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.

Obesity during Pregnancy – The Risk associated with Weight gain

Obesity and Toxic Food

July 29, 2014

Obesity and Toxic Food – Our Surroundings Influence What We Eat

Obesity and toxic food. The kind of food you feed on increases your risk of obesity. Good diet is the solution.

Food is a major component and a contributing factor to good health and wellbeing. However this is only true if we feed on the best quality and healthy food. What we choose to feed on can impact on our health either positively or negatively. Such food stuff plays a large role in determining our risk of gaining too much weight. The world around as influences the kind of food we eat quite significantly by:

The kinds of food our parents make available at home.
How far we live from the nearest supermarket or fast food restaurant
The ways that governments support farmers

In the U.S. for example and even many parts of the world there are so many hindrances like the food environment, physical and social surroundings that effect what we eat making it far too difficult to choose healthy foods, and all too easy to go for unhealthy foods and because of this trend this kind of food environment has been nick named “toxic” because of the way it destroys healthy lifestyles and promotes obesity.

Time has come for all of us to pool together and help redeem our health by feeding on the right kinds of food. There must be a campaign to create awareness on the right feeding habits not just for people who are obese but to everyone obese or not. Proper knowledge of how food environment influences our weight is very important to the authorities who make policies as this will enable them to determine ways of changing the environment and in turn reduce the risk of obesity to everyone. These environmental obstacles often affects people in the low income bracket, less educated people the most because many at times the much needed traditional healthy diet education really reaches them.

Obesity and Toxic Food – Food Environment Research by Setting

Keen interest has been taken by researchers studying on our obesogenic it has been established that food environment has really grown and experts are giving it different approaches by looking at the locations of where we live from homes and neighborhoods to worksites and schools all these has great influence on which foods are available, how much they cost, and whether the people in those locations are eating healthy diets. Other factors affecting our choice of food also include food marketing strategies and government policies. To help us understand better we are going to discuss some of these locations and the societal factors which shape how we eat.

Obesity and Toxic Food – Families

Did you know that the kind of food you stock in your family store impacts on your children’s life and into the future? Therefore if you’re feeding your children on healthy foods at home that are exactly what they will know is the best and the opposite is also true. You can help reduce the risk of your children being obese or gaining weight just by ensuring good feeding habits at home. The food that families keep at home and how family members share meals influences what and how much they eat as was established by a recent study that there is a strong association between the availability of fruits and vegetables at home and whether children, adolescents, and adults eat these foods. Eating meals as a family has also been linked with increased child and adolescent intake of fruit and vegetables and other healthy foods. Increased frequency of family meals has been linked with lower BMI in some studies.

The high cost of living is also a significant factor influencing healthy feeding habits especially to the people in the low income bracket. Because healthy foods like fruits, whole grains and vegetables are relatively expensive than the unhealthy foods like refined grains and sweets necessitating them to go for what they can afford which is not healthy. Time is another barrier because preparing healthy food takes time compared to walking into the nearby store to buy convenience foods or fast food. But people in lower-income households, often single parents working full time and taking care of children, may have less time for meal preparation and other household chores and end up feeding on all the wrong food thereby increasing their risk of becoming obese.

Obesity and Toxic Food – Work sites

Majority of people working in offices often spend most of their time in their work stations where there is easy access to unhealthy foods either from the vending gadgets or restaurants where there is little option for healthy foods like fruits and vegetables. Besides poor feeding habits, work environments may increase the risk of obesity as a result of job stress and work-related fatigue, which are linked to poor diets and reduced physical activity. Time at work also plays a role: Shift workers and employees working longer-than-usual hours every week have a higher risk of obesity.

Obesity and Toxic Food – Schools

Just as employed adults spend most of their day at work, children spend much of their day at school. Most schools these days offer school feeding programs in their institutions which include breakfast and lunch and quit often these foods are not the healthy ones. Other schools also sell foods to students outside of the school meal programs normally referred to as “competitive foods” which are widely available in the cafeteria, vending machines, and school stores. Most of these foods are high in calories and low in nutritional value commonly known as junk food. Eating competitive foods has been associated with poorer quality diets and increased risk of obesity in several studies.

