Hey I am actually doing this right now and I’m on the tuesday and noticed I’m not peeing anywhere near as much as I was on the monday. Everything I’m eating is just spinach, brocolli, chicken, eggs and a protein shake.I looked at the protein shake contents and that attributes to eating 687mg sodium 19.3g sugar with all the other food. The protein shake ends up having like 15g of sugar. This is way too much isnt it, is this absorbing alot of water therefore not making me expel said water.
In 2010, Kelly decided it was time to make a change. So she started blogging about losing weight. She credits the bulk of her weight loss in those early years to Jenny Craig. Today, she writes about how she manages to keep the weight off. No Thanks to Cake is full of healthy recipes that are sure to make your mouth water. There’s also plenty of inspiration for people starting out on their own weight loss journey.Visit the blog.
Absolutely! Doctors are supposed to consider, screen for, and treat any underlying issues that could be causing weight gain or difficulty losing weight. As above, “Once we screen for (and treat) any contributing medical problems that could be causing weight gain (low thyroid function, polycystic ovarian syndrome, prediabetes, among others), or psychological issues (bulimia, binge-eating disorder, depression, anxiety), I encourage a diet-and-lifestyle approach for many reasons, among them my own personal experience.”
The slang term thunder thighs is used to describe excess weight on the top of the legs. This bodily feature not only causes feelings of self-consciousness but also is unhealthy. Joining a gym is a good strategy to reduce your thigh size, provided you know what approach to take. Being that you cannot spot reduce, overall weight loss needs to be your primary goal.
It's not just what you eat that can make you pack on pounds—it's also how much. Before dropping 102 pounds, DeGennaro did not have a grip on proper serving sizes. "Sitting down to dinner with my husband and three kids, I'd scarf down mounds of pasta and endless rolls," she says. "Adjusting to smaller portions was tricky at first; I'd round out meals with extra veggies to keep from getting hungry."
Eating too little can be extremely dangerous for your body. According to Medical News Today, having a Body Mass Index (BMI) of under 18.5 can lead to malnutrition, osteoporosis, developmental problems, a weakened immune system, anemia, and chronic fatigue. Healthline reports that the average woman needs about 2000 calories per day to maintain her weight and about 1500 calories to lose one pound of weight per week, though you should consult with your healthcare provider to see what's best for you.
Mindfulness is the practice of being more aware and acting with intention. When applied to eating, being more mindful can help you make better decisions, feel less stressed about your diet and promote a more positive outlook in general. It really is just paying attention to what you are putting into your mouth and making a conscious effort to eat when you are hungry, stop when you are full and avoid food situations that lead to guilt and emotional eating.
And at the gym, that difference just gets exacerbated. Women, worried about bulking up, tend to lift lighter weights and focus more on cardiovascular fitness, while men tend to gravitate toward the kind of heavy lifting that boosts muscle composition and metabolic rate, says Jim White, a Virginia Beach-based nutrition expert and certified personal trainer.
I like this article and my heart goes out to everyone struggling with obesity. I think the comments demonstrate that no one method works for everyone. Because of both mental and physical genetic variation we must find the way that works for us. Clearly physical activity and essential nutrients are play a huge role in health and weight loss. How you accomplish these goals can be done in may ways. Thanks for sharing this info.
You know you're supposed to eat more protein to lose weight, but you might not know exactly why. Well, it actually has to do with how your body handles insulin. "Your body starts to produce more insulin as you age, since your muscle and fat cells aren't responding to it properly," explains Louis Aronne, M.D., director of the obesity clinic at Cornell University.
Cutting calories from your diet is one way to get into a deficit, and increasing your output is another. Depending on your starting calorie needs, it might be a challenge to cut a significant amount to promote fast weight loss - this is where physical activity can help. Exercise can also help you tone up, get lean and make your results that much better.
Also, my perspective of what a meal was evolved. I grew up thinking every meal needed to be a plate with a meat, veggies or fruit, carbs, grains, and dessert; and that just isn't accurate at all. I learned that it is totally acceptable to make meals like a bowl with veggies and protein. Or breakfast could include a big bowl of oatmeal with almond butter, greek yogurt, granola, and fruit. I incorporated a ton of fresh produce and didn't let myself buy junk food from the store. It's not always about eating less of everything either, it's less of some foods but more of others.
