What are my chances of pregnancy at 43 years,pregnancy pictures vancouver 2014,fann wong cannot get pregnant again,what age can you buy pregnancy test - Review

So the research began, I was reading up and collecting information on places of interest for children.
As for Melbourne, we took a day tour on the Puffing Billy, had a warm fuzzy lunch by the winery, yummy gelato at the Yarra Chocolatiere and had a guided tour of the Healesville Sanctuary (got up-close with the Red Kangaroos, emus, platypus and koalas). So what could a Stay-At-Home-Mom do for money considering there is already so little time after all the dishes and laundry and cooking and cleaning are done?
Blog - I started a blog when my first born was about 2 years old and began earning USD4-5 thousand monthly very soon after.
Write for others - This is if you can write, you could be a freelance writer for advertising agencies who are always on the lookout for part-timers. Bake - there are many, many Moms baking for income which means lots of competition but there is only one you. Start a little home business - this could be anything from making something to being a trader to being a marketing affiliate. Failing which, allow me to interview you and I will think of what you could do for a living from home. I have been working with a company for 18 years and for the past 7 years, I have been working full time from home.
My kids were 3yo and 1yo then and I knew I wanted to spend those precious growing years with them and not having to depend on anyone else to care for them. Working from home does not mean that you can sit at home, shake legs and catch the latest Korean drama Yes - unfortunately for some. This is important because if you’re going to be in conference calls for a least 30 mins, the last thing you want is to be holding the handset to your head.
In between work, I need to step to for my school run and this timing is fixed and has been shared with my manager and peers.
If you’re going to be spending 8-10 hours of your day sitting in front of a computer, make sure your workspace is ergonomic. Remember to take mini breaks and stretch or go for a little walk to get that blood circulating.
She was excited initially (we did some prep talk weeks before), thinking that she will be going into the same class as her older brother.
We didn’t have a party for Honeybun, we had a small celebration for her at her play school and also with our families. Her favourite for the past few months has been rubber duckies (and bath toys) and particularly characters from a cartoon called Lucky Duck. It took me more than a year to resign from my previous job as an engineer in a multinational oil & gas company.
However, as time went by, I started to think about my children who were about to enrol in primary school.
But if you really want to change your profession from FTWM (fulltime working mum) to WAHM (working at home mum), I’d like to share some tips that might help you to have something in mind. I always suggest to friends who wanted to let go their jobs for a home business, to get some ideas about how and what their home businesses would be.
I like to recommend to my fellow friends who want to resign and start a business, begin before you sign your resignation. Don’t leave your job if you just can’t take it, leave it if you figure out there are other priorities than your career. I was at the Asia Model Festival Awards 2015 in Seoul, Korea but had to rush back to attend Ashton’s School Day. Mother’s Day is coming so I would to wish all mommies, “Happy Mother’s Day and enjoy motherhood! He was in an art class holiday program which he enjoyed a lot; learning crafty things and the best part was that he had a good friend participating in the same program. He also attended a three-day Speech and Drama program in which the main program focuses on the kids having to perform a mini sketch.
I will not deny that a couple of months ago, I bought a tab (of course, it’s slightly smaller than my iPad) for my then 2-year old.
Even when my son was younger, I started to expose him to technology – I absolutely loved the idea that my son will not feel like an outcast had he not been exposed to one from an early age.
Fast forward two months later, we re-introduced the iPad & the tab to him BUT very gradually. As parents, I guess the hardest part of actually spending more time with Nooh to do these exciting fun-filled family activities is…. Gradually moving away from these gadgetries and being less attached to these smart electronic ‘imps’ really does make us better parents. Especially for kindergarten - if they can’t make it for a full day, we can send them for maybe an hour or so. Set boundaries and set some rules during schooldays so that the child won’t feel attached to home during his school time. Our bottom line is to plan properly, get mutual understanding with our spouse, decide and stick to the plan. But then whenever I look at my son (who himself loves other people’s birthday celebration), I feel guilty of not organising his own birthday celebration. So much has happened in the last year that this New Year 2015, is a year full of changes for me and my family.
I found out that it is impossible for women to get along in a group of more than a hundred.
Although everyone knows what is good for you for great health, they are still not practising good healthy habits. So after all the stress that I went through last year, there was one blessing that entered my life despite having to quit my job and make regular visits to the hospital.
Ashton went on a holiday without us for the first time and it was also the first time he was away from us. When he was walking pass the immigration check point at the airport, he kept looking back at us. It is the school holidays and I am already cracking my head on kids’ activities as we are not planning any trips this time.
Last but not least, they had a ride on a pony.  The fee had increased from last year and even the ride’s duration was shortened! Letting kids take a year out from school or at any time during the course of their educational path is a great choice that many parents are reluctant to make due to the kiasu nature of Asian parenting in always wanting to get ahead and staying ahead.
The thing is, at 15 or 16 or even at 20, did you know exactly what you wanted to do with your life? We ourselves here have experienced taking a year out merely by accident but nonetheless a good thought out coincidence because my kids are only 10 and 5 this year yet they have already experienced what it is like to not only NOT go to school every single day but were given the great opportunity to explore the world and get to know themselves a bit better. NEW EXPERIENCES & EXPLORATION – With not going to school, we actually had the opportunity to participate and attend many events that being in school would not have allowed us to do due to scheduling conflicts. EXTRA TIME - Being at home every day gave them the extra time to learn new languages and skills such as how to make glue, how to make sago Melaka, how to make Sugee Cake, how to prepare for a public exhibition, how to present publicly, etc. GETTING CLOSER TO SELF – Inherently, I feel that one succeeds in this world when one is comfortable in their own skin.