Obesity and Toxic Food – Neighborhoods

This is a factor in the sense that people will only feed on what they can easily get from their groceries, supermarkets, convenience stores and fast food restaurant. It these facilities were to stock only healthy foods then their customers will have no option but to feed on healthy diet and if all they stock is junk food the same is likely to happen and this will greatly increase their risk of obesity.

The points we have discussed are just indicators of risk of obesity and taking keen adherence to healthy feeding habits will go a long way in reducing the risk of obesity. However being free from the problem of obesity and weight gain will require that you visit a weight loss specialist from time to time to be sure of your status this you can get at AWAREmed Health and Wellness Resource Center under Doctor Akoury who is also the founder of the facility. With doctor Akoury you will not just defeat obesity and weight related problems but they will attend to you in a more dignified way while focusing on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE.

Obesity and Toxic Food – Our Surroundings Influence What We Eat

Regulation of Obesity and Weight Gain

July 29, 2014

Regulation of Obesity and Weight Gain – Exercise Can Help Control Weight

Regulation of Obesity and Weight Gain is possible by full engagement in physical activities. All ages must take part for success

Being physically active is one of the most used ways of controlling weight gain and the prevalence of obesity globally. The consequences of obesity are so daring that when proper measures are not taken timely then managing the problems associated with weight gain and obesity may not just be costly but also painful health wise. Generally obesity results from energy imbalance that is to say very little calories being burned. The burning of calories may be influenced by a number of factors including the body size, age and gene however the most noticeable and can also be easily modified is the quantity or amount of physical activity people need to get on a daily basis.

Being physically active helps people to stay at a healthy weight gain or lose and significantly reduces the risk of heart disease, diabetes, stroke, high blood pressure, osteoporosis, and certain cancers, as well as reduce stress and boost mood while living an inactive (sedentary) lifestyles do just the opposite. What is surprising is that even with this knowledge people are not keen in being physically active and this cuts across the globe. On a daily basis the levels of activities at work, homes are getting down because people are comfortable with things around them. It is estimated that about one in every three gets very little that is if any of the physical activity further increasing the level of decline. And it’s evident that this decline in physical activity is a major contributor to the global obesity epidemic, and in turn, the rising rates of chronic diseases everywhere. In this article I will be defining physical activity and explains how it is measured, reviews the trends, and discusses the role of physical activity in weight control in fighting obesity.

Definitions

The two terms associated with activities are often taken to have the same definition which is not really the case. I am talking about physical activities and exercise they are all used in reference of the same thing but have different meanings as follows:

Physical activity – refers to any body movement that burns calories, whether it’s for work or play, daily chores, or the daily commuting so long as some calories is burned as a result of that particular body movement.

Exercise -is a sub-category of physical activity referring to planned, structured, and repetitive activities aimed at improving physical fitness and health of an individual.

Moderate-intensity physical activity – these refers to those activities which are strenuous enough to burn three to six times as much energy per minute as an individual would burn when sitting quietly, or 3 to 6 METs. However Vigorous-intensity activities will burn more than 6 METs.

Measurement

Experts measure the intensity of physical activity in metabolic equivalents (METs). One MET is defined as the calories burned while an individual sits quietly for a minute. For the average adult, this is about one calorie per every 2.2 pounds of body weight per hour; someone who weighs 160 pounds would burn approximately 70 calories an hour while sitting or sleeping.

The quantity of Activities needed to Prevent Weight Gain

Because weight gain increases the risk of heart disease, diabetes and many other chronic conditions making effort to preventing it is very necessary because different studies have established that those who stay active reduces their degree of contacting chronic problems. Physical activities also helps keeping you younger and keeping your weight steady however the more sedentary the more likely you are to gain weight over time. But this is still a hypothesis and a matter of debate exactly how much activity people need to bring weight gain to control. The latest evidence suggests that the recommended two and a half hours a week may not be enough and so the search continues.

