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Abortion Education | Choices Clinic between 13 to 24 weeks after LMP This surgical abortion is done during the second trimester of pregnancy. In this procedure, the cervix must be opened wider than in a first trimester abortion because the fetus is larger. This is done by inserting numerous thin rods made of seaweed into the cervix a day or two before the abortion. Sometimes, other oral or vaginal medications are used to further soften the cervix. The day of the procedure, after anesthesia is given (local or general), the cervix is further stretched open using metal rods. Until about 16 weeks gestation, the procedure starts with a plastic tube inserted through the cervical opening and suction is applied. The suction pulls the fetus’ body apart and out of the uterus any remaining fetal parts are removed with a grasping tool (forceps). A sharp tool (called a curette) may also be used to remove any remaining tissue. After 16 weeks, much of the procedure is done with forceps to pull fetal parts out through the cervical opening. The doctor keeps track of what fetal parts have been removed so that none are left inside to potentially cause infection.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#5_1844480790
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Abortion Education | Choices Clinic Until about 16 weeks gestation, the procedure starts with a plastic tube inserted through the cervical opening and suction is applied. The suction pulls the fetus’ body apart and out of the uterus any remaining fetal parts are removed with a grasping tool (forceps). A sharp tool (called a curette) may also be used to remove any remaining tissue. After 16 weeks, much of the procedure is done with forceps to pull fetal parts out through the cervical opening. The doctor keeps track of what fetal parts have been removed so that none are left inside to potentially cause infection. Lastly, a curette, and/or the suction machine is used to remove any remaining tissue or blood clot ensuring the uterus is empty. [ 5, 6, 7] Dilation and Evacuation (D & E) After Potential Viability: about 24 weeks and up When the abortion is done at a point when a live birth is possible, injections are given to cause fetal death. This is done in order to comply with the federal law which requires that the fetus be dead before complete removal from the mother’s body. The medications (digoxin and potassium chloride) are either injected into the amniotic fluid, the umbilical cord or directly into the fetus’ heart.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#6_1844482834
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Abortion Education | Choices Clinic Lastly, a curette, and/or the suction machine is used to remove any remaining tissue or blood clot ensuring the uterus is empty. [ 5, 6, 7] Dilation and Evacuation (D & E) After Potential Viability: about 24 weeks and up When the abortion is done at a point when a live birth is possible, injections are given to cause fetal death. This is done in order to comply with the federal law which requires that the fetus be dead before complete removal from the mother’s body. The medications (digoxin and potassium chloride) are either injected into the amniotic fluid, the umbilical cord or directly into the fetus’ heart. The remainder of the procedure is the same as described above. An alternate technique called “Intact D and E” may also be used. The goal of this procedure is to remove the fetus in one piece thus reducing the risk of leaving parts behind to cause infection, among other things. This procedure requires the cervix to be open even further by inserting the seaweed rods in the cervix two or more days prior to the abortion. Often it is necessary to crush the fetus’ skull for removal as it is difficult to dilate the cervix enough to bring the head out intact. [
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#7_1844484865
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Abortion Education | Choices Clinic The remainder of the procedure is the same as described above. An alternate technique called “Intact D and E” may also be used. The goal of this procedure is to remove the fetus in one piece thus reducing the risk of leaving parts behind to cause infection, among other things. This procedure requires the cervix to be open even further by inserting the seaweed rods in the cervix two or more days prior to the abortion. Often it is necessary to crush the fetus’ skull for removal as it is difficult to dilate the cervix enough to bring the head out intact. [ 8, 9, 10] Medication Abortion RU486 (Abortion Pill) This drug is only approved by the Food & Drug Administration for use in women up to the 49th day after their last menstrual period; however, it is commonly used “off label” up to 63 days. This procedure usually requires three office visits. On the first visit, the woman is given pills to cause the death of the fetus. Two days later, if the fetus has not been expelled from her body, the woman is given a second drug (misoprostol) to accomplish this.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#8_1844486781
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Abortion Education | Choices Clinic 8, 9, 10] Medication Abortion RU486 (Abortion Pill) This drug is only approved by the Food & Drug Administration for use in women up to the 49th day after their last menstrual period; however, it is commonly used “off label” up to 63 days. This procedure usually requires three office visits. On the first visit, the woman is given pills to cause the death of the fetus. Two days later, if the fetus has not been expelled from her body, the woman is given a second drug (misoprostol) to accomplish this. One to two weeks later, an evaluation is done to determine if the procedure has been completed. [ 11, 12] RU486 will not work in the case of an ectopic pregnancy. This is a potentially life-threatening condition in which the embryo lodges outside the uterus, usually in the fallopian tube. [ 13, 14] If an ectopic pregnancy is not diagnosed early, the tube may burst, causing internal bleeding and in some cases, the death of the woman. Medical Methods for Second Trimester Induced Abortion This technique involves the termination of pregnancy by the stimulation of labor-like contractions that cause eventual expulsion of the fetus and placenta from the uterus.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#9_1844488788
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Abortion Education | Choices Clinic One to two weeks later, an evaluation is done to determine if the procedure has been completed. [ 11, 12] RU486 will not work in the case of an ectopic pregnancy. This is a potentially life-threatening condition in which the embryo lodges outside the uterus, usually in the fallopian tube. [ 13, 14] If an ectopic pregnancy is not diagnosed early, the tube may burst, causing internal bleeding and in some cases, the death of the woman. Medical Methods for Second Trimester Induced Abortion This technique involves the termination of pregnancy by the stimulation of labor-like contractions that cause eventual expulsion of the fetus and placenta from the uterus. Like labor at full term, this procedure typically involves 10-24 hours in the hospital labor and delivery unit. Digoxin or potassium chloride is injected into the amniotic fluid, or umbilical cord or fetal heart prior to the procedure in order to avoid the delivery of a live baby. The cervix may be softened either with the use of seaweed sticks, or medications at the start of the procedure. Various combinations of oral mifepristone and oral or vaginal misoprostol are the medications of choice for midtrimester pregnancy terminations. These medications cause the pregnancy to detach from the uterus and the uterus to contract and expel the fetus and placenta, in most cases.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#10_1844490958
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Abortion Education | Choices Clinic Like labor at full term, this procedure typically involves 10-24 hours in the hospital labor and delivery unit. Digoxin or potassium chloride is injected into the amniotic fluid, or umbilical cord or fetal heart prior to the procedure in order to avoid the delivery of a live baby. The cervix may be softened either with the use of seaweed sticks, or medications at the start of the procedure. Various combinations of oral mifepristone and oral or vaginal misoprostol are the medications of choice for midtrimester pregnancy terminations. These medications cause the pregnancy to detach from the uterus and the uterus to contract and expel the fetus and placenta, in most cases. Throughout the procedure, the patient may receive oral or intravenous pain medications. Occasionally, a scraping of the uterus is needed to remove the placenta. Potential complications include hemorrhage and the need for a blood transfusion, retained placenta and uterine rupture. The absolute risk of uterine rupture is not known. [ 15] Consider the Immediate Risks of Induced Abortion:
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#11_1844492852
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Abortion Education | Choices Clinic Throughout the procedure, the patient may receive oral or intravenous pain medications. Occasionally, a scraping of the uterus is needed to remove the placenta. Potential complications include hemorrhage and the need for a blood transfusion, retained placenta and uterine rupture. The absolute risk of uterine rupture is not known. [ 15] Consider the Immediate Risks of Induced Abortion: Physical Risks Abortion carries the risk of significant complications such as bleeding, infection, and damage to organs. Serious medical complications occur infrequently in early abortions, but increase with later abortions [16, 17]. Getting complete information on the risks associated with abortion is limited due to incomplete reporting and the lack of record-keeping linking abortions to complications. The information that is available reports the following risks. Bleeding Some bleeding after abortion is normal.
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#12_1844494588
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Abortion Education | Choices Clinic Physical Risks Abortion carries the risk of significant complications such as bleeding, infection, and damage to organs. Serious medical complications occur infrequently in early abortions, but increase with later abortions [16, 17]. Getting complete information on the risks associated with abortion is limited due to incomplete reporting and the lack of record-keeping linking abortions to complications. The information that is available reports the following risks. Bleeding Some bleeding after abortion is normal. However, if the cervix is torn or the uterus is punctured, there is a risk of severe bleeding known as hemorrhaging. [ 18, 19, 20] When this happens, a blood transfusion may be required. Severe bleeding is also a risk with the use of the abortion pill: one in 100 women require surgery to stop the bleeding. [ 21] Infection Infection can develop from the insertion of medical instruments into the uterus, or from fetal body parts that are mistakenly left inside (known as an incomplete abortion).