Iceland had always been my dream destination because I would like to see its midnight sun during summer solstice, where there is no night in Iceland.
When my husband told us that the next country on our list would be Iceland during the mid-year school holiday (in June), I took it as a gift! However, we were lucky as the weather was so good from day one – the sun shone brightly for us.
Iceland is a land of fairies; many locals still believe that trolls and elves still exist around the island.
Ashton is at the willfull stage – I made my decision already, I am not going to change my mind!  And he has a ready reason for everything he wants to do too.
I asked Ashton for his opinion on his coming birthday party and he surprised me with “I am already a big boy, I don’t want Angry Bird party. Ever since the kids were comfortable in the water, it has been part of our family weekly activity – Swimming! Martin, MD, MPH, ABIM Board Certified in Internal Medicine and Hospice and Palliative Medicine, Atlanta, GA. So far, we have been taking the kids on holidays to no other than beach destinations in and out of Malaysia and the kids loved every bit of it, even more especially after they had learnt how to swim.
If you don’t, you just need to be that much more disciplined but it can be done and I am pure testament to that. But then blogosphere got crowded and I got pregnant again and then went back to full time employment for a bit so the blog got put aside for awhile. Finding something you could do from the computer is an easy and fast way to save some pocket money. I switched from a consulting job to a desk-bound program support job which enabled me to work from home full time and support the Asia Pacific region.
So when I got this job, I thanked God and my colleague, Agnes because she was the one who roped me into her team.
Therefore, it’s important that you invest in a good headset with the ability to mute your line. I also block off my time in Microsoft Outlook for school runs so that my colleagues will know that I will be out of office at specific times of the day. We are all given a notebook to work from but since I am a teleworker, I am able to order additional accessories for my notebook which include a docking station, monitor stand and a 24 inch monitor so that I can comfortably work in front of the computer (like a geek).
We should resign from our job in a way that reinforces our professional image and keep our current employer relationships positive. It might be different for those who resign and decide to stay at home taking care of family, without any proposal to do home-based business or work. If you start now, you’ll get the rhythm and it’ll be easier to adapt later when you leave the office.
Sugar is not just defined as the raw sugar that you put into your coffee but sugar from fruit, sugar from carbohydrates such as white flour, rice, noodles, bread and pastry. Although you may lose weight purely by limiting the portions and the quality of food that you eat, exercise is still incredibly important because it not only strengthens your bones and muscles but promotes the circulatory system within your body.
In order to live a great, healthy life that will not succumb to illnesses, the body requires an ovoerfluous amount of vegetables. It is so worth it to do so because I have seen too many people suffer from poor health being once a patient of poor health myself.
Recently, he modelled for Lord’s Tailor at the Pavilion Fashion Week show (he stole the limelight!) and was the opening model for the Go Go Green Charity show. Chinese schools give their students a lot of homework so my husband and I have to watch him finish his homework every day. He is the first person I want to see, the first person I want to kiss, the first person I miss.
Every night, as mummy is lazy to read bedtime stories, he’ll ask me to have a chat with him before he goes to bed.
Well, really I had intended it for my own use, but over time I felt it was more convenient (and lighter) for me to bring around just to console my son whenever my husband and I needed some “rest time” during our family outings. He’ll get to use it if he truly behaved and finished his food or slept earlier the night before. We even introduced Nooh very light housechores for him to assist Mommy & Daddy with, and we began to seriously organise more fun-filled family activities on alternate weekends.
My cousin makes really beautiful cakes, so I’m going to ask her to make a customised birthday cake for Nooh. Over the last year, I learnt several lessons along the way that I would like to share with you in hope that it will benefit you in some way. To be fair, not everyone in Malaysia is educated enough about health but they should really take the initiative to learn it up as it is their own bodies and they should never take that for granted.
We had planned for the trip to a theme park in China well in advance but I could not make it as it was just 3 days after my operation. I spoke to him every day for the 5 days that he was there.  The first day he asked, “Mommy are you okay? Sometimes, he gets drinks of water for me and tells me that when I am sick, I need to drink a lot of water. We plan to have a small do with just my family but my friends asked me to hold a small party.
We had been there before last year but it is still a fun place, especially for young toddlers. I can never understand this concept why it is so important for children to be the youngest graduate. By widening your children’s eyes, stretching their ears, increasing their perspectives in having a broader mind, they get to think more, do more, and ultimately make better decisions about what they like and do not like.
This year alone, we got to participate in entrepreneurial markets where my eldest daughter got to learn how to barter, trade and sell. They also managed to hone in on their language skills and dug deeper into any subject of interest such as loom bands and art and model making. The world becomes clear and there is no pretence on any part when you know who you are, what you are capable of, where you want to go and how you are going to get there.
When people are directionless sometimes, they take a year out from the hustle and bustle of work and spend a year traveling or doing other things to decide where they truly want to be. It is extremely enlightening and if you ever have the opportunity, don’t think too hard about letting your kids take a year out. We departed from KLIA to Schipol, Amsterdam and transited for about 8 hours to taste the freshness of raw herring, standing on the bridge overlooking a canal near Central Station. Our target was to drive from Reykjavik to the South, around Iceland, and back to Reykjavik from Sn?fellsnes Peninsula. One minute, you might be blinded by the hot sun whilst the next minute, you could be soaked by an extreme downpour. According to an Icelandic we met, they were having bad weather for weeks before we arrived. I asked my children about going back to Iceland and they replied that they really wanted to visit Iceland again.