While studying a sample of women of middle-age to certain how much physical activity is needed to remain within 5 pounds of their weight at the beginning of the study it was established that women in the normal weight range at the start needed the equivalent of an hour a day of moderate-to-vigorous physical activity to maintain a steady weight and that vigorous activities seem to be more effective for weight control than slow walking.

How Much Activity Do People Need to Lose Weight?

We have just talked about prevention what of how to lose if you are already experiencing weight problem? Good exercise and proper calorie diet helps in weight loss. In a study where all study volunteers were asked to stick to their usual diets it was established that after six months, those assigned to the high-intensity regimen lost abdominal fat, whereas those assigned to the low- and medium-intensity exercise regimens had no change in abdominal fat signifying that exercise is very effective in weight loss.

Activity Prevents Obesity

Experts believe that physical activity prevents obesity in multiple ways for example:

Physical activity increases people’s total energy disbursement, which can help them stay in energy balance or even lose weight, as long as they don’t eat more to pay off for the extra calories they burn.
Physical activity reduces fat around the waist and total body fat, slackening the development of abdominal obesity.
Weight lifting, push-ups, and other muscle-strengthening activities build muscle mass, aggregating the energy that the body burns throughout the day even when it’s at rest and making it easier to control weight.
Physical activity reduces depression and anxiety, and this mood boost may motivate people to stick with their exercise regimens over time.

Weight Control

Finally to achieve this purpose in your mind that staying active is not purely an individual choice. The built environment buildings, neighborhoods, transportation systems, and other man-made elements of the landscape influences how active people may be. We are more prone to be active, for example, if we live near parks or playgrounds, in neighborhoods with sidewalks or bike paths, or close enough to work, school, or shopping to safely travel by bike or on foot. People are less likely to be active if they live in sprawling suburbs designed for driving or in neighborhoods without recreation opportunities. But in all these whether your surrounding is favorable for exercise or not you may want to consult the experts to help you in your weight condition. Seeking the services of doctor Akoury of AWAREmed Health and Wellness Resource Center will be the best thing you can do for yourself because together with her team of experts, they will focus on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE and your life will never be the same again.

Regulation of Obesity and Weight Gain – Exercise Can Help Control Weight

Lose weight the healthy way

July 26, 2014

Lose weight the healthy way – It is possible and you can

Weight lose. Keeping your weight to check involves total life change. What you eat and your feeding habits also counts.

If you ever wanted to lose weight then you must be ready to ready to accommodate high degree of tolerance and patience because the body adapts to slow and gradual changers in terms of food and exercise. It is never healthy to burst to physical activities or crash diet thinking that this will make you lose quickly. For instance if you have not been into physical activities for a long time you must not start very aggressively like running several miles in a day no you will be struggling and develop the feeling of dishearten and demotivated besides this you may get injured along the way giving your fitness schedule a setback. Likewise starving yourself all over sudden diets that severely restrict calories or the types of food ‘allowed’ can lead you to be deficient in the nutrients and vitamins that your body needs. Therefore for you to lose the healthy way you must embrace the following:

Energy needs and weight loss

The body require energy to function well and any energy in excess of what the body needs is stored as fat denoting that when you eat more food beyond what the body can accommodate for its daily activities and cell maintenance then you are likely to gain weight and for you to lose this excess, you must engage the body into doing so by reducing the amount of calories you eat and increasing your level of activities and that is why experts talk about weight loss in terms of diet and exercise.

Introduce changes gradually

The small things you do can make a big difference like an extra peace biscuit a week may make you gain 5lb a year this may look insignificant but it is not because if you remove that biscuit out of your diet you’ll lose the same amount.

You should think of weight loss in terms of permanently changing your eating habits. Even though weight-loss goals are usually set in term of weeks, the end game is to tolerate these changes over months and years, i.e. lifestyle change for life.

Increase your activity levels

People who increase the amount of their physical activities while maintaining the same diet and calorie intake will certainly lose weight. It may not matter your dislike for gym, remember even that small and short 10 or so minutes of walk is beneficial when done consistently. Every single time you exercise more than usual you will be burning calories and fat. Therefore choose from the many ways of increasing like team sports, racket sports, aerobics classes, running, walking, swimming and cycling will all improve your fitness levels.

