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Oskar Schindler's father left his mother broke and Oskar hated him ever since.
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Lyle & Scott showcase their classic detailing and traditional craftsmanship in this signature Oxford Shirt in an grey colourway. Details: regular fitting, full button fastening with button down cuffs, long sleeves, tonal stitching throughout and finished with iconic golden eagle branding to the chest. Our model is 6'1" with a 38" chest and wears a size medium.
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A COVID-19 outbreak has been reported at Life Care Center, a SNF in Kirkland, Washington. To date, approximately 50 residents and employees have fallen ill with an unknown respiratory illness, and are being tested for the new coronavirus. Three of the facility's residents that tested positive for the virus have since passed away.
SNF residents are particularly vulnerable to complications from respiratory illnesses due to underlying conditions, so SNFs should take special precautions to prevent respiratory germs from being introduced within facilities. The CDC recommends the following steps be taken to keep individuals with respiratory infections away from SNF residents:
- Post signs at the entrance instructing visitors not to visit if they have symptoms of respiratory infection.
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- Assess residents' symptoms of respiratory infection upon admission to the facility and implement appropriate infection prevention practices for incoming symptomatic residents.
In the event that COVID-19 is introduced in a SNF, the CDC has released guidelines to prevent the spread of the virus within the facility:
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- Restrict residents with fever or acute respiratory symptoms to their room. If they must leave the room for medically necessary procedures, have them wear a facemask (if tolerated).
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- Healthcare personnel should monitor their local and state public health sources to understand COVID-19 activity in their community to help inform their evaluation of individuals with unknown respiratory illness. If there is transmission of COVID-19 in the community, in addition to implementing the precautions described above for residents with acute respiratory infection, facilities should also consult with public health authorities for additional guidance.
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2755 Jennydiane C
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2 Bed • 2 Bath • 928 Sf
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Engine Issues?
First, I am new to this forum so this is my first post. I bought my 2004 PT cruiser (which I absolutely love) about a month ago. The car had over 100,000 miles on it already. Every time I search for something about the car, I find this forum so I decided to join it.
Here is my question. My crusier ran fine the first couple of weeks. Now, I am having issues with it. I hear a metal grinding noise that sounds like it is coming from the engine every time I get in and drive it for the first time of the day, regardless of warm or cold weather. Sometimes the noise is like popcorn popping (only metal popcorn). On New Year's day, I stalled the car at a light (it's a manual) and each time I turned it back on, it instantly died. My hubby puched me into a gas station where we sat for about 10 minutes and the car eventually started up again. The car idles very rough, and I can hear the engine struggle with the idling, almost like it wants to die then the engine revs a little and does this cycle while in nuetral until I put it into gear and drive. And now the A/c is cutting out every now and then and when running it in the higher settings, it causes my rpm's to boost up and my engine starts to struggle.
I did take the car to the place where I bought it since there was a 30 day warranty. However, they told me in the 4 days they had it, they didn't once hear the noises I was talking about, and they said it runs perfectly fine. They said they took out the frion and measured it to make sure it matches what the manufacturer calls for and it did so they said there should be nothing wrong with the A/C. They didn't notice the engine issues I told them about, the noises, anything. They cleaned the throttle (without calling me to tell me it needed to be done, asking for consent and and giving me an estimate) but slapped me with a $195 bill for only the cleaning. After telling them they should have given me an estimate, and I was upset about being charged for repairs that I didn't even bring the car in for, and wasn't told about, they knocked the bill down to $110. When I got in my car, started it up to drive home, I heard the exact same noise that it made that I was telling them about and the car still idles really rough and I felt like it is now running the same, if not worse, and I have to pay for the cleaning. I was amazed that I heard the noise right off the bat and in four days they heard nothing. Plus, they told me the car was running excellent, very smooth, etc and it's not.
So my question is if the problems my cruiser is having are common problems? I am concerned it's indicating the engine is having issues and might be going out soon. Any advice would be greatly appreciated!
Re: Engine Issues?
Few questions...with a car with 100k miles, did you do the timing belt change yet? ($1000-$1200 job) Did you do a tune up yet? (like spark plugs and wires, PCV valve, air filter)
Re: Engine Issues?
Sorry to say it, but being a woman, they took advantage of you. You should have taken someone with you who's familiar with the problems and make them hear it before you drove off. Like XtrmDC2 said, there's a major job at 100,000 miles that I bet wasn't done before you bought it so that's your first big expense. Also, like he said, a change of fluids, plugs and wires is always the first thing you want to do when buying a used car. You have no idea how the first or second owner treated the car. You need to find a trusted mechanic that know a little about the PT and go over each item you found and fix it if you intends to keep the car.
Rules of the forum have been updated as of *07/07/2019* Please read them over.
- All decisions by the Moderator are semi-permanent, can and may be changed at his discretion but definitely will be the final word. Any action performed by the Administrator or Moderators are not to be discussed on the forum.
Re: Engine Issues?
Thanks for the tips. I figured that was the case. Luckily I haven't paid the invoice so I might still try to dipsute what they charged me. From what I have read on here, that is a quick job so I was way overcharged. I have no intent on having repairs done there again and will be researching reliable mechanics that know about my cruiser. I'll definitely look into getting the suggested things done (fluids, plugs, etc). I want to keep my car as good as it can be at this point.
