poniedziałek, 21 września 2015

Zapalenie tarczycy Hashimoto

Zmęczenie, senność, ciągłe uczucie zimna, bóle stawów, suchość skóry, opuchnięcia, bóle brzucha, wzdęcia, mdłości i zaparcia, zaburzenie rytmu serca, nietolerancja pokarmowa.
Biegamy od lekarza do lekarza, bez skutku szukamy przyczyn, leczymy poszczególne choroby u gastrologa, kardiologa, alergologa, reumatologa etc., a tymczasem może się okazać, że od lat nasz organizm walczy z chorobą autoimmunologiczną, 
w której tarczyca atakowana jest przez układ immunologiczny. Choroba Hashimoto zwana od nazwiska lekarza, który ją opisał. 
By ją zdiagnozować konieczne są badania hormonów - TSH, fT3, fT4, przeciwciała tarczycy oraz USG tarczycy". 
Lekarz rodzinny zleca najczęściej jedynie badanie poziomu TSH, lub dodatkowo fT3, fT4, ale te 3 parametry nie wystarczają, by w pełni zdiagnozować hashimoto. TSH może być w normie, a pacjent czuje się źle i ma narastające objawy. Dlatego w diagnostyce istotne znaczenie ma dokładnie wykonane USG tarczycy z oceną jej objętości, przepływów i echogeniczności"



U pacjentów z Hashimoto oprócz w/wymienionych objawów często występuje refluks, niedobory pokarmowe, anemia, przepuszczalne jelito, alergie pokarmowe, choroby błon śluzowych jamy ustnej, kandydoza i hipoglikemia, jako dodatek do typowych objawów niedoczynności tarczycy, takich jak przyrost wagi, utrata włosów.
Czynnikami odpowiedzialnymi za powstanie Hashimoto, są m.in. nietolerancje pokarmowe i infekcje.
Chorzy na Hashimoto wymagają bezwzględnej zmiany żywienia i stylu życia. 
Do najbardziej pomocnych należą: usunięcie jodowanej soli z diety, pozbycie się fluoru z wody, redukcja stresu, stabilizacja poziomu cukru poprzez stosowanie właściwej diety polegającej na spożywaniu zdrowych protein i tłuszczów z każdym posiłkiem.

Rekomendowane są pokarmy bogate w składniki pokarmowe, takie jak organiczne mięso i warzywa, a także szczególnie polecane dla tych chorych pokarmy fermentowane, które są dobrym źródłem probiotyków.

Dieta nie powinna zawierać pokarmów przetworzonych, cukru i pokarmów uczulających. Do pokarmów najczęściej nietolerowanych zaliczamy gluten, produkty mleczne, soję, kukurydzę, jajka, zboża, rośliny psiankowate i nasiona. Wykluczenie tych pokarmów z diety wpłynie na eliminację procesu zapalnego w organizmie.
Należą do nich m.in: dieta bezglutenowa, dieta wykluczająca jod, specyficzna dieta węglowodanowa, dieta GAPS, dieta Paleo, dieta Paleo autoimmuno.

Teoria molekularnej mimikry a autoimmunologia

Według teorii molekularnej mimikry bakterie czy inne czynniki przypominają (imitują) komórki naszego organizmu, są to tzw. „antygeny własne”.


O związek z powstaniem Hashimoto podejrzewa się wiele infekcji bakteryjnych - zaliczamy do nich: Helicobacter pylori (bakteria, która jest odpowiedzialna za powstanie choroby wrzodowej), Borrelia burgdorferi (odpowiedzialna za powstanie boreliozy) i Yersinia enterocolitica, przewlekłe infekcje -zapalenie wątroby, opryszczki wywołane przez wirusa.

W czasie infekcji czynnik infekujący jest rozpoznawany, jako substancja obca i atakowany przez układ immunologiczny. Jest to sposób na wyeliminowanie infekcji, ale zdarza się, że układ immunologiczny atakuje proteinę czynnika infekującego, która przypomina komórki własnego organizmu. Może to prowadzić do reakcji krzyżowej i na skutek pomyłkowej identyfikacji zaatakowane są „antygeny własne”, a w konsekwencji zostaje zapoczątkowany proces autoimmunologiczny.

Przykładem jest infekcja Streptococcus pyogenes (paciorkowiec ropny). Jest to bakteria, która powoduje zapalenie gardła u dzieci i nastolatków. Czasami zdarza się, szczególnie w przypadkach nieleczonych antybiotykami, że 2-3 tygodnie po przechorowaniu organizm zaczyna produkować przeciwciała skierowane przeciwko paciorkowcowi.

