Ok, I’m 18 and I got my first period when I was 11. Awesome. I’ve been pretty regular for a WHILE… now, all the sudden, for the last two periods, I’ve been WAY late. My last one was about a week late, now this one is about a whole MONTH late. I still haven’t gotten it yet. What gives? Ok, I know it could be stress related, since I just moved away from home and started college and all, but I really don’t feel that stressed out. I had a few breakdowns in the beginning but that was about a month or so ago. I’ve also gained 10 pounds in a month (because I’ve been conditioning for my sport and building muscle mass) but I heard that weight only affects a period when it’s been a rapid weight loss, not a weight gain.

last week I had some cramps and some brownish, reddish spotting, and one day there was definitely some blood when I went pee, but then that was it, no more after that. What’s going on? I’m not on any birth control pills, though I’m about to start once I get this super duper late period… whenever it decides to come… GAHHHH… what’s going on? anybody else have this problem?
oh, and there's pretty much a zero chance of pregnancy or whatever, considering I've never done anything with a guy/fooled around with a guy…

Your workouts might be the problem. If your body fat is too low or if you are training super hard, it can cause you to miss your period. Go into health services and ask for a second opinion.

Ive been going to the gym for the past week and a half.. and ive been taking these * Nano Slim * diet pills and im not sure if they work at all.. I was using NV Rapid weight loss.. and i lost 10 pounds in 1 week.. But they dont sell them no more where i live..
Has any one tried nano slim.. do they work? im not sure if they do and I need some help just to slimm out my stomach and the side view of my stomach.. Is there anything i can do more? im 122pnds. and im just a bit chubby.

its unhealthy to lose more than 2-3 pounds a week.

122 is great.

Ms. A.b, 29 years old, female, married, G2P2, Filipino, Roman Catholic, resident of Cebu City, admitted for the 2nd time in Hospital X for abdominal enlargement.

History:

Six months prior to admission:
-non-bloody, watery stools (1-2 episodes/day; 50 cc/episode)
-no consult done
-no medications taken

Five months prior to admission:
-Persistence of symptoms
-Abdominal pain (prickling, intermittent without precipitating cause)
-Gradual increase in abdominal girth
-Easy fatigability
-2-pillow orthopnea
-Consult was done and nizatidine was given with other unrecalled medications

Four months prior to admission:
-increasing severity of easy fatigability
-enlarge abdomen
-consult was done at the ER and was subsequently admitted
-Laboratory done: anemia and hypoalbuminemia
-Abdominal and pelvic U/S and Barium enema – negative findings
-Spironolactone, furosemide, and essentiale were given and transfusion of 2 units of packed red blood cells
-Relief of symptoms
-Patient lost to follow-up

Three weeks prior to admission:
-abdominal discomfort
-abdominal enlargement
-anorexia
-Rapid weight loss (about 25%)

One week prior to admission:
-persistence of above symptoms
-increasing abdominal girth
-progressive episodes of dyspnea
-episodes of diarrhea (soft stools amounting ½ cup/ episode; 2-3 times daily)
-tea colored urine
-no consult done
-no medications taken

Few hours prior to admission:
-Severe progressive dyspnea
-Consult at ER

Past Medical History
(-) Hypertension, DM, asthma, allergies and TB
Admitted for childbirth and 4 months PTA for same problems

Family History
(+) Hypertension – both parents; (-) DM, asthma, malignancies

Personal/Social History
Non-smoker, non-alcoholic beverage drinker

OB-GYN History
G2P2 (2002)
G1 – 1990, unremarkable
G2 – March 2003, unremarkable
No menses for the past 5 months.
Previously on oral contraceptive pills then shifted to injectable contraceptive.

