In Week 1 you’ll perform three sets of every exercise per workout, which over the course of the week adds up to nine sets total for each bodypart, a good starting volume for your purposes. With the exception of crunches for abs, you’ll do 8–12 reps per set. This rep scheme is widely considered ideal for achieving gains in muscle size (the scientific term is hypertrophy) and is commonly employed by amateur and pro bodybuilders alike.
Perhaps one of the best benefits of barre is that it’s fun! It incorporates the use of upbeat music and engaging choreography. When working out is fun and enjoyable, your chances of staying with the program greatly increase. The barre method also offers quick results. Barre helps strengthen and tone your muscles without increasing bulk, and it improves your posture. It also increases cardiovascular endurance and metabolism, which helps to quickly burn calories.
Tori is a dancer from Los Angeles, and she incorporates all of the dance moves she uses regularly in a super fun and high-energy workout. As she explains, you don’t need to be a dancer to take her classes. In just five minutes, Tori manages to work your booty, core, arms, and legs. A great intro workout, this low-impact routine requires no equipment — just an empty space — and will be sure to warm you up.
The mental benefits of Pilates include an increase in the ability to focus. It takes a great deal of concentration to coordinate your breath and body position during workouts. In fact, Joseph Pilates often referred to his method as “the thinking man’s exercise” due to the improvement in memory and other cognitive functions that results from doing it. A clear mind also reduces stress levels, which translates to an improvement in your overall health.

Calling all new moms! Whether you're looking to stay in shape during pregnancy, or get back into shape afterward, this workout is designed to give you a long, lean body. A blend of Pilates and barre moves, it follows the guidelines of the American College of Obstetricians and Gynecologists so that you can rest assured that you're exercising safely.

Pharmacologic beta-adrenergic blockade reduces maximal heart rate (HR) during exercise but variable results have been reported for minute ventilation (VE), CO2 output (VCO2), and O2 uptake (VO2). A total group of 19 subjects with mild asthma was studied. We studied 16 subjects from the group who received placebo or pindolol, a beta-adrenergic antagonist, during 1-min incremental exercise on a ... [Show full abstract]Read more
I’ve recently been using an excellent iPhone app called 7-Minute Workout, which has totally changed my life. Its simple, voice-guided power workouts make it easy to exercise in my bedroom using only my body and some basic props, and the app’s game mechanics help make the experience fun rather than a chore. The best part is that, no matter how busy I am, I always have time for a seven-minute workout. I’m currently rocking a three-month daily workout streak and counting.
The military press is similar to the shoulder press but is performed while standing with the feet together. (It is named "military" because of the similarity in appearance to the "at attention" position used in most militaries) Unlike the seated shoulder press, the military press involves the majority of the muscles of the core as stabilizers to keep the body rigid and upright, and is thus a more effective compound exercise.
Fortunately, recent scientific studies have shown that Ubiquinol CoQ10 and PQQ supplementation will protect the mitochondria and reduce high levels of oxidative stress. With less mitochondrial fatigue, tolerable exercise can be had by the CFS/ME person.  Please also check the supplement page as I also use PQQ for oxidative stress along with Ubiquinol. 
Ready to begin rehabbing your core before you’re cleared to exercise? We can help with this too! Have a talk with your care provider and we’ll take care of the rest. During this early rehabilitation stage, we keep it simple, helping you integrate our techniques into your new life, progressing you when you and your body are ready for the next steps. The way we connect to our body in the first several weeks postpartum can really set the stage for the months ahead.
Neuromuscular function tests were performed pre and post-exercise to quantify muscle fatigue. As previous studies documented the extent of isometric muscle fatigue induced by OLDE [8, 11, 17, 18], we chose to focus only on isokinetic muscle fatigue. Therefore, knee extensors (KE) MVCs were performed at 60 (MVC60), 100 (MVC100) and 140 (MVC140) deg/s pre (after the warm-up) and post-exercise (13 ± 4s after exhaustion). Subjects were asked to perform two maximal isokinetic knee extensions at each angular velocity (starting position corresponded to knee angle at 90 deg; range of motion was the same as the OLDE). The highest peak torque value of the two trials was considered, and a 20 s recovery was set between each set of KE MVCs. The order of contractions was randomized between sessions as follow (60-100-140 deg/s, 100-140-60 deg/s or 140-60-100 deg/s) and identical for testing pre and post-exercise of the same session. This randomization allows obtaining a time course of KE MVC torque recovery following the time to exhaustion test at each angular velocity was obtained at a different time point at each session: either shortly after exhaustion (13 ± 4 s after exhaustion), 20 s following exhaustion test (P20) and 40 s following exhaustion test (P40). An overview of timing can be found in Fig 1. Twenty seconds after completion of the last KE MVC, a maximal isometric MVC of the knee flexors was performed (isometric KF MVC). Visual feedback of the torque and strong verbal encouragement were provided for each MVC [please see reference 9 for more details].
Exercise duration, HRmax and [La]max are presented in fig 2A, B, and C. Visual inspection of the data led to the conclusion that there is no difference in exercise duration and HRmax between the OTS and the NFO patients. For [La]max, a much lower value was found for the OTS patients in combination with a larger reduction from the first to the second test compared with the NFO patients. However, parametric analysis did not indicate significant differences. The main effect of group gave an F ratio of 2.9 for [La]max and an F ratio <1 for exercise duration and HRmax, showing that almost three times as much variance is explained by the group membership (ie, OTS vs NFO) compared with random factors. In addition, sensitivity for OTS detection with [La]max was high (table 2). With a cutoff of 8 mmol l%#x2212;1, four out of the five OTS patients would have been diagnosed correctly from the first exercise test and four out of the four OTS patients from the second exercise test. Sensitivity for NFO diagnosis was lower, however (table 2). From the first exercise test, a correct diagnostic ratio of two out of four was found, for the second test, two out of three.
Choose 10 different exercises - For cardio, focus on exercises with different levels of intensity. For example, you might alternate a high-intensity exercise (such as jumping jacks or burpees) with an easier move (such as marching in place). For strength training, choose compound exercises such as squats, lunges, pushups and dips to work the entire body. Exercise ideas: Step by Step Cardio Exercises, Step by Step Body Weight Exercises

