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I’m 47 and constantly suffer with constipation and diarrhoea, I’ve tried everything and don’t know what to do

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I'm 47 and constantly suffer with constipation and diarrhoea, I've tried everything and don't know what to do

IT’S no secret that your diet plays a big role in your overall health.

Whether you are trying to lose weight, protect your memory or boost your heart health, it’s vital to watch what you eat.

Dr Zoe helps a reader who has been suffering from constipation and diarrhoea

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Dr Zoe helps a reader who has been suffering from constipation and diarrhoeaCredit: Olivia West

A study last week showed people who adopt “the Mind diet” had a lower risk of cognitive decline over ten years.

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It’s a combination of the Mediterranean and Dash diet, which is designed to lower blood pressure.

The Mind approach recommends you eat five servings of nuts, one serving of oily fish, two portions of lean poultry, four of beans and two of berries per week.

Each day, you should aim for three servings of whole grains, such as quinoa, brown rice or oats, and at least two servings of veg.

Adopting a healthier diet can be challenging, but the evidence does suggest the Mind diet might be worth a try.

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Meanwhile, here’s a selection of what readers have asked me this week . . . 

FEAR I’M MENOPAUSAL

Q: I’M almost 55 and the only period I have had since January was a very heavy one last month.

I seem to be experiencing all the usual menopause symptoms apart from the hot sweats.

I suffer from chronic aches and pains and, last night, while having sex, I experienced a painful burning feeling.

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Do you think these symptoms are hormone-related?

Video explains the signs and symptoms of menopause

I have asked my doctor about HRT (hormone replacement therapy) but he seems reluctant to prescribe it as I’m not having the sweats.

Any advice would be much appreciated.

 A: You are describing classical symptoms of the menopause or, strictly speaking, perimenopause as you are still having some periods.

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Not everyone has hot sweats.

We all experience a different array of symptoms during the menopause transition and some are lucky to experience none at all.

I wanted to make sure this question was included in the column as I hear versions of your story all the time.

Your GP or practice nurse SHOULD have a conversation with you about your symptoms and explore the options for managing them, which should include the various forms of HRT.

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It may be necessary to rule out some of the other potential causes.

Abnormal thyroid function is an example of something that can cause changes to periods and other symptoms, but it can be checked for with blood tests if your clinician deems it to be necessary.

One thing I would say is that the topic of menopause does require its own protected appointment.

Tip of the week

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AT this time of year the combination of sunny days and cooler temperatures make it the perfect time to get some outdoor exercise.

Why not make the most of it by going a long hike or cycle with the family or a friend this weekend?

Being in nature has been shown to improve mental wellbeing and stress levels.

I’m not saying that you did this, but sometimes women will mention it in passing at the end of a consultation.

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This is often because they feel a little bit embarrassed or uncertain, but this makes it impossible for your GP to then deal with the topic properly.

So be upfront that the reason you are there is to discuss menopause.

It’s a good idea to speak to reception to ask their advice on which doctor or nurse would be best to see.

And if you have to wait a bit longer for an appointment with that person, it will be worth it.

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In the meantime, keep a log of your symptoms and visit Women’s Health Concern and Menopause Matters websites for more information.


WHY’S MUM GETTING BALD PATCHES? 

A reader asks why their mum is experiencing bald patches

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A reader asks why their mum is experiencing bald patchesCredit: Getty

Q: MY mum’s hair is normally nice and thick, but it’s now starting to thin out, leaving some bald patches.

She is 68 years old and she has tried Plantur 39 hair tonic for a couple of months, but it hasn’t really done anything to help.

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Please can you suggest anything she can try?

She is on aspirin, atorvastatin, bisoprolol and takes folic acid.

 A: Unfortunately, some hair loss is inevitable with ageing.

That said, you have mentioned bald patches and typically, with age-related hair loss, we’d see a thinning out rather than bald patches.

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Aspirin can cause hair loss, but it’s fairly unusual.

You don’t mention how long your mum has been on her medication, but it might be worth seeing if there is a correlation between the length of time she’s been prescribed a drug and when the hair loss started.

