In the 1960s, it was discovered that medium-chain triglycerides (MCTs) produce more ketone bodies per unit of energy than normal dietary fats (which are mostly long-chain triglycerides).[15] MCTs are more efficiently absorbed and are rapidly transported to the liver via the hepatic portal system rather than the lymphatic system.[16] The severe carbohydrate restrictions of the classic ketogenic diet made it difficult for parents to produce palatable meals that their children would tolerate. In 1971, Peter Huttenlocher devised a ketogenic diet where about 60% of the calories came from the MCT oil, and this allowed more protein and up to three times as much carbohydrate as the classic ketogenic diet. The oil was mixed with at least twice its volume of skimmed milk, chilled, and sipped during the meal or incorporated into food. He tested it on twelve children and adolescents with intractable seizures. Most children improved in both seizure control and alertness, results that were similar to the classic ketogenic diet. Gastrointestinal upset was a problem, which led one patient to abandon the diet, but meals were easier to prepare and better accepted by the children.[15] The MCT diet replaced the classic ketogenic diet in many hospitals, though some devised diets that were a combination of the two.[10]
Low-fat diets involve the reduction of the percentage of fat in one's diet. Calorie consumption is reduced because less fat is consumed. Diets of this type include NCEP Step I and II. A meta-analysis of 16 trials of 2–12 months' duration found that low-fat diets (without intentional restriction of caloric intake) resulted in average weight loss of 3.2 kg (7.1 lb) over habitual eating.[1]

Going gluten-free may be a popular trend, but unless you're actually gluten-intolerant or have celiac disease, plenty of reasons exist to continue eating whole grains. They're a tasty way to fill up on both soluble and insoluble fiber, which help you feel full for longer and keep bowel movements regular (oats, barley, and bulgur are especially high sources). Whole grains can also help prevent weight gain: in one study, women who ate whole grains like wheat germ and dark bread had a 49% lower risk of "major" weight gain over time.

Parsley has many, many health benefits, including reducing effects of diarrhoea, improving digestion, regulating the menstrual cycle and increasing the rate of urination, which means that more matter is expelled from the body, including more calories and thus reducing weight loss. The diuretic aspect of parsley juice also means that it detoxifies the body faster than other drinks, and acts as an appetite suppressant making you feel fuller than you are.

© 2018 CookingLight.com is part of the Allrecipes Food Group. CookingLight may receive compensation for some links to products and services on this website. Offers may be subject to change without notice. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use Privacy Policy (Your California Privacy Rights).Ad Choices | EU Data Subject Requests
Going gluten-free may be a popular trend, but unless you're actually gluten-intolerant or have celiac disease, plenty of reasons exist to continue eating whole grains. They're a tasty way to fill up on both soluble and insoluble fiber, which help you feel full for longer and keep bowel movements regular (oats, barley, and bulgur are especially high sources). Whole grains can also help prevent weight gain: in one study, women who ate whole grains like wheat germ and dark bread had a 49% lower risk of "major" weight gain over time.
The 3 Day Military Diet will deliver some impressive weight loss results if you stick with it as outlined during the 3 days on. Many users report military diet results between 3 and 10 pounds lost per cycle. For the best results, you will also need to make sure you don't go over the 1500 calorie limit during the other 4 days off. During those off-days, keep away from alcohol, sugary drinks, and other foods that would otherwise limit weight loss.
Having tempting, unhealthy foods in your home is one of the biggest reasons for failure when starting any diet. To maximize your chances of success with the keto diet, you need to remove as many triggers as you can. This crucial step will help prevent moments of weakness from ruining all your hard work.If you aren’t living alone, make sure to discuss with your family or housemates before throwing anything out. If some items are simply not yours to throw out, try to compromise and agree on a special location so you can keep them out of sight.
The Military Diet is a strict, short-term plan that requires drastically reducing your caloric intake. The restrictions work over a three-day period, and then you take four days off from the diet. Some users participate in the Military Diet on an occasional basis, while others might do three days on and four days off for a month at a time. In fact, the Military Diet website touts that people who follow the plan for 30 days could “lose up to 30 lbs,” though registered dietitians strongly advise against doing so. (More on that later.)
Based on calories, you need to cut out or burn 3500 calories to lose 1 pound . Multiply that by 10 pounds, and you’re talking about cutting out 35,000 calories in a week. That’s quite a bit! If we consider your eating habits, most people consume about 2000 to 2500 calories every day. On the Military Diet, you’re cutting back to about 1200 calories a day on the 3 Day diet, and probably around 1500-1700 calories on the 4 days off. That means just in calorie consumption, you’re cutting out about 1000 per day during the restricted portion of the diet.

