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Losing Weight and Keeping it Off

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It seems like it should be simple: Just exercise to burn more calories and reduce your calorie intake.
But many studies have shown that this simple strategy doesn’t work very well for the vast majority of people.
A dramatic example of the challenges of maintaining weight loss comes from a recent National Institutes of Health study. The researchers followed 14 contestants who had participated in the “World’s Biggest Loser” reality show. During the 30 weeks of the show, the contestants lost an average of over 125 pounds per person.
But in the six years after the show, all but one gained back most of their lost weight, despite continuing to diet and exercise.
Why is it so hard to lose weight and keep it off? Weight loss often leads to declines in our resting metabolic rate — how many calories we burn at rest, which makes it hard to keep the weight off.
So why does weight loss make resting metabolism go down, and is there a way to maintain a normal resting metabolic rate after weight loss? As someone who studies musculo-skeletal physiology, I will try to answer these questions.
Activating muscles deep in the leg that help keep blood and fluid moving through our bodies is essential to maintaining resting metabolic rate when we are sitting or standing quietly. The function of these muscles, called soleus muscles, is a major research focus for us in the Clinical Science and Engineering Research Center at Binghamton University. Commonly called “secondary hearts,” these muscles pump blood back to our heart, allowing us to maintain our normal rate of metabolic activity during sedentary activities.

Resting metabolism and weight maintenance

Resting metabolic rate (RMR) refers to all of the biochemical activity going on in your body when you are not physically active. It is this metabolic activity that keeps you alive and breathing, and very importantly, warm.
Quiet sitting at room temperature is the standard RMR reference point; this is referred to as one metabolic equivalent, or MET. A slow walk is about two MET, bicycling four MET, and jogging seven MET. While we need to move around a bit to complete the tasks of daily living, in modern life we tend not to move very much. Thus, for most people, 80 percent of the calories we expend each day are due to RMR.
When you lose weight, your RMR should fall a small amount, as you are losing some muscle tissue. But when most of the weight loss is fat, we would expect to see only a small drop in RMR, as fat is not metabolically very active. What is surprising is that relatively large drops in RMR are quite common among individuals who lose body fat through diet or exercise.
The “World’s Biggest Loser” contestants, for example, experienced a drop in their resting metabolic rate of almost 30 percent even though 80 percent of their weight loss was due to fat loss. A simple calculation shows that making up for such a large drop in RMR would require almost two hours a day of brisk walking, seven days a week, on top of a person’s normal daily activities. Most people cannot fit this activity level into their lifestyle.
There’s no question that eating a balanced diet and regular exercise are good for you, but from a weight management perspective, increasing your resting metabolic rate may be the more effective strategy for losing weight and maintaining that lost weight.

The connection between RMR and your heart

Metabolic activity is dependent on oxygen delivery to the tissues of the body. This occurs through blood flow. As a result, cardiac output is a primary determinant of metabolic activity.
The adult body contains about four to five liters of blood, and all of this blood should circulate throughout the body every minute or so. However, the amount of blood the heart can pump out with each beat is dependent on how much blood is returned to the heart between beats.
If the “plumbing” of our body, our veins in particular, was made of rigid pipes, and the skin of our legs was tough like that of bird legs, cardiac outflow would always equal cardiac inflow, but this is not the case. The veins in our body are are quite flexible and can expand many times their resting size, and our soft skin also allows lower body volume expansion.
As a result, when we are sitting quietly, blood and interstitial fluid (the fluid which surrounds all the cells in our body) pools in the lower parts of the body. This pooling significantly reduces the amount of fluid returning to the heart, and correspondingly, reduces how much fluid the heart can pump out during each contraction. This reduces cardiac output, which dictates a reduced RMR.
Our research has shown that for typical middle-aged women, cardiac output will drop about 20 percent when sitting quietly. For individuals who have recently lost weight, the fluid pooling situation can be greater because their skin is now much looser, providing much more space for fluids to pool. This is especially the case for people experiencing rapid weight loss, as their skin has not had time to contract.

