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Eating out can still be the time to indulge in the things you love most. Just remember: TWO Protein supplements, plus TWO meals, plus TWO quarts non-sugared fluids, daily. Furthermore, there are a few strategies, many of which we셶e learned from our patients, that can help you eat wisely even then eating in restaurants. For example, eat something 15 minutes before you arrive at restaurant, preferably a small protein snack. A piece of low-fat cheese is good because you can carry it in your handbag or briefcase. This way, by time you sit down to order, you won셳 be ravenously hungry. Also, this will help you get past that most treacherous part of eating out on low-carb diet: the bread basket! There is a reason that when you first sit down in restaurant you are greeted with a heaping pile of these hot, fragrant collection of bad carbs. 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Hummus (a paste made from chick peas) usually served on pita bread is allowed. There are other good foods such as couscous, made which whole grain, which replaces the usual bad-carb potato or rice serving. Eating from Japanese Steakhouse menu is acceptable as long as you avoid the rice (and also no sweet carrots). Steak, shrimp, chicken or any combination along with vegetables is fine. Also, the Shrimp and Ginger sauces are both allowed. The same rules apply to eating out Chinese: Meat and vegetables; NO RICE; use sauces sparingly. However, be careful of MSG, the flavoring agent commonly used in Chinese cuisine. MSG is made from beets which has a high-glycemic index. In other words, many Chinese dishes may be loaded with sugar in form of MSG. REMEMBER: NO POTATOES OR RICE in any restaurant. Every restaurant I셶e been in has allowed me to ordered two vegetable side dishes instead of either of these. Try to avoid ordering anything fried but we do allow fried chicken tenders 1-2 times a week and fried fish 1-2 a month. NO MORE than that. If you have a salad, eat a protein source with it (for exmple, egg, ham, chicken). With regard to drinks, order water as soon as you are seated. Wine will have mild glycemic load but a glass of red wine with your meal is considered by many experts as healthy; moderation is obvioiusly the key. Most domestic beers are low in carbs therefore low in sugar and also OK in moderation. Most of the sugar in cocktails come from the mixers. Cocktails made from vodka, gin tequila, non-flavored rum will have a low glycemic rating. Bourbon and whiskey will have a higher sugar additive but still, overall, have low glycemic load. Keep in mind however that as limit as 4 ounces will be enough to dirupt your metabolism on our diet, so once again: moderation is the key. For dessert, use your allowance of one fruit serving: remember 쩍 cup a day. Also, check your handouts for a reminder of those fruits highest in sugar to avoid: grapes, tangerine, bananas, oranges, pineapple, mango, kiwi, dried fruits. If you are stuck with your kids eating at a fast food restaurant, then all hope isn셳 lost but you have to be choosy. I would avoid the burgers both because of the bread in the buns, but also the saturated fats in meat and cooking oils. Breaded fish or breaded chicken sandwiches should be avoided. However, a lot of fast food places now offered grilled chicken sandwiches. If this is your choice, remove the meat from the bread and eat as your entr챕e, discarding the bread. A good number of places also have salads, which you should try to eat with a protein source. French fried and sugared soft drinks are obviously to be avoided.
