Have you been skipping the gym lately? No judgment: So you overdid it on gingerbread lattes at Starbucks or grabbed too many fast-food meals after marathon shopping trips? No biggie—as long as you stay active in other ways. "A lot of people skip workouts completely when the holidays get busy and promise they’ll exercise in January,” says Mike Donavanik, a personal trainer in Los Angeles. “But it’s that much harder to motivate when you’ve skipped the gym for two-plus weeks.” While you don’t have to maintain your exact same exercise routine, keeping your body in motion will help you balance out the indulgences and start the year strong. To help you do that on the quick, we’ve rounded up a dozen research-backed ways to get more out of your workouts and improve your metabolism to boot.
And as people get older they tend to become less active, which means you burn fewer calories all day long. Plus, you naturally lose muscle mass due to hormonal changes, which further drops your daily calorie-burn rate. Muscle tissue burns more calories than fat tissue, so a body with less lean tissue has a lower metabolism and is prone to weight gain.
Studies show that eating breakfast plays a part in successful weight loss — almost 80 percent of people who successfully keep weight off chow down on this meal, according to a study published in Obesity Research. "Your metabolism slows as you sleep, and the process of digesting food revs it up again," explains Heller. Aim for a 300- to 400-calorie breakfast, such as a high-fiber cereal (another metabolism booster) with skim milk and fruit.

Instead of ditching your diet and the pursuit of better health, it’s a good idea to ditch your idea of what healthy looks like. Lately, movements, like body positivity, health at every size and anti-dieting, have sparked a meaningful conversation about healthy bodies, and guess what? They come in all shapes and sizes. The number on the scale is just one indicator of health; your lab work (cholesterol and blood glucose levels, for instance), blood pressure levels, and measures of physical fitness are other factors. So is your emotional health.
One study from the University of Adelaide in Australia suggests you may lose more weight when you work out towards the end of your menstrual cycle, as opposed to right when a new one begins. That’s because the hormones estrogen and progesterone tell your body to use fat as an energy source. "Women burned about 30 percent more fat for the two weeks following ovulation to about two days before menstruation," study author Leanne Redman says.
We are leading a life that is full of junk food loaded with unhealthy calories. Because we are always on the run, being able to manage healthy eating is not possible for most of us. So, what is it that we end up doing? Eating packaged food or junk that is conveniently available. As a result of this, we earn excessive fat and uncounted calories which go unburnt!
Learning how to lose belly fat in a monthis not hard. All you need is the determination and will to follow a definite plan of action to get a flat stomach. If you are serious about losing belly fat fast, it is important to start right now and stay motivated.The plan for losing belly fat in a month has two phases. In the first phase you stop new fat from being added to your belly. In the second phase you lose your existing stomach fat. You need to perform both phases simultaneously in parallel.
One of the most potent sources of vitamins, minerals, fiber, and protein per ounce found in the natural world, Chia seeds are one of the healthiest foods you can eat to help your body burn belly fat.  Because they have almost no flavor, you can add Chia seeds to just about anything.  For more information, read these 10 Emphatic Reasons Why You Should Add Chia Seeds To Your Diet Today!
It’s wise to want to eliminate sugary drinks from your diet, but replacing them with “diet” versions or drinks with artificial sweeteners is not the solution. One study conducted by researchers from Marquette University and the Medical College of Wisconsin showed that artificial sweeteners could actually contribute to weight gain in a way that does not happen with natural sugars. Other studies have shown that drinking artificial sweeteners was highly correlated to an occurrence of dementia and stroke.

Fancy coffee drinks from trendy coffee joints often pack several hundred calories, thanks to whole milk, whipped cream, sugar, and sugary syrups. A cup of regular coffee with skim milk has just a small fraction of those calories. And when brewed with good beans, it tastes just as great. You can also try nonfat powdered milk in coffee. You’ll get the nutritional benefits of skim milk, which is high in calcium and low in calories. And, because the water has been removed, powdered milk doesn’t dilute the coffee the way skim milk does. Here are 11 metabolism myths you have to stop believing.


