THE 34TH DAY T PLUS TWO NINETEEN: VICTORY FOR UNIT IX XI IN THE ZONE, YOURS TRULY PRO SE, BEHIND ENEMY LINES ONE ALONE, AND PRESIDENT TRUMP WITH FINAL SAY ELEVEN THIRTEEN ON THE PHONE

EXTENT OF CAMPAIGN UPON DATE SIXTH MAY TWO THOUSAND EIGHTEEN INDEED YES INDEED DAY 334
THE PINCER ATTACK ON MERCER CONTINUES APACE [CLICK TO EXPAND]

COMPARE TO PRIOR MAP FROM SECOND MAY TWO-THOUSAND EIGHTEEN

LABCORP PRESS RELEASE INFORMS PRIVATE MEDICAL DATA OF PATIENTS MAY OR MAY NOT HAVE BEEN COMPROMISED BY “RANSOMWARE”

THE $100,000,000.000 DOCUMENT

CLASSIC RE-POST OF THAT MOST EGREGIOUS FORGED DOCUMENT WITH ORIGIN AT THAT THERE GRUESOME TWOSOME MONMOUTH MEDICAL CENTER AND JERSEY SHORE UNIVERSITY MEDICAL CENTER, WITHIN EVIDENCE OF PRE-MEDITATED ATTEMPT TO MURDER THAT INDIVIDUAL SO NAMED IN PART FIVE, OF NOTE THESE DOCUMENTS PRODUCED AFTER THE DATE FOURTEEN JULY TWO-THOUSAND SEVENTEEN, AS BELOW IN TWO WHAT COST JERSEY SHORE UNIVERSITY MEDICAL CENTER ONE HUNDRED MILLION DOLLARS, AS BELOW IN TWO,

AND WHAT DOCUMENT(S) CLAIMED THE SAME AND/OR SIMILARLY DESCRIBED ATTEMPT TO MURDER THAT AND/OR THOSE INDIVIDUAL(S) ON DATE ELEVEN JULY TWO-THOUSAND SEVENTEEN?

ILLEGIBLE NAME OF JEWISH FEMALE EARLY TWENTY’S, PALE, WITH PRONOUNCED UPPER THORACIC AND CERVICAL KYPHOSIS, SURNAME(S) POSSIBLY AS FOLLOWS,

BLAZCOWICZ, BLACOWICZ, DRACOWICZ, AND/OR OTHER EASTERN EUROPEAN JEWISH SURNAME.

VERY SPECIFIC OBSERVATION TIMES WHICH WERE FORGED LONG AFTER ELEVEN JULY TWO-THOUSAND SEVENTEEN.

COMPARE THE TIME STAMP ON DOCUMENT BELOW TO THAT ATOP THIS POST BOTH OF WHICH CLAIM TO REFER TO THE SAME “INCIDENT”, AS BELOW,

AT WHAT TIME DID THE EVENT ON TWELFTH JULY TWO-THOUSAND SEVENTEEN ACTUALLY OCCUR?

UNKNOWN AS PER DOCUMENTS CLAIMING TO BE LEGAL RECORD OF SAME.

THAT IS WHY CAMERA RECORDING WAS IMMEDIATELY ACQUIRED IN FULL FOR THE ENTIRE “HOSPITAL” BY THE NATIONAL RECONNAISSANCE AGENCY (NRO) UPON ARRIVAL OF THAT OR THOSE INDIVIDUAL(S) SO NAMED, OR SO REFERRED TO MANY AS ONE, WITHIN PART FIVE FIRST DOCUMENT ATOP THIS POST.

THE TIME OF THAT EVENT THE EVENING OF TWELFTH JULY TWO-THOUSAND SEVENTEEN SOME TIME MINUTES AFTER NINE PM EASTERN STANDARD TIME.

APPROXIMATELY RATHER ELEVEN MINUTES AFTER NINE PM EASTERN STANDARD TIME.

DEATH CERTIFICATE HAD BEEN ALREADY FORGED, PRINTED AND FILED BY THE SURROGATE, SO NAMED, WITHIN THE “HALL OF RECORDS” LOCATED DOWNTOWN ONE THREE ONE SIX.

THAT WAS THE FIRST PLOT OF NINE TWENTY-THREE, FAILED.

THE SECOND ATTEMPT PLANNED FOR DATE NINE TWENTY-THREE TWO-THOUSAND SEVENTEEN WITH SAME METHOD, FAILED.

