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biki kal

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5

What are mitochondria? Mitochondria are the powerhouses of the cells. If there is a problem with mitochondria, it can wreak havoc on the body.

Mitochondrial disease is it on that includes hundreds of conditions that produce a very wide range of symptoms. These conditions are very rare and they are seen between one in 2500 to 1 in 8500 people.

What is mitochondrial disease?

Mitochondrial diseases are health problems caused by mutations in DNA. These mutations can either be inherited from both parents or may arise after conception. Some of these disorders may affect one organ, while others may affect groups of organs. 

These diseases can affect almost any part of the body such as the cells of the brain, muscles, nerves, heart, kidneys, liver, eyes, ears, or pancreas.

These diseases prevent the mitochondria from making enough energy for the body cells. These mitochondrial diseases can be present at birth or they may develop later in life. The symptoms of these diseases are wide-ranging from seizures to breathing difficulty to poor vision to organ failure.

What causes mitochondrial disease?

In most people, the primary mitochondrial disease is a genetic condition that is generally inherited. A child that suffers from my mitochondrial disease does not receive a normal pair of jeans from the parents. The child receives a mutated or defective gene.

Symptoms

Even though symptoms of mitochondrial disease is more vary a lot depending on which cells of the body are affected, there are some commonly seen symptoms present. The symptoms can range from mild to severe and can involve one or more organs and can occur at any age.

Symptoms of the mitochondrial disease may include “

  • Poor growth 
  • Muscle weakness, muscle pain, low muscle tone
  • Vision and hearing problems
  • Learning disabilities
  • Delays in development
  • Autism spectrum disorder
  • Heart, liver or kidney diseases
  • Gastrointestinal disorders, swallowing difficulties, diarrhea or constipation
  • Diabetes
  • Increased risk of infection
  • Neurological problems, seizures, migraines, strokes
  • Movement disorders
  • Thyroid problems
  • Dementia
  • Respiratory problems
  • Lactic acidosis

Diagnosis

Mitochondrial disease is difficult to diagnose. It is more difficult to diagnose in children. Mitochondrial diseases include different diseases with many symptoms and the symptoms can vary widely from person to person. Various conditions may also mimic other diseases. That is why it is very difficult to diagnose such diseases. These diseases are often mistaken for autism, ALS, muscular dystrophy, and Alzheimer's disease.

Your doctor may suspect your condition as a mitochondrial disease. In that case, the doctor will use family history, DNA tests, imaging studies such as MRI or city, bloodwork and other tests, and even procedures such as muscle biopsies and EKGs To confirm the diagnosis.

How is it treated?

Mitochondrial disease has no cure. However, symptoms such as Caesars or attention problems can be managed. Like the disease, treatments are also varied. Since with mitochondrial diseases, the doctor is treating many conditions, the treatment options are also different for different conditions and patients. Some treatments that work well for one disease may not work at all for another.

Exercise is a recommendation for all people who can perform exercises. Exercise can help you manage the conditions better. Till now no drugs are proven to help treat disorders but supplements such as can coQ10, L-carnitine, L-arginine, and creatine definitely help.

What is it?

Turf toe is a condition that happens when you bend your big toe up to the top of your foot. It is also known as hyperextension. When this happens, you may sprain or injure your toe and the ligaments surrounding it.

This is becoming more common because artificial turf is often used in football fields. Players often slip and hurt their toes or get injured because of the door. Besides football players, ballet dancers, basketball players, and wrestlers may also get turf toe because they use their feet on hard surfaces.

It is a type of metatarsophalangeal (MTP) joints pain. That means that the tissue and one or more of the joints that connect the toes to the rest of the four have been injured.

The symptoms

The most noticeable symptom of the turf toe is the feeling of pain around the big toe area. The pain may be present in the joint that goes up the foot toward the ankle. When the toe bends suddenly and quickly, you are likely to feel the pain. It can start gradually when you hyperextend your toe over and over. Sometimes you may also notice a popping sound when you first bend the toe too far and then you may feel the pain.