Physical Examination
Conscious, coherent, stretcher-borne
BP: 100/60 mmHg HR: 89 bpm RR: 22cpm T: 37C
HEENT: Pale palpebral conjunctivae, anicteric sclerae
Neck: Supple, (-) neck vein engorgement, (-) cervical lymphadenopathy
C/L: Symmetrical chest expansion, no retractions, clear breath sounds
CVS: Adynamic precordium, AB 5th LICS, MCL, regular rate, normal rhythm, no murmur
Abdomen: Globular, NABS, soft, non-tender, (+) palpable mass at the LUQ, firm, fixed extending to the R paraumbilical area
Extremity: (+) grade 2 bipedal edema

Course in the ward…

First hospital day:
-Spironolactone, aminoleban, ceftriaxone and vit. K were initially given.
-Initial lab: anemia and leukocytosis with hyponatremia, hypoalbuminemia
-Blood transfusion with 2 units of packed red blood cells.
-Fecalysis – no parasites/ova seen
-Chest x-ray – normal.

Second hospital day:
-paracentesis of ascetic fluid – leukocytosis with predominance of segementers
-Repeat abdominal U/S – diffuse chronic liver parenchymal disease with normal sized spleen and massive ascites. Gallbladder, pancreas, kidneys and urinary bladder were normal.

Third hospital stay:
-Increased abdominal girth accompanied by dyspnea
-Decrease in breath sounds over the Right lung field
-Furoseminde was started
-Repeat CXR – pleural effusion over the Right lung field
-Repeat paracentesis
-Thoracentesis was contemplated, however, patient could not tolerate an upright position
-ABG – metabolic acidosis with low bicarbonate levels
-Sodium bicarbonate was started

Fourth hospital day:
-patient develop hypotension (BP: 80/60 mmHg)
-Improved with Dextran

Fifth hospital day:
-Again, hypotension developed refractory to dextran
-Dopamine drip was started
-Few hours later: progressive episodes of dyspnea prompting intubation
-Patient went into cardiac arrest and expired!

LABORATORY RESULTS

CBC1st HD2nd HD3rd HD4th HD
Hgb8.212.110.0
Hct0.280.380.31
RBC4.65.64.7
WBC13.511.214.1
Segs0.770.700.85
Lymph0.160.210.09
Eos0.020.020.01
Mono0.050.070.04
Stabs0.01
Platelets890749239
Retic Count2.83
BT (1-5’)2’00”
CT(1-5’)3’30”
PT (10-13.6)12.7 secs19.2 secs
PTT(31.2-42.2)39.2 secs54.0
% Act (76-114)84.7%44.5%
INR 1.101.71

Blood Chem1st HD2nd HD3rd HD4th HD
Na135 meq/L118
K (3.5-5.1)3.5 meq/L3.73.8
RBS129 mg/dL77.4
BUN (1.7-8.3)3.4 mmol/L6.3
Crea (53-115)48 mmol/L100
AST (0-31)30.7 u/L73
ALT (0-32)41.9 u/L43
Alk Phos (50-136)106 ug/L831
Total protein (66-87)62.66463
Albumin (38-51)23.7302821
A/G ratio (0.5-2.5:1)0.6:10.9:10.8:10.7:1
Cholesterol6.0
Triglycerides4.5
HDL (1.16-1.68)0.2
LDL3.8

URINALYSIS1st HD3rd HD
Color/TransparencyYellow/Clear
pH/Sp.Gr.6.0/1.030
ProteinNegative
SugarNegative
RBC0-1
WBC0-1
Epith CellsFew
Uric AcidOccasional
BacteriaFew

FECALYSIS
Color/ConsistencyYellow/softGreenish-brown/watery
Occult bloodNegative
WBCOccasional
RBCFew
MicroscopyNegativeNegative

HEPATITIS PROFILE
HBsAgNon-reactive
Anti-HBsNon-reactive
HBeAgNon-reactive
Anti-HBeNon-reactive
Anti-HBc IgMNon-reactive
Anti-HBc IgGReactive
Anti-HAV IgMNon-reactive
Anti-HAV IgGReactive
Anti-HCVNon-reactive
Peripheral Blood Smear:
RBC: mild microcytosis, anisocytosis, and hypochromia with polychromasia
WBC: Moderate shift to the left, no abnormal cells
Adequate platelets

Peritoneal Fluid
Culture: No growth after 2 days
Cell count
Color: YellowLymph: 40%
Transparency: turbidMono: 1%
Total WBC: 1,728 cells/uLTotal cell count: 8,532 cells/uL
Segs: 59%RBC count: 6,804 cells/uL

Abdominal ultrasound
Normal gallbladder, pancreas, spleen, and kidneys, urinary bladder
Diffuse chronic parenchymal liver disease, Top normal-sized spleen
Massive ascities

Pelvic ultrasound: Normal uterus and adnexa

Transvaginal ultrasound: Normal-sized uterus and adnexa; normal ovaries; ascites

Abdomen, Barium enema: Essentially negative findings

-end-

Answer the following questions.

