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Time to shed that heap of crap I've been lugging around Connections TWITTER - https://twitter.com/#!/SSoHPKC Website - Facebook - http://www.facebook.com/pages/Seamus-ODoherty-SSoHPKC/203781079633644 Google+ - https://plus.google.com/109980295444896903740/Henry Meds Review 2024 My Experience Using Glp1 Weight Loss Medication Understanding the Importance of Accurate Weight-Based Dosage Calculations Weight-based dosage calculations are critical in the medical field, particularly in pharmacology and nursing, as they ensure that patients receive the appropriate amount of medication tailored to their body weight. Inaccurate dosages can lead to ineffective treatment or, worse, adverse health effects, including toxicity and overdose. As medications become increasingly complex, the potential for errors in dosage calculations grows proportionately. Hence, mastering dosage calculations based on weight has become a fundamental skill for healthcare professionals and students alike. The significance of accurate calculations cannot be overemphasized, as the success of treatment frequently depends on the precision of the dosage administered. For example, in pediatrics, weight-based dosages are often standardized to prevent underdose or overdose specific to a child’s unique physiology. In adults, variations in body weight can significantly affect the efficacy and safety of many medications. Thus, understanding the principles of weight-based calculations is essential for all healthcare practitioners. One of the primary reasons for using weight to calculate medication dosages is the variation in how individuals metabolize drugs. Factors such as age, gender, overall health, and especially body mass index (BMI) can influence drug efficacy and toxicity. For instance, medications like chemotherapy agents and certain antibiotics require precise dosages to avoid damage to healthy tissues or to ensure a therapeutic effect. In addition, therapeutic drug monitoring, often carried out in critical care settings, relies heavily on accurate weight-based dosage calculations to adjust medication dosages according to patient response and blood serum levels. This emphasizes the necessity of adopting an accurate and systematic approach when calculating dosages. For healthcare professionals, the ability to perform weight-based dosage calculations accurately involves understanding basic mathematical principles and applying them correctly. In today’s digital age, powerful tools such as electronic health records and dosage calculator applications have simplified the process, yet foundational knowledge remains vital. Miscalculations can occur from misreading drug labels, incorrect entry of patient weight, and misunderstanding drug pharmacokinetics, leading to mistakes that can profoundly impact patient safety. Therefore, reinforcing the importance of accurate weight-based dosage calculations is vital for both training and quality care in the healthcare industry. This article will delve into a structured approach for healthcare professionals to accurately calculate dosages using a five-step method, thereby enhancing patient safety and improving treatment outcomes. Step One: Gather Essential Patient Information The first step in weight-based dosage calculations involves gathering all relevant patient information. This includes the patient’s current weight, age, medical history, and any other relevant details that could influence medication administration. Accurate weight measurement is foundational for effective dosage calculations, as all subsequent calculations will depend on this information. In clinical practice, weight is generally recorded in either pounds or kilograms; hence, practitioners must ensure consistency to avoid calculation errors. When working with pediatric patients, weight is often measured in kilograms to provide more precise dosages tailored to their body mass. Additionally, it’s vital to note if the patient has any conditions that could affect drug metabolism, such as liver or kidney disease, which may necessitate adjustments in dosage. In addition to gathering weight data, healthcare professionals should also consider the medication’s pharmacokinetic properties. Understanding how a drug is absorbed, distributed, metabolized, and excreted is crucial in determining the appropriate dose. Tailoring medication based on patient-specific parameters enhances the probability of achieving optimal therapeutic outcomes while minimizing the risk of adverse effects. For example, a patient with a higher fat mass may require different dosing for lipophilic drugs compared to a patient with a lower fat percentage. Hence, this initial step forms the foundation on which the accuracy of weight-based dosage calculations is built. Another consideration during this initial step is confirming the medication’s approved weight-based dosing guidelines. Many medications have established guidelines based on clinical trials, and healthcare providers must be familiar with these guidelines in order to ensure safe