Women’s challenge with weight loss also comes down to nature. Nature wants to preserve a woman’s ability to bear children. When you’re in a calorie deficit, it can interfere with your fertility, so your body fights weight loss to prevent jeopardizing your reproductive capacity. So don’t cut more than 1,000 calories a day or eat fewer than 1,200 calories daily.
Consuming too many starchy foods, such as potatoes, rice, pasta, and breads (especially at one sitting), provides your body with more than it needs for energy and glycogen stores; anything left over will be stored as fat. "You don't have to eliminate starchy carbs completely," says IFBB pro Mike Matarazzo. "But you should really cut back on them when trying to shed body fat." Limit total starch servings per day to 3-5, where a serving size is one cup of pasta, rice, or sliced potatoes.
The secret to a slimmer stomach in no time? A whole lot of fiber in your diet. Although many people are loath to add carbs to their diet when they’re trying to lose weight, adding the right, fiber-rich ones can have inches off your belly in a hurry. In fact, researchers at Wake Forest Baptist Medical Center found that every 10-gram daily increase in soluble fiber was associated with a 3.7 percent decrease in dangerous visceral fat over five years. Those who were active got even leaner, shaving off twice that much fat in the same amount of time. To start ditching that extra belly fat today, add the 30 Best Foods For Fiber to your menu!
A healthy GI tract is teeming with beneficial bacteria, and scientists are uncovering just how important those microbes are for keeping your weight under control. They’ve discovered that the strains of bacteria in the guts of thin people differ from those in obese folks, and there’s evidence that certain types of probiotics may help aid weight loss by assisting with the regulation of appetite, fat storage, and other related metabolic functions. You can get probiotics from live culture yogurt and certain supplements. While popping a pill or eating yogurt won’t magically shrink your waist, warns Ginger Hultin, RD, gut health is important. Read more about the weight loss benefits of probiotics.
Water isn’t just a calorie-free beverage, it’s also essential to the process of metabolizing fat, known as hydrolysis, says Pence. So it’s important to drink enough fluids every day—and you’ll need even more if you’re overweight. A good rule of thumb is to drink a milliliter of water for every calorie you consume. Not into the metric system? If you’re following a 2000-calorie diet, that comes to 67 ounces or just over a half gallon of water.
Call it what you will: An eating plan, a lifestyle, a diet, a philosophy, but few things garner such heated debate as how to lose weight. The truth is, whether you’re on a low-carb keto program, devoted to the Paleo lifestyle, all in to the Whole 30 or remain committed to low-fat eating, these plans have more in common than you think. What’s more, follow any one of them religiously, and you’ll likely notice results.

Make time for exercise. Exercising might actually make you gain a few pounds of muscle when you first start, but it's an essential component of any long-term, sustainable weight loss plan. Regardless of how busy you are, it is essential that you make time to exercise each day if you actually want to lose weight and keep it off. Even little things like walking instead of driving to the store can affect how quickly you lose weight.[1]

But the whole idea of fast weight loss may be the root of the problem. According to a Time expose on the subject: “When people are asked to envision their perfect size, many cite a dream weight loss up to three times as great as what a doctor might recommend.” An improbable and disheartening goal, and one that obscures the truth that losing small amounts of weight — even ten pounds — still has great health benefits.

“Every morning I drink a cup of warm water with half a lemon squeezed into it, a teaspoon of apple cider vinegar, and a dash of cayenne pepper,” says Michelle Keough. This helps her start her day off on a healthy note while getting her hydrated after a long night. This trick, combined with eating meals built around protein and veggies, helped her lose 20 pounds and keep it off.
While you may be tempted to eat as few calories as possible to lose weight more quickly, as mentioned above, it’s important that you don’t cut more than 1,000 calories from your daily diet or eat fewer than 1,200 calories a day — even if that means your energy deficit is smaller than 1,000 calories. Eat too little and you’ll slow down your metabolism and put yourself on track to regain the weight — often with a few extra pounds.
Français: perdre rapidement du poids, Deutsch: Schnell abnehmen, Español: bajar de peso rápidamente, Português: Perder Peso Rapidamente, Русский: быстро похудеть, 中文: 快速减肥, Nederlands: Snel afvallen, Čeština: Jak rychle zhubnout, 日本語: すぐに体重を落とす, Bahasa Indonesia: Cepat Menurunkan Berat Badan, Italiano: Perdere Peso Velocemente, हिन्दी: तेजी से वजन घटाएं, العربية: إنقاص وزنك سريعًا, 한국어: 빨리 체중감량하는 방법, Tiếng Việt: Giảm cân Nhanh, ไทย: ลดน้ำหนักให้ได้ผลเร็ว, Türkçe: Nasıl Hızlı Kilo Verilir
Also some research shows that the human body is primed to consume most of its calories during daylight hours. But the lifestyle is problematic for many: Because family meals and dinners with friends often are scheduled for after sunset, "people who try to stop eating after 7pm can’t do it every day for the rest of their lives," says Dr. Seltzer, who supports an alternative strategy: Eating a hearty meal at your regular dinnertime.