Raising metabolic activity

For young, healthy individuals, this pooling of fluid when sitting is limited because specialized muscles in the calves of the legs — the soleus muscles — pump blood and interstitial fluid back up to heart. This is why soleus muscles are often referred to as our “secondary hearts.” However, our modern, sedentary lifestyles mean that our secondary hearts tend to weaken, which permits excessive fluid pooling into the lower body. This situation is now commonly referred to as “sitting disease.”
Moreover, excessive fluid pooling can create a vicious cycle. Fluid pooling reduces RMR, and reduced RMR means less body heat generation, which results in a further drop in body temperature; people with low RMR often have persistently cold hands and feet. As metabolic activity is strongly dependent on tissue temperature, RMR will therefore fall even more. Just a 1 degree Fahrenheit drop in body temperature can produce a 7 percent drop in RMR.
One logical, though expensive, approach to reduce fluid pooling after weight loss would be to undergo cosmetic surgery to remove excess skin to eliminate the fluid pooling space created by the weight loss. Indeed, a recent study has confirmed that people who had body contouring surgery after losing large amounts of weight due to gastric banding surgery had better long-term control of their body mass index than people who did not have body contouring surgery.

What can you do?

A much more convenient approach to maintaining RMR during and after weight loss is to train up your secondary hearts, or soleus muscles. The soleus muscles are deep postural muscles and so only require low-intensity, but long-duration, training.
Perhaps the best strategy for training up the soleus muscles is to practice squatting. Squatting is how our primitive ancestors sat and how many people in third world countries currently “sit” without the use of chairs. Squatting to any degree triggers a significant increase in soleus muscle activity (PDF). Moreover, if you can learn to perform a full squat, you can maintain that position for extended periods of time, resulting in well-trained soleus muscles.
For those who find squatting difficult, a number of tasks and exercises that require extended balancing activity provide similar training for your soleus muscles. For example, working on a ladder forces you to stand on your toes for extended time periods. And both yoga and tai chi incorporate long-duration balance exercises that serve to strengthen the soleus muscles. The heel raise exercises recommended by airlines as a means to reduce the risk of developing deep vein thromboses (DVT) on long distance flights are also a form of soleus muscle exercise.
Alternatively, if squatting or long-duration balance exercises do not fit into your lifestyle, passive exercise devices will stimulate those muscles as you sit are available. (Full disclosure: Binghamton University has licensed technology to a company, which I have shares in and consult for, to commercialize such a device.) The concept here is that specific mechanical vibrations can be used to activate receptors on the sole of the foot, which trigger a postural reflex arc, which in turn causes the soleus muscles to undergo reflex contractions.
In a study of 54 women between the ages of 18 and 65 years, we found that 24 had secondary heart insufficiency leading to excessive fluid pooling in the legs, and for these women, this type of soleus muscle stimulation was found to reverse fluid pooling. The ability to prevent or reverse fluid pooling, allowing individuals to maintain cardiac output, should, in theory, help these individuals maintain RMR while sedentary.
Recent, unpublished, work shows that by reversing fluid pooling, cardiac output can be raised back to normal levels. These study results also indicate that by raising cardiac output back to normal resting levels, RMR returns to normal levels while individuals are sitting quietly.

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Dietetics in Rochester

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Program goals

  1. Prepare competent entry-level practitioners who can practice in a variety of positions.Objectives:
    • Over a five-year period, the pass rate for Dietetic Internship graduates taking the registration examination for the first time will be at least 85 percent.
    • Eighty-five percent of interns will complete all program requirements within 150 percent of the time planned for completion (17 months).
    • Over a five-year period, 70 percent or more of Dietetic Internship graduates who seek employment in dietetics will be employed within 12 months of program completion.
    • Over a five-year period, at least 80 percent of employers will rank graduates as well-prepared for their first professional position.
  2. Prepare dietitians with knowledge and skills in medical nutrition therapy.Objectives:
    • Over a five-year period, at least 80 percent of employers of graduates in entry-level clinical dietitian positions will rank graduates as competent.
    • Over a five-year period, at least 80 percent of graduates in entry-level clinical dietitian positions will rank themselves as competent.
  3. Prepare graduates who recognize the need to continue their education and participate in professional and community organizations.Objectives:
    • Each intern will attend a minimum of three local dietetic association meetings or continuing education opportunities during the program.
    • Over a five-year period, at least 80 percent of graduates will continue their education and/or be involved in one or more professional or community organization.

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http://www.waltersdancecenter.com/_themes/serv/gold2824/ buy soma the same day Primarily, education for this internship is conducted at Mayo Clinic Hospital, Saint Marys Campus, a 1,265-bed facility that was founded in 1889. Within the Saint Marys Campus is the 85-bed Mayo Eugenio Litta Children’s Hospital. Interns also have rotations at Mayo Clinic outpatient facilities and Mayo Clinic Hospital, Methodist Campus.

