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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.

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Are you struggling to stay in ketosis and achieve your weight loss goals? BHB Keto Gummies may be the solution you’ve been searching for. These gummies are designed to help boost your ketosis naturally, making it easier for your body to burn fat for energy. If you’re tired of restrictive diets and intense workouts that aren’t giving you the results you want, BHB Keto Gummies could be the key to reaching your fitness goals.

What are BHB Keto Gummies?

BHB Keto Gummies are a convenient and delicious way to support your ketogenic lifestyle. They are infused with exogenous ketones, specifically Beta-Hydroxybutyrate (BHB), which help increase ketone levels in your blood. When your body is in a state of ketosis, it burns fat for fuel instead of carbohydrates, which can result in weight loss and increased energy levels. By taking BHB Keto Gummies, you can help your body stay in ketosis and experience all the benefits that come with it.

These gummies are perfect for those following a ketogenic diet, as they provide a quick and easy way to supplement their ketone levels. They can also be useful for those who are trying to transition into ketosis or for anyone looking to enhance their weight loss efforts.

How Do BHB Keto Gummies Work?

When you consume BHB Keto Gummies, the exogenous ketones in the gummies are absorbed into your bloodstream, helping raise your ketone levels. This signals to your body that it should start burning fat for fuel instead of glucose, which can help you reach ketosis faster and stay there longer. By supporting your body’s natural ketone production, BHB Keto Gummies make it easier for you to stay in ketosis and continue burning fat for energy.

In addition to their weight loss benefits, BHB Keto Gummies can also help increase mental clarity and focus. When your brain has a steady supply of ketones, it can function more efficiently, leading to improved cognitive function and mental performance. This can be especially beneficial for those who struggle with brain fog or lack of focus.

Benefits of BHB Keto Gummies

There are numerous benefits to incorporating BHB Keto Gummies into your daily routine. Not only can they help you reach and maintain ketosis, but they can also support weight loss, increase energy levels, and improve mental focus. These gummies are easy to take on the go, making them a convenient option for busy individuals who are looking to improve their health and fitness.

Furthermore, BHB Keto Gummies are a natural and safe way to enhance your ketogenic lifestyle. They are made with high-quality ingredients and free from harmful chemicals or additives, making them a reliable choice for anyone looking to support their weight loss journey. If you’re struggling to stay in ketosis or want to kickstart your weight loss efforts, BHB Keto Gummies could be the solution you’ve been looking for.

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As with any dietary supplement, it’s essential to consult with a healthcare professional before starting a new regimen, especially if you have any underlying medical conditions or are taking medications. While BHB Keto Gummies are generally safe for most individuals, some people may experience minor side effects such as stomach upset or diarrhea. These side effects are typically temporary and can be minimized by starting with a lower dose and gradually increasing as your body adjusts.

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It’s also crucial to remember that BHB Keto Gummies are not a magic solution for weight loss. They should be used in conjunction with a healthy diet and regular exercise for the best results. By incorporating these gummies into your routine and making positive lifestyle changes, you can maximize their benefits and achieve your weight loss goals more effectively.

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In conclusion, BHB Keto Gummies are an excellent option for anyone looking to boost their ketosis naturally and support their weight loss journey. These gummies are easy to take, delicious, and effective, making them a convenient choice for those following a ketogenic diet. By incorporating BHB Keto Gummies into your daily routine, you can help your body stay in ketosis, burn fat for fuel, and experience increased energy levels and mental focus. Don’t let your weight loss goals slip away – try BHB Keto Gummies today and take the first step towards a healthier, fitter you.

FAQ

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It’s recommended to start with one to two gummies per day and increase as needed. Consult with a healthcare professional for personalized dosage recommendations.

2. Are BHB Keto Gummies safe for everyone?

While BHB Keto Gummies are generally safe for most individuals, it’s essential to consult with a healthcare professional before starting any new supplement regimen, especially if you have any underlying medical conditions or are taking medications.

3. How long does it take to see results with BHB Keto Gummies?

Results may vary for each individual, but many people experience increased energy levels and improved mental focus shortly after starting BHB Keto Gummies. For optimal weight loss results, it’s recommended to use these gummies in conjunction with a healthy diet and regular exercise.

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The Keto diet has been gaining popularity around the world for its effectiveness in promoting weight loss and improving overall health. This high-fat, low-carb diet has been endorsed by many celebrities and health experts, making it a trending topic in the world of nutrition and wellness. The latest buzz around the Keto diet comes from an unexpected place – India. The Keto diet’s Indian invasion was recently showcased on an episode of Shark Tank, where a group of entrepreneurs pitched their Keto-friendly products to the sharks. This groundbreaking episode shed light on the growing popularity of the Keto diet in India and the innovative products being developed to cater to this new market.

