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Do You Know the Top Foods for Healthy Joints?

Do You Know the Top Foods for Healthy Joints?

Keeping our joints healthy is one of the most important things we can do to remain independent and active as we age. Life can become quite challenging for individuals who are immobilized by joint pain, since it can result in reduced physical and social activity as well as a higher risk of psychological and emotional problems.

When it comes to joint health, exercise is very important, but what you EAT also plays a significant part. Here are some of our favorite joint-friendly foods:

Water — Perhaps the single-most important “food” is water. This liquid is essential for maintaining every system within the body. Water helps in the elimination of toxins, including those poisons that can create joint pain. Water also helps in the delivery of nutrients to the various parts of the body and—like the oil in your car—is essential for joint lubrication. Drink plenty of water every day!

Fish — Cold water fish, such as salmon, mackerel, sardines, white tuna, halibut and trout can deliver healthy doses of omega-3 from the fish oil in each serving. Omega-3 fatty acid is known to reduce inflammation that can cause or increase joint pain. Fish oil can also slow down cartilage degeneration. Cartilage is the rubbery substance between bones that allows for smooth movement. When this wears out, movement becomes extremely painful.

Dairy products — In addition to contributing to bone health, dairy products (and particularly low-fat ones) such as cottage cheese, yogurt and milk can also help eliminate painful gout symptoms.

Flax Seeds — Flax is another source of omega-3 and omega-6 fatty acids for great joint health. Flax seeds and flax seed oil are high in antioxidants, which help to prevent or delay some effects of aging. Flax also contains lots of fiber, which can help you feel fuller for a longer time, reducing the likelihood of snacking. Frequent snacking can lead to obesity—a condition frequently associated with joint pain.

Spices —Curry, ginger and cinnamon also have anti-inflammatory properties that can help your joints. Turmeric has been shown to be particularly effective in reducing the symptoms of osteoarthritis. With these spices in the mix, a joint-friendly diet certainly doesn’t have to taste bad or be bland.

Papaya —The Annals of Rheumatic Diseases published a 2004 study showing a strong correlation between low vitamin C intake and rheumatoid arthritis. Those with the lowest vitamin C consumption were 3 times more likely to develop the disease. Though orange juice has a good dose of vitamin C, papaya has nearly twice as much. Not only that, papaya also includes a good dose of beta carotene for even more anti-oxidant joint support.

Tart cherry juice — The anthocyanins contained in this juice are powerful anti-inflammatories that have been shown to reduce arthritis-related inflammation even better than aspirin. In addition, cherry juice is effective in reducing the painful symptoms of gout.

Opiates Ineffective for Chronic Back or Hip Pain

Opiates Ineffective for Chronic Back or Hip Pain

A new study just published in the Journal of the American Medical Association finds that opioids are not an effective solution for chronic pain.

In this article, researchers from the University of Minnesota studied 240 patients who had chronic back, hip, or knee arthritis pain. Half of the study subjects received opiates; the other half received non-opiate pain medications. Patient progress was evaluated at 3-months, 6-months, 9-months, and one year.

The study found:

  • There was no difference in pain-related function between the two groups.
  • At 12 months, the nonopioid patients had less pain than did those who received opiates.
  • “The opioid group had significantly more medication-related symptoms over 12 months than the nonopioid group”

The study authors write:

“Among patients with chronic back pain or hip or knee osteoarthritis pain, treatment with opioids compared with nonopioid medications did not result in significantly better pain-related function over 12 months. Nonopioid treatment was associated with significantly better pain intensity, but the clinical importance of this finding is unclear.”

Previous research has found that about 20% of patients with musculoskeletal pain are prescribed narcotic pain medications for their symptoms, and another recent study found that 36% of people who overdosed from opiates had their first opioid prescription for back pain.

Another recent study found that chiropractic patients are less likely to use opiates for their pain than are medical patients.

From this research, it seems clear that it’s risky to prescribe opiates for musculoskeletal pain. Chiropractic care is a proven safe and effective approach for both chronic and acute back pain.

Krebs EE, Gravely A, Nugent S, Jensen AC, DeRonne B, Goldsmith ES, Kroenke K, Bair MJ, Noorbaloochi S. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018 Mar 6;319(9):872-882. doi: 10.1001/jama.2018.0899.