and effective treatment. This may involve checking formularies, drug handbooks, or digital resources before proceeding with the calculation. Documenting all gathered information thoroughly can also play a crucial role in avoiding miscalculations and ensuring that anyone involved in the patient’s care has access to the pertinent data. Step Two: Convert Weight to the Appropriate Unit <pOnce the required patient information has been established, the next step is to convert their weight to the appropriate unit of measurement if necessary. Dosage calculations often require weight to be expressed in either kilograms (kg) or pounds (lbs), depending on the dosing guidelines and the medications involved. For healthcare professionals, it is essential to be proficient in unit conversions to prevent errors stemming from mismatched units. The standard conversion between pounds and kilograms is that 1 kilogram equals approximately 2.2 pounds. Therefore, if a patient’s weight is recorded in pounds, the calculation must be converted to kilograms if the medication dosing is based on kg. To perform these conversions accurately, healthcare practitioners should familiarize themselves with various conversion formulas and tools. For instance, when converting pounds to kilograms, simply divide the weight in pounds by 2.2, while the conversion from kilograms to pounds requires multiplying the weight in kg by 2.2. Many healthcare professionals use a scientific calculator or smartphone applications to assist in performing such conversions accurately. However, it is always essential to double-check the figures to ensure that this critical step in the calculation is executed correctly. Failing to convert weight accurately can lead to miscalculations that could significantly impact patient safety. Furthermore, being aware of weight benchmarks is crucial, particularly when administering medications with narrow therapeutic indices. Medications such as anticoagulants, antiepileptics, or certain antibiotics may have specific dosing guidelines based on weight to ensure optimal efficacy while preventing potential toxicity. Consequently, understanding and accurately converting weight measurements will allow healthcare practitioners to adhere to these guidelines effectively and ensure competence in the dosage calculation. Moreover, proper recordings of weight, conversions, and subsequent calculations should be documented meticulously in the patient’s medical records to provide a clear reference for future healthcare interactions. Step Three: Determine the Dose Calculation Formula The third step in weight-based dosage calculations involves determining the correct formula to use for calculating the required dose. Understanding medication dosing practices is integral to ensuring that the medication prescribed meets the patient’s needs efficiently. The usual formula for weight-based dosage is: Dose (mg) = Patient’s weight (kg) x Dosage (mg/kg). This formula should be applied carefully to yield an accurate calculated dosage based on the patient’s weight and the established dosage guideline for that specific medication. In addition to the standard formula, various factors may influence the choice of formula that medical professionals choose to use. For instance, some medications may necessitate bolus dosing rather than continuous infusion, meaning that the healthcare provider must compute the dosage according to the specific time frame applicable. Similarly, medications with loading doses may have a different calculation framework, requiring medical practitioners to consider additional parameters, such as a quick loading dose to achieve therapeutic drug levels swiftly. Furthermore, familiarity with various dosing guidelines and protocols for specific medications is essential. Many pharmacological handbooks or hospital formularies provide detailed breakdowns of these guidelines, including recommended doses per kg, which should be consulted during the calculation process. Healthcare professionals must also keep abreast of updates to these guidelines based on emerging clinical research. Throughout this step, accuracy in selecting the right formula ensures that healthcare providers can administer medications effectively while maximizing patient safety and minimizing the risk of errors in dosage calculations. Step Four: Perform the Calculation and Convert the Final Dose if Needed With the proper patient information gathered and the appropriate formula determined, the next step is to perform the actual calculation of the required dose. This step involves substituting the patient’s weight and any established dosage per kg into the selected formula. For example, if the patient’s weight is 70 kg and the prescribed medication requires a dosage of 5 mg/kg, the calculation would be: 70 kg x 5 mg/kg = 350 mg. It is crucial for practitioners to carry out this calculation methodically and check their results to ensure accuracy. After obtaining the initial calculated dose, healthcare providers may need to adjust the final dosage according to the medication’s