I want Pocoyo party!“ So, he is going to have an entirely different themed party this year after having Angry Bird themed parties for three years. He has set ideas on colours for girls and boys - pink and red are for girls and blue is for boys. My son already knows simple arithmetic like 1+2=3, 4+5=9 and can count the money I give him . I was going,  “The Angry Bird opens his hands to pick up the things” when he said, “NO NO Mommy, Stop! HSV-1 can also cause genital herpes. Herpes simplex virus 2 (HSV-2) is the most common cause of genital herpes, but it can also cause oral herpes. If we have the chance to visit Melbourne again, we’ll definitely take a train to spend our own sweet time at those places. Whatever it is, whatever it takes, you either have a project going or take time out to be by yourself, do something. Many of us waste far too much time on Facebook when some of that time could be spent more productively.
All you need to do is to have samples of your writing in hand and inform them that you are available.
Get out of your comfort zone and start a business where you will be in complete control of your life.
When I work from home, I am very productive because I already save time to get ready for work and to commute to and from work and there have been times that I work through lunch as well.
It’s important that they are not neglected as well because the whole idea to work from home is so that you can spend quality time with the kids right? But the good news is; on the 1st week itself, the teacher informed us that she just sobbed a little and stopped after we left. This can be anything from processed cheeses, processed cereals, canned food, snacks that you buy from the convenience store wrapped in plastic, even commercial muesli bars; they all add toxins into the body over time.
Good circulation ensures that every part of your body functions well and gets good quality oxygenated blood that is filled with the nutrients that each part of your body needs. Usually this is not possible and especially not for children when they are fussy eaters and thus, good, natural supplements are necessary.
This is because water has Hydrogen and Hydrogen is everywhere in our cells binding our DNA.
If you do not sleep enough, you are giving the free radicals more opportunity to multiply within your body. Think of your children, they need you thus you owe it to them to care best for your own body at no sacrifice.
The place was pretty packed which limited us to much fewer activities in comparison to the first time we were there. Of course, occasionally work beckons, but it is more important to be connected with your own children – especially during their formative years. Now at 4 years old, he still carry that same temperament even though I had sent him to kindergarten since he was 2 years old with a change to another school since then. However, after meeting his friends and as the learning session begins, he starts to enjoy himself. As much as I tried to moderate little tiffs and differences in opinions, some women are so set in their ways and are unforgiving. She had always been a sparkle of health doing daily morning brisk walks and eating mostly vegetables and fish with very little oil and lots of fruit, but still despite the clean health record from the Doctors, she died suddenly when her heart stopped without warning.
Instead of taking prescribed drugs from the Doctors which could potentially lead to other problems, let alone side effects and what not, I am now healing with only these natural supplements and it has been very positive.


My husband also stayed behind to be with me so my mother-in-law and father-in-law took Ashton on the trip. Your tummy is okay?” Second day, he asked: “Mommy why so long you aren’t here yet?” I had to explain to him again that I told him I cannot go and he sounded disappointed.
We had a great time with the orphans and I am very glad that Amber Chia Academy and Pensonic supported this campaign. He keeps asking me, “How many days are there to Christmas?” Christmas and his birthday are the 2 occasions that he looks forward to the most. It is not entirely stroller friendly as there are a couple of bumpy rides but overall, a stroller comes in handy especially with younger toddlers. Had we been at school, the most we could have taken off would be 2-3 weeks but since we weren’t at school, 5 weeks was our Haven. With all this time, the world was their oyster and they only needed to drown themselves in anything that they wished. Unfortunately for us, this was also a year that my Mother-in-Law passed away, my Mother passed away and the diagnosis of my heart disease happened, all within this last 2 months. It is nourishment for their soul to find themselves and it is only when you know who you are that you can truly succeed in this amazing world. We had no internet connection and relied only on the hotels’ wifi (which we didn’t book any, except Reyjavik’s), a GPS and our travel book. We went to the district which is famous for the hidden valley of elves, fairies, and puffin!
I think it is because of the different experiences they had while they were in Iceland - rivers, waterfalls, larva field, fjords, valleys, hills, glaciers, icebergs, beaches, lagoons, towns, villages, and many more.
We went back to Keflavik, had a little rest before catching our flight back to Kuala Lumpur via Amsterdam at 2.30 o’clock in the morning. What was most important thing was the kids: as long as they enjoyed themselves, the whole trip would be the best we ever had. Ashton will be turning four soon, at the end of this month and it’s time for me to plan for baby number two. It is a different stage of motherhood, a different set of experience and I enjoy every moment of it.
Recently, I asked him to try on a wig so that we can have an idea of how his sister will look like.
I think it became a habit from the time he was little when I would ask him about his day without fail.
Sometimes when I ask him about a certain character, he will go to Youtube and tell me the history.
Trends in HSV Types and Genital HerpesGenital herpes can be caused by either HSV-2 or HSV-1. So, we narrowed it down to Hong Kong (as they have Disneyland there), Japan (Disneyland too, but main language is in Japanese) and Australia (heard good reviews from people who travelled there with young children). Generally, the people there are ever willing to give an extra hand and give way to people with strollers. We also managed to visit the SeaLife Aquarium, spent some time at the DFO South Wharf by Yarra River. We of course pray that it never happens, but is it not wise to just be prepared even if a little?
This is also something I have done before and is a good way to earn if you do not like moving about. Actually, I should start this business on what to recommend for Stay-At-Home-Moms to do to earn an income! Instead of spending every waking moment in front of the TV, spend some time actually building something for yourself.
