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It's been a while since I've seen you, been a while since I've heard from you.
Your face is the one thing I can still see, and your voice is the one thing I can still hear.
Mentally, I saw you walking, but you passed me, and didn't notice I was there.
I tried to call out to you, but you didn't hear me.

Once, I thought I loved you, everyone else seemed to think I did too.
But all I felt went away very quickly, like I knew it would. 
When I met you, I was happy, we talked almost always, and it was great having someone to talk to.
You were there, when he wasn't. 

I appreciate and love you for that.

I've tried to picture what it would be like if I was with you, what it would be like if I was yours instead of his.
Would I be happier? Would I experience what I'm not right now?
So many questions, and so many answers which I haven't found. 
Everytime I am alone, I feel some sort of sadness, some sort of emptyness.

Not that it completely has to do with you or him, but I think more to do with the loneliness I've been living with.
Making myself believe things could be different every time I find someone new.
But, you know how it goes, and how its gone for me.
How to walk away from something seems easy, but sometimes, people struggle even when they know they have to let go.

Being with someone new is something I almost don't want to do again.
I don't want to tell anyone else stories of my past, and how I once was.
I don't want to do things and not keep it to myself.
I've always been a quiet and reserved girl, I've always been you could say, overly careful about who I allow to touch me.

Doing things with him, I grew comfortable with, and something I became okay with.
Doing things with you, I've questioned, and thought of, something I would've had to grow comfortable and okay with.
Could I ever do things with you, can I see myself doing things with you, and would I ever see and hear you again........but this time, for real?

I look at how other girls live their lives, and sometimes think of how they handle being physical. 
How do they allow themselves to give their all to one guy, and then another after some time has passed?
is there never any regret? Is there never any fear and doubt?
Where does the trust comfort and idea of being okay with it come from?
If things go wrong, how are they able to allow themselves to do it again, and with someone else who isn't meant to be their someone?

And off the topic I wonder, how was someone like you, able to seemingly fall for me?
I am a damaged broken record you see. 
What is there to possibly like about me, how can one like me, and why?
Even after trying to be with someone for 5 years, I still don't know why he chose me........but then there's you. 
Why did you pick me? why havent you given up? Why do you still wish to have me?
What is there, aside from the reason to do with my body, to like about a woman like me?

There’s chow littered on the staircase floor.

I scramble to clean up the spill before it’s all consumed

By the cat that brought the family bad luck since the late spring.

Here I go, like I always do,

Holding my tongue on the job

While I hear you shout

While I hear you try to crush me

While I hear you goad me to scream.

It confuses me why an act of kindness and good intentions

Can wrought so much volatile sentiments.

I’ve been hesitant to feed the little one because I don’t know his tastes.

Never did I anticipate that her gluttonous habits are what triggers you.

Or is it he? Wow. Just wow.

Anger does wonders to the hippocampus.

My curiosity about how long you’ll live after that squabble fascinates me

But it concerns me at the same time.

Mad people live shorter lives than those that can stay calm when there’s an inconvenience.

To you, I’ve always been the stupid little boy you’ve been raising since thirty-two.

To me, you’ve always been the hot-headed scumbag that loves pushing my buttons.

And your temper is my poison.

Just today, while hitting the road, I thought we’d find common ground.

Keeping our cools while the mama cat is away

And a kitten comes out to play

Before it helps us seek four crystals in need of recovering.

When all that is done, I thought we’d go out for

Bagels and quiche for old time’s sake.

I enjoy the little interactions and activities when your temper is below zero.

Sadly, tonight once again broke the streak

That counted consecutive days we got along.

This always happens growing up, yet I never see it coming.

To you, I’ve always been the stupid little boy you’ve been raising since thirty-two.

To me, you’ve always been the hot-headed scumbag that loves pushing my buttons.

And your temper is my poison.

If you think the black cat is getting pudgy,

Why don’t you take a look in the mirror?

You’ve put on more pounds than she did.

Or he did? How did you get the genders mixed up in the heat?