Seriously. It's packed with zinc, which experts say is pretty much your belly's best friend. Zinc increases your body's levels of circulating leptin, which is a hormone that regulates your energy expenditures, fat storages, and appetite … so pretty much everything that impacts having that extra bit of fluff overtop your abs. You'll obviously need to opt for the lower-in-sugar kinds and indulge in moderation, but it should help chip away at that pooch. Now that we can dig.
About: Christine’s blog is something really special — and not just because she put herself out there while she works to lose weight, but because she’s overcome a lot to get where she is today. A brain stem surgery survivor, Christine’s blog started in 2012 as a way to stay motivated on her path to an emotional recovery. Recently, it’s morphed into a weight loss blog where Christine is focused on losing weight all naturally and making it a lifestyle change. As she puts it, “I am changing my life for the better, forever – not just my body.”
After a cancer diagnosis sent her normally healthy lifestyle off-course, flight attendant Tracey Z. Dickson was heavier than she had ever been. When she was declared cancer-free, she hopped back on the treadmill and got her diet in order—and went from 158 pounds to 117. One of her diet secrets? "Instead of dessert, I'll have a baked sweet potato sprinkled with cinnamon," she says. "It tastes like I'm eating sweet potato pie, but for a ton less calories." For more healthy ideas on how to get your sugar fix, check out these desserts with 150 calories (or less).
Over time, most people who sustain a ketogenic lifestyle stop losing weight and find a new stable weight (Hallberg 2018). This is achieved when their natural instincts of hunger and satiety lead to an increase in dietary fat intake to balance out one’s daily expenditure. But as long as dietary protein is kept moderate and carbs low, this dietary fat is used in place of body fat to produce ketones, so clearly nutritional ketosis can be maintained without any further weight loss. We have named this a ‘eucaloric ketogenic diet’ (Phinney 1983).
Yuri Elkaim is one of the world’s most trusted health and fitness experts. A former pro soccer player turned NYT bestselling author of The All-Day Energy Diet and The All-Day Fat Burning Diet, his clear, science-backed advice has transformed the lives of more than 500,000 men and women and he’s on a mission to help 100 million people by 2040. Read his inspiring story, “From Soccer to Bed to No Hair on My Head” that started it all.
Find a support group near your home. I suggest going to your local parish and asking there. I will pray for you and be confident that you will find the help you need: “ask for help and I will come to You”. Lord Jesus, help our brother Obed Mathew that has a problem and is needing your help. Let him find the persons that can help him and let him find your love in them. Amen!
Your weight will vary day to day—as much as several pounds—due to normal fluctuations in body water. So looking at your weight from one day to the next, or even one week to the next, does not accurately reflect weight loss. Dietary influences are just some of what can impact the number on the scale, whether a true weight change or just normal day-to-day fluctuations. Medications, hormones, exercise, and body composition changes additionally influence weight. Before further investigation, it’s important to evaluate whether what you’re experiencing is a true plateau or is the day to day fluctuations constantly fluctuating around a lower number, meaning you are losing weight, just possibly slower than you’d like.
About: Sanji started her blog in 2009 as a personal journey to discover what adventures life would bring her, including religion, dating, traveling and more. Fast forward 7 years later, and Sanji is married and has a child. Recently, she morphed her blog into a place to share about her weight loss journey and efforts to live healthy. Add in her long-time writing experience and willingness to get vulnerable, and you’re sure to find it’s a journey you can relate to and find inspiration.
Thanks for sharing Brittany! I love your honesty and could not have used this post more today. I have been struggling with weight gain the last couple of years and keep falling into this loop hole of not eating clean. I work out 5 days a week, however my diet has not changed and so I have struggled. I will be definitely looking into this book as well to give me a new outlook and starting point. Kudos to you to maintaining a busy life of family, running a business and healthy lifestyle. I am inspired that if someone like you can make the change anyone can! Hugs
About: Sometimes, it’s okay to take a helping hand when it comes to weight loss. That’s exactly what the author of Banded Carolina Girl did. In 2012, she had lap band surgery and dropped from a size 30 to a size 12 and saw her BMI drop from 62 to 32. Two years later, she started a blog to talk about “the good, the bad and everything in between.” On her blog, you’ll find quick-hit posts offering inspiration and encouragement to not just lose weight, but also to learn how to love and accept yourself.