If you have health reasons that make you want to try it and eating bacon, eggs and steak salads every day sounds amazing, maybe you could swing it. If nothing makes you happier than a fresh piece of sourdough, or if beans are one of the protein sources you rely on, there’s no point in trying a diet that’s not going to work. (And, by the way, sourdough toast with mashed avocado for breakfast and black bean soup for lunch are really delicious and healthy.)

Unfortunately, some women are just more prone to carrying weight in their middle instead of their hips and thighs. Sometimes, it’s genetics—maybe your mother was more apple-shaped. Belly fat can also increase around menopause, or for women who have polycystic ovary syndrome (PCOS). Even certain lifestyle habits, from lack of sleep to stress, can make your belly grow. To lose belly fat, talking with a doctor about what other factors may be affecting your weight gain can be a good place to start. From there, you can craft a belly fat busting routine.
While there are probably plenty of pre-made bean and veggie soup options that just need a few minutes to heat through on the stovetop, making your own soup is really easy—and a great idea for your health. Homemade soups are much lower in sodium – about 100 milligrams or less per 2-cup serving. By contrast, 2 cups of many canned soups contain a blood-pressure-busting 1,200 milligrams or more, a worrisome amount considering that health experts recommend consuming no more than 1,500 milligrams of sodium for the entire day. This is also a great way to use up all those leftover vegetables in your crisper—pretty much anything works in this soup.
While there are studies that show the health and medical benefits of weight loss, a study in 2005 of around 3000 Finns over an 18-year period showed that weight loss from dieting can result in increased mortality, while those who maintained their weight fared the best.[6][8][27] Similar conclusion is drawn by other studies,[6][28] and although other studies suggest that intentional weight loss has a small benefit for individuals classified as unhealthy, it is associated with slightly increased mortality for healthy individuals and the slightly overweight but not obese.[7] This may reflect the loss of subcutaneous fat and beneficial mass from organs and muscle in addition to visceral fat when there is a sudden and dramatic weight loss.[8]
If you want to shrink your gut, get enough protein in your diet. In this case, about 25 percent of calories. Why? For starters, protein makes you feel full and helps you build muscle (which increases metabolism, thereby making it easier to lose weight). Just as important, high-protein diets have been shown to be the best way of attacking belly fat. In one study, published in the International Journal of Obesity, Danish researchers put 65 people on either a 12 percent protein diet or a 25 percent protein diet. The low-protein dieters lost an average of 11 pounds, which isn't bad. But the high-protein subjects lost an average of 20 pounds--including twice as much abdominal fat as the low-protein group.
Wilder's colleague, paediatrician Mynie Gustav Peterman, later formulated the classic diet, with a ratio of one gram of protein per kilogram of body weight in children, 10–15 g of carbohydrate per day, and the remainder of calories from fat. Peterman's work in the 1920s established the techniques for induction and maintenance of the diet. Peterman documented positive effects (improved alertness, behaviour and sleep) and adverse effects (nausea and vomiting due to excess ketosis). The diet proved to be very successful in children: Peterman reported in 1925 that 95% of 37 young patients had improved seizure control on the diet and 60% became seizure-free. By 1930, the diet had also been studied in 100 teenagers and adults. Clifford Joseph Barborka, Sr., also from the Mayo Clinic, reported that 56% of those older patients improved on the diet and 12% became seizure-free. Although the adult results are similar to modern studies of children, they did not compare as well to contemporary studies. Barborka concluded that adults were least likely to benefit from the diet, and the use of the ketogenic diet in adults was not studied again until 1999.[10][14]
Christopher D. Gardner, PhD; Alexandre Kiazand, MD; Sofiya Alhassan, PhD; Soowon Kim, PhD; Randall S. Stafford, MD, PhD; Raymond R. Balise, PhD; Helena C. Kraemer, PhD; Abby C. King, PhD, “Comparison of the Atkins, Zone, Ornish, and LEARN Diets for Change in Weight and Related Risk Factors Among Overweight Premenopausal Women,” JAMA. 2007;297(9):969-977. http://jama.jamanetwork.com/art icle.aspx?articleid=205916.
The modified Atkins diet reduces seizure frequency by more than 50% in 43% of patients who try it and by more than 90% in 27% of patients.[3] Few adverse effects have been reported, though cholesterol is increased and the diet has not been studied long term.[47] Although based on a smaller data set (126 adults and children from 11 studies over five centres), these results from 2009 compare favourably with the traditional ketogenic diet.[3]