Exercise, Chiropractic More Effective Than Medicine

Exercise, Chiropractic More Effective Than Medicine

You may remember your grammar school gym class where the PE teacher would lead you in jumping jacks, push-ups, sit-ups and arm circles. If you’re like a lot of baby boomers, you probably look back and assume it really didn’t do much for the health of the students — just kept the class busy for an hour.

Elementary school days may be way behind you, but exercise carries many benefits now that it couldn’t offer a younger you, especially if you’re battling pain from an injury or chronic condition.

The Journal of Manipulative and Physiological Therapeutics published a report on randomized controlled trials, or RCTs, looking at the result of exercise as treatment for patients experiencing intense pain from soft tissue injuries in the hip, thigh or knee. Success was measured by the following factors:

  • Intensity of pain
  • Recovery
  • Quality of life
  • Psychological outcomes
  • Adverse events

“One RCT found statistically significant improvements in pain and function favoring clinic-based progressive combined exercises over a ‘wait and see’ approach for patellofemoral (anterior knee) pain syndrome,” the study says. “Patients with patellofemoral pain syndrome or groin pain had the best results with clinic-based exercise programs.”

Head to Head to Head

An ABC News blog posted study results comparing the outcome of three different forms of treatment for pain. Results show that patients treated by chiropractic professionals and the individuals who received home exercise advice, referred to as HEA, had higher rates of success than those who turned to medication for relief. Just 13 percent of the patients who took medication reported a satisfactory reduction in pain, whereas, about two-thirds of those who were treated through either chiropractic care (32 percent) or HEA (30 percent) said they were pain-free.

A total of 272 patients, ages 18-65, who were suffering from recent-onset neck pain took part in the study, which the National Institutes of Health spearheaded.

“I always prescribe exercises and/or physical therapy for neck pain,” wrote Dr. John Messmer from Penn State College of Medicine. “I also tell patients that the exercises are the treatment and the drugs are for the symptoms.”

Dr. Lee Green, professor of family medicine at the University of Michigan, also talked to ABC News. “Doesn’t surprise me a bit,” Dr. Green said. “Neck pain is a mechanical problem, and it makes sense that mechanical treatment works better than a chemical one.”

The study, which was published in the Annals of Internal Medicine, singles out the effectiveness of spinal manipulation therapy, or SMT, to provide relief for patients with neck pain. Researchers found that in both the short-term and long-term statistics, SMT had the most effective outcome. The report adds that HEA proved equally effective at some points in the study.

Participants rated their pain at several intervals: 2, 4, 8, 26, and 52 weeks. This enabled scientists to draw specific conclusions, such as the evidence showing that 12 weeks of SMT provided greater pain relief than up to one year of medication.

Chiropractic Benefits

Your chiropractor can not only provide pain releif and preventatiive therapies, they can also guide you in choosing exercises that target the areas you need treating. Chiropractic visits, in addition to home exercise practices, are a way to double down on your odds of successful treatment.

The Mayo Clinic website says there are multiple benefits to using exercise in addition to chiropractic care for your joints, as well as improving general wellness. In combination they serve to:

  • Strengthen the muscles around your joints
  • Help you maintain bone strength
  • Give you more energy to get through the day
  • Make it easier to get a good night’s sleep
  • Improve your balance

We’re not talking about the kind of punishing calisthenics that win you the Presidential Physical Fitness Award, but something to just curb your symptoms and add some range of motion. Consulting with a chiropractor and incorporating some exercise seems to be the best way to get a passing grade in pain relief.

This article was written by Martha Michael and is shared from the following website: exercise-chiropractic-more-effective-than-medicine

Top 5 Ways to Improve Your Digestion

Top 5 Ways to Improve Your Digestion

A well-functioning digestive system is crucial to maintaining your body’s overall health. Without it, you are likely to have bowel problems and suffer from digestive upsets, not to mention a host of other conditions that can result from not getting enough nutrients from the food you eat. The digestive system affects all the other systems of the body, so it’s important to do what you can to be sure it’s working the way it should. Following are the top 5 things you can do to help improve your digestion.