Niefortunnie dla nas, komponent bakteryjnej ściany komórkowej antygenowo przypomina komórki ludzkich zastawek serca i błony maziowej stawów. W konsekwencji, na skutek pomyłkowej identyfikacji, układ immunologiczny atakuje stawy i zastawki serca. Może to doprowadzić do ciężkich powikłań wymagających przeszczepu zastawek, a nawet do śmierci.


Przeciwciała przeciwko 
Yersinia enterocolitica (wskazujące na ekspozycję) u osób z Hashimoto znajdowane są 14 razy częściej w porównaniu z osobami zdrowymi. Błona komórkowa bakterii Yersinia enterocolitica jest zdolna wiązać TSH! Zakażenie tą bakterią może indukować powstawanie przeciwciał przeciwko czynnikom, które rozpoznają i stymulują receptor TSH, takich jak enzym peroksydaza tarczycowa i tyreoglobulina.

Diagnostyka laboratoryjnaH. pylori można wykryć za pomocą badań krwi i w powietrzu wydychanym, a także poprzez badanie kału. Aby zdiagnozować infekcję Borellia przeprowadzamy badanie krwi, a Yersinia może być wykryta poprzez szczegółowe badanie kału.


Leczenie infekcji

Najnowsze teorie autoimmunologiczne podkreślają, że kiedy antygen (czynnik wyzwalający) jest usunięty, produkcja przeciwciał zostaje wstrzymana i “niewinne” tkanki naszego organizmu nie będą więcej atakowane - w przypadku Hashimoto nie będzie atakowane TPO (peroksydaza tarczycowa).

Wyeliminowanie infekcji, jako czynnika wyzwalającego, powinno doprowadzić do zastopowania reakcji autoimmunologicznej, dlatego też uważa się, że wyleczenie infekcji pomoże wyleczyć Hashimoto.

Leczenie chorób autoimmunologicznych antybiotykami:

U niektórych osób wykazano spadek poziomu przeciwciał przeciwko peroksydazie tarczycowej po zastosowaniu antybiotyku doksycykliny, która jest skuteczna w zwalczaniu infekcji Yersinia entercolitica, Borellia burgdorferi, a także działa na inne Gram-ujemne bakterie.

Uwaga: Każda kuracja antybiotykowa powinna być konsultowana z lekarzem. Pomoże on właściwie zdiagnozować infekcję i zastosować odpowiedni antybiotyk. Występuje wiele rodzajów antybiotyków i niewłaściwe ich stosowanie prowadzi do powstania odporności bakterii na wiele antybiotyków, objawów ubocznych i niepotrzebnego niszczenia pożytecznych bakterii.

W czasie kuracji antybiotykami należy uzupełniać probiotyki.

Leczenie H. pylori

H. pylori jest infekcją trudną do wyleczenia. Do standardowego leczenia zaliczamy potrójną terapię, składającą się z dwu antybiotyków: stosujemy Amoksycylinę albo Metronidazol plus Clarithromycin razem z inhibitorem pompy protonowej (chociaż inhibitor pompy protonowej powoduje, że jesteśmy bardziej podatni na infekcję H. pylori, to w połączeniu z antybiotykami wykazuje działanie synergistyczne i efekt leczniczy zostaje wzmocniony).

Terapia poczwórna: Pepto Bismol + Tetracyklina + Metronidazol +Inhibitor pompy protonowej.

Niektórzy odnoszą się z rezerwą do stosowania antybiotyków. Specjaliści medycyny integracyjnej raportują dobre rezultaty przy stosowaniu substancji naturalnych.

Substancje naturalne pomocne w zwalczaniu infekcji
Probiotyki
Ekstra virgin olej kokosowy
Czosnek
Pokarmy fermentowane
Lukrecja (licorice)
Kwertecyna
Acetylocysteina
Koenzym Q10
Kurkumina
Olej z oregano
Sok aloe vera

Jeżeli u osób z infekcją nie dojdzie do poprawy po zastosowaniu antybiotyków czy innych naturalnych substancji oznacza to, że ich czynnik wyzwalający nie został jeszcze zidentyfikowany i muszą one kontynuować poszukiwania swojej źródłowej przyczyny choroby.