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patient site [url=http://boxesandarrows.com/person/74535-phentermine_online_870m]dog ingest phentermine pets[/url] [edit] References^ a b c d e f g h i j k Vann RD (ed). (1989). "The Physiological Basis of Decompression". 38th Undersea and Hyperbaric Medical Society Workshop. UHMS Publication Number 75(Phys)6-1-89.: 437. http://archive.rubicon-foundation.org/6853. Retrieved on 2008-05-31. ^ a b c d e f g h i j k l Brubakk, A. O.; T. S. Neuman (2003). Bennett and Elliott's physiology and medicine of diving, 5th Rev ed.. United States: Saunders Ltd.. pp. 800. ISBN 0702025712. ^ Benton, B. J. (2001). "Acute Decompression Illness (DCI): the Significance of Provocative Dive Profiles.". Undersea Hyperb Med. Abstract 28 (Supplement). ISSN 1066-2936. OCLC 26915585. http://archive.rubicon-foundation.org/1002. Retrieved on 2008-03-17. ^ Gerth, W. A.; Vann R. D. (1995). "Statistical Bubble Dynamics Algorithms for Assessment of Altitude Decompression Sickness Incidence.". US Air Force Technical Report TR-1995-0037. http://archive.rubicon-foundation.org/4102. Retrieved on 2008-03-17. ^ a b c d e Pilmanis, A. A. (1990). "The Proceedings of the Hypobaric Decompression Sickness Workshop.". US Air Force Technical Report AL-SR-1992-0005. http://archive.rubicon-foundation.org/5892. Retrieved on 2008-03-17. ^ a b c d e f g h i j Dehart, R. L.; J. R. Davis (2002). Fundamentals Of Aerospace Medicine: Translating Research Into Clinical Applications, 3rd Rev Ed.. United States: Lippincott Williams And Wilkins. pp. 720. ISBN 9780781728980. ^ a b Vann, R. D.; W. A. Gerth; P. J. DeNoble; C. F. Pieper; E. D. Thalmann (2004). "Experimental trials to assess the risks of decompression sickness in flying after diving.". Undersea Hyperb Med. 31 (4): 43144. ISSN 1066-2936. OCLC 26915585. PMID 15686274. http://archive.rubicon-foundation.org/4027. Retrieved on 2008-03-17. ^ Elliott, D. H. (1999). "Early Decompression experience: Compressed air work.". South Pacific Underwater Medicine Society journal 29 (1). ISSN 0813-1988. OCLC 16986801. http://archive.rubicon-foundation.org/5988. Retrieved on 2008-03-17. ^ Vann, R. D.; J. R. Torre-Bueno (1984). "A theoretical method for selecting space craft and space suit atmospheres.". Aviat Space Environ Med. 55 (12): 1097102. ISSN 0095-6562. PMID 6151391. ^ Ackles, K. N. (1973). "Blood-Bubble Interaction in Decompression Sickness.". Defence R&D Canada (DRDC) Technical Report DCIEM-73-CP-960. http://archive.rubicon-foundation.org/3867. Retrieved on 2008-03-17. ^ Kindwall, E. P.; A. Baz; E. N. Lightfoot; E. H. Lanphier; A. Seireg. (1975). "Nitrogen elimination in man during decompression.". Undersea Biomed. Res. 2 (4): 28597. ISSN 0093-5387. OCLC 2068005. PMID 1226586. http://archive.rubicon-foundation.org/2741. Retrieved on 2008-03-17. ^ Kindwall, E. P. (1975). "Measurement of helium elimination from man during decompression breathing air or oxygen.". Undersea Biomed. Res. 2 (4): 27784. ISSN 0093-5387. OCLC 2068005. PMID 1226585. http://archive.rubicon-foundation.org/2742. Retrieved on 2008-03-17. ^ a b Francis, T. J. R.; D. J. Smith (1991). "Describing Decompression Illness.". 