I guess anger does wonders to the hippocampus.

You’re the reason why I have to keep my temper in check.

And why I prefer tears over beers.

All for the sake of my own well-being so I don’t turn out exactly like you.

Your temper is my poison and I won’t let it fester.

The only antidote to my ailment is knowing that I’ll be out of this roof

Happier than I was living under it just like I was for the past two years.

I know that as a guppy, Mother said to be considerate of you and

I was told that deep inside, you do care.

Sadly, it’s excruciatingly difficult for me not to judge this book by its cover.

I just can’t pry it open to see the pages no matter how hard I try to interpret your rage.

But if this little message hurts your feelings,

It’s a dish served hotter than the volcano in the back of your head.

To you, I’ve always been the stupid little boy you’ve been raising since thirty-two.

To me, you’ve always been the hot-headed scumbag that loves pushing my buttons.

And your temper is my poison. It will always be my poison no matter how old we get.

**

Trump Restaurants: Over 150 Health Code Violations

SNS

Trump's attack on the Red Hen restaurant has boomeranged on him 100 fold

The Red Hen in Lexington Virginia was attacked by Trump because its employees did not want to serve his press secretary. Trump erroneously called the Red Hen dirty. It was cited last year only for storing pickles in the wrong kind of jars. 

Who knows how many incidents of food poisoning have been caused by Trump restaurants or if anyone has died from the food he sells. 

His eateries have been cited over 150 times (in recent years.. not including many years before) for month old caviar, expired yogurt, having flies and cockroaches, food not stored at cold enough temperatures, filth, dirty counters, dirty wiping cloths, dangerously undercooked fish and meat, food not labeled, food not stored according to code, food mishandled, restaurants with structural code violations etc. etc..The Trump Cafe and Grill, and Trump Bar,, and restaurants at Mar-a-Lago as well as Trump Golf Links in the Bronx have been cited many times. 

This year inspectors charged Trump International Hotel in DC with 9 code violations including dirty counters, cross contamination of foods etc.. 

In 2015, Trump Cafe and Grill was cited 21 times for dirty cloths, dirty counters, insufficiently cold temperatures. In 2016 it was cited for roaches (although why restaurants which serve corpse pieces bother about innocent roaches is inconsistent.) 

Trump's restaurant at Mar-a-Lago had 78 citations in 3 years including undercooked fish and hot raw meat 

Trump's Vegas steakhouse was cited 51 times and shut down for a while. 

Jesus' Aramaic was translated into 'sarcophagus' in Greek which means flesheater 

(sarx flesh phagus eater) 

 https://www.huffingtonpost.com/entry/trump-restaurants-health-code-viola 

 http://www.nydailynews.com/news/national/trump-steakhouse-hit-51-violati 

 https://news.vice.com/en_us/article/kzkvaw/trump-restaurants-have-been-c 

 https://www.cleveland.com/darcy/index.ssf/2018/06/trump_pecks_the_red_hen_darcy.html

Medication for newborns is rapidly becoming a growing concern globally. About ninety percent of drugs administered to newborns (premature and full term infants less than twenty eight days old) are not approved by the Food and Drug administration (FDA). This means that medication given to infants have not been tested for correct dosage, safety and ho effective they are.

This is mainly caused by the fear of testing drugs on babies and the hesitation of parents to enlist their newborns for drug testing. Pharmaceutical companies while trying to avoid the risk of liability which may result from fatal mistakes in the tested babies are also reluctant to invest huge amounts of money into researching about drugs for infants because it is such a thin market.

Dr. Jonathan Davis, chief of newborn medicine, Tufts Medical Center says that admitted infants to the neonatal intensive care unit receive about sixty medication in their first month of life. Dr. Davis is presently conducting several clinical trials on newborns in his NICU. The FDA also launched two global efforts to encourage clinical trials in infants.

