Effects of Obesity before Pregnancy

September 2, 2014

Effects of Obesity before Pregnancy – What you need to know

Effects of obesity before pregnancy is very vital for it goes along way in protecting the good health of both the mother and the baby

The issue of weight gain is developing in a very high speed and it is becoming the concern of all healthcare providers globally. It has in the recent past become the obvious metabolic disease and this has led the World Health Organization (WHO) to consider obesity as one of the most serious global health problems of the 21st century. It is not a simple thing for the WHO to list obesity in this ranking and so we all have a duty to share and make contributions toward bring this condition to some degree of control. Therefore, what is this condition called obesity? By definition obesity is a health condition in which the accumulation of excessive body fat to an extent that is highly likely to impair health and increase morbidity and mortality. The most commonly use method of measuring obesity is body mass index (BMI) where an individual will be considered to be overweight if their BMI is between 25 and 30 kg/m²while those with more than 30 kg/m²are considered to be obese. In this article we are going to interrogate the effects of obesity in women who are planning to get pregnant in the future, in other words the focus of this article will be obesity before pregnancy. As we get into this discussion, I want to introduce to you one of my cherished professional dealing with issues of weight gain in the most natural way, I am talking about doctor Dalal Akoury who has been in this practice for well over 20 years and we will be making reference of her practice from time to time so that you can call her to attend to your situation.

According to WHO the prevalence of obesity in pregnancy cut across 1.8 to 25.3% with effects of obesity before and during pregnancy constituting a major risk factor for both maternal and fetal complications. While appreciating that children born of obese mothers may become obese in their childhood and develops metabolic syndrome in their adulthood, it is possible to address some of the issues relating to obesity during pregnancy since at this time mothers will be more willing to accept certain changes in their lifestyle like a well-balanced diet and bit of indulgence in physical activities, practicing this will certainly improve the fetal health. It therefore goes without saying that a well-balanced body weight at this point is very important, we will continue with this in our next article but for now let us get back to the discussion of obesity before pregnancy.

Are you planning to get Pregnant?

It is very essential that women planning to get pregnant make effort to maintain normal body weight because being obese or even being underweight has negative effects on pregnancy, these two conditions can cause a woman to have a reduced fertility in all dynamics that is to say when observed in both natural conception and conception achieved by assisted reproduction techniques (ARTs). In many instances when subfertility is observed in obese women, it is always occasioned partially due to the decrease in frequency or complete absence of ovulation.

The dominant cause of anovulation is polycystic ovary syndrome (PCOS), which is characterized by central visceral obesity in 40% of the cases. Moreover, in a wider context of metabolic disorders,

Low concentration of serum
High-density lipoprotein (HDL) cholesterol
High concentration of triglycerides
Low-density lipoprotein (LDL) cholesterol
Increased concentrations of plasminogen activator inhibitor-1 (PAI-1) tend to co-exist.

All these metabolic derangements increase the risk of developing:

Arterial hypertension
Coronary heart disease and
Thrombosis

In addition, hyperinsulinemia promotes the production of testosterone and Δ4-androstendione from the theca cells in the ovary and results in a condition of hyperandrogenemic anovulation, with a phenotype characterized by hirsutism, obesity, acne, seborrhoea and hair loss.

Obesity has been observed to exert a negative impact on ARTs. Specifically, obesity may adversely affect the duration of ovarian stimulation, number and quality of oocytes and embryos, fertilization rate, embryo transfer rate as well as implantation and pregnancy rates. In obese women, a longer duration of ovarian stimulation and higher doses of gonadotropins are required. Additionally, higher cancellation rates and higher incidence of follicular asynchrony are often observed. The lower number of oocytes retrieved in overweight and obese as compared to normal weight women may be due to the lower number of follicles, technical difficulties or both.

Moreover, obesity can prevent proper trans-abdominal ultrasonography imaging during embryo transfer. All these mechanisms may be responsible for the decrease in implantation and pregnancy rates in obese women undergoing ART.

What to do before pregnancy?

There are certain important things that you need to consider when you’re planning to get pregnant, for instance emphasis needs to be out in normalizing your weight. You should neither be over or underweight because having normal weight is not only good for conception but also for the outcome of the pregnancy. While appreciating that most pregnancies are not planned it is very important that you consult a specialist on how to lose weight and calling doctor Akoury an expert in matters relating to weight and obesity will be the starting point. Remember that things are changing and the prevalence of obesity is worrying today we have established fact that weight loss before pregnancy results in a better chance for conception and increases the percentage of live births for obese women with or without PCOS.