Research also shows that workouts involving high-intensity interval training (HIIT) can help reduce excess fat around your middle. Besides working your core, try incorporating a day or two of more vigorous exercise into your weekly schedule. (You can start with these three beginner routines.) Keep in mind that you can lower your total body fat percentage even by moving around more at work, according to another study.
The conclusion? Intermittent fasting was just as effective for weight loss as daily calorie restriction. So if you struggle with daily food restriction, fasting might be an easier way to dial back the amount you’re eating without feeling completely deprived. Read more in-depth about how intermittent fasting works (and if you’ll be able to stick to it) here.

Close the Kitchen at Night. Establish a time when you will stop eating so you won't give in to the late-night munchies or mindless snacking while watching television. "Have a cup of tea, suck on a piece of hard candy or enjoy a small bowl of light ice cream or frozen yogurt if you want something sweet after dinner, but then brush your teeth so you will be less likely to eat or drink anything else," suggests Elaine Magee, MPH, RD, WebMD's "Recipe Doctor" and the author of Comfort Food Makeovers.
^ Freeman JM, Vining EP, Pillas DJ, Pyzik PL, Casey JC, Kelly LM. The efficacy of the ketogenic diet—1998: a prospective evaluation of intervention in 150 children. Pediatrics. 1998 Dec;102(6):1358–63. doi:10.1542/peds.102.6.1358. PMID 9832569. https://web.archive.org/web/20040629224858/http://www.hopkinsmedicine.org/press/1998/DECEMBER/981207.HTM Lay summary]—JHMI Office of Communications and Public Affairs. Updated 7 December 1998. Cited 6 March 2008.
The trick here is not only to avoid all obvious sources of carbohydrate (sweets, bread, spaghetti, rice, potatoes), but also to be careful with your protein intake. If you eat large amounts of meat, eggs and the like, the excess protein will be converted into glucose in your body. Large amounts of protein can also raise your insulin levels somewhat. This compromises optimal ketosis.
When you eat foods high in carbohydrates and fat, your body naturally produces glucose. Carbohydrates are the easiest thing for the body to process, and therefore it will use them first – resulting in the excess fats to be stored immediately. In turn, this causes weight gain and health problems that are associated with high fat, high carbohydrate diets (NOT keto).
Aude, Y., A. S, Agatston, F. Lopez-Jimenez, et al. “The National Cholesterol Education Program Diet vs a Diet Lower in Carbohydrates and Higher in Protein and Monounsaturated Fat: A Randomized Trial.” JAMA Internal Medicine 164, no. 19 (2004): 2141–46. doi: 10.1001/archinte.164.19.2141. jamanetwork.com/journals/jamainternalmedicine/article-abstract/217514.
However, it's safe to say that no one really knows the origin of the military diet, Yurechko said, as it is certainly not approved by the military. But if you are still a tad bit curious about taking this diet out for a spin, we spoke to some experts on the subject to make sure you have all the ins-and-outs. Here are some takeaways to keep in mind.

Low-calorie diets: It is harmful to reduce your daily calorie intake lower than 1400 calories per day, because your body adjusts to a semi-starvation state and looks for alternative sources of energy. In addition to burning fat, your body will eventually burn muscle tissue. Because your heart is a muscle, prolonged starvation will weaken it and interfere with its normal rhythms. Low-calorie diets don't meet the body's nutrition needs, and without nutrients your body cannot function normally.

