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I am perimenopausal – will I experience the same symptoms I had in puberty? Dr Zoe answers your health questions

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I go for a poo once every five days - is this normal? Dr Zoe answers your health questions

OUR resident specialist and NHS GP, Dr Zoe Williams, shares her expert advice.

Today, Dr Zoe helps a reader going through the perimenopause.

Sun columnist Dr Zoe helps a reader who is perimenopausal

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Sun columnist Dr Zoe helps a reader who is perimenopausalCredit: Olivia West
Symptoms of perimenopause include experiencing hot flushes and night sweats

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Symptoms of perimenopause include experiencing hot flushes and night sweatsCredit: Getty

Q: IS it possible to have many of the same symptoms I had in puberty now I am perimenopausal?

A: Absolutely, it’s very common to experience similar issues to what you went through as a teenager.

Both stages involve significant hormonal shifts, which can cause mood swings, acne, breast tenderness and weight changes.

During perimenopause, fluctuating oestrogen and progesterone levels can affect not only your menstrual cycle but also your emotional and physical well-being, much like they did during puberty.

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Your body is adjusting to a new phase.

If the symptoms become troubling, please do not suffer in silence.

There are many ways in which to manage and ease the transition into menopause, so contact your GP to explore your options.

Inside the French menopause retreat

They will likely advise lifestyle modifications, for example reducing caffeine, alcohol and ultra-processed foods, and increasing exercise, sleep and healthy foods.

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You may find some adjustments like these are enough to keep your symptoms at bay.

You don’t say what symptoms you have, but women experiencing hot flushes, night sweats and vaginal dryness often find HRT is helpful.

Health tip

Try out the 20-20-20 rule to reduce eye strain from looking at the same thing all day, whether that be a laptop screen, TV or book!

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Every 20 minutes, look at something 20 feet away for 20 seconds.

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Health & fitness

My beautiful babies were BOTH diagnosed with cancer after I spotted bloated tummy… I was told to have ‘one last cuddle’

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My beautiful babies were BOTH diagnosed with cancer after I spotted bloated tummy… I was told to have 'one last cuddle'

HAVING one child with cancer would devastate the lives of any family but mum Claire Bicknell faces the horror of two diagnoses.

Her daughters Kaiah, five, and two-year-old Maggie Mae have both beaten totally unrelated versions of the disease – but each faces a high risk of their cancer returning.

Kaiah and her sister Maggie Mae have beaten two unrelated forms of cancer

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Kaiah and her sister Maggie Mae have beaten two unrelated forms of cancerCredit: Supplied
Kaiah was diagnosed with childhood kidney cancer when she was just five months old

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Kaiah was diagnosed with childhood kidney cancer when she was just five months oldCredit: Supplied
Kaiah had to undergo rounds of chemo that left her feeling "violently sick"

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Kaiah had to undergo rounds of chemo that left her feeling “violently sick”Credit: Supplied
The family, which includes dad Liam and big brother Jacob, are determined to forge on

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The family, which includes dad Liam and big brother Jacob, are determined to forge onCredit: Supplied

Claire, 36, of Eastwood, Notts, said: “We have been hit by what is literally a stroke of bad luck.

“There’s not a day goes by when I don’t think, ‘Why us? Why my babies?’”

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The family were dealt their first blow in July 2019 when Claire became worried about Kaiah’s bloated stomach at five months old.

“It sounds strange but she looked like a little frog,” says Claire. She had her upper body, then she had this very rounded stomach, then her bum and legs.

“Her tummy was always hard and I kept taking her to the GP because instinct told me something was wrong. Then one day I took her out of the car seat and she visibly winced.”

Kaiah was eventually sent to Nottingham’s Queen Medical Centre where paediatricians told Claire her daughter had a childhood kidney cancer called bilateral Wilms tumours.

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Claire said: “When the doctors told me I just couldn’t get my head around it. I made this guttural noise that I’ve never heard before, a noise that came right from my gut.

“I was so scared we would lose her.”

