plugs total and instantly the main artery of the area (the No. 1 ), the area A is without sufficient oxygen, and the neurons that comprise begin to suffer the lack of vital element, so get to work getting worse, until in two or three minutes they do not. That's what happened to John while having lunch with his wife. The brain then sends messages to the blood pressure to rise with the double purpose of "pop" the blockage, and significantly, increase the flow of emergency through the collateral artery from 2.
In short, to end this nonsense, stroke is the one that pushes up the pressure, not high pressure that produces a stroke. (Although we must recognize that chronic high blood pressure and ill-treated or untreated, "is a precursor, in addition to the nutritional derangements of the highly dangerous" atheroma ").

Another type of stroke, thankfully less common, which we call "stroke" ( the Greek, "in" + bóllein "throw" ), and we define saying it is the sudden occlusion of an artery by a clot or some other foreign substance (eg, a piece of atheroma that emerges from a plate), and pushed through the blood moves through arteries , which become increasingly smaller as they move away from the heart to the periphery, until they find one with a diameter less than the piston and the jammed, preventing the movement thereafter. In these cases the problem is more serious because the affected brain area was not prepared, as in thrombosis, with "extra blood" coming from the neighboring artery through collaterals. Therefore, in the stroke is much more common in death of neurons that simply "suffering."
That is the reason why the victims of thrombosis can do better (sometimes 100%), than those of stroke, that is usually left with hemiplegia for the rest of his days.

The million dollar question is should we lower the pressure to the victim of a stroke?. My opinion is NO . He who has high blood pressure for several hours should not do any harm (the economy supports it without problems), and if he has suffered a thrombosis (much more common than stroke), neurons "suffer" but not "die."

I thought, imagining demystify the fact that hypertension has no symptoms, that things would be simpler. I'm used to explain this to my patients with words and pictures, but I've become much more difficult than imagined. So, we will continue the theme in the next issue, as there is still a lot of talking. Thirty


second installment: "Da HYPERTENSION SYMPTOMS? WHAT?" (Part II)

Hells Kitchen Usa, Is It Staged

blog index for

MEDICAL MYTHS
(never blindly believe everything you read or everything you hear ... even in what is noted in this blog)

4 º MYTH: IN TIME TO TAKE OR ANTIULCER ANTIGASTRÍTICOS

Here we will have to give a brief description of the operation elemental stomach.

We said that the stomach is the second portion of the 'digestive tracts. " That is after the esophagus and is the widest of all tube. That he performs an important function namely, the food we eat is mixed there, for different periods depending on the quality of them, with a highly acidic humor to the same stomach makes, and that is called gastric juice. " With all that, after the time variable, it forms a slurry called chyme, which later passes more or less speed, according to which the chyme fat you have, the small intestine for absorption (digestion). That
as acid humor made him special cells that are in almost the entire inner surface of the stomach. But everything is so well thought out, that potent acid that does not attack the very wall that develops, the same wall produces a mucus lining that completely and that is resistant to the powerful corrosive agent. If the protective mucus is altered in some way (in quality or quantity), gastric juice attacks his own "factory" so that occur from small to large swells (that is gastritis), or directly destruction of the elements that form the wall (these are the ulcers), which is involved a bacterium called Helicobacter Pylori, which, according to recent studies and evidence, is the producer of them. Such bacteria must be destroyed with antibiotics and a strong decrease in gastric acidity (if thirty years ago someone had predicted that sometime gastric ulcers would be "cured with antibiotics," had gone to a psychiatric institute.)
has always known the pain or "heartburn" (burning, acid-derived word Piro = fire-), is fought by eating any food, especially dairy products, which absorb much of gastric deljugo
- especially dairy products, that being "alkaline (the opposite of acid) inhibit the
more quickly, the problem is alleviated.