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#13_1844496434
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Abortion Education | Choices Clinic However, if the cervix is torn or the uterus is punctured, there is a risk of severe bleeding known as hemorrhaging. [ 18, 19, 20] When this happens, a blood transfusion may be required. Severe bleeding is also a risk with the use of the abortion pill: one in 100 women require surgery to stop the bleeding. [ 21] Infection Infection can develop from the insertion of medical instruments into the uterus, or from fetal body parts that are mistakenly left inside (known as an incomplete abortion). This may cause bleeding and a pelvic infection requiring antibiotics and a repeat abortion to fully empty the uterus. [ 22, 23] Infection may cause scarring of the pelvic organs. [ 24, 25] Use of the abortion pill has resulted in the death of a number of women due to sepsis (total body infection). [ 26, 27] Damage to Organs The cervix and/or uterus may be cut, torn, or damaged by abortion instruments. This may cause excessive bleeding requiring surgical repair. [
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#14_1844498229
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Abortion Education | Choices Clinic This may cause bleeding and a pelvic infection requiring antibiotics and a repeat abortion to fully empty the uterus. [ 22, 23] Infection may cause scarring of the pelvic organs. [ 24, 25] Use of the abortion pill has resulted in the death of a number of women due to sepsis (total body infection). [ 26, 27] Damage to Organs The cervix and/or uterus may be cut, torn, or damaged by abortion instruments. This may cause excessive bleeding requiring surgical repair. [ 28] Curettes and other abortion instruments may cause permanent scarring of the uterine lining. [ 29] The risk of these types of complications increases with the length of the pregnancy. If complications occur, major surgery may be required, including removal of the uterus (known as a hysterectomy). [ 30] If the uterus is punctured or torn, there is also a risk that damage may occur to nearby organs such as the bowel and bladder. [ 31] Death In extreme cases, complications from abortion (excessive bleeding, infection, organ damage from a perforated uterus, and adverse reactions to anesthesia) may lead to death. [
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#15_1844500148
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Abortion Education | Choices Clinic 28] Curettes and other abortion instruments may cause permanent scarring of the uterine lining. [ 29] The risk of these types of complications increases with the length of the pregnancy. If complications occur, major surgery may be required, including removal of the uterus (known as a hysterectomy). [ 30] If the uterus is punctured or torn, there is also a risk that damage may occur to nearby organs such as the bowel and bladder. [ 31] Death In extreme cases, complications from abortion (excessive bleeding, infection, organ damage from a perforated uterus, and adverse reactions to anesthesia) may lead to death. [ 32, 33] This complication is rare. Consider Long Term Risks of Induced Abortion Finding out the real risks of abortion can be difficult. Women should be given comprehensive information before going through a procedure or taking a medicine that could have lifelong effects on health. Doctors should obtain informed consent before doing a medical procedure. Consider the following as you make your decision:
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#16_1844502004
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Abortion Education | Choices Clinic 32, 33] This complication is rare. Consider Long Term Risks of Induced Abortion Finding out the real risks of abortion can be difficult. Women should be given comprehensive information before going through a procedure or taking a medicine that could have lifelong effects on health. Doctors should obtain informed consent before doing a medical procedure. Consider the following as you make your decision: Abortion and Preterm Birth Women who undergo one or more induced abortions carry a significantly increased risk of delivering prematurely in the future. Premature delivery is associated with higher rates of cerebral palsy, as well as other complications of prematurity (brain, respiratory, bowel, and eye problems). [ 34, 35, 36, 37] Abortion and Breast Cancer Medical experts continue to debate the association between abortion and breast cancer. Did you know that carrying a pregnancy to full term gives a measure of protection against breast cancer? Terminating a pregnancy results in loss of that protection. [
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1010983830#17_1844503855
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Abortion Education | Choices Clinic Abortion and Preterm Birth Women who undergo one or more induced abortions carry a significantly increased risk of delivering prematurely in the future. Premature delivery is associated with higher rates of cerebral palsy, as well as other complications of prematurity (brain, respiratory, bowel, and eye problems). [ 34, 35, 36, 37] Abortion and Breast Cancer Medical experts continue to debate the association between abortion and breast cancer. Did you know that carrying a pregnancy to full term gives a measure of protection against breast cancer? Terminating a pregnancy results in loss of that protection. [ 38, 39] Despite the controversy around this issue, it is important for women to know what some experts say: a number of reliable studies have demonstrated connection between abortion and later development of breast cancer. [ 40, 41, 42, 43, 44, 45] For more information regarding this potential risk, contact Option Line. Emotional and Psychological Impact Fol
http://choicesclinic.net/abortion-education/
msmarco_v2.1_doc_00_1011004325#0_1844505664
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Choices for People Center Choices for People Center Our History Choices for People Center, was started in 1957, as the Rolla Cerebral Palsy School by a grass root organization. It was created to fill a need for services for the disabled. A group of members and families from the community came together to provide services that were not available at the time. In 1992 the name was changed to Choices For People Center, and focus was targeted towards adults who needed services. These services include Employment Services, Adult Day Services, Community Living and Individual Supported Living programs. Choices For People Center is a 501 (c) (3) not-for-profit corporation. Our Mission Choices for People Center, Inc. provides year-round instructional programs and support services designed to aid individuals with disabilities in developing essential life skills. These skills promote inclusion, independence, self-sufficiency, and productivity; and aim to maximize the individual's quality of life in the least restrictive environment possible. Choices for People Center, Inc. makes referrals, assists in individual goal-oriented program planning, and acts as an advocate in the community through the removal of attitudinal, architectural, environmental, financial, employment-related, communicational, transportation, and other barriers.
http://choicesforpeoplecenter.org/index.asp
msmarco_v2.1_doc_00_1011004325#1_1844507196
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Choices for People Center Choices For People Center is a 501 (c) (3) not-for-profit corporation. Our Mission Choices for People Center, Inc. provides year-round instructional programs and support services designed to aid individuals with disabilities in developing essential life skills. These skills promote inclusion, independence, self-sufficiency, and productivity; and aim to maximize the individual's quality of life in the least restrictive environment possible. Choices for People Center, Inc. makes referrals, assists in individual goal-oriented program planning, and acts as an advocate in the community through the removal of attitudinal, architectural, environmental, financial, employment-related, communicational, transportation, and other barriers. Our Philosophy Choices for People Center, Inc. believes that people with disabilities have the same rights and the same responsibilities as other persons; and that the fundamental right of all human beings is to fulfill their potential as well as to make choices and exercise control over their own lives. It is each individual's right to maximize his or her own quality of life. Vision Statement Choices For People will enthusiastically and readily set and accomplish its goals through: Providing a professional, well-trained, compassionate staff The involvement of the individuals network, family, friends, neighbors and co-workers Promote the rights of individuals with disabilities Person centered supports Provide a safe and positive environment Maintain a well-managed business Stake holder partnerships Sustain a diverse culture where everyone is appreciated Always celebrate successes Contact Bob Pellegrin, Director--CEO [email protected]
http://choicesforpeoplecenter.org/index.asp
msmarco_v2.1_doc_00_1011006774#0_1844509115
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What's In A Name, PLLC? | Choices Mental Health Counseling PLLC What's In A Name, PLLC? | Choices Mental Health Counseling PLLC You are here Home › Blogs › tomrue's blog What's In A Name, PLLC? Submitted by tomrue on March 2, 2011 - 8:03pm "Choices Mental Health Couneling, PLLC", as a professional limited liability corporation, born on March 1, 2011, according to a filing receipt issued by the New York State Department of State, Division of Corporations. Prior approval by the New York State Department of Education was obtained before the Articles of Incorporation could be filed. The purpose of the corporation is the provision of mental health counseling services as defined in Education Law § 8402. What does "PLLC" mean? Similar to "LLC" or "PC", with some differences in New York State law... "Professional corporations (PC's) and professional limited liability companies (PLLC's) are corporations and limited liability companies organized for the purpose of providing professional services. Usually, professions where the state requires a license to provide services, such as a doctor, chiropractor, lawyer, accountant, architect, or engineer, require the formation of a professional corporations or PLLC" Previously known as "Choices Counseling Services" under a certificate of business name filed with the Sullivan County Clerk in August 2010, no changes in operation or the nature of services are anticipated. tomrue's blog Main menu Home Telehealth Forms Self Help Policies Staff Credentials Payment Events Logo DWI US DOT SAP Gambling Contact Info Office: 845-513-5002 Secure Fax:
http://choicesmhc.com/?q=cmhc
msmarco_v2.1_doc_00_1011006774#1_1844511014
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What's In A Name, PLLC? | Choices Mental Health Counseling PLLC What does "PLLC" mean? Similar to "LLC" or "PC", with some differences in New York State law... "Professional corporations (PC's) and professional limited liability companies (PLLC's) are corporations and limited liability companies organized for the purpose of providing professional services. Usually, professions where the state requires a license to provide services, such as a doctor, chiropractor, lawyer, accountant, architect, or engineer, require the formation of a professional corporations or PLLC" Previously known as "Choices Counseling Services" under a certificate of business name filed with the Sullivan County Clerk in August 2010, no changes in operation or the nature of services are anticipated. tomrue's blog Main menu Home Telehealth Forms Self Help Policies Staff Credentials Payment Events Logo DWI US DOT SAP Gambling Contact Info Office: 845-513-5002 Secure Fax: 866-428-0282 E-Mail Form Psychology Today profile Facebook Page Office Tour (Video) CLICK FOR DIRECTIONS: 32 MOUNTAIN MALL PLAZA, SUITE 2, 121 BROADWAY MONTICELLO, NEW YORK Three doors over from Aldi's. [ Google Street View] How To Schedule Medicaid Transportation Insurances Aetna Behavioral Affinity Health Plan Allied Benefit System Beacon Health Options CDPHP CIGNA Behavioral Emblem Health Empire BCBS Fidelis Care NY FirstHealth GHI HealthFirst Hudson Health Plan Local 1199 SEIU MVP Healthcare MagnaCare TRICARE Unicare ValueOptions
http://choicesmhc.com/?q=cmhc
msmarco_v2.1_doc_00_1011009197#0_1844512819
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msmarco_v2.1_doc_00_1011009197#1_1844514474
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Direct Pro - Level II Direct Access Trading Software Use Level II data to quickly spot imbalances on the Bid or Ask side. Plus, you can easily track Market Makers and ECNs to see who are the major players in each stock and whether they're buying or selling. Combine Level II with real-time intra-day Charts and Time & Sales windows, and you have the best opportunity to trade off of buy side or sell side biases. Level 2 quotes are available for NASDAQ, NYSE, AMEX, OTC-BB and Pink Sheet stocks Order types include market, limit, stop and trailing stop Access multiple execution routes including ARCA, INET, ISLD, BRUT, OESO, SIZE, TRAC, SBSH, NITE and many more. Intraday Charts ChoiceTrader Pro gives you a wealth of charting capabilities and timing indicators. Choose from a full range of chart types including Price, Candlestick and Bar. Plus, go right into the action with real-time daily charts and intra-day charts. Then ramp up your market technical analysis with advanced indicators (including Bollinger Bands, Stochastics, MACD, Fibonacci, Moving Averages, Trend Lines, Volume, RSI, CCI, DMI and many other popular indicators), trend line studies and drawing tools. All of which are updated in real-time, tick by tick. This type of up-to-the-tick analysis is an incredible advantage for active traders targeting quick momentum moves or for investors that want the best buy or sell price for their longer term trading strategies.
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#2_1844516128
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msmarco_v2.1_doc_00_1011009197#3_1844517538
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Direct Pro - Level II Direct Access Trading Software Market View One of the most exciting and insightful tools is the Market View Quote List Streamer. This real-time streaming quote list serves several functions at once. First, it gives you immediate streaming real-time knowledge of where the securities you're following are right now. It instantly alerts you when your price or volume targets are met. Second, it provides over 10 data points including Last Trade, Bid & Ask, Intra-day High & Low, Change, Volume and more. You can personalize the quote list streamer by programming in only the stocks you want to watch. Top List Pinpoint the hot stocks to trade for the day. Our Top List window allows you to see which stocks are the most active and biggest gainers and biggest losers with just a glance at your screen. For example, watch as a list the NASDAQ's and the NYSE's most active and highest gainers and biggest losers updated on your screen every second. You'll see which stocks have posted the highest percentage gains or losses so far for the day.
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#4_1844518811
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Direct Pro - Level II Direct Access Trading Software You can personalize the quote list streamer by programming in only the stocks you want to watch. Top List Pinpoint the hot stocks to trade for the day. Our Top List window allows you to see which stocks are the most active and biggest gainers and biggest losers with just a glance at your screen. For example, watch as a list the NASDAQ's and the NYSE's most active and highest gainers and biggest losers updated on your screen every second. You'll see which stocks have posted the highest percentage gains or losses so far for the day. This easy-to-read consolidated window allows you to see several columns on your screen at once. Account Manager The Account Manager is the accounting center of ChoiceTrader Direct Pro. This window contains two separate areas which dynamically track your positions and buying power. Both of these boxes together help you manage your risk and maximize your trading potential. The Account box allows you to see your buy powers, realized and unrealized gains & losses, trade tickets and share amounts.
