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	<title>KRMC journal &#187; To Your Health</title>
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	<link>http://www.azkrmc.com/blog</link>
	<description>News and information from Kingman Regional Medical Center</description>
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		<title>Continue city swim lessons at Del Webb</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/08/14/continue-city-swim-lessons-at-del-webb/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/08/14/continue-city-swim-lessons-at-del-webb/#comments</comments>
		<pubDate>Sat, 14 Aug 2010 22:19:27 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=700</guid>
		<description><![CDATA[If you know anyone whoâ€™s taking swim lessons from the City of Kingman, you probably also know that the city pools will be closing down soon for the season.
The Wellness Center is offering to continue the swim lessons here in our own pool at a special membership rate.
To join, all we need to see is [...]]]></description>
			<content:encoded><![CDATA[<p>If you know anyone whoâ€™s taking swim lessons from the City of Kingman, you probably also know that the city pools will be closing down soon for the season.</p>
<p>The Wellness Center is offering to continue the swim lessons here in our own pool at a special membership rate.</p>
<p>To join, all we need to see is a swim lesson membership card issues by the city instructor.<br />
Check in at the Wellness Center front desk for more information.</p>
]]></content:encoded>
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		<title>The mighty mighty grapefruit</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/08/13/the-mighty-mighty-grapefruit/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/08/13/the-mighty-mighty-grapefruit/#comments</comments>
		<pubDate>Fri, 13 Aug 2010 22:20:09 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=703</guid>
		<description><![CDATA[
By Dino P. Pierce, CFT, CPT, RD, CDE
I eat grapefruit regularly and, to be honest with you, while they are tolerable, I donâ€™t particularly care for the taste. My taste buds register them as â€œother than pleasurableâ€; but having said that, if I ate only to please my taste buds Iâ€™d be in BIG (pun [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/08/grapefruit.jpg"><img class="alignnone size-full wp-image-708" title="grapefruit" src="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/08/grapefruit.jpg" alt="" width="480" height="320" /></a></p>
<p><em>By Dino P. Pierce, CFT, CPT, RD, CDE</em></p>
<p>I eat grapefruit regularly and, to be honest with you, while they are tolerable, I donâ€™t particularly care for the taste. My taste buds register them as â€œother than pleasurableâ€; but having said that, if I ate only to please my taste buds Iâ€™d be in BIG (pun intended) trouble. As in other areas of life we have to do what is right, whether it feels right or not. I continue to eat them regularly because I know how powerful and healthy they are; this article will hopefully sell you on regular grapefruit consumption too.</p>
<p>Grapefruits have been described as having a tart yet tangy flavor with a hint of sweetness to them. Much more impressive than the taste is the health benefits associated with this tropical fruit â€” which comes, by the way, in several varieties. (Ever wonder why such a large fruit bears the name grapefruit when it looks or taste nothing like grapes? Itâ€™s because they grow in grape-like clusters.)<br />
One half of a large grapefruit is equivalent to a measly 15 grams of low glycemic carbohydrates, or roughly 50-60 calories. While low in carbs and calories, itâ€™s packed with a rich supply of vitamin C, and it contains cholesterol-lowering soluble fiber, folate (B-9), pantothenic acid (B-5), and potassium.</p>
<p>Furthermore, lycopene, the prostate protecting triglyceride lowering carotenoid, provides the red tint to certain varieties and is just one of over 150 phytonutrients (contains components thought to promote human health) found in the fruit.</p>
<p>Grapefruit is rich in antitoxins, which are linked to protecting us against both lung and colon cancer. Further, it has been shown to help prevent cardiovascular disease, improves the lung functioning capacity in those diagnosed with asthma, boosts carcinogen-clearing liver enzymes, and has been found to repair DNA damaged by cancerous prostate cells. The low-glycemic, low-carb, low-calorie, fibrous nature of the fruit helps to increase satiety and reduce blood insulin levels, making it a great weight loss aid.</p>
<p>On the contrary, you can get too much of a good thing! There are several reasons not to juice grapefruit; here are two:</p>
<p><span id="more-703"></span></p>
<ul>
<li>The juice lacks the fiber found in the whole fruit</li>
<li>Drinking large amounts of the juice can increase the risk of developing breast cancer</li>
</ul>