Most treatment prescribed by doctors for infants are usually done based on experience and how these drugs have been administered to adults. They simply dilute the dose and give it to babies which has led to disasters in the past.
The way infants absorb, metabolize and excrete drugs are different from the way adults absorb, metabolize and excrete drugs. This means prescribing drugs based on how it has worked in adults should be totally avoided when it comes to prescribing them to babies. This technique has led to several deaths in both premature and full term babies.

The Pediatric Research Equity Act of 2003 and the Best Pharmaceutical for Children Act of 2002 are two large legislative efforts to increase pediatric drug studies and were made permanent laws in 2012 with the passage of the FDA safety and Innovation Act.
These Acts have improved further studies into pediatric drugs and resulted in six hundred and fifty one drugs with revised labelling for pediatric patients.
These laws have still not been adequate enough to cover new born babies, only twenty four drugs had their labels revised which either showed that they were not to be used for infants or there were safety issues. These drugs do not fall into the category of recently used drugs according to an analysis of the NICUs carried out in the United States in 2017.

Despite the urgency and criticality of these issues, there has been no major change or research into finding medicine that have been proven to be safe for newborns. The National Institutes of Health initiative invested largely into a study that covers drugs in children but recently ran out of funds while other pharmaceutical companies avoid such studies because of constraints such as; limited blood samples, fragility and the possibility of causing permanent injury in the tested newborns.
With continued awareness and sensitivity to the issue, doctors would still have to continue based on guesswork in administering medication until an alternative arrives.

At one point or the other, people decide to get serious with their health and require help with . But after making assessments in the usual manner, it is often easy to find that they aren't serious, committed or even motivated. While they may not seem like it, you often find that they miss medications even when they know they have chronic disease risk factors. For some they may have not tolerated the medications well and would need to explore other options.

The other options for such patients are quite readily available as different Associations and Organizations all recommend lifestyle changes such as weight control, exercise and diet as the first approach to lowering cholesterol. Such method is referred to as therapeutic lifestyle changes, TLC.

An emphasis has been placed on TLC by the American Diabetes Association for both the management and prevention of diabetes. Although medication is often used in the case of management. TLC has also been recommended by the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure as the first and best methods for managing elevated blood pressure.

Even the American Cancer Society recommends TLC and it's evident that the dietary recommendations of these groups overlap. The emphasis in these recommendations is on foods that minimally processed, close to nature and rich in nutritional value. Foods like beans, fruits, nuts, vegetables, whole grains and many more. Weight control, regular physical activity at a moderate level that is one of the gradual results of being active and eating well are also part of the recommendations.

There is ample evidence to the fact that this basic approach really works when religiouslg followed. The Diabetes Prevention Program showed that TLC was about twice as effective as the use of the drug metformin in trying to prevent diabetes in high-risk individuals and essentially reducing its occurrence by 58%.

This shows that there is nothing radical at all in patients who are reticent about taking medications if they try to modify cardiometabolic risk using a lifestyle intervention. When you do this with the assistance of your doctor, the results are usually gratifying. You could lose credible weight by making sustainable and sensible changes to your physical activity patterns and diet. It is possible that the weight loss experienced at first may not reflect the gain of muscle and loss of body fat if you're exercising vigorously.

TLC usually won't work due to lack of follow through but works well enough when adopted well.

There is really no question in the scientific literature that body fat loss can seriously be more than weight loss in people who are exercising and gaining muscle. TLC works in a slower fashion when compared to statins or antihypertensives but at the end it is safer and more potent. Lifestyle can help to reduce chronic disease risk by almost 80% and no single drug can come close to that. But of course, medication should be used when TLC isn't bringing results as expected for any reason.

Brain and mind enhancement drugs also known as nootropic drugs or smart drugs are supplements made to help enhance brain and mind functions. They are regularly becoming a popular way to give your mind the needed extra boost. There may be other ways that could be used to enhance brain function, but using nootropics reduces the risks of addiction and side effects significantly. We outline a list of five nootropics that could be used to improve cognitive function.

·       Modafinil (Provigil)

Although modafinil has been approved by the FDA to be used for the treatment of narcolepsy, some people living without the condition used it to stay more alert, increase reaction time and improve motivation. Modafinil is often used too by people who do not have narcolepsy to enhance mental function.