Eat more fiber – Soluble and insoluble fiber are both essential for moving food through the digestive tract. Soluble fiber, such as that found in oatmeal, beans, nuts and apples, turns to a gel in your intestines and slows digestion, helping to maintain stable blood sugar levels. It absorbs water, softening the stool, and promotes the health of the good bacteria in your gut. Insoluble fiber, such as that found in the skins of fruit and vegetables, speeds digestion, adds bulk and passes primarily intact through the digestive tract. Both are important in preventing constipation and can improve conditions such as irritable bowel syndrome (IBS).

Drink more fluids – Insufficient water intake can harden the stool, increasing constipation. You should be sure to drink at least 1.2 liters of fluid per day, which is about 6 glasses. Some people need more, based on their activity level and the ambient temperature. However, do not drink more than about 6 ounces of liquid during a meal (taking the occasional sip), as it can dilute your stomach acid, making digestion more difficult. Aim to get most of your fluid intake 15-30 minutes before a meal or at least an hour afterward.

Take probiotics – Probiotics such as Lactobacillus and Bifidobacteria are the good bacteria that populate our digestive tract. Eating yogurt with a variety of helpful live cultures as well as fermented foods like sauerkraut, kombucha and kefir can help promote the production and health of these beneficial bacteria.

Eat more fat – Although increasing your fiber intake can improve your digestion that fiber does not move through the digestive tract so easily if you are not getting enough fat in your diet. Good fats will not raise your cholesterol and in fact are a healthy part of your diet when eaten in moderation. Some healthy sources of fat are olive oil, coconut oil, butter and avocados.

Reduce stress – When you are under stress, your digestive system slows down and circulation to the digestive tract is reduced, lowering your body’s ability to efficiently break down and utilize the food you eat. Do not rush through meals, and be sure to sufficiently chew and savor your food when you eat. If you must eat while under stress, be sure you eat foods that are simple to digest, such as broth or yogurt.

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

balancing-on-fence

Proprioception is a complex system of anatomical checks and balances, neural impulses, and brain functions that controls our sense of balance, coordination, and agility. Put most simply, proprioception is the “sixth sense” that enables you to scratch your head without looking in a mirror or climb a flight of stairs without having to look at each step.

Most of us are so accustomed to proprioception that we take it for granted. Its development starts soon after we are born and is observed in infants as soon as they gain control of their neck muscles. When the infant’s body tilts in any direction, its head also tilts in the opposite direction to level its eyes with the horizon. This “righting reflex” is the beginning of our sense of balance.

More technically, proprioception is your body’s ability to transmit a sense of its position in space, analyze that information, and react—either consciously or unconsciously—to stimuli with the proper movement and force. Proprioceptors are a specialized type of motor and sensory nerve that transmits impulses to the central nervous system (in particular, the area of the brain known as the cerebellum) from stimuli felt by the muscles, tendons, joints, and skin. The impulses transmitted by proprioceptors contain vital information, such as the amount of tension in a particular muscle and the relative position of a body part when it is moving.

, Proprioception is what enables you to reach for a glass and actually find it in space. It is also what allows you to pick up the glass with just the right amount of force, neither dropping it nor breaking it by squeezing too hard. Proprioception is what enables you to keep your balance when walking on uneven surfaces or when riding a bicycle. The impulses from proprioception combine with input received from the vestibular system (the fluid-filled network in the inner ear that enables us to feel the pull of gravity and know which direction is “up”) and with input from the visual system to create our sense of balance.

However, just as our eyes become weaker with age, so can the proprioceptive system, leading to a loss of proper balance. This is one of the reasons that falling is the number one cause of hospital admissions for people over 60. Something has gone wrong with the complex processing of information needed to maintain their balance, so older people are more likely to slip and fall on stairs or on slippery sidewalks and injure themselves.

Fortunately, you can strengthen your proprioceptive system by practicing simple balance exercises, thus keeping keep your sense of balance from weakening as you grow older. There are many forms of inexpensive exercise equipment (such as BOSU or Bongo Boards) that enable you to stand on a platform that is designed to be wobbly. This instability forces your muscles and your proprioceptive system to work more, and thus become stronger. So if you are over the age of 50, you should consider speaking to your chiropractor about exercises to improve your proprioception. They are very simple but can greatly improve your overall sense of balance, therefore significantly reducing your risk of injury from falls as you grow older. To schedule an appointment with Dr. Oblander, call 406-652-3553.