If you consume it in very low quantities, you can probably get away with it, but if you are a regular consumer of processed food, at some point in your life or your child’s life, there are bound to be consequences.
If you have poor circulation, certain parts of your body will start deteriorating and over time, disease sets in. However, if you can be diligent to juice several times daily in order to make up for the lack of nutrients that your body requires, then you could almost negate the supplements but honestly, how many of us have the time to juice 6-7 times a day on top of eating 3 meals that are filled with several dishes of fruit and vegetables? Sometimes, it is a struggle, “Mommy I don’t like Chinese!” I think he is picking up Mandarin well.
For the first few days, he kept asking and looking for the iPad & tab – pining like a lost lover!
Nooh is now 3-years young, and every time we look at him, we know we’ll miss his baby face and cheekiness when he eventually goes off to college to pursue his studies. I have led a life of over indulgence eating lots of sugary desserts and chocolate, and I literally ate anything I wanted to as nobody slapped me into consciousness.
I have much more energy as a busy Stay-At-Home-Mom now (previously I would collapse in exhaustion whenever my Oxygen levels were low and sleep during the day for up to 4 hours) and I haven’t had a bout of chest pain since.
By choice, we did not visit all the touristy sites in Europe because we decided from the start that this was a children’s trip to experience another continent, the weather, the food, the people, learn about currencies, and to observe most of all how people lived other than in our home country.
We attended the Home schooling Sports Day which was completely different from a typical school’s sports day where the community just stuck together with support and trust with everyone seen helping one another and not being at competition with each other. When you truly know yourself, you get to dictate your own terms on how you will live your life and not have the urge to compare yourself and your life to anyone else like the majority of people do. This makes me realise that there is a reason for everything and had we not taken a gap year, the stress of these changes might have flung me towards a nervous breakdown. We wanted to discover Iceland’s glory for ourselves and decided that the best way to explore the country was on a road trip. During that flight, the man who sat next to me would not allow us to change seats with him despite my child crying in front of him. It was 11 o’clock and supposedly near midnight in our country but thanks to the midnight sun, it was bright as day.
I have been trying to conceive for a year and I thought a relaxing holiday may well do the trick. The other day, he told me, “Mommy, it is okay to have a boy” because I am used to comforting him with, “Ashton, it is okay…” whenever he is not happy with something.
It is similar to a science centre; older children would be able to relate more on the exhibits. We learnt how to take a train to Brighton Beach where the famous colourful bathing boxes are located (those boxes are basically storage space for surfers). One would go mental and seriously lose a lot of self-esteem plus not to mention that once the kids leave the nest, you’d be crippled. I’m too lazy to bake these days so I’d most likely order from you instead if your cake tastes good.
If you are interested, send me your CV and tell me what you like to do and I will find you a work from home job based on your interests, your time that you want to put in versus how much money you would like to make. Processed food contain food preservatives, additives, fillers, food conditioners and flavourings, or you would not be able to keep them in your pantry for more than a few days. Because it not only feeds our already existing but dormant cancer cells within our body but overworks our pancreas and gallbladder into producing excessive insulin. Exercise will also strengthen bones and build muscles, keep a healthy heart and give you overall great health.
Of course there is a thing as too much water so the correct amount to drink per person is based on their weight in pounds (lbs) divided by 2 in ounces (oz). Sleep is the time when our cells regenerate and heal, so if you sleep very little, there is very little opportunity for your cells to do a thorough and complete cell renewal process. And as much as I tried to diffuse situations, it was only me in the end that ended up getting burnt to charcoal. The lesson learnt is that if you have spent quality time with your loved ones continuously, the tragedy of loss will be much easier on the heart. I was an emotional eater too and that didn’t help so it was a very bad habit, this daily eating bad food habit. I am praying very hard that these supplements will heal my heart so well that I will not have to go for an open heart surgery as the Doctors have suggested. Some just want their kids to get into the working world as fast as possible to either be ahead of their peers or to start earning as early as possible. From the batch of my classmates and peers, I’d say less than 50% are performing what they graduated in. It was an amazingly rich experience for us just spending the whole 35 days as a family unit moving from city to city, having to make decisions, compromise and spend quality time with host families in every country.
The kids got to participate in story telling sessions, yoga classes, baking classes, started Capoeira classes, went ice-skating, made an array of new dishes in the kitchen, learnt how to prepare a full dinner without my intervention, visited Bank Negara, the National Musuem, etc and you know what? Having this time out of school undeniably has given my girls a chance to get to know themselves better. I have to really study all the cartoon characters as Ashton is getting more knowledgeable about the cartoons than me. In recent years, HSV-1 has become a significant cause in developed countries, including the United States. It’s a great tool for many reasons but is reading and posting about what you ate yesterday going to change your life? They are stuck because they never had the forethought to keep something for themselves and when shits hit the fan, they are well and truly stuck with not enough options. Whenever we consume sugar, our body produces a spurt of insulin to balance out our body’s blood sugar level. For example, take a heavy, large me who is 80kg which is 176lbs, divide that by 2 to make 88 ounces, which is the amount of water for my body to function optimally, which converted into litres is 2.64 litres.
