Description
Fat & Glucose Metabolizer
Fat and glucose metabolizer, is the most powerful supplement to help you improve your metabolic rate, as it acts quite similar to GLP-1 agonists (Glucagon-like peptide-1) (Ozempic, semaglutide, Tirzepatide, Mounjaro,) with extra benefits, given by the highly concentrated herb extracts we use.
The ultimate metabolism booster supplement, to help you improve your metabolic health, support your blood dugar metabolism, and keep a healthy cholesterol profile.
Use is as a fat burning supplement (fat burner), or a general weight loss supplement, and feel the power of this synergistic formula.
No Stimulants!!
Not increased heart rate – No caffeine fatigue or shaking – No sleep problems
Our formula, DOES NOT include caffeine, Hyperzine, Yohimbine, or any other stimulant or substance which will make you have increased heart beats, lose your sleep, feel tired or have all the bad side effects of caffeine and stimulants.
You can use Fat & Glucose Metabolizer also at night or even before sleep, without losing your sleep (maybe only by too much sweat!!)
What to take it with:
Carni-lipolysis will increase the effect of Fat and Glucose Metabolizer significantly.
Completex4 100% Hydrolyzed and Isolated Protein, with no sugar and fats, will help you keep these calories low, while keeping your muscle mass.
Endurance BCAA’s and Anticatabolic Activator, will help you minimize the mussle tissue damage before and during intense workouts
BiCarb-Lytes Zero, is the best salt product worlwide, with absolutely zero calories
Vitactive 87, will cover all the needs of vitamins and minerals, if you are on a strict diet
Krebs Cycle Activator, Mitochondrial Activator, Pre-Endurance Training Activator, Sport Hormone Activator, are also no-added sugar and very low calories products, for you to use while you need to maintain a low-carb-calorie diet but keep having a 110% perrformance during training. and keep a healthy hormone balance.
What Fat & Glucose Metabolizer can give you?
The main benefits of this super effective formula, are:
- Helps you maintain healthy blood lipid levels
- It is a powerful metabolism booster (fat burning supplement, glucose metabolism support)
- Increases Insulin Sensitivity
- Improves Fat Metabolism
- Improves Blood Sugar Metabolism
- Reduces LDL
- Increases HDL
- Reduces Triglycerides
- Blocks Cholesterol Absorption from Food
- Improves Blood Flow & Blood Pressure
- Anti-inflammatory Effects
- Rich in Polyphenols
- Rich in Phytosterols
- Antioxidant Effects
- High Thermogenic effect
Fat & Glucose Metabolizer, is the most effective formula ever developed to help you lower and keep you cholesterol & blood lipid levels in a healthy reference range.
A unique formula, brought to you by Strength & Conditioning Nutrition UK, which combines 12 highly effective Herb Extracts & Vitamins, which are clinically proven to support the body to reduce cholesterol & triglycerides and keep them in a healthy level.
Not all ingredients are the same:
We use highly concentrated herb extracts and pharmaceutical grade ingredients, as opposed to other brands, which mostly use herb powders with low effectiveness.
Synergistic Formula:
We chose very carefully the type and the ratios of the ingredients, so they all work well together.
Effectiveness is superior due to the maximum absorption rate & time of the ingredients, the synergy between the ingredients and the pure quality of the ingredients.
This combination, is the key for a formula to give the proper results.
Fat & Glucose Metabolizer is a scientific masterpiece, as it approaches the cholesterol problem holistically.
Important note:
Never discontinue or change the dosage of a prescription drug given by your doctor. We produce the most effective natural supplements for every health problem but under no circumstances it can ever replace a prescription drug.
What’s inside Fat & Glucose Metabolizer and how each ingredient works:
Recommented Daily Dose: 2 capsules (you can go up to 3 capsules a day for amazing and fast results)
INGREDIENT | 2 capsules | %NRV* |
Berberis dry extract (Berberis vulgaris L.)
Berberin |
600 mg
582 mg |
|
Chitosan | 200 mg | |
Cinnamon dry extract 15:1 (Cinnamomun Zeylanicum Blume) | 200 mg | |
Concentrated plant phytosterols | 160 mg | |
Capsimax®- Cayenne dry extract (Capsicum annuum L.) | 120 mg | |
Grape Seed extract (Vitis vinifera L.)