Some patients also experience bruising or stiffness in the treated area. After Coolsculpting, it takes anywhere from 3-12 weeks to see results. Several treatments may be required. The cost generally starts at approximately $750 per treatment, but the typical cost for a complete personalized treatment plan averages $2,000 to $4,000 according to the company.
You can get results by following this program provided that you do it correctly and by the book. What many women like about this diet is the fact that is has a clear start and end points. You know from advance that you will enter a diet for 68 days. After that period you evaluate your results and decide the way forward. We did research into various forums and read the experiences of people who followed this diet and most of them did manage to lose weight and most importantly they manage to keep the weight off. Those that failed to do so did not follow the complete set of instructions but they tried a hybrid diet which at the end made them fail.
“Starting slow and working your way up is better than overdoing it and giving up,” says Gagliardi. “I like the idea of attaching the new behavior of taking a walk to an existing behavior.” An easy way to approach it: Commit to going for a quick 10-minute walk after dinner, and slowly increase the time as you become more comfortable with daily movement.
Full Plate Living is a nonprofit dedicated to a simple mission: Encourage, educate, support, and inspire anyone who wants to live a healthier lifestyle. They don’t advocate for starving yourself, spending your life at the gym, or giving up the foods you love. They’re also not about fad diets or weight loss supplements. Instead, they offer practical, straightforward steps to maintain a healthy lifestyle. Visit the blog.
When you want something sweet, all those fat-free, sugar-free options seem like a smart choice for weight loss. But researchers at Cornell University found that overweight people who choose low-fat versions of snack foods rather than the regular kinds consume, on average, twice as many calories. "The terms 'fat-free' or 'sugar-free' can create a green light effect, triggering people to eat more," says dietitian Cynthia Sass, RD. But many fat-free foods have about the same number of calories (or more) as their full-fat counterparts.
Oh, and what about chewing? Do you even chew your food before swallowing or are you in such a rush that you just stuff your face? Seriously – be honest with these questions. Aim to chew your food 25 times before swallowing, that’s what teeth are for. You ever feel airy and bloated after you eat? Chewing and actually allowing your food to mix with your saliva instead of scarfing it down in record time can help with that tremendously.
Julie is a Weight Watchers leader & ambassador, breast cancer survivor, and healthy lifestyle blogger for The Weight Of My Weight. Her blog documents her weight loss journey that begins at 212 pounds, losing 52 pounds, and all the fluctuations that happen in between. Her ultimate goal is to be healthy, maintain her weight and hopefully inspire others to do the same. She shares healthy recipes and weight loss tips to finding balance throughout your journey.
Okay, we established that a calorie deficit is the easiest way to lose weight quickly, but we also need to talk about diet quality. Food still matters. And what you are actually eating can make sticking to your diet that much harder or easier. And some research even suggests the type of food you eat can help promote more weight loss. In a large, prospective cohort studies, fruits, vegetables, and nuts were associated with weight loss whereas processed meats, potato chips, fried foods, and desserts were associated with weight gain.
Soon after the ski trip, I left my desk job to pursue graduate school and took a part-time job working at the front desk of an upscale health club. One of the perks was a free membership, which was the motivation I needed to take control of my weight. I started exercising at the health club most mornings, taking Body Pump and spinning classes on a regular basis. Finding workout buddies helped too. I made some new friends who were avid runners and I began training for and participating in road races with them.
Belly fat is associated with many health issues and diseases, such as cardiovascular disease, diabetes, and cancer. Specifically it's the deepest layer of belly fat that poses health risks. That's because these "visceral" fat cells actually produce hormones and other substances that can affect your health. There are many dangerous and ineffective gimmicks about how to lose belly fat. While there is no "magic bullet" that will target abdominal fat in particular, this article will explain what causes an expanding waistline and how you can make that spare tire go away.
At SkinnyFit, we believe that healthy is beautiful, just like you. And no matter what phase of your weight loss journey you’re in, we are here to help you look and feel positively radiant from the inside out. We believe that self-love, body positivity, and confidence creates a necessary foundation for a sustainable lifestyle change and that our dedication to providing premium, all-natural health, and wellness products will help you get there.