And like all crash-diets known to man, Alpert says the military diet is meant to make only a short-term impact instead of teaching positive eating habits that can be sustained for a long, healthy life. As a result, she says it's very likely participants will gain back any weight lost shortly after concluding the diet. (Really. You should stop restrictive dieting.)
"If your diet consists of lots of sports drinks, sugar-sweetened drinks like fizzy pop and flavoured waters, or sugary foods like chocolate and cakes, it will make losing weight harder. While whole fruits and vegetables are undoubtedly good for you, they can also sometimes cause weight gain if you eat too much, as they have high levels of natural sugars in them. Low-fat food options might have high amounts of added sugar in there too, so make sure to check the food label.
The upshot of all these chemicals floating around is big trouble for big-bellied guys. In a study at the University of Alabama at Birmingham, researchers took 137 men of all ages and sizes and used seven different measurements to determine their risks of cardiovascular disease. The single best sign of multiple heart-disease risks? No, it wasn't the guys' family histories or their cholesterol profiles. It was the amount of abdominal fat they carried.
A small Feb. 20, 2017, study looked at the impact of a six-week ketogenic diet on physical fitness and body composition in 42 healthy adults. The study, published in the journal Nutrition & Metabolism, found a mildly negative impact on physical performance in terms of endurance capacity, peak power and faster exhaustion. Overall, researchers concluded, “Our findings lead us to assume that a [ketogenic diet] does not impact physical fitness in a clinically relevant manner that would impair activities of daily living and aerobic training.” The “significant” weight loss of about 4.4 pounds, on average, did not affect muscle mass or function.
No. Alcoholic drinks are high in calories. Save your cocktail for when you’re off the diet, or on the 4 days off. Even when you’re not on the diet, if you’re interested in maintaining your weight, you should avoid certain types of alcohol. For example, steer clear of sugary alcoholic drinks such as long island iced teas and margaritas. The sugar adds in a lot of calories that will promote weight gain. Instead, go for a gin and tonic or vodka with soda water and lime. Red wine is also a great choice. You should also try to lay off beer if you’re hoping to maintain or lose weight. If you’re really craving a beer, go for a dark beer like Guinness which is rich in antioxidants.
If you’ve been looking for a new diet to try — or just scrolling through healthy recipes on Pinterest — you’ve probably come across the “Military Diet." It’s a new fad diet that promises to help you lose 10 pounds in about a week, even more if you’re lucky, and was supposedly named after a technique the military uses to help recruits shed pounds. But what’s the real deal on this diet? Does it work as well as its proponents claim — and can you really eat ice cream every day that you're on it? We took a closer look at the meal plan. Check it out.
If you want to sip your way to a faster metabolism, pour yourself a cup of green tea. The beverage is filled with powerful antioxidants that can help fight inflammation, burn fat, and increase energy. According to one study, drinking five cups a day could help you lose twice as much weight, mainly in your midsection. And drinking green tea could also reduce risk of Parkinson's disease, as well as ovarian, colorectal, skin, and prostate cancers.
Dairy products contain varying amounts of lactose (milk sugar), which slows down weight loss. What’s more, part of the protein in milk generates a significant insulin response, which can have the same effect. Consequently, cutting back on dairy products may accelerate weight loss. This applies especially to dairy products typically lacking in fat, such as regular milk and various yogurts, but be careful with full-fat dairy such as cream and cheese all the same. And don’t forget whey protein powder, which is pure milk protein.
In the kitchen, we mean. Dr. Melina recommends adding more spices to your cooking routine to help reduce inflammation. Bonus: "They help crank your body's thermostat, firing up your metabolism and in turn burning extra calories and fat," she explains. And just like veggies, spices contain thousands of healthy phytonutrient compounds, including antioxidants, without calories and prep-work. Basically, it's a no-brainer way to get more from your meals. The first one we recommend? Turmeric. Not only does it boost digestion and fight inflammation, but it also fights cancer, wards off heart attacks, and could delay diabetes. Somebody pass us the curry. 
By planning your meals and logging what you eat and drink, you will start memorizing how many calories are in your favorite meals and ingredients. Best of all you will learn your own eating habits and cravings, so over time you can better plan your meals to suit your cravings. After a couple weeks if you see you consistently have a 3:00 pm craving for carbs, you can head off that craving in advance with a skinny sandwich at lunch. Or, a sweet craving at 10:00 am can be managed with a sweet oatmeal breakfast.

