Replace your weekly cardio session with circuit resistance training to whittle your middle. “High-intensity circuit training with dynamic movements is one of my favorite ways to build muscle and burn fat all over the body, says Rich. “There is no possible way to spot-reduce fat, so it’s important to train the entire body to lose fat overall. Performing moves like burpees, jump squats, mountain climbers and fast push-ups are great examples. If you have 40 minutes to work out, do twenty minutes of cardio and twenty minutes of circuit resistance training. You’re sure to see the difference in your body.”

Dr. Apovian notes another common reason people have trouble losing weight they don’t understand the body is fighting this process because it doesn’t want to get rid of the weight. “One way it fights you is to secrete a hormone that reduces the resting metabolic rate so that you need fewer calories to maintain your weight,” she says. “Even if you lose the weight you cannot keep it off if you need fewer calories suddenly.” That’s where exercise comes into play. The antidote to this issue is resistance exercise training which builds muscle mass and increases your resting metabolic rate forever as long as you keep said additional muscle, Dr. Apovian says. These are the 18 weight loss secrets from around the world that are totally worth stealing.


After 30 days on the diet, you’ll slowly add in one of the restricted foods — one at a time and for a few days only — to see how your body reacts. At this point, you can continue just avoiding the ingredients you suspect you’re sensitive to, or go to an allergy specialist to receive confirmation and see if there’s anything else you might be allergic to.
Even if you have specific health or weight loss goals, you may have no idea what type of program will yield the results you're looking for, especially if certain diet programs have failed you in the past. For this reason, we were specifically interested in the motivational aspects of each service. Programs that provide more motivation through the community, weight loss challenges, tools and tips scored higher than programs that didn't offer these features. The number of tools and motivational features also helped us determine whether or not the price of membership was warranted. While we didn't score programs based on their membership fees, we did note whether or not they were on the costlier side of the spectrum.
Support, either in-person or online, is another key to successful dieting. The best diets offer support from both trained counselors and fellow dieters. In addition, studies show that those who keep track of their food and activity are ultimately more successful at losing weight. This personal accountability can help you shed pounds whether you follow a commercial diet program or choose a self-directed diet.
Usually work out for 30 minutes? Exercise for a third of that—but go hard! "An intense 10 minutes jump-starts your metabolic furnace and equals about 20 or 30 minutes at a moderate intensity," says Jordan Metzl, MD, author of Dr. Jordan Metzl’s Workout Prescription. If you can’t spare the full 10 minutes, you can sweat for even less time: According to a 2013 study from Colorado State University, exercising for just 2 ½ minutes at a high intensity (think running or biking sprints) can help you burn 200 more calories over the rest of the day.
Make lunch at home and bring it to work. That way, you know of every single ingredient that's going into your meal. Not to mention it'll save you the cost of buying a lunch. Cleveland Clinic recommends making sure one half of your plate is filled with leafy greens, one quarter is lean meat, and the other quarter is whole grains like brown rice or barley.
You see, the exercise techniques that work best are universal to men and women. And yet most women wouldn’t dare approach the gym like a guy. How do I know? Because the 10 women at my wife’s book club told me so last night, and it’s the same thing I’ve heard for the last 10 years in the fitness industry. The reality is that training “like a man” will actually make you leaner, sexier, and have your friends dying to know your secret.
Then, there’s biochemistry. In women, ghrelin — the “I’m hungry” hormone — spikes after a workout, while leptin — which tells the brain ‘I’m full!’ — plummets, according to a 2009 study in the American Journal of Physiology — Regulatory, Integral and Comparable Physiology. Not so in men. So post-workout, women tend to eat more, which puts them at risk to gain weight. Men don’t experience this same hormonal fluctuation.
Eating too little can be extremely dangerous for your body. According to Medical News Today, having a Body Mass Index (BMI) of under 18.5 can lead to malnutrition, osteoporosis, developmental problems, a weakened immune system, anemia, and chronic fatigue. Healthline reports that the average woman needs about 2000 calories per day to maintain her weight and about 1500 calories to lose one pound of weight per week, though you should consult with your healthcare provider to see what's best for you.
13. If you want to lose fat and build a tighter tush, do your squats and lunges first. You see the best results in the muscles you train early in your workout because you’re able to hammer out the most reps and perform them with stellar form, compared to when your body is fatigued later on, suggests a study in the Journal of Sports Science and Medicine.
Meal prepping takes a few hours a week, but it's worth it: By getting your meals ready ahead of time, you won't be so tempted to order your go-to Chinese takeout when you're tired and hungry after work. "When you plan an entire week of dinner in advance, you're way less likely to go off course and indulge in foods that aren't good for you," says Pamela Salzman, a certified holistic health expert and cooking instructor. And since you planned things out, you'll actually get the protein, fruit, and veggies your body needs — and you'll lose weight in the process.
Gym memberships can be expensive, and some days you just can't make it into the gym. Or maybe, you might not feel comfortable in a gym quite yet. At the start of her weight loss journey, Suheily Rodriguez says he was too embarrassed to go to a gym. "So I built a home one," she says, "where I exercised an hour a day, six days a week." She credits this to her 96-pound weight loss.