Proanthocyanidins |
40 mg
38 mg |
|
Pine Bark extract (Pinus massoniana Lamb.)
Proanthocyanidins |
40 mg
38 mg |
|
Bioperine®- Piper nigrum extract (Piper nigrum L.)
Piperine |
40 mg
38 mg |
|
Policosanol
Octacosanol |
40 mg
24 mg |
|
Vitamin E | 16 mg α-TE | 133% |
Niacin | 16 mg NE | 100% |
Chromium picolinate
Chromium |
0,20 mg
48 µg |
120% |
*NRV Nutrient Reference Value.
Berberis Extract 95%
Impressive Health Benefits of Berberine
Berberis Vulgaris Extract is rich in Berberine, an ingredient with several studies to prove its impressive benefits for health.
Studies have shown that it acts as a powerful antioxidant, combating cell damage caused by reactive molecules called free radicals.
Also, berberine may help reduce blood sugar and cholesterol levels, slow the progression of certain cancer cells, fight infections, and have anti-inflammatory effects.
It has been shown to have powerful effects on many different biological systems.
It is one of the few supplements shown to be as effective as a pharmaceutical drug.
One of the main actions of berberine is to activate an enzyme inside cells called AMP-activated protein kinase
This enzyme is sometimes referred to as a “metabolic master switch”
It is found in the cells of various organs, including the brain, muscle, kidney, heart and liver. This enzyme plays a major role in regulating metabolism
It Causes a Major Reduction in Blood Sugar Levels
Type 2 diabetes is a serious disease that has become incredibly common in recent decades, causing millions of deaths every year.
It is characterized by elevated blood sugar (glucose) levels, either caused by insulin resistance or lack of insulin.
Over time, high blood sugar levels can damage the body’s tissues and organs, leading to various health problems and a shortened lifespan.
Many studies show that berberine can significantly reduce blood sugar levels in individuals with type 2 diabetes
In fact, its effectiveness is comparable to the popular diabetes drug metformin (Glucophage)
It seems to work via multiple different mechanisms
- Cholesterol-lowering Effect
- Decreases insulin resistance, making the blood sugar lowering hormone insulin more effective.
- Increases glycolysis, helping the body break down sugars inside cells.
- Decrease sugar production in the liver.
- Slows the breakdown of carbohydrates in the gut.
- Increases the number of beneficial bacteria in the gut
Berberine may also be effective as a weight loss supplement.
So far, two studies have examined the effects on body weight.
In a 12-week study in obese individuals, 500 mg taken three times per day caused about 5 pounds of weight loss, on average. The participants also lost 3.6% of their body fat
Chitosan
A powerful FAT-BLOCKER
Chitosan supplements are often touted as fat-blockers.
Chitosan is said to work by turning into a gel in the stomach. Some claim that when that gel moves from the stomach to the intestines, it binds to fat and cholesterol
The idea is that chitosan may support weight loss and lower cholesterol by eliminating fat and cholesterol from the body instead of allowing the body to absorb them
That’s why the labels on chitosan supplements direct consumers to take it just before meals. Otherwise, there would be nothing in the gut for it to bind to.
Chitosan supplementation may benefit weight loss efforts and cholesterol reduction, although many of the studies supporting those claims are considered low quality. Chitosan’s effects on weight loss in particular are minimal, if they occur at all.
Weight loss
In a 2018 review, researchers analyzed data from 14 studies including a total of 1,101 participants with overweight or obesity. They compared weight loss outcomes in people taking chitosan supplements with those of people taking a placebo
Results showed that chitosan supplementation slightly reduced body weight and body mass index (BMI) when paired with a calorie-restricted diet and physical activity
These results support the findings of a similar, older review, which found that chitosan supplements may be more effective than a placebo as part of a short-term treatment plan for overweight and obesity
Both reviews noted improvements in cholesterol levels and blood pressure
Reduced cholesterol levels
Chitosan may have a greater impact on cholesterol levels than on weight loss. A 2018 review that pooled data on cholesterol levels from more than 1,000 people concluded that supplementing with chitosan lowered both total cholesterol and LDL (bad) cholesterol
Although HDL (good) cholesterol was unaffected, chitosan supplementation may still be an effective part of a cholesterol management plan
Capsimax®
Let Red Chili Pepper melt your fat
What is Capsimax?