Listen to your mum - dieting is faddish. Instead, improve the "quite" to "all" healthy and eat only nutritionally balanced, healthy foods. Cut out all sweets and junk foods, apart from an occasional treat, as humans would have always done till recent times. The exercise is important, and include plenty of stealth exercise, such as taking the stairs instead of the elevator and cycling to the shops instead of driving, etc.
If you feel guilty about your eating habits and ashamed of your body, you will always feel deprived. If you love and respect your body, it will not feel like a chore to research restaurant entrees before you go out to eat or to read nutrition labels in the grocery store or to cook for yourself and your family. Instead, it will be a privilege to take care of yourself by making smart, healthy food choices. Ardolino adds that body shape and size changes throughout our lives—and that’s OK. “If you’re consistently exercising, eating a wide range of fruits, vegetables, lean proteins, whole grains, and healthy fats, sleeping properly and managing your stress, you’re doing the best you can,” she says. “Try not to get too caught up in achieving your ‘ideal’ body; try instead to care for it—it’s the only one you’ve got.” 

While many people turn to artificial sweeteners in a misguided attempt to whittle their waistlines, those fake sugars are likely to have the opposite effect. According to researchers at Yale, artificial sweeteners are actually linked with an increased risk of abdominal obesity and weight gain, possibly because they can trigger cravings for the real stuff and spike insulin levels in a similar fashion to real sugar.
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The MIND diet, or Mediterranean-DASH Intervention for Neurodegenerative Delay, is a sort of hybrid between the DASH diet and the Mediterranean diet. It features foods meant to slow the progression or development of Alzheimer’s disease, the most common form of dementia and an incurable neurodegenerative condition that more than 5 million Americans are living with, according to the Alzheimer’s Association. (12) Some research backs up this notion, including a study published in September 2016 in Alzheimer’s Dementia that found a link between following the MIND Diet and a reduced risk of the disease. (13)
"What I don't like about any commercial diet is that the focus is not on your actual food choices," Hogan said. "It's about calories or points or numbers, and that really takes away from your ability to be in tune with your hunger cues and your fullness cues and what you're really craving. If we become more in tune with those things, we naturally consume how much the body needs. Paying too much attention to numbers takes away from that."

Weight loss once again came in first place for New Year’s Resolutions, sharing its spot with “becoming a better person.” For a lot of us, becoming a better person starts with feeling better about ourselves. The start of a new year may be primetime to renew dedication to health and happiness, but periodic sprints of weight loss do not equate to wellness. That’s why the best diet is the one you can sustain for the rest of your life.

Exercising at lower intensities will use more fat for energy. This basic premise is what started the theory of the fat burning zone, which is the idea that working in a certain heart rate zone (around 55 to 65 percent of your maximum heart rate) will allow your body to burn more fat. Over the years, this theory has become so ingrained in our exercise experience that we see it touted in books, charts, websites, magazines, and even on cardio machines at the gym.
Fermented foods: These enhance the function of good bacteria while inhibiting the growth of bad bacteria. Sauerkraut, kimchi, kefir, yogurt, tempeh, and miso all contain good amounts of probiotics, which help to increase good bacteria. Researchers have studied kimchi widely, and study results suggest that it has anti-obesity effects. Similarly, studies have shown that kefir may help to promote weight loss in overweight women.