‘What have I done?’

Claire and partner Liam, 29, watched helplessly as Kaiah went through a gruelling year of chemotherapy which made her violently sick.

“She was so poorly during chemo that by seven and a half months old, she knew how to grab a sick bowl and vomit in it. It was awful,” said Claire.

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Kaiah underwent two operations to remove most of her kidneys and now has the tissue of just one remaining.

Claire was devastated when doctors told her Maggie Mae also had cancer

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Claire was devastated when doctors told her Maggie Mae also had cancerCredit: Supplied
Maggie Mae, who has Down's Syndrome, had to deal with chemo when she was a newborn

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Maggie Mae, who has Down’s Syndrome, had to deal with chemo when she was a newbornCredit: Supplied

She will need a transplant in the future, and doctors have warned the family there is a 40 to 50 percent chance the cancer will come back, potentially in another part of the body such as the spleen or bladder.

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Just as they got used to life looking after Kaiah, Claire fell pregnant with Maggie Mae, who she knew would have Down’s Syndrome at birth.

In July 2022, she gave birth to her bundle of joy who came “kicking and screaming” into the world but, within hours, Claire’s life collapsed for a second time.

She said: “When Maggie Mae was born, the doctors said she was very anaemic and took her away to give her oxygen.

“They came in a couple of hours later to say she had to be ventilated, then again later that morning to tell us she had cancer.

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“They had to give my newborn a week of chemotherapy. We had no idea what would happen.”

Maggie Mae was born with a bone marrow condition called TAM (transient abnormal myelopoiesis), which can cause leukaemia.

At one stage, she was so ill that Claire was told to give her daughter a last cuddle because she’d be unlikely to survive but the little fighter pulled through.

SIGNS OF CANCER IN CHILDREN

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CHILDHOOD cancer is rare in the UK, with only about one in every 450 children diagnosed by the age of 14, but there are still around five new cases every day.

Cancer symptoms in children can be similar to other illnesses and tricky to pick up as they may not be able to explain how they feel.

Cancer Research UK says red flag symptoms may include:

  • An unexplained lump or swelling that does not go away
  • Unable to wee or passes blood
  • Back or bone pain or pain that wakes them at night
  • Seizures or mood or behaviour changes
  • Unusual paleness
  • Feeling tired all the time
  • Unexplained vomiting, fever or breathlessness
  • Frequent infections or flu-like symptoms
  • Change in the appearance of an eye
  • Frequent or unexplained bruising

Cancer Research said the above symptoms are usually caused by something else but should be investigated by a GP if parents are concerned.

Source: Cancer Research UK

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She said: “The first thing I said when the doctors told me about Maggie Mae was ‘what have I done?’ I was convinced that I’d done something wrong because I had two children with cancer.

“They said nothing could have been done to prevent either and that it wasn’t my fault.”

Like her big sister, Maggie Mae, who is still tube-fed, faces a risk of the cancer developing again – between 30 and 40 per cent.

While most parents would crumble, Claire and former tree surgeon Liam have tried to remain strong.

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Claire said: “There’s many a night I cry but we try to get on with things.

“Liam is an absolute rock and if I’m struggling or having a high anxiety day, he’s always there, reassuring me.

“The way everyone looks at it now is that the girls are here, we’ve had more time with them than we thought we’d have and we live day to day, embracing and loving them.”

The first thing I said when the doctors told me about Maggie Mae was ‘what have I done? I was convinced that I’d done something wrong because I had two children with cancer.

Claire Bicknell

The family are now trying to make memories for the girls’ big brother Jacob, seven, with help from the Family Fund charity.

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They have been given grants towards hospital costs and food when Kaiah was seriously ill, a washing machine, garden play equipment and a holiday fund.

Claire said: “If the worst happens we want Jacob to have lovely memories so we’ve had lots of days out as a family thanks to the fund.

“We don’t want his whole life to be about cancer and hospital appointments either and try to have as happy a time as possible.