THAT SECOND FAILURE FOLLOWING FROM NINE SIX TWO-THOUSAND SEVENTEEN, WHICH IN TURN CONTINUES TO BE DESCRIBED AS THE SHELLING OF THE ZONE, EVERY DAY, ALL DAY, ALL NIGHT, EVERY SECOND UNTIL WE’VE WON THE FIGHT. OVER.

ADVENTURES IN GEOGRAPHY! ALSO BONUS PAKI SPOTTED, FIRST IN FACT, AFTER AWAN SO NAMED EARLY AFTERNOON TODAY, AND THEN YES YOU DEAR READER, THOSE NUMBERS YOU’RE CURIOUS TO KNOW, RIGHT HERE, YES INDEED AS FOLLOWS BELOW

SOME NUMBERS ABOUT THOSE OF YOU WHO VISIT THIS THAT WEBZONE, AS BELOW,
FILTHY PAKI ON TO YOU BTFO IMMINENT
[ENLARGE THIS THAT LEAGUE OF NATIONS. STILL VETOED THANKS GOD]

Getting lean mass to stick to lean type II diabetics

Over-Feeding  Positive  Feedback  Loops

Of the 323 million people in the US, 29.1 million have some form of diabetes mellitus (DM). Of those, 21 million have been formally diagnosed while 8.1 million individuals remain undiagnosed, also presumably untreated and unmanaged (1). About 90%, or 26 million people, have adult onset type 2 diabetes (2DM). The remaining 10% of diabetics are primarily autoimmune type 1 (1DM), latent autoimmune diabetes in adults (LADA), gestational (GDM), or falling into smaller subgroups having other specific origins in pancreatic exocrine diseases (e.g. cystic fibrosis), specific genetic defects in Beta-cell function or insulin action, drug induced (e.g. treatment of HIV/AIDS), or metabolic complications following organ transplantation (12, 16). There is substantial heterogeneity in the etiology, pathophysiology, symptoms and prognosis of DM across and within populations, varying with age, gender and ethnicity (2, 22-24). The broad and binary diagnoses of type 1 and type 2 DM used by the World Health Organization, American Diabetes Association and Centers for Disease Control and Prevention mask diabetic heterogeneity in footnotes of ‘other origins’ as found in the litany 2 sentences north. Diabetic phenotypes develop over a lifetime and can vary substantially beyond obese (2).

Individuals diagnosed with 2DM possess a cluster of risk factors that progressively worsen and initiate a cascade of associated disease processes. If no interventions are taken to attenuate the widespread metabolic dysfunction present in the prediabetic state, further exacerbated in the fully diabetic state, then a sobering array of sequelae (conditions arising from a condition) can develop:

  1. Microvascular diseases affectting small blood vessels
    • Retinopathy, proliferative and non-proliferative
    • Nephropathy, leading to end-stage renal disease (ESRD)
    • Neuropathy, peripheral, autonomic, focal, diffuse, sensory & motor
  2. Macrovascular diseases affecting large blood vessels
    1. Coronary artery disease (CAD)
    2. Cerebrovascular accident (CVA), i.e. stroke
    3. Transient ischemic attacks (TIA), i.e. mini-stroke
    4. Peripheral arterial disease, particularly narrowing of the large vessels of the legs

These micro and macro-vascular diseases can manifest further dysfunction that drastically affects quality of life. These include heart attacks, palpitations, shortness of breath, chronic fatigue, muscle cramping, brain fog, painful and swollen lower extremities, diminished immune function with increased susceptibility to recurrent infection, chronic ulcers in the lower extremities potentially leading to amputation, abnormal digestion, to name a few.

Metabolic  Mayhem1,2,12,24
  1. Chronically elevated blood glucose
    • Prediabetes
      • Fasting plasma glucose (FPG): 100-125 mg/dL
      • Impaired glucose tolerance: 140-199 mg/dL after oral glucose tolerance test (OGTT)
    • Diabetes
      • FPG: ≥ 126 mg/dL
      • Impaired glucose tolerance:  ≥ 200 mg/dL after OGTT
  2. Elevated triglycerides (TG)
    • plasma lipid & primary human body fat and energy source
    • liver converts dietary macronutrients into TG
    • endogenous production in periods of fasting
    • risk factor when > 250 mg/dL
  3. Low levels of high-density lipoprotein (HDL)
    • risk factor when ‘good cholesterol’ ≤ 35 mg/dL
  4. Insulin resistance
    • directly correlated with abdominal obesity
    • indirectly assessed by TG/HDL ratio
  5. Obesity
    • abdominal, visceral, sarcopenic and overall
  6. Increased glycosylation of hemoglobin: hemoglobin A1C (HbA1C)
    • non-enzymatic linkage of glucose derived glycosyl group to hemoglobin A on amino terminal of beta chain
    • reflects average plasma glucose value over preceding 2-3 months
    • 5.7-6.4%: prediabetes
      • 5.5-6.0%: 5-year risk of DM increases by 9-25%
      • 6.0-6.5%: 5-year risk of DM increases by 25-50%
    • ≥ 6.5%: diabetes
  7. High blood pressure: hypertension (HTN)
    • risk factor when ≥ 140/90