Reduce your calorie intake

If you’re overweight, you can’t continue with your current eating habits if you really want to lose weight.

It’s not possible to reduce body fat while eating lots of food, cakes and sweets. This doesn’t mean you can never have any treats, but you need to learn how to limit these foods to small quantities and for weight-loss, you can get your body to use up existing stores of fat by eating less and making healthier choices.

Remember there are no shortcuts to losing weight in a healthy and reasonable way. Consider the following ways to reduce calorie intake without having to alter your diet significantly.

Replace fizzy drinks and fruit cordials with water.
Swap whole milk for semi-skimmed, or semi-skimmed for skimmed.
Eat less lunch than usual. For example, make your own sandwich and limit the use of margarine or butter and full-fat mayonnaise (store-bought sandwiches often contain both).
Stop taking sugar in tea and coffee.
Have smaller portions of the food you enjoy.
Avoid having a second helping at dinner.
Cut out unhealthy treats – such as confectionary, sugary biscuits and crisps between meals.
Cut down on alcohol intake.

All these things will influence your health in a positive way.

Finally, don’t be tempted to skip breakfast – or any meal to lose weight. While skipping a meal will reduce your calorie intake for that hour, it will leave you much hungrier later on and because of this you will not overeat to compensate, but you’ll often make bad choices to fill the gap: a cereal bar is not as healthy as a bowl of cereal or as filling, leading you to ‘need’ something extra for lunch.

Be patient and persevere

It might take a week or two before you notice any changes, but they will steadily appear. After the first month you’ll be able to see the results and measure them in terms of looser fitting clothes.

Keeping your motivation up is one of the most difficult aspects of dieting. There will be days when healthy eating goes out the window, and there will be weeks where you may not lose any weight – or put a little back on.

This is normal for everyone – dieters or not – so don’t let it undo your plans for a slimmer you. You’re not doing anything ‘wrong’, but you may need to look at your plan. Do you need to increase your activity levels? Make a few more changes to your diet? Put more effort into sticking to your current plan?

The other side of this is to make sure you celebrate your goals. While there’s joy enough in stepping on the scales and seeing them dip lower, be sure to mark long-term progress with a reward – such as new clothes or time off from domestic chores.

Health benefits

Studies show that overweight women who lose between 10lb and 20lb reduce their risk of developing diabetes. For men, the risk of heart problems reduces considerably.

It may seem like these are problems to worry about in the future, but time flies by and each passing minute counts work closely with the experts like doctor Dalal Akoury who is the founder of AWAREmed Health and Wellness Resource Center. She will help you in many ways including focusing on Neuroendocrine Restoration (NER) to reinstate normality through realization of the oneness of Spirit, Mind, and Body, Unifying the threesome into ONE so that your weight is adequately put to check

Lose weight the healthy way – It is possible and you can

Consequences of Obesity in Aging Adults

July 19, 2014

Consequences of Obesity in Aging Adults – Possible Solutions Discussed

Irrespective of whether obesity is fatal or life-threatening the common denominator is that there is a problem. Old age is a blessing and we must protect it at all cost

Obesity is a health condition that can affect any body at any given time or stage of an individual’s life. There are different kind of health conditions which are associated with obesity and weight gain. World health organization has classified these conditions into two categories which include:

Nonfatal conditions
Life-threatening conditions

For the purpose of this article we will be discussing the first condition and as we progress we will be looking into the second condition in our next article on this link. I would want therefore invite you to stay on the link to get the full information on both conditions.

Consequences of Obesity in Aging Adults – Nonfatal Health Problems Related to Obesity

Incapacitating conditions like those associated with respiratory, chronic musculoskeletal and skin problems are categorized as nonfatal but like any other health condition, what is seen to be nonfatal could turn to be life-threatening along the way depending on various circumstances. But for the purpose of our discussion in this article we will look at these conditions which are intensified by obesity as follows.