This could be because the body increases insulin secretion in anticipation that sugar will appear in the blood. When this doesn’t happen, blood sugar drops and hunger increases. Whether this chain of events regularly takes place is somewhat unclear. Something odd happened when I tested Pepsi Max though, and there are well-designed studies showing increased insulin when using artificial sweeteners.
Intentional weight loss is the loss of total body mass as a result of efforts to improve fitness and health, or to change appearance through slimming. Weight loss in individuals who are overweight or obese can reduce health risks,[1] increase fitness,[2] and may delay the onset of diabetes.[1] It could reduce pain and increase movement in people with osteoarthritis of the knee.[2] Weight loss can lead to a reduction in hypertension (high blood pressure), however whether this reduces hypertension-related harm is unclear.[1][not in citation given]
A diet plan is one step towards achieving a healthy lifestyle. Fitness and health guidelines give information on how exercise and living an active lifestyle could complement the benefits of eating healthy. Be sure to check important guides such as eating out, lifestyle tips, portion control guides, clinical research and exercise tips to achieve the maximum benefits of enrolling in a diet program.
‘Do it for a couple of minutes in bed and you’ll actually be able to wind down and fall asleep more easily. But it’s a skill, so it requires a commitment to practice it, as with anything. Think of it a bit like dating – the first time you do it it’s terrible, it’s uncomfortable, nobody knows what they’re doing, but the more dates you go on the better it gets.
Weight training is the ultimate way to burn calories fast. "A pound of muscle burns up to nine times the calories of a pound of fat," explains Richard Cotton, M.A., chief exercise physiologist for myexerciseplan.com. Weight training increases your resting metabolic rate, which is the number of calories you burn while sitting on your butt. What's more, it gives your metabolism an added boost after you exercise, staying in overdrive for up to two hours after the last bench press, according to a study published in Medicine & Science in Sports & Exercise. Strapped for time? Try these quick moves: squats, bench step-ups, lunges, push-ups, pull-ups and planks. In a pinch, just do single sets of 10 for each exercise — you'll get optimal results for the time invested.
If you’re having trouble getting to bed, these 20 sleep strategies can help. To help stick to these strategies, consider these sleep tips your weight loss tips as well. Shutting off electronics an hour before bedtime, limiting caffeine intake in the afternoons, avoiding simple carbs in the evenings and journaling can all help you unwind so you get enough rest. You can also consider natural sleep aids to boost your ability to fall asleep and sleep soundly.
Instead of subjecting yourself to another endless workout, crank up the intensity and you’ll see results faster than you ever thought possible. The results of a study conducted at McMaster University in Ontario reveal that adult male study subjects who exercised intensely for a single minute had equivalent respiratory and metabolic changes to those who worked out at a slower pace for close to an hour, so if you want to burn through that belly fat, say so long to slow and steady.