So when’re you can, do sleep and best by 11pm because that is the best time the body starts its healing work. Where are you?” It can be frustrating at times when I am busy at events but I enjoy the sweet feeling that he misses me. The ring is not my style but I love it and wear it because it was given to me by my beloved son. At that moment, I saw a different side of my son, the expressive side and the confident side. I truly think now that if you want your kids to love school, to give them a year out and keep them at home but do NOTHING with them until they get so bored that they are begging to go back to school. I am thankful that we did just that and so although we are terribly saddened by their deaths, we are not crippled and celebrate their passing with continuing their legacies in our daily living.
And suddenly last year, when I least expected it just before my Mother passed away, I had a bout of chest pain and was diagnosed with heart disease.
Another blessing is that I found a business that I could run from home and am exploring other business opportunities too! I want him to know that there are children who are not as fortunate as him,  children who do not have parents but are still able to stay positive. Some did a degree of their parent’s choice because they just couldn’t decide and didn’t know how to decide, some are just going with the flow and carrying on with the degrees they’d graduated with. It has given them a quiet confidence that no school could ever instil as it is a solo journey of self-discovery. He can also explain somewhat the meaning of words – “Surprise is when you see something and you are happy” and “Disgusting is when the people are very ugly”.
When I asked him to tell me bed time stories instead, he insists that it is Mommy’s job to do that. You could have your own definition but better still if whatever you do actually contributed to the family income, wouldn’t that be fantastic?
It takes many years of experience to know what works and what doesn’t and I have experimented with various blogs to learn all that.
Over time, our body becomes insulin resistance and despite the pancreas producing more insulin, it no longer works to remove the sugar from our blood.
However if you exercise or are active and sweat a lot, then there is no harm drinking a little more than your recommended water intake. If you have work to do, wake early to do it even at 4am, but sleep early rather than sleep late.
It is not that I have no confidence in him but he is such an active character, always bouncing about, moving and learning ever so quickly that I am amazed he could listen to the drama teacher’s instructions pretty well. Just be the politician and be nice to everyone even if you do not really agree with what others do. Some people are not so fortunate and feel a deep sense of regret, sometimes for the rest of their lives.
I hope he continues with this habit in future as I want to be able to give him proper advice when required.
When I asked him about his China trip, he told me, “Boring, Mommy!”  I am looking forward to our little family holiday trip.
I am very grateful that my kids had this opportunity to give themselves the time and love for the things they are truly passionate about.
We grabbed a couple of souvenirs at Paddy’s Market for decent prices and our kids were overjoyed with their new kangaroo and platypus soft toys. I’m just saying out of the very little time that you already have, spend a portion of it doing something productive. Like it or not, we will die without water and water contains good Hydrogen that will repair and cleanse out our defective cells known as free radicals from the body. I want to spend as much time as possible with him so I try to cut down on my trips and travel. So listen up, if you have not been spending quality time with your loved ones, start now because they can go. Happy with sticking to our core degrees and spending the rest of our lives making a living out of it?
The risk of infection is highest during outbreak periods when there are visible sores and lesions. Free radicals are defective cells that get produced from bad food, stress, environmental pollutants, smells, creams, pollution, and the mere act of breathing because our body is like a car and cars produce fumes as a by product from burning fuel. If any of you are Stay-At-Home-Moms and want to have something for yourself apart from children and the household only, there are definitely options that you could explore. Time to come home.” I am touched that he misses me so much but sometimes I feel helpless, not being able to have him understand why I cannot be with him. However, most people aren’t consuming sugar after a long workout and their livers are already full of glycogen. And I believe that even if you had the most forward thinking women in a group, this problem will still surface. It is a big problem because now, not only have we lost a source of big income, we have an extra expense – HOSPITAL BILLS!!! So please, please, please, make a conscious decision on how you will be improving your lifestyle health-wise today. SymptomsWhen genital herpes symptoms do appear, they are usually worse during the first outbreak than during recurring attacks.
Some of this fat gets shipped out, but a part of it remains in the liver and builds up over time and you get Liver Disease. Eating sugar also increases bad cholesterol and triglycerides and can contribute to Leptin resistance which will then cause weight gain, cravings, sleep problems and such. Eating sugar will create an addictive sugar response in the brain plus it doesn’t fill you up and instead encourages you to eat more.
Herpes, Pregnancy, and Newborn InfantsHerpes can pose serious risks for a pregnant woman and her baby.
The risk is greatest for mothers with a first-time infection, because the virus can be transmitted to the infant during childbirth. Guidelines from the American Academy of Pediatrics recommend using specific diagnostic tests for women in labor to determine the risk of transmission.
Babies born to mothers infected with genital herpes are often treated with the antiviral drug acyclovir, which can help suppress the virus. Herpes viruses include human herpes virus 8 (the cause of Kaposi sarcoma) and varicella-zoster virus (also known as herpes zoster, the virus responsible for shingles and chickenpox). The word "herpes" comes from the Greek word "herpein," meaning "to creep." This refers to the unique characteristic pattern of all herpes viruses to creep along local nerve pathways to the nerve clusters at the end, where they remain in an inactive (dormant) state for variable periods of time. The usual cause of oral herpes (herpes labialis), which are commonly called cold sores or fever blisters.
HSV-1 can also cause genital herpes, which is a sexually transmitted disease (STD). Herpes simplex virus 2 (HSV-2).
Until recently, the general rule was to assume that HSV-1 caused oral herpes and HSV-2 caused genital herpes.