According to studies, around one per cent of people report hair loss when prescribed statins such as atorvastatin, so it’s unlikely to be that – but there’s a slim chance.

Your mum is also on folic acid, which is prescribed for B9 deficiencies.
B9 and other nutritional deficiencies, in themselves, can cause hair loss, so it could be that now your mum is on folic acid, the thinning and the bald patches will lessen.

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Hormonal changes can also result in the thinning of hair.

Female pattern hair loss (which is linked to hormones) is caused by our genetics.

And it tends to follow a particular pattern which is different to the one that we see in men.

It typically involves thinning of the hair over the crown and a widening of the central parting.

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It tends to start at a younger age than your mum, though, with the first signs usually noticeable before the age of 40.

Whatever the cause, it’s definitely worth your mum seeing a GP.


Q: WHEN I was a baby, I had trouble going for a poo. My mum had to use suppositories to make me go.

I am now 47 years old and, over the years, things seem to have got worse and I am suffering with diarrhoea and constipation.

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Another reader is having trouble with diarrhoea and constipation

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Another reader is having trouble with diarrhoea and constipationCredit: Getty

I have been to the doctors to have tests for blockages, Crohn’s disease and bowel cancer, and they have come back negative.

But I still experience constipation and diarrhoea every three or four weeks.

I eat as much veg as I can and also plenty of beans and lentils.

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So far I have tried medications like Fybogel, Senna and Lactulose, but nothing seems to work.

I go for walks as much as I can.

I have tried making a plan of what is upsetting my stomach and I have tried the FODMAP diet, but that doesn’t work either.

I don’t know what else to do. Is there anything that you can suggest?

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A: You have already done a lot of the things I’d normally suggest for someone presenting with the issues you’ve got.

You have clearly researched it well and have been thorough in doing what you can to try to help yourself.

You’ve had medical tests too, which have ruled out the serious conditions that it would be highly important to diagnose and treat.

The fact that your problem has been present since you were a baby would indicate that your bowel has always, and may always, struggle to function well.

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But I hear you when you say that these symptoms are causing you suffering, and therefore I don’t think you should just have to accept it, unless every avenue to help you has been explored.

If you have ruled out putting a label on what you have in the context of disease, it’s likely that it’s IBS-M, which is irritable bowel syndrome with mixed bowel habits.

There aren’t any specific medications for IBS-M, but there are medications to treat the symptoms, available both over the counter and on prescription.

Moving forwards, a dietician may be able to guide you further or, failing that, a psychological approach may help. Cognitive behavioural therapy for IBS is clinically proven to improve symptoms in two thirds of patients.

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CARING READERS’ TIPS TO HELP EASE WOMAN’S ITCHY RED SKIN

EVERY so often, a reader’s health problem really resonates.

Earlier this month, a 65-year-old woman wrote to Dr Zoe seeking help for a skin condition that was causing red and itchy outbreaks on her face.

A reader has recommended La Roche-Posay Invisible Fluid factor 50 for problem skin

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A reader has recommended La Roche-Posay Invisible Fluid factor 50 for problem skinCredit: Supplied
Boots’ No.7 Protect and Perfect Intense factor 50 face cream has also been recommended

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Boots’ No.7 Protect and Perfect Intense factor 50 face cream has also been recommendedCredit: Supplied

She said she had spent hundreds of pounds on various creams, cleansers and moisturisers, but seemed to suffer a reaction to everything.

Dr Zoe replied: “It sounds from your description as though it could potentially be eczema or rosacea.”

After learning of the woman’s plight, two other readers shared their experiences and advice, having been in similar situations themselves.

Fiona wrote: “I, too, suffered from this and, no matter what I used product wise, my face would be itchy and red. It started in my early 40s. I tried all the creams for rosacea.

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“However, after extensive research, I am now using a brand called MooGoo, which was originally designed for babies with eczema.

“I no longer have the itchiness or red face.

“I also noticed that if I used SPF on my face, it would irritate my skin, so I use MooGoo cream then Boots’ No.7 Protect and Perfect Intense factor 50 face cream.