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#5_1844520112
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Direct Pro - Level II Direct Access Trading Software This easy-to-read consolidated window allows you to see several columns on your screen at once. Account Manager The Account Manager is the accounting center of ChoiceTrader Direct Pro. This window contains two separate areas which dynamically track your positions and buying power. Both of these boxes together help you manage your risk and maximize your trading potential. The Account box allows you to see your buy powers, realized and unrealized gains & losses, trade tickets and share amounts. The Positions box shows you all your position data including symbol, shares, average cost, realized and unrealized gains & losses and more. Trade Manager Keep complete track & control of your open orders, trades, positions, account balance, realized & unrealized profit & loss, and buying power all in real time. The Orders box lets you see your open orders in real-time, so you never lose track of where your order is in the market. The Trade boxes show you any trades you placed that were executed that day. ECN Books Display the full Instinet Island ECN book for the security selected.
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#6_1844521466
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Direct Pro - Level II Direct Access Trading Software The Positions box shows you all your position data including symbol, shares, average cost, realized and unrealized gains & losses and more. Trade Manager Keep complete track & control of your open orders, trades, positions, account balance, realized & unrealized profit & loss, and buying power all in real time. The Orders box lets you see your open orders in real-time, so you never lose track of where your order is in the market. The Trade boxes show you any trades you placed that were executed that day. ECN Books Display the full Instinet Island ECN book for the security selected. This information is received directly from ISLD (INET) on a dedicated line. Under normal conditions, if you look closely at the Island book as compared to Level II window you will see the book can update a fraction of a second prior to the Level II window. This is due to the fact that we are providing the feed directly from Island. The ISLD book is a great tool for pre and post market trading as well. ChoiceTrader Direct Pro also gives you access to the ISLD ECN route for trading, so you can post a bid or ask that will appear in the book.
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#7_1844522865
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Direct Pro - Level II Direct Access Trading Software This information is received directly from ISLD (INET) on a dedicated line. Under normal conditions, if you look closely at the Island book as compared to Level II window you will see the book can update a fraction of a second prior to the Level II window. This is due to the fact that we are providing the feed directly from Island. The ISLD book is a great tool for pre and post market trading as well. ChoiceTrader Direct Pro also gives you access to the ISLD ECN route for trading, so you can post a bid or ask that will appear in the book. You can also place an order to execute against any bid or ask that is currently shown in the ISLD (INET) book. ChoiceTrader Direct Pro also gives you direct access to other ECNs and routes including; ARCA (Archipelago), INET (Instinet), BRUT (Brass Utility), OESO (Order Execution Services), SIZE (Super SOES), TRAC (Track ECN) and many more. Real-Time Stock News Breaking News features focus on: Earnings Reports Earnings Warnings, Pre-announcements Earnings Surprises FDA Approval or Denial Mergers & Acquisitions News Alliances, Partnerships, Major Product Releases Major Contract Wins & Losses Restructuring, Layoffs, Management Changes Stock Splits, Buy Backs, Debt Offerings Market Momentum & Trend And More News Stories... Real-time stock market news headlines are FREE with ChoiceTrader Direct Pro!
http://choicetrade.com/dtpro_overview.html
msmarco_v2.1_doc_00_1011009197#8_1844524489
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Direct Pro - Level II Direct Access Trading Software You can also place an order to execute against any bid or ask that is currently shown in the ISLD (INET) book. ChoiceTrader Direct Pro also gives you direct access to other ECNs and routes including; ARCA (Archipelago), INET (Instinet), BRUT (Brass Utility), OESO (Order Execution Services), SIZE (Super SOES), TRAC (Track ECN) and many more. Real-Time Stock News Breaking News features focus on: Earnings Reports Earnings Warnings, Pre-announcements Earnings Surprises FDA Approval or Denial Mergers & Acquisitions News Alliances, Partnerships, Major Product Releases Major Contract Wins & Losses Restructuring, Layoffs, Management Changes Stock Splits, Buy Backs, Debt Offerings Market Momentum & Trend And More News Stories... Real-time stock market news headlines are FREE with ChoiceTrader Direct Pro! You get our realtime stock market breaking news feed at no extra charge when your account is on the software. Time of Sale Dynamically updating Time & Sales windows list detailed trade information as it occurs in real time, instantly displaying a color coded list of every trade executed for a security. You see the price, the size, and the exact time the trade was executed. This incredibly insightful tool helps you gauge the support and resistance of certain price points and determine the volume behind each trade. We also have a ECN time and sales for INCA, ISLD and BRUT.
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msmarco_v2.1_doc_00_1011015584#0_1844526150
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com Symbolic Wheels and Rims Wheels are also among those auto contraptions which can provide your vehicle added appeal. You can have Symbolic wheels as a final touch. The good thing about Symbolic wheels is that they do not only possess good looks, they also provide a wider tire that translates to better traction and handling. You can also employ custom Symbolic wheels. Symbolic wheels usually come with innovative rim designs that can go a long way in making your car look stunning and attractive. In the early days, people had a hard time dragging things across the ground. To help them in this task, they first devised various forms of yokes, so that the two or more persons or animals could work together to drag the same heavy load. So people find ways on how to improve this thing, and then came up with today's wheels. Wheels are used in conjunction with an axle; either the wheel turns on the axle or the wheel is rigidly attached to the axle which then turns in bearings in the body of any vehicle.
http://choicewheels.com/brands/Symbolic_Wheels/
msmarco_v2.1_doc_00_1011015584#1_1844527687
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com In the early days, people had a hard time dragging things across the ground. To help them in this task, they first devised various forms of yokes, so that the two or more persons or animals could work together to drag the same heavy load. So people find ways on how to improve this thing, and then came up with today's wheels. Wheels are used in conjunction with an axle; either the wheel turns on the axle or the wheel is rigidly attached to the axle which then turns in bearings in the body of any vehicle. Reviews of newer vehicles are something that is warranted on Choice Wheels. We constantly look through the new models of vehicles that have come to the market, and try to review them all. This way, we hope we are offering a unique experience to our site visitors. Keeping up on newer vehicles which have come to market is always a good idea. Many new vehicles now have fully intergrated navigation systems, complete audio systems, GPS, reverse cameras and other features.
http://choicewheels.com/brands/Symbolic_Wheels/
msmarco_v2.1_doc_00_1011015584#2_1844529123
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com Reviews of newer vehicles are something that is warranted on Choice Wheels. We constantly look through the new models of vehicles that have come to the market, and try to review them all. This way, we hope we are offering a unique experience to our site visitors. Keeping up on newer vehicles which have come to market is always a good idea. Many new vehicles now have fully intergrated navigation systems, complete audio systems, GPS, reverse cameras and other features. These accessories often come with the vehicle itself now, so you don't have to add the features after purchase. Order Symbolic Steel Rims / Alloy Wheels Ask for details on Symbolic rims/ wheels. Provide us your car make and model. Inquiry details Symbolic Wheel Center Cap $29.00USD Symbolic wheel center cap is made of chrome material and ... Symbolic Wheel Center Cap Chrome $35.00USD Symbolic chrome wheel center cap is with chrome plastic finish ... Symbolic Testimonials/Reviews “ Symbolic 24 center cap Im looking for symbolic center cap for 24 xr33 if any one knows where to get them please let me know. Jose posted on Saturday, March 17, 2012 “ XR 21 LUXURY SYMBOLIC CENTER CAPS I NEED 4 CENTER CAPS FOR SYMBOLIC WHEELS XR21 24 IN.
http://choicewheels.com/brands/Symbolic_Wheels/
msmarco_v2.1_doc_00_1011015584#3_1844530811
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com These accessories often come with the vehicle itself now, so you don't have to add the features after purchase. Order Symbolic Steel Rims / Alloy Wheels Ask for details on Symbolic rims/ wheels. Provide us your car make and model. Inquiry details Symbolic Wheel Center Cap $29.00USD Symbolic wheel center cap is made of chrome material and ... Symbolic Wheel Center Cap Chrome $35.00USD Symbolic chrome wheel center cap is with chrome plastic finish ... Symbolic Testimonials/Reviews “ Symbolic 24 center cap Im looking for symbolic center cap for 24 xr33 if any one knows where to get them please let me know. Jose posted on Saturday, March 17, 2012 “ XR 21 LUXURY SYMBOLIC CENTER CAPS I NEED 4 CENTER CAPS FOR SYMBOLIC WHEELS XR21 24 IN. I HAVE LOOKED EVERYWHERE AND CANNOT FIND THEM. IF YOU DON'T HAVE THEM COULD YOU TELL ME WHO MIGHT HAVE THEM/ TANYA LASTER posted on Monday, April 04, 2011 Many Symbolic Authorized Dealers offer Free Shippping on their in-stock orders. With a bit of research, you should be able to find Wholesale Symbolic Wheels and Rims or at least, you should never have to pay full retail price! It pays to shop around, discounted Symbolic Wheels on sale will save you lots of money. If the price of new Symbolic rims is still out of your budget, you might want to consider buying Used Symbolic Wheels on eBay, or check your local classified listings for other bargains.