It can be harder to lose weight after menopause. In fact, many women gain an average of 5 pounds after menopause.5 Lower estrogen levels may play a role in weight gain after menopause. But weight gain may be caused by your metabolism slowing down as you age, less-healthful eating habits, and being less active. You also lose muscle mass as you age, so you use fewer calories.
A few years ago, I embarked on a personal weight loss journey. I had had two pregnancies back-to-back, and had gained considerable weight, to the point where my own body mass index was over 30 (obesity range). I was many months postpartum, and realized that the “baby weight” wasn’t going anywhere. As a matter of fact, I had gained even more weight since my daughter was born.
Top Quote: "I’m sharing every lesson to getting there—not as a drill sergeant and definitely not as a guru—as a friend who gets it and never wants anyone else to struggle alone. I’ve learned more in the last ten years than I ever thought possible, and I’m laying it bare here, one post a time—every lesson I’ve learned on losing weight,real advice on maintenance, thoughts on depression, how I’ve moved beyond binge eating, lifestyle bits that make me feel good inside and out, and all the healthy recipes I make regularly.”
These include insoluble fiber and some carbs that cut down on hunger. This gives strength for a stronger, healthier body and a better workout. Reduce the fat content in your body by opting for healthy oats. Choosing a bowl of oats with low fat milks the best option. Choose flavorless oats. Flavored ones are rich in artificial preservatives and contain a lot of sugar, adding to the calorific value.
Growing up, I never thought too much about weight, exercise, or nutrition. Thinking back to my body’s past, I was on the heavier side most of my life. I was never extremely overweight, but never skinny. I remember the occasional times of filling my mind with negative thoughts related to body image, but I never considered it to be a serious problem. I remember the times of being frustrated in a fitting room or embarrassed looking at a picture of me with several of my skinny friends. I remember really wanting to look different and form healthy habits, but in the end, I never had enough motivation to make a change.
Late-night munchies: We hate to be a Debbie Downer, so think of us as Debbie Downsizer: Pass up p.m. snacks. Your body may not burn nighttime nibbles as efficiently as it does those you eat during the day, a study of high-fat diets in the journal Obesity finds. Declare "last call" two hours before bed. "If you're really hungry, have a 150-calorie snack," says self contributing expert Janis Jibrin, R.D. If not, sip tea, cut the lights and bid farewell to the fridge until morning.
Good question, Matt. Quite frankly, for the athletes I work with it’s not an issue. Because they’re able to regain almost 100% of their strength, power, and endurance come fight night. So they have two advantages: 1) they’re at 100% in terms of performance capacity while their opponents, who probably cut weight in a less effective way, are likely only at 80%, 2) they’re also heavier (which grants strength leverage advantages). You can see there are a lot of variables here, though. And that’s why a scientific approach is warranted.
After the summer of hell on the treadmill, I started running outside and built my endurance. I bought myself a pair of good running shoes and used the MapMyRun app to track where I was going and how far I went. Some days of running were great and I could go for three miles and feel awesome the entire run, but then other days were so bad. I remember there were times I was in the middle of a run and wanted so bad to give up and I would have to walk for a little bit to give myself a break before running again. I remember sometimes I would get so discouraged that I would cry and call Alan to see if he could pick me up because I gave up on myself in the middle of a run. Again, I had to learn to give myself grace on the days when I didn’t do as well as I wanted because I knew that in terms of big-picture, I was slowly making progress. I trained my body to relate exercise as a way of relaxation.
Invest in single-serving containers. The National Institute of Diabetes and Digestive and Kidney Diseases says that a serving size on a food label may be more or less than the amount of food you should eat, depending on your age, height, sex, and weight. Once you're done cooking, place the excess servings in the containers to eat for lunch or dinner tomorrow. That way, you won't polish off everything in one sitting.
