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It depends what you use. In certain situations I will inject a temporary material into the vocal cord if I think that there is a chance someway down the line that the vocal cord is going to start moving again. So if the patient has had, let’s say, a thyroid operation, which is one of the more common reasons for a vocal cord to stop working because the nerve can be damaged in the course of a thyroid operation, if a patient’s had a thyroid operation but the thyroid surgeon is very clear that the nerve was okay in the operation, we think that maybe the reason the vocal cord’s not moving is just that the nerve was bruised, in that situation I anticipate that that vocal cord is going to start moving again at some stage in the next few weeks or months, so what I’ll do is to inject a temporary material that will dissipate over the course of three or four months, I’ll wait for the vocal cord to start moving again and if and when it does then the patient just goes on their way. If the vocal cord doesn’t start moving again then I can inject something more permanent. So there’s a range of different materials you can use to inject according to what the clinical situation is. ) 2 day diet lose weight Here’s what I’m noticing My weight gradually lowers, or steadies, as the days go on. Then, after days with activity (2+ hour bike rides, 1 hr pickup basketball), my weight creeps up about 4 or so pounds. This is fairly consistent with the day after exercise. Sometimes, on post exercise days, I’m a lot hungrier than normal(which I would expect). A few days later, those 4lbs are gone and i’m back on my downward trend(yay!).
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Are you getting ready for the big day next month? And if you are, or you wanted to complete 30 day wedding diet. Well, don’t sweat it. botanical slimming natural soft gel Hormones play a big role here, (surprise, surprise!) since we women tend to hold onto weight where we store estrogen: in our butts, hips, thighs, upper arms, and yes, of course, our stomachs. One of the quickest ways to redress this issue as adults, is to decrease alcohol, which makes our bodies hold onto ‘puff’ in those areas. Ever notice that if you are drinking regularly when you take some breaks and eat the same amount, you lose weight? Other tip: since we women already have generally more muscle mass in our legs, hips and thighs; designed for carrying kids around, do pushups! You want to increase the muscle mass and therefore metabolism, in your upper body!