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msmarco_v2.1_doc_00_1011015584#4_1844532686
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com I HAVE LOOKED EVERYWHERE AND CANNOT FIND THEM. IF YOU DON'T HAVE THEM COULD YOU TELL ME WHO MIGHT HAVE THEM/ TANYA LASTER posted on Monday, April 04, 2011 Many Symbolic Authorized Dealers offer Free Shippping on their in-stock orders. With a bit of research, you should be able to find Wholesale Symbolic Wheels and Rims or at least, you should never have to pay full retail price! It pays to shop around, discounted Symbolic Wheels on sale will save you lots of money. If the price of new Symbolic rims is still out of your budget, you might want to consider buying Used Symbolic Wheels on eBay, or check your local classified listings for other bargains. This is why consumers often look for a wholesale set of Symbolic wheels. Kajiji, E-bay and Craigslist are excellent places to find a set of discount rims. When looking for the best deal, it pays to shop around! Many Symbolic authorized dealers offer free shipping on their in-stock orders. Choicewheels is an excellent place to find discount wheels and rims, including wheel packages with center caps, alloy wheels, custom wheel and rims and much more.
http://choicewheels.com/brands/Symbolic_Wheels/
msmarco_v2.1_doc_00_1011015584#5_1844534263
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Symbolic Rims & Tires | Car Wheels, Reviews and Quotes at Choicewheels.com This is why consumers often look for a wholesale set of Symbolic wheels. Kajiji, E-bay and Craigslist are excellent places to find a set of discount rims. When looking for the best deal, it pays to shop around! Many Symbolic authorized dealers offer free shipping on their in-stock orders. Choicewheels is an excellent place to find discount wheels and rims, including wheel packages with center caps, alloy wheels, custom wheel and rims and much more. When installing a new set of Symbolic rims or wheels on your vehicle, often times budget is a part to consider.
http://choicewheels.com/brands/Symbolic_Wheels/
msmarco_v2.1_doc_00_1011019547#0_1844535297
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20 Hand Signals for Choir Directing (and how to use them) 20 Hand Signals for Choir Directing (and how to use them) By Joan Hall Publication date: 06/08/11 When you're conducting a choir performance, the main way you communicate with the choir is with your hands. Effective use of hand signals is a vital skill for any choir director. The information in this booklet is also available online. The online version includes videos that demonstrate the hand gestures. Here's the link: 20 Hand Signals for Choir Directing (and how to use them). Contents Some of the things you communicate to a choir with hand signals The importance of timing Practice makes perfect! Signals to show the choir which portion of the song they are about to sing Hand signals for more details in the song sequence Hand signals that tell the choir HOW to sing a passage Hand signals that help put the polish on the performance Here are some of the things you communicate with hand signals while directing a choir Since gospel choirs don't sing from sheet music, they don't always sing a song exactly the same way every time. They may do a different number of repeats, or do the parts of the song in a different order from one performance to another.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#1_1844538506
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Here's the link: 20 Hand Signals for Choir Directing (and how to use them). Contents Some of the things you communicate to a choir with hand signals The importance of timing Practice makes perfect! Signals to show the choir which portion of the song they are about to sing Hand signals for more details in the song sequence Hand signals that tell the choir HOW to sing a passage Hand signals that help put the polish on the performance Here are some of the things you communicate with hand signals while directing a choir Since gospel choirs don't sing from sheet music, they don't always sing a song exactly the same way every time. They may do a different number of repeats, or do the parts of the song in a different order from one performance to another. Because of this, the director's hand signals are important for telling: Which passage in the song the choir is about to sing (the verse, chorus, bridge, etc.) Which section of the choir should sing right now (sopranos, altos, tenors, or basses) When you want to end a particular passage When you want them to repeat something Hand signals can also remind the choir of things they already learned in rehearsal, but it doesn't hurt to refresh their memories. Things like: What words are coming up next The shape of the melody they're singing When to sing unison and when to sing in harmony With hand signals, your timing is important!
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#2_1844542068
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Because of this, the director's hand signals are important for telling: Which passage in the song the choir is about to sing (the verse, chorus, bridge, etc.) Which section of the choir should sing right now (sopranos, altos, tenors, or basses) When you want to end a particular passage When you want them to repeat something Hand signals can also remind the choir of things they already learned in rehearsal, but it doesn't hurt to refresh their memories. Things like: What words are coming up next The shape of the melody they're singing When to sing unison and when to sing in harmony With hand signals, your timing is important! Any signals you give to your choir should be given with plenty of advance time. Signal the next passage of the song, the key change, the ending, several beats before it's actually going to happen. Everyone will know to keep on singing whatever they're on right now, but they will be ready for what's coming next. good choir director needs to be thinking a little bit ahead of the singers and the musicians to keep everything going smoothly. Practice makes perfect!
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#3_1844545091
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Any signals you give to your choir should be given with plenty of advance time. Signal the next passage of the song, the key change, the ending, several beats before it's actually going to happen. Everyone will know to keep on singing whatever they're on right now, but they will be ready for what's coming next. good choir director needs to be thinking a little bit ahead of the singers and the musicians to keep everything going smoothly. Practice makes perfect! You know what? When I was younger and just getting into choir directing, I spent hours of time by myself doing "thin-air conducting". I would listen to my choir recordings and practice doing all the hand motions, just the way I would if I were really in front of a choir. I recommend it highly! Showing the choir which portion of the song you want them to sing next The first level of signals you'll give to your choir are the ones telling them which passage of the song they are about to sing (the verse, chorus, bridge, vamp, etc.):
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#4_1844547973
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You know what? When I was younger and just getting into choir directing, I spent hours of time by myself doing "thin-air conducting". I would listen to my choir recordings and practice doing all the hand motions, just the way I would if I were really in front of a choir. I recommend it highly! Showing the choir which portion of the song you want them to sing next The first level of signals you'll give to your choir are the ones telling them which passage of the song they are about to sing (the verse, chorus, bridge, vamp, etc.): 1: For the "top" or opening section of the song -- Pat the top of your head, or your forehead. 2: For a lead verse -- Point at the lead singer. If there are two or more verses, point to the lead singer first, then hold a number to indicate which verse you want them to sing.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#5_1844550571
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1: For the "top" or opening section of the song -- Pat the top of your head, or your forehead. 2: For a lead verse -- Point at the lead singer. If there are two or more verses, point to the lead singer first, then hold a number to indicate which verse you want them to sing. 3: For a chorus -- Form a letter "C" with your hand. 4: For the bridge (the middle section of the song) -- I form something that looks like a letter "T" with my two hands. It reminds me of a bridge.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#6_1844552606
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3: For a chorus -- Form a letter "C" with your hand. 4: For the bridge (the middle section of the song) -- I form something that looks like a letter "T" with my two hands. It reminds me of a bridge. 5: For the vamp (repeating chorus) -- Hold up your hand with your fingers crossed. 6: For the end of the song (or the end of a certain passage) -- Hold up a closed fist. recommend that you don't use any gestures that look like numbers unless you're really signaling a number.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#7_1844554620
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5: For the vamp (repeating chorus) -- Hold up your hand with your fingers crossed. 6: For the end of the song (or the end of a certain passage) -- Hold up a closed fist. recommend that you don't use any gestures that look like numbers unless you're really signaling a number. For instance, I don't use a "V" for "verse" because the choir might think I'm signaling the number two. Hand signals for more details in the song sequence The next level of signals deals with the smaller details that happen within one section of the song, like little repeats and things like that. Some gestures you can use for giving those details are: 7: For repeats -- Cycle your hands around each other like a wheel turning.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#8_1844557004
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For instance, I don't use a "V" for "verse" because the choir might think I'm signaling the number two. Hand signals for more details in the song sequence The next level of signals deals with the smaller details that happen within one section of the song, like little repeats and things like that. Some gestures you can use for giving those details are: 7: For repeats -- Cycle your hands around each other like a wheel turning. 8: To come out of a section after you've been repeating -- Point behind you (over your shoulders) with your thumbs. 9: Counting down to come out of a repeating section -- Indicate the numbers with your fingers and count down . .
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#9_1844559305
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8: To come out of a section after you've been repeating -- Point behind you (over your shoulders) with your thumbs. 9: Counting down to come out of a repeating section -- Indicate the numbers with your fingers and count down . . . 4 . . . 3 .
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#10_1844560907
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http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#11_1844562145
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. . 2 . . . 1 . . . 10: When you want the choir to be silent -- Hold your closed fists tight against your chest.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#12_1844563530
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1 . . . 10: When you want the choir to be silent -- Hold your closed fists tight against your chest. You can also lower your head slightly. 11: To repeat just the final line of a song (this is a common way to end songs; it's called a deceptive cadence) -- This is a sign that I made up. I form an "L" with the thumb and index finger of one hand, then with my other hand do a circular motion around it (like a "repeat" signal).
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#13_1844565474
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You can also lower your head slightly. 11: To repeat just the final line of a song (this is a common way to end songs; it's called a deceptive cadence) -- This is a sign that I made up. I form an "L" with the thumb and index finger of one hand, then with my other hand do a circular motion around it (like a "repeat" signal). Hand signals that tell the choir HOW to sing a passage These are signals for taking the choir through key changes, inversions, changes in volume, and giving other guidance: 12: "Sing quietly" -- Use hand motions that are close to your body and keep them small. 13: "Sing loudly" -- Use broad gestures, open your arms out wide.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
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Hand signals that tell the choir HOW to sing a passage These are signals for taking the choir through key changes, inversions, changes in volume, and giving other guidance: 12: "Sing quietly" -- Use hand motions that are close to your body and keep them small. 13: "Sing loudly" -- Use broad gestures, open your arms out wide. 14: If you only want one section of the choir to sing -- Point at that one section, just like you would point at a lead singer. 15: Unison vs. Harmony -- If the choir has been singing in unison and it's time to switch to 3-part harmony, hold out three fingers on your hands, with the fingers pointing toward the choir, and extend your hands out to the sides a little bit. 16:
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#15_1844570187
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14: If you only want one section of the choir to sing -- Point at that one section, just like you would point at a lead singer. 15: Unison vs. Harmony -- If the choir has been singing in unison and it's time to switch to 3-part harmony, hold out three fingers on your hands, with the fingers pointing toward the choir, and extend your hands out to the sides a little bit. 16: Modulation (key change) -- Motion "up" with your index finger. 17: Inversion -- Form "L" shapes with both hands, with your thumbs pointing toward each other. Then, with a slight upward movement, flip your hands so that your thumbs are pointing toward the ceiling. 18:
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#16_1844572471
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Modulation (key change) -- Motion "up" with your index finger. 17: Inversion -- Form "L" shapes with both hands, with your thumbs pointing toward each other. Then, with a slight upward movement, flip your hands so that your thumbs are pointing toward the ceiling. 18: If one section of the choir isn't singing loud enough -- Point to that section, then point to your ear. Hand signals that help put the polish on the choir's performance One of the things a choir director wants is for the choir to sing with precision, and there are some signals you can give with your hands that will help bring that about: 19: Sometimes when I'm directing I'll use hand movements to follow the shape of the melody the choir is singing (moving my hand(s) up when the notes goes up and down when the notes go down). This reminds the choir of how the melody goes, but more importantly (I think), it keeps everyone in sync with each other.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#17_1844575224
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If one section of the choir isn't singing loud enough -- Point to that section, then point to your ear. Hand signals that help put the polish on the choir's performance One of the things a choir director wants is for the choir to sing with precision, and there are some signals you can give with your hands that will help bring that about: 19: Sometimes when I'm directing I'll use hand movements to follow the shape of the melody the choir is singing (moving my hand(s) up when the notes goes up and down when the notes go down). This reminds the choir of how the melody goes, but more importantly (I think), it keeps everyone in sync with each other. Your hand motions can be a visual guide that keeps everyone on the rhythm of the song together. 20: Another way to make the choir's singing more precise is to make sure that everyone begins and ends their notes at the same time. On a long note, keep your hand(s) open for as long as the note is being sustained, and then close your hand(s) when the note should be ending. The most important thing is for you and your choir to understand each other You don't necessarily have to use the same signals that I've used on this page.