Other symptoms may include- 

  • tenderness or sensitivity around the toe and nearby joint
  • swelling around the big toe and the joint
  • not being able to move the toe around normally
  • stiffness in the toe joint

Diagnosis

You need to talk to your doctor about your symptoms. Tell your doctor about the situation in which you believe you first got the injury. The doctor then can examine your big toe for any pain, swelling, or other symptoms. He/she may also perform a full physical examination to check your overall health. He/she may look for abnormal swelling or redness. They will check the two physically to verify the source of pain. The doctor may test the range of motion of your toe. Sometimes, imaging tests like x-ray or MRI scans may also be necessary to find out about the condition of your toe and any abnormalities present.

Treatment options

How is it treated? There are three grades of turf toe injuries, and the treatment depends on the grade of the injury.

Grade 1

It is the least of the serious injuries of the toe. It can be treated at home using the RICE method.

RICE stands for rest, ice, compression, elevation.

First, you need to stop doing activities that can make your injury wars. You need to give your two a break. Apply a cold pack of ice to keep the swelling and inflammation down. Wrap a bandage around the foot and toes. Lie down and keep your foot up to help drain fluid and keep swelling down.

Take non-steroidal anti-inflammatory drugs as prescribed by your doctor.

Grade 2

In case of such injuries, since they are a little more serious, you may need to use crutches or a walking boot to protect your foot.

Grade 3

If your injury is of grade 3 level, you may need surgery for treating it because here a bone is broken, the ligament is completely torn, or a joint is damaged.

Before most of the food came straight from the ground or from the branch and reached our tables directly. However, today that may not be possible with the growing number of people. We do not have time to cultivate crops and vegetables and fresh fruits and vegetables may not be available very easily for some people.

In that case, processed foods can help people to find the things that they are looking for. Almost everything that you buy in the grocery store now falls into the category of processed food.

Choosing processed foods

If you want to live a healthy lifestyle, it means you eat nutritious, low-calorie foods. It is very important to ensure that you are limiting processed foods that are high in calories and low in nutrition. You need to do that to ensure that you are not getting and looking older than you actually.

You cannot completely eliminate processed foods from your diet. It is not practical and not even desirable. Adding extra vitamins and minerals to foods like cereals and orange juice can help you to get the nutrition necessary. Some of the processing practices can also help prevent food from spoiling or being destroyed by pests. Some processing may also be necessary to preserve the food's nutritional value.

Most of the time, choosing foods that have been only minimally processed is the best option for optimizing nutrition and avoiding the possible side effects. It is a good choice to avoid highly processed foods because they have less nutritional value and may contain unnecessary or dangerous ingredients.

Common Additives and Their Uses

  • Humectants: can prevent dried fruit from drying out
  • Potassium sulfate: Used in beer. Works as an anticaking agent
  • Emulsifier: Used in mayonnaise and peanut butter. Keeps oils dispersed
  • Carrageenan: Can prevent the formation of ice crystals in ice cream
  • Xanthan gum: Used in low-oil dressing to maintain good consistency
  • Algin: Can add creaminess and thickness to puddings and ice cream
  • Phosphoric acid: Can sharpen flavor in cola drinks
  • Soy lecithin: Can keep chocolate and cocoa butter in a candy bar from separating

Avoid these ingredients

Sulfites, Aspartame, MSG (monosodium glutamate), FD&C Yellow #5 etc. 

The pros and cons of processed foods

Processed foods are becoming part of our everyday life. Many people think they are the same here as day offers easier reach and faster availability. However, not everything about processed foods is good.

There are added sugars, artery-clogging elements and they can add more calories to your body. Many of the processed foods are also stocked with saturated fats and sodium. These processed foods may account for about 50% of the saturated fat, 57% of the sodium, and 75% of the sugars that people consume.

However, that does not mean that all processed food is bad. There are whole grain cereals available with added vitamins. You will also find yellow mustard and vitamin di boosted low-fat almond milk. Today, processed foods provide 55% of the dietary fiber, 34% of vitamin D, and 65% of folate. 

Companies use creative marketing to sell heavily processed foods and products. Do not fall for their advertising and try to find out the actual truth by asking for proof about the claims.

Fibromyalgia is a health condition that can be different for everyone. It is a chronic disease that causes severe body aches, fatigue, joint pain along other health symptoms. If you are suffering from this problem, even simple tasks such as chopping vegetables, getting out of bed, buttoning a shirt can be painful for you.

Millions of people suffer from this problem. It is most common in middle-aged to older women, men and even children sometimes can have it.