Barley got its hunger-fighting reputation after Swedish researchers found that eating barley or rye kernels for breakfast kept blood sugar on an even keel. That's because the carbs in barley and rye kernels are "low glycemic index," meaning they raise blood sugar more slowly than some other carbohydrate foods. This helps you avoid a spike, and then a drop, in blood sugar, which can leave you feeling famished.
For years, research has supported the fact that Weight Watchers is one of the best weight-loss diets. Thanks to its flexibility, easy-to-understand food tracking system, and group support, Weight Watchers consistently ranks number one for "best weight loss diet" and "best commercial diet" in the U.S. News & World Report rankings. (Oprah's endorsement probably didn't hurt either!) They recently revamped their program and changed their name to WW to signify a focus on overall wellness—not just weight-loss—so that users who aren't focusing on weight can also use the program to eat better, work out more, or develop a more body-positive mindset.

Usually, a weight-loss plan combines elements of healthy eating and exercise to give its users the best chance of achieving their target weight. In addition to specifying a weekly menu plan or giving guidelines regarding calorie-intake and food selection, the best weight-loss plans of 2019 give you clear exercise regimes or allocate you fitness points for activities you perform on a day-to-day basis, like housekeeping, for example.
Stop treating your kitchen like an all-night diner and you’ll stop seeing those unwanted pounds piling onto your frame, too. The results of a study published in Cell Metabolism found that mice who only had access to food during an eight-hour period stayed slim over the course of the study, while those who ate the same number of calories over a 16-hour period gained significantly more weight, particularly around their middle. When you’re finished with dinner at night, shut the fridge and don’t look back until morning — your belly will thank you. When you do head back to the kitchen in the A.M., make sure the 40 Things Healthy Cooks Always Have in Their Kitchen are there waiting for you.

Losing weight isn’t necessarily a matter of meat vs. plants or carbs vs. fats. Repeatedly, studies suggest you can lose weight with a number of different approaches, including the ketogenic diet, intermittent fasting, and WW (formerly known as Weight Watchers). Truth be told, losing weight is much easier than keeping it off. The last decade of research on weight loss points to the fact that once you lose weight, your body is in a battle with biology. It’s an unfortunate irony, but studies show that as you drop pounds, your levels of “I’m hungry” hormones increase, while your “I’m full” hormones decrease. At the same time, your body physically needs less fuel to operate your smaller size. It’s not an easy battle, but it isn’t impossible; you can march on. Here’s what we’ve learned about weight loss, and what you can do to take charge of your weight this year.
Health professionals laud Weight Watchers focus on a balanced diet that they say is easier to stick to than plans that restrict food groups. The latest update to the program adds more than 200 "free" foods that you don't have to limit or track. Weight Watchers strongly encourages exercise and the diet plan is easily customized. The point-based system is easy to follow, and the basic program is relatively affordable. The most important feature of the Weight Watchers plan is ongoing support, in physical meetings and/or online.

Replace the negative voice in your head that's telling you to quit with a motivational saying that will inspire you to keep going even when it gets tough. "I powered through workouts telling myself, 'I can do hard things!'" says Megen Karlinsey, who kept off 150 pounds. Her mantra helped her accomplish a triathlon, which she signed up for to blast a weight loss plateau.
Try not to think that you can't eat certain foods because you're "too overweight." According to the National Eating Disorder Association, dieting, drive for thinness, and body dissatisfaction can become internalized at a young age and lead to an eating disorder. Change your mindset to celebrate the healthy foods you're eating because they're helping your body stay healthy and energized.
Plain and simple: We just don't feel full by liquid calories in quite the same way as we do real food. Drinking a juice or caramel coffee drink, for instance, won't make you feel full the way eating a bowl of veggie- and protein-packed stir-fry will. So monitor your intake of juice, soda, sweetened coffee and tea, and alcoholic beverages. If you consume each of those beverages during the day, you'll have taken in at least 800 extra calories by nighttime — and you'll still be hungry. (Incidentally, alcohol may suppress the metabolism of fat, making it tougher for you to burn those calories.) Some other ways to skip sugar? Check 'em out here.
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.
Even though artificially sweetened drinks are calorie-free, drinking too many can actually hinder your fat-loss progress. It seems that beverages like diet soda mess with your brain’s ability to regulate calorie intake, causing you to feel hungrier than normal so you eat more total calories. Other research suggests that the sweet taste of these drinks can increase the release of insulin, which can blunt fat-burning and enhance fat storage.
That sour cherry is pretty sweet when it comes to your health. The results of a study conducted at the University of Michigan found that rats given high-fat foods along with tart cherries ditched nine percent more body fat than those in a control group over just 12 weeks. Cherries are also a good source of antioxidant pigment resveratrol, which has been linked to reductions in belly fat, dementia risk, and lower rates of macular degeneration among the elderly.
Many diets, including Atkins and the keto diet, fit into this umbrella. A typical low-carb diet limits carbs to less than 60 g daily, but this can vary, according to the Mayo Clinic. (15) In a September 2015 review published in PLoS One, people following low-carb diets saw modest weight loss — although study authors note that long-term effects of the diet require further research. (16)