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011019547#18_1844578450
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Your hand motions can be a visual guide that keeps everyone on the rhythm of the song together. 20: Another way to make the choir's singing more precise is to make sure that everyone begins and ends their notes at the same time. On a long note, keep your hand(s) open for as long as the note is being sustained, and then close your hand(s) when the note should be ending. The most important thing is for you and your choir to understand each other You don't necessarily have to use the same signals that I've used on this page. What matters most is that the choir you work with understands whatever signals you use and is able to go wherever you're trying to take them. God bless you in your choir ministry!
http://choirparts.com/ebooks/20-Hand-Signals-for-Choir-Directing.pdf
msmarco_v2.1_doc_00_1011032881#0_1844580856
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Choke Canyon Reservoir Water Level Choke Canyon Reservoir Water Level Choke Canyon Reservoir Water Level WATER LEVEL 197.48 Feet MSL Friday, May 14, 2021 7:30:00 AM Level is 23.02 feet below full pool of 220.50 Preparing lake level chart... Level Base: MSL Full Pool: 220.50 feet Change Since Yesterday: 0.09 Feet Level Controlled by: Dam Name: Choke Canyon (DOI BR) Daily Levels By Month Frio River River Levels Choke Canyon Reservoir Forums Choke Canyon Reservoir Cameras WATER RESOURCE LINKS U.S. Drought Monitor TX Natural Resource Office Drought Intensity: D0 - Abnormally Dry D1 - Moderate Drought D2 - Severe Drought D3 - Extreme Drought D4 - Exceptional Drought The Drought Monitor focuses on broad-scale conditions. Local conditions may vary. See accompanying text summary for forecast statements. Quick Links Choke Canyon Reservoir News Choke Canyon Reservoir Photos Choke Canyon Reservoir Videos
http://chokecanyon.uslakes.info/Level/
msmarco_v2.1_doc_00_1011034064#0_1844582082
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GM | Brands | Choko Authentic Apparel GM | Brands | Choko Authentic Apparel PROUD TO PROVIDE THE HIGHEST QUALITY APPAREL FROM THE WORLD’S BEST BRANDS VIEW THE CATALOGUE SHOP GM DEALER STORE SHOP GM RETAIL STORE CREATE A DEALER LOGIN About GM General Motors has played a pivotal role in the global auto industry for more than 100 years. From the first Buick horseless carriages to technological marvels like the Chevrolet Volt, GM products and innovations have always excelled at putting the world on wheels. GM’s current auto brands are Buick, Cadillac, Chevrolet, GMC, Holden and Wuling. The company stretches worldwide as GM is manufacturing cars and trucks in 35 countries. To order, contact your local GM dealer. If you are a Dealer, contact Choko at [email protected] or call 1-800-383-4940 for your log-on passwords and access to Dealer facilities, including online ordering!
http://choko.com/our-brands/gm/
msmarco_v2.1_doc_00_1011035392#0_1844583458
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Overview - Cholangiocarcinoma Foundation Overview - Cholangiocarcinoma Foundation What is cholangiocarcinoma (bile duct cancer)? Cholangiocarcinoma starts in the bile duct, a thin tube, about 4 to 5 inches long, that reaches from the liver to the small intestine. The major function of the bile duct is to move a fluid called bile from the liver and gallbladder to the small intestine, where it helps digest the fats in food. Different parts of the bile duct system have different names. In the liver it begins as many tiny tubes (ductules) where bile collects from the liver cells. The ductules come together to form small ducts, which then merge into larger ducts and eventually the left and right hepatic ducts. The ducts within the liver are called intrahepatic bile ducts. These ducts exit from the liver and join to form the common hepatic duct at the hilum. About one-third of the way along the length of the bile duct, the gallbladder (a small organ that stores bile) attaches by a small duct called the cystic duct. The combined duct is called the common bile duct.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#1_1844584887
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Overview - Cholangiocarcinoma Foundation The ductules come together to form small ducts, which then merge into larger ducts and eventually the left and right hepatic ducts. The ducts within the liver are called intrahepatic bile ducts. These ducts exit from the liver and join to form the common hepatic duct at the hilum. About one-third of the way along the length of the bile duct, the gallbladder (a small organ that stores bile) attaches by a small duct called the cystic duct. The combined duct is called the common bile duct. The common bile duct passes through part of the pancreas before it empties into the first part of the small intestine (the duodenum ), next to where the pancreatic duct also enters the small intestine. Cancers can develop in any part of the bile duct and, based on their location, are classified into 3 types: Intrahepatic cholangiocarcinoma Perihilar cholangiocarcinoma Distal cholangiocarcinoma Cancers in these different areas may cause different symptoms. What is Intrahepatic Cholangiocarcinoma? Intrahepatic CCA occurs inside the liver where cancer develops in the hepatic bile ducts or the smaller intrahepatic biliary ducts.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#2_1844586411
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Overview - Cholangiocarcinoma Foundation The common bile duct passes through part of the pancreas before it empties into the first part of the small intestine (the duodenum ), next to where the pancreatic duct also enters the small intestine. Cancers can develop in any part of the bile duct and, based on their location, are classified into 3 types: Intrahepatic cholangiocarcinoma Perihilar cholangiocarcinoma Distal cholangiocarcinoma Cancers in these different areas may cause different symptoms. What is Intrahepatic Cholangiocarcinoma? Intrahepatic CCA occurs inside the liver where cancer develops in the hepatic bile ducts or the smaller intrahepatic biliary ducts. In some cases, patients express a combined diagnosis. What is Perihilar (Hilar or Klatskin Tumor) Cholangiocarcinoma? These cancers develop where the right and left hepatic ducts have joined and are leaving the liver. These are the most common type of cholangiocarcinoma accounting for more than half of all bile duct cancers. What is Distal Cholangiocarcinoma?
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#3_1844587806
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Overview - Cholangiocarcinoma Foundation In some cases, patients express a combined diagnosis. What is Perihilar (Hilar or Klatskin Tumor) Cholangiocarcinoma? These cancers develop where the right and left hepatic ducts have joined and are leaving the liver. These are the most common type of cholangiocarcinoma accounting for more than half of all bile duct cancers. What is Distal Cholangiocarcinoma? Distal CCA occurs outside the liver after the right and left hepatic bile ducts have joined to form the common bile duct. This type of cancer is found where the common bile duct passes through the pancreas and into the small intestine. What is Extrahepatic Cholangiocarcinoma? Because perihilar and distal bile duct cancers start outside the liver, they are often grouped together and referred to as extrahepatic cholangiocarcinoma. Cholangiocarcinoma can also be divided into types based on how the cancer cells look under the microscope.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#4_1844589105
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Overview - Cholangiocarcinoma Foundation Distal CCA occurs outside the liver after the right and left hepatic bile ducts have joined to form the common bile duct. This type of cancer is found where the common bile duct passes through the pancreas and into the small intestine. What is Extrahepatic Cholangiocarcinoma? Because perihilar and distal bile duct cancers start outside the liver, they are often grouped together and referred to as extrahepatic cholangiocarcinoma. Cholangiocarcinoma can also be divided into types based on how the cancer cells look under the microscope. More than 95% of bile duct cancers are carcinomas and most are adenocarcinomas. Adenocarcinomas are cancers of glandular cells that can develop in several organs of the body. Bile duct adenocarcinomas develop from the mucous glands that line the inside of the duct. Cholangiocarcinoma is another name for a bile duct carcinoma. Adapted from National Institutes of Health:
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#5_1844590414
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Overview - Cholangiocarcinoma Foundation More than 95% of bile duct cancers are carcinomas and most are adenocarcinomas. Adenocarcinomas are cancers of glandular cells that can develop in several organs of the body. Bile duct adenocarcinomas develop from the mucous glands that line the inside of the duct. Cholangiocarcinoma is another name for a bile duct carcinoma. Adapted from National Institutes of Health: http://www.nih.gov/ Why is cholangiocarcinoma considered a rare cancer? About Rare Cancers Rare cancers are those that affect fewer than 40,000 people per year in the U.S. As a group, they make up just over a quarter of all cancers. Because rates of cancer in children are very low, all children’s cancers are considered rare. A quarter of all cancer deaths each year are due to rare cancers. Although new treatments are always being developed, finding new treatments for rare cancers can be difficult for many reasons.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#6_1844591710
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Overview - Cholangiocarcinoma Foundation http://www.nih.gov/ Why is cholangiocarcinoma considered a rare cancer? About Rare Cancers Rare cancers are those that affect fewer than 40,000 people per year in the U.S. As a group, they make up just over a quarter of all cancers. Because rates of cancer in children are very low, all children’s cancers are considered rare. A quarter of all cancer deaths each year are due to rare cancers. Although new treatments are always being developed, finding new treatments for rare cancers can be difficult for many reasons. Why are rare cancers challenging? Rare cancers are challenging for patients, doctors, and scientists. For patients: It often takes a long time from the time you think something is wrong to the time when doctors know that you have a rare cancer and what kind of cancer it is. It is hard to find doctors who know a lot about your cancer and how to treat it.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#7_1844592990
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Overview - Cholangiocarcinoma Foundation Why are rare cancers challenging? Rare cancers are challenging for patients, doctors, and scientists. For patients: It often takes a long time from the time you think something is wrong to the time when doctors know that you have a rare cancer and what kind of cancer it is. It is hard to find doctors who know a lot about your cancer and how to treat it. It is hard to know what to do when doctors don’t agree on how to treat your cancer. You may need to travel far from your home and family to get treatment for your rare cancer. For doctors: You may not know what to tell your patient about what to expect with their rare cancer. You may not have been trained in how to treat this type of rare cancer.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#8_1844594097
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Overview - Cholangiocarcinoma Foundation It is hard to know what to do when doctors don’t agree on how to treat your cancer. You may need to travel far from your home and family to get treatment for your rare cancer. For doctors: You may not know what to tell your patient about what to expect with their rare cancer. You may not have been trained in how to treat this type of rare cancer. It is hard to find an expert in the rare cancer who can answer questions or to whom you can refer your patient. For scientists: There may be no information about the rare cancer to give you ideas on which drugs could treat it. There may be no animal or cell models of the rare cancer in which to test your ideas. There may not be enough tumor samples from rare cancer patients available for your research.