Length of the Workout – How long is the workout on the video you are looking to get? If you want to work out 30 minutes a day, getting an exercise video that is 60 minutes long will only cause frustration. Most people don’t want to do half a workout and since they are designed to include a warm up, workout and cool down, only watching half gives you an incomplete workout.
A systematic review evaluated 45 studies that examined the relationship between physical activity and cancer survivorship. According to the review, "[there] was consistent evidence from 27 observational studies that physical activity is associated with reduced all-cause, breast cancer–specific, and colon cancer–specific mortality. There is currently insufficient evidence regarding the association between physical activity and mortality for survivors of other cancers."[29] Although there is only limited scientific evidence on the subject, people with cancer cachexia are encouraged to engage in physical exercise.[30] Due to various factors, some individuals with cancer cachexia have a limited capacity for physical exercise.[31][32] Compliance with prescribed exercise is low in individuals with cachexia and clinical trials of exercise in this population often suffer from high drop-out rates.[31][32]
You might not be responsible for delivering the certificates of the swapped shares to your employer. Many stock option plans permit you to exercise with shares you already own, through a process called "attestation." You complete an affidavit of ownership and submit it with proof of stock ownership (such as a copy of stock certificates or recent brokerage statements).
Hold off on buying that gym membership! These workout DVDs are a great alternative for busy women who still want to get toned. Just pop one of these DVDs into your computer or television when you get home and see how much easier it is to integrate working out into your everyday schedule. From yoga to strength training, there's a workout for everyone.
To strengthen and tone your abs, Marks says to go with V-Ups. Here’s his instruction: Begin lying on your back with your legs straight and arms extended overhead. Engage your core by pressing your lower back into the ground. Keeping your legs and arms straight, simultaneously lift your legs and torso up, reaching your hands toward your feet. Your body will form a “V.” Slowly lower to the starting position. And if you want an added challenge? Dempsey says “don’t let your arms and legs rest on the ground in between reps.” Ouch! If you’re working this hard (even for just 30 seconds!) don’t undo your efforts by making any of these 30 Flat-Belly Mistakes Women Make.