Uwaga: Wszystkie informacje medyczne podane w artykule są przeznaczone do celów edukacyjnych, natomiast nie jest intencją autora użycie ich w celach diagnostycznych czy terapeutycznych. Podane informacje nie mogą zastąpić profesjonalnej diagnozy i leczenia przez endokrynologa.

Składniki pokarmowe niezbędne do prawidłowej funkcji gruczołu tarczycy:
selen, żelazo, witamina A, witamina E, witaminy z grupy B, potas, jod i cynk są niezbędne do prawidłowej funkcji tarczycy. Inne substancje, chociaż niezwiązane bezpośrednio z funkcją tarczycy, są potrzebne do utrzymania prawidłowej funkcji układu immunologicznego, wątroby i nadnerczy.

Większość osób z Hashimoto ma niski poziom witaminy B12, antyoksydantów, selenu, witaminy E i glutationu, a także cynku i ferrytyny (proteiny odpowiedzialnej za magazynowanie żelaza).



Witamina B12             zobacz >> Nowe spojrzenie na witaminę B12

Witamina H (biotyna)

Chorobie Hashimoto zawsze towarzyszy stan zapalny w organizmie. Przewlekły stan zapalny obciąża nadnercza i prowadzi do niedoboru witaminy H - biotyny. Okazuje się, że biotyna jest istotną witaminą, a jej niedobór może przyczynić się także do utraty włosów, obniżenia krzepliwości krwi, podwyższenie poziomu cholesterolu, w przy antybiotykoterapii może dojść do zmian zapalnych jelit.

Witamina D

Niedobór witaminy D wiązany jest z nieprawidłową funkcją układu immunologicznego - brak komórek CD8+, odpowiedzialnych za zwalczanie wirusa EBV, a także brak komórek T regulujących (Treg), które czuwają nad zachowaniem równowagi układu immunologicznego.



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297 komentarzy:

  1. Bardzo ciekawy wpis, dzięki ;)

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  2. Czosnek lekarstwem na wszystko! :D

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  3. Dobre dobre mi się przyda bo w szkole coś takiego omawiamy i potrzebowałem dodatkowego materiału dzięki wielkie za wpis !

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  4. Tak mi się wydaje że to jest skopiowane jakoś gdzieś ale nie wiem na 100% więc nie osądzam dzięki za wpisy mimo wszystko

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    Odpowiedzi
    1. Skopiować nie skopiowałam, ale korzystałam z materiałów naukowych, podałam źródło na końcu posta. Pozdrawiam

      Usuń
  5. moja babcia ma tarczycę i widzę jak się z tym męczy, więc staram się temu zapobiec. Zażywam duzo witamin i staram się robić systematycznie badania.

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  6. Kiedyś miałem zapalenie tarczycy szkoda gadać straszna sprawa z takim czymś jest tyle problemów że szok.

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  7. Dieta nie powinna zawierać pokarmów przetworzonych, cukru i pokarmów uczulających.

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  8. Diagnostyka laboratoryjnaH. pylori można wykryć za pomocą badań krwi i w powietrzu wydychanym, a także poprzez badanie kału.

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  9. Taką dietę prowadzę i mam dobre wyniki :P. Ale nie ma za bardzo motywacji do tego niestety.

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  10. Mogę wam szczerze polecić coś co skutecznie zapobiega wszelkim problemom zdrowotnym (bo przecież lepiej zapobiegać niż leczyć, nie? ;). Od kiedy stosuję lampy Bioptron do naświetlań i koloroterapii, zauważyłam że kupuję o wiele mniej zbędnych kosmetyków, nie mówiąc już o lekach. Te lampy mają tyle zastosowań, że trudno było mi uwierzyć. Dziewczyny! Spróbujcie bo naprawdę warto – dla zdrowia i dla oszczędności! Monika

    Pozdrawiam, Monika

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  11. Nie ma co z takim czymś odwlekać jak ktoś jest tak poważnie chory to od razu do szpitala i tyle!

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  12. Tarczyca to ciężka sprawa na moje to nie chciałbym mieć tej choroby jest to bardzo cięzka choroba i trudna do przejścia warto uważać na nia

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  13. Równiez uważam że tarczyca to ciężka choroba, bardzo przydatny wpis, czekam na kolejne pozdrawiam.

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  14. Wit. B12 to cyjanokobalamina, a nie biotyna !

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  15. dzięki za całe info.. muszę zmienić diete!

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  16. To nie są żarty takie zapalenie to jest masakra nie wiem czy można to wyleczyć ????

