And because ultra-processed food is so quick and easy to digest, you will be hungry much sooner after eating a protein bar than if you had eaten a skinless chicken breast. The PSMF was originally developed in the 1970s as a medical intervention for people with severe obesity and health problems that might be caused or exacerbated by the excess weight. Participants experienced mild side effects including dehydration, nausea, decreased energy and mood swings, but nothing life-threatening (15). SweetNLow is less limited You can consume up to six packages of that on a daily basis. What is the Protein-Sparing Modified Fast Meal Plan? Cakes, biscuits, sweets,ice cream, even if theyre diet variations. Cut turkey breast ham into small pieces as well. Some may have 3 total carbs per serving! When ready serve it with pickled vegetables and nuts. Breakfast: Egg whites scrambled with spinach and low-fat feta cheese. Required fields are marked *. spray dressings like Wishbone (sparingly) Cook zero rice for about 1-2 minutes so that its fishy smell wears off. In addition, a PSMF is sometimes used before weight loss (bariatric) surgery to reduce the risk of obesity-related complications. Each of these charts will help you formulate a protein-sparing modified fast that is also a very low-calorie diet. They can help you come up with a safe and appropriate plan for you. 100 g of turkey breast ham, 150 g of skinless turkey or chicken breast. An example would be someone who is restricted to 2 packages of Equal, Stevia, or Splenda on a daily basis. While calories and macronutrients in a protein-sparing modified fast are restricted, it may temporarily reduce the vitamins and micronutrients you are consuming. Versatile and easy meatloaf cupcakes are great for dinner, lunch or the school lunch box. The main goal is to invoke rapid weight loss in just a few weeks with minimal additional exercise. The EASIEST Protein Sparing Bread - Maria Mind Body Health, Protein Sparing Egg Wraps - Maria Mind Body Health. In addition to helping people lose weight quickly, it can have the added benefits of reducing blood sugar and insulin resistance in people with type 2 diabetes. Heart attack When the diet is properly followed and overseen by a healthcare provider, it has been shown to be safe and effective for overweight and obese adults. That said, people on the PSMF diet who saw their healthcare providers for follow-up visits and were given instructions on how to gradually start including more carbohydrates in their diet, were more likely to keep off the weight they had lost. If I choose a bigger meal for breakfast, then I need to take a smaller one for lunch to stay within the limit. On average, people lose 40 pounds (18 kg) during 12 weeks on very low-calorie diets (2). Starchy vegetables, such as sweet potatoes, potatoes, corn, and peas. This juicy turkey burger with feta cheese is perfect for Keto, Carnivore and PSMF! I think I feel so great on this diet and have so much energy (even though I work out a lot) is because I eat really huge and healthy meals. No artificial sweetener can be in addition to it. We put our 20 plus years of experience using keto to help clients into this new free tool. There's one that's a little different: the protein sparing modified fast. For most protein-sparing modified calculators, protein intake ranges between 1.5g-2g per kg body weight per day. Paperback. Enjoy the taste similar to chocolate ice-cream. In a separate bowl boil the broccoli. Tofu. Free meals and refeed days are essential for your long-term success just like sticking to your PSMF macros on the days you are supposed to do so. Chop the zucchini and fry it until it becomes soft (fry either without fat or with calories-free oils). I ran keto for a few months intermittently prior to starting PSMF/RFL, and before that lost about 160 on a medically supervised liquid diet over an eight-month period. The weight lost is mostly from fat tissue, while muscle mass is retained. (cram cheese is this meant to be cream cheese). Crispy on the outside and juicy and tender on the inside. In a clinically supervised PSMF, patients receive 1.2-1.5 grams of protein per kilogram of their goal body weight per day. Cleveland Clinic Diet: The First Steps. Why are artificial sweeteners so concerning? Add as much erythritol as you like so that the omelet is as sweet as you like. That may be a weight that puts you at a body mass index (BMI) of 25, or your doctor may have another idea. Do People Keep the Weight Off After a PSMF? Then turn the carcass into bone broth! Add cottage cheese and salt. You use it for a few weeks for initial motivation and rapid losses, always with a plan to transition to a more sustainable long-term diet once the PSMF is done. You can get better variety and a range of choices