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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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What I eat in a day in my weight loss journey Weight loss diet plan Healthy diet plan Fat loss diet plan Winter diet plan Healthy pasta recipe Ragi chila https://youtu.be/CGU-h3NTLT8?si=J51Dlx_3Tux0PUYj Mung daal chila https://youtu.be/aTbOro72Q1c?si=aiZQD40ndTyLiXLq Masoor dal paneer wrap https://youtu.be/XtxZFhG4R-E?si=e-1lBx6LosMX3dyj Carrot beetroot paratha https://youtu.be/yhNh11261fk?si=nY0CMHrieg66aUt9 Palak paratha https://youtu.be/Upe2yuWlgoU?si=EjHIKSRVzHXPY5e1 Sandwich recipe https://youtu.be/0nnxbzGxZAs?si=iC1WVP6Xe6Bj6ryj Pav bhaji recipe https://youtu.be/HcrLfOcBc9I?si=es6hv8yuQBDippd8 Healthy momos recipe https://youtu.be/i2asaKB_pac?si=MUzt9mYZ_3d1BvmH Healthy pizza recipe https://youtu.be/k9wwpvFvTc0?si=8-A53jsOJCjdh2mY Chicken tikka recipe https://youtu.be/0Su8UdfvXA8?si=QWdzF4EVkRJvYiae Chicken Oats recipe https://youtu.be/cMHSXs0a5tY?si=hYrjkUab3jEpOd59 Sote paneer salad https://youtu.be/TwQUQetASmo?si=bp59xSEoi4asFc5X Chicken salad https://youtu.be/0LZ-K9zYmgM?si=v0Oh-z2LeD720y58 Chicken sote veggies https://youtu.be/Gxhalw0csSw?si=Pzb4LTJrlE7sJmcB Detox water https://youtu.be/Ug8wdHUFfXw?si=JDxzv3GCBsI4bgic Detox water https://youtu.be/wlmqXM1UGYs?si=FCHh_52q6KGaE2TB Detox water https://youtu.be/k9wwpvFvTc0?si=t4L1X7kG4UHB08Xb Red soup https://youtu.be/CGU-h3NTLT8?si=fm7cW6LvIbKrfS1k Avocado shake https://youtu.be/yhNh11261fk?si=Y0pml-TchLx4iF7i Broccoli soup https://youtu.be/yhNh11261fk?si=zTE0F412TX8JOkjP Avocado wrap https://youtu.be/7SgH0s5n8yY?si=cy2ipL88vFb2zUNM Chicken soup https://youtu.be/axCB1lnMRzQ?si=VmDSXCvDUuiDLR8_ #fatloss #dietplan #weightlossjourney #dietfood #healthyfood #breakfast #cooking #fatlosspage #inchloss #countingfoodsandkitchen #ytvideo #ytviral #pasta #pastarecipe #indiandietplanforweightloss #indianfood Instagram... https://www.instagram.com/ummehani_attar01?igsh=YzBmcDc5c2tneGpm Thank you for watching the video 🙏 🙏

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The ketogenic diet has gained immense popularity in recent years for its ability to help people lose weight and improve their overall health. The diet involves drastically reducing carbohydrate intake and replacing it with fat, which forces the body to enter a state of ketosis. During ketosis, the body burns fat for fuel instead of carbohydrates, leading to rapid weight loss. However, sticking to a strict ketogenic diet can be challenging for many people, which has led to the development of various keto supplements and products, including Instant Keto.

Instant Keto on Shark Tank: Does It Really Work?

Instant Keto is a dietary supplement that claims to help facilitate weight loss and boost energy levels by promoting ketosis in the body. The product has gained attention after allegedly being featured on the popular television show “Shark Tank,” where entrepreneurs pitch their business ideas to a panel of wealthy investors. But does Instant Keto really work, or is it just another overhyped weight loss product?

Many people are skeptical of weight loss supplements, and for good reason. The market is flooded with products that make extravagant claims but fail to deliver results. Instant Keto promises to help users achieve ketosis faster and more efficiently, leading to increased fat burning and weight loss. But like any other supplement, it’s essential to take a closer look at the ingredients and scientific evidence supporting these claims.

One of the key ingredients in Instant Keto is beta-hydroxybutyrate (BHB), a type of ketone that the body produces during ketosis. BHB is thought to help jumpstart ketosis and make it easier for the body to switch from burning carbohydrates to burning fat. While some studies have shown that BHB supplements can increase blood ketone levels and promote weight loss, more research is needed to determine its long-term effectiveness and safety.