“I will never again buy any other cream. These two brands really saved my skin.

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“It’s also worth checking your shampoo and conditioner. If that seeps onto your face, it could cause redness, too.

“I switched brands and now use Garnier Ultimate Blends. I really hope this helps.”

Meanwhile, a second reader, Sharon, wrote: “I am 54 and, in 2019, I started experiencing problems with my skin – but only on my face.

“I also had a problem with one of the glands in my eye.

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“My GP initially treated me for seborrheic dermatitis.

“However, after seeing an NHS dermatologist, they diagnosed me with pustular rosacea and ocular rosacea.

“Like the woman who wrote in, I spent hundreds of pounds trying different skincare products.

“In 2021, I eventually found a range by a company called Image Skincare UK.

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“It has been a game-changer for me. I was able to stop using the prescribed medication and my skin has remained under control and stable ever since then.

“I also use La Roche-Posay Invisible Fluid factor 50 all year round. Image Skincare products are a bit pricer than the high street, but last me months.

“The improvement to my skin is worth every penny. I also discovered Boots are really good at offering refunds if a product has been used and a customer has reacted to it.

“I really hope the woman in question finds what works for her.”

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Womens Workouts

Burn Belly Fat Reduce ⚡ exercises for women at home 🏘️#short#shorts#ytshorts

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Burn Belly Fat Reduce ⚡ exercises for women at home 🏘️#short#shorts#ytshorts

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Millions of unemployed Brits will get FREE fat-loss jabs as they’re ‘holding back the economy’, Health Secretary says

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Millions of unemployed Brits will get FREE fat-loss jabs as they’re ‘holding back the economy’, Health Secretary says

UNEMPLOYED Brits could be given free weight-loss jabs under plans being drawn up by Wes Streeting.

The Health Secretary wants to use drugs including Ozempic and Mounjaro to kickstart a major back-to-work drive.

Health Secretary Wes Streeting wants to give unemployed Brits free weight-loss jabs as part of a back-to-work drive

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Health Secretary Wes Streeting wants to give unemployed Brits free weight-loss jabs as part of a back-to-work driveCredit: PA
It comes as the government last night confirmed that pharmaceutical giant Lilly will invest £279 million into developing new drugs and treatment in the UK

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It comes as the government last night confirmed that pharmaceutical giant Lilly will invest £279 million into developing new drugs and treatment in the UKCredit: Getty

Mr Streeting admitted that “widening waistbands” are putting a huge strain on the NHS.

But he said that fat jabs could provide a two-pronged solution, both easing pressure on the ailing health service and encouraging the unemployed back into work.

This morning Sir Keir Starmer backed the move, suggesting jabs could help boost the nation’s health and economic growth.

The PM told BBC Breakfast: “I think these drugs could be very important for our economy and for health.

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“This drug will be very helpful to people who want to lose weight, need to lose weight, very important for the economy so people can get back into work.

“We’ve got to reduce the pressure on the NHS.

“So this will help in all of those areas.”

It comes as the government last night confirmed that pharmaceutical giant Lilly will invest £279 million into developing new drugs and treatment in the UK.

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Writing in The Telegraph, the Health Secretary said: “Our widening waistbands are also placing significant burden on our health service, costing the NHS £11bn a year – even more than smoking.

“And it’s holding back our economy.

“Illness caused by obesity causes people to take an extra four sick days a year on average, while many others are forced out of work altogether.”

A five-year trial run by Lilly, assessing the impact of weight loss drugs on the unemployed, is set to take place in Greater Manchester.

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However, despite promising results from similar such trials, Mr Streeting warned that Brits must continue to take “healthy living more seriously”.

He added that the “NHS can’t be expected to always pick up the tab for unhealthy lifestyles”.

The Health Secretary also cautioned against adults using the jab to achieve the “perfect” body.

He said: “I think the drugs can make a really big impact in terms of getting weight under control.

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“Some encouraging signs around prevention of cardiovascular disease, big killers, heart disease, heart attack, stroke, there is really big potential there.