Obesity is not an easy condition to manage and it even gets more complicated when pregnancy is involved. It is therefore very essential that obese women are fully informed about the risks of obesity and the benefits of weight loss. This valuable information will be available at AWAREmed Health and Wellness Resource Center under Doctor Akoury’s care. At this facility you will meet real expert who will attend to you professionally and help you in the management of your weight by encouraging an improved lifestyle through balanced diet and physical exercise. Besides this doctor Akoury together with her team of her experts will focus on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE. The sole objective of experts at this facility under the able leadership of doctor Akoury is to restore your self-esteem and face life positively a head of your planned pregnancy. Call now and experience the real life fulfillment thereafter.

Effects of Obesity before Pregnancy – What you need to know

The Importance Of High Dose Vitamin C In Balancing The Adrenals

September 2, 2014

Vitamin C Plays an Important Role in Balancing Adrenals Prior To Addiction Recovery Program

What are adrenals?

They are also referred to as adrenal glands or suprarenal glands. They are small triangular glands, which are located on top of both kidneys in our bodies. These glands play a vital role in our bodies, since they are responsible for regulation of the functioning of our bodies and minds. They are part of the endocrine system, which is branded, “policemen” in our bodies.
What is the function of these adrenals in our bodies?

The reason why adrenals are regarded as very vital in our bodies is because they produce chemicals that maintain life. Death becomes the only option for a person, when the adrenals fail to work. The chemicals which are produced by the adrenals, convert what is eaten by a human being (which is useless to our bodies) into substances which are useful to our bodies. These substances are the ones which facilitate body functions such as growing, changing and provide tools necessary for repairing and rebuilding of body tissues.

Another importance of proper functioning of adrenals is that, they produce very important hormones. One of these hormones is the cortisol, which is a hormone known to regulate physical stress, mental activities, emotion etc. when the adrenal glands are not functioning well, they may lead to insufficient cortisol hormones supply and hence the person is faced with stress among other symptoms.

Is adrenal fatigue real?

This fatigue is a reality. It is a collection of symptoms which come as a result of adrenal glands functioning below the required level. This fatigue in most cases is depicted by intense stress, which can hardly be reduced by sleep. Sleep is a common problem in people with imbalance in adrenal glands. This lack of sleep unfortunately triggers fatigue.

This condition of adrenal functioning below the required level is common in drug addicts. When an addicted person becomes a victim of adrenal malfunctioning, it becomes a more serious problem to address. For any successful addiction program, there is a need to first address the problem of adrenal. The regulation of working of the adrenal should even come before the actual addiction recovery program.

What symptoms may indicate malfunctioning in adrenal?

Unlike any other symptoms, the adrenal Symptoms are sometimes very difficult to identify. The problem with the identification of these symptoms is that they may look similar to symptoms of another condition. Therefore, you may need to identify as many symptoms as possible, before you conclude that a given person is a victim of adrenal malfunction.

The following are some of the common symptoms or consequences of adrenals malfunction:-

Continued fall in body temperature. Since adrenals are responsible for regulation of many body functions such as regulation of body temperature, their malfunction may lead to decline in the body temperature.
Body weakness – another common symptom of adrenal malfunction is body becoming weak. This is sometimes related to stress, but when adrenals fail to work for long period, it becomes difficult for the person to remain off the bed for more than an hour in a day. Such a person will remain on the bed, since he/she feel his/her body totally weak.
In some cases, there may be un-explained hair loses.
Digestion failure may also occur
Memory loss is also a possibility
Feeling of frustration
Mental depression
Low blood pressure may occur
Excessive feeling of hunger may also be evident

Why is high dose Vitamin C important in preparation for addiction recovery?

When a person is an addict, there is likelihood that the addictive substance has caused damage on some body organs. These damages must be repaired, for the addiction recovery process to be successful. Likewise, when a person is faced with malfunction of adrenals, there is need to urgently get assistance to restore the glands to their normal functioning states. This restoration can be done medically or by use of nutrition.

The medical way of preparing body or assisting body in recovery, is sometimes not considered the best option, considering the possibility of side effects from the drugs or addiction from the drugs in the long run, leading to dependency on the drugs. Many people prefer the nutritional way of restoring the adrenals to their functional state due to a number of benefits it has over any other method. Vitamin c is an essential vitamin for balancing adrenals and thus any diet targeting to balance the adrenals should contain sufficient vitamin c.