The Shark Tank Pitch

The entrepreneurs behind the Indian Keto products appeared on Shark Tank to present their range of Keto-friendly snacks, desserts, and meal kits. They explained how they had recognized the growing interest in the Keto diet in India and saw a gap in the market for convenient, tasty Keto products. The sharks were impressed by the entrepreneurs’ business acumen and the quality of their products, leading to a fierce bidding war for investment.

The pitch highlighted the potential for the Keto diet in India, where obesity rates are on the rise, and lifestyle-related diseases are becoming increasingly common. The entrepreneurs shared statistics showing that a large percentage of Indians are overweight or obese, making the Keto diet an attractive option for those looking to lose weight and improve their health.

Keto-Friendly Indian Products

The entrepreneurs showcased a range of Keto-friendly Indian products, including snacks made from traditional ingredients like almonds, coconut, and ghee. They also presented Keto-friendly versions of popular Indian desserts, such as sugar-free gulab jamuns and kheer. The sharks were impressed by the authenticity and taste of the products, which catered to the Indian palate while adhering to Keto principles.

The entrepreneurs emphasized the importance of educating consumers about the Keto diet and providing them with convenient options to stick to the diet. They explained that their products were designed to make it easier for busy Indians to follow the Keto diet without compromising on taste or convenience. The sharks were impressed by the entrepreneurs’ commitment to quality and innovation in developing these products.

Impact of the Shark Tank Episode

The Shark Tank episode featuring the Keto diet’s Indian invasion sparked a wave of interest in India, with many people curious to try out Keto-friendly products for themselves. The entrepreneurs reported a significant increase in sales following their appearance on the show, as more Indians became aware of the benefits of the Keto diet. They also received inquiries from international markets interested in importing their products.

The episode served as a platform to raise awareness about the Keto diet in India and dispel myths surrounding high-fat diets. The entrepreneurs used the opportunity to educate viewers about the science behind the Keto diet and its potential health benefits. They emphasized the importance of consulting with a healthcare professional before starting any new diet regimen and tailored their products to meet the nutritional needs of Keto followers.

Future of the Keto Diet in India

The success of the Indian Keto products on Shark Tank has paved the way for more innovation in the field of Keto-friendly foods in India. The entrepreneurs behind these products are now working on expanding their product line and reaching a wider audience across the country. They are also collaborating with nutritionists and dieticians to create meal plans and recipes that cater to the specific dietary needs of Indian consumers following the Keto diet.

With the growing awareness of the Keto diet in India, more people are exploring this dietary approach as a sustainable way to achieve weight loss and improve their health. The Shark Tank episode has brought the Keto diet into the mainstream conversation in India, encouraging more individuals to adopt this lifestyle. As the market for Keto-friendly products continues to expand, the Indian Keto invasion shows no signs of slowing down.

FAQ:

What is the Keto diet?

The Keto diet is a high-fat, low-carb diet that aims to put the body into a state of ketosis, where it burns fat for fuel instead of carbohydrates. This can lead to weight loss and improved energy levels.

Is the Keto diet safe?

The Keto diet can be safe for most people when followed correctly and under the guidance of a healthcare professional. It is important to ensure proper nutrition and hydration while on the Keto diet.

Are there any side effects of the Keto diet?

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Some people may experience side effects when starting the Keto diet, such as the “Keto flu” (flu-like symptoms), dehydration, and constipation. These can usually be managed by adjusting your diet and staying hydrated.

Can the Keto diet be followed long term?

Some people choose to follow the Keto diet long term, while others may use it as a short-term weight loss strategy. It is important to listen to your body and consult with a healthcare professional to determine the best approach for you.

Are there any specific foods to avoid on the Keto diet?

On the Keto diet, it is important to avoid high-carb foods like bread, pasta, rice, and sugary snacks. Instead, focus on eating healthy fats, proteins, and low-carb vegetables to stay in ketosis.

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Bio Life Keto is a modern supplement that incorporates bio-enhanced constituents to facilitate the achievement of your health and weight desires. It contains natural ingredients designed for healthy living by encouraging fat burning, enhancing mental clarity, and boosting energy levels.

What Does Bio Life Keto Do?

Whereas it operates via ketosis thus burning fat for fuel instead of carbohydrates. In other words, this process depends on BHB (beta-hydroxybutyrate), which is a liver-generated body ketone when there’s low carbohydrate intake. So, using Bio Life Keto enables you to increase BHB in the bloodstream so as to start burning fats once in ketosis.

Besides supporting ketosis, Bio Life Keto comes with bio-enhanced contents that help digestion, quicken metabolism and enhance general healthiness. Such products involve green tea extract, MCT oil and apple cider vinegar all of which have been proven helpful in reducing weight and boosting wellbeing.