You must have noticed that some of your friends eat a lot of sugar-based foods, fried foods, or cold drinks. Yet, they manage to have a flat stomach, the reason being they have a very high metabolic rate. If your metabolism is not good, you may have a bloated stomach. Thyroid conditions, diabetes, and other medical conditions can be the reasons for slow metabolism.
A 2012 study also showed that people on a low-carb diet burned 300 more calories a day – while resting! According to one of the Harvard professors behind the study this advantage “would equal the number of calories typically burned in an hour of moderate-intensity physical activity”. Imagine that: an entire bonus hour of exercise every day, without actually exercising. A later, even larger and more carefully conducted study confirmed the effect, with different groups of people on low-carb diets burning an average of between 200 and almost 500 extra calories per day.
© 2018 CookingLight.com is part of the Allrecipes Food Group. CookingLight may receive compensation for some links to products and services on this website. Offers may be subject to change without notice. All Rights Reserved. Use of this site constitutes acceptance of our Terms of Use Privacy Policy (Your California Privacy Rights).Ad Choices | EU Data Subject Requests
2. Sweep: Start with basic abs tuck (standing crunch). For that you have to lift one knee using the abs, and bend the other knee to sit slightly on the ground. Bring the rib cage to the bellybutton so that the spine is in C-curve position. Simultaneously, squeeze the oblique on one side to crunch while reaching down for the opposite foot. Do 10 repetitions for each side, then do 10 again (total of 20, alternating after 10).
The Keto diet emphasizes weight loss through fat-burning. The goal is to quickly lose weight and ultimately feel fuller with fewer cravings, while boosting your mood, mental focus and energy. According to Keto proponents, by slashing the carbs you consume and instead filling up on fats, you safely enter a state of ketosis. That’s when the body breaks down both dietary and stored body fat into substances called ketones. Your fat-burning system now relies mainly on fat – instead of sugar – for energy. While similar in some ways to familiar low-carb diets, the Keto diet’s extreme carb restrictions – about 20 net carbs a day or less, depending on the version – and the deliberate shift into ketosis are what set this increasingly popular diet apart.
Instead of subjecting yourself to another endless workout, crank up the intensity and you’ll see results faster than you ever thought possible. The results of a study conducted at McMaster University in Ontario reveal that adult male study subjects who exercised intensely for a single minute had equivalent respiratory and metabolic changes to those who worked out at a slower pace for close to an hour, so if you want to burn through that belly fat, say so long to slow and steady.
^ Ketogenic "eggnog" is used during induction and is a drink with the required ketogenic ratio. For example, a 4:1 ratio eggnog would contain 60 g of 36% heavy whipping cream, 25 g pasteurised raw egg, saccharin and vanilla flavour. This contains 245 kcal (1,025 kJ), 4 g protein, 2 g carbohydrate and 24 g fat (24:6 = 4:1).[17] The eggnog may also be cooked to make a custard, or frozen to make ice cream.[36]