High Dose Vitamin C The following are some of the benefits of vitamin c, when it is used to prepare body and balance adrenals prior to addiction recovery treatment:-

High dose vitamin c is quickly used during stress. This factor makes it helpful when countering adrenal fatigue. The level of vitamin c is supposed to be kept high, since researches have shown that the rates of utilization of vitamin c are very high during the stressful moments, regardless of the source of stress.
Vitamin C has been proven to be very powerful in fighting infections and also boosting the general body immunity. Researches have shown that, when a person is a victim of adrenal fatigue, as the levels of vitamin C decline, the immune system also declines in the same manner. This means that the administration of high dose vitamin C improves the immunity of the body, as the levels of vitamin increase. For instance, “Vaslev and Komar (1998) determined that a dose of 300mg of vitamin C resulted in a more rapid recovery of a depressed T-lymphocyte”
Vitamin C is vital in pre-addiction recovery, as it play a key role in removing toxins from the body. When a person is addicted of a given drug, it is very likely that the person will be either stressed or depressed. The stress reduces the levels of vitamin c in our bodies, hence leaving us with insufficient vitamin c to remove toxins from our bodies. This is because chronic stress lowers the levels of glutathione, a very important substance in removing toxins from our bodies. This is why it is very important for a person who is addicted to be subjected to high dose vitamin c before the actual recovery program begins.
Vitamin c is very low in toxicity. This factor makes it possible for a person to take it in large quantities, improving the immunity drastically.

Are you thinking of how you can get help on balancing adrenals? Are you an addict and you are looking for a natural way of gradually recovering from the addiction? Awaremed Resource and Wellness Center is your solution. Call us today or visit us at www.awaremednetwork.com.

Vitamin C Plays an Important Role in Balancing Adrenals Prior To Addiction Recovery Program

How To Re-Energize The Mitochondria By Use Of Intravenous Therapy

September 2, 2014

How To Re-Energize The Mitochondria By Use Of Intravenous Therapy To Prepare For Easy Addiction Detoxification

Intravenous Therapy Damages and the dysfunctions in mitochondria is an important factor in a range of human diseases due to their influence in cell metabolism. Mitochondrial disorders often manifest in a number of ways such as neurological disorders, diabetes and endocrinopathy.

In other diseases, defects occur in nuclear genes leading to dysfunctions of the mitochondrial proteins. Diseases such as hereditary spastic paraplegia, Friedreich’ ataxia and Wilson’s disease also result because of this. These diseases are inherited as in the case to other genetic diseases.

Mitochondria are central to oxidative phosphorylation and plenty of metabolism in the body and are also involved in plenty of cell deaths. Mitochondrial dysfunction therefore contributes to a wide range of human illnesses. Many patients with disease of the mitochondria also have issues with their gastro-intestinal tract and this is treated by therapies through nutritional intake. Such like patients usually have weak immune systems and as such they are always in constant battle with numerous infections. History and research reveals that earlier intravenous nutrition consisted of protein and dextrose alone. Lipids were then later introduced and later removed due to complications, but this was later re-introduced again.

At the moment or rather current time, there are multiple options in intravenous therapy for nutrition. The pump options are such as Gemstar and even CADD. Obtaining nutrients orally or through the gastro-intestinal is usually the most effective, since this is always a more physiological process.

However, if this is not possible, the intravenous nutrition is done, in the form of intravenous hydration or through home parenteral nutrition. Parenteral nutrition involves providing the patient’s calories using an intravenous line that leads into the central circulatory system. Intravenous nutrition involves giving fluids and can be used as a medium of providing electrolytes and other additives.

Various factors are important in determining the kind of hydration that is ideal for a patient. The length of time the procedure takes as well as how and where the hydration happens are most often the main factors to consider.

Hydration is a major issue with people suffering from mitochondrial disease. For one to decide to start intravenous hydration he should keep in mind whether the treatment is long-term or for a short term. The kind of lines through which intravenous hydration is done are peripheral, PICC line, PortACath and tunnel catheters.

Peripheral is placing the intravenous lines in the hand or arm and for a short period of time, normally between three to five days. This method is not ideal for use at home because it requires a professional to do it and fewer nurses have such kind of professional training.

Mitochondria PICC is placed with the aid of an X-ray in the upper arm where the catheter goes directly into the central circulatory system. The site or area of insertion should be protected from infections by always keeping it dry.

