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Why? Well, remember when I referred to a type of fat as being “the closest thing we have to a real life miracle food” in my little intro to dietary fat ?

Well, I was referring to the omega-3 fatty acid.

The omega-3 fatty acid, which is most abundant in fish (and fish oil supplements), basically improves your body’s ability to do damn near EVERYTHING (build muscle, lose fat, live, function, prevent diseases, etc.).

Research has shown that it lowers your bad (LDL) cholesterol levels, raises your good (HDL) cholesterol levels, reduces inflammation (and so on and so on) as well as helps prevent or improve a list of diseases and disorders so big you’re going to have to wait till later when I give it its own separate article.

Also worth mentioning now is that it may also help with calorie partitioning.

Meaning, when in a caloric surplus, calories will be more likely to go towards building muscle rather than being stored as fat. And when in a caloric deficit, your body will be more likely to burn fat instead of muscle.

In addition to all of these wonderful benefits (plus the many others I’ll be mentioning later), another reason that the omega-3 fatty acid is such an important part of your diet is that, while the omega-6 fatty acid is definitely also an important, healthy and required part of your diet, it’s the ratio of omega-6 to omega-3 that might be most important.

In a perfect world, this ratio should be about 2:1 for optimal health and function. In reality however, it’s more like 10:1 or possibly even 20:1 or 30:1 in some cases.

The reason this ratio is so far off from what it should be is due to a combination of the fact that the omega-6 fatty acid is extremely prevalent in the typical diet while the omega-3 fatty acid is usually always greatly lacking.

The big problem with this common unevenness is that it’s been shown to cause its own set of problems by increasing our risk for a variety of diseases and health issues.

So, while polyunsaturated fats are definitely “good” and “healthy” and a key part of your fat intake and overall diet, it’s the essential fatty acids (and their ratio in your diet) that makes it so “good” and “healthy” in the first place.

Alright, so you’re now armed with a good basic understanding of the 4 different types of fat and how each affects your body, your diet and your goal.

You know which to avoid completely (trans fat), which to limit to a certain extent (saturated fat), and which to get the majority of your daily fat intake from (monounsaturated and polyunsaturated fat, with an extra emphasis on getting a sufficient amount of the omega-3 fatty acid).

All you need to know now is how much total fat you should actually be eating per day and what foods it should primarily come from.

Let’s figure that out right now…

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As a business owner, I have collected sales tax. Is this sales tax included in my gross income? If so, is there a place to enter it in as a deduction?

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, sales tax that you collect from your customers and remit to the state government are not included in your gross sales total.

Therefore, the state sales taxes that you collect on behave of the state that you received on your sales and remit to the state's Department of Revenue are not including in either your income or your expenses for your business. You need to make sure that the income that you are reporting does not include these state sales taxes collected. Additionally, you will not include an expense item for these state sales taxes that are remitted to the state.

So if the amount of these state sale tax is included in your gross sales total, you need to lower your total sales amount by the amount of sales tax remitted to the state's Department of Revenue.

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Line 23 of the IRS code says you can deduct state and local taxes imposed on you as the seller of goods, If you collected the sales tax from the buyer, You must also include the amount collected in gross receipts or sales on line one. But it goes on to say do not deduct state and local sales taxes imposed on the buyer that you were required to collect and pay over to the state. These taxes are not included in gross receipts or sales and are not a deductible expense. So are the sales tax is t...

Where do we report sales tax collected and paid to state on retail/business sales??

The sales tax I collected from the customers is already included in my 1099-K, so it looks like the income I earned. I know I should deduct it somewhere because I already paid it back to the state. So in this situation, where should I enter collected sales tax from retail/business sales? Under Tax and Licenses? (If so, should I word it as "sales tax paid" or else?) or Misc expenses? Thanks!

» Hearing Balance Disorders » Microvascular Compression Syndrome

Timothy C. Hain, MD

Last reviewed 10/2012

What is Microvascular Compression Syndrome?

In microvascular compression syndrome (MCS), vertigo, tinnitus and motion intolerance is attributed to irritation of the 8th cranial nerve by a blood vessel. It is a controversial syndrome at present.

The existence of MCS is inferred by analogy to the syndrome of hemifacial spasm , in which the usual cause is a similar aberrant blood vessel affecting the 7th cranial nerve. Dr. Peter Jannetta, a neurosurgeon in Pittsburgh Pennsylvania, together with the husband and wife team of Aage Moller and Margarita Moller, pioneered the treatment of this condition. Although hemifacial spasm is now well accepted to be related to vascular compression, the numerous other syndromes proposed by Janetta and associates to be related to vascular compression (for example, trigeminal neuralgia, glossopharyngeal neuralgia, and even essential hypertension) are not as well accepted as being a consequence of vascular compression.