<p>Additionally, it is widely known that certain compounds in grapefruit can negatively affect enzymes that metabolize some drugs, thus increasing the power of statins, antiarrhythmic agents, calcium-channel blockers, and immunosuppressive agents.</p>
<p>Knowing what you know about this amazing fruit, if you are able to, please enjoy this recipe, which includes our power packed friend the mighty mighty grapefruit:</p>
<p><span style="color: #800000;">Refreshing Grapefruit, Orange, and Cucumber Salad</span></p>
<p>2 cups mandarin oranges in light syrup or natural syrup</p>
<p>2 cups unsweetened red grapefruit sections</p>
<p>1 sliced cucumber</p>
<p>1 thinly-sliced small red onion</p>
<p>1/4 cup thinly-sliced celery</p>
<p>1/2 cup freshly-squeezed orange juice</p>
<p>1/4 cup red wine vinegar</p>
<p>2 Tbsp juice from grapefruit</p>
<p>3/4 tsp dry basil or 1 tsp fresh chopped basil leaves</p>
<p>Drain fruits from natural syrup, reserve liquids, and combine fruit with onion, cucumber, and celery. In a separate bowl mix orange syrup and juice, red wine vinegar, grapefruit juice, and basil. Pour over fruit and veggies, serve chilled, and enjoy!</p>
<p>Nutritional Information:</p>
<p>Serving Size Â½ Cup</p>
<p>Calories: 70; Total Fat: 0g; Cholesterol: 0g; Sodium: 10mg; Carbohydrates: 17g; Fiber: 2g; Protein: 1g</p>
<p>Equals 1 Carbohydrate Exchange for Diabetics</p>
<p>Note: this is primarily a carbohydrate dish â€” to create more harmony in the meal plan please consume it after eating 5-10g of fiber, 5-10g of healthy fats, and 7-21g of protein.</p>
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		<title>Know the numbers</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/08/13/know-the-numbers/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/08/13/know-the-numbers/#comments</comments>
		<pubDate>Fri, 13 Aug 2010 22:18:01 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=697</guid>
		<description><![CDATA[Healthy Beverage Choices
Many of us are watching what we eat in an effort to manage weight and live a healthier life, but one area that may slip by is the calories we get from beverages.
Did you know that sodas can contain more calories than the high-fat foods you may have removed from your diet? For [...]]]></description>
			<content:encoded><![CDATA[<p><em>Healthy Beverage Choices</em></p>
<p>Many of us are watching what we eat in an effort to manage weight and live a healthier life, but one area that may slip by is the calories we get from beverages.</p>
<p>Did you know that sodas can contain more calories than the high-fat foods you may have removed from your diet? For example, a 16-ounce cola has 200 calories with 50 grams (12tsp) of sugar!<br />
Some energy drinks can contain even higher amounts than that â€” up to 240 calories! Just drinking two of these a day can add two to three pounds a month!</p>
<p>Obviously water â€” with zero calories â€” is your best choice to substitute for these high-calorie drinks.</p>
<p>Try reducing your two drinks a day to one, making the other water, then reduce that even further to one every other day until eventually you stop drinking them entirely. Your heart and your waist line will thank you!</p>
]]></content:encoded>
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		<title>Did you knowâ€¦</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/08/12/did-you-know%e2%80%a6/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/08/12/did-you-know%e2%80%a6/#comments</comments>
		<pubDate>Thu, 12 Aug 2010 22:15:46 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=693</guid>
		<description><![CDATA[â€¦that the Wellness Center front desk sells a wide variety of products such as swim goggles, swim diapers, ear plugs, swim caps, flip flops, headphones racquetballs, t-shirts, books, and a full line of nutritious protein bars and drink mixes?
Check it out on your next visit and see the full line of products we have available.
Zumba!
Due [...]]]></description>
			<content:encoded><![CDATA[<p>â€¦that the Wellness Center front desk sells a wide variety of products such as swim goggles, swim diapers, ear plugs, swim caps, flip flops, headphones racquetballs, t-shirts, books, and a full line of nutritious protein bars and drink mixes?</p>
<p>Check it out on your next visit and see the full line of products we have available.</p>
<p><strong>Zumba!</strong></p>
<p>Due to popular demand, we are adding another Zumba class. This will be  on Mondays at 6:30pm. Come check it out!</p>
]]></content:encoded>
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		<title>Clothing in the pool</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/08/11/clothing-in-the-pool/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/08/11/clothing-in-the-pool/#comments</comments>
		<pubDate>Wed, 11 Aug 2010 22:14:40 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=689</guid>
		<description><![CDATA[
We realize that for many of you wearing clothing into the pool for exercise classes helps to make you feel warmer and more at ease. We understand this and would only request that you try and wear clothing that is a synthetic blend.