PortACath is usually placed in the upper chest of the patient.in this type of line, the needle can be removed and the patient is allowed to swim or even shower.

Tunnel catheters are also usually in the upper chest and surgically removed .however, they can also be placed somewhere hidden. There is a risk of infection with this type of intravenous hydration.

Many patients are allergic to the substances involved and suffer from skin breakdown and are therefore more susceptible to infections. Also because of lower immunity, they are prone to infections. Furthermore, these patients also stand a higher risk of clotting. These treatment lines should be handled with care and fewer people. They should be thoroughly washed and items cleaned separately. The access points should be sanitized with alcohol prior to injection.

Some complications such as catheter occlusion caused by blood clotting occur, due to thrombotic clots. But there are medications that clear clots on the catheter.

Infections are normally common because of a component in blood that encourages growth of bacteria. This component is known as biofilm. The biggest threat to intravenous nutrition however is catheter related blood stream infections. This is treated by antibiotics, antibiotic locks and by changing of the central line.

Intravenous therapy is also a great way to get a high dose of vitamins, vital minerals and antioxidants into the circulatory system. Therefore, the nutrients are quickly introduced into the circulation and are delivered directly into the cellular space without having to go through the gastro-intestinal tract.

Many people notice improved immunity, higher energy levels and enhanced detoxification through therapies.

Intra venous nutrient therapy also provides higher doses as compared to oral therapy.

Scientists have been studying the effects of higher doses of Vitamin C for quite a long time.

Vitamin C is essential as a water-soluble vitamin that is commonly also known as ascorbic acid. The antioxidant effects of Vitamin C have been researched extensively to show positive and protective benefits against many ailments.

Myer’s Cocktail, AMP/NAD Energy Shots and MSM Infusions can also be used to boost the mitochondria

One may just feel a cold or a viral illness is coming on but once you have an intravenous cocktail that may well restore your health.

Whether you need help on balancing adrenals or you are an addict who is looking for a natural way of gradually recovering from an addiction, Awaremed Resource And Wellness Center is your perfect solution. You are free to call us, for more go to www.awaremednetwork.com

How To Re-Energize The Mitochondria By Use Of Intravenous Therapy To Prepare For Easy Addiction Detoxification

Fetal complications of Obesity

September 2, 2014

Fetal complications of Obesity – Taking positive Precautions

Fetal complications of Obesity does not discriminate between the mother and the baby both are at risk and a lasting solution is needed immediately

Not again shall we let our mothers die of conditions we can manage and correct, obesity prevalence is a health condition you and I have the power of controlling. Our people are dying because of lack of knowledge and this article is meat to correct that. Take for instance the numerous complication reported in various health institutions globally, a very good portion of them is directly associated to excessive weight and obesity. Why am I saying this, maternal obesity is associated with an increased risk for perinatal mortality and occurrence of genetic disorders. The most common complications for the fetus include:

Intrauterine death
Genetic disorders
Macrosomia

In the long term, large for gestational age (LGA) neonates of obese or diabetic mothers are prone to development of childhood obesity and metabolic syndrome in their adult life.

Fetal death

How painful it is for us to be losing mother who are only trying to give bundles of joy to the society because of weight related complications? It has been established that fetal death constitutes a dramatic development of any pregnancy this even becomes more painful especially when it takes place in late pregnancy. The understanding of this is that by this we shall have lost two lives that of the mother and the baby. In some studies it has been established that an up to five-fold increase in intrauterine death as well as increased infant mortality rate has been recorded in obese women. The findings also indicate that there is a strong relationship between maternal BMI and infant mortality rate. The question I ask is why must this take place when we have professionals who can fix the situation? If you dint know then call doctor Akoury an expert of over two decades in weight related conditions and she will greatly help you get out of this precarious condition.

Congenital anomalies

Prenatal screening for congenital anomalies becomes challenging in obese women because of difficulty of interpreting blood serum indices alongside the inability to display the fetal anatomy on the ultra-sonogram. These difficulties could be the indicators explaining the increased incidence of congenital anomalies in fetuses of obese women. Nevertheless, there are data supporting an actual association between maternal obesity and genetic disorders. Specifically, the fetuses of obese mothers have a higher risk of developing abnormalities of the neural tube, as for example spinal bifida, cardiovascular abnormalities, as well as abnormalities of the abdominal wall such as omphalocele. These abnormalities are more prevalent in offspring of women with type 2 diabetes and folic acid deficiency, disorders that often coexist with obesity. Finally, maternal obesity results in an increased admission rate of the offspring to the neonatal intensive care unit.