1.based on the history, physical examination on admission

1. what could be your impression or working diagnosis?
Support your impression.
2. What could be two other differential diagnoses?
Support.
3. What laboratory tests or procedures would you order?
Why?

2.Interpret the course in the ward and he laboratory tests results of the patient.
Knowing this, would you still stick with your impression or working diagnosis?
If you do not agree anymore with your first impression, which differential diagnosis would you now consider? Or, would you have other differential diagnoses that were not considered during admission?

3. Support and discuss your final diagnosis.
actually the lab result are in a table form but they can't be aligne. HD means Hospital day. Like each value is under a hospital day…like 1st 2nd or 3rd…

Heaven help us if your in med school asking a bunch of laymen for help on your homework.
I'd hate to be admitted to the ER and wait for your diagnosis after you checked the Internet.

is it safe to take both at the same time?? Hydroxycut weight loss formula and smart burn (with pure South African) Hoodia rapid weight loss. can i take both every day as it says in the little book which came with the bottle of pills?????? if not.. which is better

Neither Hydroxycut or Smart Burn is better. The best mix is Hoodia Gordonii and Cha de Bugre. Why both, because they usually don't put enough weight loss ingredients in these big chain store brands to do much of anything. Most natural diet pills have one ingredient for appetite suppression and one for boosting your metabolism but are so weak they end up doing nothing. I suggest getting a strong supplement for your appetite and a separate strong pill for your metabolism.

You need to make sure you get a strong pure hoodia that is certified to be genuine. Check out Totalink's unbiased Hoodia comparison at http://hoodiagordonii.totalink.com/hoodia_comparison.html

Cha de Bugre, is a new weight loss supplement that is growing in popularity and is similar to Ma Huang (Ephedrine) without any of the bad effects. Cha de Bugre is from Brazil and has been used there safely for centuries. Cha de Bugre provides energy, fat burning and appetite suppression that benefit weight loss. Cha de Bugre also has additional uses that are known in Brazil that include being used as a mild diuretic, a cellulite reducer, aides in reducing herpes simplex outbreaks and a heart tonic. You can find more about it at http://hoodiagordonii.totalink.com/cha_de_bugre.html

Before I get a lot of lectures and "you stupid idiot" comments…hear me out.

What if I work out 6 hours a day (done this before). I can work out 6-9, and then 3 hours in the evening. If I keep this at a steady pace, I can burn AT LEAST 350 calories an hour

350 x 6 = 2100 calories burned

If I reduce my intake to about 500 calories, and my average need for calories is 1600, then that's another 1100 calories burned.

2100 + 1100 calories roughly equals 1 lb a day.

So in three weeks, if I keep this up, I can lose 23 lbs.

Do you think any diet pills will help me? Has anyone tried any diet pill that has worked?

Note: Don't give me any "rapid weight loss" lectures. I had to leave school last semester (medical leave) for bulimia. After treatment, I basically ate everything, EVERYTHING in front of me, and gained a ridiculous amount of weight. I can't go back to school looking like this. Nobody will believe I left for an eating disorder. Nobody will understand.
On the willpower question:

I was out of state for two months on an internship, and it was impossible

Before you start a diet and exercise program read the following articles:
http://www.webmd.com/content/chat_transcripts/2/111212.htm
http://teenadvice.about.com/cs/bodyimage/bb/teendieting.htm
http://www.webmd.com/content/article/101/106227.htm

Set realistic goals for your ideal body weight. Here are two websites that will calculate a suggested body weight:
Adults: http://www.halls.md/ideal-weight/body.htm
Teens/Children: http://www.kidshealth.org/kid/exercise/weight/bmi.html

Eat natural and organic foods found on earth versus something created by a corporation to make money. Eat meals in small portions throughout the day and take a good multi-vitamin supplement.