Illescas-Zarate, D., Espinosa-Montero, J., Flores, M., & Barquera, S. (2015, April 19). Plain water consumption is associated with lower intake of caloric beverage: Cross-sectional study in Mexican adults with low socioeconomic status. BMC Public Health, 15, 405. Retrieved from https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-015-1699-0
Remember, belly fat is not just troublesome because it makes you unhappy when you look in the mirror. The excess weight around your middle that increases with every passing year can raise your risk of type 2 diabetes, heart disease, dementia, and more. But if you're wondering what you can do to prevent that, these tricks to lose belly fat fast can help a lot.
Because the diet isn’t as restrictive as a traditional vegan or vegetarian diet, it may be simpler to stick with — hence its No. 2 ranking in U.S. News & World Report’s Easiest Diets to Follow category. Because you’ll be eating meat some of the time, you may also be at a lower risk of the aforementioned nutrient deficiencies that vegetarians and vegans may face.
Cortisone as an oral drug is another common culprit (e.g. Prednisolone). Cortisone often causes weight gain in the long run, especially at higher doses (e.g. more than 5 mg Prednisolone per day). Unfortunately, cortisone is often an essential medication for those who are prescribed it, but the dose should be adjusted frequently so you don’t take more than you need. Asthma inhalers and other local cortisone treatments, like creams or nose sprays, hardly affect weight.
Surgical procedures aren't for everyone, but we can help you determine whether you're a candidate based on your height, weight and medical history. In general, weight loss surgery eligibility is based on both Body Mass Index, or BMI, and any health conditions you have that are affected by obesity. Due to the medical benefits of weight loss surgery, we do accept most major insurance carriers at Fresno Bariatrics.
According to the United States Department of Agriculture, a half-cup of granola has anywhere between 200 and 300 calories, 12 to 16 grams of sugar, 3 to 15 grams of fat (depending on low-fat options), and nearly 40 grams of carbs. Plus, granola is usually mixed with something, like yogurt or fruit, which only increases its caloric value. “Although you may think starting your day with a bowl of granola is the healthy thing to do, the calories can easily add up to over 600 calories, just at breakfast,” says Toby Amidor, MS, RD nutrition expert and author of the Greek Yogurt Kitchen.
I'm 15 yrs old and 5'3 in height and 130 pounds in weight. I very recently started to exercise especially to lose inner thigh fat and all.....since there is no exercise that only targets the thighs....I'm just doing some random stretchings and squats, jumps and all....I get the feeling that I'm not organized, like I just randomly do any move I like. 1 hour a day. Is that oka? I mean, like Im oka with other parts of my body so i don want 2 lose much weight there, just wanna slim my thighs. Coz I'm afraid that I'm gonna go thin by just going to reduce my thigh fat. Does losing weight mean its gonna show me thin and all. Coz I just wanna lose my thigh. Just wanna know if my exercises will slim my thighs, hips a bit and shapen my body? And about the diet....I don consume much sugar, I drink plenty of water...no junk food....I eat vege's and all....so am I on a good diet? Will this help. So do I have a chance of slimming my body (with the thighs) by following this whatever....? If u have more efficient exercise pls suggest......coz I told you I feel lik I'm not organized with my exercises.( how to organize myself, like stretching first or last and etc...?) And more one thing...I don wanna bulk up!....
Cinnamon contains powerful antioxidants called polyphenols that are proven to alter body composition and improve insulin sensitivity. A Metabolism journal study showed that the addition of dietary cinnamon can activate thermogenesis and potentially help you burn fat. Add it to your overnight oats or sprinkle some in your coffee to reap the benefits.
Make sure that the diet has been studied extensively for safety — and discuss any changes with your physician or registered dietitian before beginning a new diet. (If you don’t have a dietitian, find one in your area at the Academy of Nutrition and Dietetics website.) And do a self-check to ensure the diet fits with your own values and preferences.
I'm 15, 5'0 and 108lbs. In early January I was at 98lbs with a thigh gap. I joined a weight training class and gained ten pounds of muscle, the majority of it in my legs totally ruining the thigh gap I once had. I have been able to lose a couple of pounds but from there nothing else is working. I've been on the Mediterranean diet since I was 8 sp I know a food change isn't my issue. Is there a way to lose the last 8lbs of muscle to get my thigh gap back?
In the UK, up to 5% of the general population is underweight, but more than 10% of those with lung or gastrointestinal diseases and who have recently had surgery.[30] According to data in the UK using the Malnutrition Universal Screening Tool ('MUST'), which incorporates unintentional weight loss, more than 10% of the population over the age of 65 is at risk of malnutrition.[30] A high proportion (10-60%) of hospital patients are also at risk, along with a similar proportion in care homes.[30]
“Poor sleep quality or quantity can make it difficult to lose or even maintain your weight,” says Darria Long Gillespie, MD, a clinical assistant professor of emergency medicine at The University of Tennessee. When you are sleep deprived, your body becomes less sensitive to the effects of leptin, the hormone that usually signals that you’ve had enough to eat. At the same time, the amount of the hunger hormone, ghrelin, increases, so you want to eat more. Together, it’s a recipe for overeating.
I had my dad sit down and binge-watch MDIBTY, and he finally gets it. He thought my relative ease at dropping 75lbs while eating things like bacon cheeseburgers and salmon with hollandaise was due to my relatively young age. Seeing Kurt melt before his eyes made him think he can do it too. And he has a freezer full of venison to get him started. Can’t wait to have my healthy dad back. Hopefully, he’ll regain the health he needs to hunt with my brothers and I like we used to.
Soda, fancy coffee and energy drinks contain considerable calories that can easily make you overshoot your daily calorie goal, so you put on extra weight. Beverages sweetened with sugar and high-fructose corn syrup also contribute to the development of visceral fat and liver fat, reported a review published in a 2013 issue of Diabetes Care. Sugary drinks don't make you feel full, so you eat calories from food in addition to them.
Eating meals frequently helps combat fat gain by giving your body long-lasting energy and preventing intense hunger that leads to irrational food choices and over eating, says Armul. At each meal, fill half of your plate with fruits and veggies, one quarter with whole grains, and one quarter with lean protein, like beans, nuts, eggs, fish, and poultry, she says. These nutrient-rich foods increase satiety by slowing the digestion and absorption of food in the stomach, which ultimately leads to less calories consumed and more weight loss.
If you’re logging just a few hours of sleep a night, you may actually find yourself gaining weight. Researchers at the University of Chicago Medical Center found that subjects who slept just four hours had a harder time processing carbs. "When you're exhausted, your body lacks the energy to do its normal day-to-day functions, which includes burning calories efficiently," says Talbott.
But the information that researchers are unearthing about the differences in the way that men and women lose weight inspires hope that the next generation of weight-loss advice will be more tailored and effective than the generic tips that have gotten Americans no closer to sliding into their dream jeans. (More than a quarter of Americans are obese, according to a May Gallup poll, a number that has been ticking upward for years). Although experts have long insisted that losing weight is simply a matter of burning more calories than you consume, they now say that it’s much more complicated than that.
Both Weight Watchers and Noom provide lots of guidance. If you’re more of a self-starter — someone who just needs to be pointed in the right direction — The Mayo Clinic Diet provides pure resources. Picking up the entertaining, densely informative book is the only associated cost. You can also get the app for about half the cost of WW Mobile, but we didn’t find it as useful.