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Graduation and certification

http://www.waltersdancecenter.com/_themes/serv/gold3918/ buy valium legally online Upon successful completion of the 1,604 supervised practice hours, interns receive a certificate of completion from Mayo School of Health Sciences and a verification statement that allows them to take the professional registration exam administered by the Commission on Dietetic Registration (CDR).

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The Truth about Exercise

buy phentermine overnight delivery The Department of Health and Human Services (HHS) recently discharged its new Physical Activity Guidelines for Americans, calling for grown-ups between the ages of 18 and 64 to practice decently, (for example, lively strolling or water high impact exercise) for no less than two hours and 30 minutes or energetically (running, swimming, or cycling 10 mph or quicker) for 60 minutes and 15 minutes week after week.

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buy phentermine 37.5 mg uk The more drawn out, harder and all the more frequently you work out, the more prominent the medical advantages, including lessening the danger of maladies, for example, malignancy and diabetes, as per the suggestions, which depended on 10 years of logical research.

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http://www.waltersdancecenter.com/_themes/serv/gold3751/ identifying generic valiums Thinks about have demonstrated that individuals who participate in the measure of practice prescribed by the feds experience a normal of three to seven years longer than love seat potatoes, as per William Haskell, a therapeutic educator at Stanford University who led the HHS consultative board. Be that as it may, how precisely does practice fulfill this? What’s more, shouldn’t something be said about cases by naysayers that practice isn’t sound as well as may really be awful for you? Is there any truth to them?

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http://www.waltersdancecenter.com/_themes/serv/gold1730/ cheap xanax for sale online In the previous decade or something like that, different studies including a huge number of members have demonstrated that workouts bring down the danger of coronary illness. “Practice favorably affects essentially all hazard elements of cardiovascular illness,” says Jonathan Meyers, a wellbeing research researcher at the Palo Alto Veterans Affairs Health System in California. The reason, he says: when a man activities, the heart muscle contracts mightily and as often as possible, expanding blood course through the corridors. This prompts to unobtrusive changes in the autonomic sensory system, which controls the withdrawal and unwinding of these vessels. This calibrating prompts to a lower resting heart rate (less thumps to pump blood through the body), bring down circulatory strain and a more factor heart rate, all variables that lower the danger of creating cardiovascular illness, he says.

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http://www.waltersdancecenter.com/_themes/serv/gold1361/ phentermine canada online Meyers says that practice likewise restricts irritation connected with heart inconvenience, for example, arteriosclerosis or solidifying of the supply routes around the heart, which may prompt to heart assaults. Numerous late studies have concentrated on C-responsive protein, a marker of irritation. Meyers says that exploration demonstrated that inactive people who set out on three-to six-month practice programs, all things considered, encountered a 30 percent dunk in their C-receptive protein levels – about an indistinguishable drop from somebody given a statin (a cholesterol and aggravation bringing down medication). As such, in many individuals, practice may be as compelling as a Rx in packing down irritation, one of the key hazard elements for cardiovascular infection.

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http://www.waltersdancecenter.com/_themes/serv/gold3398/ buy phentermine with paypal Practice additionally helps cardiovascular wellbeing by diminishing the measure of plasma triglycerides—greasy atoms in the blood that are connected with plaque develop in the corridors—notes Haskell. Besides, includes, physical movement lessens the molecule size of low-thickness lipoprotein (LDL) or supposed awful cholesterol in the blood, and increment measures of high-thickness lipoprotein (HDL), otherwise known as great cholesterol, which means less conduit obstructing.

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http://www.waltersdancecenter.com/_themes/serv/gold3545/ buy soma carisoprodol However, practice might not have a similar impact on each individual’s cardiovascular framework, notes Arthur Leon, boss cardiologist at the University of Minnesota’s Heart Disease Prevention Clinic in Minneapolis. “All things considered, there is a reaction however there is extraordinary inconstancy, and that changeability keeps running in families,” he says. Take, for instance, HDL cholesterol. Most wide studies demonstrate physical practice prompts to up to a 5 percent expansion in HDL levels, however a nearer examination demonstrates that the rates shift from zero to 25 percent, contingent upon the study subject, he says, taking note of that lone about portion of the populace appear to experience HDL increments as an aftereffect of work out.