So I am not going to lie. This is absolutely a post that I never in one million and one years thought I would share on my blog. What started as an interior design blog quickly became a “follow our journey” blog and now I just chat about anything and everything that I love or am going through or just feel like sharing. I’ll blame it on the fact that I get bored easily or maybe that there are only so many room reveals one can do each month. Whatever the case may be, I still never ever planned on sharing THIS. I mean who searches through bins and bins of old photo albums to hunt down the worst images taken of themselves in their entire life? Well that would be me. And then on my blogger girl’s trip several weeks ago, someone spotted the image on my driver’s license (yes it is forever old but who wants to wait in the DMV line to simply change their photo?!?) and so the weight loss conversation ensued. The story of how I once weighed about 100lbs more than I do today…
This is my first time to your blog, I found it when googling “Instant Pot Weight loss”. Reading your story, it was like reading my own biography, seriously its scary lol. I am so glad you have found a healthy balance. I struggle working as a nurse with crazy shift hours, a hubby working crazy shift hours and a toddler (who eats healthier than I do thanks to gerber organic food pouches – meanwhile i’m polishing off the bag of krispy kreme kruellers haha), – I HATE cooking/meal planning. My struggle is real with needing stupid easy but healthy recipes. Your story is inspiring because I feel like we could be soul sisters haha and I have hope that i can learn to cook and eat better not only for myself but for my hubby and baby.
The best plant sources of fat for weight loss come from whole foods like seeds, nuts, nut butters, avocado, olives, or extracted from the foods. While whole based fats tend to be packaged along with other key nutrients, like fiber, vitamins and minerals, they can take up more space on your plate compared to their oils and extracted fats. Extracted fat are typically pressed and filtered out of plant based sources. Because only the fat portion is being removed, you will get a concentrated version of the high calorie, plant based fat that’s takes up less space and likely ends up providing more calories overall. You would have to eat ~30 olives to get the same amount of calories from 1 tbsp of olive oil.
After two weeks of return to non-ketotic levels (blood ketones measured 0.19 mM), subjects’ rates of hunger and desire to eat were significantly higher than pre-weight loss levels. That’s why the Bulletproof Diet recommends cyclical ketosis, because if you’re in it a lot of the time, but not all the time, you never have to deal with that pesky gnawing hunger.
Some studies point to 0.45 to 0.55 grams/pound body weight as the minimum intake (72,73,74,75,76). And when looking at weight loss in specific, some studies argue that even higher protein intake at 0.6 to 0.72 grams/pound, and meals providing at least 25 to 30g of protein, are associated with decreases in appetite and better weight management overall (77). Furthermore, studies looking at athletes who are cutting calories, suggest that intakes as high as 1 to 1.4 g/pound to minimize their loss of lean mass (78,79,80,81).
With our pantry seemingly empty and our refrigerator busting at the seams with all things healthy and natural, I started my weight loss journey. Although I will not completely lay out the guidelines from his book I will share several things I learned that will stick with me forever. One major aspect of weight loss and overall health that I still honestly think about every time I go grocery shopping is to shop the perimeter of the store. If you think about it, the center is filled with boxes and cans and bottles of “food” filled with sugar, unhealthy oils and preservatives. It’s a great concept to remember and keep me in line. I took meal ideas from his book and would eat the same exact thing every single day (especially for breakfast and lunch) for a week or two at a time. It sounds incredibly boring but it made grocery shopping and meal planning so much easier. I can honestly say that for most all of my weight loss, I did not count calories. I ate when I was hungry and did not crash diet what so ever. I think that is HUGE in creating a weight loss journey and to changing your lifestyle. I learned the simplest things from how much sugar is in spaghetti sauce and how to make my own to what to look for in the ingredient list of boxed goods when you do want a quick and easy snack.
"It’s easy to become impatient and frustrated when you’re trying to lose weight and haven’t seen the results yet. But be realistic – you won’t see the affect overnight. Your brain’s wiring plays a huge part in resisting changes in lifestyle, and it takes time to establish new habits – up to 12 weeks. Stick with it for at least eight weeks and you should notice a change."
New Zealand Prime Minister Jacinda Ardern vows to reform her country's gun laws in response to the worst mass shooting in the country's modern history. Fifty people were killed when a gunman opened fire Friday at two mosques in Christchurch. The 28-year-old suspect allegedly targeted Muslims because of his white nationalist and anti-immigrant views. Ben Tracy reports from Christchurch.
This dairy product is perfect for eating to lose weight. Moderation for those who are not lactose intolerant helps to stick to full fat varieties such as cheese, butter and cream because they are rich in vitamin K2 drastically reducing chances of a cardiac issue. Stay away from low fat dairy as the high level of processing and sugars make it unviable for fat loss.
Between his hilarious poetry, inspiring post-it notes, and top ten lists that make Letterman sound unoriginal, reading Jack Sh*T, Gettin' Fit can feel more like your daily dose of comedy than weight-loss advice. Of course you get that too, you're just laughing so hard you don't realize how good it is for you. Check out his post When Harry Met Salad to see what I mean.