It is now clear, however, that either type of herpes virus can be found in the genital or oral areas (or other sites). In fact, HSV-1 is now responsible for more than half of all new cases of genital herpes in developed countries. The Disease ProcessHerpes is transmitted through close skin-to-skin contact. To infect people, the herpes simplex viruses (both HSV-1 and HSV-2) must get into the body through tiny injuries in the skin or through a mucous membrane, such as inside the mouth or on the genital or anal areas. The risk for infection is highest with direct contact of blisters or sores during an outbreak. But the infection can also develop from contact with an infected partner who does not have visible sores or other symptoms. Once the virus has contact with the mucous membranes or skin wounds, it enters the nuclei of skin tissue cells and begins to replicate. The virus is then transported from the nerve endings of the skin to clusters of nerve cells (ganglia) where it remains inactive (latent) for some period of time. However, at some point, the virus wakes up and travels along nerve pathways to the surface the skin where it begins to multiply again.
During this time, the virus can infect other people if it is passed along in body fluids or secretions.


Viral shedding may be accompanied by noticeable symptoms (outbreak) but it can also occur without causing symptoms (asymptomatic shedding).
In either case, a person is infectious during periods of viral shedding. Symptoms may appear as multiple small red bumps or patches that develop blisters. Certain triggers can wake up the virus from its dormant state and cause it to become active again. In general, recurrent episodes of herpes cause less severe symptoms than the primary outbreak. HSV-1 is the most prevalent form of herpes simplex virus, and infection is most likely to occur during preschool years. In addition, because HSV-1 can be passed in saliva, people should also avoid sharing toothbrushes or eating utensils. Transmission of Genital Herpes Genital herpes is transmitted through sexual activity.
People can get HSV-2 through genital contact or HSV-1 through mouth-to-genital contact with an infected partner.
People with active symptoms of genital herpes are at very high risk for transmitting the infection. Unfortunately, most cases of genital herpes infections occur when the virus is shedding but producing no symptoms. Most people either have no symptoms or do not recognize them when they appear. In the past, genital herpes was mostly caused by HSV-2, but HSV-1 genital infection is increasing.
There is also evidence that children today are less likely to get cold sores and become exposed to HSV-1 during childhood. Centers for Disease Control and Prevention (CDC), about 1 in 6 Americans ages 14 to 49 years have genital herpes.
While HSV-2 remains the main cause of genital herpes, HSV-1 has significantly increased as a cause, most likely because of oral-genital sex. African-American women are at particularly high risk. People with compromised immune systems, such as those who have HIV, are at very high risk for genital herpes. Drugs that suppress the immune system, and organ transplantation, can also weaken the immune system and increase the risk for contracting genital herpes.
It is almost impossible to defend against the transmission of oral herpes, because it can be transmitted by very casual contact, including kissing.
Still, you can help reduce the risk of transmitting oral herpes by not sharing objects that touch the mouth, such as eating and drinking utensils, toothbrushes, and towels. It is best to refrain from any type of sex (vaginal, anal, or oral) during periods of active outbreak. However, herpes can also be transmitted when symptoms are not present (asymptomatic shedding). Although condoms may not provide 100% protection, they are proven to significantly reduce the risk of sexual disease transmission, including herpes. Natural condoms made from animal skin do NOT protect against HSV infection because herpes viruses can pass through them. Use a water-based lubricant. Lubricants can help prevent friction during sex, which can irritate the skin and increase the risk for outbreaks.
Only water-based lubricants (K-Y Jelly, Astroglide, AquaLube, and glycerin) should be used. However, it is best not to use condoms pre-lubricated with spermicides. Do not use spermicides for protection against herpes. Nonoxynol-9 can cause irritation around the genital areas, which makes it easier for herpes and other STDs to be transmitted. Use a dental dam or condom for oral sex. If you have any symptoms of oral herpes, it is best not to perform oral sex on a partner until any visible sores or blisters have healed. Limit the number of sexual partners. The more sexual partners you have, the greater your chances of becoming infected or infecting others. It is very unlikely to transmit or contract genital herpes from a toilet seat or bath towel. Studies suggest that male circumcision may help reduce the risk of HSV-2, as well as human papillomavirus (HPV) and HIV infections. However, herpes can cause significant and widespread complications in people who don't have a fully functioning immune system.
The CDC recommends that all people diagnosed with herpes simplex virus 2 (HSV-2) get tested for HIV. Most people with HIV are co-infected with HSV-2 and are particularly vulnerable to its complications. HSV-2 infection increases HIV levels in the genital tract, which makes it easier for the HIV virus to be spread to sexual partners. Herpes and PregnancyPregnant women who have genital herpes due to either HSV-2 or HSV-1 have an increased risk for miscarriage, premature labor, inhibited fetal growth, or transmission of the herpes infection to the infant in the uterus or at the time of delivery. Herpes in newborn babies (herpes neonatalis) can be a very serious condition. Fortunately, neonatal herpes is rare. Although about 25 to 30% of pregnant women have genital herpes, less than 0.1% of babies are born with neonatal herpes.
The baby is at greatest risk during a vaginal delivery, especially if the mother has an asymptomatic infection that was first introduced late in the pregnancy. The risk for transmission also increases if infants with infected mothers are born prematurely, there is invasive monitoring, or instruments are used during vaginal delivery.
Transmission can occur if the amniotic membrane of an infected woman ruptures prematurely, or as the infant passes through an infected birth canal. This risk is increased if the woman is having or has recently had an active herpes outbreak in the genital area. Very rarely, the virus is transmitted across the placenta, a form of the infection known as congenital herpes. Also rarely, newborns may contract herpes during the first weeks of life from being kissed by someone with a herpes cold sore. Infants may get congenital herpes from a mother with an active herpes infection at the time of birth.