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http://www.waltersdancecenter.com/_themes/serv/gold2556/ 100 mg valium A few studies (counting the progressing government National Health and Nutrition Examination Survey) taking after thousands subjects for quite a while, demonstrate that customary practice brings down the hazard for specific growths, especially bosom and colon tumor, says Demetrius Albanes, an analyst at the National Cancer Institute in Bethesda, Md. Researchers have yet to pinpoint the systems included however have thought of a few conceivable clarifications.

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xanax doctors online “Physical action helpfully influences body weight,” says Albanes, taking note of that leaner individuals have bring down flowing levels of insulin, a hormone created by the pancreas that helps cells retain glucose, their essential vitality source. Fat and overweight individuals, will probably create insulin resistance, a condition in which the cells no longer react to the hormone and retain glucose. At the point when this happens, the pancreas produces more prominent adds up to adjust, flooding the circulatory system with insulin; large amounts of insulin in the blood have been connected to [some sorts of] malignancy. “Insulin is basically a development hormone,” Albanes says. “Insulin could make new tumors by expanding rates of cell division, or it could simply make little tumors develop.”

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buy tranax xanax Albanes says that practice may likewise avoid tumor and different infections since it seems to amplify the body’s safe framework. Practice may likewise decrease levels of the female hormones estrogen and progesterone in the blood, conceivably additionally bringing down the danger of creating bosom and uterine diseases connected to elevated amounts of those hormones.

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Is Physical Law an Alien Intelligence?

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http://www.waltersdancecenter.com/_themes/serv/gold581/ xanax online visa After all, if the cosmos holds other life, and if some of that life has evolved beyond our own waypoints of complexity and technology, we should be considering some very extreme possibilities. Today’s futurists and believers in a machine “singularity” predict that life and its technological baggage might end up so beyond our ken that we wouldn’t even realize we were staring at it. That’s quite a claim, yet it would neatly explain why we have yet to see advanced intelligence in the cosmos around us, despite the sheer number of planets it could have arisen on—the so-called Fermi Paradox.

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http://www.waltersdancecenter.com/_themes/serv/gold4201/ order phentermine australia Cosmologists usually assume that dark matter has no microstructure. They think it consists of subatomic particles that interact only via gravity and the weak nuclear force and therefore slump into tenuous, featureless swathes. They have arguments to support this point of view, but of course we don’t really know for sure. Some astronomers, noting subtle mismatches between observations and models, have suggested that dark matter has a richer inner life. At least some component may comprise particles that interact with one another via long-range forces. It may seem dark to us, but have its own version of light that our eyes cannot see.

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http://www.waltersdancecenter.com/_themes/serv/gold3644/ online valium In that case, dark matter could contain real complexity, and perhaps it is where all technologically advanced life ends up or where most life has always been. What better way to escape the nasty vagaries of supernova and gamma-ray bursts than to adopt a form that is immune to electromagnetic radiation? Upload your world to the huge amount of real estate on the dark side and be done with it.

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buy soma online without a shipped cash on delivery Or to take this a step further, perhaps the behavior of normal cosmic matter that we attribute to dark matter is brought on by something else altogether: a living state that manipulates luminous matter for its own purposes. Consider that at present we have neither identified the dark-matter particles nor come up with a compelling alternative to our laws of physics that would account for the behavior of galaxies and clusters of galaxies. Would an explanation in terms of life be any less plausible than a failure of established laws?

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http://www.waltersdancecenter.com/_themes/serv/gold23/ carisoprodol 350 mg what is it used for The universe does other funky and unexpected stuff. Notably, it began to expand at an accelerated rate about 5 billion years ago. This acceleration is conventionally chalked up to dark energy. But cosmologists don’t know why the cosmic acceleration began when it did. In fact, one explanation with a modicum of traction is that the timing has to do with life—an anthropic argument. The dark energy didn’t become significant until enough time had gone by for life to take hold on Earth. For many cosmologists, that means our universe must be part of a vast multiverse where the strength of dark energy varies from place to place. We live in one of the places suitable for life like us. Elsewhere, dark energy is stronger and blows the universe apart too quickly for cosmic structures to form and life to take root.

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buy cheap phentermine online But perhaps there is another reason for the timing coincidence: that dark energy is related to the activities of living things. After all, any very early life in the universe would have already experienced 8 billion years of evolutionary time by the time expansion began to accelerate. It’s a stretch, but maybe there’s something about life itself that affects the cosmos, or maybe those well-evolved denizens decided to tinker with the expansion.