Symptoms

Before you know about the symptoms of fibromyalgia, you need to understand that this disease can mimic other conditions. That's why it is difficult to diagnose and treat. Common symptoms include extreme body pain, fatigue, and tenderness. Other symptoms that may accompany the problem of fibromyalgia may include-

  • Difficulty sleeping
  • Headaches
  • Problems with memory and thinking
  • Noise and light sensitivity
  • Restless legs syndrome
  • Numbness and tingling in the hands and feet
  • Morning stiffness
  • Irritable bowel syndrome

Causes

It is not yet known what causes fibromyalgia. This is still a mystery. Experts believe that it is an autoimmune or inflammation-based condition. Some researchers found that it could involve the nervous system. Even though concrete reasons for the problem are not yet known or confirmed, experts have a very good idea about the factors that may contribute to this problem.

Injury, illness, a car accident or other major life events that cause mental and physical stress may increase the risk of this problem. The genetic makeup of an individual is likely has something to do with it.

Treatment options

If the actual causes of fibromyalgia are not known, then how can it be treated? Fibromyalgia has no cure. However, the best approach here is to try multiple kinds of treatments. You need to talk to a general practitioner, rheumatologist, or physical therapist, as it can help you understand and know about the different treatment options available for fibromyalgia.

There are medicines available for treating fibromyalgia including duloxetine (Cymbalta), milnacipran (Savella), or pregabalin (Lyrica). You will also find over-the-counter painkillers if you need immediate relief. Some people try opioid narcotic medications for treating fibromyalgia but doctors strongly advise avoiding that.

Can exercise help?

Yes.

Fibromyalgia results in pain and fatigue and in such a condition, exercising may be difficult for you but if you can exercise for some time, it will help you get relief. Physical exercise is one of the most effective treatments. Regular aerobic exercises will offer you the maximum benefit. You can also exercise gentle movements such as tai chi and yoga because they will also help you get relief from fibromyalgia symptoms. Low impact physical exercise is excellent for your body even though you experience some pain while doing it, do it because it will also help you get relief from fibromyalgia pain and fatigue.

Alternative therapies

You can also go for alternative therapies such as massage and acupuncture. They will also help ease the pain.

Practicing meditation and other stress management techniques will also help you get relief. Taking patient education courses will help you as primary care or community caregiver. It will also help you understand the problem better. Establishing good sleep habits will help you by improving the quality of your sleep and ward off fatigue that you experience because of fibromyalgia.

29

Forgiveness is not for anyone but yourself. It can help you get over the problem and release the pain. It helps you to feel better and peaceful.

However, forgiveness is not easy, it is complicated. Whether you want to forgive a significant other for being unfaithful, a friend for betraying you, or a co-worker for spreading lies about you, sometimes it can feel impossible. But if you understand what forgiveness actually means, it may change your perspective on the process and may help you.

But how do you forgive someone? Should you forgive everyone? How does forgiveness help you improve yourself and your health?

Forgiveness

Forgiveness is the acceptance of the situation as it is. It is letting go of negative thoughts, resentment towards someone, and bitterness. However, it does not mean that you are okay with what somebody did to you. But you are saying to yourself, This happened and now I am going to live from this point further.ť It does not mean that you are pretending nothing happened, and it does not mean that you are encouraging the other person to act in a certain way or act again similarly.

Forgiveness also does not mean that you need to take back up with the person, either. You do not have to reconcile if you do not want to. If you want to reconcile, that's a different decision from the decision to forgive.

How quickly to forgive?

How quickly you can forgive someone depends on the circumstances. This is your journey, and your journey to forgiveness may depend on what actually happened. In your case, it may take some more time and you do not need to beat yourself up for that. People who experience common types of betrayal may find it easier to forgive other people, but someone who has experienced sexual violence may find it very difficult to do so. Sometimes, survivors might even feel empowered because their avoiding forgiveness is regaining some of the control they lost.

So, depending on what happened to you and how much pain you encountered, will decide when you can forgive someone else.

Benefits of forgiveness

Forgiveness comes with some health benefits. When you are angry about something or about someone, constant anger and resentment happen. They can send you into fight-or-flight mode. 

However, this response may have a negative impact on your heart rate, BP, and immune response. It can also result in depression, diabetes, heart disease, and other health problems.