For many decades, pharmacologists have studied substances to avoid these symptoms (or that were already removed when installed.)
They discovered that the calcium or magnesium hydroxide, prepared in convenient pill form could be carried in pockets or purses, rapidly inhibited the action of such corrosive acid. Later they added aluminum hydroxide, which is unique in almost replace the "protective mucus." (Formerly used baking soda, which, being alkaline nullified the action of acid gastric juice. But after it was discovered that the stomach obstinately tried to keep the acid when the bicarbonate inhibited, and compensated redoubling acid production, it outlawed. The same is happening now with the milk, which also be alkaline, though much less than soda, and produces the same reaction gastric him).

the late seventies, there is a revolution: a drug appears, the simetidina , which decreases the production of hydrochloric acid (the main component of "gastric juice"). A few years later, trying to eliminate the side effects of the drug, ranitidine establishing (still used). At the end of the eighties came to light so-called "pump inhibitors protons ", chemical products, acting molecularly prevent the correct formation of hydrochloric acid. The first was the omeprazole, followed by other "Prazoles" , all members of the same pharmaceutical family, trying to diminish, more and more side effects (as does the science of pharmacology).
Laboratories submitted to us, and we began to prescribe them. And it is here comes the reason for this talk: How to prescribe?
When each visitor received a doctor who introduced me to his "new and wonderful prazol, they listened to the patient debía consumirlos a la mañana y en ayunas.
-¡¿Cómo en ayunas y a la mañana, están locos?!- les protestaba (Si habré discutido con ellos…).
Paso a explicarle el porqué de mi acalorada cuestión.
Supongamos que un padeciente de gastritis toma, por ejemplo, un comprimido de pantoprazol de 20 miligramos (es la dosis usual) a las siete de la mañana (es la hora en la que uno suele estar en ayunas). El organismo, lentamente, lo va metabolizando y eliminando, de tal suerte que cuando llegan las 23:00 hs. y se va a dormir, en su cuerpo no quedan más que 5 o 6 miligramos.
La comida, cualquiera, produce un efecto antiácido al absorber gran parte This gastric juice to begin the first major step of digestion, as discussed above. Obviously the antacid effect is more or less long according to the quality of food or drink is consumed. That I know well who have or have had gastritis or ulcers, when they start the annoying symptoms (pain, burning ...), a snack or a drink of something are "miracle cure" for a while (the symptoms go away instantly).
Then at night, while we are sleeping, our stomach is empty for seven or eight hours, during that time there is nothing to mitigate the corrosive action of gastric juice so. Pantoprazole has that action, but at that time there is so little circulating in our economy, which, practically, the effect of any cause is negligible.
For all this: THE PRAZOLES BE TAKEN A WHILE BEFORE GOING TO SLEEP.
If anyone reading this is taking, or know someone who uses these drugs, rather than in the morning Take them before going to bed. In three or four days notice the huge difference in treatment outcome. Thirty

first delivery: "DA HYPERTENSION SYMPTOMS? WHAT?"

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MYTHS IN MEDICINE
(no sick more intractable than just "think" that is)

3 º MYTH: ATTACKS OF LIVER

Who has not had on several occasions a "liver attack?
But when the question refers to a detail, is that only some have been something related to hepatobiliary complex: a biliary colic (in some people, stones form-small solid-concretions within the gallbladder. In a determined time one of these computations is beyond the organ in question, and gets into the "common bile duct, which is the small tube that carries bile to the large digestive tracts. This foreign body within such a small canal, makes its walls to contract, is espasmodicen-producing an almost unbearable pain), colic, we said, but that is not "an attack of liver." What they have suffered a setback is nothing that has given the gallbladder. To say that a biliary colic is a liver attack, is like saying that cystitis is an attack of kidney. The gallbladder, unlike the bladder, is "glued" to the liver, but physiologically are equally distant from two, the bladder serves to store the urine and urination urination, gallbladder to store bile between digestion and digestion.

One, last night, has eaten fried eggs, and this morning has risen to "annoying pain in the liver, nausea, vomiting and headache. Those around diagnoses with the greatest of certainties, "This is a liver attack" (it is very sure that you ever felt or diagnosed, or worse, a doctor made the diagnosis). But they are all wrong.