Cotton clothing loses threads and material each time it is exposed to water. [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/08/birth-venus.jpg"><img class="alignnone size-full wp-image-691" title="birth-venus" src="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/08/birth-venus.jpg" alt="" width="480" height="320" /></a></p>
<p>We realize that for many of you wearing clothing into the pool for exercise classes helps to make you feel warmer and more at ease. We understand this and would only request that you try and wear clothing that is a synthetic blend.</p>
<p>Cotton clothing loses threads and material each time it is exposed to water. This lint ends up in our filters, reducing the efficiency of their operation and the water quality as well.</p>
<p>Please try to wear only synthetic materials in the pool, and it will a better experience for all!</p>
]]></content:encoded>
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		<title>Cruiser Club is splashing along</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/07/17/cruiser-club-is-splashing-along/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/07/17/cruiser-club-is-splashing-along/#comments</comments>
		<pubDate>Sat, 17 Jul 2010 21:47:10 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=628</guid>
		<description><![CDATA[Our Del Webb Wellness Center Aquatics Cruiser Club has been busy swimming laps and working towards their goal of 10,000 miles. They are up to 6,388 miles through May and need to average just 798 a month for the remainder of the year to hit 10,000.
Wanna help? Anyone can participate and itâ€™s free! Stop by [...]]]></description>
			<content:encoded><![CDATA[<p>Our Del Webb Wellness Center Aquatics Cruiser Club has been busy swimming laps and working towards their goal of 10,000 miles. They are up to 6,388 miles through May and need to average just 798 a month for the remainder of the year to hit 10,000.</p>
<p>Wanna help? Anyone can participate and itâ€™s free! Stop by the pool for details on how your laps can start counting towards the total. There is a winner every month and it could be you!</p>
]]></content:encoded>
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		<title>Beat the heat in the pool</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/07/16/beat-the-heat-in-the-pool/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/07/16/beat-the-heat-in-the-pool/#comments</comments>
		<pubDate>Fri, 16 Jul 2010 21:48:15 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=631</guid>
		<description><![CDATA[Now that summer has arrived you may be looking for a great way to stay cool and still exercise. Why not try lap swimming at the Del E Webb Wellness Center pool?
There are lanes open most times of the day for swimming, no matter what your pace or fitness level. The pool is open from [...]]]></description>
			<content:encoded><![CDATA[<p>Now that summer has arrived you may be looking for a great way to stay cool and still exercise. Why not try lap swimming at the Del E Webb Wellness Center pool?</p>
<p>There are lanes open most times of the day for swimming, no matter what your pace or fitness level. The pool is open from 5 AM &#8211; 8:45 PM on weekdays, 7 AM &#8211; 5:45 PM Saturdays, and 9 AM &#8211; 5:45 PM on Sundays.</p>
]]></content:encoded>
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		<title>Exercise with a twist</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/07/15/exercise-with-a-twist/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/07/15/exercise-with-a-twist/#comments</comments>
		<pubDate>Thu, 15 Jul 2010 21:46:10 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=624</guid>
		<description><![CDATA[Zumba
Youâ€™ve seen it on TV, and now you can give it a try right here in the Wellness Center. Zumba is a fun way to exercise as you dance your way to fitness. Classes are held Mondays and Thursdays at 8 AM, Wednesdays and Fridays at 9 AM, and Tuesdays and Thursdays at 6:30 PM.