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A vulnerability in the web interface of Cisco Managed Services Accelerator (MSX) could allow an unauthenticated, remote attacker to redirect a user to a malicious web page.
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Obesity is a preventable disease that plagues all the countries of the world, affecting 650 million of its habitants [1,2,3]. In the fight against obesity, a very low-calorie ketogenic (VLCK) diet has consistently been shown to be a useful tool [4,5,6]. Indeed, recent studies from our research group demonstrated that a VLCK diet induces more weight loss than a standard low-calorie diet after 1 and 2 years of follow-up [6]. Among the beneficial effects, the VLCK diet was able to preserve muscle mass, muscle strength [4] and resting metabolic rate [7] and the weight loss was due to fat mass and visceral fat mass [4]. However, obesity is more than an excess body-weight problem [8]. This metabolic disorder is associated with several co-diseases, such as type 2 diabetes, cardiovascular and neurological disorders, and cancer [9,10,11]. Moreover, overweight/obese subjects usually experience a strong desire to eat coupled with a lack of control over eating [12] and suffer from emotional distress and a decrease in quality of life (QoL) and sleep and sexual function [11]. In this regard, few studies have evaluated the effect of weight-loss therapy on the food craving and well-being parameters in overweight/obese subjects.
First, a little background: Eric Westman, MD, director of the Duke Lifestyle Medical Clinic, explained to Health in a previous interview that in order to successfully follow the keto diet, you need to eat moderate amounts of protein, reduce your carb intake, and increase fats. When you reduce your carb consumption, your body turns to stored fat as its new fuel source—a process called ketosis. To stay in ketosis, followers of the keto diet must limit their carbs to 50 grams a day, Dr. Westman says.
Pattern B LDL, on the other hand, has a much smaller particle size and is much more prone to oxidation. Another thing about pattern B LDL is that it is small enough to enter into the endothelial lining of the artery where it can become oxidized and more likely to form plaque. There is a high association between these small dense particles and cardiovascular disease.
A review of 13 randomized controlled trials (1,415 patients) found that people on the ketogenic diet lost significantly more weight than people on low-fat diets. They also kept the weight off for 12 months or more.9 While the diets in these studies contained no more than 50 grams of carbohydrate (a typical keto diet plan), low-carb diets with more generous amounts of carbohydrate (≥ 120 gm/day) showed similar results (more weight loss with low-carb than low-fat) in a review of 17 randomized controlled trials.10 More recently, type 2 diabetics lost 12% of their body weight after one year in diet-induced ketosis.11
"I am a medical practitioner who has type 1 diabetes. Since adopting a very low-carb lifestyle I have found that day-to-day diabetes management has become so much easier with the added bonus of normal HbA1c. As a result of smaller insulin doses, I am not tied down to strict meal times and can eat when I choose. Similarly, glucose control with exercise is far more predictable. Very low carb for me gives as near to a 'normal' life as someone with diabetes can get."
At the core of the classic keto diet is severely restricting intake of all or most foods with sugar and starch (carbohydrates). These foods are broken down into sugar (insulin and glucose) in our blood once we eat them, and if these levels become too high, extra calories are much more easily stored as body fat and results in unwanted weight gain. However, when glucose levels are cut off due to low-carb intake, the body starts to burn fat instead and produces ketones that can be measured in the blood (using urine strips, for example).
In order to save you time and money (from printing and shipping costs), instead of being mailed, The 3 Week Ketogenic Diet is provided to you as an instant download E-Book or e-books which you can read on your PC, Mac, iPad, iPhone, Android, Smartphone, Tablet or E-Reader. You can transfer it to as many devices as you like, and even print out pages.
Thankyou for the breakdown! I'm quite excited to get started. I'm a T1 newly diagnosed (6m) and the hospital educator had me eating 30gm Carbs per meal which saw me a) Nearly vomit every meal as it was too much food b) gain a ridiculous amount of weight! (never really been a big carb eater, but my issue was not eating frequently!) (15+kg gained!) so bring on 2019 with a better relationship with food and a better relationship with myself, knowing how and what works with for my body. blessings xx😘
Excessive ketone bodies can produce a dangerously toxic level of acid in the blood, called ketoacidosis. During ketoacidosis, the kidneys begin to excrete ketone bodies along with body water in the urine, causing some fluid-related weight loss. Ketoacidosis most often occurs in individuals with type 1 diabetes because they do not produce insulin, a hormone that prevents the overproduction of ketones. However in a few rare cases, ketoacidosis has been reported to occur in nondiabetic individuals following a prolonged very low carbohydrate diet. [4,5]
The keto diet (also known as ketogenic diet, low carb diet and LCHF diet) is a low carbohydrate, high fat diet. Maintaining this diet is a great tool for weight loss. More importantly though, according to an increasing number of studies, it helps reduce risk factors for diabetes, heart diseases, stroke, Alzheimer's, epilepsy, and more1-6.On the keto diet, your body enters a metabolic state called ketosis. While in ketosis your body is using ketone bodies for energy instead of glucose. Ketone bodies are derived from fat and are a much more stable, steady source of energy than glucose, which is derived from carbohydrates.