Here are the causes of error, and perdonémoslos, what do no evil.
Let's talk about basic hepatobiliary physiology.
Bile is a liquid (humor) digestive wonderful, and cholesterol is the fundamental component. All that the small intestines absorb (that's "digestion") must be soluble in water. Fats could not be digested if there were no bile (Come on, that without bile, neither would we). She, containing soap, makes fat soluble in water intake (like the soap we use for the toilet). That makes them absorbable soluble, digestible I mean.
The egg, to continue the example started this speech So, it is "Colagogo" meaning which requires that you provide a lot of gallbladder bile, so it can be assimilated to the maximum. But here comes
culture. It is quite usual that those who do eat fried eggs accompanied by a lot of bread (for sopar in just coagulated yolk-rich are not rich many more things than that-).
And when you eat fats and starches, is demanding the most of your digestive capacity (one might say, without trying to exaggerate the speculation, which is "abusing it.")
Eating too much fat (fried egg has many), the gallbladder does provide a lot of bile, which along with much starch makes a mess. Because the starch never fully digested, so the surplus reaches the large intestine before being eliminated. But it happens that the intestine is full of bacteria (do not panic, they are friends, and to provide us with the essential vitamin K, among other things), full of bacteria, he said, for which the starch is the tastiest of desserts. Then I "eat" as we call it fermentation, and the fermentation (like all fermentation) produces gases. And it also happens that the excess bile reaches the colon, and, remember, the bile has soaps. And you know what happens when we join diluted soapy water and gases. Yes, sir: there is foam, and foam formed by bubbles very small (like beer foam), literally "inflated" the large intestine, which occurs at the first "symptom of morning-after": abdominal distention.
The colon is divided into four sections: the "up" (the first portion, starts a little above the right groin, it is colgadito "Appendix" - and rises to the height of the liver). There is folded into a very acute angle (in homage to its famous neighbor, is called "hepatic flexure), and begins the second leg" of the transverse colon. " This is a lot shorter, and goes more or less horizontally to the left. There, at the height of the spleen, is another angle, this time, due to the proximity of that body, is called "splenic" (Greek splen , in Castilian is translated as "spleen") and almost is never as sharp as the liver. There starts the penultimate section, "the bottom", which ends in the fourth, the "sigmoid", so called because its path is very similar to the Greek S called sigma ("oid" is a suffix that means: like ...).
entire colon is surrounded by nerve ganglia that coordinate perfectly their movements, which are called peristalsis, which have the function of transporting your content from the beginning of the first leg to finish fourth, then have to be evacuated.
But when the colon is filled with a tight foam (as we talked about above), the matter becomes more complicated, because the foam is plastic, then advance when a section of intestine pushes toward the end, but back when that portion is relaxed and all the work starts again. And this constant struggle causes pain, pain that becomes more apparent where more foam to accumulate: in the hepatic flexure (the foam is lighter than water so it meets at that angle, which is the highest part of the colon) And here is the second "sign of the morning-after" THE PAIN TO THE HEIGHT OF THE LIVER, everyone graciously attributes this to the noble viscera (poor liver).

Many people suffer from recurrent headaches (headaches), which usually follows, apart from intolerance to light and noise, nausea and vomiting (which in medicine is called "migraine"), which in the vast majority of those who suffer due to intolerance to ferment starch. So here are presented the third and fourth "symptoms morning after "headache, and nausea and vomiting.

With all this we fully installed "liver attack" , and I hope I convinced that the poor liver HAVE NOT HAD NOTHING TO DO IN THIS MATTER.

(I know the topic is too difficult to explain without drawings through, so I apologize if I have not found a simpler way to do it).

comes in. Then the "remedy for liver attacks" drops or tablets antispasmodic compounds (usually "hyoscine" or "propinox" ...) and analgesics (almost always "dipyrone" "Clonixinate lysine" or "paracetamol" ...).
And you take a composite of these, and soon after symptoms disappear.
The reasoning seems logical to infer, "I had those symptoms, I took a" remedy for the liver "and the symptoms disappeared. Then I had a liver attack from eating fried eggs last night.
And everything returns to be wrong, wrong.

Antispasmodics decrease (and may even stop) the movement of smooth muscles that form the fundamental part of all digestive tracts, so that the bowel ceases to fight, and obviously hurting, and the stomach to cause nausea or vomiting.
Analgesics relieve pain, headache, and pain that may be small in the hepatic flexure of the colon.
But it happens that the liver does not have smooth muscles, because the liver is a gland SOLID.