There’s mounting evidence that our body’s natural internal clocks, or circadian rhythms, drive a lot of our biological processes, including weight maintenance. They tend to sync up with daylight. That could be why studies have shown that shift workers tend to have a higher rate of obesity and weight gain—their body clocks are out of sync. One study even found that a third of people who experienced an interrupted sleep cycle for less than two weeks became prediabetic; all of the poor sleepers saw markers for the risk of obesity and type two diabetes climb.


Mindfulness matters. “If you slow down and stop just mindless eating, you often realize you don’t need to eat as much as you thought you did; you’re already full,” said Dr. Steinbaum.” Part of this is watching portion sizes, which have ballooned in restaurants over the past 40 years, leading adults to consume an average of 300 more calories per day now than they did in 1985. Did you know that one serving of bread is actually just one slice? Or one serving of pasta or rice is just half a cup? And a serving of cheese is only two ounces, or the size of a domino? You’re probably eating much more than you realized. “There have been multiple studies that see keeping a food journal is effective,” said Dr. Steinbaum. “When you start paying attention, you can really see what you’re doing.”
Weight Watchers has been around for over five decades, and they have recently revamped their diet program to include a stronger emphasis on physical activity as well. The modern-day Weight Watchers is more of a lifestyle overhaul than a strict diet plan, and that’s what makes it so successful. People looking to change their lifestyles permanently benefit from the extensive resources and the support of a large online community.
With potatoes, leave the skin on (with baked or mashed potatoes) or if you peel them, make snacks of them. For example, drizzle olive oil, rosemary, salt, and garlic on the peels and bake at 400 F (205 C) for fifteen minutes for baked Parmesan garlic peels. Keeping the skin on potatoes when cooking them helps keep more vitamins/minerals in the flesh (just don't eat any parts of skin that are green).
Before you scarf down meal number one, get moving: Working out first thing in the morning can help you lose 20 percent more fat than exercising after breakfast, according to a 2013 study in the British Journal of Nutrition. For a quick sweat session, try this fat-burning HIIT workout that includes challenging moves like squat jumps and lunges, but can still be done in the comfort of your living room. The best part? It takes just 10 minutes to complete.
Studies have found that overweight people who ate a moderate-fat diet containing almonds lost more weight than a control group that didn’t eat nuts. Snacking once or twice a day is one of the easy ways to lose weight that helps stave off hunger and keeps your metabolism stoked. You can also pack up baby carrots or your own trail mix with the healthiest nuts you can eat, plus raisins, seeds, and dried fruit. Here are 30 healthy snacks that can help you lose weight.