On the other side, when you learn to forgive other people who hurt you, it can offer you many health benefits. If you forgive someone, it can

  • Lower your risk of heart attack
  • Help you sleep better
  • Help you experience less pain
  • Lower your risk of anxiety, stress, and depression

When you forgive someone, it can calm you down at the moment and also in the long term. When you release and let go of the situation, you will find it easier to experience empathy with the other person.

And remember another thing“you do not have to tell the person who you have forgiven him or her. If you do not want to tell, it's your choice and you don't have to do it.

Diabetes is a major risk factor for cardiovascular disease. Adults with diabetes are almost twice as likely to have a heart attack or stroke as those without diabetes.

Here, regular exercise and healthy eating can help you a lot in the long run. Your doctor may also prescribe some medication to help lower your risk.

Treating high blood pressure

Blood pressure is the pressure of blood flow inside the arteries or blood vessels. Sometimes the blood may exert too much force on the vessels. In that case, the heart will need to work harder than it should. In such a situation, it will put you at a higher risk for heart attack, stroke, kidney disease, and eye problems.

Two out of three adults with diabetes have high blood pressure. High BP is also called hypertension. If you have diabetes, you need to check your blood pressure at regular intervals to ensure that it is in the right range.

If your blood pressure is measured In two numbers. 120/80 is the ideal blood pressure. The first number is known as systolic pressure and it means the pressure your blood exerts as it pushes through your blood vessels. The second number is known as diastolic pressure, which refers to the pressure between heartbeats when the vessels relax. If you have diabetes, the recommended BP range is below 130“140/80-90.

It is possible to treat hypertension effectively through lifestyle changes. If you cannot do so, your doctor may prescribe some medication. There are different BP medicines available, however, not all of them are good for people with diabetes. Some medicines raise blood glucose levels or mask some symptoms of low blood glucose or hypoglycemia. Your doctor will help you find the right medicine for treating high blood pressure if you also have diabetes.

Lowering high cholesterol

Cholesterol is one type of fat produced by the liver and it is found in your blood. There are two types of cholesterol“good cholesterol and bad cholesterol.

Low-density lipoproteins or LDL are bad cholesterol. It can build up and clog your blood vessels. The buildup of LDL is known as plaque. If your body has too much LDL, you are at a higher risk of a heart attack or stroke.

??High-density lipoproteins or HDL other good cholesterol and help you remove the LDL from your blood vessels.

If you have diabetes, you will need to make some lifestyle changes so that you can lower your cholesterol levels. Sometimes your doctor may prescribe a statin to reduce your LDL levels.

A statin is prescribed if

  • You have been diagnosed with heart disease
  • You are 40 years old or over

Your doctor may also prescribe an additional LDL lowering medicine. The dose of the medicine will depend on whether you have additional risk factors for different cardiovascular problems. Once you are diagnosed with high cholesterol, your doctor is going to check your levels at least once a year.

Before taking any medicine yourself, or taking over-the-counter medicines, consult your doctor because the combination of diabetes and heart disease can be deadly and you are not technically sound enough to choose the right medicine for yourself. It is better if your doctor looks at the reports you have and then decides about the medicines and the doses that you need.

34

If you are busy with your housework and you do not have time to work out, you are not alone. There are some other people who are busy in their carrier and do not have time for workouts. All those people can get benefited by taking the approach which will help them get double benefit“their housework will be done and they will also get the benefit of exercising regularly.

The benefits of moving your body are enormous. You just need a little creativity and it will be possible for you as well to get the double benefits. All your important works will be done in the house and you will also get the benefit of moving your body and exercising.

Pick up the pace

If you want to turn any household task into exercise, you will need to pick up the pace. Increase the intensity and then sustaining for as long as you can without taking a break. It will ensure that your work is done, but it will also ensure that you are getting the benefit of the intensity.

If you are cleaning the floors, start some upbeat music and then use your measure muscles while mopping the floor. You can set yourself a goal to see if you can finish within a certain time limit. That will ensure that you are doing the activity intensely for a specific duration of time. That will be your exercise.

Get creative

There are some activities around the house that will help you exercise, but for that, you will need to get a little creative. Weeding or raking, for example, or two works that need a high level of energy. You can become a little creative with the less intense activities to make them work on different parts of your body. If you are washing dishes or dusting, with a little creativity, you can make the work focus on certain muscles of your body.

