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Dewberry discusses our work on the Carlisle Road Diet—a complete streets and traffic calming initiative project—in Cumberland County, Pennsylvania. Transcript: The Carlisle Road Diet in Cumberland County, Pennsylvania, was a complete streets and traffic calming initiative, completed in 2011. As a result of our comprehensive traffic study, we made several recommendations for traffic pattern changes that were in line with PennDOT's Smart Transportation Initiative. Two streets were converted from four vehicular lanes to three, with a dedicated bike lane in each direction. The bike lanes also provide easier parallel parking and a safer space to enter and exit parked cars. Additional improvements were accomplished through curb extensions; ADA curb ramps; pedestrian signals enhancements; and major traffic signal upgrades, including the first full implementation of the InSync® adaptive signal system in Pennsylvania. All of these improvements enhance Carlisle's small town feeling; reduce accidents; promote walking and bicycling; maximize downtown business success; improve parking access; and reduce truck traffic in the downtown area.

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Watch * subscribe * like * comment * share **If you’re one who’s in the midst of grief or depression, please seek the aid of a licensed counselor. Even more than you need a Dietitian, you need a counselor. Don’t do this alone** GIVE AWAY TODAY, COURTESY OF JORDAN RICHMOND ::snicker:: a $10 Starbucks gift card. Everyone who shares this video on FB or tags a friend on Instagram by 1/21/16 is entered to win! GIVEAWAY WINNER from last week - DEBBIE ELKINS! Today we’re touching on the main culprit sabotaging your weight loss efforts as well as some other saboteurs you may have never thought of. Comment: After the first portion of this video, I need a hearty *here here* from you guilty parties out there! #confessionisgoodforthesoul More on topics discussed in this video: Common medication weight-loss antagonists are: Antipsychotic or schizophrenia meds Chlorpromazine (Thorazine) Thioridazine (Mellaril) Olanzapine (Zyprexa) Beta Blockers Antidepressants Amitriptyline (Elavil) Imipramine (Norpramin) Trazadone (Desyrel) Hormone Replacement Therapy Birth Control Pills Corticosteroids for Asthma/Lupus Anti epileptics for seizures Valproic Acid (Depakene or Depakote) Carbamazepine (Tegretol) **the names of these meds were found with simple google searches — not exhaustive — not conclusive — you should consult with your MD if you suspect a medication inhibiting your weight loss, only after a strict calorie restriction has been maintained for an extended period of time (and only you can tell if you’ve meticulously followed a calorie restricted diet ;)) many times med substitutions are warranted perhaps even discontinuation is in order** Common medical conditions that lead to slowing of metabolism or the need for dietary modifications (less calories, carb controlled etc) are: Cushings syndrome Hypothyroidism Syndrome x Polycystic Ovarian Syndrome (PCOS) **Consult with your MD for further testing to rule out possible underlying medical conditions. Do not jump to any conclusions, with appropriate treatment, weight loss may resume!** #momoftots #fitness #dietitianvlog #hrvlog #nutritionvlog #weightloss #notlosingweight

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With many people searching for ways to overcome excess weight and to improve their health, the ketogenic diet is emerging as a highly effective strategy which involves drastically reducing carb intake and increasing caloric consumption of healthy fat to place the body in a process called ketosis – burning fat for fuel instead of glucose. Although the keto diet can be extraordinarily good for people’s health, not all can achieve and maintain ketosis on their own. Ketosium ACV was developed as an ideal alternative.

Ketosium ACV: The Ultimate Keto Formula for Accelerated Fat Burn

Ketosium ACV Apple Cider Vinegar Supplement combines two powerful fat loss ingredients to help boost your body into ketosis faster and easier. Exogenous ketones and apple cider vinegar come together in one convenient supplement, with the aim of accelerating fat loss, energy, and the health benefits of burning more calories.

Now you can enjoy all the advantages of the ketogenic diet without changing your routine or diet by using Ketosium ACV. Its special and powerful formula helps you to consume fat as fuel and enter ketosis without having to plan your meals and monitor how many carbs you eat. Use Ketosium ACV as directed and you will be able to stop all cravings and energy depletion, plus you’ll be able to lose those stubborn pounds.

The Science Behind Ketosium ACV

Exogenous ketones are ketones taken into the body from an external source instead of manufactured by the body from nutritional ketosis. By taking exogenous ketones, such as BHB salts like those found in Ketosium ACV, you can rapidly increase your blood ketone levels and get into ketosis fast. You’ll burn fat fast, have a big energy boost and improved mental clarity.

Research shows apple cider vinegar (ACV) has been used for hundreds of years as a folk medicine to treat numerous symptoms. Its suspected efficacy rests in its composition of acetic acid. This specific organic acid has powerful effects; it promotes weight loss, improves insulin sensitivity and decreases inflammation. Used with exogenous ketones, ACV works to amplify the benefits of ketosis and overall health while on the keto diet.

Benefits of Ketosium ACV

1. Fast Fat Burn: Ketosium ACV accelerates the process of your body entering ketosis so it can rapidly burn more fat for energy, fuelling fat loss and better body composition.

2. Better Functioning:Since Ketosium ACV gives your body an unadulterated source of energy with ketones, this removes those nasty spells of fatigue and energy crashes that can happen with low-carb eating.

3. Sharpened Mental Fundamentals: Many people report clearer vital sign and critical thinking when in ketosis. Ketosium ACV aids in any similar vital signs related to mental sharpness and focus while on the keto regime.