formulation. Medications can come in various concentrations (e.g., tablets, syrups, or IV solutions), determining how the calculated dose will translate into a practical dosage form. Practitioners may need to apply additional conversion factors to adjust for the concentration of the medication they plan to administer. For example, if a medication’s required dose is 350 mg and the available formulation is only 100 mg tablets, practitioners will need to calculate how many tablets to administer. In this case, it would require a total of 3.5 tablets, which would require practitioners to round accordingly or consult treatment guidelines to understand the proper course of action. Moreover, practitioners should take care to document the calculated doses clearly and check them twice or thrice to caught potential mistakes. Peer verification is also an effective practice among healthcare teams, as engaging colleagues can offer an additional safety layer in ensuring precise dosage calculations are adhered to. Proper documentation allows for future reference and assists in maintaining patient safety, particularly when changes or variations in dosing regimens arise. Step Five: Administer the Medication and Monitor the Patient Once the appropriate dosage has been calculated and documented, the next crucial step is the actual administration of the medication. Care must be taken to ensure that this process adheres to the established guidelines and protocols specific to the medication being administered. Depending on the route of administration—oral, intravenous, intramuscular, or subcutaneous—healthcare professionals must follow safety protocols and monitor for potential adverse effects. Ensuring patient comfort and safety during medication administration is paramount, as this helps engender trust and enhance patient cooperation. Moreover, after administering the medication, continuous monitoring of the patient is essential. Healthcare practitioners need to assess the patient’s response to the medication closely. Monitoring may include checking vital signs, observing for side effects, reviewing laboratory values, and determining whether the medication achieves its therapeutic target. In cases where the medication requires dose adjustments due to the observed patient response, practitioners must be prepared to undertake additional calculations based on the preliminary dosages administered and how the patient presents. Documentation also plays an integral role in this final step. Recording the medication administration details, including dosage, time, route, and observations, contributes significantly to high-quality patient care. Proper documentation serves as a reference for follow-up assessments and can provide valuable insights for future healthcare encounters. The cycle of weight-based dosage calculations thus culminates in ensuring that practitioners maintain a commitment to patient-centered care while adhering to the professional guidelines and protocols established within the healthcare milieu. Closing Thoughts and Common Queries In summary, effective weight-based dosage calculations are essential in the medical profession, facilitating optimal patient care. The process involves meticulous gathering of patient-specific information, accurate unit conversion, application of appropriate dosage formulas, diligent calculation, and consistent monitoring following medication administration. By following the structured five-step approach detailed above, healthcare professionals can enhance their competence in medication dosage calculations, minimize errors, and ultimately improve patient safety. This instructional guide not only emphasizes the importance of accuracy but also serves as a valuable refresher for experienced practitioners and an educational resource for those new to the field. Many common queries arise concerning weight-based dosage calculations, including questions about calculating dosages for patients with unusual body weights, whether factors like obesity should be considered, and how to handle discrepancies in medication formulations. For patients with atypical weights, establishing the ‘ideal body weight’ or ‘adjusted body weight’ method can assist in tailoring dosages more effectively. Moreover, special considerations may be necessary in patients with obesity, wherein body surface area or lean body mass calculations may provide a more accurate estimation of required dosages. Another often-asked question pertains to how to handle discrepancies when the calculated dose exceeds the available medication formulation. In such cases, practitioners should follow institutional policies, consider consultation with a pharmacist, or check existing guidelines regarding rounding. Ultimately, using a systematic approach to weight-based dosage calculations not only adheres to safety and clinical principles but also solidifies the double-checking protocols within healthcare practices to uphold high standards in patient care. No More Myths Saturated Fat And Keto Dietexercises to lose belly fat home#short #reducebellyfat #bellyfatloss #yoga