Tai [...]]]></description>
			<content:encoded><![CDATA[<p><strong>Zumba</strong></p>
<p>Youâ€™ve seen it on TV, and now you can give it a try right here in the Wellness Center. Zumba is a fun way to exercise as you dance your way to fitness. Classes are held Mondays and Thursdays at 8 AM, Wednesdays and Fridays at 9 AM, and Tuesdays and Thursdays at 6:30 PM.</p>
<p><strong>Tai Chi and Yoga</strong></p>
<p>If a more gentle and introspective workout is your style, Tai Chi is held every Monday at 10 AM; or try yoga every Saturday at 9 AM, with Vinyasa Yoga held Thursdays at 10 AM.</p>
]]></content:encoded>
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		<title>Why do I feel &#8220;low&#8221; when my blood sugars are within normal limits?</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/07/14/why-do-i-feel-low-when-my-blood-sugars-are-within-normal-limits/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/07/14/why-do-i-feel-low-when-my-blood-sugars-are-within-normal-limits/#comments</comments>
		<pubDate>Wed, 14 Jul 2010 21:53:52 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=634</guid>
		<description><![CDATA[
By Dino Pierce, CFT, CPT, RD, CDE
Feeling Low?
If you have been living with high blood sugars for months or years even itâ€™s common to experience the symptoms of hypoglycemia (low blood sugar levels) when your blood sugar quickly reaches recommended levels. The symptoms of hypoglycemia are (note that not everyone experiences all of the symptoms [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/07/bear.jpg"><img class="alignnone size-full wp-image-636" title="bear" src="http://www.azkrmc.com/blog/wp-content/azkrmc-uploads/2010/07/bear.jpg" alt="" width="480" height="320" /></a></p>
<p>By Dino Pierce, CFT, CPT, RD, CDE</p>
<p><strong>Feeling Low?</strong></p>
<p>If you have been living with high blood sugars for months or years even itâ€™s common to experience the symptoms of hypoglycemia (low blood sugar levels) when your blood sugar quickly reaches recommended levels. The symptoms of hypoglycemia are (note that not everyone experiences all of the symptoms simultaneously:</p>
<ul>
<li>Hands shaking uncontrollably</li>
<li>Feeling ill, sweating for no apparent reason</li>
<li>Blurry vision</li>
<li>Nervousness or anxiety</li>
<li>Feeling weak or fatigue</li>
<li>Headache</li>
<li>Heart palpitations</li>
</ul>
<p>Over time your body has become accustomed to feeling or experiencing those high blood sugar levels and now its â€œnormalâ€ blood sugar level thermostat is set at â€œhigh.â€ Because of this new setting, the ideal blood sugar levels are being perceived as if they were dangerously hypoglycemic levels.</p>
<p><span id="more-634"></span></p>
<p>Growth hormone, cortisol, and catecholamines (specifically epinephrine or adrenaline and norepinephrine or noradrenaline), also known as the â€œfight-or-flightâ€ hormones, are all released in response to stress. When you are in this physiological state and your blood sugar levels are â€œnormal,â€ the body reacts as if you are having low blood sugar and is sent into â€œfight or flightâ€ mode as a response to the falsely-perceived stress of the normal blood sugar.</p>
<p>When this occurs the body releases the fight or flight hormones in a warning that something is just not right (thatâ€™s why the symptoms are present) and works to increase blood sugar levels to its erroneous â€œnormalâ€ setting. The â€œcounter-regulatoryâ€ hormones tell the liver to dump stored sugar into the blood stream (the liver can hold 100g of sugar) and cause the blood sugars to rise while making you feel horrible.</p>
<p>The dreadful feeling is the bodyâ€™s physiological way of warning you of the perceived low blood sugar. If you were to test your blood sugar during the perceived hypoglycemic event, youâ€™d find that your blood sugar level is not below 70mg/dl, which defines a true hypoglycemic episode.<br />
It is for this reason we always recommend that you test before treating; you never know exactly what your blood sugars are until you check.</p>
<p><strong>So how do I get back to feeling â€œnormalâ€ when Iâ€™m normal?</strong></p>
<p>If you hold out during this counter-regulatory experience, you may continue to experience the dread and horrible feelings for quite some time. It is difficult to say how long itâ€™ll take, but eventually your bodyâ€™s blood glucose thermostat will reset so that you can feel â€œnormalâ€ when your blood sugar levels are normal.</p>