 

Amplified endoplasmic reticulum stress and Beta-cell death in O2DM. Back SH, Kaufman RJ. Endoplasmic reticulum stress and type 2 diabetes. Annual Review of Biochemistry 2012: 81; 767-93. Image CC0 1.0 Universal.
Figure 1. Pathogenesis of type 2 diabetes in obese individuals. Amplified endoplasmic reticulum stress and Beta-cell death. Back SH, Kaufman RJ. Endoplasmic reticulum stress and type 2 diabetes. Annual Review of Biochemistry 2012: 81; 767-93. Image CC0 1.0 Universal.

Continue reading Getting lean mass to stick to lean type II diabetics

Exercising with Trochanteric (Hip) Bursitis: Two Introductory Full Body Routines

These workouts are part of the 6 Week Introductory Program for Improved Quality of Life

There will cobras and scapular retractions. Yoga teacher not included.
There will be cobras, scapular retraction and subtle grins. Yoga teacher not included.

Equipment Needed: Comfortable exercise mat, bench and/or chair, one or more resistance bands with handles, fixed chest-level attachment for band. Timer optional.
Time: 30-40 minutes for each workout
Intensity: Light-Moderate
Frequency: 2 times per week with minimum 48 hours rest in between sessions for the introductory 6 week period.
Volume: Attempt 1 set of each exercise for the first week, resting 60-90 seconds between each exercise. Perform 2 sets the second week or as soon as tolerated. Increasing the amount of time spent exercising is more important than increasing the intensity.
Indications: Introductory resistance training for individuals with trochanteric (hip) bursitis. Applies to many other populations including, but not limited to, patients with arthritis, cancer, diabetes, cerebral palsy, spinal cord injuries, hypertension, metabolic syndrome, overweight and obesity, osteoperosis, peripheral artery disease, pulmonary and renal diseases.
Contraindications: Moderate-severe discomfort and limited range of motion in the supine position.

Full Body Routine A

Part 1: Prone Warm-Up with Scapulothoracic and Posterior Chain Mobilization
10-12 minutes

Sporty woman relaxes in yoga asana Makarasana - crocodile pose
Warm-up with exercises performed starting in the prone position
  1. Prone Diaphragmatic “Crocodile” Breathing, 1 round of 15 full cycles of breath
  2. Baby Cobra, 1 x 6 reps
    • Inhale and lift chest, hold for a brief moment at the top
    • Exhale and lower chest, hold for a brief moment at the bottom
  3. Prone “T” Double Arm Raises,  1 x 6 reps
    • Place both arms straight, palms on the floor, such that your hands line up with your ears.
    • Neutral cervical spine, feet are dorsiflexed with top of the feet on the ground. Feet remain on the ground during the lift.
    • Inhale, squeeze the shoulder blades together and use the upper back muscles to lift your arms up.
    • Arms should ear level or slightly higher at the top, pause for a brief moment
    • Exhale and lower the arms back to the mat.
  4. Prone Alternating Single Leg-Glute Raise, 1 x 6 reps/side (12 total)
    • Inhale and lift your right foot, knee and thigh off the ground, initiating the lift with your right buttock.
    • Exhale and lower the leg back to the ground.
    • Inhale and lift the left leg, alternating legs with each lift.
  5. Prone Double Arm-Leg Raises, 1 x 6 reps
    • Arms reach out in front of you such that they are in line with your legs.
    • Palms face together and thumbs point up towards the ceiling.
    • Inhale and lift both arms and both legs up together.
    • Initiate the upwards movement of the legs from the buttocks.
    • Exhale and lower down.
  6. Prone Alternating Contralateral Arm-Leg Raises, 1 x 6 reps/side (12 total reps)
    • Inhale, lift the right arm and left leg up
    • Exhale, lower arm and leg down.
    • Repeat by lifting left arm and right leg. Continue alternating.

Continue reading Exercising with Trochanteric (Hip) Bursitis: Two Introductory Full Body Routines