In his homeland of Denmark, Müller was a controversial figure. Some conceived his liberal philosophy and promotion of exposing the entire body to the sun to be anti-Lutheran and even pornography. During the last few years of his life, Müller returned to Denmark and vigorously promoted a natural ‘healing spring’, causing further resentment for being perceived as over-spiritual. After Müller’s death in 1938, a memorial bronze statue was erected by the Danish Government, however, he is since mostly forgotten by the general public (Figures 2–4).18 Larsen J. [Internet]. J.P. Muller, a Danish sportsman, world famous – and forgotten. 2015 Aug 30 [cited 2015 Aug 30]. Available from: [Google Scholar]

Resting hormone concentrations have been a topic of many studies and discussions. It has been suggested that conflicting results were, at least partly, because of a lack of standardisation in both the way overtraining was measured and in the hormone measurement protocols used. Results from the present study show that variability in resting hormone concentrations is also present within groups of NFO and OTS patients. The arguments for contradictory findings are not valid within this study where blood was drawn at the same time of day always after an overnight fast. However, the diurnal variation in cortisol cannot be ruled out with this protocol because tests are separated by 4 h. However, each test was done with the same protocol and timing so that the data were collected in a standardised manner. One possible reason why the cortisol levels do not show the same pattern as ACTH might be because of this diurnal variation. Therefore, it must be concluded that resting hormone concentrations are not sensitive enough, at least not to diagnose unexplained underperformance in athletes. It has been suggested that hormonal reactions to stress tests are more sensitive.1 11
The barre method uses your own body weight for resistance and focuses on small, deliberate movements that focus on specific groups of muscles, specifically muscles that aren’t used in other workouts. Muscles are worked to the point of fatigue, and then stretched for relief. Proper form, body alignment and posture is stressed, which in turn leads to an overall strengthening of core muscles and the appearance of an aligned, lean body.

What type of exercise do you enjoy? – Do you love to dance? Do you like ballroom moves or hip hop? Do you enjoy martial arts inspired moves like kickboxing? Do you prefer walking? There are so many varieties of exercise videos available that you can find many that cater to the type of exercise you like to do. Don’t get locked into only one form though because learning something new can keep you from getting workout burnout. This is one of the reasons a popular exercise series called P90X3 is so popular. Every day you will have a new form of exercise to look forward to.

The world population is ageing and the number of older adults with chronic health conditions and physical limitations is expected to increase. This, in turn, could lead to an increased burden on healthcare services [1]. Regular physical activity is an important component of successful ageing and reduces the risk of developing several age- and lifestyle related diseases such as cardiovascular disease, dementia and type 2 diabetes [2–7]. However, making older adults exercise and keeping them in exercise programs is a major challenge [8]. Understanding how older adults prefer to exercise may help developing tailored exercise programs and increase sustained exercise participation in ageing populations.
Another very important brain area that mediates, and in turn is affected by the stress response, is the hippocampus.27 The consequences of impaired regulation of cortisol secretion are manifold, ranging from effects in peripheral tissues (eg, osteoporosis) to changes in the central nervous system.28 Most of the effects seen in chronic stress situations can be explained by the occupation of the two glucocorticoid receptors in the brain. In normal situations, the mineralocorticoid receptor will be occupied, whereas the glucocorticoid receptor has lower affinity for the natural ligand corticosterone (cortisol) than the mineralocorticoid receptor and is extensively activated only after stress and at the peaks of the circadian rhythm. One of the main functions of glucocorticoid receptors is to normalise brain activity some hours after an organism has been exposed to a stressful event and to promote consolidation of the event for future use.25 28 To this purpose, corticosteroids feed back in precisely those circuits that are initially activated by the stressor and are enriched in glucocorticoid receptors: limbic forebrain neurons and the paraventricular nucleus of the hypothalamus.

In his new P90 DVD set, the supertrainer Tony Horton drops the "X" for an all-levels-welcome version of his wildly popular 90-day program. The 10 workouts—including total-body and core on the floor routines—are mapped out for you in a follow-along schedule. The modification options to the mix of cardio and resistance moves "make every set possible" for a gymlike intensity, testers said, all in 25 minutes. "It doesn't get much better than that," one reviewer raved.