Part-170 #weightloss #home #exercise #yoga #routines #goals #diet #daily #bodyfit #shorts #youtubeshorts Please Follow Me Social Account Link - My Instagram Link.https://www.instagram.com/bodyfits/ Desclaimer:- video is for educational purpose only. Copyright Disclaimer: - Under section 107 of the copyright Act 1976, allowance is mad for FAIR USE for purpose such a as criticism, comment, news reporting, teaching, scholarship and research. Fair use is a use permitted by copyright statues that might otherwise be infringing. Non- Profit, educational or personal use tips the balance in favor of FAIR USE.Tru Fit Keto The Ultimate Guide To Staying Fit With Tru Fit Keto GummiesOprah Winfrey's use of GLP-1 weight-loss medications has sparked a debate on their suitability for everyone. While these medications can be effective for significant weight loss, they also come with potential side effects and long-term risks. A balanced approach, considering individual health needs and lifestyle modifications, is crucial when deciding to use these drugs. Consultation with a healthcare professional is essential to determine the best course of action for achieving overall health and well-being. #oprahwinfrey #weightloss #glp1 #glp1forweightloss #wegovy #ozempic #famoustv #famousnews #famousshorts #hollywood #healthylifestyle ============================================================================== Follow us on Social Media: Facebook: https://www.facebook.com/people/Famous-TV/61552615306995 Instagram: https://www.instagram.com/famoustv.india Pinterest: https://pin.it/h9UWHQH Twitter: https://twitter.com/FamousTVIndia Should Everyone Consider Weight-Loss Drugs? A Balanced Look Inspired by Oprah’s Journey Have you ever wondered if there’s a magic pill for weight loss? Recently, Oprah Winfrey, a name synonymous with personal transformation, shared her experience with GLP-1 weight-loss medications, sparking a debate: Should everyone consider these drugs? *Oprah's Weight-Loss Secret* Oprah, who has publicly battled weight fluctuations for decades, revealed that she began using a GLP-1 agonist—a class of drugs that includes medications like Ozempic and Wegovy—to manage her weight. She described the medication as a “maintenance tool” to prevent yo-yo dieting and emphasized that obesity is a disease, not a matter of willpower. This perspective shift led her to release the self-blame she had carried for years.  *The Science Behind GLP-1 Drugs* GLP-1 agonists mimic the glucagon-like peptide-1 hormone, which regulates blood sugar levels and appetite. By enhancing insulin production and promoting a feeling of fullness, these drugs can lead to significant weight loss. Originally developed to treat type 2 diabetes, they’ve gained popularity for their weight-loss benefits.  *GLP-1: A Game-Changer for Obesity?"* For individuals struggling with obesity—a condition linked to various health issues like heart disease, diabetes, and certain cancers—GLP-1 medications can be a valuable tool. They offer a medically approved option to manage weight when traditional methods have failed. Oprah herself noted the relief in having such a prescription available, viewing it as a “gift” rather than something to be ashamed of.  "*The Dark Side of Weight-Loss Meds"* However, it’s essential to approach these medications with caution. Some users have reported side effects, including nausea, vomiting, and a phenomenon dubbed “Ozempic face,” characterized by facial fat loss leading to a gaunt appearance.  Moreover, the long-term effects of these drugs are still under investigation. Critics argue that relying on medication may oversimplify the complex issue of weight management, potentially neglecting the importance of lifestyle changes like diet and exercise. There’s also concern about the societal implications, such as reinforcing a preference for thinness and the potential misuse of these drugs by individuals without a medical need.  . *To Medicate or Not?"* So, should everyone take a weight-loss drug? The answer isn’t black and white. For some, these medications can be life-changing, offering a path to better health when other methods have failed. For others, the risks and side effects may outweigh the benefits. It’s crucial to consult with a healthcare professional to assess individual health needs and consider a comprehensive approach to weight loss that includes lifestyle modifications. Remember, there’s no one-size-fits-all solution, and the journey to health is deeply personal. In the end, while medications like GLP-1 agonists can be part of the toolkit, they aren’t a magic bullet. As the saying goes, “Don’t put all your eggs in one basket.” A balanced approach, tailored to individual needs, remains the cornerstone of effective weight management.Fans Shocked Over Lizzo Weight LossWe delve into Ozempic, exploring its role in weight loss and its origins as a diabetes medication. Discover the science behind semaglutide and its impact, as well as insights from leading cardiologists. We examine the trials and marketing strategies behind this trending drug. #Ozempic #WeightLoss #Semaglutide #DiabetesTreatment #Cardiology #MedicalInsights #HealthTrends #Pharmaceuticals #ClinicalTrials #MedicalNewsThe Best Weight Loss Soup Recipe In Comments ShortsThanks for watching! This video isn't meant as medical or nutrition advice. I am sharing my personal experience as a vegan of nearly 14 years and health coach. Please check out the sources linked below. I have also linked my favorite supplements and other helpful videos and documentaries. 