42nd Undersea and Hyperbaric Medical Society Workshop. UHMS Publication Number 79(DECO)5-15-91.. http://archive.rubicon-foundation.org/4499. Retrieved on 2008-03-17. ^ McCullough, David (June 2001). The Great Bridge: The Epic Story of the Building of the Brooklyn Bridge. Simon & Schuster. ISBN 0-7432-1737-3. http://www.simonsays.com/content/book.cfm?tab=1&pid=414117&er=9780743217378. ^ a b Boycott, A. E.; G. C. C. Damant, John Scott Haldane. (1908). "Prevention of compressed air illness". Journal of Hygiene 8: 342443. http://archive.rubicon-foundation.org/7489. Retrieved on 2008-10-15. ^ Acott, C. (1999). "A brief history of diving and decompression illness.". South Pacific Underwater Medicine Society journal 29 (2). ISSN 0813-1988. OCLC 16986801. http://archive.rubicon-foundation.org/6004. Retrieved on 2008-03-18. ^ a b c d e f g h Fryer, D. I. (1969). Subatmospheric decompression sickness in man.. England: Technivision Services. pp. 343. ISBN 9780851020235. ^ Karlsson, L.; D. Linnarson, M. Gennser, S.L. Blogg, P. Lindholm. (2007). "A case of high doppler scores duringaltitude decompression in a subject with a fractured arm.". Undersea Hyperb Med. Abstract 34 (Supplement). ISSN 1066-2936. OCLC 26915585. http://archive.rubicon-foundation.org/5136. Retrieved on 2008-03-23. ^ Gerth, W. A.; V. L. Ruterbusch, E. T. Long. (2007). "The Influence of Thermal Exposure on Diver Susceptibility to Decompression Sickness.". US Naval Experimental Diving Unit Technical Report NEDU-TR-06-07. http://archive.rubicon-foundation.org/5063. Retrieved on 2008-03-23. ^ Boycott, A. E.; J. C. C. Damant. (1908). "Experiments on the influence of fatness on susceptibility to caisson disease". J. Hygiene 8: 445456. ^ Leigh, B.C., & Dunford, R.G. Alcohol use in scuba divers treated for diving injuries: A comparison of decompression sickness and arterial gas embolism. Alcoholism: Clinical and Experimental Research, 2005, 29 (Suppl.), 157A. Presented at the Annual Meeting of the Research Society on Alcoholism, Santa Barbara, California, June 2005. |url=http://depts.washington.edu/adai/pubs/pres/LeighRSAPoster.pdf ^ Walder, D. N. (1945). "The Surface Tension of the Blood Serum in "Bends".". Royal Air Force Technical Report. ^ Moon, R. E.; J. Kisslo (1998). "PFO and decompression illness: An update.". South Pacific Underwater Medicine Society journal 28 (3). ISSN 0813-1988. OCLC 16986801. http://archive.rubicon-foundation.org/5949. Retrieved on 2008-03-23. ^ Keays, F. J. (1909). "Compressed air illness, with a report of 3,692 cases.". Dept Med Publ Cornell Univer Med Coll 2: 155. ^ Yarbrough, O. D.; A. R. Behnke (1939). "The treatment of compressed air illness using oxygen.". J Ind Hyg Toxicol 21: 213218. ISSN 0095-9030. ^ Berghage, T. E.; J. Vorosmarti Jr; E. E. P. Barnard. (1978). "Recompression treatment tables used throughout the world by government and industry.". US Naval Medical Research Center Technical Report NMRI-78-16. http://archive.rubicon-foundation.org/3414. Retrieved on 2008-04-05. ^ Edmonds, C. (1998). "Underwater oxygen for treatment of decompression sickness: A review.". South Pacific Underwater Medicine Society journal 25 (3). ISSN 0813-1988. OCLC 16986801. http://archive.rubicon-foundation.org/6428. Retrieved on 2008-04-05. ^ Pyle, R. L.; D. A. Youngblood. (1995). "In-water Recompression as an emergency field treatment of decompression illness.". AquaCorp 11. http://archive.rubicon-foundation.org/6083. Retrieved on 2008-04-05. ^ Kay, E.; M. P. Spencer. (1999). In water recompression. United States: Undersea and Hyperbaric Medical Society. pp. 108. ^ Longphre, J. M.; P. J. DeNoble; R. E. Moon; R. D. Vann; J. J. Freiberger (2007). "First aid normobaric oxygen for the treatment of recreational diving injuries.". Undersea Hyperb Med. 34 (1): 4349. ISSN 1066-2936. OCLC 26915585. PMID 17393938. http://archive.rubicon-foundation.org/5514. Retrieved on 2008-04-05. ^ Wong, R. M. (1999). "Taravana revisited: Decompression illness after breath-hold diving". South Pacific Underwater Medicine Society journal 29 (3). ISSN 0813-1988. OCLC 16986801. http://archive.rubicon-foundation.org/6010. Retrieved on 