Alison Moodie is a health reporter based in Los Angeles. She has written for numerous outlets including Newsweek, Agence France-Presse, The Daily Mail and HuffPost. For years she covered sustainable business for The Guardian. She holds a master's degree from Columbia University's Graduate School of Journalism, where she majored in TV news. When she's not working she's doting on her two kids and whipping up Bulletproof-inspired dishes in her kitchen.
Dr. Vincent M. Pedre, medical director of Pedre Integrative Health and president of Dr. Pedre Wellness, is a board-certified internist in private practice in New York City since 2004. His philosophy and practices are a blend of both Western and Eastern medical traditions. He is a clinical instructor in medicine at the Mount Sinai School of Medicine and is certified in yoga and medical acupuncture. His unique methodology is best described as integrative or defined by a functional, systems-based approach to health. With his holistic understanding of both sides of the equation, he can help each patient choose the best course of action for their ailments to provide both immediate and long-term relief. His holistic approach incorporates positive, preventive health and wellness lifestyle choices. Dr. Pedre Wellness is a growing wellness platform offering health-enhancing programs along with informative social media and lifestyle products, such as dietary supplements, books, and weight-loss programs.
The contents of this website are for educational purposes and are not intended to offer personal medical advice. You should seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The Nutrition Source does not recommend or endorse any products.
Sleep quality was evaluated by determining sleep propensity and quality by means of the PSS and PSQI, respectively. Overall, participants showed a poor sleep condition with a total score >5 au (Table S1). Thus, a significant improvement in sleepiness (PSS) was observed when comparing the visit of reduced ketosis with baseline, a point that coincided with maximum loss of fat mass (Figure 3B). By contrast, no statistically significant effect was observed on sleep quality and duration (PSQI; Figure 3B). Accordingly, plasma levels of dopamine showed no statistically significant changes (data not shown).
Eat fats with all your meals. Fats are the cornerstone of the ketogenic diet, and will encourage your body to burn fatty ketones for fuel. Typically, calories from fat should comprise 80 – 90% of your meals.[10] (However, you cannot eat unlimited fats on a ketogenic diet; the calories can still add up and cause weight gain.[11]) Examples of fatty foods include:
First, I want to thank you for all of your dedication and work in providing this site. The difficulty of maintaining a healthy weight is a big problem for so many people. My personal question & issue in staying on Keto is my craving for fresh fruit. This a.m I had a large fresh peach along with my "Bullet Proof" coffee. Have I now sabotaged today's Keto eating?
Cyclical ketogenic diet (CKD): If you find it difficult to stick to a very low-carb diet every day, especially for months on end, you might want to consider a carb-cycling diet instead. Carb cycling increases carbohydrate intake (and sometimes calories in general) only at the right time and in the right amounts, usually about 1–2 times per week (such as on weekends).
Participants met with researchers 10 times over a four-month period. During 4 of the 10 visits, researchers analyzed participants' blood and body fat for changes in body weight, hormones, ketone bodies (which are produced during ketosis), and muscle losses. After 60 to 90 days, participants were gradually taken off ketosis and placed on a low-calorie diet consisting of between 800 and 1,500 calories per day, and then a maintenance diet consisting of 1,500 and 2,000 calories, depending on the participant. Out of the 20 participants enrolled in the study, 12 completed the regimen and lost about 44.5 pounds each.
Increases in cholesterol levels need discussion too. We do see temporary increases in cholesterol levels often as individuals transition onto a ketogenic diet. However, when you examine lipid particle size (a more important way to look at the cardiovascular risks), the risk pattern doesn't seem to increase with a ketogenic diet. Harvard Health has written about lipid particle size here before: http://www.health.harvard.edu/womens-health/should-you-seek-advanced-cholesterol-testing-
Long-term use of the ketogenic diet in children increases the risk of slowed or stunted growth, bone fractures, and kidney stones.[18] The diet reduces levels of insulin-like growth factor 1, which is important for childhood growth. Like many anticonvulsant drugs, the ketogenic diet has an adverse effect on bone health. Many factors may be involved such as acidosis and suppressed growth hormone.[38] About one in 20 children on the ketogenic diet develop kidney stones (compared with one in several thousand for the general population). A class of anticonvulsants known as carbonic anhydrase inhibitors (topiramate, zonisamide) are known to increase the risk of kidney stones, but the combination of these anticonvulsants and the ketogenic diet does not appear to elevate the risk above that of the diet alone.[39] The stones are treatable and do not justify discontinuation of the diet.[39] Johns Hopkins Hospital now gives oral potassium citrate supplements to all ketogenic diet patients, resulting in one-seventh of the incidence of kidney stones.[40] However, this empiric usage has not been tested in a prospective controlled trial.[9] Kidney stone formation (nephrolithiasis) is associated with the diet for four reasons:[39]
A keto diet works for almost anyone since you can be vegan or vegetarian and still achieve ketogenesis. As a rule of thumb, focus on foods that are naturally high in fat and avoid highly processed foods that are labeled with trans-fats as much as possible. Eat fruits that are low on the glycemic index but are still rich in fiber and, eat other foods like avocados (also for the fat) and berries. Additionally, eat lots of green, yellow and red vegetables.