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011035392#9_1844595254
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Overview - Cholangiocarcinoma Foundation It is hard to find an expert in the rare cancer who can answer questions or to whom you can refer your patient. For scientists: There may be no information about the rare cancer to give you ideas on which drugs could treat it. There may be no animal or cell models of the rare cancer in which to test your ideas. There may not be enough tumor samples from rare cancer patients available for your research. If you have an idea of a drug that could treat the cancer, it may be hard to find enough patients with the rare cancer to test your idea. Adapted from cancer.gov
http://cholangiocarcinoma.org/the-disease/defined/
msmarco_v2.1_doc_00_1011040518#0_1844596219
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Cholesterol Levels in Women Over 50 « Cholesterol Levels Cholesterol Levels in Women Over 50 « Cholesterol Levels Cholesterol Levels in Women Over 50 By writer, on September 3rd, 2011 No matter how many commercials we see on the television warning us of the dangers of high cholesterol and how it is related to so many diseases, it doesn’t seem as though we are paying enough attention. According to the statistics released by the Centers for Disease Control and Prevention, heart disease is the number one cause of death in women over the age of 65 and the second leading cause in the next group down, women between the ages of 45 and 64. Added to that is the fact that high levels of LDL cholesterol is the leading cause of heart disease, you have a very real problem if those two conditions are met – being a women over the age of 50 with high levels of cholesterol. What Contributes to Cholesterol Levels in Women Over 50? Perhaps the two leading preventable causes of high cholesterol levels in women over 50 are lifestyle and eating habits. Anyone eating a diet rich in fats which are known to raise levels of low-density lipoprotein who lives a sedentary lifestyle is placing herself at risk. Of course some women are predisposed through family medical history to having high cholesterol no matter how they watch their diets or how much cardiovascular exercise they get, but these are not the bulk of women with high levels of cholesterol. Let’s face it, we live in a super-sized world of fat burgers and it’s hard to counteract that much fat taken in from just one meal. How Is Cholesterol Measured? This is the classic case of the good, the bad and the ugly.
http://cholesterol-levels.org/2011/09/cholesterol-levels-in-women-over-50/
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Cholesterol Levels in Women Over 50 « Cholesterol Levels Anyone eating a diet rich in fats which are known to raise levels of low-density lipoprotein who lives a sedentary lifestyle is placing herself at risk. Of course some women are predisposed through family medical history to having high cholesterol no matter how they watch their diets or how much cardiovascular exercise they get, but these are not the bulk of women with high levels of cholesterol. Let’s face it, we live in a super-sized world of fat burgers and it’s hard to counteract that much fat taken in from just one meal. How Is Cholesterol Measured? This is the classic case of the good, the bad and the ugly. There are actually two kinds of cholesterol to be concerned with, HDL and LDL. Low-density lipoprotein (LDL) is the good stuff that helps bring cholesterol to the liver where it is then eliminated from the body. High-density lipoprotein (HDL) is the bad stuff that forms plaque in the arteries and is a major cause of heart disease, among other potentially fatal diseases. Then there is the total cholesterol level you should be looking at as well s triglycerides. Each of these levels are assigned a number stated as mg/dL which means ‘milligrams per Deciliter’ – not something you will probably ever be quizzed on, but you should familiarize yourself with the safety range of those numbers you are given.
http://cholesterol-levels.org/2011/09/cholesterol-levels-in-women-over-50/
msmarco_v2.1_doc_00_1011040518#2_1844600211
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Cholesterol Levels in Women Over 50 « Cholesterol Levels There are actually two kinds of cholesterol to be concerned with, HDL and LDL. Low-density lipoprotein (LDL) is the good stuff that helps bring cholesterol to the liver where it is then eliminated from the body. High-density lipoprotein (HDL) is the bad stuff that forms plaque in the arteries and is a major cause of heart disease, among other potentially fatal diseases. Then there is the total cholesterol level you should be looking at as well s triglycerides. Each of these levels are assigned a number stated as mg/dL which means ‘milligrams per Deciliter’ – not something you will probably ever be quizzed on, but you should familiarize yourself with the safety range of those numbers you are given. Healthy Range of Cholesterol Levels in Women Over 50 Most often the only number we look at when given our cholesterol levels is the total cholesterol. It should be less than 200 which is the most desirable but anything between 200 and 239 is considered borderline high. If your total cholesterol level is over 240 you have a problem. Moving on to LDL, the optimal number is less than 100 but between 100 and 129 is considered to be borderline. High is when the number is 160 to 189 and very high would be anything over 190.
http://cholesterol-levels.org/2011/09/cholesterol-levels-in-women-over-50/
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Cholesterol Levels in Women Over 50 « Cholesterol Levels Healthy Range of Cholesterol Levels in Women Over 50 Most often the only number we look at when given our cholesterol levels is the total cholesterol. It should be less than 200 which is the most desirable but anything between 200 and 239 is considered borderline high. If your total cholesterol level is over 240 you have a problem. Moving on to LDL, the optimal number is less than 100 but between 100 and 129 is considered to be borderline. High is when the number is 160 to 189 and very high would be anything over 190. Here again, anything over 190 means it’s time to see a doctor to lower those levels. HDL is the good stuff and you should have a range of over 40 and under 60. Triglycerides should be at 150 mg/dL to be considered normal while anything over 150 is borderline high all the way up to 500 which is very high. These are just some rough parameters within which you should keep your cholesterol levels. The important thing to be aware of is whether or not you are at risk for high cholesterol based on weight, eating habits, lifestyle and of course, family history.
http://cholesterol-levels.org/2011/09/cholesterol-levels-in-women-over-50/
msmarco_v2.1_doc_00_1011040518#4_1844603548
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Cholesterol Levels in Women Over 50 « Cholesterol Levels Here again, anything over 190 means it’s time to see a doctor to lower those levels. HDL is the good stuff and you should have a range of over 40 and under 60. Triglycerides should be at 150 mg/dL to be considered normal while anything over 150 is borderline high all the way up to 500 which is very high. These are just some rough parameters within which you should keep your cholesterol levels. The important thing to be aware of is whether or not you are at risk for high cholesterol based on weight, eating habits, lifestyle and of course, family history. Cholesterol levels in women over 50 are best determined by your doctor or health care professional. If there is a problem you may be placed on special diet, given medications and maybe even be placed on a specific exercise regimen. Don’t wait until it is too late. Have your cholesterol levels checked at least annually and more often if you are at risk. Cholesterol
http://cholesterol-levels.org/2011/09/cholesterol-levels-in-women-over-50/
msmarco_v2.1_doc_00_1011044798#0_1844604985
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Lipid-Lowering Diet Food Shopping Guide Lipid-Lowering Diet Food Shopping Guide Heart Health High Cholesterol Nutrition Lipid-Lowering Diet Food Shopping Guide By Ellen Slotkin, RD, LDN Ellen Slotkin is a registered dietitian specializing in heart-healthy nutrition, weight management, and pregnancy nutrition. Learn about our editorial process Ellen Slotkin, RD, LDN Medically reviewed by Medically reviewed by Richard N. Fogoros, MD on November 19, 2019 facebook linkedin Richard N. Fogoros, MD, is a retired professor of medicine and board-certified in internal medicine, clinical cardiology, and clinical electrophysiology. Learn about our Medical Review Board Richard N. Fogoros, MD Updated on May 04, 2021 Table of Contents View All Table of Contents Fruits and Vegetables Whole Grains and Nuts Beans and Vegetable Proteins Eggs and Meat Fish and Seafood Dairy Products Desserts and Snacks You can begin a lipid-lowering diet by reviewing the low-cholesterol food list below. Thankfully, a low-cholesterol diet requires adding many foods to your daily routine, not just abstaining from foods that are unhealthy. A low-cholesterol diet can be full of colorful and flavorful foods, and there are no restrictions on the salt-free spices you can use to make your meals exciting. As with any diet, be certain to consult your physician for specific dietary guidelines. Your requirements may exclude some of these foods. Print this handy list, take it with you to the grocery store, and try something new and healthy. Noel Hendrickson Collection / Digital Vision / Getty Images Fruits and Vegetables Many fruits and vegetables are great sources of vitamins and fiber. 1 Vegetables:
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#1_1844607167
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Lipid-Lowering Diet Food Shopping Guide As with any diet, be certain to consult your physician for specific dietary guidelines. Your requirements may exclude some of these foods. Print this handy list, take it with you to the grocery store, and try something new and healthy. Noel Hendrickson Collection / Digital Vision / Getty Images Fruits and Vegetables Many fruits and vegetables are great sources of vitamins and fiber. 1 Vegetables: Choose fresh, canned, or frozen, without added fat or salt. All vegetables are cholesterol-friendly. Especially choose dark, leafy green vegetables (such as broccoli, kale, and spinach) and deep orange vegetables (carrots, sweet potato, acorn, and butternut squash). Fruit: Choose fresh, frozen, canned, or dried, without added sugar.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#2_1844608420
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Lipid-Lowering Diet Food Shopping Guide Choose fresh, canned, or frozen, without added fat or salt. All vegetables are cholesterol-friendly. Especially choose dark, leafy green vegetables (such as broccoli, kale, and spinach) and deep orange vegetables (carrots, sweet potato, acorn, and butternut squash). Fruit: Choose fresh, frozen, canned, or dried, without added sugar. Enjoy whole fruit instead of fruit juice so you get the benefits of the fiber. Healthy soups: Good choices include tomato, vegetable, chicken, and minestrone (choose low-sodium prepared options when possible, or better yet, make your own). Whole Grains and Nuts Whole-wheat, rye and pumpernickel bread, whole-wheat tortillas and bagels Whole-grain cereals, such as those that are oat-, bran-, or rice-based Oats and oat bran for soluble fiber Nuts and seeds: Brazil nuts, hazelnuts, pecans, chia seeds, and ground flaxseeds for omega-3 fatty acids;
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#3_1844609823
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Lipid-Lowering Diet Food Shopping Guide Enjoy whole fruit instead of fruit juice so you get the benefits of the fiber. Healthy soups: Good choices include tomato, vegetable, chicken, and minestrone (choose low-sodium prepared options when possible, or better yet, make your own). Whole Grains and Nuts Whole-wheat, rye and pumpernickel bread, whole-wheat tortillas and bagels Whole-grain cereals, such as those that are oat-, bran-, or rice-based Oats and oat bran for soluble fiber Nuts and seeds: Brazil nuts, hazelnuts, pecans, chia seeds, and ground flaxseeds for omega-3 fatty acids; almonds and walnuts too, which offer the additional benefit of plant sterols 1 Beans and Vegetable Proteins Tofu, tempeh, and soy/vegetable burgers are good sources of soluble fiber. 1 Dried peas and beans, black-eyed peas, kidney beans, soybeans, lentils, and vegetarian baked beans are excellent sources of fiber and protein. Eggs and Meat Lean meats: Choose sirloin, chuck, loin and round. Buy "choice" or "select" grades rather than "prime."