2008-04-08. ^ Ohta Y and Matsunaga H (1974). "Bone lesions in divers.". J Bone Joint Surg 56B: 315. http://www.jbjs.org.uk/cgi/content/abstract/56-B/1/3. Retrieved on 2008-07-01. ^ Zhang, L. D.; J. F. Kang; H. L. Xue. (1990). "Distribution of lesions in the head and neck of the humerus and the femur in dysbaric osteonecrosis". Undersea Biomed. Res. 17 (4): 353358. ISSN 0093-5387. OCLC 2068005. PMID 2396333. http://archive.rubicon-foundation.org/2570. Retrieved on 2008-07-01. ^ British Medical Research Council Decompression Sickness Central Registry and Radiological Panel (1981). "Aseptic bone necrosis in commercial divers. A report from the Decompression Sickness Central Registry and Radiological Panel". Lancet 2 (8243): 3848. PMID 6115158. ^ a b Bassett, B. E. (1982). "Decompression Procedures for Flying After Diving, and Diving at Altitudes above Sea Level.". US Air Force School of Aerospace Medicine Technical Report SAM-TR-82-47. http://archive.rubicon-foundation.org/4531. Retrieved on 2008-04-08. ^ Sheffield, P. J.; R. D. Vann (2002). Flying After Diving Workshop. Proceedings of the DAN 2002 Workshop. United States: Divers Alert Network. pp. 127. ISBN 0-9673066-4-7. ^ Vann RD, Pollock NW, Freiberger JJ, Natoli MJ, Denoble PJ, Pieper CF (2007). "Influence of bottom time on preflight surface intervals before flying after diving". Undersea Hyperb Med 34 (3): 21120. PMID 17672177. http://archive.rubicon-foundation.org/7343. Retrieved on 2008-07-13. ^ Egi, S. M.; A. O. Brubakk (1995). "Diving at altitude: a review of decompression strategies". Undersea Hyperb Med. 22 (3): 281300. ISSN 1066-2936. OCLC 26915585. PMID 7580768. http://archive.rubicon-foundation.org/2194. Retrieved on 2008-04-08. ^ Cymerman, A; Rock, PB. Medical Problems in High Mountain Environments. A Handbook for Medical Officers. USARIEM-TN94-2. US Army Research Inst. of Environmental Medicine Thermal and Mountain Medicine Division Technical Report. http://archive.rubicon-foundation.org/7976. Retrieved on 2009-03-05.
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However, coadministration of citalopram (40 mg) and ketoconazole (200 mg), a potent inhibitor of CYP3A4, did not significantly affect the pharmacokinetics of citalopram.혻 Because citalopram is metabolized by multiple enzyme systems, inhibition of a single enzyme may not appreciably decrease citalopram clearance.혻 Metoprolol - Administration of 40 mg/day citalopram tablets for 22 days resulted in a two-fold increasein the plasma levels of the beta-adrenergic blocker metoprolol.혻 Increased metoprolol plasma levels have been associated with decreased cardioselectivity.혻 Coadministration of citalopram tablets and metoprolol had no clinically significant effects on blood pressure or heart rate.혻 Imipramine and Other Tricyclic Antidepressants (TCAs) - In vitro studies suggest that citalopram is a relatively weak inhibitor of CYP2D6.혻 Coadministration of혻citalopram tablets (40 mg/day for 10 days) with the tricyclic antidepressant imipramine (single dose of 100 mg), a substrate for CYP2D6, did not significantly affect the plasma concentrations of imipramine or citalopram.혻 However, the concentration of the imipramine metabolite desipramine was increased by approximately 50%.혻 The clinical significance of the desipramine change is unknown.혻 Nevertheless, caution is indicated in the coadministration of TCAs with citalopram tablets.혻 Electroconvulsive Therapy (ECT) - There are no clinical studies of the combined use of electroconvulsive therapy (ECT) and citalopram tablets.
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2009-11-11
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