^ Jump up to: a b Kyu, Hmwe H; Bachman, Victoria F; Alexander, Lily T; Mumford, John Everett; Afshin, Ashkan; Estep, Kara; Veerman, J Lennert; Delwiche, Kristen; Iannarone, Marissa L; Moyer, Madeline L; Cercy, Kelly; Vos, Theo; Murray, Christopher J L; Forouzanfar, Mohammad H (9 August 2016). "Physical activity and risk of breast cancer, colon cancer, diabetes, ischemic heart disease, and ischemic stroke events: systematic review and dose-response meta-analysis for the Global Burden of Disease Study 2013". BMJ. 354: i3857. doi:10.1136/bmj.i3857. PMC 4979358. PMID 27510511.

The Internet may be your favorite way to waste time, but it also offers a wealth of resources for home and/or traveling exercisers. Not all content is created equal on the World Wide Web but, if you know where to look, you can find almost everything you need to know about exercise: How to set up a home gym, create your own exercise program, and learn the basics of cardio, strength training and how to get in shape with exercise.
Bottom line. Strength training with heavy weights is a better way to target your glutes, but that’s not something most people will do. The program includes low- and high-impact routines, so you don’t need to be extremely fit to start. If you don’t mind doing lots of squats and lunges and you like the idea of dancing your way to fitness, this may be good for you. The Brazil Butt Lift eating plan includes basic recipes with easy variations.
^ Jump up to: a b c Rosenbaum S, Tiedemann A, Sherrington C, Curtis J, Ward PB (2014). "Physical activity interventions for people with mental illness: a systematic review and meta-analysis". J Clin Psychiatry. 75 (9): 964–974. doi:10.4088/JCP.13r08765. PMID 24813261. This systematic review and meta-analysis found that physical activity reduced depressive symptoms among people with a psychiatric illness. The current meta-analysis differs from previous studies, as it included participants with depressive symptoms with a variety of psychiatric diagnoses (except dysthymia and eating disorders). ... This review provides strong evidence for the antidepressant effect of physical activity; however, the optimal exercise modality, volume, and intensity remain to be determined. ...
After performing the two exercises of the Alfredson protocol, you may feel soreness or pain in the back of your ankle by your Achilles' tendon and soreness in your calf muscles.  This soreness will last for a day, and the soreness will become much less as you progress with the exercises over the course of weeks.  The Alfredson protocol indicates that you continue with the exercises unless the pain becomes disabling.  If this occurs, consult your doctor.

There are many things a consumer can do to minimize unsatisfactory purchases when it comes to exercise videos. We have put together a buyer’s guide that will give you a lot of information on learning as much as you can about exercise videos and what they are about BEFORE you spend the money. When you are armed with this information you can be more assured that the videos you decide to purchase will actually be ones you use.
One near constant at this age is stiffer joints. Movement of all kinds — which floods joints with oxygenated blood — is helpful. But mobility and flexibility exercises that involve large, controlled ranges of motion in the ankles, hips, shoulders, and upper back can be particularly effective. Try a yoga class, and work mobility into your daily routine as well — anytime and anywhere. Gently stretch however it feels good, and as often as you remember.

This study was supported by grants from the Liaison Committee for education, research and innovation in Central Norway, The K.G Jebsen Foundation for medical research and the Research Council of Norway. The funding organizations had no role in the design and execution of the study, in the collection, analysis, and interpretation of the data, or in the preparation, review or approval of the submitted manuscript.
“I always tell people that you want to learn why you’re doing something—knowing a bunch of moves doesn’t matter as much when don’t you know how to implement them,” explains Cori Lefkowith, Orange County-based personal trainer and founder of Redefining Strength. So even if you’ve got planks and push-ups down, understanding what’s really going on while you’re training can help you reach your goals faster. We’ve decoded 25 common fitness terms for you so that you can work out with confidence and get the most out of your fitness routine.
The Bloom Method promises to always provide you with the most innovative tools to stay connected to your body as it changes, better prepare you for childbirth, and promote a speedy recovery helping you to achieve your post-birth goals. Our team of experts is constantly staying up to date on the most informative education + studies to ensure that what we provide is top-notch.
In total, 1567 participants (790 women) met the inclusion criteria, fulfilled baseline testing and were randomized 1:1 into an exercise training group or to a control group. The exercise training group was further randomized 1:1 to either MCT or HIIT. Participants in the exercise groups were instructed to fill in exercise logs after each exercise session they performed. Data in the present study is based on the exercise logs from the first year of the intervention. Therefore, only participants in the exercise groups were included in the present study (n = 787). Dropouts in the exercise groups during the first year (n = 123) and those with no exercise logs (n = 46) were excluded. A total of 618 participants (291 women) were included in the analyses (Fig. 1). The study was approved by the Regional Committee for Medical Research Ethics (REK sør-øst B: 2015/945) and all participants gave their written informed consent before participation.