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The Science Behind Instant Keto

Instant Keto claims to work by increasing the levels of ketones in the body, which then helps the body enter ketosis more quickly. Ketosis is a metabolic state where the body burns fat for fuel instead of carbohydrates, leading to rapid weight loss. By providing the body with exogenous ketones like BHB, Instant Keto supposedly makes it easier for users to achieve and maintain ketosis, even if they consume more carbohydrates than a strict ketogenic diet allows.

While the idea behind Instant Keto may sound promising, the scientific evidence supporting its effectiveness is still limited. Some studies have shown that supplementing with exogenous ketones can help increase ketone levels in the blood and promote weight loss. However, more research is needed to determine the optimal dosage and long-term effects of these supplements. Additionally, individual results may vary, and Instant Keto may work better for some people than others.

It’s essential to approach weight loss supplements with caution and consult with a healthcare professional before adding them to your routine. While Instant Keto may help some people achieve their weight loss goals, it’s not a magic pill, and it should be combined with a healthy diet and regular exercise for best results. Ultimately, the best way to lose weight and improve your health is by making sustainable lifestyle changes that you can stick with in the long run.

FAQs About Instant Keto

1. Does Instant Keto really work?

While some users may experience weight loss while taking Instant Keto, individual results may vary. It’s essential to combine the supplement with a healthy diet and exercise for best results.

2. Is Instant Keto safe to use?

Instant Keto contains natural ingredients and is generally considered safe for most people. However, it’s always a good idea to consult with a healthcare professional before adding any new supplement to your routine.

3. How long does it take to see results with Instant Keto?

Results may vary, but some users report experiencing increased energy levels and weight loss within a few weeks of starting the supplement. Consistency is key, so it’s essential to take Instant Keto as directed and stick to a healthy lifestyle.

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Keto Gummies Mayo Clinic Mayo Clinics Take On Keto Gummies

The BioLyfe Keto Gummy is an incredible dietary supplement that is taking the health and wellness world by storm for the right reasons. BioLyfe Keto Gummy is an outstandingly designed gummy that helps people shed some pounds. It does so by helping the body harness its own fat-burning mechanism, helping the users dieting goals. Thus, it is a safe and natural way to start your fat-burning journey.

Key Features of BioLyfe Keto Gummy

There are several standout features of the BioLyfe Keto Gummy above other weight loss health supplements in this class. the unique exogenous ketones in the BioLyfe Keto Gummy allows its user to achieve a state of ketosis much faster, which is a state where the body burns fat rather than carbohydrates giving out results of losing weight in a much shorter period of time. The keto gummy also includes the key vitamins and minerals that provide the much-needed wellness and health of the consumer.

Secondly, the BioLyfe Keto Gummy is easy to use. Compared to most weight-loss supplements that come in pill form, the BioLyfe Keto Gummy is a gummy that you eat and go about your day. If you are like me, then you lead a busy life. With all the tasks at work and home, remembering to take pills is a task in itself. The BioLyfe Keto Gummy makes this easier by having a delicious, on-the-go solution to end fatigue. It’s also easily digestible and gentle on your stomach, perfect for those with sensitive digestive systems.

Not only that, BioLyfe Keto Gummy is a perfect solution if you want to support your weight loss journey or boost metabolism leading to weight loss. This supplement comes with a natural composition free from additives, preservatives, gluten, fillers, or genetically engineered products. Because of its unadulterated composition of high-grade ingredients sourced from trusted suppliers, BioLyfe Keto gummies satisfy your hunger while providing your body with two vital components required for fat breakdown and glucose burning. It is also free from gluten, sucrose, and is vegan-friendly.

Benefits of Using BioLyfe Keto Gummy

Here are four benefits you can experience: With the BioLyfe Keto Gummy you can suggest your body go into ketosis quicker and more efficiently. It’s possible and probably most effective when your body has more ketones.This can mean faster weight loss results, higher levels of energy, and more mental clarity. The BioLyfe Keto Gummy supports your body’s natural fat-burning features. This can help you lose more fat and quicker.

Along with helping with weight loss, the BioLyfe Keto Gummy improves general health and well being. The gummies contain essential vitamins and minerals including Vitamin A, Vitamin B6, Vitamin B12, Vitamin C, Biotin, and Folic Acid that boost immune function as well as metabolism and digestion and supports overall health.

The second great thing about the BioLyfe Keto Gummy is that it’s extremely easy to use. The gummy bear shape is easy to take on the go, so even when you’re busy, you have no excuse for not sticking to your weight loss plan! Unlike other supplements, which require you to swallow bulky capsules, the BioLyfe gummies are delicious, so you actually enjoy consuming them.

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