“What? Touch my nose with my tongue? It’s a piece of cake!”

Did you know Slow Loris is the only known venomous primate? Slow loris licks its brachial glands (a scent gland on the upper arm) where venom is secreted and rubs them on its fur to protect itself from predators - making itself completely non-edible. And when feeling threatened, the Slow Loris may also lick its venom and give a deadly bite to its aggressors.

📸 @razisn
📍 Kinabatangan, Sandakan

#sabah #borneo #malaysia #tourism #photooftheday #nature #fun #photography #beautiful #enchantingsabah #travellater #traveltomorrow #slowloris #wildlife #animal

“Nothing escapes from my eyes!” 👀

📸 IG: @lancelemyconahap
📍 Danum Valley

#Repost The cutest primate ever lived, the Slow Loris - arboreal, nocturnal, omnivorous and a total badass creature.

Sweat secreted from brachial glands of slow lorises when mixed with saliva can create one hell of a venom! They would lick their entire fur bodies to deter predators and when in defense mode, one bite is powerful enough to cause anaphylactic shock and even death in humans!!!

#sabah #borneo #malaysia #tourism #photooftheday #nature #fun #photography #beautiful #enchantingsabah #travellater #traveltomorrow #wildlife #animal

#lipid #gdl
Management of Dyslipidemia for Cardiovascular Disease Risk Reduction: Synopsis of the 2020 Updated U.S. Department of Veterans Affairs and U.S. Department of Defense Clinical Practice Guideline 2020

• 治療目標是預後（心血管疾病、健康、住院、死亡），而不是血脂濃度。
• 血脂（膽固醇、LDL-C、HDL-C、TG）：每 10 年檢驗一次，不需要禁食。
• 初級預防：中度劑量的 statins，不要用 PCSK9 抑制劑。高危險群者能加上地中海飲食。
• 次級預防：中度劑量的 statins，高危險群（AMI 之後、ACS 一年內、復發性 AMI/ACS/中風、糖尿病、抽煙、PAOD、PCI、CABG）病人可以用高強度 statins、加上 ezetimibe/PCSK9 抑制劑、禁食 TG > 150 mg/dL（非禁食 TG > 200 mg/dL）者能加上 VASCEPA（Icosapent Ethyl）、地中海飲食。
• 沒有幫助：CAC、CRP、ABI、apolipoproteins。
• 不要用 niacin、fibrates。
Lipitor (atorvastatin 10-20 mg/tablet), Crestor (rosuvastatin 10 mg/tablet).

1. Continue to Treat to Target Dose Not LDL-C Level

2. Use of Additional Tests to Refine Risk Prediction: Evidence Is Still Insufficient
coronary artery calcium (CAC), high-sensitivity C-reactive protein, ankle–brachial index, and apolipoprotein

3. Primary Prevention: Moderate-Dose Statin Therapy Is Still Emphasized; No to Proprotein Convertase Subtilisin/Kexin Type 9 (PCSK9) Inhibitors
No RCT directly compared high-dose with moderate-dose statin therapy in primary prevention.

4. Secondary Prevention: Moderate Statin Doses Initially, Then Stepped Intensification in Higher-Risk Patients
For higher-risk patients (recent MI or acute coronary syndrome (in the past 12 months); recurrent acute coronary syndrome, MI, or stroke; or established CVD with additional major risk factors (such as current tobacco use, diabetes, peripheral artery disease, or previous coronary artery bypass graft surgery or percutaneous coronary intervention), evidence supports the addition of ezetimibe or PCSK9 inhibitors to moderate- or high-dose statin therapy.

5. Laboratory Testing: No Routine Fasting or Monitoring Is Needed; Less Is More
We recommend measuring lipid levels no more than every 10 years. Note that previously measured lipid levels may be used reliably in serial CVD risk assessments. We do not recommend rechecking lipid levels each time CVD risk is assessed, because lipid levels remain stable within each patient over time and contribute little to predicted risk relative to other factors.