Benefits of Bio Life Keto

1. Weight Loss: This increases fats burning by inducing ketosis hence helps you lose weight giving slender figure.

2. Increased Energy: If your body burns fats for energy instead of carbs, then you will benefit from continuous high energy supplies during the day.Weight Loss Diet Recipe Shortvideo Food Weightloss Sumansupriya

3. Mental Clarity: A significant number of Bio Life Keto users have reported having better concentration due to the existence of ketones in their systems while under this condition called Ketosis.

How to Use Bio Life Keto

For optimal results, take two pills daily with a glass of water. In addition to this it is recommended that you follow a nutritious diet and maintain regular physical exercise routines while taking Bio Life keto capsules if you expect pronounced results from their use.

Remember that individual outcomes may differ depending on factors such as age; weight or health status making it hard to say how efficient Bio life keto pills would be without considering them all before beginning their intake.

Is Bio Life Keto Safe?

Yes—Bio-Life-Keto has been made out of all natural substances which lack any chemicals, additives or fillers. However, like any other supplement, Bio Life Keto should be taken as per prescription while indicating if there are any health complications or in case you’re under medication.

All in all, Bio Life Keto is a great way to remain healthy and achieve weight loss goals safely. So why don’t you just give it a try now and see what it can do for you?

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Subscribe for 3x Videos Per Week! http://ThomasDeLauer.com Dehydration Hinders Fat Loss Results and Affects the Liver- Here’s How- Thomas DeLauer Organ function- If your kidneys become dehydrated, their main job of filtering the blood becomes inhibited, and so passes a lot of the job onto the liver. One of the liver’s functions is to metabolize stored fat in the body, and therefore only has half the fat burning capacity if your kidneys are malfunctioning from dehydration. Liver is babysitting two kids instead of just one. Endocrine system- Growth hormone (hgH) is a potent fat burning hormone. It binds itself to the receptor sites of fat cells and breaks down triglycerides, shrinking the fat cell. However, hgH production is hugely reduced when the body is dehydrated, limiting fat metabolism. Cognitive function- The brain is made of roughly 80% water, and is therefore very sensitive to changes in water level. Just 2% dehydration can reduce cognitive function by up to 30%. This can lead to a feeling of tiredness and fatigue, which negatively promotes a lack of motivation to exercise and eat correctly – indirectly hinders fat burning (1) Study- One study looked at dehydration and obesity and used urine samples provided for the U.S. National Health and Nutrition Examination Survey 2009-2012 from 9,500 participants ages 18 to 64. The study found that nearly one-third of participants were inadequately hydrated and that the odds of being obese were 1.59 times higher for people who were not well-hydrated – also found that a lack of proper hydration was associated with higher body mass index. (2,3) Study Links: http://www.annfammed.org/content/14/4/320.full https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4940461/ Improve Your Hydration- Drink a full glass of water on waking. Six to eight hours of sleeping leaves us dehydrated first thing in the morning. The worst thing you can do at this time of the day is immediately drink tea or coffee – they act as diuretics and will dehydrate you even further. It is important to include electrolytes (salt) in your water to mitigate the risk of hypernatremia (condition where the sodium concentration of your blood becomes too low due to drinking too much plain water when dehydrated) By doing this you’ll also rehydrate more effectively as the salt helps the water pass from your gut into the blood and keeps it there (if you only drink plain water when you’re severely dehydrated you’ll only absorb 50% of the amount you drink.) (1,4) Highly polarized water is attracted to positively charged sodium in the blood. References: 1) Four Ways Dehydration Inhibits Fat Loss and Four Ways To Fix It | Health Bath. (n.d.). Retrieved from http://health-bath.co.uk/blog/four-ways-dehydration-inhibits-fat-loss-and-four-ways-to-fix-it/ 2) Inadequate Hydration, BMI, and Obesity Among US Adults: NHANES 2009–2012. (n.d.). Retrieved from http://www.annfammed.org/content/14/4/320 3) The Surprising Link Between Dehydration and Obesity - Nutrition - Health.com. (n.d.). Retrieved from http://www.health.com/nutrition/drink-water-stay-slimmer 4) Thirsty? New Study Links Good Hydration To Slimmer Waistlines : The Salt : NPR. (n.d.). Retrieved from http://www.npr.org/sections/thesalt/2016/07/12/485737511/thirsty-new-study-links-good-hydration-to-slimmer-waistlines Click here to learn about exclusive 1 on 1 consults with Thomas! http://www.thomasdelauer.com Subscribe to the Thomas DeLauer Channel Here: http://www.youtube.com/user/thetdelauer?sub_confirmation=1

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