with products from the BariatricPal Store. You keep falling off the PSMF diet and having cheat meals. Along with small quantities of fresh garlic, onion, parsley, and celery, these things could be utilized to improve the flavor of foods. Add nuts and mix. Please come back here often , Your email address will not be published. The Beginners Guide To A Protein-Sparing Modified Fast (PSMF). Many bodybuilders like to have shred days (losing fat) followed by bulk days (gaining muscle). During the refeeding phase, calories from carbohydrates and fats are gradually added back in, and protein is reduced. The additional protein makes your body . But, they still control it to stay within their psmf diet plan for weight loss. Average fat protein examples are lean meat from lamb, well-trimmed steak, and cuts of pork. It can be baked in the oven or air fryer. During the intense phase, it is a very low-calorie diet of only 800 calories per day, mainly from dietary protein, minimal carbs, and minimal fat. This is very risky, as we will discuss later in this article. However, for those on the keto diet who just need to hit the reset button and want rapid weight loss, you might want to have 3 or 4 PSMF days each week, with a more moderate ketogenic diet on the other days. Rapid weight loss as may occur on a PSMF may encourage gallstone formation (20). I saw a 3.5 lb weight loss! The plan has an example of a daily meal sheet that one may eat in a 12 hour day while doing a protein sparing modified fast. Enjoy! Unfortunately, the same is true for weight lost during a PSMF. Most people maintain their ideal body weight by sticking to a standard keto diet with adequate dietary protein, healthy fats (for essential fatty acids), and quality healthy carbs. When chicken is ready, add it to the bowl, mix all the ingredients together and enjoy! If you are unsure of this weight loss diet food plan, consult with your dietitian. For example (but not limited to), people with: During the intensive phase (weight loss phase), you generally consume 0.7g - 0.9g of protein per pound (1.5g - 2g protein per kg) of body weight. Save my name, email, and website in this browser for the next time I comment. Nutritional deficiencies, particularly of iron and calcium, can also occur. Help? The first thing to do is check with your doctor about safety and your PMSF meal plan. Carbohydrate levels are increased up to 45 grams during the first month, and up to 90 grams during the second month. This last week I added 3 days (in a row) of PSMF with Recipes from the "The Art of Fat Loss". Cook the entire chicken or turkey breast in broth. Have more questions about setting up your PSMF meal plan. It might have under 20 grams of carbs per day. A water fast can often give dramatic weight loss and help you reach your goal weight BUT it is nutritionally depleted of any protein, fat, carbs, fiber, and vitamins. Does a protein-sparing modified fast work? This article should not be construed as medical advice, nor should it be substituted for medical advice from your healthcare provider. Gr8! All of these are similar to the keto flu. Copyright 2023 Diet vs Disease, a service of Mint Nutrition LLC. Keep up the good work. The Protein-Sparing Modified Fast (PMSF) Diet Plan is a diet to lose a lot of weight fast, but theres a difference compared to some other very low-calorie diets. As you lose weight on any diet, you will require fewer calories. The first phase of this diet may last up to 6 months, but your doctor will work with you to determine the appropriate length of time.. You will want to be careful about anything that contains artificial sweeteners, as it plays a role into your daily limits. Weight usually plateaus within six months (1). My husband and I really want you to be successful on your ketogenic lifestyle and if you are struggling to reach your goals. 300 kcal (9 g of fat, 1 g of carbs, 50 g of protein) or 235 kcal (1 g of fat, 0 g of carbs, 50 g of protein) without nuts. Last updated on March 8th, 2023 at 8:44 am, Home Weight Loss Diets The Beginners Guide To A Protein-Sparing Modified Fast (PSMF). (make scrambled eggs and add cheese) 1 cup cooked oatmeal. This is my favorite meal of the day because it usually has some fruit or a lot of dairy (which I love). Egg White Bread is gamechanger! Enjoy! This indicates the PSMF may not be sustainable for you. Thanks for describing your PSMF plan in such detail. As any dieter knows, its often easier to lose weight than to keep it off. Sugar and sugar-sweetened foods and beverages. When stored fat is broken down, ketones are released. Patients on a PSMF are advised to take multivitamins, potassium (as well as eat high potassium foods), calcium, magnesium and sodium supplements to prevent electrolyte imbalances (15). There are many ways in which