Macrosomia

The relationship between maternal obesity and fetal Macrosomia has been established by many studies. Maternal weight and insulin resistance before pregnancy affect fetal growth, as is reflected in the birth weight.
Obesity and insulin resistance alter placental function which, during the last weeks of pregnancy, increases the availability of glucose, free fatty acids and amino acids to the fetus. Thus, maternal hyperglycemia induces fetal hyperglycemia and, as a consequence, hypertrophy/hyperplasia of the fetal pancreas and hyperinsulinemia.
Insulin has a direct effect on cell division that leads to macrosomia. Therefore, women with diabetes are at high risk of delivering macrosomic babies.
Obese women even with normal glucose tolerance have a two-fold higher risk of giving birth to macrosomic babies since both conditions are independently correlated to macrosomia.
Given that the incidence of obesity is approximately ten-fold that of gestational diabetes, it is evident that maternal lifestyle exerts a great influence on the incidence of fetal macrosomia.
Once more this brings in quantitative relationship between maternal BMI and the risk of delivering a macrosomic/LGA neonate.
Macrosomia, as well as maternal height and weight, gestational age and number of prior deliveries, are considered reliable predictors of the risk of obstetrical events, such as shoulder dystocia and injury of the branchial plexus.

Long-term complications

There is considerable evidence that the complications of maternal obesity extend beyond intrauterine and neonatal life into childhood and adulthood, thus leading to serious lifelong health problems. Maternal obesity constitutes a risk for childhood obesity, irrespective of birth weight and of smoking during pregnancy, as well as a risk for the appearance of the metabolic syndrome and cardiovascular disease in adulthood.

There are a large number of pathophysiologic mechanisms that could explain the fact that obese mothers give birth to obese children. Genetic factors are undoubtedly responsible to a certain degree for the tendency of both mother and child to be overweight.

Besides that the impact of the environment is to be taken into account since mother and child typically share the same eating habits. Moreover, the increase in food intake during pregnancy has a quantitative effect on the fetus, promoting the development of adipose tissue.

Childhood and adolescent obesity exerts a long-lasting physical and psychological impact and increases population morbidity and mortality.

The increasing prevalence of maternal obesity before and during pregnancy results in a vicious circle of obesity in subsequent generations. Thus, obese mothers give birth to obese daughters, who have a higher risk of suffering from obesity and diabetes during their own pregnancies.

Developmental origin of adult disease

The abnormal development of the fetus results in increased morbidity during childhood, adolescence and adulthood, a phenomenon known as “fetal programming” or “developmental origin of adult disease”.

The fetal adjustment to the uterine environment leads to permanent changes in the phenotype (i.e. physical structure, physiology and metabolism) which might not be fully functional in extra-uterine conditions.

Finally the dangers associated with maternal obesity constitute a serious health risk for the mother and fetus, the intensity increases with the degree of obesity. A non-balanced diet during pregnancy contributes not only to abnormal fetal development and subsequently increased neonatal morbidity and mortality but also to increased morbidity during childhood, adolescence and adulthood. Therefore systematic effort for weight reduction is very necessary if we have to avoid transferring obesity from generation to generation this you can do by calling doctor Dalal Akoury a dedicated expert in reinstatement of complications related to obesity. Doctor Akoury founded AWAREmed Health and Wellness Resource Center to help you out of situations like this. While at her office she will together with her team of experts focus on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE. Remember that achieving this goal will result in a sharp decrease in fetal and neonatal morbidity and mortality and will improve the outcome of offspring and of future pregnancies.

Fetal complications of Obesity – Taking positive Precautions

Obesity during Pregnancy

September 2, 2014

Obesity during Pregnancy – The Risk associated with Weight gain

Obesity during Pregnancy can complicate life if not properly addressed. The need for weight lose is a must done for good health of both the mother and the baby

If you have been on the link you must have gone through our previous article when we introduced this discussion of obesity and pregnancy. We stated that before you can get pregnant, it is essential that your weight is normalized. Being obese or underweight is not health for pregnancy you can refer to that article on effects of obesity before pregnancy. In this article our focal point of discussion is going to be based on the obesity during pregnancy in other words you’re already pregnant, how should you live your life in that condition of pregnancy.