FAQ About Ketosium ACV

1. How should I take Ketosium ACV?

Ideally take 2 capsules A Day with the water. Take 1 capsule in the Morning and 1 capsule in the Evening to keep your body in a steady state of ketosis all day.

2. Is Ketosium ACV safe to use?

Ketosium ACV is a completely natural compound and is 100% chemical-filler-free. Although it is not a drug, users should always make a point of consulting with a health professional before starting any new regimen.

3. How long does it take to see results with Ketosium ACV?

However, most reviews claim that clear-headedness, weight loss and more vitality are commonplace within a week or two of consistent use and that the benefits increase over time.

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Preserving Muscle Mass with Wegovy: What You Need to Know If you need assistance in your journey to reach your weight loss goals, book a consultation with me: https://calendly.com/drdanburton/weight-loss-consult Join this channel to get access to perks: https://www.youtube.com/channel/UCnQiofnuXFcloJRoJTsc1FQ/join Download my FREE GLP-1/GIP Medication Information Sheet and 7-Day Food Journal: http://eepurl.com/gdB2qn Try my fancy dancy Total Daily Energy Expenditure (TDEE) Calculator: https://healthevolved.co/tdee-calculator/ Subscribe to the channel: https://www.youtube.com/@theofficialdrdan?sub_confirmation=1 – In this video, I discuss the critical importance of preserving muscle mass while using anti-obesity drugs like Wegovy. It's easy to become fixated on the number on the scale going down, but this focus can lead to a future of fragility and frailty. Many people see weight loss as a sign of success without considering how much of that weight is fat versus muscle. Losing muscle can compromise your health significantly. Whenever anyone loses weight, some muscle loss is inevitable, and this includes those using anti-obesity medications. I previously reviewed the evidence on whether these drugs cause a greater loss of muscle, and it doesn't seem to be the case. However, our goal remains to minimize muscle loss as much as possible. Muscle mass and strength are crucial for long-term health and wellness. Muscle enables us to move and perform daily tasks, from cleaning the house to lifting luggage. It also helps prevent falls and broken bones, maintaining our independence and quality of life. Beyond mobility, muscle plays a vital role in metabolic health, regulating blood sugar, and insulin sensitivity, and maintaining a high metabolism, which can prevent diabetes and heart diseases. Losing weight is only half the equation. We need to preserve and build muscle to ensure the health benefits of fat loss are not lost. Resistance training and higher protein intake are essential. The current recommendation of 0.8g/kg of body weight per day is only enough to survive. To thrive, we should aim for around 1.6g/kg. Ultimately, focusing solely on weight loss can lead to undesirable outcomes in the future. Preserving and building muscle is key to maintaining your health, independence, and quality of life as you age. Thanks for watching and always remember: small tweaks lead to massive peaks! - Dr. Dan – Products I recommend to support your weight-loss journey: ▪️ Managing Constipation: https://amzn.to/4bs0g3h ▪️ Managing Diarrhea: https://amzn.to/3UUjNCm ▪️ Managing Heartburn: https://amzn.to/3Vbfx31 ▪️ Internalized Weight Bias: https://amzn.to/4avCpP3 ▪️ Protein Bars: https://amzn.to/3RiItUr ▪️ Scales and More: https://amzn.to/4bNJDPc ▪️ Supplements: https://amzn.to/44TgobJ ▪️ Activity Trackers I recommend: https://amzn.to/4dOYLOa ▪️ My favorite Books: https://amzn.to/3Kb0VKt 🇺🇸 USA: https://amzn.to/3RC7MSd 🇨🇦 Canada: https://amzn.to/45gq4vg Watch my previous videos about how to fight obesity and about the best medicine for weight loss: ▪️ Watch This Before Taking Mounjaro: https://youtu.be/BmkVtGgejhk ▪️ From Ozempic to Mounjaro: https://youtu.be/L9e46iFWwIs ▪️ Muscle Loss with Ozempic, Wegovy & Mounjaro: https://youtu.be/lnEH-v64aG0 ▪️ Managing Nausea from Ozempic, Wegovy and Trulicity!: https://youtu.be/3R1Fwhf02LE ▪️ Ozempic: Stomach Paralysis Update: https://youtu.be/MPyROywaM0g ▪️ How to Switch from Ozempic (or Wegovy) to Mounjaro: https://youtu.be/L9e46iFWwIs ▪️ Ozempic Paralyzed My Stomach: https://youtu.be/tj9thkkN5aM ▪️ How to Inject Mounjaro: step-by-step tutorial: https://youtu.be/piVHr7UqYDg – Live in Alberta? Come see me at my Pharmacist-led Obesity Clinic at Apothecare Pharmacy - http://apothecarerx.ca – Sign up for my newsletter: http://eepurl.com/gdB2qn – Contact Me: [email protected] Have questions or need support on your weight-loss journey? Book a consultation with me: https://calendly.com/drdanconsult/he – For more about weight loss via habit mastery, visit https://www.healthevolved.co Join me on social media: ▪️ https://www.facebook.com/theofficialdrdan ▪️ https://www.instagram.com/theofficialdrdan Disclaimer of Medical Liability. HEALTHCARE EVOLUTION INC. DOES NOT PROVIDE MEDICAL ADVICE. The content of this material is for general informational purposes only. The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Reliance on any information provided here is solely at your own risk. Individual medical needs are very different; you should not assume that the information in this document concerning certain courses of treatment or outcomes will apply to you. Rather, you should evaluate your medical condition and make treatment decisions based upon consultation with your physician. #WeightLoss #MuscleMass #Wegovy

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