📖 PRE-ORDER VEGAN VIBES https://sweetpotatosoul.com/sweet-potato-soul-cookbook/ 🧠 SOURCES • Diabetes avoidance and management with whole food vegan diet: https://pmc.ncbi.nlm.nih.gov/articles/PMC5466941/ • Heart disease avoidance and management with whole food vegan diet: https://pmc.ncbi.nlm.nih.gov/articles/PMC10224875/ • Plant based diet vs. Cancer: https://www.mskcc.org/news/research-shows-plant-based-diets-are-better-ketogenic-diets-cancer-risk-and-long-term-health • Plant-based meats vs. real meat: https://pmc.ncbi.nlm.nih.gov/articles/PMC9554424/ • Vegetables vs. meat: https://newsnetwork.mayoclinic.org/discussion/mayo-clinic-minute-why-eating-more-vegetables-less-meat-is-healthy/ 🍠 MY VIDEOS TO WATCH How I get 80g+ vegan protein: https://youtu.be/TM-4ciA3MvE?si=wQvqe1_eXjuks8SA How I get enough iron: https://youtu.be/J_ZhTI9dTu8?si=rEynQuPPflBLUZwC 🍿 DOCUMENTARIES What the health: https://www.netflix.com/title/80174177 You are what you eat | A Twin Experiment: https://www.netflix.com/title/81133260 ☀️ SUPPLEMENTS I TAKE B12 & D combo https://amzn.to/4g4wNi4 Vegan Omega 3 (EPA & DHA) https://amzn.to/3OA3WGl Liquid D https://amzn.to/4gfdGl8 Multi for women https://amzn.to/3ZuqRZY Prenatal https://amzn.to/49flaT8 🙏🏾 Thanks for tapping that like button and subscribing to my channel. New videos every week ✌🏿❤️ Follow me on Instagram @sweetpotatosoul for daily recipes, more videos, and more vegan tips! 🎥 My camera gear 🎥 Canon R6 Mirrorless https://amzn.to/3yTRN66 Canon RF 24-70mm f/2.8 lens https://amzn.to/2SZRKW8 Canon 5D Mark II https://amzn.to/3uOLv4s Canon EF 50mm https://amzn.to/3uQNGEy Manfrotto tripod https://amzn.to/3vRxMev Sennheiser Pro Audio Lav https://amzn.to/2SZSnPu Some of the links above are affiliate links. I will receive money if you use my link. It will not affect the price you pay, but it does support my channel. Thank you!! • • • For great free vegan recipes and inspiration visit: http://www.sweetpotatosoul.com Keep in touch!! Facebook http://www.facebook.com/sweetpotatosoul Twitter http://www.twitter.com/sweetpotatosoul Instagram http://www.instagram.com/sweetpotatosoul Pinterest http://www.pinterest.com/sweetpotatosoulWeight Loss For Women Who Can T Stick With ItThis quick 4 minutes can help balance cortisol levels, lift your mood, and enhance your fat-burning potential. Cortisol is called the “stress hormone” because it’s released in response to stress and helps regulate metabolism and fat storage. When cortisol levels stay high over time, it can lead to increased fat storage, particularly around the stomach, making weight loss more difficult. Managing cortisol through activities like exercise, deep breathing, mindfulness, and quality sleep can help reduce abdominal fat and support overall weight loss. 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Mix well and allow it to steep for about 10 mins and then have it, but make sure you give it a stir once or twice before drinking. Little sediments will be left at the bottom. Use a measuring spoon to measure the ingredients have this drink on an empty stomach in the morning, for best results have one cup at bedtime. have breakfast after 30-40 mins of this drink you can continue this drink even after 5 days but as in every remedy it is advisable to take a break of 2-3 days turmeric tea helps to reduce belly fat and weight loss turmeric tea helps to reduce stomach bloating if you are on thyroid pills then have this drink only after 1 hour of taking the pill this mix can be stored for long period, try not to make in bulk. use locally available ingredients for best results. this tea is good for people who has respiratory issues like asthma and also a good immunity booster. you can decrease pepper powder by half ie 3/4 tsp if you have acidity issues or can use 3/4 tsp cayenne pepper instead Update: For those who has been taking this tea for over a month, can increase the amount of black pepper to up to 1 tbsp or even slightly higher about 1 1/2 tbsp. Pepper does cause acidity issues to some, so increase slowly. How To Get Flat Belly In 5 Days (turmeric tea): https://youtu.be/cu-q6S27AHg How To Lose Weight Fast - 5 KG: https://www.youtube.com/watch?v=2EHpTEIsqbU Fast Diet Weightloss Smoothie: https://www.youtube.com/watch?v=siGsvo6tzNw Mango Lassi Overnight Oats: https://www.youtube.com/watch?v=q0FBN9uQ9e4 More info: http://www.nisahomey.com/2017/01/turmeric-tea-mix-recipe-for-weight-loss.html ---------------- Copyright (c): nisahomey.com, this recipe is developed and first published on Jan 6, 2017 by Nisa Homey Thanks for watching and don’t forget to LIKE, SHARE & COMMENT!! XoXo