“With both girls, the hardest thing is not knowing what’s going to happen in the future, so things like the children just playing in the garden together seem magical.”

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For more information about the Family Fund log on to: www.familyfund.org.uk

Claire says the "hardest thing" is not knowing what will happen with the girls in future

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Claire says the “hardest thing” is not knowing what will happen with the girls in futureCredit: Supplied
Doctors say there is a 50 per cent chance Kaiah's cancer could return

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Doctors say there is a 50 per cent chance Kaiah’s cancer could returnCredit: Supplied

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Womens Workouts

Amazon workout clothes will forever have my heart 🥰 Everything is in my amazon storefront #amazonfin

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Amazon workout clothes will forever have my heart 🥰 Everything is in my amazon storefront #amazonfin



Amazon workout clothes will forever have my heart 🥰 Everything is in my amazon storefront #amazonfinds #amazonworkoutclothes #uuegirl

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Womens Workouts

Total Body Strength Workout for People who get Bored Easily – Total Body Burnout

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Total Body Strength Workout for People who get Bored Easily - Total Body Burnout



More info for this fat burning, lean muscle building total body workout @ https://gofb.info/GRf5Nc

At-home Workout Programs @ https://gofb.info/Programs
Exclusive workout videos, Workout Challenges, and site features @ https://gofb.info/FBPlus

2 Week Workout Challenges @ https://gofb.info/PlusChallenges
Advanced search tool for over 600+ free workout videos @ https://gofb.info/WorkoutVideos
The most supportive fitness Community on the web @ https://gofb.info/FBCommunity
Meal Plans written by Registered Dietitians @ https://gofb.info/FBMealPlans
Healthy Living articles and recipes @ https://gofb.info/HealthyLiving

Fitness Blender Gift Cards @ https://gofb.info/GiftCards
We use PowerBlock adjustable dumbbells @ https://gofb.info/PowerBlock

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Fitness Blender’s Workout Programs and subscription platform, FB Plus, make it possible to keep our individual workout videos and website free. We were founded with, and remain committed to, the goal of making health and fitness attainable, affordable, and approachable. We hope you enjoy our content and consider subscribing to our YouTube channel and registering on our website, which is free and open to all @ https://www.fitnessblender.com/

Keep up with us on Facebook @ https://gofb.info/Facebook Instagram @ https://gofb.info/Instagram Twitter @ https://gofb.info/Twitter Pinterest @ https://gofb.info/Pinterest

Note: All information provided by Fitness Blender is of a general nature and is furnished for educational/entertainment purposes only. No information is to be taken as medical or other health advice pertaining to any individual specific health or medical condition. You agree that use of this information is at your own risk and hold Fitness Blender harmless from any and all losses, liabilities, injuries, or damages resulting from any and all claims.

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Super healthy mum, 39, is riddled with incurable tumours after doctors dismissed a lump in her leg for 2 years

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Super healthy mum, 39, is riddled with incurable tumours after doctors dismissed a lump in her leg for 2 years

A FIT and healthy mum who did all the right things to prevent cancer was shocked to hear she had been living with the disease for at least a year.

Natasha McGlinchey, 41, from Norfolk, has since been told her cancer is incurable.

Natasha McGlinchey, 41, was what you would consider a fit and healthy person before her cancer diagnosis

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Natasha McGlinchey, 41, was what you would consider a fit and healthy person before her cancer diagnosisCredit: Supplied
She found a lump on her leg but her GP and doctors at A&E dismissed it for a year

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She found a lump on her leg but her GP and doctors at A&E dismissed it for a yearCredit: Supplied
She was eventually sent for an MRI scan and told she had cancer over the phone

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She was eventually sent for an MRI scan and told she had cancer over the phoneCredit: Supplied

She has seven inoperable tumours, four of which are in her heart. 

The mum-of-two, aged eight and 10, says she first saw her GP about a lump on her leg in September 2019, more than a year before her diagnosis.

At multiple A&E visits, once more symptoms occurred, she claims she was told the lump must be a symptom of long Covid – despite there being no evidence she’d been infected – or because she was a runner.