Capsimax is a concentrated extract of the naturally occurring compounds in red chili peppers. Formally called capsaicinoids, these are responsible for the sensation of heat when you eat something spicy that is seasoned with chili pepper. Capsimax captures these compounds for their unique ability to generate heat in the body, which serves many functions related to metabolism and is helpful for people looking to manage their weight
Why use Capsimax?
Weight management starts with calorie management, calories in versus calories out, and chili pepper extract is a unique ingredient that can help get your body to work harder! Supporting appetite control (helping to reduce calories in) and increased metabolism and calorie burn (expediting calories out) are just two of the key reasons to add this to your daily routine.
Weight Management
Weight management also takes a dedicated effort including proper nutrition planning, food preparation, exercise, and other important self-care habits. It isn’t always an easy path to follow, but taking that time to maintain the right weight for yourself is certainly an accomplishment.
Some people also appreciate the weight management support they can find with nutritional supplements and Capsimax is a nutritional ingredient that can help support a weight management regimen for multiple reasons. Science-backed research on a small daily dose (2 mg of capsaicinoids from 100 mg of Capsimax) shows it can help by:
-
Supporting appetite control – reducing feelings of hunger*
-
Promoting a healthy metabolism – supporting energy production*
-
Breaking down the body’s fat stores – providing energy*
-
Promoting thermogenesis, the body’s internal heat generation – burning more calories*
*When consumed as directed in conjunction with a sensible diet and regular exercise.
Stomach Comfort
The power of consuming the capsaicinoids found in red chili pepper may have long been known, but many are unable to handle the oral and gastric distress of ingesting them. However, Capsimax is uniquely produced with Omnibead, a controlled release encapsulating technology that delivers effective levels of these extracts without the stomach upset that may result from unprotected extracts of red chili peppers.
Additional Benefits
Capsimax is also unique in that it is:
-
All-natural, functional whole-food extract from red chili peppers
-
Stimulant-free and safe, without ingredients that can impact heart rate, blood pressure or catecholamines (i.e., hormones like dopamine, adrenalin, etc.)
-
Conveniently found as a nutritional ingredient where premium supplements are sold
Kick-start your personal progress toward achieving your optimal weight with Capsimax.
HOW IT WORKS
Harnessing the power of red hot chili peppers
Several scientific articles have looked at the effects of this well-researched ingredient, and science-backed results support the role Capsimax can play in effective weight management.
The power of the red chili pepper has been shown to boost metabolism, help burn fat and curb appetite. How does it do this?
Thermogenesis
Thermogenesis refers to the generation of heat in the body. We can consider our bodies like an oven that is always on. We “burn” calories in order to generate energy and support our daily functions. This burn determines our individual metabolic rate (metabolism). While we’re not exercising, we call this our resting metabolic rate, and this accounts for approximately 60-70% of calories burned daily.
Increasing or improving the metabolic rate, even if this can be done at rest, can help the body burn its own stored energy and help manage weight overall.
Mobilizing Free Fatty Acids
The body’s fat stores are essentially stored energy. These are unused, unburned calories being held in reserve because the intake of calories consumed exceeded calories burned. So they’re being saved for another day and another opportunity to be called upon to provide energy. However, free fatty acids (released fat energy stores) are actually energy-rich and can play a critical role in energy production during exercise, once they are released.
One key to burning fat and achieving both your weight loss and fitness goals is to effectively mobilize the body’s fat stores (free fatty acids) for energy and endurance.
Curbing Appetite
People need food to survive. But in many cases, we eat far more than we need to simply survive, and this could be from a whole host of reasons we won’t get into here. What is relevant, however, is that we can find ways to reduce our appetite to cue true hunger, as opposed to desire.
Chromium picolinate
Chromium picolinate, a common form of chromium in supplements, is often taken to support blood sugar regulation, weight management, and overall health. It’s believed to help the body utilize insulin more effectively, potentially aiding in managing blood sugar levels and reducing cravings, which can contribute to weight loss. Some studies also suggest it may have a positive impact on cholesterol levels and improve lipid profiles
-
Blood Sugar Control:
Chromium picolinate can help the body use insulin better, potentially reducing blood sugar spikes and improving glucose metabolism. This is particularly relevant for individuals with diabetes or insulin resistance.