<p>While you may not like how you feel, you can â€œwait it outâ€ and rest assured that even though you donâ€™t feel good, your body has an ample supply of blood glucose if it is between 70 &#8211; 120mg/dl. Remember, a true hypoglycemic episode begins once you drop below 70mg/dl or â€” if you are pregnant â€” 60mg/dl.</p>
<p>Another approach is to take it slow; you didnâ€™t get from 70mg/dl to 300mg/dl or higher overnight. It took some time. If your blood sugar has been elevated for quite a while, you can slowly adapt to feeling â€œnormalâ€ when your sugars are normal.</p>
<p>Start by identifying the blood glucose level that you feel low at; set your target a little lower (about 30-50mg/dl) one week at a time to allow your body to adjust its blood glucose thermostat to the new target of 70 &#8211; 120mg/dl.</p>
<p>The worst thing that you can do is overreact and eat carbohydrates in excess, making your blood glucose levels spike. So if you are tempted, take this tip: eating just 5g of fast-acting carbohydrate (such as a glucose tablet) and drinking 10 &#8211; 16oz of water can shut off the counter-regulatory hormones, while only bringing the blood sugar up by about 15-20mg/dl, in as fast as 15 minutes.<br />
Doing this will allow you to feel better and prevent a large surge in blood glucose levels while giving your body a chance to adapt, over time, to feeling â€œnormalâ€ while you gradually reset your blood glucose thermostat.</p>
<p>Once you have achieved this, ironically, you will immediately notice how horrible you feel when your sugars reach the â€œhighâ€ levels now that your thermostat has been reset for blood glucose success.</p>
<p><strong>Blood Sugar Goals</strong></p>
<p>Fasting and before meals:</p>
<p>71-109mg/dl non-diabetic<br />
(80-110mg/dl) diabetic</p>
<p>Two hours after meals:</p>
<p>Less than 120mg/dl non-diabetic<br />
(Less than 140mg/dl) diabetic</p>
<p>Four hours after meals and at bedtime (If four hours have passed since your last meal or snack):</p>
<p>71-120mg/dl non-diabetic<br />
(80-120mg/dl) diabetic</p>
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		<title>What is stress?</title>
		<link>http://www.azkrmc.com/blog/index.php/2010/07/13/what-is-stress/</link>
		<comments>http://www.azkrmc.com/blog/index.php/2010/07/13/what-is-stress/#comments</comments>
		<pubDate>Tue, 13 Jul 2010 21:44:12 +0000</pubDate>
		<dc:creator>KRMC</dc:creator>
				<category><![CDATA[To Your Health]]></category>

		<guid isPermaLink="false">http://www.azkrmc.com/blog/?p=619</guid>
		<description><![CDATA[There is no clear-cut definition of stress because what is stressful for one person may be pleasurable or have little effect on another person. In addition, the ways we react to stress vary from person to person as well. The term â€œstressâ€ was coined by a scientist named Hans Selye in 1936, and he defined [...]]]></description>
			<content:encoded><![CDATA[<p>There is no clear-cut definition of stress because what is stressful for one person may be pleasurable or have little effect on another person. In addition, the ways we react to stress vary from person to person as well. The term â€œstressâ€ was coined by a scientist named Hans Selye in 1936, and he defined stress as â€œthe non-specific response of the body to any demand for change.â€</p>
<p>Here are 15 common signs and symptoms of stress:</p>
<ol>
<li>Frequent headaches, jaw clenching or pain</li>
<li>Neck ache, back pain, muscle spasms</li>
<li>Frequent colds, infections, herpes sores</li>
<li>Unexplained or frequent â€œallergyâ€ attacks</li>
<li>Heartburn, stomach pain, nausea</li>
<li>Sudden attacks of panic</li>
<li>Poor sexual desire or performance</li>
<li>Depression, frequent or wild mood swings</li>
<li>Increased or decreased appetite</li>
<li>Insomnia, nightmares, disturbing dreams</li>
<li>Difficulty concentrating, racing thoughts</li>
<li>Increased frustration, irritability, edginess</li>
<li>Reduced work efficiency or productivity</li>
<li>Constant tiredness, weakness, fatigue</li>
<li>Weight gain or loss without diet</li>
</ol>
<p>10 tips for reducing stress:</p>
<ul>
<li>Listen to music</li>
<li>Practice yoga or Tai Chi</li>
<li>Get a massage</li>
<li>Exercise! It relieves stress!</li>
<li>Progressive muscle relaxation</li>
<li>Use visualization or imagery</li>
<li>Meditation. Relax with sustained concentration.</li>
<li>Deep breathing</li>
<li>Drawing and coloring (maybe thatâ€™s why kids donâ€™t get stressed out!)</li>
<li>Laugh!</li>
</ul>
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