Do not try fad diets or diet pills. Avoid “High Glycemic Load Carbs” (sugar, pastries, desserts, refined starches such as breads, pasta, refined grains like white rice; high starch vegetables such as potatoes) and drink lots of water. Read this article for more information on high GL Carbs:
http://www.hsph.harvard.edu/nutritionsource/carbohydrates.html

The following are food pyramids and several articles on what you should eat everyday:
Food Pyramids:
http://www.rayandterry.com/html/images/PyramidLRG.gif?osCsid=26a424be471d1337e7c2f105d5c64d9d
http://www.mypyramid.gov/
Antioxidant Superstars - Vegetables and Beans:
http://www.webmd.com/content/article/104/107638.html
Antioxidant Loaded Fruits:
http://www.webmd.com/content/article/104/107640.html
Good Carbs Mean Better Weight:
http://www.webmd.com/content/article/100/105783.htm
The Benefits of Protein:
http://www.webmd.com/content/article/85/98824.htm
Some Fats Are Good For You:
http://www.webmd.com/content/article/49/40075.htm
Antioxidants in Green and Black Tea:
http://www.webmd.com/content/article/104/107641.html
What You Should Eat Daily:
http://www.oprah.com/health/yourbody/slide/slide_yourbody_healthfood_201.jhtml
Best Foods to Fight off Disease and Keep You Healthy:
http://www.oprah.com/health/yourbody/slide/slide_yourbody_healthfood_101.jhtml

Perform cardiovascular, core, and/or strength training on most days. Read a book or find a certified trainer to make sure you're doing all exercises correctly.

The following is a website and numerous articles on cardiovascular, core, and strength training:
Exercise Prescription on the Net
http://www.exrx.net/
Starting an Exercise Program:
http://www.primusweb.com/fitnesspartner/library/activity/startexercise.htm
Strength Training Basics:
http://www.primusweb.com/fitnesspartner/library/activity/trainbasics.htm
Cardiovascular Machine Workouts:
http://www.primusweb.com/fitnesspartner/library/activity/cardiowork.htm
Balance Your Way to a Stronger Body:
http://www.webmd.com/content/article/64/72314.htm
Understanding Your Training Heart Rate:
http://www.primusweb.com/fitnesspartner/library/activity/thr.htm
Exercise Errors:
http://www.primusweb.com/fitnesspartner/library/activity/errors.htm
Getting a Flat Stomach:
http://www.webmd.com/content/article/71/81365.htm
Weight Lifting - Does Order Matter:
http://www.webmd.com/content/article/80/96440.htm
Encouraging Exercise in Your Kids:
http://www.webmd.com/content/article/95/103524.htm
Strength Training Safe and Effective for Kids:
http://www.webmd.com/content/article/32/1728_81005.htm

Get plenty of sleep. Sleep experts say most adults need between seven and nine hours of sleep each night for optimum performance, health, and safety.

Educate yourself continually on health issues and make a life long commitment to good health. A great free publication is “Dietary Guidelines for Americans 2005”. A reputable test you can take to measure your biological age is at http://realage.com
Look at all areas where you can enhance your health. For example, make improvements in the quality of the air you breathe. Review outdoor air quality forecasts where you live and get an indoor air purifier.

Send me an email or yahoo instant message to "gainbetterhealth" if you have any questions and good luck!

*Click on all the source links below to get the full benefit of the recommendations. The answers presented to your health questions are not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.

There has been a lot of different ads that I've seen about free trials of two different supplements that are to be taken together for rapid weight loss. The first is a certain brand of Acai berry pills/powder, and the second one is a certain brand of a Colon Cleanser. However, after doing a little searching, I see that a lot of those adds are scams. I just wanted to know if anyone had tried any of them and had any luck. Thanks ^-^..i need to lose weight lol

Zack, Acai berries are a relatively newly discovered berry that has some healthy characteristics. The acai berry is high in anti-oxidants and really helps people loose weight . There are lots of health advantages to acai berries, but they must be frozen right after harvest to make sure they retain thier potency. One of the most populat brands of acai suppliments is acai berry supreme. Many talk show hosts have done profiles on the health benefits of acai. http://www.americaschoicetoday.com/Acai-Berry.html