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But when her lump was discovered to be a tumour with an MRI scan, she was told she had sarcoma cancer over the phone.

“I just thought, ‘That’s ridiculous’,” Natasha recalls. “‘I can’t have cancer. I’m fit and healthy. I’m not even 40’.

“It’s so frustrating because I have this huge amount of guilt that if I had nipped it in the bud straight away, I would be in a much better position than I am right now.”

Natasha was super sporty – she did yoga, took part in triathlons and ran daily.

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“I couldn’t have had a healthier diet, a healthier lifestyle,” Natasha, a PE teacher, says. 

“I had stress in my life, but I also did what you would consider all the right things to not get cancer.

“There was never any chilling in front of the telly – we were always on the go.

Sarcoma UK: Amelie Callanan’s Story – four years on

“I ate a super healthy diet. It was in the back of my mind that if I did all these things, I was going to be lifelong healthy.”

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Concerning lump

In 2019, during a sports massage, a therapist pointed out a lump in Natasha’s leg and advised her to see a doctor.

“I went to the GP, who refused to even touch my leg,” Natasha remembers. 

“He just said runners get weird lumps and that it was completely normal.

“He said it would probably be a fatty deposit and that it would go away. 

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“He was one of the senior GPs at my practice, so I thought it was fine. 

“He didn’t ask if I had any other symptoms. He didn’t talk about a scan. So off I went.”

The NHS says lumps and swellings are very common and they “do not definitely mean you have soft tissue sarcoma, but it’s important to get checked by a GP”.

A lump – usually deep under the skin, solid, painless and hard – is the most common symptom of soft tissue sarcoma.

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Medics in A&E were very dismissive. There was no talk of a scan

Natasha

Natasha’s lump got bigger and bigger, affecting her movement, but she continued to be active during the Covid-19 lockdowns of 2020.

However, when Natasha’s school reopened in September 2020, her colleagues were shocked to see the size of her leg. 

“From the back of my knee to the bottom of my bum, was a massive solid tumour,” Natasha explains. “But obviously at the time we didn’t know what it was.”

Natasha began to feel exhausted and breathless, unable to complete her usual tasks at her job. 

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Her GP said it may be a blood clot, and advised her to go to A&E, where Natasha was refused entry because it was the peak of a Covid wave. 

The second time she went, when she was allowed in, the doctors diagnosed her with long Covid, and said she had fatty deposits.

“They were very dismissive,” Natasha adds. “Again, there was no talk of a scan. 

“I’d actually done an antibody test which proved that I didn’t have Covid. I had never had Covid. 

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“We were feeling really frustrated because I just couldn’t get better no matter how much sleep I had or how much good food I was eating.”

'It was in the back of my mind that if I did all these things, I was going to be lifelong healthy,' says Emma

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‘It was in the back of my mind that if I did all these things, I was going to be lifelong healthy,’ says EmmaCredit: Supplied
The mum-of-two started chemotherapy just days after Christmas 2020, losing her hair

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The mum-of-two started chemotherapy just days after Christmas 2020, losing her hairCredit: Supplied
Natasha says: 'It's so frustrating because I have this huge amount of guilt that if I had nipped it in the bud straight away, I would be in a much better position than I am right now'

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Natasha says: ‘It’s so frustrating because I have this huge amount of guilt that if I had nipped it in the bud straight away, I would be in a much better position than I am right now’Credit: Supplied

Going back to her GP again, Natasha spoke to a locum, who finally sent her for an MRI. 

“I got a phone call from my GP saying, ‘the MRI has come back and you have sarcoma’,” Natasha remembers. 

“I didn’t know what that was because I’d never heard of it. 

“So I said, ‘Okay, fine, what do we do and when can I return to work?’ 

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“He said, ‘It’s not as simple as that – it’s a form of cancer’.”

Sarcoma is an aggressive and rare type of cancer that typically begins in the bones or soft tissue. 