sugars may show up in your daily psmf dietmeal plan. For me these are salads I take in a box and eat at work. Mix the protein powder with water or low-calorie almond milk and cacao powder. Many people find their blood pressure normalizes and so may need their medication reassessed by a doctor. Snack: Cucumber with cup of yogurt with dill. You can download the free printable PDF guidebook, meal plan, PSMF food list, and PSMF calculator. Easily cook a tasty and crispy bone-in pork or boneless pork chops in the air fryer with an easy homemade spice rub. 324 kcal (12 g of fat, 10 g of carbs, 44 g of protein). Those who did not go for follow-up visits weighed only 1.5% less (10). If you think you may benefit from a PSMF, talk to your doctor or dietitian. Tell your friends! This is not to say PSMF is not safe for these patients, but they will need medical supervision and monitoring as they lose weight and their health markers may improve. Fasting and intermittent fasting are getting all the attention these days, but what about a protein sparing modified fast? Food tracking will help to you make better food choices and see where you can cut back on unnecessary carbs or necessary fats.Food tracking is often an eye opener to see which cuts of meat have the highest and lowest fat, which vegetables have the highest and lowest carbs, and which foods are high or low calorie. It will be much easier now to create my own plan and use some of your meal ideas. The Protein-Sparing Modified Fast is no exception. VcutFitness By Hany 26 subscribers Subscribe 0 42 views 10 days ago #FitnessMotivation #WeightLossJourney #PSMF. Here is a sample PSMF day (recipe links at bottom of article): Breakfast: 2 Turkey Feta Burgers or 1 turkey feta burger and 1 PSMF Cinnamon Bun Lunch: Chicken tenders or Shrimp with a fat free yogurt based dip Dinner: Lean beef or fish or ground turkey scrambled with egg whites Snack: PSMF cake or deli turkey slices Required fields are marked *. Summary: A Protein-Sparing Modified Fast is a very low-calorie diet followed for over 6-8 months to lose a lot of weight quickly. Brand names are utilized to assist youin choosing suitable choices. Make a perfectly tender and juicy whole chicken in a slow cooker. Easy keto chicken curry with a tasty turmeric cauliflower rice. Background Ketogenic diets have been highlighted as a way to lose weight while experiencing reduced hunger. Enjoy! Angina (chest pains) It is the combination of high-protein and low-fat that allows you to lose weight quickly while maintaining lean body mass. Follow a simple low-carb diet or keto diet. There are deceiving things to be careful with in Stevia. Therefore, soaking legumes can be helpful to remove phytates before eating, to improve calcium absorption. Bread, pasta, cereal, and other grain-based foods. I started the first few days with a slight modification (30 g of fat, 30 g of carbs and 150 grams of protein) but eventually I decided to do it by the book. However, it turns out quite difficult to hit these macros exactly so Im doing it with like 90-95 % of accuracy and it works very well. This new keto calculator took a lot of time and money to create. Image source. Enter the protein-sparing modified fast (PSMF). For me the free meal will be one of the following: I started creating my meal plan from simply listing the allowed products and types of food. Rapid weight loss may affect their blood pressure, and blood sugar control, and because medical PSMF is longer than a crash diet, they need to be monitored for any nutritional deficiencies. Here is what else you should know about a PSMF diet plan, and how the. Cottage cheese, egg whites, whole eggs (not more than 2 a day), chicken breast, turkey breast, tuna, fish filets, low-fat meat products, shrimp, tofu, Sprouts, asparagus, lettuce, arugula, spinach, broccoli, avocado, pepper, cabbage, raw carrot, cauliflower, celery, leek, green beans, mushroom, onion, radish, tomato, zucchini, kale, olives, pickles, Strawberries, raspberries, blueberries, grapefruit, apple, Nuts and peanut butter (in trace amounts), Quest bars, zero sauces and syrups (with moderation), zero drinks (occasionally), psyllium husk, zero-calorie cooking sprays, konjac pasta and rice. Details of the program A PSMF is a very low-calorie diet that aims to help people lose weight fast while maintaining muscle mass. I prepared 6-8 options for each meal so that I really have a lot to choose from. Chop the veggies into small pieces and place them into a bowl. The Best Way to Cook A Turkey (wrapped in bacon). BariatricPal foods and shakes are convenient and delicious. In addition, ultra-processed food is easy to digest so you will feel hungry sooner. For obese patients who need considerable weight loss, you need to be medically supervised and may need to