In 1984, Janetta and the Mollers described disabling positional vertigo , characterized by a history of vertigo, a small midfrequency notch on Marni Ponyhair Platform Pumps buy sale online new arrival for sale pick a best cheap online nMXIMoB6Lq
, acoustic reflex abnormalities, and an increased I-III latency with brainstem audio-evoked responses using a “tone burst” stimulus. The “positional vertigo” designation appears to be a misnomer as subsequent authors have not emphasized this finding. They proposed treatment by placing an absorbable sponge between the nerve and the blood vessel. While this treatment is intended to buffer the nerve from the blood vessel, later writers have questioned whether this procedure actually simply damages the 8th nerve, or that it is actually a sham procedure (Schalber and Hall, 1992). Others have suggested that the appropriate treatment is vestibular nerve section (McCabe and Harker, 1983). Another small study suggested that treatment with carbamazepine was beneficial for a majority of patients (Kanashiro et al, 2005).

There are many symptoms that have been attributed to MCS including disabling vertigo, severe motion intolerance, tinnnitus, and neuralgic like “quick spins”. As the very existence of MCS continues to be questioned, it is understandable therefore that the symptoms of MCS are ones that could be found in other conditions, such as Meniere’s disease or Migraine.

At the present writing, microvascular compression syndrome is felt to be rare. Characteristically it is a syndrome of vestibular or auditory symptoms that respond to treatment with medications for neuralgia (for example, carbamazepine), and in which other reasonable causes (such as Meniere’s disease , Salvatore Ferragamo Embellished Satin Sandals buy cheap free shipping manchester great sale for sale KVEYzf
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, fistula ) have been excluded. “Quick spins” and acquired motion intolerance may be characteristic clinical symptoms; however, at the present writing, studies looking at subpopulations with those particular index symptoms for response to decompression surgery have not been made (and probably they will never be done).

How is Microvascular Compression Syndrome Diagnosed?

No specific convincing test abnormality has yet been demonstrated. The auditory brainstem response (ABR) findings reported by Moller to be characteristic of MCS would not be considered abnormal by most clinicians (Schwaber and Hall, 1992). No findings related to blood vessels (for example, with air computed tomography (CT), magnetic resonance imaging (MRI), etc.) will ever be diagnostic since blood vessels cross the 8th nerve of at least a third of normal individuals (Parnes, 1990).

The author suggests the following set of tests for an individual in whom the diagnosis of microvascular compression is contemplated:

Some tests that are commonly obtained in this situation may be misleading. Air contrast CT or MRI/MRA are not diagnostic, even if a blood vessel is seen. MRI/MRA are mainly useful in excluding alternative causes. Auditory brainstem response (ABR), if abnormal on the side of auditory symptoms supports the diagnosis, but a normal ABR does not exclude it. In essence, this syndrome cannot be definitively diagnosed until a surgical exploration has been done and the patient is cured on follow-up.

How is Microvascular Compression Syndrome Treated?

Medical Treatment

It is the author’s view that a trial of treatment with carbamazepine (an anticonvulsant that is a sodium channel blocker) seems worthwhile for both the index symptom of “quick spins,” and severe motion intolerance. Recently a drug called Trileptal , a relative of carbamazepine, has been made available and it appears to be safer than carbamazepine. Addition of baclofen may be reasonable if there is a partial response. Other treatments of neuralgia, such as other anticonvulsants, may also be considered.

Surgical Treatment

We advise caution. Logically, only treatments that affect the nerve proximal to the site of irritation seem likely to work. In other words, transtympanic gentamicin treatment and a simple labyrinthectomy seem unlikely to be effective. Vestibular nerve section seems overly aggressive. Specific decompression surgery to move the blood vessel off of the nerve is somewhat risky as it involves a neurosurgical approach to the brainstem area. Because the diagnostic criteria at the moment require response to medication, surgery seems reasonable only as a last resort in individuals who are medication intolerant, and in whom all other reasonable alternatives have been excluded.

A recent review article evaluated all published cases of surgically treated vestibulocochlear microvascular compression (Yap, 2008). The authors found that most studies have been small and of low quality; however, they also reported that the majority of patients reported improvement in symptoms with little or no side effects. A report of 15 patients treated surgically found that 53.3 percent improved and 20 percent were completely cured (Guevara, 2008). Further clinical study is needed before surgery can be recommended.

Research Studies in Microvascular Compression Syndrome

As the very existence of microvascular compression syndrome is presently questioned, at the Donald J Pliner Crossover Neoprene Sandals cheap sale browse 7kM23
, we are presently most interested in diagnostic research. We have funded basic research on similar conditions in the past . Brunello Cucinelli Womens Dark B many kinds of for sale Yde4K


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