Sarcoma accounts for about one per cent of all cancer diagnoses, and Natasha suffers from metastatic myxoid liposarcoma, of which there are only 72 cases a year.

It was stressful and really upsetting because I didn’t want to be retired at 39 years old

Natasha

Two days before Christmas in 2020, Natasha found out the sarcoma had spread.

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It was now in her heart and her chest wall and she started chemotherapy within a week.

Natasha says: “I lost all my hair and couldn’t get out of bed.

“My husband had to take me to the toilet and had to help me wash. It was just horrendous.”

What is metastatic myxoid liposarcoma?

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Myxoid liposarcoma is a type of liposarcoma that is most frequently found in the limbs (and in particular, the thighs).

There are an average of 72 cases of myxoid liposarcoma diagnosed every year in England.

Although myxoid liposarcoma can affect anyone of any age, the median age at diagnosis is 46 years old.

Source: Sarcoma UK

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The doctors told Natasha that the treatment was not working and that the tumours were not shrinking, so she began five weeks of radiotherapy.

“My consultant said, ‘You’re not going back to work: you need to take ill health retirement because you will need more treatment’,” Natasha explains. 

“’There will be more tumours, you can’t commit to a job. You can’t be a PE teacher anymore because your body can’t cope’.

“That was stressful and really upsetting because I didn’t want to be retired at 39 years old.”

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‘Incurable’

Natasha has unfortunately since discovered more tumours on top of those in her heart and chest wall, including near her liver.

She has had to face the reality that her disease is not curable and have palliative chemotherapy and radiotherapy, which leaves her feeling extremely poorly.

As well as the physical burden, she struggles emotionally with her diagnosis and the toll on her children.

“Having children gets me through, gives me hope, gives me a will to get up and do these things,” Natasha says. 

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“But it’s also so tricky. How much do you tell them? How much do you involve them?”

Natasha wishes she had pushed her doctor to take her lump more seriously, adding that many GPs are unaware of sarcoma, especially in areas where there are no sarcoma specialists.

“GPs don’t know what sarcoma is,” she says. 

“My advice is if you have a lump anywhere, go to your GP and don’t let it go – you need to have it scanned.

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“I left it way too long. I’m a bit of a people pleaser. I don’t like to push. I don’t like to make waves.

“Don’t let things go. Really push. It’s not being rude to your GP.

“You always think, ‘There’s someone worse off than me, there’s someone that needs that doctor appointment more than me’. No, they don’t. 

“As women, we’re ready for breast cancer. We all check our breasts, and we go for smear tests, and we’re conscious that if you find a lump in your breast, you go to the doctor and it will be taken seriously. 

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“But if you have a lump in a limb, it seems like it won’t be cancer because you don’t think about that sort of cancer.”

For information on sarcoma, visit Sarcoma UK.

Natasha with her mum, Thalia

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Natasha with her mum, ThaliaCredit: Supplied

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The symptoms of sarcoma cancer

The most common symptom of soft tissue sarcoma is a lump somewhere on the body.

But this doesn’t necessarily mean cancer – there are all sorts of reasons for lumps and swellings, but it must always be checked by a GP.

The lump is usually found deep under the skin and might be felt before it can be seen.

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The lump is usually solid to the touch, painless and hard to move around under the skin.

It will continue to grow and as it does, it can become painful.

Other symptoms depend on where in the body the lump is.

These can include:

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  • Tummy pain and constipation if there is a sarcoma near the tummy
  • A cough that does not go away if there is a sarcoma near the lungs

Source: NHS

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Womens Workouts

MIRANDA YOU DON'T LIFT Workout🔥🥵💪#short #shorts #mirana#song #mymix #shortvideo #fitness #youtube

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MIRANDA YOU DON'T LIFT Workout🔥🥵💪#short #shorts #mirana#song #mymix #shortvideo #fitness #youtube

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IRON Series 30 Min Glute Workout – Dumbbell Lower Body | 3

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IRON Series 30 Min Glute Workout - Dumbbell Lower Body | 3



The glutes stabilise our hips and pelvis and are required to provide the correct alignment to the pelvis. Even balancing on one leg… and running which is always alternating single leg movements.