Help for Migraine Headaches

Help for Migraine Headaches

A very recent review of prophylaxis of migraine was published in the Canadian Medical Journal (1). To say the least, their findings were remarkable. Although this was a medically oriented review, several herbal and nutritional approaches were rated as effective as drug therapy with significantly fewer reported adverse events. Table 1 is a summary of the findings of the review for interventions when the outcome measure used was the odds ratio of a 50% decrease in frequency of migraine. All findings were based on studies that were graded by the authors as A or B evidence based on the United States Preventive Services Task Force criteria.

 

 

 

 

Table 1

Intervention Quality of evidence Odds ratio of
50% decrease in frequency
Adverse effects
Divalproex A 2.74 Frequent at higher dosages
Gabapentin B 4.51 Occasional
Topirmate A 2.44 Frequent
Amitriptyline B 2.41 Occasional
Propranolol B 1.94 Infrequent
Riboflavin (400 mg/day) A 5.60 Infrequent
Butterbur (50 mg B.I.D) A 2.24 Infrequent

Pharmaceutical interventions are obviously favored by the medical community even when, at least according to this review, riboflavin and butterbur demonstrate equal or superior effectiveness in A graded studies yet report infrequent adverse effects.

Butterbur: A 2006 systematic review reported on 2 randomized trials (RCT) of butterbur extract (Petasities hybridus) which totaled 293 patients. In these studies a 150 mg dose of butterbur was more effective than a 100 mg dose over a period of 3 to 4 months. Overall butterbur demonstrated a decreased frequency of migraine in over 50% of patients. The brand name of the form of butterbur used in this study was Petadolex (2). In an open label study of 109 children and adolescents the authors found 77% of all patients reported at least a 63% reduction in the frequency of migraine (3). Although no significant adverse effects have been reported in the studies mentioned above, concerns relating to hepatotoxicity have been reported in the literature. A recent study utilizing Petadolex found it to be “free of signals for drug induced liver injury” (3). Several authors have suggested butterbur may be a valuable tool in the prevention of migraine (4-7).

Feverfew: Feverfew is herb that has demonstrated effectiveness in the prevention of migraine in some studies and conflicting results in other studies. Three Cochrane reviews have been published relating to feverfew. The original review could not demonstrate efficacy for feverfew (8) but an update published the same year reported “feverfew is likely to be effective in the prevention of migraine (9). The third review returned to the original position stating “there is insufficient evidence” to suggest an effect (10). A separate article suggested the reason for lack of efficacy reported in the most recent Cochrane review was the 400% variation in the active ingredient in the studies evaluated (5). One RCT published after the Cochrane reviews showed migraine attacks decreased from 4.76 attacks per month to 1.9 when using MIG-99 after 3 months. A dosage of 6.25 mg t.i.d. were used (11). All studies reported a favorable safety profile.

Coenzyme Q10: Coenzyme Q10 has demonstrated efficacy in 1 RCT and several open trial design studies. The RCT was a study of 42 patients. The dosage was 100 mg t.i.d. There was a 50% decrease in headache frequency in 42.6% of the patients in the active treatment group compared to 14.4% in the placebo group after 3 months. The number needed to treat was 3 (12). Another case series found similar benefits using 150mg daily (13). None of the studies on coenzyme Q10 reported adverse effects.

Riboflavin: A RCT compared a combination of riboflavin (400 mg), magnesium (300 mg) and feverfew (100 mg) to 25 mg of riboflavin. Both groups achieved statistically significant improvements over baseline. The authors noted both groups exceeded the normal placebo response reported in other migraine prevention studies. This study suggests a small dose of riboflavin may be an effective prophylaxis for migraine (14). Another RCT using 400 mg daily reported statistically significant improvements in headache frequency and headache days after 3 months. The number needed to treat in this study was 2.3 (15). Unfortunately 2 studies of riboflavin in children did not demonstrate improvement (16;17).

Magnesium: A 2008 RCT examined the prophylactic effect of 600 mg of magnesium citrate daily for 3 months compared to a placebo. Statistically significant improvements in frequency and severity were found in the treatment group. Additionally cortical blood flow increased significantly in the treatment group (18). A second RCT also found a statistically significant decrease in migraine frequency after 3 months using 360/mg per day (19). Not all RCTs have shown magnesium to be of effective. A 1996 RCT found no benefit when using magnesium (20). Soft stools and diarrhea were a common mild adverse event occurring in 18.6% (19) to 47.7% (20) in the magnesium groups.