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  17. A cóż to za zagraniczne komentarze :P

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  18. Miałam kiedyś chorą tarczycę w dzieciństwie i leczyłam się, wyniki zawsze miałam dobre więc chyba po tak długim czasie choroba nie może wrócić.

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  19. W dzieciństwie chorowałam na tarczycę, brałam tabletki ale wyleczyłam się ( to chyba była nadczynność?) Leczenie pomaga, dieta również

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  20. Ja też miałem naprawde przeróżne objawy, no i poszedłem na testy alergiczne. Wykryto, że mam alergię na pare rzeczy. A objawy miałem takie jakby dolegała mi jakaś inna bardziej poważniejsza choroba. Dlatego należy najpierw iść do lekarza, a później dopiero czytać rzeczy w internecie.

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  21. Bardzo ciekawe to wszystko muszę przyznać. Robi wrażenie cały blog.
    A jeśli chodzi o mnie to ostatnio robiłem sobie test na nietolerancję laktozy no i okazało się, że jestem chory. Dlatego tak rzadko bywam na blogach, ale leczenie zacząłem więc myślę że niedługo pojawie się znowu. Polecam każdemu zrobić sobie takie badania.

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  27. Świetny wpis! Ja miałem okazję poznać kilka osób z Hashimoto i czasami przebywanie z taką osobą jest uciążliwe, niektórym z nich po prostu odwalało w gorszych momentach, potrafili zachowywać się uciążliwie. Mam nadzieję, że w końcu powstanie jakieś skuteczne lekarstwo na to tak, aby już nie mieć więcej z tym problemów.

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  106. Lip balm is a great treatment for chapped lips,
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  111. make sure that you get your face and your beard wet with warm water about five minutes prior to shaving. The best way to do this is by holding a towel dampened with warm water over the part of your face that you are planning to shave. This softens the facial hair, making it easier to shave. Or, you could always shave following your bath or shower. If your hair is soft and easier to cut, you will not have to worry about scraping your skin.
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  115. It is important toAnibolX consume an adequate amount of protein before working out. Before working out, consume 20 grams (or more) of whey protein. This will help with muscle recovery after your workout is finished. In addition, protein gives your muscles the energy they need to get through the workout.To build muscles, eat a healthy diet that includes a good amount of proteins. Eat proteins before your strength training as well as after. Look for power bars or other snacks that contain at least 15 grams of protein to consume before and after your workout. To give an example, one to two cups of milk has 15 grams of protein.
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  116. Always stretch before you start a workout. Stretching Ultimate Alpha Extreme
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  121. If you want to maintainElysian Ageless Eye Serum your natural color and avoid grays, take a little curry leaf chutney (approximately one teaspoon) each morning. It does this by providing the minerals and the vitamins necessary to help your body produce pigmentation for your hair. You can also use rosemary essential oil in your hair, which helps to maintain your scalp's health and your hair's color.
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  122. Remember to remove hair 24 hours prior to applying
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  125. Your face has repetitive movements when smoking, and these cause wrinkles.
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  126. Proper hydration also plays a key role in both maintaining and increasing muscle mass, making it an important factor for many reasons.Clemix Male EnhancementClemix Male Enhancement Are you trying to bulk up? If so, your focus needs to be on performing dead lifts, squats, and bench presses. These three exercises will help you get in shape quickly and allow you to keep building muscles. You can add various exercises to your regimen, but these must be your core.Clemix Male Enhancement Building muscle does not necessarily mean that you will appear ripped. Since there are so many kinds of muscle building routines, you have to figure out which is one is the best for you.

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  128. Baking soda, a common Derma Pearls household staple, can be used to treat damaged skin. Turn it into a paste with water and wear it overnight to beat acne. You can also make the paste a little thinner to clean residue from your hair.Never sleep while wearing makeup. Sleeping with a clean face will allow your skin to rejuvenate and repair. Make-up will clog pores and suffocate your skin. Just take a few minutes each night before going to bed and remove all traces of your makeup.http://www.wecareskincare.com/derma-pearls/

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  129. Be selective about the Derma Pearls kind of soap that you use on your face. Choose a soap with no perfumes or chemicals, castile soap is a good choice, and use a toner and moisturizer to finish it all off.Treat your skin right to give it that soft feel. Start off by applying a sugar scrub that can be left to sit for a minute or two. Then, use warm water to rinse it off, and follow it with a luxurious moisturizing cream. Massage the cream into the skin until fully absorbed. File the nails and give the cuticles a push.If you suffer from a painful, swollen bunion, try using ice. Ice helps to cool a warm bunion, which will reduce the swelling. http://www.wecareskincare.com/derma-pearls/

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  130. Do as many sets and repetitions as you can during Testshred your training. Target fifteen lifts, allowing for a minute break between each set. Your muscle will be stimulated by the lactic acids that these repetitions produce. Repeating this many times in each session will maximize muscle-building.