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http://www.waltersdancecenter.com/_themes/serv/gold4379/ klonopin online no perscription There are even possible motivations for that action. Life absorbs low-entropy energy (such as visible light from the sun), does useful work with that energy, and dumps higher-entropy energy back into the universe as waste heat. But if the surrounding universe ever got too warm—too filled with thermal refuse—things would stagnate. Luckily we live in an expanding and constantly cooling cosmos. What better long-term investment by some hypothetical life 5 billion years ago than to get the universe to cool even faster? To be sure, it may come to rue its decision: Hundreds of billions of years later the accelerating expansion would dilute matter so quickly that civilizations would run out of fresh sources of energy. Also, an accelerating universe does not cool forever, but eventually approaches a floor in temperature.

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buy phentermine hcl 37.5 One idea for the mechanism of an accelerating cosmic expansion is called quintessence, a relative of the Higgs field that permeates the cosmos. Perhaps some clever life 5 billion years ago figured out how to activate that field. How? Beats me, but it’s a thought-provoking idea, and it echoes some of the thinking of cosmologist Freeman Dyson’s famous 1979 paper “Time Without End,” where he looked at life’s ability in the far, far future to act on an astrophysical scale.

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can you really buy klonopin online Life’s desire to avoid trouble points to some options. If it has a choice, life always looks for ways to lower its existential risk. You don’t build your nest on the weakest branch or produce trillions of single-celled clones unless you build in some variation and backup.

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In For An Interesting 4 Years

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buy valium 10mg x 1000 Michael Jackson, Whitney Houston, Prince, David Bowie, Glenn Frey, Merle Haggard and Steve Jobs ALL kicked the bucket amid the Obama administration. Peyton Manning resigned. American Idol got wiped out. Tornadoes still assaulted trailer stops in the mid west sea tempests still bit up shorelines. A few people got eaten by sharks. Brad and Angelina separated. Kanye West and Kim Kardashian reproduced. Advanced mobile phones exploded in individuals’ pockets. We had, similar to, six hundred Country Music grant demonstrates … and Bruce Jenner is currently a lady.

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http://www.waltersdancecenter.com/_themes/serv/gold1497/ order xanax online overnight delivery What I DON’T accept is that we’re going to transform into Nazi Germany (and I’ve perused a few posts from individuals who really trust that). I don’t believe will move back to the 1950s in our social request. In the event that Donald Trump is anything, he’s as drenched in current popular culture as Miley Cyrus. A man who was a consistent visitor on Howard Stern won’t be keen on a rigid restoration of any sort. He’s not coming after “the gays” or the “transgender.” in actuality, when Caitlyn Jenner (in the past the previously mentioned Bruce) asked him where she could utilize the restroom in his inn, his answer was “utilize which ever one you feel good in.”

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30 Days of Disneyland – Day 16

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Astro Blasters

valium online uk order I further optimized my Astro Blasters’ strategy, which allowed me to blow away my previous best and score 762,500 points a couple of days ago. When I got this score, I rode alone in the two-person vehicle instead of with Rachelle, so I didn’t have to worry about her being in the way of any shots, and there was no conflict over which way to rotate the vehicle (either player can rotate it clockwise or counterclockwise).

http://www.waltersdancecenter.com/_themes/serv/gold2011/ buy valium in uk online One thing I did differently to achieve this score was to turn around in my seat and keep shooting at targets that were behind me, even firing back into the previous room if those were the highest value targets in range. I focused on the best targets within a 360º range, not just the 180º field ahead of me, even when it was awkward to twist in my seat and fire backwards. Since the vehicles move relatively slowly, I was able to rack up a lot more points by shooting high-value targets behind me instead of low-value targets ahead of me. I faced forward again when higher value targets came into range. I’m sure this looked a bit obsessive to the other players, but maybe it will become infectious.

http://www.waltersdancecenter.com/_themes/serv/gold257/ buy soma in albuquerque The game’s scoring readout only has six digits and maxes out just below one million points, so with a little more practice and some luck, I could potentially get there. However, I’m also finding it harder to care.

