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Not getting fat is what keeps me motivated. I lost 25 pounds 2 years ago and it's not coming back on. I love to run, especially trail running. I also cycle, kayak, lift weights a few times at the gym and do yoga.

Lyme disease is a controversial topic. There is not concensus among infectious disease physicians about diagnosis, treatment, whether its a chronic disease. Testing usually consists of a screening test. If its positive, a western blot test is done. You have so many positive bands, its a...

Even though the weather was bad, Killington was a nice quiet hike. Abraham and Eleen were to. There were only 4 other people on the trail. Mansfield, however, was swarming with school kids.

I had a bluebird day for my Mansfield hike. Killington was completely socked in; it was raining and very windy on top. i did not linger. Up and down in a little over 3 hours. i was the only person on the trail.

I just hiked Abe and Ellen going up the Bartell Trail. It seems that most of the elevation was to the summit of abe. I made great time to and from Ellen. It did not seem like there was any maor elevation changes between these two.

Excellent. I will be doing the same thing next week sans Camels Hump as I've already hiked that

I put in by the wildlife HQ when I paddled Umbagog. The Magalloway river did not have much of a current if I remember. Too bad you cannot make it an overnight. There are some really nice campsites on the lake. Saw a bald eagle while there. The loons seemed almost tamed. really came close...

I have the opportunity to spend a few days in Albuquerque in mid august. Any suggestions for hiking or mountain biking?

cant make this due to my work schedule

For shorter distances (4-6 miles) in warmer weather I just tie my car key to my shoe and stick my license in my jog bra. For long distances and in the winter, I usually use my camelback. How much water is in the bladder depends on the distance and the weather. For 10+ miles I may carry a gel...

I may have my July schedule in the next few weeks. So I am holding out hope that I can make this

I also use a mild bleach solution to clean out the crud. I do use sports drinks in mine so I regularly clean out with bleach. takes care of the crud quickly

I get the weight gain question all the time along with the protests I eat healthy and exercise. So you ask them to bring in a food and exercsie diary. It usually shows they are NOT eating healthy and exercising. I remember pointing out to someone that chicken wings were not a good choice...

There are a couple of very small patches of ice on Westkill. Rusk was snow and ice free. The temperatures were in the 80's last week in the Cats so snow and ice are pretty much gone. Mud patches is about it.

its just the stuff I tell my patients on a daily basis. along with lose weight, exercise and eat a ow fat diet. I think I get ignored alot. lol

No traction devices were needed this weekend on Rusk, Westkill, Bearpen or Thomas Cole

From the reading I have done, red rice yeast has the same active ingredient as a statin so it has the same side effect profile. The body ramps up production of cholesterol at night so its best to take the evening. You should not drink grapefruit juice while taking a statin because it affects...

In my experience, zetia gives very modest decreases in total and LDL cholesterol. I usually cannot get patients cholesterol levels in normal range with just zetia. Niacin is better for lowering triglycerides. Unfortunate side effect of naicin is facial flushing. Taking a baby ASA or advil an...

I think going vegan can make a difference. Tofu is a cholesterol free food but it does have fat. You have to watch the products made from soy though. I found a great chorizo sausage at trader joes that was made from tofu but it was loaded with fat. Some of the other "meat" products that are...

If you only have a low HDL and your total and LDL cholesterol are normal, a statin may increase your HDL but not by much. statins are more for lowering you total and LDL. If I have a patient with normal total and LDL and low HDL, I recommended diet and exercise and do not give a statin. The...