Abdominal pain can be a very important symptoms, vital. We can not trivializing diagnosed, very loose body - liver is an attack!

My family consists of five members: my three children, now have 35, 32 and 31 years (the last two are married and live in yours) my wife and me. And I swear that in all these years, none of the five said, ever, "my tummy hurts." Moreover, in this house has never entered an analgesic-antispasmodic. No way, no shape or form, never part of our home kit. The reason is simple: do not eat this meal, except on rare occasions, here do not drink milk or yogurt, and orange fruit has never been a usual in our practice (because you know that milk, yogurt and orange fill the gut of a foam like wheat flour and produce the famous and annoying bloating and cramps).

PARADOX: most Sometimes the liver is ill, the patients who consult us almost never suspect that the patient is the liver.

And with that ends the myth of the attacks the liver (Will it end the myth?). Thirty

delivery: "TAKE THAT TIME OR ANTIULCER ANTIGASTRÍTICOS"

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blog index for

MEDICAL MYTHS
(every thing the time and place, is what makes the world go)

2 º MYTH: IN WHAT TIME TO TAKE inflammatory, analgesic and fever?

This is a rather complex subject (simple, yet complex, a paradox-)
Let's talk about basic gastric physiology.
digestive tubes are composed of the esophagus, stomach, duodenum, small intestine (jejunum and ileum), large intestine (colon), sigmoid colon and rectum.
The stomach is next to the esophagus, is the first portion completely intraabdominal tube (the esophagus passes mostly through the thorax). Is an enlargement of the tubes, the largest in terms of diameters. And it has, en su última porción, una válvula, que se denomina píloro , que se cierra herméticamente en el momento de la digestión, para transformarlo en un saco en donde los alimentos consumidos se pondrán en contacto con el “jugo gástrico” (líquido extremadamente ácido que produce el mismo estómago), durante mucho tiempo, a fin de desnaturalizarlos y transformarlos en absorbibles (esa absorción se hará en los intestinos delgados), para, así, hacerlos digeribles, con lo que cumplirán su función de nutrientes.
Todo lo que comemos, gracias a esa fundamental función gástrica se transforma en “quimo” (masa semilíquida, homogénea creamy or pasty). After the formation of chyme, the pylorus was open, just, to pass a small portion of that mass with the object of special cells in the duodenum to analyze. If the chemo is too much fat, the pylorus will open very soon, so that everyone leaves the stomach slowly and to give time to the gallbladder bile to send necessary to make all water soluble fats (no crosses bowel wall if it is not soluble in water-soluble-). If the chemo has little or no fat, the opening is made very quickly and completely.
I think everything is expressed simply and thoroughly (no more to say).

Now comes the problem.
Everybody "knows" that anti-inflammatory drugs, analgesics and / or fever reducers, be taken with "a full stomach." Moreover, the prospects of these medications, usually goes like this. BUT IT IS INCORRECT, IT IS A MYTH.
Here's why:
All these types of drugs are gastro (stomach hurt to produce gastritis, ulcers and sometimes very serious). Those who have "all the awards" are piroxicam and aspirin . But everyone else is guilty to a greater or lesser extent.
But many are very effective.
-A calms me a lot, but "I destroy my stomach." What do I do?
"It's very simple, take an empty stomach, accompanied by a full glass of water just before meals.
This simple tip works wonders.
Here's how.
When the stomach is empty, the bottom valve (pylorus) is open, so that what we drink, saliva, gastric juice and the same will not accumulate on it.
If you then take one tablet anti-inflammatory, along with a full glass of water, will not give time to the pylorus to close, so water pill and continue to the small intestine.
There will be absorbed and diluted in five liters of blood, so that when the blood to flow to nourish the stomach wall, the drug concentration is so small that you can not do much damage.
But if we take a full stomach as the valve is closed, the drug will be absorbed by the stomach wall, thereby injure the mucous layer that protects it from its own acidity, and there will be "damage ".
At the moment the anti-inflammatory, antirheumatic, that we use are diclofenac, nimesulide and meloxicam (there are others, but they are not commonly used.) All are gastro, but when taken in recommended doses, WITH EMPTY STOMACH, AND PERSONS WITH A FULL GLASS OF WATER, and, better, if you eat back, I assure you that their tolerance is increased tenfold. Try and tell me the results. Moreover, if aspirin upsets your stomach makes, but you must take it because his cardiologist or neurologist, or your clinician has recommended it, do so from morning fasting, dissolved, and accompanied by a full glass of liquid, and I referring to the common aspirin, not those who "come coated with enteric coating, which are much more expensive and whose gastro I am suspicious.
Then we talked.