Several other interventions have limited evidence demonstrating effectiveness. They include ginkgolide B (21), lipoic acid ( 600 mg/day) (22) and fish oil or olive oil (23).

It should be noted that time frame of treatment almost all prevention studies is 3 months. Treatment success or failure should not be assessed prior to completion of 3 months of the intervention.

Article is shared from www.chiroaccess.com

Why Sugar is So Hard to Resist

Why Sugar is So Hard to Resist

Sugar is in almost everything we eat. In the typical western diet, enough sugar has been added to food products to bring our consumption of the sweet stuff up to 22.7 teaspoons per day. It is added to processed foods to extend shelf life and enhance flavor and texture. While we know that sugar contributes to weight gain, diabetes and heart disease, it’s still hard to resist. Why? Much of the answer to that question has to do with the way humans have evolved to survive in times of scarcity. 

Our ancestors who had developed a taste for sugar were able to add to their body fat, which helped to keep them alive during periods of famine. This in turn allowed them to pass their sweet-loving genes on to their progeny. A study conducted by researchers at Washington University found that we are programmed from birth to crave sweet things. Human breast milk is very sweet due to the concentration of the sugar lactose, so from day one we learn to develop a sweet tooth.  

One study showed how even the mere expectation of sugar can affect our cognitive ability. Scientists found that when study subjects swished sugar water around in their mouths and then spit it out, they performed better on cognitive tests than the subjects who had swished water that had been artificially sweetened. And there is a good reason why sugar is addictive. Eating sugar prompts the release of the hormone serotonin from the same area of the brain that responds to heroin and cocaine, inducing a feeling of happiness and euphoria.  

It’s not always obvious where sugar is hiding in the foods we eat. While our consumption of table sugar is down, the amount added to processed foods is increasing. Many people are surprised to find how much sugar is added to such things as bologna (1.18 tsp. per 4 slices), ketchup (1.77 tsp. per 3 tbsp.) and low-fat fruit yogurt (6.16 tsp.). A couple of spoons of barbecue sauce have about as much sugar as a glazed donut! Add in the sugars typically contained in soups, sauces and breads, and it’s easy to see why obesity is becoming such an epidemic. The more we get, the more we want. A sudden rush of sugar spurs the release of insulin, which causes the infamous “sugar crash” and makes us crave even more to combat it. 

However, it is possible to overcome an addiction to sugar, just as it’s possible to overcome an addiction to any other substance. Gradually use less where you can, such as in coffee or tea and in your breakfast cereal. You can also reduce or eliminate your consumption of soda (including artificially sweetened soda, which still makes you crave the sweet taste) and water down any fruit juices you may drink. After a while, your body does adjust to the taste. After a few months, if you suddenly are given coffee with sugar in it, you may find it tastes odd. Try to avoid buying store-bought desserts, and if you make your own, reduce the amount of sugar called for in the recipe. Many baked goods can use unsweetened applesauce as a substitute for 2/3 of the sugar required. 

Our society has made it difficult to resist sugar, but it’s not impossible, and the less sugar you eat, the better it will be for your overall health.  

At Oblander Chiropractic, we are working hard to help our patients live lives of health and wellness.  As a part of that effort, we are going to be sharing recipes that replace refined sugar with natural sugars. Be sure to watch our posts for those recipes!

 

The Benefits of Zinc

The Benefits of Zinc

Muscular body builder workout

Zinc is the second-most common mineral in the human body (after iron) and is found in every one of our cells. It plays a vital role in many of the body’s functions, so ensuring that you get enough zinc in your diet is important. It is essential for helping the body to heal and for the maintenance of a healthy immune system. It is also important is supporting the senses (taste, sight and smell), blood clotting and healthy thyroid function.

Zinc is one of the most important minerals for fertility and general reproductive health. It is necessary for proper levels of testosterone in men and the maintenance of a healthy libido. The mineral also plays a key role in the healthy development of sperm, and abundant levels of zinc have been shown to be protective of the prostate, reducing the risk of prostate cancer. The belief that oysters have aphrodisiac properties actually does have some basis in truth. Oysters have one of the highest concentrations of zinc of any food. In women it regulates estrogen and progesterone and supports the proper maturation of the egg in preparation for fertilization.

