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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.

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Are you looking for a natural way to support your weight loss journey? Vita Keto Apple Gummies may be the answer you’ve been searching for. These tasty gummies are available at Chemist Warehouse and are designed to help boost your metabolism and curb cravings. In this comprehensive review, we will explore the ingredients, benefits, and potential side effects of Vita Keto Apple Gummies, so you can make an informed decision about whether they are right for you.

Ingredients

Vita Keto Apple Gummies contain a powerful blend of ingredients that work together to support weight loss. The key ingredient in these gummies is apple cider vinegar, which has been shown to help control blood sugar levels and reduce cravings. Additionally, these gummies contain BHB (Beta-Hydroxybutyrate) salts, which help your body enter a state of ketosis more quickly. Other ingredients include natural fruit flavors, gelatin, and citric acid.

Apple cider vinegar is known for its many health benefits, including aiding in weight loss, improving digestion, and boosting immunity. BHB salts are exogenous ketones that can help increase energy levels and mental clarity while following a ketogenic diet. The combination of these ingredients in Vita Keto Apple Gummies makes them a potent tool for anyone looking to support their weight loss goals.

Benefits

There are numerous benefits to incorporating Vita Keto Apple Gummies into your daily routine. One of the main benefits is their ability to help curb cravings and reduce appetite, making it easier to stick to a healthy eating plan. Additionally, the BHB salts in these gummies can help boost your energy levels and improve mental focus, which can be especially helpful during a busy day.

Another key benefit of Vita Keto Apple Gummies is their ability to support your body’s natural detoxification process. Apple cider vinegar is known for its detoxifying properties, and by including it in these gummies, you can help rid your body of harmful toxins and waste. This can lead to improved digestion, clearer skin, and overall better health.

Side Effects

While Vita Keto Apple Gummies are generally considered safe for most people, there are some potential side effects to be aware of. Some users may experience mild digestive issues, such as bloating or gas, when first starting to take these gummies. This is typically temporary and should resolve as your body adjusts to the ingredients.

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It’s also important to note that these gummies contain gelatin, which is derived from animal collagen. If you follow a vegetarian or vegan diet, you may want to avoid these gummies or look for a plant-based alternative. Additionally, if you have any allergies to the ingredients in Vita Keto Apple Gummies, such as apples or citric acid, you should avoid taking them to prevent an adverse reaction.

FAQ

1. How many gummies should I take per day?

For best results, it is recommended to take two Vita Keto Apple Gummies per day. You can take them together or spread them out throughout the day.

2. Can I take Vita Keto Apple Gummies if I am pregnant or nursing?

It is always best to consult with your healthcare provider before taking any new supplement, especially if you are pregnant or nursing.

3. How long will it take to see results with Vita Keto Apple Gummies?

Results may vary, but many users report seeing improvements in their energy levels and appetite control within a few weeks of starting to take these gummies.

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The ketogenic diet has gained popularity in recent years due to its potential health benefits, including weight loss, improved heart health, and increased energy levels. However, following a strict keto diet can sometimes lead to nutrient deficiencies, particularly in key minerals like calcium and magnesium. This is where keto gummies with added calcium and magnesium can be a game-changer, providing balanced nutrition while still allowing you to enjoy the benefits of ketosis.

What are Keto Gummies with Calcium and Magnesium?

Keto gummies with calcium and magnesium are a convenient and delicious way to supplement your diet with these essential minerals while following a low-carb, high-fat ketogenic eating plan. These gummies are typically made with high-quality ingredients like gelatin, stevia, and natural flavors, making them a tasty and enjoyable way to support your overall health and well-being. Whether you’re looking to maintain proper bone density, support muscle function, or simply ensure you’re getting enough of these vital nutrients, keto gummies with calcium and magnesium can help you stay on track with your nutritional goals.

These gummies are specifically designed to fit into a ketogenic lifestyle, with minimal sugar and net carbs per serving. They provide a convenient alternative to traditional calcium and magnesium supplements, which can be challenging to incorporate into a keto diet due to their higher carbohydrate content. By enjoying these gummies as a daily treat, you can ensure you’re meeting your body’s needs for these critical minerals without derailing your keto progress.

The Benefits of Calcium and Magnesium on a Keto Diet

Calcium and magnesium are two essential minerals that play a crucial role in overall health and wellness, particularly on a ketogenic diet. Calcium is essential for maintaining strong bones and teeth, supporting nerve function, and promoting muscle health. On a keto diet, where dairy consumption may be limited, getting enough calcium from sources like keto gummies can help prevent deficiencies and support your bone health.

Magnesium is another key mineral that is essential for over 300 different enzymatic processes in the body, including energy production, muscle function, and nerve signaling. Many people following a keto diet may be at risk for magnesium deficiency, as foods rich in magnesium, such as leafy greens and nuts, may be restricted. By incorporating magnesium-rich keto gummies into your daily routine, you can ensure you’re getting enough of this vital nutrient to support your overall health and well-being.

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How to Incorporate Keto Gummies with Calcium and Magnesium into Your Routine

Adding keto gummies with calcium and magnesium to your daily routine is easy and convenient. Simply enjoy a serving of these delicious gummies as a snack or treat, either on their own or as part of a larger meal. You can also incorporate them into your meal prepping routine by packing them in your lunch bag or keeping them on hand for a quick and easy way to meet your nutrient needs on the go.

For optimal results, be sure to follow the recommended dosage instructions provided on the packaging of your keto gummies with calcium and magnesium. While these gummies are a tasty and enjoyable way to supplement your diet, it’s essential to remember that they should be used in conjunction with a well-rounded eating plan that includes a variety of nutrient-dense foods to ensure you’re meeting all of your body’s nutritional requirements.

Are Keto Gummies with Calcium and Magnesium Safe for Everyone?

While keto gummies with added calcium and magnesium are generally safe for most people, it’s always a good idea to consult with your healthcare provider before adding any new supplements to your routine, especially if you have underlying health conditions or are taking medications that may interact with these minerals. Additionally, if you have a history of kidney stones, it’s essential to be cautious with your calcium intake, as too much calcium can potentially increase your risk of developing stones.

Overall, keto gummies with calcium and magnesium can be a beneficial addition to your ketogenic lifestyle, providing essential nutrients in a convenient and tasty form. By incorporating these gummies into your daily routine, you can support your bone health, muscle function, and overall well-being while still enjoying the benefits of ketosis.

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Big news today for anyone using compounded tirzepatide—two major updates could impact access to these medications. What’s happening? OFA vs. FDA lawsuit update: The FDA is asking for a pause in the case while an appeal plays out, and no one is objecting. Compounding pharmacy shutdown: Aequita, one of Mochi Health’s partner pharmacies, has been issued a Limited Stop Service order, meaning they cannot compound or dispense medications until further notice. What this means for you If you’re using compounded GLP-1s, this could impact availability. The OFA case pause means no immediate changes, but the legal battle continues. Mochi Health users who rely on Aequita may need to check on their prescriptions. Christopher and Laraine break down all the details and what it could mean for patients. Does this impact you? Share your thoughts in the comments. Like, subscribe, and hit the notification bell to stay updated on all things Zepbound, Mounjaro, and compounded tirzepatide.

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