-
Weight Management:
Some studies suggest chromium picolinate may help reduce appetite, cravings, and binge eating, potentially contributing to weight loss. It may also help maintain lean muscle mass during weight loss.
-
Improved Cholesterol Profile:
Chromium picolinate may contribute to healthier cholesterol levels by reducing LDL (“bad”) cholesterol and potentially increasing HDL (“good”) cholesterol.
-
Muscle Building and Body Composition:
Some believe that chromium picolinate can support muscle growth and recovery, particularly when combined with exercise. It may also help improve body composition by increasing lean mass and reducing body fat.
-
Mood and Cognitive Function:
While research is ongoing, some suggest that chromium picolinate may help with mood and cognitive function.
-
Heart Health:
By supporting cholesterol and triglyceride levels, chromium picolinate may contribute to heart health.
-
Metabolism and Energy:Chromium picolinate can play a role in the metabolism of carbohydrates, fats, and proteins, and may help improve energy levels.
Cinnamon 15:1 Extract
Cinnamon can help weight loss in many ways. For instance, research says that cinnamon supplementation can result in a significant improvement in all components of metabolic syndrome. Metabolic comprises multiple conditions existing simultaneously, like insulin resistance, high blood pressure, increased coagulation risk and abnormal cholesterol levels. Many of these individuals are also obese or overweight.
Cinnamon acts in multiple ways to keep weight off. For one thing, it is a well-known anti-diabetic spice. It can help lower and maintain blood sugar levels. Also, it helps improve cell sensitivity to the action of the hormone insulin, which transports glucose from the blood into the cell to be used as energy.
Cinnamon can also aid in blocking the activity of many digestive enzymes, thus slowing the absorption of sugar from the blood after eating a high-carbohydrate meal. Aside from diabetes, cinnamon has shown promise in promoting weight loss.
Cinnamon is high in fiber. The spice can therefore help reduce food cravings by promoting a feeling of satiety and fullness. Cinnamon can boost metabolism, since the body uses more energy to process the spice than it does for other foods.
Cinnamon may have an insulin-like action in the body, which is seen in the way sugar is broken down in the body. Cinnamon can also improve body metabolism, targeting the fat deposited in the abdominal area.
Health Benefits:
- High Anti-oxidant effect due to high polyphenol content
- Anti-inflammatory properties
- Reduces LDL and Triglycerides
- Improves the sensitivity in Insulin
- Lowers Blood Sugar Levels
- Anti-Diabetic properties
- Benefitial for Neurodegenerative diseases
- Antibacterial & Antifungal Properties
Phytosterol Complex 95%
Beta-sitosterol might help reduce cholesterol levels by limiting the amount of cholesterol that is able to enter the body. It can also help reduce swelling in the prostate and other tissues. People most commonly use beta-sitosterol for lowering cholesterol levels and improving symptoms of an enlarged prostate (BPH).
Phytosterols are often added to foods and supplements to enhance heart health. These compounds are known to lower cholesterol levels by reducing cholesterol absorption.
Grape Seed Extract 95%
Grape seed extract may help with a type of poor circulation (chronic venous insufficiency) and high cholesterol. Grape seed extract also reduces swelling caused by injury and helps with eye disease related to diabetes. Many people are interested in grape seed extract because it contains antioxidants
Grape Seed Extract Benefits:
- Cholesterol-Lowering Effect
- Improves Brain Health
- Improves Blood Pressure
- Improves Blood Flow
- Reduces Oxidative Damage
- Improves Collagen Levels
- Improves Bone Strength
- Supports Memory
- Improves Wound Healing
- Protects Liver
Pine Bark Etract 95%
High Proanthocyanidins Pycnogenol
Proanthocyanidins may protect the heart and cardiovascular system. They may work as antioxidants and block nitrosamines from forming. They may protect healthy cells from their effects
Supplementation with a pine bark extract rich in polyphenols increases plasma antioxidant capacity and alters the plasma lipoprotein profile
Pycnogenol (PYC), an extract of French maritime pine bark (Pinus pinaster), is a potent antioxidant with potential health benefits. Its bioavailabilty has previously been shown by urinary excretion studies of constituents and metabolites of PYC. The aim of this study was to test the effect of PYC supplementation on measures of oxidative stress and the lipid profile in humans. Twenty-five healthy subjects received PYC (150 mg/d) for 6 wk. Fasting blood was collected at baseline, after 3 and 6 wk of supplementation, and again after a 4-wk washout period. After 6 wk of supplementation with PYC, a significant increase in plasma polyphenol levels was detectable, which was reversed after the 4-wk washout phase. The antioxidant effect of PYC was demonstrated by a significant increase in oxygen radical absorbance capacity (ORAC) in plasma throughout the supplementation period (P < 0.05). The ORAC value returned to baseline after the 4-wk washout period. Moreover, in addition to its antioxidant effects, PYC significantly reduced LDL-cholesterol levels and increased HDL-cholesterol levels in plasma of two-thirds of the subjects. While the LDL changes reversed during washout, the HDL increase did not. There was no significant difference in LDL oxidizability or plasma lipid peroxides following PYC supplementation. Hence, following oral supplementation in humans, PYC significantly increases antioxidant capacity of plasma, as determined by ORAC, and exerts favorable effects on the lipid profile.