With today’s demanding lifestyles, many individuals find it difficult to stick with a regular exercise program. The most common barriers to regular physical activity include lack of time and motivation. Other reported challenges include fear of injury, feelings of self-consciousness or not being athletic enough, and memories of perceived failure with prior exercise programs. Fortunately, many fitness studios offer free trials, flexible class times and even downloadable or streamed classes, so it’s easier than ever to commit.

This Chinese martial art that combines movement and relaxation is good for both body and mind. In fact, it's been called "meditation in motion." Tai chi is made up of a series of graceful movements, one transitioning smoothly into the next. Because the classes are offered at various levels, tai chi is accessible — and valuable — for people of all ages and fitness levels. "It's particularly good for older people because balance is an important component of fitness, and balance is something we lose as we get older," Dr. Lee says.
Athletic trainers and physical therapists play important roles in the management of individuals with RCIS. When caring for this patient population, an athletic trainer or physical therapist performs a comprehensive initial examination. Information obtained from the examination is used, in part, to (1) identify impairments believed to be contributing to the individual's pain and functional limitations and (2) develop an impairment-based rehabilitation program. We believe that the prescription of specific evidence-based interventions designed to address the relevant contributory factors might be more appropriate than administering the same exercise program to everyone with RCIS. Ideally, individuals with RCIS would be classified into impairment-based subgroups and prescribed interventions specific to that subgroup. Although no treatment classification for patients with RCIS exists, this approach has been used to treat individuals with low back pain and has resulted in superior outcomes when compared with a general treatment approach.2
Data were analysed using three different methods: visual inspection, parametric statistics and calculation of sensitivity for both OTS and NFO detection. Because the sample size was rather small (ie, maximal 5 for each group), data were first inspected visually. Parametric statistics and sensitivity calculation were used to support conclusions from visual inspection of the data. For the purpose of visual inspection, we created graphs with averages and SE for both the OTS and the NFO groups.
DOMS stands for delayed onset muscle soreness, which is the soreness you feel the day or two after a hard workout. This happens because when you’re working out you’re damaging muscle fibers (that’s a good thing!). The muscle then repairs and rebuilds and that’s how you get stronger. The soreness and pain you feel from DOMS comes from the chemicals that set off pain receptors during the repair process, Robert Hyldahl, Ph.D., an exercise physiologist at Brigham Young University, previously explained to SELF. This soreness may last anywhere from 24 to 72 hours after your workout. (Here’s what to do when DOMS kicks in after a workout.)
The baseline testing included clinical examinations, physical tests and questionnaires about health and lifestyle. Age and sex were obtained from the National Population Registry. A previously described questionnaire provided information on physical activity level and sedentary time at baseline [19]. Detailed protocol for assessment of body weight (kg), body height (cm) and body mass index (BMI; kg/m2) is described elsewhere [19]. Testing of peak oxygen uptake (VO2peak; mL/kg/min) was performed either as walking on a treadmill or cycling on a stationary bike. The test started with 10 min at a chosen warm-up speed. Approximately every two minutes, either the incline of the treadmill was increased by 2%, or the speed was increased by 1 km/h. The test protocol ended when participants were no longer able to carry a workload due to exhaustion or until all the criteria for a maximal oxygen uptake were reached [22].
The physical benefits of Pilates include an increase in muscle strength and tone without creating bulk. The increase in deep core muscle strength helps to make your abdominal muscles look tight and toned. It also improves your flexibility and posture, which can decrease your chances of injuring yourself. Pilates is also effective in easing chronic lower back pain and preventing future back pain and injuries.
The first step to any workout routine is to evaluate how fit you are for your chosen physical activity. Whenever you begin an exercise program, it's wise to consult a doctor. Anyone with major health risks, males aged 45 and older, and women aged 55 and older should get medical clearance, says Cedric Bryant, PhD, chief exercise physiologist for the American Council on Exercise.