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#4_1844611347
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Lipid-Lowering Diet Food Shopping Guide almonds and walnuts too, which offer the additional benefit of plant sterols 1 Beans and Vegetable Proteins Tofu, tempeh, and soy/vegetable burgers are good sources of soluble fiber. 1 Dried peas and beans, black-eyed peas, kidney beans, soybeans, lentils, and vegetarian baked beans are excellent sources of fiber and protein. Eggs and Meat Lean meats: Choose sirloin, chuck, loin and round. Buy "choice" or "select" grades rather than "prime." Look for lean or extra-lean ground meats. 2 Skinless turkey and chicken: Choose light meat over dark meat. Fish and Seafood Fish: Best choices include salmon, trout, sardines, albacore tuna, and herring, as they are rich in omega-3 fatty acids.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#5_1844612565
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Lipid-Lowering Diet Food Shopping Guide Look for lean or extra-lean ground meats. 2 Skinless turkey and chicken: Choose light meat over dark meat. Fish and Seafood Fish: Best choices include salmon, trout, sardines, albacore tuna, and herring, as they are rich in omega-3 fatty acids. Also enjoy tuna, mackerel, halibut, tilapia, and cod. Eat at least two servings of fish each week. 3 Other seafood, including clams, crab, oysters, lobster, scallops: Note that shrimp and crawfish are higher in cholesterol, but they are lower in total fat and saturated fat than most meats and poultry, so are a better choice. 4 Dairy Products Milk;
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#6_1844613680
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Lipid-Lowering Diet Food Shopping Guide Also enjoy tuna, mackerel, halibut, tilapia, and cod. Eat at least two servings of fish each week. 3 Other seafood, including clams, crab, oysters, lobster, scallops: Note that shrimp and crawfish are higher in cholesterol, but they are lower in total fat and saturated fat than most meats and poultry, so are a better choice. 4 Dairy Products Milk; evaporated or condensed milk for cooking Dairy products such as cheese, cottage cheese, sour cream, ice cream, and yogurts 4 Whey protein powder: beneficial for cholesterol and a good choice to add to smoothies for protein Desserts and Snacks Fresh fruits (note that grapefruit can interact with many cholesterol-lowering medications and should be avoided; ask your physician if grapefruit is appropriate for you) Lite air-popped or microwave popcorn Fat-free or non-fat sherbet or sorbet Low-fat angel food cake Low-fat cookies, such as animal crackers, fig bars, ginger snaps, molasses cookies, graham crackers (look for labels that indicate no trans fat) Baked potato chips All-fruit snack bars Gelatin A Word From Verywell Although some foods may be more advised for a cholesterol-lowering diet than others, calories are calories and they can add up whether you're eating healthy foods or junkier options. Be sure to be mindful as you plan your diet. Was this page helpful?
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#7_1844615539
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Lipid-Lowering Diet Food Shopping Guide evaporated or condensed milk for cooking Dairy products such as cheese, cottage cheese, sour cream, ice cream, and yogurts 4 Whey protein powder: beneficial for cholesterol and a good choice to add to smoothies for protein Desserts and Snacks Fresh fruits (note that grapefruit can interact with many cholesterol-lowering medications and should be avoided; ask your physician if grapefruit is appropriate for you) Lite air-popped or microwave popcorn Fat-free or non-fat sherbet or sorbet Low-fat angel food cake Low-fat cookies, such as animal crackers, fig bars, ginger snaps, molasses cookies, graham crackers (look for labels that indicate no trans fat) Baked potato chips All-fruit snack bars Gelatin A Word From Verywell Although some foods may be more advised for a cholesterol-lowering diet than others, calories are calories and they can add up whether you're eating healthy foods or junkier options. Be sure to be mindful as you plan your diet. Was this page helpful? Thanks for your feedback! Looking to start a diet to better manage your cholesterol? Changing lifelong eating habits can be scary at first, but our guide will make it easier. Sign Up You're in! Thank you, , for signing up.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#8_1844617269
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http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#9_1844618380
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Lipid-Lowering Diet Food Shopping Guide There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Your Guide to Lowering Your Cholesterol With Therapeutic Lifestyle Changes. U.S. Department of Health and Human Services. National Institutes of Health. December 2005. Simple, Heart-Smart Substitutions.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#10_1844619470
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Lipid-Lowering Diet Food Shopping Guide Your Guide to Lowering Your Cholesterol With Therapeutic Lifestyle Changes. U.S. Department of Health and Human Services. National Institutes of Health. December 2005. Simple, Heart-Smart Substitutions. Medline Plus. U.S. National Library of Medicine. May 26, 2020. How to Lower Cholesterol with Diet. Medline Plus.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#11_1844620302
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Lipid-Lowering Diet Food Shopping Guide Medline Plus. U.S. National Library of Medicine. May 26, 2020. How to Lower Cholesterol with Diet. Medline Plus. U.S. National Library of Medicine. February 27, 2019. Cooking to Lower Cholesterol. American Heart Association. November 11, 2020.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011044798#12_1844621062
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Lipid-Lowering Diet Food Shopping Guide U.S. National Library of Medicine. February 27, 2019. Cooking to Lower Cholesterol. American Heart Association. November 11, 2020. Additional Reading Cleveland Clinic. Cholesterol-lowering: Heart-healthy strategies. U.S. Department of Health and Human Services and U.S. Department of Agriculture. 2020 – 2025 Dietary Guidelines for Americans.
http://cholesterol.about.com/od/dietitiansadvice/a/lowcholesterolfoodlist.htm
msmarco_v2.1_doc_00_1011051148#0_1844621927
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4 Simple Ways to Lower Your LDL Cholesterol 4 Simple Ways to Lower Your LDL Cholesterol Heart Health High Cholesterol Treatment 4 Simple Tips to Lower Your LDL Cholesterol By Jennifer Moll, PharmD facebook Jennifer Moll, MS, PharmD, is a pharmacist actively involved in educating patients about the importance of heart disease prevention. Learn about our editorial process Jennifer Moll, PharmD Medically reviewed by Medically reviewed by Richard N. Fogoros, MD on November 03, 2019 facebook linkedin Richard N. Fogoros, MD, is a retired professor of medicine and board-certified internal medicine physician and cardiologist. Learn about our Medical Review Board Richard N. Fogoros, MD Updated on November 17, 2019 Table of Contents View All Table of Contents Diet/Weight Loss Physical Activity Smoking Alcohol Having untreated high levels of LDL cholesterol, the “bad” cholesterol, can place you at risk of developing heart disease. The good news is that, unlike other risk factors, you may be able to prevent high LDL levels or lower your LDL levels if they are already high. Although many cholesterol medications can lower LDL levels to varying degrees, your healthcare provider may want to use therapeutic lifestyle changes (TLC) to see how low your LDL can go before putting you on medication. 1  Whether you want to lower your LDL or prevent it from increasing, following a few tips can help you keep it within a healthy range. Verywell / JR Bee Diet and Weight Loss Being overweight or obese not only places you at risk for developing high LDL levels, it can also contribute to heart disease and other chronic medical conditions. Research hints that losing even a small amount of weight may help lower your LDL levels. 2  Although studies have shown that losing weight helps lower LDL, they've also shown that eating the right types of foods can help your heart health. 3  Foods high in soluble fiber and phytosterols, and healthy fats like olive oil, have been found to help lower LDL cholesterol.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#1_1844624436
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4 Simple Ways to Lower Your LDL Cholesterol 1  Whether you want to lower your LDL or prevent it from increasing, following a few tips can help you keep it within a healthy range. Verywell / JR Bee Diet and Weight Loss Being overweight or obese not only places you at risk for developing high LDL levels, it can also contribute to heart disease and other chronic medical conditions. Research hints that losing even a small amount of weight may help lower your LDL levels. 2  Although studies have shown that losing weight helps lower LDL, they've also shown that eating the right types of foods can help your heart health. 3  Foods high in soluble fiber and phytosterols, and healthy fats like olive oil, have been found to help lower LDL cholesterol. In " Your Guide to Lowering Cholesterol With TLC ," the National Heart, Lung, and Blood Institute notes that it's possible to reduce your LDL by between 20% and 30% with a few simple changes in diet: 4  Allowing less than 7% of calories to be from saturated fats can reduce LDL by 8-10%. Decreasing daily cholesterol intake to less than 200mg can lower LDL by between 5% and 8%. Losing 10 pounds can reduce your LDL by between 5% and 8%. Adding 5 grams to 10 grams of soluble fiber a day can decrease LDL by between 3% and 5%.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#2_1844626195
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4 Simple Ways to Lower Your LDL Cholesterol In " Your Guide to Lowering Cholesterol With TLC ," the National Heart, Lung, and Blood Institute notes that it's possible to reduce your LDL by between 20% and 30% with a few simple changes in diet: 4  Allowing less than 7% of calories to be from saturated fats can reduce LDL by 8-10%. Decreasing daily cholesterol intake to less than 200mg can lower LDL by between 5% and 8%. Losing 10 pounds can reduce your LDL by between 5% and 8%. Adding 5 grams to 10 grams of soluble fiber a day can decrease LDL by between 3% and 5%. Adding 2 daily grams of plant sterols can reduce LDL by beween 5% and 15%. More long-term studies are needed in order to determine whether it's the actual weight loss or the diet and exercise that go along with it that causes the reduction in LDL levels. It's possible for LDL cholesterol to eventually return to original levels, even when you lose weight loss and maintain it. Nonetheless, the benefits make weight maintenance and good nutrition worthy goals to have. Healthy Snacks That Lower Your Cholesterol Increase Physical Activity Exercise is not only good for losing weight, but moderate amounts of it may also help lower your cholesterol levels—especially your LDL cholesterol.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
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4 Simple Ways to Lower Your LDL Cholesterol Adding 2 daily grams of plant sterols can reduce LDL by beween 5% and 15%. More long-term studies are needed in order to determine whether it's the actual weight loss or the diet and exercise that go along with it that causes the reduction in LDL levels. It's possible for LDL cholesterol to eventually return to original levels, even when you lose weight loss and maintain it. Nonetheless, the benefits make weight maintenance and good nutrition worthy goals to have. Healthy Snacks That Lower Your Cholesterol Increase Physical Activity Exercise is not only good for losing weight, but moderate amounts of it may also help lower your cholesterol levels—especially your LDL cholesterol. Aerobic exercises, such as running, cycling, jogging, and swimming, appear to benefit cholesterol the most by lowering LDL and reducing the risk of cardiovascular disease, according to studies. 5  Other forms of exercise, such as yoga, walking, and weight-bearing exercises, have also been shown to modestly decrease LDL levels. Though they have not been studied to the extent of aerobic exercise. Stop Smoking Smoking cessation not only has a large impact on levels of HDL, or “good” cholesterol, it can also slightly lower LDL levels. Cigarette smoking is linked to higher cholesterol levels as well as the formation of a damaging form of LDL called oxidized LDL, which contributes to atherosclerosis.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#4_1844629843
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4 Simple Ways to Lower Your LDL Cholesterol Aerobic exercises, such as running, cycling, jogging, and swimming, appear to benefit cholesterol the most by lowering LDL and reducing the risk of cardiovascular disease, according to studies. 5  Other forms of exercise, such as yoga, walking, and weight-bearing exercises, have also been shown to modestly decrease LDL levels. Though they have not been studied to the extent of aerobic exercise. Stop Smoking Smoking cessation not only has a large impact on levels of HDL, or “good” cholesterol, it can also slightly lower LDL levels. Cigarette smoking is linked to higher cholesterol levels as well as the formation of a damaging form of LDL called oxidized LDL, which contributes to atherosclerosis. 6  Research has shown that cholesterol levels will decrease as soon as you stop smoking. 7  With each month after quitting, LDL levels continue to lower, even partially reversing the effects of smoking on cholesterol after just 90 days. Alcohol and LDL Levels Although moderate consumption of alcohol can significantly raise HDL levels, it can also lower LDL, according to studies. 8  Moderate consumption means one serving a day for women and one to two servings per day for men. ( A serving is 12 ounces of beer or 5 ounces of wine.)