I have been in keto for 42 days now! I have lost -11 pounds. I have never been so happy with a diet in my life. The picture on the left was day 1 with 140 pounds and on the right Is day 42 now with 128.9 pounds. The #keto diet has really changed my life not only have a lost weight, but now I'm more energetic and less fatigue. I'm encouraged to keep going as I want to achieve my desired goal. Along with this diet I also exercise about 3 days a week to keep a healthy life 😊💪🏻✨ @ketotransformations @fatloss_transformation @transformationspirit @ig_transformations . . . . . . . . #weightlossjourney #ketotransformation #ketoliving #ketogenicdiet #ketogenic #fatloss #transformation #myketotransformation #fitfam #instafit #extremeweightloss #diet #motivation #exercise #beforeandafter #beforeandafterweightloss #ketogenicweightloss #lowcarb #ketosis #ketolife #fatburner #fatburn
1. West, R., Beeri, M. S., Schmeidler, J., Hannigan, C. M., Angelo, G., Grossman, H. T., … Silverman, J. M. (2008). Better memory functioning associated with higher total and low-density lipoprotein cholesterol levels in very elderly subjects without the apolipoprotein e4 allele. The American Journal of Geriatric Psychiatry : Official Journal of the American Association for Geriatric Psychiatry, 16(9), 781–5. PMID: 18757771
Gut health is extremely important for anyone looking to lose weight and increase overall health[*][*]. It is not uncommon for those who shift to a ketogenic diet to have a change in the production of bacteria in their colon (although not necessarily a bad thing – just a change)[*]. To help support this change and increase the healthy bacteria in your gut, try consuming more fermented foods such as sauerkraut, kimchi or kefir and/or supplement with a high-quality probiotic[*][*].
You're very welcome, Judy! I'm glad it's helpful. If you are keto (as opposed to low carb), unfortunately peaches would not allow you to stay in ketosis. You can check my keto food list to help determine what is keto friendly. Of course, there are worse things than fresh fruit 🙂 but in the end our bodies still see the sugar. That being said, it doesn't mean you sabotaged the whole day. Just pick up again – you got this!! (And for next time, try some fresh berries in moderation when you're craving fruit.)
Wondering how many carb foods you can eat and still be "in ketosis"? The traditional ketogenic diet, created for those with epilepsy consisted of getting about 75 percent of calories from sources of fat (such as oils or fattier cuts of meat), 5 percent from carbohydrates and 20 percent from protein. For most people a less strict version (what I call a "modified keto diet") can still help promote weight loss in a safe, and often very fast, way.
Most condiments below range from 0.5–2 net carb grams per 1–2 tablespoon serving. Check ingredient labels to make sure added sugar is not included, which will increase net carbs. (Stevia and erythritol will become your go-to sweeteners because neither raise your blood sugar — combine for a more natural sweet taste and, remember, a little goes a long way!)
The findings below have been limited to research specific to the ketogenic diet: the studies listed contain about 70-80% fat, 10-20% protein, and 5-10% carbohydrate. Diets otherwise termed "low carbohydrate" may not include these specific ratios, allowing higher amounts of protein or carbohydrate. Therefore only diets that specified the terms "ketogenic" or "keto," or followed the macronutrient ratios listed above were included in this list below. In addition, though extensive research exists on the use of the ketogenic diet for other medical conditions, only studies that examined ketogenic diets specific to obesity or overweight were included in this list. (This paragraph was added to provide additional clarity on 5.7.18.)
The weight-loss program has five steps and adheres to the most recent guidelines of the 2015 EFSA on total carbohydrate intake [22]. The first three steps consist of a VLCK diet (600–800 kcal/day), low in carbohydrates (<50 g daily from vegetables), and lipids (only 10 g of olive oil per day). The amount of high biological-value proteins ranged between 0.8 and 1.2 g per each kg of ideal body weight to ensure that patients were meeting their minimum body requirements and to prevent the loss of lean mass. In step 1, the patients ate high-biological-value protein preparations five times a day and vegetables with low glycemic indexes. In step 2, one of the protein servings was substituted with a natural protein (e.g., meat or fish) either at lunch or at dinner. In step 3, a second serving of low-fat natural protein was substituted for the second serving of biological protein preparation. Throughout these ketogenic phases, supplements of vitamins and minerals, such as K, Na, Mg, Ca, and omega-3 fatty acids, were provided in accordance with international recommendations [23]. These three steps were maintained until the patient lost the target amount of weight, ideally 80%. Hence, the ketogenic steps were variable in time depending on the individual and the weight-loss target. The total ketosis state lasted for 60–90 days only.
"I discovered the low-carb lifestyle after struggling myself with my obesity for many years. I was unsuccessful losing weight with the traditional low-fat diet plans that I used to recommend to patients. I researched and reviewed the studies of low-carb/keto eating and I lost weight, becoming a much healthier doctor. I am now passing on that experience onto my patients! When I counsel patients not familiar with low-carb living, I refer them to the Diet Doctor site for testimonials, recipes, and much more."
Therefore, when you're following a ketogenic diet plan for beginners, your body is burning fat for energy rather than carbohydrates, so in the process most people lose weight and excess body fat rapidly, even when consuming lots of fat and adequate calories through their daily food intake. Another major benefit of the keto diet is that there's no need to count calories, feel hungry or attempt to burn loads of calories through hours of intense exercise.