Children who participate in physical exercise experience greater loss of body fat and increased cardiovascular fitness.[23] Studies have shown that academic stress in youth increases the risk of cardiovascular disease in later years; however, these risks can be greatly decreased with regular physical exercise.[24] There is a dose-response relation between the amount of exercise performed from approximately 700–2000 kcal of energy expenditure per week and all-cause mortality and cardiovascular disease mortality in middle-aged and elderly populations. The greatest potential for reduced mortality is in the sedentary who become moderately active. Studies have shown that since heart disease is the leading cause of death in women, regular exercise in aging women leads to healthier cardiovascular profiles. Most beneficial effects of physical activity on cardiovascular disease mortality can be attained through moderate-intensity activity (40–60% of maximal oxygen uptake, depending on age). Persons who modify their behavior after myocardial infarction to include regular exercise have improved rates of survival. Persons who remain sedentary have the highest risk for all-cause and cardiovascular disease mortality.[25] According to the American Heart Association, exercise reduces the risk of cardiovascular diseases, including heart attack and stroke.[22]
Take the stairs. You know, some people pay to use stairs (read: they buy a stair stepper machine), so if you work or live above the first floor, consider using your stairs as a privilege. Using the stairs is great cardiovascular exercise, and also tones your calves, hamstrings, glutes, quadriceps, and abs. Next time you're about to take the elevator or escalator, take the stairs instead. If you have some time to spare, take an extra trip up and down. Or, try a stair-based workout like this one.
A compound exercise is a move that incorporates multiple muscle groups, like lunges, deadlifts, and squats. It may also refer to two moves being strung together, like a bicep curl to a shoulder press. Compound exercises are efficient for increasing overall muscle mass and burning calories (because they require more effort to complete), as opposed to isolation exercises, which focus on working just one muscle group (like a bicep curl).
Absolute values for KE MVC torques and maximal EMG RMS are presented Table 3. As EMG RMS of the RF muscle at 60 deg/s pre-exercise values significantly differ between sessions, these data were not analyzed. Planned comparisons to explore main effect of time are presented Table 3. Despite a significant main effect of time for the EMG RMS of the RF muscle at 140 deg/s, planned comparison failed to demonstrate a significant difference between times. Changes in KE MVC torque and KE EMG RMS related to baseline are presented Figs 6 and 7. Isometric KF MVC torque did not change over time (75 ± 31 to 73 ± 27 N·m, P = 0.368).
My husband ordered this program several months ago and I was, of course, skeptical. But, being sick of our current workout programs and seeing as it was only going to take 4 minutes, what did I have to lose? We tried it...and we LOVE it. There is about a 2 min warm-up routine you are supposed to do before each workout, then a rotating schedule of 4-min, muscle tiring, heart pumping workouts. You wouldn't think that 4 minutes could really do anything, but time has proven otherwise. After only a couple months of doing the workouts as a family, we are seeing great results. I've got a nice set of pipes, my stomach is flatter and I'm up to a 4-pack...hoping I'll get to that 6-pack before the end of the year, my rear, legs and waistline are trimmer and more firm. My ... full review
One of the rotator cuff strengthening exercises proposed by Kuhn is scaption performed with the thumb down or up. Clinically, this exercise is called the empty-can (thumb-down) or full-can (thumb-up) exercise. When prescribing this strengthening exercise, one should consider the effect that upper extremity position has on the tissues located in the subacromial space. Yanai et al4 showed that impingement forces on the rotator cuff tendons under the coracoacromial ligament were greater with the empty-can exercise than with the full-can exercise. Therefore, the full-can exercise is more appropriate for this patient population.
(2) Active Phase (between 60% and 84% HRR). Continuous dynamic and interval training mode exercise involving large muscle activities with an increasing level of difficulty and intensity. Subjects began with a short walk, alternated with various step exercises (e.g., both side and forward-backward step up and down on the platform, with alternate footsteps). Then, they went on performing alternate upper-limb lifts (while keeping inferior limbs flexed) and lower limb flexions and extensions (knee lifts, both side and forward-backward leg lifts, and leg curls), as a sort of brief and easy sequence to be repeated for a fixed time. Integrated multiple plane exercises for upper and lower limbs using elastic resistances (Xertube®) completed the last part of the Active Phase. To reach the goal of gradually augmenting the intensity of the program, the coach continuously checked the HRR level of subjects who were progressively increasing the duration and the number of exercises. The resistance of the elastic bands was also increased by one level (from very light to medium) every 4 weeks.