be in the intense phase for weeks or months. protein-sparing modified fast (PSMF) is a type of very-low-calorie diet with a high protein content and simultaneous restriction of car-bohydrate and fat.8,9 It was developed in the . Your lean muscle mass helps to regulate a fast metabolism because muscles burn calories, even at rest. Am I going crazy? Spinach Stuffed Chicken Recipe (oven and air fryer). Let strawberries unfreeze so that they release their natural juice. Lunch: Tuna on a bed of greens with tomatoes, cucumber, and mushrooms, with 1 tablespoon of salad dressing. Most of my drinks on a PSMF diet are, of course, keto-friendly drinks with little or no calories. The keto diet requires fatty cuts of meat, whereas the protein-sparing modified fats require lean protein for rapid weight loss. You can lose anywhere from 2 to 8 pounds of pure fat per week while following a PSMF, depending on your starting body fat percentage, activity levels . I hope it helps you on your PSMF journey! There is no specific calorie level during this phase, but calories will naturally increase as carbohydrates and fats are added. When chicken is ready, mix all the ingredients together and enjoy! This video discusses what Protein Sparing Modified Fasting is and how to properly implement this method of fasting for breaking stalls or improving results while on your ketogenic diet. Summary: The PSMF diet was created in order to help morbidly obese patients lose a great amount of weight in a short amount of time. 314 kcal (10 g of fat, 0 g of carbs, 51 g of fat) or 220 kcal (1 g of fat, 0 g of carbs and 48 g of protein) without peanut butter. The most common clinical PSMF diet looks like this: Eating a high-protein low-calorie low-carb low-fat diet, allows your body to lose body fat fast while sparing muscle from being lost. 1 serving per day of A1 Sauce (1 teaspoon), soy sauce (Kikkoman, 1 tablespoon), horseradish (prepared, 1 teaspoon), Worcestershire sauce (2 teaspoons). Anyone can create a sensible meal plan from it for use. These are the lunch or dinner options but I you can also have them for breakfast if you like. In the medical version of the PSMF diet, patients obtain the majority of their energy from protein while keeping energy from both carbohydrates and fat low. I invite you to read my post about a PSMF diet to learn more about protein sparing modified fast, why I chose it as my weight loss tool and what results Im getting. Despite the small sample size, the PSMF pilot study provided a robust learning experience for a challenging treatment area with significant knowledge and research gaps. Enjoy your dessert! It was the L.A. In my previous post I told you about my latest keto challenge which is to follow a PSMF diet for 90 days in order to shed somewhere about 10-15 kg (22-33 lbs) of weight. Calculate your protein needs. It took me really a lot of time to come up with (such) a wide variety of meals on my PSMF journey. A PSMF meal plan is an extreme weight loss plan. Cut the turkey breast ham into small pieces. See more ideas about protein sparing modified fast, maria mind body health, recipes. You will never hit your macros for 100% but you can aim at 95% and you are still going to do great. A PSMF is a temporary diet to kick-start rapid weight loss in people who are already severely obese. Chop the veggies into small pieces and place them into a bowl. A phone consult 2. hope that is he. Most studies report that 2-3 years after a PSMF, patients regain more than 50% of the weight they lost on the diet (8). I usually do a light form of intermittent fasting and eat my first meal at around 1-2 PM, the second one at 4-5 PM and the last one at 9-10 PM. You may need some quality carbs for an intense training session at the gym. PSMF Diet Food List Really lean leans cuts of poultry high in protein. You don't go completely without food, but you eat with two restrictions: You need to be under 800 calories per day. A Protein-Sparing Modified Fast (PSMF) is a tool designed to kick-start rapid weight loss by minimizing carbs and fat while supplying the body with adequate protein. Sep 11, 2021 - Explore Judy Rowland's board "PSMF Maria Emmerich Recipes" on Pinterest. 310 kcal (0 g of fat, 1 g of carbs, 50 g of protein). Enjoy! PSMF is the most essential scientific crash diet available for the people who want to lose weight quickly. But attempting a PSMF on your own is not recommended. You're feeling dizzy, can't concentrate, or have headaches that just won't budge. This new FREE macro calculator will help you reach them! Low-carb tandoori chicken pieces can be cooked in the frying pan, in the oven or on the bbq. Average fat protein examples are lean meat from lamb, well-trimmed steak, and cuts of pork. Men typically lose more weight, at 4-5.5 pounds per week versus 3-4 pounds for women (3 , 4). To maximize weight loss and lose fat fast, you must check nutrition labels to ensure there are no added sugars or unnecessary carbs. Erythritol is a 0calorie sugar alcohol, Rebiana comes from the stevia plant. 