What was once a friendly and organised gym has turned into a miserable experience since pure gym took over from soho gym in Lewisham. They released nearly all the instructors, some of whom had been working… More there for 20+ years and had built up a loyal clientele. No notice, no suitable replacements and now most classes are taken by PTs who have had little or no training. It's a joke and dangerous to train with instructors who do not appear to be qualified to teach group classes. The entire atmosphere has changed and loyal gym members have left in their droves. The low prices are not an incentive to stay. I'd rather pay more and have the excellent Les Mills classes taught by proper Les Mills instuctors thanks... just as they were before.
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Dr. David P. Rapaport, founder and Medical Director of Coolspa, created Coolspa to address the need in New York for a patient-centric, high quality facility where clients could experience top-tier body contouring in a relaxed, comfortable setting. Most importantly, the Coolspa ethos is based on patient education. Only by being educated about their condition, all relevant treatment options, advantages and disadvantages of those options, can patients make optimal treatment decisions.
While some of these problems still occur (notably the need for transfusions), experts say it's on a much smaller scale in the last few years. In a study presented in 2003 at an American Society of Plastic Surgeons conference in San Diego, researchers found that many such complications could be avoided if patients allowed more time to elapse between weight loss surgery and plastic surgery.

"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.
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