I am so glad I came back to this page and read it again. I started out doing this 17 days ago..I lost 11 pounds first 5 days, 14 pounds my 9th day and now 21 pounds in 16 days..it is 3am the 17th days hasn’t even started..lol..I was doing really good and then I started having 2 gutter coffees every morning, basically because I bought a French press and .1 the coffee was so delicious and 2. because I would make a whole pitcher full so i would feel like I had to drink it…I started making butter covered shrimp scampi on butter covered zuchinni noodles, I had a big salad with an avacado and olive oil, garlic dressing with 3 over easy eggs on top…I know..right? That is just part of my addiction to food..it is my only vice, but i am seeing my mistakes now a lot quicker than I would have before…and I am putting on the brakes..skreeeeeeeech…I have been IFing since day 2 and have not stopped that, which is good and probably why i still have been losing…but i have been really restless with all of the caffeine in the coffee and some of the tea I drink..I have been an insomniac this last week. So..now I know, once again, black coffee in the morning followed by water and some green tea..maybe broth at 1pm..2 eggs scrambled with a handful of kale lightly tossed in just to warm it at 2-3pm and then 3 oz piece of fish or chicken with a large salad or medium salad with asparagus or brussel sprouts roasted…no more cheese on everything…yeah, I’ve been sprinkling on the cheese too..water and decaf tea until bedtime..I just needed a refresher course…and I find that is I write or type all this out, it stays in my brain better than opposed to reading it and saying,” yep, that’s the way to do it…lol” Thanks so much and I know I am babbling on and on..It is nice to have a place where I can let all of this out. Thanks again and let ya know3 in a week if it kick starts me right back into losing smooth and fast <3 ya both, Katy
One of the biggest differentiating factors of Weight Watchers is their famous claim that you can eat whatever you want. A points-based system allows members to select which indulgences they want to spend their calories on, and that’s also one of the secrets to its success. When people feel that they aren’t being restricted, psychologically, it is easier for them to follow a diet plan. This is part of what you’ll get from a Weight Watchers membership:
Workout for 60-70 minutes a day in total and stay hydrated. During your exercise, include a 5 minute warm-up to slowly rise your heart rate, like a slow jog with a slowly accelerating pace. After, do 60 minutes of exercise to keep the heart rate up, you could do 2-3 different exercises. Finally do a 5-minute cool down to lower your heart rate like a jog turned into a walk.