Ensuring you have an adequate level of zinc can help reduce your risk of insulin sensitivity, one of the precursors to diabetes. It supports T-cell function, which boosts the immune system when the body is under attack by bacteria and viruses.

Zinc deficiency is not common in the developed world, but those with anorexia, alcoholics, the elderly and anyone with a malabsorption syndrome such as celiac disease or Crohn’s disease is at higher risk. Zinc deficiency symptoms include frequent colds, poor wound healing, poor growth, loss of appetite, weight loss, dermatitis, psoriasis, hair loss, white spots on the nails, night blindness and depression.

Following is the recommended daily intake of zinc for different age groups:

Infants birth – 6 months: 2 mg/day

Infants 7 – 12 months: 3 mg/day

Children 1 – 3 years: 3 mg/day

Children 4 – 8 years: 5 mg/day

Children 9 – 13 years: 8 mg/day

Adolescent boys 14 – 18 years: 11 mg/day

Adolescent girls 14 – 18 years: 9 mg/day

Men 19 years and older: 11 mg/day

Women 19 years and older: 8 mg/day

Pregnant women 14 – 18 years: 12 mg/day

Pregnant women 19 years and older: 11 mg/day

Breastfeeding women 14 – 18 years: 13 mg/day

Breastfeeding women over 18 years: 12 mg/day

Children should never be given zinc supplements without first consulting with a pediatrician. If supplements are necessary, a copper supplement should be taken as well, as a high intake of zinc can deplete levels of copper.

You should be able to get adequate zinc from eating a healthy, balanced diet rich in whole foods. The body absorbs between 20% and 40% of the zinc present in food. The best sources of zinc are oysters, red meat, poultry, fish, shellfish, cheese, legumes (such as soybeans, black-eyed peas and peanuts), cooked greens and seeds (such as pumpkin and sunflower).

 

Zinc Levels Tied to Osteoarthritis

Zinc Levels Tied to Osteoarthritis

We’ve all heard that calcium is crucial for preventing bone and joint problems, but new research suggests there may be another mineral we need to be mindful of: zinc. In particular, a study suggests that levels of zinc within the cartilage cells may help to explain why tissue destruction occurs in patients with osteoarthritis.

Arthritis is a leading cause of disability in the world, affecting 52.5 million adults in the US alone. Despite the prevalence of osteoarthritis, there are currently no cures to stop the progression of cartilage destruction that takes place in individuals with the condition. Researchers are still attempting to understand what happens at a molecular level to cause the tissue degradation.

Osteoarthritis results in the break down of cartilage between the bones, causing joint stiffness and swelling. Tissue destruction is caused by proteins called matrix-degrading enzymes, which are produced by cells within the cartilage. Matrix-degrading enzymes need zinc to survive, which led researchers to hypothesize that zinc levels play an important role in osteoarthritis.

Using lab mice, the researchers found that a protein called ZIP8 is responsible for transporting zinc within the cells, setting off a chain of events that eventually results in cartilage destruction. Their findings suggest that treatments to deplete zinc in the cartilage cells or inhibit this ZIP8 function may help to stop osteoarthritis. If the research is confirmed in future studies, keeping zinc levels in check could become an integral part of osteoarthritis treatment.

Many patients with osteoarthritis find that it can be successfully managed by a conservative, multimodal treatment, including exercise, nutrition, and chiropractic care. Research suggests that a combination of chiropractic and exercise can significantly ease symptoms in patients with osteoarthritis in the knees, hip, and hands.

Article was written by Marissa Luck and is shared from www.chironexus.net

 

References

Zinc may be missing link for osteoarthritis therapies. Medical News Today. February 17, 2014. http://www.medicalnewstoday.com/releases/272658.php.

Cell, Kim et al. Regulation of the catabolic cascade in osteoarthritis by the zinc axis.

9 Reasons to Lose Weight That Have Nothing to Do with Fitting into Your Skinny Jeans

9 Reasons to Lose Weight That Have Nothing to Do with Fitting into Your Skinny Jeans

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