According to the World Health Organization (WHO) a healthy diet consists of limited saturated and trans fatty acids, free sugars, and salt, with adequate amounts of fruits, vegetables, legumes, nuts, and whole grains (2). And observational data from large cohorts found that higher adherence to the WHO dietary guidelines are associated with increased life expectancy (3).
About: Inspiring. That’s the first word that comes to mind when describing Gabby’s blog. Gabby used to tip the scales at 262 pounds and started a blog to chronicle her journey. Today, she weighs in at 140 pounds...in other words, half of her old self. But just because she dropped the pounds doesn’t mean she stopped being there for her readers. Thousands of articles and a whole lot of experience later, Gabby continues to share her weight loss wisdom and tons of healthy recipes with fans in an easy-to-follow — and often hilarious — way.
At rest and low intensity training, when there aren't an influx of calories from food, the body prefers to use mostly fat stores for energy. And your body is almost always using some fat for energy, and you are also always store some for energy. Which is why "burning fat" and losing fat are not quite the same thing. Oxidizing fat for energy doesn't always mean you are losing fat. Fat loss, just like weight loss is more dependent on calorie control than hormones and fuel utilization.
Here’s a shocker: When a group of U.K. researchers told 30 women to avoid chocolate, then packed them into a room filled with the stuff; the women were much more likely to sneak a bite than individuals who hadn’t been given the order. Blame the allure of the forbidden: The more you tell yourself you can’t eat something you love, the more you’re going to want it.
About: Contrary to the title, Helen’s blog is anything but “another weight loss blog.” Helen’s been on a journey to lose weight since June 2013. She’s had many ups and downs along the way — which is one of the best things you’ll notice about her posts: that she never gives up and she is extremely positive no matter how difficult things get. If you’re looking to find real encouragement from someone who knows, look no further.
Drinks: I started drinking so much water! I found a water bottle I love and brought it everywhere with me. If you don't have a water bottle you like, find one and have it on you 24/7. Along with water, I'm a huge coffee drinker so that is regularly apart of my diet. I also drink Diet sodas (specifically Diet Dr. Pepper and Diet Coke). Other than that, I don't drink much else. I know a lot of people tend to consume extra calories through drinks but I don't have as much issues there.
Stack habits to trigger healthy behavior. Tying a healthy behavior, like sit-ups, to an existing daily behavior, like waking up in the morning, will not only help you remember to perform your healthy behavior, but could also make it become a more permanent habit. This phenomenon has also been explored using emotional states, locations, timing and people, to help trigger healthy behaviors in individuals. And it works even better if you tie in a healthy reward at the end.
Sometimes, to whip your body into shape, you have to get a little nutty. While nuts are high in fat, it’s that very fat that makes them such powerful weapons in the war against a ballooning belly. In fact, research from Reina Sofia University Hospital reveals that study participants who consumed a diet rich in monounsaturated fats, like those in nuts, over a 28-day period gained less belly fat than their saturated fat-consuming counterparts while improving their insulin sensitivity.
Many teas have been shown to boost metabolism, block the creation of new fat cells, speed the release of fat from cells, and actually turn off fat genes due to their catechin levels, but green tea has a leg up on the competition. This magical elixir is particularly high in the antioxidant ECGC, the compound that burns fat and stops it from forming. Pair your tea with a workout for a fat-burning bonus. Exercisers who drank four to five cups of green tea daily and worked out for 25 minutes lost more belly fat than their non-tea-drinking counterparts, a study published in The Journal of Nutrition found.
Also, while your menstrual cycle may not affect weight gain or loss, losing or gaining weight can affect your menstrual cycle. Women who lose too much weight or lose weight too quickly may stop having a period, or have irregular periods. Women who have obesity may also have irregular periods. A regular period is a sign of good health. Reaching a healthy weight can help women who have irregular periods to have cycles that are more regular. Learn more in our Menstrual Cycle section.
Now that you understand why you may have body fat and how nature is working against you, let’s get started with discussing the steps you’ll need to take to get the best legs of your life. Read on to discover some of the best tips and tricks on how to lose thigh fat. If you follow this advice, you will outsmart evolution and be on your way to fabulous, thin thighs.