“Where I think we’ve just got to be careful, though, is that we don’t see these drugs as an excuse not to do the right thing in terms of our diet, nutrition, exercise, or to use them as cosmetic drugs for the Instagram perfect body.”

Studies of patients taking the Mounjaro jab found they shed more than a fifth of their body weight in eight months.

The drug is due to be offered to 1.6 million people on the NHS as part of a phased roll out over the next 12 years.

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Beauty queen dubbed ‘elephant girl’ after one leg DOUBLED in size and ‘leaked fluid’ shares dramatic body transformation

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Beauty queen dubbed 'elephant girl' after one leg DOUBLED in size and 'leaked fluid' shares dramatic body transformation

A WOMAN who lived with a condition that made one of her legs double in size for over three decades has undergone an incredible transformation.

Amy Rivera, 42, had lymphedema, a condition that causes swelling in the body’s tissues – but the condition went undiagnosed for most of her life.

Amy Rivera was born with one leg bigger than the other - something that was blamed on the way her mother "carried her" in the womb

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Amy Rivera was born with one leg bigger than the other – something that was blamed on the way her mother “carried her” in the wombCredit: mediadrumimages
At its very worst, the fluid trapped in Amy's leg weighed 35 pounds

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At its very worst, the fluid trapped in Amy’s leg weighed 35 poundsCredit: mediadrumimages
Since her diagnosis, Amy has undergone three surgeries to treat her lymphedema and is now thriving physically and mentally

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Since her diagnosis, Amy has undergone three surgeries to treat her lymphedema and is now thriving physically and mentallyCredit: mediadrumimages

Her left leg was twice the size of her right one when she was born, something that was blamed on the way her mother “carried her” in the womb.

But after Amy and her family battled for 32 years to get a diagnosis she was finally told she had the condition, which can be caused by blockages, trauma, or missing lymph nodes in the lymphatic system.

At its very worst, the fluid trapped in Amy’s leg weighed 35 pounds and would leak out of her skin.

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She said: “My life was becoming unbearable. I didn’t even want to look at my leg in the mirror, when I changed, showered, ever. I hated by body. I hated myself.”

More on body transformations

Amy was extremely embarrassed by it and would hide it with long skirts and dresses, but a conversation with a coworker completely transformed her life.

She said: “I was always bullied by peers, teachers, and strangers. I was called the ‘girl with the elephant leg’.

“I was having a conversation with a coworker one day and she called herself ‘fat’.

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“I asked her if she wanted to come over and hang out at the pool one day. She asked me if it was a private or public pool.

“I told her it was a subdivision pool. She then said, ‘fat girls don’t go to public pools’.

“This was years before the body-positive movement, however it broke me to hear her speak of herself this way.

Woman whose leg swelled by 3 FEET due to rare condition has 10st growth removed

“I felt compelled to show her my leg. I was so good at hiding it that my coworker thought I wore dresses and skirts for religious reasons. This moment saved my life.”

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After this life-changing discussion, Amy left her corporate job in 2016 and began to share her journey.

She stopped hiding her leg and became an international best-selling author of the book ‘Drop the Skirt – How My Disability Became My Superpower‘, the title of which was inspired by the moment she shared with her coworker.

Amy said: “I wasn’t sure what I was going to call my book until I shared this story with my public speaking coach, who helped me with my first speaking opportunity to share my story, and husband.

I didn’t even want to look at my leg in the mirror, when I changed, showered, ever.

Amy Rivera

“Together, the three of us realised this needed to be the title.”

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Amy took part in beauty pageants when she was younger, but she now enjoys competitive bodybuilding.

Having worked out at the gym since she was 15 years old, she learned working out made her body feel good, even though physicians told her movement was bad for her leg.

She said: “Years later, research shows that movement is the very thing that helps improve lymphedema symptoms.

“Even though I was a beauty queen, I felt more like myself in the gym. Anyone who knows my story knows that my dream was to become an athlete.

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“I achieved that goal at the age of 40. Even though I competed in a bodybuilding competition, that isn’t the main vehicle for me. I picked this task to see just how strong my mindset was. If I could control my body through my mindset, consistency and selfcare, I knew I could do anything.