Let's take the example of dirty dish dips

Dirty dish dips

If you have lots of dishes to do, you can use this opportunity to work on your body and get the benefit of exercising. How do you do that?

After washing a few dishes, after a few minutes, you can face the sink and put your hands on the edge of the countertop. Your arms should be straight and your feet should be positioned slightly further than arm's length away from the counter. Your body needs to be at a slight angle.

Without bending at your waist, slowly bend your elbows and lower your chest toward the counter. You need to dip your chest toward the counter as far as you can and then return to your starting position. Repeat this 5 to 10 times.

This exercise will work on your chest and arms.

Lower body exercise“squats

You can try this when you are mopping the floor, washing the car, or scrubbing windows. This will help you get a lower body workout while working.

It will work on your arms, thighs, and buttocks.

To perform this, you need to stand with one bucket handle gripped in each hand. Your feet should be shoulder-width apart. Keep the back, arms, and legs straight.

Keep the arms straight down at your sides and then slowly squat by bending at the knee and hip joints. You will need to lower yourself until your thighs are roughly parallel to the ground and then will need to return to the starting position. Repeat this 10 times.

There are more, and you can create your own exercises while performing household works.

109

There are millions of supplements available for different reasons and they claim to offer different benefits to the user. However, not all pills, capsules, and powders do a decline. Also, some supplements contain unapproved and even dangerous ingredients. Taking such supplements can be harmful and even fatal for you.

Different people take different dietary supplements and I believe that these pills, powders, and drinks can increase vitamin and mineral intake, can offer them more energy, and offer several other important health benefits.

It is a multibillion-dollar industry. Dietary supplements are helpful for people who do not get the necessary minerals and vitamins from the diet. There are some people who suffer from different diseases and who may need such minerals and supplements from outside sources.

However, supplements can also increase the risk of complications during surgery. They may also cause harmful drug interactions and side effects sometimes. So, what do you need to know before you take health supplements?

Do your homework

Supplements do not prevent, treat, or cure diseases like prescription medications, and so manufacturers of these supplements are not required to follow the same stringent regulations. They are not on the regulations. The manufacturers and distributors ensure the safety of their products. It means, since there are no regulations, some unscrupulous manufacturers and distributors may sell anything for profit.

Sometimes, there is no guarantee that the supplements were tested thoroughly before you started using them. Different scientific studies published in different journals suggest that not all supplements contain the ingredients or amount of ingredients they claim. Such dietary supplements may include anything “ and weight loss, pre-workout supplements, energy boosters, and others.

Many of the supplements also contain unapproved ingredients. It is a major concern in supplements that are taken for sexual enhancement, weight loss, or muscle building. They also contain some contaminants. These contaminants are typically pharmaceutical drugs that may have the potential to cause serious side effects and reactions.

Even though many supplements may contain such harmful or forbidden ingredients, those rain radiance when not listed on the supplement packaging.

 Only 46% of such products which contain contaminated or banned ingredients were voluntarily recalled. Not all manufacturers and distributors are interested in removing or changing the potentially harmful ingredients from their products. Different researches done on the subject also found that dangerous supplements are still available to consumers despite warnings.

Beware of false claims

There are many false claims seen with supplements. There are claims that folic acid helps prevent heart defects and calcium and vitamin D supplements can improve bone health. These are true but not all claims are true.

More research is necessary before buying such supplements. For example, there are many weight loss supplements available in the market as fat burners, appetite suppressants, and others but they cannot keep the weight off for long. Some of them may also have harmful side effects.

You should ??also watch out for the word natural. Some natural herbs may be safe for consumption, but some others may not be safe for human consumption. They may also be contaminated during processing or may be intentionally contaminated using prescription drugs.

Follow directions carefully

While using supplements, you need to follow the directions very carefully. Never take more than the recommended dose and never combined supplements. Do not take supplements with other medications or substitute medicines with supplements.

Whenever there is a pain in our body, we often go for painkillers because they offer immediate relief. However, prescription pain pills may not be safe for you if you overuse them or abuse them. If you use them the wrong way, they can cause big trouble.

Chronic pain following major surgery can often be managed with local anesthetics, topical non-steroidal anti-inflammatory drugs (NSAID), and oral NSAIDs. You should only take them if a pain management specialist prescribed them. They know how to get you off of such painkillers gradually.