It's estimated that over 50% of people are deficient in Vitamin D worldwide[*]. Although Vitamin D doesn't play a major role in whether or not you are in ketosis, it is responsible for regulating immunity, inflammation, hormones and helping with electrolyte absorption[*][*] — all factors important for weight loss and overall health. Additionally, studies support the direct benefits of vitamin D for weight loss[*][*][*]. You can check your Vitamin D levels with a simple blood test and then supplement accordingly. When supplementing, choose Vitamin D3 as it is the form that's best absorbed by your body[*][*].
The American Academy of Family Physicians defines low-carbohydrate diets as diets that restrict carbohydrate intake to 20 to 60 grams per day, typically less than 20% of caloric intake.[2] A 2016 review of low-carbohydrate diets classified diets with 50g of carbohydrate per day (less than 10% of total calories) as "very low" and diets with 40% of calories from carbohydrates as "mild" low-carbohydrate diets.[18] In a 2015 review Richard D. Feinman and colleagues proposed that a very low carbohydrate diet had less that 10% caloric intake from carbohydrate, a low carbohydrate diet less than 26%, a medium carbohydrate diet less than 45%, and a high carbohydrate diet more than 45%.[16]
What this shows is that there is very little difference in heart disease risk relative to total cholesterol above and below 200. In fact, no significant increase in risk was measured until total cholesterol reached an excess of 240. There also seems to be a protective role that having a total cholesterol above 180 serves both for heart disease and healthy mental function.
O n e Y e a r : Thankful for the Gospel and it's power to transform all areas of life. Only God's grace allows me to look back one year ago (almost to the day) to reflect on how far He's actually brought me and my family. Lots of "negative" circumstances took place over the course of the last year, but the perspective of the guy on the left is VASTLY different from the guy on the right. I truly believe there are no negative circumstances in this life, only misunderstandings of what's actually good (dare I say, "best") for us. Keep pressing on, keep pursuing, keep searching for the only One worth anchoring your hope to. | #wonthedoit #godisgoodallthetime #stewardshipoflife #identity #hope #fattofitjourney #50lbsandcounting #Keto
After reading the FAQ (which is really great, btw), one of the things I'm wondering about is whether the low calorie approach works well in conjunction with Keto. I like the general idea, but with my weight, I'm thinking I would like to try to keep my overall calorie intake low, in addition to cutting carbs, refined sugars, etc. out of my diet. It doesn't seem to be expressly forbidden, but it doesn't seem to be what many people do, based on what i've read so far. Basically, I think in addition to this approach to nutrition, I'd also like to keep my calorie deficient high. I think both would go a long way towards helping me be healthier.
You're transitioning. Your body is equipped to process a high intake of carbs and a lower intake of fat. Your body needs to create enzymes to be able to do this. In the transitional period, the brain may run low on energy which can lead to grogginess, nausea, and headaches. If you're having a large problem with this, you can choose to reduce carb intake gradually.
"As an interventional cardiologist for 30 years —and an avid runner and active person — I realized as I aged that eating less and moving more did not work for me or for my patients. The ketogenic diet resulted in a 30-pound weight loss and a dramatic increase in energy. As a past president of the Canadian Cardiovascular Society, I have been urged by medical colleagues to share my ketogenic knowledge widely. With my wife, a certified health coach, I have established a cardiometabolic clinic for obesity and insulin resistance syndromes. One of the resources we recommend is Diet Doctor."
O n e Y e a r : Thankful for the Gospel and it's power to transform all areas of life. Only God's grace allows me to look back one year ago (almost to the day) to reflect on how far He's actually brought me and my family. Lots of "negative" circumstances took place over the course of the last year, but the perspective of the guy on the left is VASTLY different from the guy on the right. I truly believe there are no negative circumstances in this life, only misunderstandings of what's actually good (dare I say, "best") for us. Keep pressing on, keep pursuing, keep searching for the only One worth anchoring your hope to. | #wonthedoit #godisgoodallthetime #stewardshipoflife #identity #hope #fattofitjourney #50lbsandcounting #Keto
If you're new to keto, watch out for hidden carbs. Generally, dairy products and nuts are a good way to meet your daily fat intake, but know that some of those items may contain more carbohydrates than you think. For example, yogurt topped with nuts may seem like a great keto-friendly snack, but a 5.3 ounce serving of plain yogurt has 12 grams of carbohydrates. Vanilla flavored yogurt has 24 grams of carbohydrates. Add an ounce of cashews, weighing in at nearly nine grams of carbs, and you're up to 21 to 33 grams of carbs for that snack, which could knock you out of ketosis. Be sure to read nutrition labels carefully and pay careful attention to serving sizes. Track foods using a keto-specific app like Senza or KetoDiet can help you stay within your recommended daily carb intake.
In steps 4 or 5, the ketogenic phases were ended by the physician in charge of the patient based on the amount of weight lost, and the patient started a low-calorie diet (800–1500 kcal/day). At this point, the patients underwent a progressive incorporation of different food groups and participated in a program of alimentary re-education to guarantee the long-term maintenance of the weight loss. The maintenance diet consisted of an eating plan balanced in carbohydrates, protein, and fat. Depending on the individual, the calories consumed ranged between 1500 and 2000 kcal/day, and the target was to maintain the weight lost and promote a healthy lifestyle.


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Learning to Read the Word
New structure, methodology is explored for Partners in Mission adult literacy program.