“I placed 3rd in my division and 4th overall.”

Since her diagnosis, Amy has undergone three surgeries to treat her lymphedema and is now thriving physically and mentally.

But the journey to get to this point hasn’t been easy.

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My family tried to get answers for years. After years of doors being shut in their faces, they just gave up.

Amy Rivera

Amy said: “My family tried to get answers for years. After years of doors being shut in their faces, they just gave up. They were very frustrated.

“Doctors even told my mother it was the way she carried me in the womb, which wasn’t true. You can imagine the guilt she has carried with her all these years because of that.

“It has been difficult to get physicians, insurance companies and the healthcare system to understand this is a serious condition that progressively gets worse and can lead to death in serious cases if left untreated.”

Amy hopes to now be a “voice for her community” despite the cruel comments she faces.

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She said: “People have told me I shouldn’t share pictures of my leg because it’s disgusting. Someone even asked me if they could catch it.

“I look at these situations as opportunities to educate others. I was alone for over 30 years. I don’t want anyone else to feel the way I did. I want our community to know they no longer suffer in silence.

“My husband is the one who inspired me to become a leader in the lymphatic community. He believed in me from the beginning.”

Symptoms of lymphedema

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  • an aching, heavy feeling
  • difficulty with movement
  • repeated skin infections
  • developing hard, tight, or thickened skin
  • wart-like growths developing on the skin
  • fluid leaking through the skin
  • swelling or heaviness in the face, mouth or throat
  • problems with swallowing and speech

Source: NHS

In 2022, Amy partnered with a French engineer who created the world’s only single-layered, multi-component bandages for lymphedema.

She regularly speaks to pre-med students, physicians, and therapists about the condition, and she is currently collaborating with some major Universities including Vanderbilt University and the University of Pennsylvania on lymphatic research.

Amy added: “Together, we will win our fight.”

Amy has even taken part in body building competitions - at the age of 40 she placed 3rd in her division

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Amy has even taken part in body building competitions – at the age of 40 she placed 3rd in her divisionCredit: mediadrumimages

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30-Minute Full Body TABATA Workout (No Equipment!)

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30-Minute Full Body TABATA Workout (No Equipment!)



No equipment needed for this fast-paced, bodyweight Tabata workout!

There are 4 Tabata supersets in this workout, with options for high impact or low impact Tabata exercises (modifications for ALL levels).

This is a quick and intense bodyweight Tabata workout to raise your heart rate and burn calories. If you give your max effort, it will kick your butt every time (literally this one left our butts sore for a couple days)!

🚨SUBSCRIBE TO MY CHANNEL for more FREE workouts: https://bit.ly/NMLYoutubeSubscribe
💜 Become a member of Team NML (for exclusive workouts, community + accountability): https://www.youtube.com/c/nourishmovelove/join

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✨THE WORKOUT: 30-Minute Full Body Tabata Workout ✨

► EQUIPMENT: No equipment, just your bodyweight.
👉 My oversized yoga mat is from Gorilla Mats (affiliate link): http://gorillamats.com?aff=5​​​
*Discount Code: NourishMoveLove

► INSTRUCTIONS:
It looks like this:
✔️ 4 Tabata Circuits (one bodyweight Tabata exercise per circuit)
✔️ Timed Intervals, Tabata-Style (20 seconds of work, 10 seconds of rest)
✔️ Repeat the Same Exercises x8 Sets (4 minutes of work)
✔️ Core Burnout (complete a 40-second core burnout exercise at the end of each circuit, then rest for 20 seconds before moving onto the next Tabata circuit)

►Workout Outline:
1️⃣ TABATA ONE:
Squat Jacks (MOD: Squat Heel Taps)
x8 sets
🔥 Core Burnout: Squat Hold Burpee

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2️⃣ TABATA TWO:
Push Up Plank Jack (MOD: Kneeling or Incline Push Up + Toe Taps)
x8 sets
🔥 Core Burnout: Superman Rear Flys (or Bird Dog)

