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No phentermine for weight loss during pregnancy
According to Sarah Palin, the European healthcare service operates like the Canadian cull of seals. On a regular basis, men armed with clubs go out among the unhealthy and older members of society, and put down those who no longer contribute to the strength of the group. Death panels decide who shall live and die. That means, by her standards, one of the leading panels is UK’s NICE – the National Institute for Clinical Excellence. This group of so-called experts draws up guidelines to be used by the medical profession. Whenever there is good research evidence that a particular treatment is effective, it is incorporated into the national practice standards. But if a given treatment or drug is not shown effective, the medical profession and hospitals are instructed not to use them. So, many of the procedures that are standard in the US are not allowed in the UK, and many of the drugs routinely prescribed in the US are either not available in the UK or only available if the patient pays privately. Despite this, people in the UK live longer and enjoy better health than Americans.
Anyway, NICE has just launched a consultation process to decide what advice to give pregnant women about weight loss. If you want to offer an opinion, you can do so during the next month through http://guidance.nice.org.uk/PHG/Wave18/3. NICE offers the opinion that women do not need to increase the amount they eat during the first six months of pregnancy. The idea that pregnant women are “eating for two” is a myth. The most needed is an extra 200 calories a day during the last three months. That said, it is always better for women not to get pregnant if they have a BMI of 30 or more. This is not to suggest there is a high risk to the fetus. But the evidence shows there are fewer complications during pregnancy if women lose weight before getting pregnant. In general, trying to lose weight during pregnancy is not advisable. Stability and consistency of behavior are more important. That means women who routinely exercise before pregnancy should continue. Finally, women should not be misled by celebrities who slim dramatically after giving birth. It is better to lose weight gradually. Even so, there is no evidence that the quantity or quality of milk is affected in women who do crash diet after giving birth. NICE simply suggests women do what feels right for them. If they are tired, they should rest. Hopefully, they are eating a healthy diet anyway. As long as they get back to their pre-pregnancy weight at some point, this will be good for their long-term health.
There have been no tests performed in the UK or the US to determine whether it is safe for women to take phentermine hcl during pregnancy. So applying the precautionary principle, it better if you do not take this drug during pregnancy unless your doctor has specifically approved it. What can be said with certainty is that the active chemicals do enter the mother’s milk and can have an adverse effect on nursing babies. Thus, if you do want to lose weight after giving birth, do not buy phentermine online and take it while breast-feeding. You should either wean the baby or find another drug that suppresses your appetite without endangering your child.
Use propecia for male pattern baldness only
One of the most commonly suggested causes of hair loss in both men and women is a genetic defect. The fact it may be inherited means it is not your fault when your hair thins and falls out and, perhaps more importantly, the condition is not necessarily something that can be cured. Of course, there is some evidence that hair loss does run in families, but there is more evidence that our lifestyles and medical decisions can be even more important factors in deciding who loses hair and how quickly. We will ignore the cultural effect of changing hairstyles where too much traction in pulling the hair back into a ponytail or comparable style may accelerate hair loss, the effect of a general anesthetic for surgery (curiously, many who undergo gastric bypass surgery often lose the most hair), increased levels of anxiety and stress, and both chemo- and radiotherapy for cancer. The most consistent cause surrounds the level of different hormones in the body.
In women, for example, the level of estrogen drops during and after pregnancy, and during the menopause. This has been directly linked to both the thinning of hair and its loss from the scalp. Some women also lose hair as a reaction to particular oral contraceptives. For obvious reasons, the level of hormones naturally occurring in the male body tends to be more stable. But, in both genders, thyroid problems can affect the production of hormones and produce early baldness in men. Similarly, for a number of reasons, the levels of the hormones may be affected artificially. The most consistent causes stem from the use of steroids which are commonly used for a variety of strictly medical, e.g. to control asthma, and other purposes, e.g. as supplements to promote growth and for strength while weight training. As an adverse side effect, many weight loss products affect the thyroid and hair suffers. Finally, it is not just athletes who discover some diet and other supplements affect the level of testosterone in their bodies. Many who take “natural” dietary and nutritional supplements find out the hard way that some “natural” chemicals affect hair growth and retention.
This should give you pause for thought. Because there are many possible causes of hair loss, you should not guess what is affecting you and self-medicate. The research evidence shows the majority of people are completely unaware that their own lifestyles or the drugs prescribed to them by physicians may be responsible. Always get a formal diagnosis from your regular healthcare professional. If he or she confirms your hair loss is an adverse side effect of drugs or supplements you are using, the remedies will be clear. But, if male pattern baldness is confirmed, propecia is the tried and tested response (albeit not for Olympic athletes like Zach Lund who were banned from competition if they took this drug). Because this drug was developed some time ago, you will now find both the branded and generic propecia (also called finasteride) freely available from most of the online pharmacies. This will save you some serious money while enabling you to both slow hair loss and often encourage some regrowth. However, two small facts should be borne in mind. Propecia works best when it is taken early in the cycle of hair loss. Secondly, hair loss restarts once you stop taking the drug.
Weight loss including phentermine is worth billions
Wherever you look, you are guaranteed sight of an ad for a weight loss product or service. It can be a careful pitch from a local aerobics class or an over-the-top claim for a “natural” product that you can eat as much as you like and still lose weight. This evidences a sad truth. As millions of us grow steadily more overweight, there are thousands of companies and tens of thousands of products and services that target us. The intention is to exploit our fears and insecurities, and so extract the maximum amount of dollars from us. This business is worth billions every year and, truth be told, the first thing that gets lost in the marketing is the truth. Although the FDA has a specific department tasked with policing the advertizing of all weight-loss products, it has been consistently underfunded and is completely unable to stay on top of the flood of ads that compete for our attention. Similarly, the majority of states have “false claims” laws that allow action to be taken against any seller or service provider exaggerating the quality, effectiveness or value of their product or service. But states are often reluctant to interfere in the “free market” and leave it to individuals to claim they have been cheated by the companies.
As an example of the problems affecting all of us, let’s look at the activities of Basic Research and ThinCare International. These two linked companies are based in Utah but sell online to all US states. Their sales pitch is simple. If you take two pills before your main meal, you will lose weight no matter how much you eat. Better still, this is effortless weight loss and guaranteed even though you never stir from the couch. Instead of the conventional wisdom, “No pain, no gain!” (or should that be loss?), there’s no need to exercise. The pounds just drop off your body thanks to the chemical wizardry of these companies. What has made this ad campaign so successful has been the presence of Jillian Michaels as brand ambassador. Ms Michaels appears on the reality show, “The Biggest Loser”, as a personal trainer to the contestants as they sweat and groan their way towards cash and other prizes for losing weight. In this role, her reputation depends on a clear and consistent message. If you want to lose weight, you have to be disciplined in exercising and eating healthy food. For her to endorse an “effortless” product therefore looks less than completely honest.
It is significant that the two companies and the FDA are already engaged in court battles. The companies allege the FDA is wrong in rejecting their “scientific” evidence of effectiveness. To that litigation, you can now add false claims actions in California and Utah. Of course, you can take the cynical line that everyone knows ads always exaggerate the truth. Anyone who buys a product based on the marketing deserves to lose his or her money. Except there comes a point when the law has to step in and say, “Enough!” It seems this point has been reached with these products. It will be for Ms Michaels to defend her reputation. All of which bring us to phentermine hcl which has quietly been selling for decades as the best of the real drugs designed to support weight loss. It makes no exaggerated claims. Its effectiveness is supported by real scientific evidence. When you buy phentermine online, you are buying a successful product. Honest!
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