Next delivery: (this time) "THE ATTACKS OF LIVER"

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MEDICAL MYTHS

(As a child, medical and crazy, we all have some)

That last statement is a genius, and a universal genius, because there is no one who can be definitely against.
But I'm sure of "doctor" is what we all need a little more.
Who does not think about the problem health tells his interlocutor? (Even up when the speaker is a doctor).
Who does not advise anyone suffering from something, do something that he has done well when he suffered from something similar?
Who ever has not tried to dissuade a patient not to take what the doctor ordered, because he, or someone you know, the same medication you have done wrong?

Medicine is as old as the human race.
In 99.9% of the time, "from day one" was empirical. In 0.01% of the time, in recent centuries, it was scientific (but still we could not get us empiricism of the head. So one might ask, by the way a mea culpa , what doctor does not act, even once a day, empirically?

All this might seem to nice, if it was not a lot of our opinions are wrong because they often use reasoning based on our "experience" rather than science, and when I do not discount the experience of pre-medical life (is that doctors are human, and, after all, having studied to learn to think like doctors, gives us the license ...).

Empiricism centuries has created a host myths, many of whom have been banished (now, for example, women can bathe, and even in the pool while they are menstruating, which was practically a suicide until no more than a few decades).
But many other myths are still alive and kicking, and still held by the same doctors (including specialists in the topics covered by the myth that produces excess fat calories is a good example, we have seen -).

For all this, from today, we try to think scientifically to eradicate most they can from the myths that still persist. I beg the readers of the blog that when a statement on issues they seem dubious medical (or mythical) communicate to me. So try to make more abundant this demystification. And I ask my colleagues for their collaboration.
not going to create a "new medicine", but it is sure going to help many people. At that believes in the myths at face value (eg the "embarrassment" and such nonsense).

1 º MYTH: "DRY HEAT IS GOOD FOR RHEUMATISM, moist heat is bad."

Maybe this is one of the oldest myths.
Since time immemorial humans observed that moisture in the days of their diseased joints were more painful than on dry days. And indeed it does. So much so that the old recommendation to heat-treat these joints more painful than usual, is on condition that the source of that heat is dry:
-Bag with hot sand, or a hair dryer, advises the doctor.
- And the hot water bottle?
- NOOO! that is moist heat.
"But my bag is not punctured. Is new and still sealed.
"But is full of water, and do you know anything wetter than water?
"Well, but ... Can I leave a few days to get me in the hot springs?
- That would be nice ...!
This conversation, much like a "crazy talk", takes place thousands of times per day for patients with joint diseases and their doctors, and many who are reading this, or some of their relatives, have been taken into like terms.
To explain the origin of the absurd (a clear example of what a "erroneous interpretation of the evidence" ).

As we said at the beginning, from the beginning of time men found that on wet days her joint pain became more intense (or hurt their old fractures, or old wounds, surgical or not). Moreover, many people came (and they arrive) to serve as a weather forecast:
's going to rain, is hurting a lot of the bunion ... (And most likely is that accompanies the worsening rain prescient).
And all will see, makes sense.
In the Southern Hemisphere, when wind is north, and in the Northern Hemisphere, when wind is south, as the wind is warm, the air pressure falls rapidly. And along with it increases the relative humidity, because these winds, warmer than they are wet.
What we perceive immediately is moisture. Our economy lacks receptors barometric (atmospheric pressure), unless one has a diseased joint, or an old fracture, or ...
Except in the thorax and abdomen, the rest of our anatomy has the same atmospheric pressure. When there is a sudden drop it, there is an expansion of our fabrics to match the new ambient pressure (which is to take two to three days), and it is this sudden expansion that produced the aggravation of the pain, and NO MOISTURE THAT, GENERALLY, accompanied the pressure drops.