Providing support to the lower back, reducing knee and lower back pain plus the many benefits to training overall promote longevity in day to day activities and training.

Strengthening your glutes will have a lasting impact on reducing risk of injury whether you are running, walking or lifting.

In this 30 minute workout we will isolate, activate and engage the glute muscles focusing on hip extension and abduction.

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For this workout, you will need some dumbbells, a barbell or even a kettlebell!

Aside from the weight, you will need a mat and a glute band.

I will also be using a small sofa that is quite rigid for hip thrusts and Bulgarian lunges. If you prefer, you can perform bridges on the mat and regular lunges with a forward leaning tilt!

The dumbbells I am using for your reference are 1 x 30kg primarily and 1x 15kg for the Bulgarian lunges!

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The timer will be on for 60 seconds per exercise with 30 seconds rest inbetween!

ACTIVATION (60/30/60)
ABDUCTION – BRIDGE – UPRIGHT ABDUCTION

30kg
BANDED HIP THRUST (PAUSE AT TOP)
BANDED HIP THRUST (PAUSE AT TOP)

30kg
HIP THRUST (PAUSE AT TOP)
HIP THRUST (PAUSE AT TOP)

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30kg
STAGGERED HIP THRUST
SWITCH SIDE!

30kg
SUMO DEADLIFT SQUAT (pause at bottom)
SUMO DEADLIFT SQUAT (pause at bottom)

15kg
BULGARIAN LUNGE
SWITCH SIDE!
SWITCH SIDE!
SWITCH SIDE!

BODYWEIGHT X1 LEG HIP THRUST
SWITCH SIDE!
SWITCH SIDE!
SWITCH SIDE!

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FINISHER!

B/W BANDED HIP THRUST BURN OUT!
30/30/30…

FULL RANGE!
1/2 REPS!
FULL RANGE!
PULSES!
FULL RANGE!
HOLD!
FULL RANGE!

You will notice I am less focused on just lifting the weight.. I am thinking constantly about how I am contracting my glutes in order to move.

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The glute band should be utilised as best as you can… there is a lot of resistance so use it! At the top… bottom.. and during lifting and lowering! Constant tension when hip thrusting to get the most out of each rep!

Glutes definitely were isolated, activated and engaged throughout!

👊🏼🤩

Cx

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Useful Links

Don’t forget to Subscribe and turn on notifications so that you don’t miss any Workouts, Community Updates or Surprises: https://youtube.com/c/carolinegirvan/?sub_confirmation=1

5 Minute Warm Up: https://youtu.be/c0VxUFHdYzs (Always warm up before any workout)
Today’s Optional Add-on Workout: https://youtu.be/1T3v_leyDIE
20 Minute Stretch and Relax: https://youtu.be/y87vSUoIMGU

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IRON Series Playlist: https://www.youtube.com/playlist?list=PLhu1QCKrfgPWmStsg7imo5EQ0zmkxymJ2
IRON Series Calendar: https://carolinegirvan.com/IRON-Series-Calendar.pdf
My Website: https://carolinegirvan.com
Caroline Girvan Community: https://facebook.com/groups/carolinegirvan
Instagram: https://instagram.com/carolinegirvan
Business Enquiries Email: info@carolinegirvan.com

Ab Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPX_3_Fir25lT1zjLvmjifl7
Cardio Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPVj9hpw_O3t1LoUcqUWpJio
HIIT Workouts: https://www.youtube.com/playlist?list=PLhu1QCKrfgPXHHqpj3cBJkNSRwF3P3h2k

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Disclaimer: If you are new to exercise or planning on embarking on a new fitness programme, you should consult your physician. This video may offer health, fitness or nutritional information and is meant for educational purposes only. This information is not meant as an alternative to seeking professional medical advice or suggested treatment. Please know that performing any exercise or programme is solely at your own risk.

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