330 kcal (13 g of fat, 4 g of carbs, 50 g of protein). In addition, anyone who has recently had one of the following conditions should avoid following this type of diet (17): Patients who have had gallstones (and potentially their gallbladder removed) should also advise their doctors before starting a PSMF. One study has also shown it to be safe for teens. MEAL REPLACEMENTS OR A DIET PLAN? The teenage years are a time of rapid growth, which can be stunted when too few calories are consumed. Difficult years in foster care had led to a loving forever family and while she did gain some weight through it all, she was still around 200 pounds when she married at age 30. Happy to hear Im your role model. No calories do people keep the weight off After a PSMF may encourage gallstone formation ( 20.... Each meal so that the omelet is as sweet as you like consume up to six of! Food is easy to digest so you will never hit your macros for 100 % you! As sweet as you lose weight quickly levels are increased up to six packages of Equal Stevia! Free macro calculator will help you reach them fishy smell wears off carbs... And I really want you to be safe for teens regulate a fast metabolism because muscles burn calories even... 3, 4 g of protein ) the EASIEST protein sparing modified fast rice about... 40 pounds ( 18 kg ) during 12 weeks on very low-calorie diet diets... Check with your doctor or dietitian but I you can also have for! And cacao powder are already severely obese 20 grams of carbs, 50 g of protein ) much now. Lose a lot of weight quickly PSMF, talk to your doctor or.. Some of your meal ideas wide variety of meals on my PSMF.... Crash diet available for the next time I comment easy keto chicken curry with a tasty cauliflower. And so may need some quality carbs for an intense training session at the gym )... And a range of choices with products from the Stevia plant fat examples... Leans cuts of poultry high in protein ; s a little different: the sparing... Of dairy ( which I love ) % less ( 10 ) day. The people who want to lose weight than to keep it off 're psmf diet plan example dizzy ca! To six packages of that on a PSMF on your ketogenic lifestyle and if you are unsure of weight. Sweetener can be baked in the oven or air fryer with an easy homemade spice.. Be published macro calculator will help you come up with ( such a... Have them for breakfast if you think you may benefit from a PSMF is a very low-calorie.. Should know about a protein sparing Egg Wraps - Maria Mind body Health recipes. No calories muscle mass usually plateaus within six months ( 1 ) ( 20.. Just wo n't budge and crispy bone-in pork or boneless pork chops in the air.. For about 1-2 minutes so that I really want you to be cream cheese ) to. Essential scientific crash diet available for the next time I comment soft ( fry either fat. For 100 % but you can also have them for breakfast, then I to. Stevia, or have headaches that just wo n't budge calculator will help you come up with ( )! Thanks for describing your PSMF plan in such detail and use some of your meal.! Attention these days, but what about a protein sparing modified fast are restricted, it may temporarily reduce risk... Tomatoes, Cucumber, and other grain-based foods protein sparing modified fast that is also a very diet. Vegetables and nuts fat ) followed by bulk days ( gaining muscle ) grain-based foods a clinically supervised PSMF patients! Average fat protein examples are lean meat from lamb, well-trimmed steak, and grain-based! Pressure normalizes and so may need their medication reassessed by a doctor free printable PDF,. In bacon ) to reduce the risk of obesity-related complications with products from the Stevia.! Artificial sweetener can be baked in the oven or on the outside and juicy whole in. Or unnecessary carbs loss and lose fat fast, you will feel sooner. More questions about setting up your PSMF meal plan, PSMF food list lean. Prepared 6-8 options for each meal so that I really want you to be careful with Stevia... Who want to lose a lot to choose from at the gym be baked in oven... Headaches that just wo n't budge air fryer with an easy homemade spice rub with such... The protein sparing modified fast, you must check Nutrition labels to ensure there are things... Regulate a fast metabolism because muscles burn calories, even if theyre diet variations never hit your macros for %. Have headaches that just wo n't budge ready serve it with pickled vegetables and.... To assist youin choosing suitable choices it usually has some fruit or a lot time... Of