Some simple studies have revealed that people using modafinil have shown improved working memory and planning. They also show better spatial planning, visual pattern recognition and increased reaction time. Even other complex assessments showed that modafinil may cause attention enhancement, increased executive learning and functions without hampering the mood of the user.

One thing you must know however is that the use of modafinil may cause reduced plasticity and even harm memory in brains of young ones. This side effect is also caused by Ritalin.

·       Noopept

Noopept has been said to enhances learning skills, memory retention and to also increase focus.

Studies done in mice a while back have shown that Noopept may enhance cognitive functions particularly spatial reasoning when it is related to neurodegenerative diseases like Alzheimer's disease. It is important to have in mind that Noopept was developed to treat cognitive decline related to aging although it remains unregulated in the UK, US and some other countries.

·       Omega-3 EPA and DHA

Omega 3 supplements have been said to improve concentration, reduce stress and enhance reaction time. Most of these omega 3 supplements are made from fish oils containing both DHA and EPA fatty acids. While everyone may be able to benefit straight from dietary sources of essential fatty acids, it is also important to supplement the intake particularly for people with heart diseases. Research is still not conclusive as to whether or not there is enough evidence of the effects omega 3 supplementation. Possible side effects that the fish oils used in making these omega 3 supplements contain DHA that may cause belching, loose stools, fishy taste and nosebleeds.

·       Piracetam

The Piracetam is believed to hell enhance memory, concentration, and learning by improving the flow of blood to the brain. It is also a member of the "racetrack" family of nootropic drugs.

It has been found to help in reducing twitching of the body in myoclonus epilepsy which is a rare disorder that has been studied a little. There are also mixed results concerning the studies conducted on whether Piracetam may enhance memory in test subjects that have cognitive impairment. But a lot of them show from a research of racetem drugs that Piracetam was helpful in enhancing cognition in people who had been victims of brain injury problems stroke. Its effects in reducing anxiety and in the treatment of depression was more noticeable.

Piracetam may cause allergic reactions, some balance and coordination problems, anxiety, nervousness and some other side effects. However, it is in a few cases these may happen.

·       Tyrosine

Brain hackers use Tyrosine to enhance alertness, memory, focus and creativity in solving problems. Studies conducted by the military suggest that tyrosine may improve focus, memory and alertness in patients who are healthy under the intense stress of military conditioning. While a working memory may be hampered in cold conditions, using a tyrosine supplement is believed to buffer the effect. Some side effects of tyrosine may include heartburn, nausea, joint pain, fatigue and headaches.

National programs and insurance are the major factors that make it possible for most citizens of the USA to buy medicines they need because these medicines are often quite expensive. Almost all American citizen endeavors to buy a good medical insurance or join one special government-sponsored scheme or another. One scenario would be that of a middle-aged patient with a typical set of age diseases such as gastritis, high cholesterol levels, diabetes, arterial hypertension or arthritis who needs to pay an average of 500 USD every month without social programs or a medical insurance.

Taking into account an average salary of about $2500 - $4000 each month, it will be almost unavoidable for this patient not to buy cheap medicines every month or try to save on the quality of drugs. These expenses made in a bid to maintain his/her health would have a significant impact on the patient's wallet. While some medicines will still be bought, the government provides pensioners who are over 65 years with most medicines that they need for free, and this means they have better conditions.

People living in the USA and do not have a good medical insurance will experience difficulties in taking care of themselves health-wise due to the high relatively high cost of medical products. There are different options for medical insurance. Those who cannot afford a good and expensive medical insurance can decide to buy a standard package that will offer only a medical service.

There are so many people who live in the USA that try to save up to buy a good medical insurance, but they often don't get to even save up to the needed amount before spending on something else entirely. Others try not to take vacations while others even take microloans at high interests just so they can buy expensive insurance. These expenses are usually not worth it because everyone cannot get to buy drugs from online pharmacies rx.

