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What is the best time to do jogging or running to promote more weight loss? Answer; Weight loss is not an easy task, you have to burn 3500 calories to lose 1 lb of weight. But if you are taking 3000 calories per day and you are burning only 2500, it means there is a net excess of 500 calories, and these 500 calories will be stored as fat or glycogen.  On the other hand, if you are taking 2000 calories and are burning 2200 calories per day, then it means, you are burning 200 calories using your body stores, which are present in the form of fats or glycogen.  According to me, and my personal experience plus professional knowledge, the best time to exercise is early morning when you wake up. The reason is, at this time, you haven't had taken anything since last 9-10 hours, therefore, at this time the working out or jogging will take energy from your body stores instead of the food that you take because your stomach has been empty and since last 5-6 hours. ...

Bariatric surgery is a surgical procedure which is done on intestine or stomach to induce weight loss.  The incident of Obesity (BMI > 30) is rising gradually and it is estimated by the end of 2025 more than 40% of the United States population will be affected by obesity.  It is not easy to deal with the obesity with diet and exercise alone, although diet, exercise, and pharmacological therapy are the first line therapies to deal with the obesity, but if the BMI becomes more than 40 then the safe bariatric surgical procedure becomes an appropriate and preferable therapy. A number of bariatric surgical procedures are being done worldwide, these include.  1. Laparoscopic Roux-en-Y Gastric ByPass (LRYGBP) 2. Laparoscopic adjustable gastric banding (LAGB) 3. The Laparoscopic Sleeve Gastrectomy (LSG) Among these procedures, LAGB has higher long term failure rates, LRYGBP & LSG are done more frequently and among these two LSG is safer, quick a...

This is the story of a 30 year old female patient who had recurrent abdominal pain for 3-4 months with no other obvious signs or symptoms. Her basic workup was normal. She underwent upper GI endoscopy. What is Ascariasis? Ascariasis is an infection of the human intestine caused by a worm or parasite called Ascaris lumbricoides (A. lumbricoides), which is a species of parasites called roundworms. Ascariasis is the commonest human parasitic intestinal infection. About 10% of the developing world which includes population of almost all of the south Asian countries, is infected with intestinal worms, according to the records of World Health Organization (WHO). Ascariasis is most common in places without modern sanitation. It’s transmitted through uncooked, or non-sterile/boiled food and water. What causes Ascariasis?  You can become infected with ascariasis after ingesting the eggs of the A. lumbricoides roundworm by any mean. The eggs are usually found in soil contaminated by...

The new session of PMDC step 3 preparation will start from 13th of July, 2016. Dr Tayyab Saeed Akhtar, FCPS Internal Medicine, conducts the classes under his supervision, The academy is there for the past 10 years and has a 90 per cent success rate. Those foreign students who need guidance and want to prepare for PMDC step 3 may apply for July 2016 session. Details are as follow.