Although you do want to increase your walking over time, this doesn’t necessarily mean that you have to be working your way up to a more intensive form of cardio like swimming or running. “Moving on to new exercises is not something someone should feel they have to do unless their goals change and a new exercise is needed to support those goals,” says Gagliardi. “Walking alone can be progressed by changing the distance, speed, terrain, and by adding intervals.”
Third is eat one handful of nuts. Now, almonds, peanuts, cashews, walnuts these are great sources of healthy fat. And always remember that good fat cuts bad fat. So, you have to eat one handful of these nuts every day. Now, it is totally up to you if you want to have these in one serving or two servings. As far as almonds are concerned, you can soak them but please do not remove the skin. It is rich in vitamin E.
It’s bad for every part of your body.  Your body is actually breaking down, your relationships suffer, your brain doesn’t work right, your joints hurt, you lose muscle, and you just don’t look good in the mirror.  Conventional wisdom says you should start cutting fat and calories and run on a treadmill for an hour a day. Then you’re made to feel as if it’s your fault because their advice doesn’t work.
Most people think of cardio as a weight loss all-star, but you don’t need to spend all day on the treadmill to slim down. In fact, you might want to concentrate your efforts in the weight room. Muscle is metabolically active tissue, which means that it burns calories even when you’re not lifting; your body burns calories just to maintain muscle, so the more of it you have, the more calories you torch. You lose muscle mass naturally as you age, a process known as sarcopenia, which is why losing weight tends to get tougher the older you get. One study found that just ten weeks of resistance training increased resting metabolic rate (the number of calories your body burns when you’re not doing anything) by 7 percent. Check out this simple strength training routine that challenges your entire body.
SouthBeachDiet.com offers a comprehensive weight loss service which includes coaching, recipes, exercises, tracking tools and more. They now produce a range of additive-free snacks to help you during cravings, plus community support if you need it. The diet was initially designed by a cardiologist and Professor of medicine, but rather than a simple quick fix, it aims to change the way you think about...
“Diets rich in trans fats not only promote belly fat but also mobilize fat stored in other areas of the body to the stomach,” explains McDaniel. “Sources of trans fats include vegetable shortenings, processed baked goods such as cookies and crackers and fried foods. Avoid foods that contain the ingredient “partially hydrogenated oil” in the ingredient list at all costs,” she cautions.
A common misconception amongst many female fitness enthusiasts is that steady-state cardio in the "fat burning zone" is ideal for weight loss. Spending two hours on the treadmill may seem like it'll get you bikini-worthy bod—more minutes, more calories, right? However, while steady-state cardio has many benefits, it isn't the most effective way to reduce body fat.[1]
When it comes to the "best" diet for most people, this one consistently ranks at the top of every list. If you can't afford a cruise to the Mediterranean (yet!), at least you can eat like the beautiful, long-living, and famously healthy people from the region. The Mediterranean diet teaches you to eat like a Sardinian, one of the "blue zones" identified by researchers as having a high number of people living past 100—by eating more fish, olive oil, healthy fats, and fresh vegetables. The point is to have not just a longer life but also a healthier and happier one, whether you're trying to lose weight or not. (Really—research shows that you can reap the benefits of the Mediterranean diet without cutting calories.)

If you’ve got weight to lose and you want it gone fast, try swapping out your usual proteins in favor of fish. Not only is fish lower in calories than an equivalent amount of beef or chicken, a study published in Obesity reveals study subjects who added omega-3 fatty acids, like those found in fish, to their diets shed more weight and had an easier time keeping it off than those who skipped them.
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.
In a 2012 study in the journal Obesity, subjects who increased their soluble fiber intake by 10 grams a day—the equivalent of two small apples, one cup of green peas, and one half-cup of pinto beans—reduced visceral fat by 3.7 percent after five years. Even more, participants who also engaged in moderate physical activity (exercising vigorously two to four times a week) experienced a 7.4 decrease in visceral fat over the same period of time.
Low-calorie diets are also referred to as balanced percentage diets. Due to their minimal detrimental effects, these types of diets are most commonly recommended by nutritionists. In addition to restricting calorie intake, a balanced diet also regulates macronutrient consumption. From the total number of allotted daily calories, it is recommended that 55% should come from carbohydrates, 15% from protein, and 30% from fats with no more than 10% of total fat coming from saturated forms.[citation needed] For instance, a recommended 1,200 calorie diet would supply about 660 calories from carbohydrates, 180 from protein, and 360 from fat. Some studies suggest that increased consumption of protein can help ease hunger pangs associated with reduced caloric intake by increasing the feeling of satiety.[4] Calorie restriction in this way has many long-term benefits. After reaching the desired body weight, the calories consumed per day may be increased gradually, without exceeding 2,000 net (i.e. derived by subtracting calories burned by physical activity from calories consumed). Combined with increased physical activity, low-calorie diets are thought to be most effective long-term, unlike crash diets, which can achieve short-term results, at best. Physical activity could greatly enhance the efficiency of a diet. The healthiest weight loss regimen, therefore, is one that consists of a balanced diet and moderate physical activity.[citation needed]
Having support is very important with weight loss. If everyone can get on board, it will be easier to achieve your goals. Talk to your family (or friends, roommates, etc) before starting your diet and let them know your plan. Explain why you are making this decision and ways they can help you succeed. Even if they do not change with you, that's okay! Go forward with your plan! They may decide to join you once they see you succeed with weight loss.
I am so glad I came back to this page and read it again. I started out doing this 17 days ago..I lost 11 pounds first 5 days, 14 pounds my 9th day and now 21 pounds in 16 days..it is 3am the 17th days hasn’t even started..lol..I was doing really good and then I started having 2 gutter coffees every morning, basically because I bought a French press and .1 the coffee was so delicious and 2. because I would make a whole pitcher full so i would feel like I had to drink it…I started making butter covered shrimp scampi on butter covered zuchinni noodles, I had a big salad with an avacado and olive oil, garlic dressing with 3 over easy eggs on top…I know..right? That is just part of my addiction to food..it is my only vice, but i am seeing my mistakes now a lot quicker than I would have before…and I am putting on the brakes..skreeeeeeeech…I have been IFing since day 2 and have not stopped that, which is good and probably why i still have been losing…but i have been really restless with all of the caffeine in the coffee and some of the tea I drink..I have been an insomniac this last week. So..now I know, once again, black coffee in the morning followed by water and some green tea..maybe broth at 1pm..2 eggs scrambled with a handful of kale lightly tossed in just to warm it at 2-3pm and then 3 oz piece of fish or chicken with a large salad or medium salad with asparagus or brussel sprouts roasted…no more cheese on everything…yeah, I’ve been sprinkling on the cheese too..water and decaf tea until bedtime..I just needed a refresher course…and I find that is I write or type all this out, it stays in my brain better than opposed to reading it and saying,” yep, that’s the way to do it…lol” Thanks so much and I know I am babbling on and on..It is nice to have a place where I can let all of this out. Thanks again and let ya know3 in a week if it kick starts me right back into losing smooth and fast <3 ya both, Katy
As funny as it sounds, sleep deprivation may make you fat — and not just because you're susceptible to cases of the late-night munchies (although there's that too). There's tons of research that demonstrates getting less than the desired amount — about 7 hours — of sleep per night can slow down your metabolism. Plus, when you're awake for longer, you're naturally more likely to nosh. So don't skimp on your ZZZs, and you'll be rewarded with an extra edge when it comes to shedding pounds quickly.