source: https://pubmed.ncbi.nlm.nih.gov/12530550/
Policosanol 60%
Policosanol seems to decrease cholesterol production in the liver and to increase the breakdown of LDL (low-density lipoprotein or “bad”) cholesterol. It might also help HDL (high-density lipoprotein or “good”) cholesterol work better. Policosanol also decreases the stickiness of cells in the blood known as platelets
Policosanol consists of eight specific long-chain alcohols, ranging in length from 24 to 34 carbon atoms. Octacosanol is the most abundant alcohol in policosanol, which accounts for about 63 percent of this mixture. Triacontanol comprises about 13 percent of policosanol, and hexacosanol makes up another six percent. The remaining alcohols in policosanol include dotriacontanol, heptacocosanol, nonacosanol, tetracosanol and tetratriacontanol.
Human and animal studies both show that policosanol may significantly lower the level of low-density lipoprotein (LDL) cholesterol in the blood and increase the level of high-density lipoprotein (HDL) cholesterol. The exact mechanisms of these actions are not well-understood, although it appears that policosanol inhibits the production of cholesterol in the liver. Policosanol also increases the uptake, binding and degradation of LDL within a cell’s endoplasmic reticulum, an effect that is independent of its actions in the liver. The bioavailability of policosanol is limited, and additional studies are needed to determine if policosanol is active in the liver.
Multiple studies also show that policosanol helps support the body’s ability to reduce the production of platelets. The primary mechanism of this action is the inhibition of thromboxane A2 production, although policosanol may also increase the production of prostacycline. Large doses of policosanol may also inhibit the aggregation of platelets caused by collagen and arachidonic acid.
Uses of Policosanol
Policosanol is used in health supplements to help with cholesterol level management. It may also be beneficial for relieving leg discomfort and artery health support
Black Pepper Extract (Bioperine) 95%:
Makes all other ingredient work better!! This what “natural bioavailability enhancer” means.
Black Pepper Extract Benefits:
- Cholesterol-lowering Effect
- High Antioxidant Effect
- Anti-inflammatory
- Improves brain Function
- Improves Memory
- Improves Blood Sugar Control
- Boosts Absorption of Nutrients
- Improves Gut Health
- Reduces Appetite
WHAT IS IT AND WHY IS IT IN SPORTS NUTRITION PRODUCTS?
Bioperine is a plant extract derived from two types of pepper plants, namely, long pepper (Piper longum) and black pepper (Piper negrum). The natural chemical compound is a patented product made from the standardized piperine extract from the above mentioned pepper species. BioPerine® from Sabinsa (East Windsor, NJ) is a patented standardized extract from black pepper, containing not less than 95 percent piperine.
Pharmacological studies have shown that piperine reduces inflammation and pain, possesses anticonvulsant and antiulcer activity, protects the liver, has deleterious and antioxidant activity. Results from previous studies demonstrated that piperine showed anxiolytic and antidepressant like activity. Piperine also inhibited monoamine oxidase (MAO) activity, and increased the levels of noradrenaline and serotonin in some regions of the mouse brain.
All of these characteristics make it perfect for the dieting male or female, but more importantly, it is a clinically proven bio availability enhancer for nutrients. It shows increased blood supply to the GI tract, increased emulsifying content of the gut and increased active nutrient transport.