Online drugstores function just like normal retail pharmacies with pharmacists and a wide range of medical products. Their drugs are also certified and meet international standards. Another thing is, the drugs are a whole lot cheaper in these online pharmacies.

The price difference between drugs in an online pharmacy and a local retail pharmacy could be as much as 300%. This is because retail pharmacies factor in salaries, pharmacy upkeep, and taxes into the cost of the drugs that they sell. Price markup for retail pharmacies in the USA is always 2-3 times higher than online stores because of the high taxes on pharmaceutical products sold in retail drugstores.

Online pharmacies especially Canadian online pharmacies sell drugs without taxes. There are drugs sold in Canadian online pharmacies at the manufacturer's cost. If there was a monthly estimate of about $500 - $800 for medical products in a retail pharmacy, buying from an online pharmacy could beat down the estimate to about $250 - $350. This essentially will be a serious relief in the patient's wallet or budget as it were.

The advent of online pharmacies now allow people living in the USA without expensive medical insurance get access to medicines without prescription, and at competitive prices. Question now is, why will you want to stretch yourself to overpay for drugs when you can easily buy them from an online pharmacy.

Generic drugs have been hailed for the impact they have had on the United States healthcare industry. These group of medicines has ensured that Americans have access to affordable yet qualitative prescription medicine, thereby ensuring improved healthcare delivery.

At its most basic, a generic drug is a copy or replica of a brand-name drug, dispensed with the same dosage, intended use, effects and side effects, route of administration, risks, safety, and strength as the original (patented) drug. Unlike the original medication, a generic drug enters the market at much less a cost compared to that for a brand name due to lower production costs and less stringent regulatory approval routes/paths.

These characteristics of a generic drug mean that the market teems with a lot of producers of this brand of medicine. That many players mean that competition is steep in the generic drug market. And this competition is put putting downward pressure on the pricing of generic drugs in the market. The latest quarterly results of two leading generic drug manufacturers, Impax and Perrigo, lay credence to the fact. These companies missed revenue expectations by at least 20 percent. Overall, the generic drug sector anticipates that prices will fall by as much as 9 percent in the current year. Some enthusiasts also opine that generic drug prices will continue to experience accelerated deflation in the first half of 2017.

This brings us to the question of why is the case with the pricing mechanism of generic medicine in the United States and the rest of the world.

Reasons

It is important to note that US Food and Drug Administration (FDA) has made generic medicine production/facilitation as well as market price equalization, one of its key focuses. So if generic drugs receive such enormous official goodwill, why does a downward spiral in price still occur?

We may need to look at the kind of generic medications that obtain regulatory approval in the first place. The number of Abbreviated New Drug Applications (ANDAs) which are termed ‘first timers’ has steadily decreased over the years. A first time ANDA is a generic medicine made from an original that had no copies before. In other words, the FDA is approving more generics in a market already brimming with similar copycats and fewer approvals going out for innovator generic medicines. Simple Economic logic shows that the more available a product/service is, the lower the cost of the product/service in question.

Another factor in falling generic drug pricing borders on the activities of wholesalers. These actors wield influence by engaging in a pricing war, by offering better pricing to pharmacies, rather than to national supply chains. At the same time, these wholesalers also arm twist drug manufacturers into giving them better bargains on drug pricing.

A way out?

A plausible solution to stemming the tide of falling generic drug pricing might lie in innovation. But that seems highly unlikely given the nature of the generic drug industry. A more practical (workable) solution looks to be generic drug manufacturers coming together to consolidate the market. This consolidation could eventually make the market attractive and profitable enough for investors to provide additional funding and improved capacity.

Introduction

Meal replacement drinks are becoming a go-to thing when it comes to an effective weight-loss tool, within the realm of health and diet supplement industry. Fitness enthusiasts rave about the benefits they have seen or experienced with help of similar products, from increased immunity to a surprising spike in the energy and activeness of mind. Small wonder, these drinks are so famous.