Heat is good in itself because it is muscle relaxant (muscle relaxant). In the rheumatism of the spine, 90% of the component "pain" is due to muscle contracture that occurs to prevent the move, or the affected joints. The good thing is the heat, period. No matter the source of it (the end of the day we are surrounded by a layer of skin completely waterproof right?).

"What kills is the humidity ..." , is a popular voice in the land River Plate. And as the Argentinians speak in eight syllable, up is more poetic to say
"What kills is the sudden drop in atmospheric pressure ..." (definitely that last comment is not smart for us: a nonodecasílabo is counter). But after all: not elegant, but it is true. Next

demystification: "ATTACK OF LIVER"

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latter hypothesis

CHOOSING A GOOD METHOD TO LOSE WEIGHT.

(This is the ninth chapter of my fourth book: "POOR FAT ...!")

When I re-read a few weeks ago, I decided that the last hypothesis should be it. It is a very convenient summary of everything we've talked since that September 17th of the year just ended. But I remember the blog not end here. Taking advantage of this wonderful opportunity that the Internet gives me, I would like us to talk about "medical myths" . Next time we started.

To lose weight, to everything in life,
Let's do it right, or do nothing.

Further back I've said that thinning, including the perpetuation of this state, must be the result of a change in eating habits, never that of a therapeutic rationale.
is very likely that at this time, or a longer, are you eating under certain rules imposed, probably by a professional or a fashion book that you purchased for that purpose (God wills it so read on this blog).
there or will there be a change in their habits, but how do you know if that change is or will be correct?
Physicians, to each disease act in a more or less stereotyped. Both here and in Turkey it comes to heart failure or hypertension, gastritis or rheumatoid arthritis, say some, with the same drugs and same dietary and hygiene advice. Conferences and publications aim to end the improvement or modification of these stereotypes.
This is to better explain what further back you said the cause of the lack of a uniform and universal treatment for obesity is that NOT A DISEASE.
I think now is the time of a must: put your mind what to me is the Decalogue a right method to lose weight, to judge whether what they are doing to (Or will do) is the right thing ...
Or to contribute to the general confusion (at the end of the one is not less than the other).

So let me introduce myself

DECALOGUE PROPER METHODS FOR WEIGHT LOSS

1 - "must be universal"

This is a very important item (although you will see that none of the other nine has waste).
must serve for all, regardless of who decide to undergo it is young or old, healthy or sick from disease. Athlete or a sedentary lifestyle, and whether or not women who are pregnant or breastfeeding.
Let: DO NOT HAVE ANY CONTRAINDICATIONS. Those who have contraindications are drugs (or food, when used at doses of medication), and as the fat is NOT a disease, you can not offer the big thing that is likely to be medication (contraindications, say).


2 - "varied BE IN THE QUALITY OF FOOD AND ITS METHOD OF PREPARATION, AND ALMOST NO LIMITS on allowable amounts"

actually slimming method that is based only on food, and which has the ambitious goal "to be the last" definitely should not ban anything that is edible or drinkable and amounts will be sufficiently plentiful, and infrequently regulated food intake, so that everyone can satisfy their hunger (or your appetite) at the time it is. Because if we do not restrict the amounts set schedule but is also "prescribe", and doctors prescribe to treat diseases and THE FAT IS NOT A DISEASE. (You will see from reading this sentence, will gradually convincing).

3 - "MUST RESPECT EACH culinary customs"

This is fundamental. If one intended to be universal is to serve all, say truism. That's "Habit" is fine, but that no change occurs to you ABSOLUTELY ALL customs which have sent their ancestors. That a Jew can eat as they eat the Jews and Romans as a Roman. Fool who claims that an American and an Argentine coma ... and an Argentine like a bird.