This diet has introduced structure into my eating and has helped me better plan what I am having. Day 1 was rough due to the lack of caffeine even though we can have 2 cups of coffee that day but I didn’t feel hungry at all. In fact, throughout my 3 days I haven’t felt hungry at all. It was more of my craving for the fatty unhealthy food I was so use to eating before. I am on the last stretch of my 3rd day, still have my ice cream to eat. Before starting this diet I was extremely skeptical. I was worried that the amount of food or lack there of was going to leave me feeling hungry, weak and tired. I have tried other diets in the past and got results but not enough to keep my motivation. I’m not going to lie to you and say these past 3 days have been easy. It definitely took every ounce of will power and I’m looking forward to eating my 1500 calories tomorrow. I have been able to sleep better and I still have energy to take on my day as a full time working mom.
Nuts, the second food to watch, contain a fair amount of carbohydrate, and it’s very easy to unwittingly scarf down large quantities. Cashew nuts are among the worst carb-wise – you’ll find that they contain around 20% carbohydrate by weight. For someone following a strict keto diet with a 20 grams of carbs per day allowance, this means that consuming 100 grams (which happens in a flash!) will have filled their daily quota. Peanuts tend to be around 10-15% carbohydrate – not putting them in the clear either.
When carbohydrates are used by the body as an energy source, the blood sugar levels become unstable. As the energy source is not consistent it is difficult for your brain to stay focused for long periods of time. On the other hand, when you are in ketosis and the brain uses ketones as a fuel source, which has a consistent fuel source and you can focus for longer periods of time. Hence, you also tend to feel more active and alert.
If you need to eat more or fewer calories per day, you can adjust accordingly by simply taking out or adding a bit more of the ingredients already included in a recipe. For example, adding/removing a tablespoon of olive oil or butter will add/remove about 100 calories. If you like or dislike certain recipes, feel free to shift things around. Make sure to keep an eye on the calories so you’re still falling within an acceptable range of your daily goal.
When you are on a carbohydrate-rich diet, your body can store up to 1600-2000 calories worth of energy in muscles, blood and in the liver. Once these are depleted, you are out of fast energy sources. Now, when you are running on the keto diet, you are fueled by ketone bodies. This means you are using fat as the main energy source. And you don’t run low on blood glucose.
Is Keto Worth It? Know The Health Benefits And Risks Before Going On A Keto DietThe ketogenic diet helps to bring your body into a metabolic state which is known as the ketosis. Ketosis occurs when the body has run out of its glycogen (which is basically sugar) stores so it needs to find another source of fuel.  By: DoctorNDTV  Updated: Dec 8, 2018 10:12 IST 4-Min Read 25 SHARES The primary goal of the ketogenic diet is weight loss.
I appreciate that you mentioned this wouldn’t be for everyone, nor is it necessarily an ideal way to approach weight loss for the long term. It’s important to think about things like this because when people go on a weight loss program, in order to succeed, they need to know what they’re getting into, why they are doing it and what will be expected of them (and for how long).
So we hate to break it to you, but devouring hot dogs and ice cream probably won’t be your ticket to sustainable and healthy weight loss. “The idea that there’s something magical in a certain diet, that’s the American dream,” says Gomer. The Military Diet isn’t sustainable, she says. “You’ll get hungry and grouchy and you break your diet and [then] you’re looking for the next miracle.”
You can use zero calorie seasonings to make your Military Diet meals a bit more appealing. Here are some suggestions: salt, pepper, lemon juice, garlic, ginger, cilantro, dill, hot pepper flakes, cumin, curry powder, turmeric, rosemary, sage, etc. Beware if you use items like mustard, soy sauce and garlic sauce, as they do contain a few calories, so you’ll have to be sure to compensate. Avoid using high calorie seasonings such as ketchup, mayonnaise, oils, etc.
You don’t have to go low-carb to ditch those extra pounds around your waist in a short period of time. In fact, opting for more whole grains might just get you there faster. Researchers at Tufts University have linked eating three or more daily servings of whole grains to as much as a 10 percent reduction in visceral body fat, the kind that ups your risk for chronic diseases, like diabetes, heart disease, and high blood pressure.
This diet has introduced structure into my eating and has helped me better plan what I am having. Day 1 was rough due to the lack of caffeine even though we can have 2 cups of coffee that day but I didn’t feel hungry at all. In fact, throughout my 3 days I haven’t felt hungry at all. It was more of my craving for the fatty unhealthy food I was so use to eating before. I am on the last stretch of my 3rd day, still have my ice cream to eat. Before starting this diet I was extremely skeptical. I was worried that the amount of food or lack there of was going to leave me feeling hungry, weak and tired. I have tried other diets in the past and got results but not enough to keep my motivation. I’m not going to lie to you and say these past 3 days have been easy. It definitely took every ounce of will power and I’m looking forward to eating my 1500 calories tomorrow. I have been able to sleep better and I still have energy to take on my day as a full time working mom.

Listen to your mum - dieting is faddish. Instead, improve the "quite" to "all" healthy and eat only nutritionally balanced, healthy foods. Cut out all sweets and junk foods, apart from an occasional treat, as humans would have always done till recent times. The exercise is important, and include plenty of stealth exercise, such as taking the stairs instead of the elevator and cycling to the shops instead of driving, etc.


Weight loss occurs when the body is expending more energy in work and metabolism than it is absorbing from food or other nutrients. It will then use stored reserves from fat or muscle, gradually leading to weight loss. For athletes seeking to improve performance or to meet required weight classification for participation in a sport, it is not uncommon to seek additional weight loss even if they are already at their ideal body weight. Others may be driven to lose weight to achieve an appearance they consider more attractive. However, being underweight is associated with health risks such as difficulty fighting off infection, osteoporosis, decreased muscle strength, trouble regulating body temperature and even increased risk of death.[3]
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