Obesity during Pregnancy – Maternal complications

As we have stated that normal weight is essential during pregnancy one would wonder that what this normal weight recommended during pregnancy. The recommended gestational weight gain during the process of pregnancy is 11.5 to 16.0 kg, (0.5 to 2.0 kg for the first pregnancies and 0.35 to 0.50 kg per week for the second and third pregnancies following) therefore it is strictly advisable for overweight and obese pregnant women to put adequate measures in reducing their weight to the desired normal weight level for pregnancy and doctor Dalal Akoury who is an expert in matters relating to weigh and obesity can be of great help for you in achieving this goal. The purpose of this is to attain the appropriate balanced diet full of high nutritional values resulting in both weight control and normal embryo growth.

It is highly recommended that before you get pregnant you should work on your weight if you’re overweight or obese this is so because overweight women before pregnancy are more likely to exceed the weight gain recommendations during pregnancy. This will cause them great risk of adverse complications like:

Miscarriage – Although excess body weight has been correlated with increased risk for first-trimester miscarriage, the results of various studies are controversial and far from being conclusive as for now it remain a hypothesis.

Thrombo-embolism – Pregnancy per se constitutes a prothrombotic state characterized by an increase in the plasma concentration of coagulation factors Ι, VII, VIII and X, a decrease in protein S and inhibition of fibrinolysis.

These changes together with other risk factors like:

Advanced maternal age
High parity
Cesarean section
Pre-eclampsia
Obesity

All these result in an increased risk for venous thrombosis. It has been established in several studies that obesity will doubles the risk of thrombosis by accelerating the concentration of factors VIII and IX, but not of fibrinogen.

Gestational diabetes – it is estimated that about 3-10% of women will be affected by gestational diabetes. Although many factors contribute to this, such as ethnic origin, age and family history, obesity constitutes an independent risk factor as the incidence of gestational diabetes is 2 – 3 fold higher in obese and overweight as compared to normal weight women. Besides this obesity and diabetes play independent roles in determining fetal size.

Hypertensive disorders and metabolic syndrome – Obesity is associated with insulin resistance. Insulin resistance and consequent hyperinsulinemia can result in such conditions like:

Hypertension
Hyperlipidemia
Degenerative heart disease
Hyperuricemia
Glucose intolerance or diabetes type 2.

During pregnancy, obese women face increased risk of developing hypertension, pre-eclampsia and gestational diabetes. Specifically, women with a BMI >30 kg/m² have a two- to three-fold higher risk for developing pre-eclampsia.

Preterm delivery – Current evidence indicates that obesity during pregnancy leads to induced preterm delivery but not spontaneous preterm birth, which is usually encountered in women with low BMI.However this is still a subject of discussion.

Cesarean section – Studies suggest a two-fold3 increase in the risk for cesarean section in obese women even without additional risk factors. Cesarean section in this group is of great concern, as women who are overweight or obese are more susceptible to post-operative complications, such as excessive blood loss, deep venous thrombosis, wound infection and postpartum uterine infection.

Long-term complication – Obese women tend to retain gestational weight gain more frequently than women of normal body weight. It is also very important to note that women who developed gestational diabetes have a 50% likelihood of developing type 2 diabetes within the following ten years.
Management of obesity during pregnancy

having known the dangers of excessive weight and obesity in the life of a pregnant mother, we have a duty to keep our women safe from the scourge of obesity. This can be done either at home or in consultation with the experts who understand the dangers better. There are those things you can do on your own like following on a balance diet and indulging on meaningful physical activities however in doing all these it is important that you seek guidance from the experts so that no mistake is done. As had been indicated earlier doctor Dalal Akoury is passionate about her work and helping you recover yourself is what she does best.

Given the fact that obesity or excessive weight gain during pregnancy constitute important risk factors for the mother and the fetus you and I ore each other the duty of care to protect and defend our unborn children to meet the world in good health and without any life threatening condition. If a women who gain excessive weight during pregnancy has up to three times higher risk of becoming overweight in subsequent pregnancy it is an indication that the problem could be long term and so doing solving the problem now is very necessary. Therefore ensuring a balanced diet and physical exercise during, and where necessary before pregnancy are strongly recommended in consultation with doctor Akoury who is also the founder of AWAREmed Health and Wellness Resource Center a medical facility which focuses on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE. Calling doctor Akoury will be the beginning of your journey to freedom and happy process of recovery from the prevalence of obesity. You owe it to yourself and doctor Akoury will be there for you professionally and get you back to your normal weight that is recommended for pregnancy.

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