According to the Merck Manuals, bioavailability is the extent and rate within which an active drug enters systemic circulation after passing through the first-pass metabolism sites, namely, the intestinal wall and liver. Bioperine has been shown to boost the bioavailability of nutrients, namely beta-carotene, vitamin B, B6, vitamin C, selenium, and co-enzyme Q10, and other ingredients found in various supplements — including male enhancement supplements.
According to research conducted by the manufacturer, bioperine substantially increases the absorption of selenium (30%), beta carotene (60%), vitamin B6 (140-250%) as well as coenzyme Q10. So if your fat burner does not contain bioperine, it should as its clinically been found to enhance the active transport of nutrients and based on a study, it enhances the effect of caffeine.
Vitamin E
Some studies also show that taking vitamin E supplements may reduce LDL and triglyceride levels in people with metabolic syndrome — a cluster of conditions, including high blood fat levels, that increases the risk of heart disease and other health conditions.
Vitamin E benefits:
- Reduces Oxidative Stress
- Reduces Heart-disease risk factors
- Reduces Cholesterol & Triglycerides
- Helps People with Fat Liver Disease
- Improves Lung Function
- Improves Skin Health
- Improves Cognitive Health
- Improves Eye Health
- Improves Immunity
Niacin (Vitamin B3)
Niacin, a B vitamin, has long been used to increase high-density lipoprotein (HDL) cholesterol — the “good” cholesterol that helps remove low-density lipoprotein (LDL), the “bad” cholesterol from your bloodstream
Niacin is a B-vitamin. When taken as a prescription in larger doses, it can help lower cholesterol and other fats in your blood.
Niacin Benefits:
- Improves blood fat levelsNiacin may help to improve your blood fat levels by:
- increasing your HDL (good) cholesterol
- reducing your LDL (bad) LDL cholesterol
- reducing your triglyceride levels
- Reduces blood pressure
- May help treat type 1 diabetesType 1 diabetes is an autoimmune disease in which your body attacks and destroys insulin-creating cells in your pancreas.There’s research to suggest that niacin could help protect those cells and possibly even lower the risk of type 1 diabetes in children who have a higher chance of developing this condition.
- Boosts brain functionYour brain needs niacin — as a part of the coenzymes NAD and NADP — to get energy and function properly.
- Improves skin healthNiacin helps protect skin cells from sun damage, whether it’s used orally or as a cream
Product Information:
60 capsules | 30-20 days supply
Use Directions:
Suggested use: Consume 1 capsule 2-3 times a day (3 capsules daily as maximum dosage), with a meal
TIP: You can use 2-3 capsules all together 1 hour before your physical activity (this may cause hypoglycemia during training) or before a high-calories meal.
Highest Bioavailability Pharmaceutical Grade Ingredients & Herb Extracts:
Berberis dry extract (Berberis vulgaris L., root), Capsule (Glazing agent (Hydroxypropyl methylcellulose)), Chitosan-CRUSTACEANS, Cinnamon dry extract (Cinnamomun Zeylanicum Blume, bark), Concentrated plant phytosterols-SOY, Capsimax®- Cayenne dry extract (Capsicum annuum L., fruit), Vitamin E (DL-alpha-tocopheryl acetate), Pine dry extract (Pinus massoniana Lamb., bark), Grape dry extract (Vitis vinifera L., seeds), Policosanol (from Saccharum officinarum L., sugar cane), Bioperine® (Black pepper dry extract (Piper nigrum L., fruit)) Anti-caking agent (Magnesium salts of fatty acids), Vitamin B3- Niacin (Nicotinamide), Anti-caking agent (Silicon dioxide) and Chromium picolinate
Warnings: Food supplements should not replace a varied and balanced diet and a healthy lifestyle. Do not exceed stated recommended dose. Keep out of reach of young children. Consult a physician if you are pregnant or lactating. Discontinue use if you experience any allergy. A varied and balanced diet and a healthy lifestyle are important.
*This website is for your education and general health information only. The ideas, opinions and suggestions contained on this website are not to be used as a substitute for medical advice, diagnosis or treatment from your doctor for any health condition or problem. Users of this website should not rely on information provided on this website for their own health problems. Any questions regarding your own health should be addressed to your own physician. Please do not start or stop any medications without consulting with your doctor. We neither encourage you to do so, nor can we be held responsible for the fall out of failing to seek the counsel of a medical health practitioner.