With other types of pain including nerve pain, chronic headaches, back X, tritest, and muscle and tendon pain, it is possible to get relief from such pain without using medicines. It is possible to get immediate relief by following some simple procedures at home where you do not need any medicines.

Let's find out what you can do.

Hot and cold therapy with exercise

If you are having some pain, it may be difficult for you to go for physical activities, but for soft tissue problems that trigger low back pain, exercise can actually help you. In case of low back pain, walking, stretching and swimming can help you get relief immediately. You can come by such exercise along with hot and cold therapy for maximum benefit. Take 20 minutes of heat on the tender area at least twice a day and that can I help you reduce your need for prescription pain pills by 50%. It will also help you get relief immediately and get back to your work.

Exercise and ice are a wonderful combination for different pain problems. With ice, a little bit of exercise can strengthen muscles around the joints and relieve pressure. You can also combine ice with exercise because ice is a natural anesthetic and it can reduce inflammation. When you apply ice and then remove it, blood flow increases and that can reduce inflammation in the affected area.

Take care of your weight

If you are carrying extra weight, it is more likely that you will suffer from some of the pain problems. Extra pounds add to the pain. Every 10 pounds of excess weight puts another 30-70 pounds of added pressure on your knees and feet with every step. More with the necessary can increase your odds for low back pain, tension and migraine headaches, abdominal pain, chronic widespread pain, fibromyalgia, and other health issues. When you lose some weight, it will reduce the pressure off and will help you relieve pain.

Manage stress

Managing stress daily and meditating every day will definitely help you get relief from pain. Turning inward for a few quiet minutes will help you reduce the tension that makes the pain feel worse. By meditating, you harness the power of your brain's alpha rhythm, which is a brainwave that tunes out distractions such as pain. When you meditate, it will also sharpen your memory.

Progressive muscle relaxation will help you reduce joint aches, rheumatoid arthritis pain, headaches, and inflammatory bowel disease symptoms. This is something that you can learn during meditation. Even mini-meditations that you perform for 10 minutes at a time can help you let go of tension and a lot of pain go away.

If you have lost weight recently, then that's a colossal success for you. However, the battle may not be over yet. When you lose substantial weight, it can leave behind loose, saggy skin which can make you self-conscious.

What can you do if that happens to you? 

You can go for body contouring surgery. It is also known as skin removal surgery. If you want to look better and lose all the saggy skin, this surgery will help you to do that.

Why do it?

Body contouring surgery is something that you can choose. You do not need to do it if you do not want to. If you are happy with your appearance, you do not have to go for surgery. But if you have lost a lot of weight within a short time, the excess skin may bother you a lot because they are not good-looking. 

When you go for a body contouring surgery, it will remove the access scale and you will feel better about your looks.

Which areas can be treated?

This surgery can be done in different areas of your body. When you lose substantial weight, it can result in excess skin in almost any area of the body. The surgeon can go for several procedures to get rid of the excess skin produced by the substantial bodyweight loss-

  • Tummy tuck
  • Belt lipectomy (lower abdomen and back lift)
  • Brachioplasty (arm lift)
  • Face and neck lift
  • Inner thigh lift
  • Mastoplexy (breast lift)

How does it work?

The procedure will depend on which area of the body the surgeon is working on. All body contouring surgeries need an incision to remove excess skin and also need sutures to close the wounds.

The procedures are performed under general anesthesia. You will be asleep during the surgery. If you need more than one procedure, such procedures will be done in stages over a period of years. Such a step-by-step procedure reduces complications and also allows you time to heal properly.

Risks involved

Like any surgery, there are some risks involved in this type of procedure. Body contouring surgery also comes with some risks. There may be some infections, blood clots, scars, and anesthesia complications. Sometimes, you may not be happy with the results of the surgeries. Sometimes, your skin may still be loose or asymmetrical or the results may not be as per your expectations.

How much does it cost?

Body contouring surgery can be expensive. Insurance does not cover it. The cost of different procedures may vary widely depending on the type of procedures, the surgeon, and the location. You can talk to the surgeon, hospital, or the company about the total cost of the procedure before you go under the knife.

If you want to look better and improve your appearance, body contouring surgery can help you do so especially after you lose lots of weight. However, it is very important to ensure the credentials of the surgeon who is performing the surgery. You should also prepare yourself mentally for the time necessary to recover from the surgery and heal completely so that you do not have any scars left behind.