4 - "NOTHING TO BE REQUIRED TO ALLOW"

Something unpleasant is fine if it's something temporary (sour, bitter syrup to relieve cough, for example), but if one seeks a dietary reeducation can not bind his counterpart to consume what may be to him worse than a sour and bitter syrup, and over forever. That could be used, and in practice is the perfect excuse in most cases, to leave everything. And even the most tyrannical of doctors must admit: "You're right ...

5 -" WILL BE AVAILABLE TO ALL BUDGET "

This is critical, especially during times we are experiencing (Author's note: the book from which this chapter is taken to add the blog was written in 1992). Many times I've laughed, with apologies for the rudeness and treatments that require a very high economic status in order to be carried out. always remember "The Champagne diet ", explaining in a weekly magazine some years ago, and that was saying panegyrize which was a famous American movie star (I honestly do not remember who). Poor silly tricksters!, Or Poor deluded deceivers!, You choose what best suits you.

6 - "THE BALANCE OF NUTRIENTS TO BE MADE BY THE SAME AGENCY"

This is a very special. We are equipped
animals to survive a wonderful computer. Our agency is responsible for almost magical to incorporate or reject foods that do or do not make us lack. Including, remember, the incorporation more carbohydrate than those required for daily subsistence, will be converted into fat in reserve for possible lean times due to a physiological mechanism and normal (which deny fat people, and they understand). But humans, by a physiological inability of the species, we can not keep reserves of proteins and fats we eat, for possible future periods of deprivation.
If anyone believes and asserts that eating lots of fats and proteins, humans can save them for when missing, please let me explain the intimate mechanism of this hoarding. Infinitely grateful (and blog readers, of course) this co ..

7 - "should allow, with some frequency, errors and transgressions"

No one is free of "sin" of the temptations and social commitment "unavoidable", where everything is provided for eating and drinking is holy it should.
A good way to lose weight and keep it off permanently, you can delete the enjoyment, but never the pleasure that holds the food. No one is fat because he ate a lot of fresh bread in the Christmas of 98. There is not even fat that is because on holiday "ate everything." Remember that, please, has been EVERYDAY AS POSSIBLE and not what has gotten fat.

8 - Promote a SLIMMING SLOW "

feel that this is not going to like anything but what you can do.
A slow weight loss is essential to allow adaptation to a new physical structure, a new body shape, thus avoiding an abrupt change in personality, as we saw, is unbearable, and the leading cause one of the bounce, oddly enough.

9 - "ALLOW GET EVERY BODY, NATURAL AND PHYSIOLOGICAL MEASURES YOUR BEST

This will be put off to the dangerous supplied "weights and heights, which should be banished by completely unscientific, and we've talked enough in the Tenth delivery (Ninth Hypothesis), although, I correct myself: it is never enough.

10 - "BE PREDISPOSE perpetuate ACHIEVEMENTS"

You already know this, but it should be remembered whenever possible, that another of the main reasons for the failures is the "targeting error" that fat people are: They do not want to lose weight , but never to fatten after thinning.
The end of a good nutritional approach is to make "eating well" is a habit.


If what you are doing is consistent with all items of the Decalogue, go ahead, everything will be fine if you have patience . And if you think it has no need, do not worry, creársela must be the work of the good doctor who is consulting or queried. Be confident.

If different from everyone, but with most, there is always a chance that everything goes as you expect.

If you do not agree with almost none, I suggest you abandon the attempt (even if you think you're getting great results) and wait for the chance to find a new path.

better times now.

Below I have listed prominently, the Decalogue.
Print it, frame it and hang it in the most visible of his home.


DECALOGUE CORRECT WEIGHT LOSS METHOD

1. Should be universal.

2. BE varied.

3. MUST respect their customs.

4. NOTHING WILL BE REQUIRED.

5. BE ACCESSIBLE TO ALL POCKET.

6. FAIL TO WHOM IT IS YOUR BODY BALANCE OF NUTRIENTS it deems necessary.

7. ALLOW errors and transgressions.

8. Promote a SLIMMING SLOW.

9. NATURALY GET AUTOMATICALLY ALLOW THE BODY THAT THE GENES AND THE LIFE YOU HAVE PREDESTINATED.

10. ACHIEVEMENTS perpetuate biased.

Next: "Myths in medicine"

HAPPY NEW YEAR TO ALL!