It is estimated that 750 million people worldwide are illiterate. For nearly two decades the North American Division has sponsored adult literacy initiatives through its Partners in Mission program with sister divisions and mission fields. The partnerships have given more than 180,000 adults the gift of literacy.
Is Quarantining Really Necessary?
According to the World Health Organization, the United States has 63,570 confirmed cases of COVID-19 disease as of March 26, 2020. Canada has 3,409, Bermuda has seven, and Guam has 37.* I can only imagine the turmoil in the lives of those who have been affected directly because they or a family member are or have been sick. And it is concerning to know that all of us are at risk. This hit home when I was under voluntary quarantine after returning from a conference.
It Is Written Invites Churches to Join Nationwide Online Evangelistic Event
Although the coronavirus disease pandemic has shut down evangelistic meetings all across the country, It Is Written will conduct a virtual, online evangelistic event starting April 17, 2020. The event, presented by Pastor John Bradshaw, It Is Written speaker/director, will reach all of North America.
Online Small Group Resources Available at AdventistBookCenter.com
Have you ever considered starting or joining a small group, but never got around to it? Now that most churches have cancelled their on-site services and closed their buildings, it's an ideal time to start a small group. Getting two or more families together in virtual small groups is an excellent way to share support and to boost one another's spirits in these strange and isolated times.
Help, I Need to Do Virtual Church! Best Practices for Taking Your Church Service Online
COVID-19 has forced everyone to adapt quickly. Many pastors are attempting to hold church online, or post sermons for members to view. Many are using smartphones or a webcam on a computer to get the job done. Here are some simple things you can do if all you have is your smartphone.
What Are We to Do?
Self-preservation is a human instinct. We are wired to take whatever steps seem necessary to ensure our own survival. This is why store shelves have very little toilet paper, non-perishable food, and medicine in stock. Disaster preparation is a good thing, however, we must not confuse responsible preparation with fear-based selfishness.
NAD Leadership Announces Transition to Virtual Office in Response to COVID-19
Due to the rapidly-changing situation with the coronavirus disease (COVID-19) pandemic, the administration of the North American Division (NAD) has elected to transition its corporate office in Columbia, Maryland, to a virtual operation. Starting at the end of business on March 17, 2020, and moving forward until March 30, 2020, all employees will be required to work from home, and all efforts are being made to ensure that day-to-day operations will continue without interruption.
La administración de la NAD brinda una guía para la Iglesia en Norteamérica durante la pandemia COVID-19
Los líderes de la División Norteamericana (NAD, por sus siglas en inglés) de la Asociación General de la Iglesia Adventista del Séptimo Día, en consulta con los líderes de las nueve uniones en la NAD, está proporcionando orientación a las iglesias y escuelas en nuestros territorios con respecto al impacto de la enfermedad por coronavirus (COVID-19).
NAD Administration Provides Guidance for Church in North America During the COVID-19 Pandemic
The leadership of the North American Division of the General Conference of the Seventh-day Adventist Church (NAD), in consultation with the leaders of the nine union conferences in the NAD, is providing some guidance for the churches and schools in our territories regarding the impact of the coronavirus disease (COVID-19).


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The app has now integrated optional Instagram and Spotify features which display images and songs from a particular person's profile.
Research has revealed that there are 50million active users on Tinder who check their accounts 11 times per day and spend an average of 90 minutes per day on the app, reported Marie Claire.
If your date pressures you, end the date and leave at once.
It's also important to tell friends or family members of your plans and when and where you're going.
One woman launched into a foul-mouthed rant at a "ginger midget" when he cancelled their date.


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Because now you call getline twice, discarding the input from the first call:Originally Posted by Erik Ingvoldsen
Code:std::getline(std::cin, line); if (getline(std::cin, line)) {Originally Posted by Erik IngvoldsenFirst, getline is called to read a line from standard input. (I did not qualify getline here because of argument dependent lookup: since cin is in the std namespace, the compiler will search for a matching function named getline in the std namespace.) Then, the return value of getline is checked to ensure that it was successful. Next, since a line was successfully read, a string stream (i.e., input/output streams, but string based) is created from that line. We then extract/parse the line via the stringstream into result. The return value of that operation is checked, and finally we check that the end of file condition has been set on the string stream, i.e., to detect unwanted input like a stray alphabetic character after the integer input.Code:if (getline(std::cin, line)) { std::stringstream ss(line); if (ss >> result && ss.eof()) {


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Waste Management Bluffton, SC
Rent a Dumpster in Bluffton Now!
Quick 1-minute quote in Bluffton
Dumpster rental specialists are standing by to give you a quick, no-hassle quote. Let us know what dumpster size you are looking for, when you need it, and what zip code your roll-off is going to.
We are always available to help
Simply give us a call and we will answer any questions you may have about the Bluffton dumpster rental procedure, allowed materials, size you may need, etc.
Next-Day delivery of your dumpster
Our roll off containers can usually be delivered in Bluffton the day after you place your order. Make sure to call us early to ensure timely delivery.
