"People who lose 100 pounds or more feel healthier, they know they are healthier, they can do things they could not do before. But when they look at their body, it's a constant reminder of where they were – and it can sometimes make it difficult to move on with their life," says J. Peter Rubin, MD, director of the Life After Weight Loss Surgery Center at the University of Pittsburgh School of Medicine.

"Be aware that we live in a very competitive environment whereby youth is king and people are looking for less-invasive procedures, and these procedures are now for the first time being directly marketed by the manufacturer in consumer magazines," points out session moderator Franklin L. DiSpaltro, MD, a plastic surgeon in West Orange, N.J., and a past president of ASAPS.
SOURCES: American Society of Plastic Surgeons web site. Frances Kuffel, author, Passing For Thin. J. Peter Rubin, MD, director, Life After Weight Loss Center, University of Pittsburgh School of Medicine. Stephen Colon, MD, chief, plastic and reconstructive surgery, Hackensack University Medical Center, New Jersey; Nolan Karp, MD, associate professor of plastic surgery, NYU School of Medicine, New York. WebMD Medical News: "Body Contouring OK after Big Weight Loss." Plastic Surgery Statistics, American Society of Plastic Surgeons.

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1.   PureGym is the UK's leading gym operator providing low-cost and high-quality fitness facilities for one million members spread across more than 200 sites. PureGym was launched in 2009 and pioneered the model for affordable, flexible, high-quality fitness clubs in the UK. Members pay monthly and have no contract commitment. Most of its gyms are open 24 hours a day across the UK and offer a full range of top of the line equipment including cardiovascular equipment, fixed-resistance and free weights. Each gym typically offers over 220 pieces of fitness equipment and up to 80 group exercise classes each week delivered by around 2,200 personal trainers. In November 2017, affiliates of Leonard Green & Partners, L.P. acquired a controlling interest in the business. The business has appeared 4 times on the Sunday Times Fast Track Top 100 list, won awards as the overall Fast Track Brand of the Year in 2017 and the Fast Track Outstanding Achievement Award in 2018, and was a winner of the Virgin Media Disruptor Award in 2016.

Muscles tend to grow when they have been outright fatigued by the overload of work. To put it simply, it means that the workload put on the muscles should be more than it can take. This will allow the muscles to fatigue out which is the foundation for strength training. The muscle fibers are broken down through repetitive exercises and eventually, grow stronger with passing time.


Fantastic, well equipped gym, that is great value for money. Highly recommended. Only fault and it's similar with most modern day gyms is they can be highly impersonal and for some intimidating! Best way to go beyond the status quo and get those 5 stars is to have real people casually helping out and advising folk, who might be new to it all. Radical idea! I know it means paying more salaries but the benefits of having spotters and specialists there in hand will mean more gym attendees in the medium to long term. My two cents worth! Live Long and Exercise. C.J
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