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  131. Being fit can happen at any age, and muscle Testshred building is something that may work for you. This article has given you advice you can use for a highly-effective muscle building regimen, which in turn, will provide you with the body you have always wanted.
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  132. Be careful to do squats correctly. Lower Bio Rocket Blast the bar onto the back on a point that is close to the center of the traps. This works your hips, glutes, and hamstrings extra hard, but it does allow you to squat more weight than if you did squats in another way.Creatine might prove a beneficial addition to your regimen. When used alongside a healthy diet and good workout, creatine can help to boost your energy levels and aids your body in building muscle. Consult your physician prior to using supplementation, and find out if it is a sound idea in your personal case.http://www.supplements4news.com/bio-rocket-blast//

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  133. Combining the three can help you get fit quickly and will constantly build muscles. You can add various exercises to your regimen, but these must be your core.Vivax Male Enhancement Some people mistakenly consume too much extra protein at the beginning of their muscle-building program. If you are consuming more protein and calories than you are using, then you will gain fat instead of muscle.

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  134. Once weekly, apply night cream
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  135. If you follow the guidelines from this article, you will find it easier to get and keep gorgeous, healthy skin.
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  136. This process will get rid of dead skin without the chemicals and abrasives found in bath scrubs.
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  137. If your muscle-building regimen is actually working,Horlaxen
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  138. so you won't see results if you don't give your body some time to rest.Bio Rocket Blast Eat well on
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  139. Always start yourTestabolan CYP routine with a warm-up exercise. When you warm up, you increase your circulation and get muscles ready for more intense exercise. Warm up for at least 10 or 15 minutes before each workout. Don't have your work out sessions delayed with injuries resulting from jumping right into your training without warming up first.http://www.realperfecthealth.com/elevate-igf/

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  140. Pay attention to the instructions that are on the back of the bottle. There are powder sunscreens that make using sunscreen much easier and much more convenient. The container it comes in is so small you can tote it around in a purse or in your pocket.
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  141. There are many anti-aging creams which are FDA-approved that will help to reduce wrinkles and fine lines on the skin. Keep in mind, though, that many of these creams are not safe for women who are pregnant, nursing or taking medications that may interact with them.Luna Skin Serum Dry skin responds well to the natural oils found in the avocado. Put the avacado on your face after crushing it up. After waiting twenty minutes you should then wash this off and you'll have soft and bright skin.Luna Skin Serum You need to be so careful when shaving. Razors have extremely sharp blades that can easily irritate your skin.

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  142. Using just a little of your body in order to pump out an extra couple of reps is an excellent method of increasing the volume of your workout. But do not make that an excuse to cheat on all of your reps! Always make sure your rep speed remains the same. Do not let your form be compromised.Elevate IGF Do not extend your workouts to more than 60 minutes.
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  143. Take care to remove older skin cells by exfoliating. After a period of time, dead skin begins to pile up, which can make the skin on your face look dull and dry. By using an Lumidaire Cream exfoliating scrub that's gentle, you can get rid of this dead skin and make the vibrant skin below it shine. In addition, exfoliating reduces the appearance of pores by removing oil and dirt trapped underneath the skin's surface.http://www.supplements4news.com/lumidaire-cream/

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  144. Vitamin E has a lot of antioxidants in it; they get rid of free radicals. Papaya and almonds are great foods that contain high levels of vitamin E. Leafy greens also contain a lot of vitamin E.Skincare PanamaSkincare Panama Using a humidifier during winter time can prevent dry skin. Heat from a furnace saps moisture from the environment and can lead to dry, brittle skin and an increase in static. In order to solve the problem, consider running a humidifier in your living space.Skincare Panama Sunscreen should be applied liberally and often. Reapply the sunscreen throughout the day. If you prefer a quick and easy application, opt for a sunscreen in powder form, which can be applied with a brush.