Aggressive treatment with antiviral medication is required. Most infected pregnant women do not have a history of symptoms, so herpes infection is often not suspected or detected at the time of delivery.
Fortunately, if a woman does have genital lesions, rapid diagnostic blood tests can quickly determine her chances of transmitting the virus to her baby during delivery. Some women with new or recurrent herpes may also be prescribed antiviral medication during pregnancy.
A woman with herpes can usually safely breastfeed her baby, as long as she does not have a lesion on her breast or nipple. Neonatal herpes can spread to the brain and central nervous system, causing encephalitis and meningitis. Herpes can also spread to internal organs, such as the liver and lungs. Infants infected with herpes are treated with acyclovir, an antiviral drug.
They usually receive several weeks of intravenous acyclovir treatment, often followed by several months of oral acyclovir. It is important to treat babies quickly, before the infection spreads to the brain and other organs.
Fortunately, rapid diagnostic tests and treatment with acyclovir have significantly improved survival rates and reduced complication rates.
Nearly all who recover have some impairment, ranging from very mild neurological changes to paralysis.
Like encephalitis, meningitis symptoms include headache, fever, stiff neck, vomiting, and sensitivity to light. Fortunately, herpes meningitis usually resolves after about a week without complications, although symptoms can recur. Herpes Eye ComplicationsOcular herpes is a recurrent infection that affects the eyes.
Ocular herpes is usually a simple infection that clears up in a few days, but in its more serious forms, and in severe cases, it can cause blindness. It only affects the upper layer (epithelium) of the cornea and heals with scarring. Stromal Keratitis.
Iridocyclitis is another serious complication of ocular herpes, in which the iris and the area around it become inflamed. Herpes Skin ComplicationsEczema Herpeticum A rare form of herpes infection called eczema herpeticum, also known as Kaposi varicelliform eruption, can affect people with skin disorders and those with a weakened immune system. Untreated, this condition can be extremely serious and possibly fatal. Gingivostomatiti Oral herpes can cause multiple painful ulcers on the gums and mucus membranes of the mouth, a condition called gingivostomatitis. Children with gingivostomatitis commonly develop herpetic whitlow (herpes of the fingers). Herpetic Whitlow A herpetic whitlow is an infection of the herpes virus involving the finger, often around the fingernail.
In children, this is often caused by thumb sucking or finger sucking while they have a cold sore. It can also occur in adult health care workers, such as dentists, because of increased exposure to the herpes virus.
The use of latex or polyurethane gloves prevents herpes whitlow in health care workers. SymptomsHerpes symptoms vary depending on whether the outbreak is initial or recurrent.
The primary outbreak is usually worse than recurrent outbreaks, with more severe and prolonged symptoms.
In fact, studies indicate that 10 to 25% of people infected with HSV-2 are unaware that they have genital herpes. The first signs are a tingling sensation in the affected areas (genitalia, buttocks, and thighs) and groups of small red bumps that develop into blisters. The sores may sometimes itch, but itching decreases as they heal. About 40% of men and 70% of women develop other symptoms during initial outbreaks of genital herpes, such as flu-like discomfort, headache, muscle aches, and fever.
Some women may have difficulty urinating and may, occasionally, require a urinary catheter.
Women may also experience vaginal discharge. Recurrent Genital Herpes Outbreak In general, recurrences are much milder than the initial outbreak.
The virus sheds for a much shorter period of time (about 3 days) compared to an initial outbreak of 3 weeks.
Women may have only minor itching, and the symptoms may be even milder in men. On average, people have about four recurrences during the first year, although this varies widely. There are some differences in frequency of recurrence depending on whether HSV-2 or HSV-1 caused genital herpes. HSV-2 genital infection is more likely to cause recurrences than HSV-1. Symptoms of Oral HerpesOral herpes (herpes labialis) is most often caused by HSV-1, but it can also be caused by HSV-2.
It usually affects the lips and, in some primary attacks, the mucus membranes in the mouth.
A herpes infection may occur on the cheeks or in the nose, but facial herpes is very uncommon. Primary Oral Herpes Infection If the primary (initial) oral infection causes symptoms, they can be very painful, particularly in children. The sores last 10 to 14 days and can be very uncomfortable. Blisters that may be preceded or accompanied by sore throat, fever, swollen glands, and painful swallowing. Recurrent Oral Herpes Infection A recurrent oral herpes infection is much milder than the primary outbreak.
It usually manifests as a single sore, commonly called a cold sore or fever blister (because it may arise during a bout of cold or flu).
The sore usually shows up on the outer edge of the lips and rarely affects the gums or throat. Recurrences of genital herpes are more likely with HSV-2 infection than with HSV-1 infection.
The outbreak of infection is often preceded by a prodrome, an early group of symptoms that may include itchy skin, pain, or an abnormal tingling sensation at the site of infection. Recurrent outbreaks feature most of the same symptoms at the same sites as the primary attack, but they tend to be milder and briefer. Occasionally, the symptoms may not resemble those of the primary episode, but appear as fissures and scrapes in the skin or as general inflammation around the affected area. They include sunlight, wind, fever, physical injury, surgery, menstruation, suppression of the immune system, and emotional stress. Oral herpes can be triggered within about 3 days of intense dental work, particularly root canal or tooth extraction. Timing of Recurrences Recurrent outbreaks may occur at intervals of days, weeks, or years.
For most people, outbreaks recur with more frequency during the first year after an initial attack.