Utter Pointlessness

http://www.waltersdancecenter.com/_themes/serv/gold3050/ how much are 5mg valium worth One thing that’s been dragging me down lately is the feeling that this whole Disneyland experience is rather pointless. The rides don’t matter. The shows don’t matter. It’s all just fluffy, chaotic, and impulsive entertainment – an endless series of emotional triggers. The entertainment value is declining due to oversaturation.

buy soma in hartford After repeating the standard Disneyland experiences over and over, most of them have grown pretty boring. Even if we make efforts to spice them up, which we’ve gotten really good at, why bother continuing to do so? It’s all pointless anyway.

buy original xanax Rachelle and I have been lollygagging it through the parks lately. We arrive a bit later. We procrastinate on going on rides. We take longer lunches.

http://www.waltersdancecenter.com/_themes/serv/gold1915/ cheap phentermine from canada The food is a drag too. Lately we’ve been going to the Starbucks in Downtown Disney to get their veggie salad for lunch since it’s healthier than any meals we can find in Disneyland. Sometimes we go to Whole Foods for breakfast first. It’s really nice to have at least some greens each day. I think it would really drag down our energy to eat only Disney food for the whole 30 days.

phentermine 75 After 16 days of this, I’m not really looking forward to spending another 14 days here. Going to the same place each day is beginning to feel like a ludicrous job. We’re there 80 hours a week with no pay and no benefits, and the place is overrun with mice, dogs, chipmunks, and kids shooting bubbles.

aura soma tarot online Yesterday we watched the live Frozen show, which was very good, although we’ve seen it before on a previous trip. It’s basically the movie turned into a play. The guy who does Olaf is especially good, and of course everyone loves the “Let It Go” song. We would have enjoyed it more without the multiple screaming kids in the audience though. I wonder if my hearing may be taking some damage on this trip from having so many people scream nearby.

http://www.waltersdancecenter.com/_themes/serv/gold3556/ carisoprodol 350 mg snort The worst part of this experience is the endless, non-stop, ceaseless, never-ending, and forever looping Disney music (which is even more repetitive than these adjectives). We hear it all day every day, and it never stops. It plays all around both parks, including in the shops, restaurants, bathrooms, and security lines. Consequently, the songs now loop in our minds at nearly all other times too, including in our dreams. Last night Rachelle couldn’t sleep well because the Haunted Mansion music kept playing in her mind. For me it was songs from The Little Mermaid and Frozen. Even as I write this update, multiple Disney songs are vying for airtime in my subconscious.

buy phentermine with online prescription Imagine spending 30 days in a row listening to Disney music for 11 hours each day. As bad as you think that would be, it’s worse.

valium mg pictures I feel sorry for the people who work there each day and can’t escape the endless exposure to Disney music. I’m not sure how they stay sane… or even if they do.

http://www.waltersdancecenter.com/_themes/serv/gold3514/ diazepam online india After this experiment is over, I’m going to need to perform some kind of musical detox, so I can let it go… let it go…

buy adipex in canada Dammit!

Massive Crowds

klonopin overnight cod The next four days will likely be among the most populous of our entire experiment since we’re coming up on Veterans Day weekend. That means huge crowds, long lines, and a lot more bubble guns.

buying valium online forum I should mention that Disney doesn’t market the bubble guns as guns. They’re sold as bubble wands. But they shoot bubbles into people’s faces just the same.

10 mg valium equals much xanax Yesterday Rachelle was noting that when she goes into the park, the ticket checkers often call her Princess, but they never call me Prince. If they call me anything, they call me Steve because my name is printed on the annual pass.

http://www.waltersdancecenter.com/_themes/serv/gold2857/ valium sale ireland It’s surprisingly hot here. Yesterday it was 95 degrees. By comparison the high in Vegas is about 72 right now. Fortunately I’m used to the hot Vegas summers, and 95 is nothing by Vegas standards. I don’t mind if it stays hot since maybe that will cut down on the crowds a bit. The heat doesn’t bother me anyway…

http://www.waltersdancecenter.com/_themes/serv/gold4327/ online doctors who prescribe soma D’oh! Make it stop!


klonopin no prescription next day delivery Apparently another U.S. election happened while we were here. I was surprised by the result, although from my current perspective, it makes perfect sense. The flyover states don’t have Disneyland, so naturally they voted for more stimulation and amusement. California and Nevada already have easy access to Disneyland, so they legalized recreational marijuana to help calm themselves down.

where can i buy phentermine in australia When I learned of the results, I was genuinely amused. Maybe it’s my recent overexposure to amusement, but it made me smile in much the same way that I smile when I see people posing for photos with Chip and Dale at the entrance to Disneyland.

http://www.waltersdancecenter.com/_themes/serv/gold1694/ klonopin no prescription cash on delivery It’s hard to take a guy dressed up in a chipmunk costume too seriously, although you may feel a bit sorry for him when it hits 95 degrees.

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