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#5_1844631615
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4 Simple Ways to Lower Your LDL Cholesterol 6  Research has shown that cholesterol levels will decrease as soon as you stop smoking. 7  With each month after quitting, LDL levels continue to lower, even partially reversing the effects of smoking on cholesterol after just 90 days. Alcohol and LDL Levels Although moderate consumption of alcohol can significantly raise HDL levels, it can also lower LDL, according to studies. 8  Moderate consumption means one serving a day for women and one to two servings per day for men. ( A serving is 12 ounces of beer or 5 ounces of wine.) However, drinking more alcohol doesn’t necessarily equal better results in terms of improving your heart health. Studies have also indicated that drinking more than three alcoholic drinks a day could actually increase your chances of heart disease. How Cholesterol-Lowering Drugs Work A Word From Verywell With a few simple lifestyle changes, your LDL cholesterol levels can become lower. Depending on your current cholesterol levels, however, these steps may not be enough. While it is good to make these changes because they will impact your overall health, be sure to follow your doctor's recommendations regarding other ways to treat high cholesterol.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#6_1844633328
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4 Simple Ways to Lower Your LDL Cholesterol However, drinking more alcohol doesn’t necessarily equal better results in terms of improving your heart health. Studies have also indicated that drinking more than three alcoholic drinks a day could actually increase your chances of heart disease. How Cholesterol-Lowering Drugs Work A Word From Verywell With a few simple lifestyle changes, your LDL cholesterol levels can become lower. Depending on your current cholesterol levels, however, these steps may not be enough. While it is good to make these changes because they will impact your overall health, be sure to follow your doctor's recommendations regarding other ways to treat high cholesterol. Use our Doctor Discussion Guide below to help you start that conversation about the right treatment for you. Cholesterol Doctor Discussion Guide Get our printable guide for your next doctor's appointment to help you ask the right questions. Download PDF Was this page helpful? Thanks for your feedback! Looking to start a diet to better manage your cholesterol?
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#7_1844634849
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msmarco_v2.1_doc_00_1011051148#8_1844635884
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4 Simple Ways to Lower Your LDL Cholesterol Changing lifelong eating habits can be scary at first, but our guide will make it easier. Sign Up You're in! Thank you, , for signing up. There was an error. Please try again. What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ooi EM, Lichtenstein AH, Millar JS, et al. Effects of Therapeutic Lifestyle Change diets high and low in dietary fish-derived FAs on lipoprotein metabolism in middle-aged and elderly subjects .
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#9_1844637083
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4 Simple Ways to Lower Your LDL Cholesterol What are your concerns? Other Inaccurate Hard to Understand Submit Article Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Ooi EM, Lichtenstein AH, Millar JS, et al. Effects of Therapeutic Lifestyle Change diets high and low in dietary fish-derived FAs on lipoprotein metabolism in middle-aged and elderly subjects . J Lipid Res. 2012;53 (9):1958–1967. doi:10.1194/jlr. P024315 Galindo Y. Cholesterol Levels Improve With Weight Loss and Healthy Fat-Rich Diet. University of California San Diego Health.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#10_1844638297
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4 Simple Ways to Lower Your LDL Cholesterol J Lipid Res. 2012;53 (9):1958–1967. doi:10.1194/jlr. P024315 Galindo Y. Cholesterol Levels Improve With Weight Loss and Healthy Fat-Rich Diet. University of California San Diego Health. Published January 28, 2016. Le T, Flatt SW, Natarajan L, et al. Effects of Diet Composition and Insulin Resistance Status on Plasma Lipid Levels in a Weight Loss Intervention in Women. J Am Heart Assoc. 2016;5 (1).
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#11_1844639199
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4 Simple Ways to Lower Your LDL Cholesterol Published January 28, 2016. Le T, Flatt SW, Natarajan L, et al. Effects of Diet Composition and Insulin Resistance Status on Plasma Lipid Levels in a Weight Loss Intervention in Women. J Am Heart Assoc. 2016;5 (1). doi: 10.1161/JAHA.115.002771 National Heart, Lung, and Blood Institute. Your Guide to Lowering Cholesterol With TLC. Published December 2005. nhlbi.nih.gov Yunsuk K, Park J, Carter R. Oxidized low-density lipoprotein and cell adhesion molecules following exercise training .
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#12_1844640186
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4 Simple Ways to Lower Your LDL Cholesterol doi: 10.1161/JAHA.115.002771 National Heart, Lung, and Blood Institute. Your Guide to Lowering Cholesterol With TLC. Published December 2005. nhlbi.nih.gov Yunsuk K, Park J, Carter R. Oxidized low-density lipoprotein and cell adhesion molecules following exercise training . International Journal of Sports Medicine. 2017. doi:10.1055/s-0043-118848. Zhou MS, Chadipiralla K, Mendez AJ, et al. Nicotine potentiates proatherogenic effects of oxLDL by stimulating and upregulating macrophage CD36 signaling.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#13_1844641188
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4 Simple Ways to Lower Your LDL Cholesterol International Journal of Sports Medicine. 2017. doi:10.1055/s-0043-118848. Zhou MS, Chadipiralla K, Mendez AJ, et al. Nicotine potentiates proatherogenic effects of oxLDL by stimulating and upregulating macrophage CD36 signaling. Am J Physiol Heart Circ Physiol. 2013;305 (4):H563-74. doi:10.1152/ajpheart.00042.2013 Zhang Y, Chen L, Feng C, et al. ASSA 14-13-01 cigarette smoking-induced LDL dysfunction is partially reversible after smoking cessation . Heart.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#14_1844642146
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4 Simple Ways to Lower Your LDL Cholesterol Am J Physiol Heart Circ Physiol. 2013;305 (4):H563-74. doi:10.1152/ajpheart.00042.2013 Zhang Y, Chen L, Feng C, et al. ASSA 14-13-01 cigarette smoking-induced LDL dysfunction is partially reversible after smoking cessation . Heart. 2015;101: A40–A41. doi:10.1136/heartjnl-2014-307109.107 Tabara Y, et al. Mendelian randomization analysis in three japanese populartions supports a casual role of alcohol consumption in lowering low-density cholesterol levels and particle numbers . Atherosclerosis.
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011051148#15_1844643146
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4 Simple Ways to Lower Your LDL Cholesterol 2015;101: A40–A41. doi:10.1136/heartjnl-2014-307109.107 Tabara Y, et al. Mendelian randomization analysis in three japanese populartions supports a casual role of alcohol consumption in lowering low-density cholesterol levels and particle numbers . Atherosclerosis. 2016;254:242–248. doi:10.1016/j.atherosclerosis.2016.08.021
http://cholesterol.about.com/od/lipoproteins/a/lowerldl.htm
msmarco_v2.1_doc_00_1011059366#0_1844643978
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Bad Cholesterol Low density lipoprotein (a substance that transports cholesterol) is often called Home eMedTV Home Cholesterol Home Switch To Mobile View Health Topics eMedTV Health Topics Cholesterol Health Topics Disease & Conditions Tests & Procedures Drugs & Supplements Symptoms Articles eMedTV Articles Cholesterol Articles Videos eMedTV Videos Cholesterol Video Sign In| Site Map Cholesterol Channel Topics Bad Cholesterol Cholesterol Good Cholesterol HDL High Cholesterol High Triglycerides LDL Plaque Triglycerides VLDL Medications Advicor Altoprev Antara Caduet Cholestyramine Colestid Crestor Fenofibrate Flaxseed Fluvastatin Extended-Release Juvisync Lescol Lescol XL Lipitor Lipofen Livalo Lopid Lovastatin Lovastatin Extended-Release Lovaza Niacin Niaspan Policosanol Pravachol Prevalite Red Yeast Rice Simcor Soy Lecithin Statins Tricor Trilipix Vascepa Vytorin WelChol Zetia Zocor Advertisement Quicklinks Cholesterol Triglycerides High Cholesterol Zocor Cholesterol Levels Low Cholesterol Diet Lowering Cholesterol Low Cholesterol Food Lipitor Crestor Vytorin Zetia Lipitor Side Effects Niacin Red Yeast Rice Related Channels Blood Pressure Diabetes Heart Disease Stroke Weight Loss Advertisement Tweet Cholesterol Home> Bad Cholesterol Bad Cholesterol "Bad cholesterol" refers to low density lipoprotein (LDL), a substance that transports cholesterol throughout the body. LDL can lead to the buildup of plaque on artery walls, which can eventually clog or block an artery. The more LDL you have in your blood, the greater your risk of heart disease. The best way to lower LDL levels involves making lifestyle changes and possibly taking medication. What Is "Bad Cholesterol?" "Bad cholesterol" is a term often used to refer to low density lipoprotein (LDL), a substance found within the body that is used to transport cholesterol to tissues that need it. LDL is also referred to as LDL cholesterol. Understanding Cholesterol and Lipoproteins Cholesterol is a type of fat that is made in your body, and it is also in some foods that you eat. Your body needs some cholesterol to function properly. To get to all of your cells, cholesterol needs to travel through the bloodstream.
http://cholesterol.emedtv.com/bad-cholesterol/bad-cholesterol.html
msmarco_v2.1_doc_00_1011059366#1_1844646492
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"Bad cholesterol" is a term often used to refer to low density lipoprotein (LDL), a substance found within the body that is used to transport cholesterol to tissues that need it. LDL is also referred to as LDL cholesterol. Understanding Cholesterol and Lipoproteins Cholesterol is a type of fat that is made in your body, and it is also in some foods that you eat. Your body needs some cholesterol to function properly. To get to all of your cells, cholesterol needs to travel through the bloodstream. However, because cholesterol is a fat, it separates from the blood, similar to the way that oil separates from water. Therefore, proteins form a shell around the cholesterol, making a "cholesterol complex." A protein that is linked to cholesterol to form this complex is called a "lipoprotein." While there are several different types of lipoproteins, two types merit particular attention when considering a person's cholesterol level: High density lipoprotein (HDL) -- the "good cholesterol" Low density lipoprotein (LDL) -- the "bad cholesterol."
http://cholesterol.emedtv.com/bad-cholesterol/bad-cholesterol.html