OnlinePlus provides tracking as well as community through WW Mobile’s clean and sophisticated Connect news feed, and it costs you just under $36 a month. If you like the idea of getting together IRL, Meetings+OnlinePlus costs about $77 a month. Our tester found the meetings genuinely nice, if a little cheesy. And if you need extra help, there’s a Personal Coaching option for about $107 a month. At every level of membership, you have access to a live coach via Expert Chat.


Fathi, Y., Faghih, S., Zibaeenezhad, M. J., & Tabatabaei, S. H. (2016, February). Kefir drink leads to a similar weight loss, compared with milk, in a dairy-rich non-energy-restricted diet in overweight or obese premenopausal women: A randomized controlled trial. European Journal of Nutrition, 55(1), 295–304. Retrieved from https://link.springer.com/article/10.1007/s00394-015-0846-9

That’s why cardio isn’t the answer. Or, at least, it’s not the primary solution. Cardio will burn calories, and weight training is more likely to burn fat. If you’re going to do cardio, make it secondary to weight training. That means either doing cardio on separate days (if you have the time) or after a weight training workout. The best thing about lifting weights is that your body adapts to the new muscle mass you'll build, which means your metabolism will be higher, you'll burn more calories, and you'll change your hormones (like insulin) to be able to handle the foods you love.

I am a 58 yr old 5’6″ and was at 230 after a serious ATV accident which is mending well. This happened 3 weeks ago so with a fractured L10 and 3 broken ribs, it’s going to take a bit. I purchased the weight loss plan about 4 months ago and started but fell off. I started again after the accident and have been delving into as much info and reading everything you sent in your wonderful package. What I am not seeing is a recommendation for the number of carbs, fats, etc. a day. I am down to 220.2 after only 6 days having added water as the only “liquid” right now because of the metabolism increase I read about with one of your friends. I am going to start adding the shakes in a day or 2 but am doing pretty well with your list from the program. There is so much to eat on there, it gives great variety. My body also seems to be craving the veggies and clean foods, probably because it’s working so hard t heal itself. I have tried looking on the internet for these numbers and have found other peoples recommendations, but would rather have them from you to stay more strictly in your program. I am going to send before and after pics and am being successful! Thank you for the wonderful support even after purchasing and the loving coaching you both give. You guys are awesome! PS – The superfood cookies are delicious!!!


“Intermittent fasting can be really challenging if you have an ever-changing schedule,” adds Hultin. “If you're traveling and crossing time zones, it could be very difficult to follow. It might be best for people with more stability in their lives.” Intermittent fasting isn’t safe for people with type 2 diabetes, children, pregnant or lactating women, or anyone with a history of an eating disorder.
Every surgery has different risks and benefits, which we will review in-depth with you to be sure you know exactly what to expect before you get started. We believe that informed patients are happy patients, so we'll always strive to provide the best, most accurate information under every circumstance. No matter what you choose, we are with you every step of the way

According to Healthline.com, "Researchers have found different types of bacteria play a role in weight regulation, and having the right balance can help with weight loss, including loss of belly fat. Those shown to reduce belly fat include members of the Lactobacillus family. These include Lactobacillus fermentum, Lactobacillus amylovorus and especially Lactobacillus gasseri.” If a slimmer belly is your goal, make sure your probiotic contains one or more of these bacterial strains.
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