Consequences of Obesity in Aging Adults – Respiratory problems

When a patient is obese there is the tendency of their lungs shrinking in size. Such patients will experience difficulties in breathing due to the increased weight on their chest wall and the difficulties in lifting their heavy chest wall. Generally obesity is associated with inducement of the respiratory mechanical impairment occasionally combined with abnormalities in gas exchange. However looking at the obese elderly these changes are emphasized by changes in the lung structure and function related with normal aging. These changes in the lungs include:

Reduced alveolar surface available for gas exchange
Enlarged chest wall stiffness
Stiffening of the elastin and the collagen tissue supporting the lungs

The mass stuffing of the ventilator system induced by obesity alters the static balance within the respiratory system. Obese aging patients normally have a reduced respiratory efficiency which can reach the point of respiratory inadequacy in the presence of cardiovascular inadequacy of various degrees. The natural decrease in respiratory function in aging patients exacerbates the decrease caused by obesity which may in turn lead to an increase in the sleep apnea syndrome which in these patients is related to a greater risk of developing hallucinatory and cognitive disorders caused by hypoxia during sleep.

Endurance exercise when combined with a dietary weight loss program increases utmost oxygen consumption. Diet in combination with opposition and patience exercises improves peak oxygen consumption as well. Health care providers may advice patients with respiratory complications to practice a diaphragmatic or abdominal breathing to help strengthen respiratory muscles.

Breathing exercises, as well as good posture, can help patients to exhale and inhale fully. Pursed lip breathing may also be helpful for patients who are short of breath or breathless. Pursed breathing includes pursing the lips as if blowing a whistle; using diaphragmatic breathing out through pursed lips without any force; and remembering to relax the upper chest, arms shoulders, and arms while breathing out.

Consequences of Obesity in Aging Adults – Arthritis and osteoarthritis

Primarily arthritis is the main cause of disability in aging adults. A high body mass index (BMI) is associated with the risk factor for knee osteoarthritis (OA) in aging people. The prevalence of OA at this age may reflect bodily changes as a result of a lifetime of being overweight which results in strain on weight-bearing joints.

Obesity or overweight raises the load placed on joints, especially at the knee and hip joints. Breakdown in cartilage, resulting from the increased weight on joints result in pain and further functional disability People with arthritis are particularly vulnerable to the stress-pain-depression cycle in which the pain and stiffness caused by the disease leads to reduced mobility and so increases stress, pain, and depression and eventually decreasing the quality of life.

The objective of managing arthritis is to maintain the maximum use and function of the joint and the surrounding muscles, tendons, and ligaments.
The primary key to attaining this objective is engaging in physical activities.
However, many people with OA and other joint diseases believe that exercise will cause their arthritis to flare up and increase the pain. This is a not true and the health care provide will be able to dispel it.
Stretching exercises of all muscle groups should be done regularly as well as daily active range of motion for all joints.
Isotonic exercises, which move the joint in an arc, are also helpful.
Aquatic exercise and walking are usually well tolerated by aging people with mild to moderate lower extremity OA.
Heat is also helpful in managing arthritis because it reduces stiffness and makes exercise easier.
Rest periods between activities help to control the fatigue of arthritis, which is compounded by obesity.

Consequences of Obesity in Aging Adults – Skin conditions

Older adults who are obese and have skin problems face additional complications because their skin naturally loses about 20% of its dermal thickness with age. This combination of older age, fragile skin, and obesity increases the risk for pressure sores. The first step in addressing skin problems is to:

Conduct a skin assessment of obese patients.
The exact identity and degree of skin problems will determine the intervention.
Older women, urinary incontinence from a large, heavy abdomen causing the valve on the bladder to weaken may result in the leaking of urine when coughing or sneezing.

Finally it is such a blessing to live long and this blessing must not be seen as a problem to the society because of being obese. Dr. Dalal Akoury founded AWAREmed Health and Wellness Resource Center a facility in which all matters relating to obesity, weight gain and lose and matter relating to addiction are addressed. we all ore our senior citizens the duty of care despite what their conditions may be and that is why doctor Dalal Akoury together with her team of experts are offering exclusive NER Recovery Treatment to everyone young or old, visiting this facility is going to be an experience that will lead you to full recovery in the most dignified way.

Consequences of Obesity in Aging Adults – Possible Solutions Discussed

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