3️⃣ TABATA THREE:
Lunge Jumps (MOD: Step Back Lunges or 2-Pulse Lunge Jumps)
x8 sets
🔥 Core Burnout: Army Crawl + 2 Knee Drives (or Modified Army Crawl)

4️⃣ TABATA FOUR:
Lateral Squat Jumps/Bounds
x8 sets
🔥 Core Burnout: Low Plank Dolphin

►TIME STAMPS:
00:00​ Workout Introduction
01:18​ Warm Up
05:39​ Tabata One
11:34 Tabata Two
17:00 Tabata Three
23:05 Tabata Four
28:50​ Cool Down + Stretch

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❤️ Find this Workout on NML: https://www.nourishmovelove.com/20-minute-bodyweight-tabata-workout/

► Cue up your favorite music, press ‘play’, and let’s knock it out!
Here’s my workout playlist: https://spoti.fi/32fRMuK​
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⭐️TRY MORE of My MOST POPULAR No Equipment Workouts on YouTube:
► 5-Minute FAT BURNING Workout – https://youtu.be/QjouxWB5zBM
► 10-Minute CARDIO KICKBOXING Tabata – https://youtu.be/1FRhkeWxbVM
► 15-Minute Full Body HIIT Cardio Workout – https://youtu.be/8soywvU3l0w
► 15-Minute Standing Cardio Workout – https://youtu.be/1C70Bo67Uio
► 15-Minute Abs, Butt + Thighs – https://youtu.be/MNJBQmuUfP0
► 30-Minute Full Body Cardio Barre – https://youtu.be/z56tChgx_Ps
► 35-Minute Full Body HIIT – https://youtu.be/0f9_d8I0DSE
► 35-Minute No Jumping Tabata HIIT – https://youtu.be/MBUzuMznRCc
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#bodyweightworkout #hiitworkout #tabata

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Boys v/s Girl's training time funny movement at daily workout🏋🚴💪 #workout #exercise #shorts

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Boys v/s Girl's training time funny movement at daily workout🏋🚴💪 #workout #exercise #shorts



Boys v/s Girl’s training time funny movement at daily workout🏋🚴💪 #workout #exercise #shorts

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Womens Workouts

45 MIN NO JUMPING Full Body Workout + Weights – No Repeat with ABS FINISHER

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45 MIN NO JUMPING Full Body Workout + Weights - No Repeat with ABS FINISHER



This 45 min Full Body Workout will make you feel strong and confident 🔥 No Jumping but BURNING exercises to burn fat and tone lean muscle! Let’s GROW Team, let’s do it!

▸ Full Body Strength & Toning
▸ 45 Min + Cool Down Stretches
▸ Grab your Medium Dumbbells, I’m using 2 x 5 kg for your reference.

▸ The Workout:
1. Workout
2. Abs Finisher
3. Cool Down

🌈 NEW WORKOUT CHALLENGE LAUNCHING SOON! Stay tuned for more details 💪

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Please remember that we are all different and that you can make this your own workout ♡ Take a longer break when you need to.

♡ Sign up to the Team Grow Newsletter: https://manage.kmail-lists.com/subscriptions/subscribe?a=VLsDDa&g=WikyFT

♡ Join the OFFICIAL TEAM GROW Community Group: https://www.facebook.com/groups/teamgrowsupport/

♡ Workout Challenges & Guides: http://growwithanna-shop.com

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♡ SUBSCRIBE: http://bit.ly/2QLvpXn
♡ Instagram: http://bit.ly/2ZSdHFR
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♡ My Music: https://www.epidemicsound.com/referral/gw5avz

#growingannanas #growwithanna #homeworkouts #hiitworkout

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D I S C L A I M E R

If you are a newbie start with a simple and easy exercise before attempting all advanced exercises. Performing exercises out of your capability might strain your muscles and you may get injured.

This channel offers health, fitness and nutritional information. You should not rely on this information as a substitute for, nor does it replace, professional medical advice, diagnosis, or treatment. By performing any fitness exercises without supervision like with this video, you are performing them at your own risk. See a fitness professional to give you advice on your exercise form. Growingannanas will not be responsible or liable for any injury or harm you sustain as a result of this video.

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