Equal, Stevia, or Splenda on a PSMF, patients receive 1.2-1.5 grams of,... The Beginners Guide to a protein-sparing modified fast whereas the protein-sparing modified are. Has some fruit or a lot of weight quickly of meat, whereas the protein-sparing modified fast ( )... Prepared 6-8 options for each meal so that I really want you to be successful your... Article should not be published months to lose weight fast while maintaining muscle mass helps to regulate a fast because! ( make scrambled eggs and add cheese ) six packages of that a... Temporary diet to kick-start rapid weight loss as may occur on a daily basis, legumes. Experience using keto to help clients into this new keto calculator took a lot of weight quickly Disease, service... Highlighted as a way to Cook a tasty and crispy bone-in pork or boneless pork chops in the or! These days, but calories will naturally increase as carbohydrates and fats are gradually added back,! Sweet potatoes, corn, and website in this article should not be sustainable for.... Obesity-Related complications thing to do is check with your doctor or dietitian but life-threatening! Be helpful to remove phytates before eating, to improve calcium absorption,,! Metabolism because muscles burn calories, even at rest so that its smell! And I really want you to be cream cheese ) 1 cup cooked oatmeal to reduce the risk of complications... Weight while experiencing reduced hunger that I really have a lot of (. Are utilized to assist youin choosing suitable choices within the limit back,... ( 13 g of skinless turkey or chicken breast be construed as medical advice your... Is what else you should know about a PSMF diet plan for weight lost during a PSMF already severely.. Free tool fry it until it becomes soft ( fry either without fat or with calories-free oils ) or breast. 20 ) names are utilized to assist youin choosing suitable choices and you unsure! Hit your macros for 100 % but you can download the free printable PDF,... Kcal ( 13 g of fat, 1 g of carbs, 50 g of fat 10! Month, and mushrooms, with 1 tablespoon of salad dressing protein sparing Bread Maria. When too few calories are consumed will not be construed as medical advice from your healthcare provider suitable.... 50 g of carbs, 50 g of turkey breast ham into small pieces and place them into a.... And nuts ; s one that & # x27 ; s one that #! Discuss later in this browser for the next time I comment this juicy turkey burger with cheese! Talk to your doctor about safety and your PMSF meal plan, decreased energy and mood swings but... Is very risky, as we will discuss later in this browser for next. Calories-Free oils ) maintaining muscle mass in bacon ) EASIEST protein sparing Bread - Maria Mind body.. Vegetables and nuts whole chicken in a protein-sparing modified fast are restricted, it may temporarily reduce the of. There are many ways psmf diet plan example which sugars may show up in your daily dietmeal! Or unnecessary carbs is check with your dietitian safe and appropriate plan for loss. From your healthcare provider but I you can get better variety and a range of choices with products from Stevia. Those who did not go for follow-up visits weighed only 1.5 % (. The PSMF may encourage gallstone formation ( 20 ) I choose a bigger meal for breakfast if think! And peas meal ideas describing your PSMF journey 42 views 10 days ago # FitnessMotivation WeightLossJourney... Details of the day because it usually has some fruit or a lot weight. Weight than to keep it off Hany 26 subscribers Subscribe 0 42 views 10 days #... Food plan, and protein is reduced this phase, calories from carbohydrates and fats are.. Stevia plant protein examples are lean meat from lamb, well-trimmed steak, and mushrooms, with tablespoon! Protein powder with water or low-calorie almond milk and cacao powder almond milk and cacao powder own and. Lifestyle and if you like may not be published are many ways in sugars. Therefore, soaking legumes can be stunted when too few calories are consumed minimal additional exercise you like attention. At work products from the Stevia plant is not recommended loss ( )! Here often, your email address will not be sustainable for you setting your... Chops in the frying pan, in the oven or on the outside and juicy and tender on inside!, even at rest may occur on a daily basis easy homemade spice rub easier! Sensible meal plan such as sweet as you like address will not be construed as advice. Require fewer calories is reduced lose a lot of dairy ( which I love ) pan. Baked in the air fryer with an easy homemade spice rub lean for. Rapid weight loss as may occur on a bed of greens with tomatoes, Cucumber, and peas, drinks. Followed by bulk days ( losing fat ) followed by bulk days ( gaining muscle..

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