What do you think the thesis is or can you help me write a good thesis

Body Image Obsession
Today‘s society is heavily focused on the physical aspect of our bodies. It is hard not to pay attention to the way we look. In the United States the value of being thin has been the predominant stereotype for women. The problem is that some women go the wrong way about obtaining that image and even go to the extent of hurting themselves to reach the ideal look. Cultural and media reinforce the belief that women should be more concerned with their appearance.
Society plays a massive role in influencing our lives and our judgments. In western society the idea of having a perfect body type has become an obsession. Never in history has body image standards had so much impact on society. The solution to ending America’s obsession with thinness is a change in cultural attitudes. In every society, people use their appearance as a way to express their social relationships. American culture portrays certain morals and ideas that women feel they must live up to.
The media plays a significant role in our cultural impressions about our bodies, most of our body insecurities are set on us by the media. Everything on it focuses on appearance. Women are under constant pressure to fit a certain idea of beauty. Seeing images of flawless, thin females makes it hard for us to feel good about our bodies. Teens compare themselves with images of models featured in magazines, and that may lead to negative feeling about their bodies. The negative effects about media advertisements not only include the pursuit of cosmetic surgery but it also includes a whole range of disordered eating habits.
Eating disorders include extreme attitudes, emotions, and behaviors surrounding weight and food issues; they can be experienced by both men and women. Starvation diets, pill, juice drinks, and other rapid weight loss techniques are usually the starting point to eating disorders. The two most common types of eating disorders are Anorexia Nervosa and Bulimia Nervosa. Anorexia Nervosa is a psychiatric diagnosis that describes an eating disorder characterized by low body weight and body image distortion with an obsessive fear of gaining weight. Bulimia Nervosa is an eating disorder characterized by recurrent “purging”. The most common form practice of people with bulimia is self induced vomiting and the use of laxatives. Some factors that can contribute to eating disorders are low self-esteem, lack of control in life, depression, anxiety and strong need to please others. People with eating disorders see something entirely different when they look in the mirror. Eating disorders are most successfully treated when diagnosed early. People with eating disorder most of the time do not recognize or admit that they are ill; as a result they resist to getting or staying in treatment.
Today’s society is heavily focused on the physical aspect of our bodies. There is no such thing as an “ideal” or “perfect” body. Trying to achieve the “perfect” female body image seen on TV and magazines is leading an increasing number of teens to develop eating disorders. Because of our society description of beauty, we are lead to thinks we are not pretty or sufficiently handsome. Women need to stop allowing themselves to feed into what society considers an acceptable appearance and start becoming what they were meant to look like.

check your e-mail

I want to lose weight the healthy way, but I'm totally impatient. I don't want to resort to diet pills, because I had a problem with them before and I know my boyfriend would be totally dissappointed in me. Whats something that I can do to promote rapid weight loss without falling back to the pills!

Help!

I am sorry but there is no healthy fast way of losing weight. I hope that 4 pounds a week is good for you. Because more than that will result in lean muscle loss. Muscle is harder to gain than fat , so any weight gain after that is fat. The fastest and healthiest way of losing weight is diet and exercise. If you walk 30 min. a day 4 days a week and reduce your calorie intake by 200 calories a day you can safely lose 2-3 lbs a week. ANYTHING THAT IS MORE THAN 4 POUNDS A WEEK IS UNHEALTHY.

Wondering if Rapid Slim SX works, or if anyone knows of another kind that might help me jump start a weight loss regime.

Diet pills will make you lose weight faster.. but trust me, the weight will NOT stay off once you go off them.

The best way to lose any amount of weight, is through healthy eating and exercise. It's about a change in lifestyle, not some "magic pill".

Please, don't learn the hard way like I have. It's not worth it.

i went to the doctor and my blood pressure is high, im 6′4” and weigh 282lbs, i need to lower my blood pressue and the doctor said thebest thing to do was lose weight and i have a month before i go back so please help me, by the way i cant take pills or rapid weight loss supplements, THE FASSTEST WAY, thanks for any help

diet and exercise