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  145. Another way TrueBrilliance to keep healthy white teeth would be to brush them twice a day. Once when you first wake up and again before you go to bed. This is a good habit because plaque and bacteria build up during the night.Know exactly how effective the teeth whitening system you choose will be. You might be a bit disappointed if you expect a lot out of the tooth whitening system you have chosen. http://www.supplementscommunity.com/truebrilliance/

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  146. Try to pay for all of your T Boost Max personal training in advance so you are more motivated to go. If you take this route, you are far more likely to attend your sessions because not doing so will cost you money.The smaller the muscle group, the quicker it is to get fatigued. You should start your workout with dumbbells, followed by a barbell and then finish up on machineshttp://www.supplements4news.com/t-boost-max/

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  147. Now that you're armed with the right information, you can begin a muscle-building routine today.Vivax Male EnhancementVivax Male Enhancement You most likely had the drive to work extra hard to gain muscle prior to reading this. Now you hopefully have a better idea of what to do so that you can build muscles as quickly and efficiently as possible. The preceding tips describe everything you need to know to make that happen.Vivax Male Enhancement If you want to change your body, you need to know what it needs.

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  149. and then change up your diet if you need to so that you are getting the right amount of carbohydrates, protein, and other nutrients that you needElevate IGFSee if you can work opposing groups of muscles within the same workout, using the chest muscles in conjunction with back muscles or hamstrings together with the quad muscles. This practice alternates the stress placed on the two groups, so that one rests while the other one works. As a result, you can increase your workout intensity because you are limiting the amount of time that you have to spend in a gym. http://www.supplementschat.com/elevate-

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  150. Pre-exhaust any necessary Optimal Rock muscles to get around limitations. Certain exercises may cause bicep fatigue before your lats are exhausted. When you complete isolation exercises you help fix this, do things like straight-arm pulldowns which don't necessarily concentrate on your biceps to complete. This will ensure that your lats get a good workout, preventing your biceps from limiting you during your rows.http://www.healthbuzzer.com/optimal-rock/

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  151. Although an increased Optimal Rock protein intake can help build muscle, all too many people jack their consumption up sky-high the moment they start their muscle-building routine. Doing so may lead to excessive calorie consumption, which might then cause you to gain weight in the form of body fat. Try increasing your protein slowly, a few hundred calories every few days, and your body will have a chance to turn it into muscle growth.http://www.healthbuzzer.com/optimal-rock/

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  152. Muscle building is not an easy task! Workouts Optimal Rock Male Enhancement
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  153. Neck work, split squats and dips sometimes include unfavorable joint positions that can put you at risk for serious injury. Instead, use heavier weights primarily for exercises such as rows, presses, deadlifts and squats.


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  154. You may actually surprise yourself and surpass those goals. This can act as encouragement, helping you to remain positive about your future rate of success.T Boost Max To make sure that you get enough protein in your diet, try to eat at least 20 grams of protein at each meal. Spacing your protein consumption throughout the day allows your body to absorb it more effectively. As an example, if you require 180 grams of quality protein, you can achieve that by consuming 30 grams at each of your six meals.T Boost Max Whole grains and other fresh foods are essential to a weightlifter's diet.
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  156. If you like face Revella Lash masks, make it at home. All you really need is an egg to make the mask. Remove the yolk and use the white of the egg as a mask. Apply and leave on for five minutes, then rinse off. The protein inside the white of the egg will help your skin stay moist.
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  157. Try using Epsom Revella Lash salts in your regimen. Aching muscles can be treated with Epsom salts. Mix them with water and lavender to create a paste. This mixture can then be applied onto your problem areas. Leave it on overnight. Your skin is going to look better in the morning.
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  158. T Boost Max Train opposing muscles while in the same session including your chest and back, or quads and hamstrings.
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  159. Purchase a travel sized hand cream and carry with you if you have the need to use restrooms in publicAllurifi Revitalizing CreamFor skin that is red and blotchy, try using creams that have vitamin B3. Your skin can lock moisture in better and protect itself from irritants when you treat with Vitamin B3. http://www.supplements4tips.com/allurifi-revitalizing-cream/

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  161. . You could injure yourself and negative impact your goals by working out too often.T Boost Max
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  162. They can help motivate Testo Blend you to reach your goals for good.Physical fitness requires that you engage in a regular workout of your abdominal muscles. You should work your abs only twice or three times each week. Let them rest in between just like you would any other muscle. http://www.realperfecthealth.com/testo-blend/

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  163. Hot water is bad for your skin, stripping it of natural oils, so be sure to shower or bathe with warm water. When you're done, don't rub your skin too hard. Instead, use a pat-dry technique so that you retain a small amount of moisture on your skin.
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