But the trouble hits when it comes to choosing the right meal replacement product for you. Well, it's like – finding your perfect smartphone in the gigantic mobile phone industry. It could be a daunting task no doubt, and more importantly, it is related to your health, so certainly the stakes are even higher for choosing the most appropriate meal replacement product.

With this article, we are going to give you a breakdown for two meal replacement shakes, which are pretty much on the top of the table in the industry – Idealshape and 18Shake.

Idealshape meal replacement shake is a complete kit for your weight-loss regimen, it contains meal replacement shake mix, energy bars to replace your routine snacking and accompanied by your own healthy meals.

18Shake is a product of the company called 18Nutrition, it contains meal replacement shake mix and an e-book "18 meal plan" to guide you through your weight loss process with help of 18Shake.

Shake Flavors

Idealshape comes in seven flavors - chocolate, vanilla, strawberry, mocha, cookies and cream, chocolate cream pie and orange cream. Like most of other meal replacement shakes, it could be blended with a lot of other ingredients to bring further variations in the taste. The package does contain a recipe booklet for making different smoothies.

18Shake, on the other hand, comes only in two variations, i.e. – chocolate flavor and vanilla flavor. It tastes better with almond milk or coconut milk. This could also be mixed with various ingredients to give it different flavors. The e-book also contains some exciting recipes with the ingredients' nutritional value, to enhance the flavor as well as nutrition.

Nutritional Value

Nutrition value of the product you choose as a meal replacement obviously has to be the topmost priority to evaluate the product upon, as the body needs a certain nutrients in a certain measure to perform various bodily functions, and needless to say that each one of us have a different measure of nutrients depending upon a lot of other factors involved, like weight, height, fitness, etc. to name a few.

So, whatever may be your basic needs from a meal replacement solution, we recommend you to evaluate it for yourself, based on the below nutritional facts of both the products.

Craving Control

One of the key tasks for a good meal replacement shake is to provide for effective appetite suppression. The reason being, if your meal replacement drink leaves you craving for your favorite snack even after consuming the shake and you just can't wait until your next meal, it is not going to serve your purpose.

Idealshape uses slendesta as an appetite suppressor. Slendesta is a starch found in potatoes that induces the secretion of Cholecystokinin hormone which is responsible for making your body feels full.

In 18Shake the ingredient chiefly responsible for curbing your cravings is – Fibersol-2. It is a patented manmade fiber, popularly known as Maltodextrin. It is digestive resistant fiber, which makes you feel fuller for few hours.

Both the shakes have received fairly positive reviews on this front.

Price

This becomes another decisive factor while choosing your meal replacement solution. Initially one may pick a product thinking it to be an ideal supplement but one needs to realize that this not a one-time investment, but a longtime regimen. There could be several aspects depending upon your need that you might actually consider trading off.

I personally know a lot of people who started off very enthusiastically about a product only to realize it later that, they have been draining their money on something that is really not worth it for their purpose. Something simpler might have been equally useful for their weight-loss. But alas, only after losing a substantial chunk of money did they learn this precious lesson.

So while choosing your ideal weight-loss product or meal replacement product, you must carefully consider the price of the product in comparison to other available alternatives and more importantly with your needs.

The two products that we have on hand at the moment – Idealshape and 18shake, both come at a relatively economical price point in comparison to other competitive products being sold in the market, as of now.

An approximate value per serving for both of this meal replacement shakes is – 1.66 USD and 2.88 USD respectively. The prices may vary based on the discounts or coupons the companies keep offering from time to time.

IdealShape or 18Shake?

It is a close fight between the two shakes that we have just analyzed and compared. However, Idealshape does take a lead on one or two levels of comparisons that we have discussed above, like the price or variety in flavors.

However, it needs not to be an influencing factor for you choosing one product over another.

Conclusion

As I kept emphasizing right from the beginning of this article, that the purpose of writing this article is to provide the reader with all the key information points with an unbiased point of view, so that the readers could make a more informed decision based on those points, to invest in the most appropriate meal replacement shake for them.