Nisa DISCLAIMER: Do not have this drink if you are allergic to any of the ingredients or have any kidney disease or on a blood thinning medication. Pregnant and lactating women should consult their health practitioner before trying out natural home remedies or any remedies in this channel. This video is only intended for an informational purpose.Readers are subjected to use this information on their own risk.This channel doesn’t take any responsibility for any harm, side-effects, illness or any health or skin care problems caused due to the use of our content or anything related to this.. The content is offered on an informational basis only, and is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified health provider before making any adjustment to a medication or treatment you are currently using, and/or starting any new medication or treatment. All recommendations are “generally informational” and not specifically applicable to any individual’s medical problems, concerns and/or needs.Ozempic Diabetes Weight Loss【TVPP】1min Fitness - For Slim Abdomen + Burning Fat, 1분 튼튼건강 - 날씬한 복부 + 전신 체지방 제거 @ News Today 1min Fitness # 068 : This is one minute exercise video for the healthy life. This program is on at News Today. 1min Fitness : Park Cho-rong, Park Da-hye Watch More Clips : http://goo.gl/Z48d5EVia Keto Simplify Your Ketogenic DietThis spicy-sipping metabolism booster is small but mighty when it comes to burning fat naturally! Cayenne pepper brings the heat with capsaicin, a compound that fires up your calorie burn and helps curb appetite. Fresh lemon juice adds a splash of vitamin C and supports digestion and detox, while turmeric (if added) fights inflammation and boosts your body's fat-fighting potential. A touch of raw honey or maple syrup gives just enough natural sweetness to balance the spice, making it easy to enjoy. Warm, energizing, and totally sippable—this drink is your fiery friend on the journey to feeling your best. Sip smart. Burn fat. Feel your best. Heat the water until warm but not boiling. Pour it into a mug and stir in the ground cinnamon until fully dissolved. Add the apple cider vinegar and mix well. 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This is especially true when vegan diets are not well planned. In this video I will give you healthy foods that vegans can consume to obtain all the protein, vitamins, minerals and other nutrients needed for optimal health. Vegans do not eat meat, fish, eggs, dairy products, or any foods containing them. A vegan diet relies on plant-based foods including fruits, vegetables, grains, beans, nuts, and seeds. A vegan diet can be a healthful and nutritionally adequate diet; however, a vegan must make sure they eat enough foods with protein, calcium, iron, vitamin B12, and omega-3 fatty acids. Here’s what do vegans eat No 1: fruits and vegetables. Fruits and veggies are probably the most common and frequent food category that vegans eat as they offer many different choices to try besides their high vitamin content. Single fruits, salads, veggie sticks, dips, stir-fried veggies are just a few of the many choices you can eat as a vegan. No 2: Beans and legumes. Since the vegan diet completely lacks of any animal protein, beans and legumes can function as good protein replacements. You can eat for example, white beans, kidney beans, peas, black eyed peas, chickpeas, lentils, broad beans and other legumes for your daily protein intake. No 3: Soy products Soy is very popular in vegan diets because of it is a high protein and very versatile food that is used to make soy milk, tofu, yogurts, cheese and other soy products you can use in all your main meals like breakfasts, salads, sandwiches and desserts. Look up in your local health food store or supermarket and you’ll find plenty of soy products to incorporate in your vegan meals. No 4: Grains Grains like oatmeal, breads, tortillas, and pastas are great sources of carbs and fiber which aid digestion and keep you feel fuller for longer. However, it’s best to go for whole wheat grains and not refined ones as these are the healthiest and contain the most nutrients. No 5: Other extra foods Other foods that you can eat in a vegan diet to increase your energy and nutrient intake are nuts and seeds or spreads like popcorn, pumpkin seeds, pecans, sprouts and so on. Hummus, tahini, and nut butters will also help spike your protein levels besides making ordinary veggies taste more filling. Supplements A vitamin that many vegans tend to lack, and perhaps you’ve already heard of is B-12. B-12 is commonly found in most animal protein sources so when people are switching to a full vegan diet, the levels of this vitamin will inevitably drop. However, you can take it by consuming fermented and fortified foods or diet supplements that contain b-12. Music: Happiness 4 - audiosky licensed from audiojungle https://goo.gl/K3skc7Puravive Review Attention Puravive Puravive Reviews 2024 Puravive Weight Loss SupplementWhat I eat to lose weight on the HCG diet phase 2! 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