Get a Quote! (888) 915-4150
A few Things That You Can Not Put into Your Dumpster
Although the particular rules that control what you can and cannot include in a dumpster change from area to area, there are several kinds of stuff that most dumpster rental service in Blufftons will not allow. Some of the things that you generally cannot place in the dumpster include:
Batteries, especially the type that feature mercury Automotive fluids like used motor oil, engine coolants, and transmission fluid Pesticides and herbicides that could pollute groundwater Paints and solvents (they include oils and other chemicals that can harm the environment) Electronic Equipment, especially those that contain batteries There are additionally some mattresses you could normally place in your dumpster provided that you are willing to pay an added fee. Included in these are: Appliances Mattresses Tires
When in doubt, it's best to contact your rental business to get a record of stuff that you can not put into the dumpster.
What is the lowest size dumpster available?
The lowest size roll off dumpster typically available is 10 yards. This container will carry about 10 cubic yards of waste and debris, which is approximately equivalent to 3 to 5 pickup truck loads of waste. This dumpster is a good option for small-scale projects, for example modest home cleanouts.
Other examples of projects that a 10 yard container would function well for contain: A garage, shed or attic cleanout A 250 square foot deck removal 2,000 to 2,500 square feet of single layer roofing shingles A little kitchen or bathroom remodeling job Concrete or dirt removal Getting rid of waste Be aware that weight constraints for the containers are imposed, so exceeding the weight limit will incur additional charges. The standard weight limitation for a 10 yard bin is 1 to 3 tons (2,000 to 6,000 pounds).
A 10 yard bin will allow you to take good care of little projects round the house. For those who have a larger job coming up, take a look at some larger containers too.
Call Now! (888) 915-4150
Does my waste get recycled?
When you rent a temporary dumpster, your goal is to fill it up and possess the waste hauled away. But should you'd like your waste recycled, you may have to go about it in a slightly different fashion. Waste in the majority of temporary dumpsters isn't recycled as the containers are so big and carry so much material.
If you're interested in recycling any waste from your job, check into getting smaller containers. Many dumpster rental companies in Bluffton have a broad variety of containers available, including those for recycling. These are usually smaller than temporary dumpsters; they're the size of routine trash bins and smaller.
Should you want to recycle, learn whether the business you're working with uses single stream recycling (you usually do not have to sort the substance) or in the event you will need to organize the recyclable material into distinct containers (aluminum cans, cardboard, plastics, etc.) This can make a difference in the total number of containers you should rent.
What are the Different Sizes of Dumpsters Accessible?
Depending on the size of your job, you might need a little or large dumpster that could carry all of the debris and remaining materials.
Dumpster rental firms usually provide several sizes for individuals and businesses. Choosing the right size should help you remove debris as affordably as possible.
The most typical dumpsters include 10-yard, 20-yard, 30-yard, and 40-yard versions. Should you have a small job, including clearing out a garage or cellar, you can probably benefit from a 10-yard or 20-yard dumpster. Should you have a larger job, including an entire remodel or constructing a new house, then you will most likely need a 30-yard or 40-yard dumpster.
Lots of people choose to rent a larger dumpster than they believe they'll want. Although renting a larger dumpster prices more cash, it is more economical than having to an additional dumpster after a little one gets total.
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Cheapest Dumpster Rental in Bluffton - Is It Worth It?
Obviously you need to spend as little money as possible when renting a dumpster in Bluffton. Occasionally, though, the most affordable dumpster rental in Bluffton alternative is not worth it. Actually, it may end up costing you more in the long term.
Choosing the cheapest option could mean that you get a dumpster that's too small for your endeavor. After you fill up the dumpster, you may have to cover another to finish your job. It is generally cheaper to get a larger size and avoid the hassle.
The cheapest dumpster rental companies in Bluffton mightn't contain things like drop off and pick up fees. Make sure your quotes contain all extra fees. That way, you can compare prices precisely to get the very best deal. Customer service is another important factor. More than a few companies keep prices low by cutting corners on service. The last thing you desire would be to waste time awaiting a truck to arrive with your dumpster.
When will my dumpster get picked up?
You may generally schedule the period of time you intend to keep the dumpster when you first telephone to set up your dumpster service. This typically comprises the drop-off and pick up dates. Most businesses do request that you be present when the dumpster is delivered. This is required to ensure the dumpster is put in the most effective area for your project. You really do not have to be present when the dumpster is picked up to haul it away.
In case you get into your job and understand you desire pick up sooner or later than you originally requested, that's not a problem. Simply telephone the company's office and clarify exactly what you want, and they will do everything they can to accommodate your request. There might be times they cannot match your adjusted schedule precisely because of previous commitments, but they will do the best they can to pick your dumpster upward at the right time.
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Dumpster Sizes Explained
When comparing dumpster sizes to find one that fits your project's needs, it's important to understand how rental companies measure measurements.
Nearly all roll of dumpsters have the same width (usually eight feet). That makes it feasible for companies to use the same trucks to transport a wide selection of dumpsters. When you see a dumpster's measurements, Thus , you can assume that they refer to depth and length. You may even see dumpster sizes listed by yards. This really refers to square yards that measure the dumpster's volume.What Size Do You Need?
If you are coordinating a large commercial project, then you'll likely need a 40-yard dumpster or bigger. Large home renovations may require a 30-yard dumpster, but most smaller dwelling repairs only want 20-yard or even 10-yard dumpsters. Talk to an expert should you want more guidance on picking a dumpster size that matches your endeavor.
What Size Dumpster Do I Need for a Roofing Project?
Picking a dumpster size needs some educated guesswork. It is often difficult for individuals to gauge the sizes that they need for roofing projects because, practically, they do not know how much material their roofs feature.