Identifying and resolving typical weight loss hurdles — like flagging enthusiasm — is something Noom excels at. The initial questions that set up your profile, match you with a coach, and place you with a group, all intend to diagnose your learning style and what flavor of support you need. What kicks you into high gear, tough love or words of affirmation? How do you like to show support? How do you feel about goal setting?
●Personalize your portions. If you’re a woman eating with a man, customize your portions to suit your body’s needs, says Sass. That might mean more veggies and smaller servings of protein and foods with starch and fat. For example, on burrito night, skip the tortilla in favor of a bed of greens, and stick to a piece of lean protein the size of a smartphone, a small scoop of a healthful starch such as brown rice and a dollop of guacamole.
Make sure that you don't get hungry by eating small portions throughout the day at regular intervals. Between your meals, eat a 150-calorie snack to keep your metabolism burning and to stave off hunger. Be sure that you don't eat a fattening snack such as sweets or crisps. When you're hungry, your body conserves calories and slows down your metabolic processes.

This isn’t just great advice for shedding unwanted pounds around the midsection.  The health benefits of getting adequate rest are well-documented and can help you lose weight from several different angles.  Sure, it’s easy to make excuses as to why you don’t have time for the prescribed eight hours of sleep or why you don’t really need it, but please read on!
When you restrict your caloric intake, or cut out specific food groups, you do run the risk of having nutritional deficiencies, especially when it comes to micronutrients. Cutting out fatty foods, for example, could have the inadvertent effect of causing your omega-3 fatty acid intake to plummet, which could increase your long-term risk for cardiovascular disease (8).

Instead of satisfying your sweet tooth with some refined sugar, turn to berries and enjoy a slimmer waistline in no time. Berries are loaded with antioxidants, which can help reduce inflammation throughout the body, and research from the University of Michigan reveals that rats given a berry-rich diet shaved off a significant proportion of their belly fat when compared to a control group. Berries like strawberries, raspberries, blueberries, and blackberries are also loaded with resveratrol, an antioxidant pigment that has been linked to reductions in belly fat and a reduced risk of dementia, to boot.
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