The good news is that in most healthy people, recurring infections tend to become progressively less frequent, and less severe, over time. However, other conditions can resemble herpes, and doctors cannot base a herpes diagnosis on visual inspection alone. These tests include: Virologic tests (viral culture of the lesion) Serologic tests (blood tests that detect antibodies) The CDC recommends that both virologic and serologic tests be used for diagnosing genital herpes. People diagnosed with genital herpes should also be tested for other sexually transmitted diseases.
At this time, experts do not recommend screening for HSV-1 or HSV-2 in the general population. Genital herpes can be caused by either HSV-1 or HSV-2.
It is important to determine which virus is involved, as the type of herpes infection influences prognosis and treatment recommendations. Recurrences of genital herpes, and viral shedding without overt symptoms, are much less frequent with HSV-1 infection than with HSV-2. False-negative (testing negative when herpes infection is actually present) or false-positive (testing positive when herpes infection is not actually present) results can occur.
Your health care provider may recommend that you have a test repeated. Virologic TestsViral culture tests are made by taking a fluid sample, or culture, from the lesions as early as possible, ideally within the first 48 hours of the outbreak.
PCR tests are much faster and more accurate than viral cultures, and the CDC recommends PCR for detecting herpes in spinal fluid when diagnosing herpes encephalitis.
PCR can make many copies of the virus' DNA, so that even small amounts of DNA in the sample can be detected. However, many labs now use PCR for herpes testing because it is highly accurate. An older type of virologic testing, the Tzanck smear test, uses scrapings from herpes lesions. The scrapings are stained and examined under a microscope for the presence of giant cells with many nuclei or distinctive particles that carry the virus (called inclusion bodies).
The Tzanck test is not reliable for providing a conclusive diagnosis of herpes infection and is not recommended by the CDC. Serologic TestsSerologic (blood) tests can identify antibodies that are specific for either HSV-1 or HSV-2. When the herpes virus infects you, your body's immune system produces specific antibodies to fight off the infection.
If a blood test detects antibodies to herpes, it is evidence that you have been infected with the virus, even if the virus is in a non-active (dormant) state.
The presence of antibodies to herpes also indicates that you are a carrier of the virus and might transmit it to others. Serologic tests can be especially useful for people who do not have active symptoms, but who have other risk factors for herpes (such as other STDs, multiple sex partners, or a monogamous partner who has genital herpes).
Although glycoprotein (gG) type-specific tests have been available for many years, many of the older nontype-specific tests that cannot distinguish HSV-1 from HSV-2 are still on the market.
Canker sores frequently crop up singly or in groups on the inside of the mouth, or on or underneath the tongue. The drugs are used initially to treat a first attack of herpes, and then afterward to either treat recurrent outbreaks (episodic therapy) or reduce frequency of recurrences (suppressive therapy).
Drugs can, however, reduce the severity of symptoms, improve healing times, and prevent recurrences.
If people experience very severe disease or complications, they need to be hospitalized and receive an antiviral drug intravenously. Your health care provider will prescribe one of the three antiviral medications, which you will take for 7 to 10 days. You should begin the medication as soon as you notice any signs or symptoms of herpes, preferably during the prodrome stage that precedes the outbreak of lesions. If taken during prodrome, episodic therapy may help prevent an outbreak from occurring or reduce its severity. Valacyclovir is taken once a day. Suppressive treatment can reduce the frequency of outbreak recurrences by 70 to 80%. It is generally recommended for people who have frequent recurrences (6 or more outbreaks per year). Because herpes recurrences often diminish over time, you should discuss annually with your health care provider whether you should stay with drug therapy or discontinue it. While taking any suppressive therapy for genital herpes, it is still important to regularly use latex condoms and to avoid any sexual activity during recurrences.
A new form of acyclovir (Sitavig) is administered orally as an adhesive tablet; it is applied to the gum region of the mouth, where it dissolves during the course of the day. In addition, acyclovir is available in topical form, as is the related drug penciclovir (Denavir). Topical TreatmentsThese ointments or creams can help shorten healing time and duration of symptoms. However, none are truly effective at eliminating outbreaks. Penciclovir (Denavir) heals HSV-1 sores on average about half a day faster than without treatment, stops viral shedding, and reduces the duration of pain. Ideally, you should apply the cream within the first hour of symptoms, although the medication can still help if applied later. Apply the cream 5 times a day, beginning at the first sign of tingling or pain. Over-the-counter topical ointments may provide modest relief. They include Anbesol gel, Blistex lip ointment, Campho-phenique, Herpecin-L, Viractin, and Zilactin. Some contain a topical anesthetic such as benzocaine, tetracaine, or phenol. Lip balm that contains sunblock, or sunscreen applied around the lips may help prevent sun-triggered outbreaks. Herbs and SupplementsGenerally, manufacturers of herbal remedies and dietary supplements do not need FDA approval to sell their products. Just like a drug, herbs and supplements can affect the body's chemistry, and therefore have the potential to produce side effects that may be harmful. There have been several reported cases of serious and even lethal side effects from herbal products. Always check with your provider before using any herbal remedies or dietary supplements. Many herbal and dietary supplement products claim to help fight herpes infection by boosting the immune system. There has been little research on these products, and little evidence to show that they really work.
Epidemiology, clinical presentation, and antibody response to primary infection with herpes simplex virus type 1 and type 2 in young women.
Seroprevalence of herpes simplex virus type 2 among persons aged 14 - 49 years -- United States, 2005-2008.
Guidance on management of asymptomatic neonates born to women with active genital herpes lesions. Genital shedding of herpes simplex virus among symptomatic and asymptomatic persons with HSV-2 infection.



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