There are, however, some basic guidelines you'll be able to follow to make a good option. If you are removing a commercial roof, then you will probably require a dumpster that offers you at least 40 square yards.
If you are working on residential roofing job, then you can generally rely on a smaller size. You can generally expect a 1,500 square foot roof to fill a 10-yard dumpster. Single shingle roof debris from a 2,500-3,000 square foot roof will probably desire a 20-yard dumpster.
Many people order one size larger than they think their projects will require since they would like to avoid the additional expense and hassle of replacing full dumpsters which weren't big enough.
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Choosing the top dumpster for your endeavor size
Choosing the top dumpster for your endeavor is an important aspect of dumpster rental in Bluffton. Should you choose a dumpster that's too small, you will not have enough room for your debris and waste, which means you will have to schedule extra excursions. In the event that you choose one that's too big, you will save time, but you will waste cash.
Should you call a dumpster rental firm in Bluffton and describe the job for which you want a dumpster, they can recommend the finest size. Their years of experience mean that they often get it just about right. A 10-yard dumpster typically works well for medium-sized cleanup projects and little remodeling jobs. A 20-yard dumpster is the best choice for big dwelling cleanup projects and medium-sized renovation projects, while a 30-yard dumpster has higher walls which are ideal for a home cleanout or remodeling jobs on a large house. 40-yard dumpsters are massively big and are used just on the largest projects such as new construction.
What if I need my dumpster in Bluffton picked up early?
When you make arrangements to rent a dumpster in Bluffton, part of your rental agreement comprises a specified duration of time you're permitted to use the container. You normally base this time on how long you think your project might take. The larger the job, the the more time you will need the dumpster. Most dumpster rental businesses in Bluffton give you a speed for a particular number of days. Should you exceed that quantity of days, you'll pay another fee per day. If the job goes more rapidly than expected, maybe you are finished with the dumpster sooner than you anticipated.
If this is the case, give the dumpster business a call and they will probably come pick your container up early; this will enable them to rent it to someone else more fast. You generally WOn't get a discount on your rate if you ask for early pick-up. Your rental fee includes 7 days (or no matter your term is), whether you use them all or not.
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Planning Ahead for Your Dumpster Rental in Bluffton
Planning ahead for your dumpster rental in Bluffton will make your job easier and safer to finish on time. When renting a dumpster in Bluffton, follow these tips to help you plan ahead.
1. Clear an area that's large enough for the dumpster to sit for a number of days or weeks. Additionally, be sure that you and other folks have access to the dumpster. You must have a clear path that prevents accidents.
2. Prepare the things you want to remove. If you are cleaning out a waterlogged basement, for example, try and remove as a lot of the damaged stuff before the dumpster arrives.
3. Get any permits you may desire. Should you plan to depart the dumpster on a public road, then you certainly might need permission from the city.
4. Have your safety gear prepared. This includes gloves, back supports, and other things which you'll need to dispose of your debris when the dumpster arrives.
Local vs. National Dumpster Rental Companies in Bluffton
There are a lot of things to consider when choosing a local or national dumpster rental business in Bluffton. Follow these guidelines that will help you decide which option is better for you.Choosing a Local Dumpster Rental in Bluffton Company
A local dumpster rental business in Bluffton may offer better customer services that help you complete your job while keeping costs low. A lot of them, nonetheless, have a limited number of dumpsters to rent. Should you not schedule an appointment in advance, you may not have the option you want.Choosing a National Dumpster Rental in Bluffton Company
A national dumpster rental business in Bluffton will usually have more sizes and layouts to satisfy the exceptional needs of your project. National businesses are also a great choice for construction crews that work in many cities. Some folks, however, complain that national businesses aren't as flexible as locally owned companies.
There are pros and cons to each, but the selection is normally easy to make.
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Dumpster Rental Companies Near Bluffton
|Company Name
|Ard's Container Service
|(803) 933-9336
|RVN Garbage Services
|(803) 324-2931
|C & D Trash Service
|(803) 789-3415
|Big Red Box Roll Off Containers
|(803) 783-6834
|All Cycle Environmental Solutions
|(843) 281-2888
|Trash Gurl LLC
|(843) 514-0143
|Upper Parker Waste Plant
|(864) 269-9205
|Ars/Waste Management Co
|(843) 651-2075
|Triple R Sanitation
|(864) 877-5643
|Amick Equipment Co. Inc. - Lexington SC
|(800) 922-3795
Our Service Area
Zip Codes in Bluffton29910
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Dumpster Sizes Available Bluffton
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10 Yard
Great for small projects
- 12 feet long
- 8 feet wide
- 4 feet tall
20 Yard
For moderate sized cleanouts
- 22 feet long
- 8 feet wide
- 4.5 feet tall
30 Yard
All around good dumpster size
- 22 foot long
- 8 feet wide
- 6 feet tall
40 Yard
For the largest projects
- 22 foot long
- 8 feet wide
- 8 feet tall
*Dimensions & availability may vary by location. Call to confirm.
Thousands of satisfied customers
We take pride in providing our community with great prices and excellent customer service on dumpster rentals. Join thousands of others and get the dumpster you need, for the price you deserve!
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All major credit cards accepted for dumpster rentals in Bluffton.