6. Physical Activity: Increased Aerobic Exercise for All and Cardiac Rehabilitation After a Recent CVD Event

7. Nutrition, Supplements, Niacin, and Fibrates: Suggest a Mediterranean Diet for High-Risk Patients, Limit Icosapent Ethyl to Secondary Prevention, Avoid Supplements and Niacin, and Avoid Adding Fibrates to Statin Therapy
https://www.acpjournals.org/doi/full/10.7326/M20-4648

On June 8, 2012 professional Muay Thai fighter, Daniel Ketley was
involved in a serious accident that would hinder his profession. What happened that night is still unclear, on the way to a friend's home one night Ketley remembered it raining and that's where it stops.
To the blind eye it looks like a motorbike accident, however his motorbike had no scrapes, either, the only damage being to the front, consistent with being hit by something, and the two rear view mirrors were smashed. Ketley's T-shirt and jeans he was wearing at the time were wet from the rain, but had no mud, gravel, rips or damage.

It is believed he was hit on the head several times with something hard and then robbed of his wallet, with 400 THB inside, his insurance ID card and his mobile phone.

Ketley suffered a fractured skull which required 45 stitches, haemorrhaging and compression on the brain, air bubbles in the brain, a shattered eye socket, jaw broken in three places, four lost teeth, a fractured vertebra, nerve damage to his neck and shoulder, and a fracture in the skull between his nose and upper lip. He spent five hours in surgery undergoing facial reconstruction.

Ketley's injury in Brachial Plexus, a tearing of the nerves from the neck of the spinal chord, which has caused him to lose the use of his right arm.

His goal is to be a Muay Thai champion and this injury is not going to stop his dream. You can still see Ketley hitting pads and doing bag work with one good arm at Tiger Muay Thai. I'll get back in the ring with one arm, I prefer two, but I'll get back in with one arm." said Ketley

A film by Jeff Sainlar
http://www.jeffsainlar.com/

http://www.tigermuaythai.com/
http://www.fightingthai.com/

そこまで気合入れてやらなかったのに今までで一番追い込めた様な気がします。少し肩の力抜いてトレする事も大切と学んだ一日でした。

※この動画の正しい視聴方法↓
①この動画を見ている皆さんはこの瞬間から筋肉虎の穴（ＫＴＭジム）の　会員になっていただきます。
②そして皆さんとＫＴＭは同じ場所同じ時間に筋トレしています。
③完全な垂れ流し動画になっている為ＢＧＭもありません。なのでＢＧＭを　普段流しながらトレしている方はご自分でＢＧＭの用意をお願いします。④つまりこれは動画ですが、気持ちは皆さんと一緒に筋トレやっていけ　　たらなっていう考えであります！
⑤さあ、楽しく一緒に筋トレやりましょー！♪

【自己紹介】↓
初めましてＫＴＭと申します！
モテボディー（ＭＴＢ）目指して日々鍛えてます♪
ジムには行かず完全ホームトレーニーです
サプリ、トレ暦とかはチャンネル概要に書いてあります。
動画はほぼ毎日更新していくのでお付き合いしていただけたら嬉しいです！

その他の活動場所↓
【Twitter】 https://twitter.com/ketama05_MTB
【Youtubeチャンネル】http://www.youtube.com/user/05ketama ※※KTMグッズ販売所になります→https://uuum.skiyaki.net/ktm05_MTB
代引きかクレジットカードでの注文になります。
※TシャツはXLの販売になります 使用プロテインはマイプロテイン→ http://bit.ly/2kD6849
カート画面でこちらのコード打っていただけますと更に安く買えるかと思います→ KTM10KTM

種目は21カール、ドラッグカール、アームカール、ハンマーカール、プリーチャーカールです。

【自己紹介】↓
初めましてＫＴＭと申します！
モテボディー（ＭＴＢ）目指して日々鍛えてます♪
ジムには行かず完全ホームトレーニーです
サプリ、トレ暦とかはチャンネル概要に書いてあります。
動画はほぼ毎日更新していくのでお付き合いしていただけたら嬉しいです！

その他の活動場所↓
【Twitter】 https://twitter.com/ketama05_MTB
【Youtubeチャンネル】http://www.youtube.com/user/05ketama ※※KTMグッズ販売所になります→https://uuum.skiyaki.net/ktm05_MTB
代引きかクレジットカードでの注文になります。
※TシャツはXLの販売になります 使用プロテインはマイプロテイン→ http://bit.ly/2kD6849
カート画面でこちらのコード打っていただけますと更に安く買えるかと思います→ KTM10KTM