There is an audience being cutted to pieces
Let me see
A pool of blood on the ground
Really
Here
How could this be
Why holding a knife
then i can stab you
Slaughtering soccer
Hey! I can't move over there
Go to hell
Mighty Steel Leg!
Goal!
You can't kill others, just play soccer
Score a goal
Score a
...fuXX
Shoot!
hey hey hey
Clean pass
Ouch
Missed it, you idiot
Bounce
Oh
YEAH!
So it can't get another score
Hey, nice shot, Beckham
Stab you
I can't kill people
That is not killing
That's shooting
There is an audience being cutted to pieces
Let me see
A pool of blood on the ground
Really
Here
How could this be
Defense
Defense
ah
YEAAA!
YA
Long pass
hey hey
Wow
Oh
No
FuXX
Ah, appeared a new guy
Look at that idiot
kick to the wall over and over again
I can't control the ball beside the wall
Mighty Steel Leg!
Mighty Steel Leg is me
ah ah ah
Miss
Oh, great
Hey! Why? Why don't you shoot?
Ya
Hey, can't jump
Oh, there's a pig teammate
So pig
Pig teammate
What do you want?
Ouch! Who?
hey hey
A bunch of idiots
Oh, why?
He is dissing us, look
Oh, idiot, why you just stand there
Idiot!
Win!
The 3rd guy just called us noob
hey hey
Thanks for watching
See you next time
fuXX
you
For more infomation >> Soccer Time ! Of Guards and Thieves - Duration: 3:12.-------------------------------------------
The Best Time to Visit Disneyland - Duration: 4:07.
Okay, so it's no secret, the Disneyland Resort is getting busier and busier each year.
So, when do you go?
People are going to tell you to go during off season because you're not going to have
to wait in any lines, Disneyland is going to be dead.
That doesn't really exist anymore.
If you're a fan like me, there are no bad times to go to the Disneyland Resort, however,
there are definite benefits to going either during off season or during peak season.
I'm going to break it down for you so you can maximize your trip.
But make sure you stick around to the end because I'm going to reveal my secret to hacking
the Disney crowds, what am I doing with my hands?
So, let's start with the peak season.
Some of the benefits that you get are longer park hours, fewer ride closures and tons of
entertainment throughout the park.
A lot of their more popular shows like World of Color and Fantasmic have multiple showings.
During Halloween, you see Disneyland decked out in some super scary things, and even some
of the rides become spooky.
Christmas time is probably one of the best times to go but it is also one of the busiest.
Disneyland actually does it up for the holidays, I mean, I'm getting goosebumps just talking
about it.
There's nothing better.
Other times that are fantastic to golf you can't make it during the holidays are May
the 4th, May the 4th be with you, and May the 5th, Revenge of the Fifth.
Ben, myself, my sister and Laura were there earlier this year for that very reason and
it was epic.
We actually got to ride space mountain as hyperspace mountain.
There are some huge benefits to going during off season.
The parks are less busy, the lines are way shorter, and you can probably get some good
travel and hotel deals.
If you do have the flexibility to go during off season, I highly recommend it.
Here's my secret hack, before you even think about booking your hotel or your flight, make
sure you check out one of these two sites.
Both of these websites predict park attendance based on upcoming events like conferences,
marathons, grad nites.
The annual pass holder calendar and historical attendance.
You can do as much homework or research as you want, these guys have done it all for
you.
Is It Packed? is a fantastic resource.
It has it's crowd calendars, it even tells you how busy the park is at this very moment.
One of my favourite features of this website is it takes each week and it tells you which
of the two days of each week is going to be your best bet for the park.
The other website is Undercover Tourist.
This is one of my other favourites because it actually tells you the historical temperature
for that time of year.
Both of these websites also have some pretty great articles that will help you plan what
day to go.
Before I book my hotel and flight, I make sure to check both of these calendars.
And you know what?
They're pretty darn accurate with their crowd forecasting.
I'm going to leave you with one last tip.
No matter when you decide to go, historically, the best days to visit the Disneyland Resort
are going to be Tuesday, Wednesday or Thursday.
Thank you so much for watching.
We love Disneyland, we're actually going really soon, so you should check back to our channel
to see all of our crazy adventures.
Make sure to hit subscribe, comment below, give us a like.
See ya later.
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Miami-Dade Emergency Ops Says Time Running Out To Prepare - Duration: 8:20.
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Time Travel Girl (CYOA) - Duration: 0:58.
Choose your own adventure with 13 endings.
One evening I took my dog Lucky for a walk.
Suddenly Lucky saw a rabbit.
He chased it into the forest.
I followed him, but I couldn't find him.
After a while I saw a strange machine sitting in a clearing.
Should I climb into the machine, or should I walk around the machine?
Click here to climb into the machine.
Click here to walk around the machine.
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Quickbooks online time tracking - Duration: 4:48.
Hi, Kerry here from MyQuickBookKeeping.
If you're a consultant or trades person you likely sell time, there's a very basic time
tracker in Quick Books Online that can be used to track your time either for management
purposes or to bill clients or both.
I'll walk you through the steps to record time that will then bill to a client be sure
to watch to the end of the video and I'll show you how to prepare and send an invoice
with the recorded time included.
We'll be using the Landscaping Company in Quick Books to demonstrate this.
Using the plus sign on the top right hand corner under employees, select single time
activity; be sure you have the correct employee selected, enter the date and then the customer
you'll be working with along with the service you're going to be providing, this time is
billable, check the box and review the hourly rate.
This is populated from the services we set up in another video as with all of the defaults,
these can be adjusted.
Let's assume we have a contract with Cool Cars to provide a more highly specialized
service at $100 per hour and then to that rate here we also have the option to select
whether or not these are taxable.
Knowing in Canada this option doesn't appear at this stage, you can record the time in
two ways: you can either start or end times; this is something you may want to do as you're
working during the day.
Let's say we started working on this at 10 a.m., then when we're finished we make a note
of the time and if you've taken a break make sure you record that here too, let's say we
took a half hour lunch break, okay and we're going to save this.
At the end of the day, let's say our employee, John Tarleton with his time sheet, he was
also working on cool cars and he was doing some gardening; it's billable but not taxable
and there's no need to enter the start and end times let's just enter the five hours.
Now because there's no default rate charged for gardening we can either alter the service
item so it will show up next time or enter it each time based on the different agreement
or perhaps even the employee carrying out the work.
For John at this, let's say it was $25 per hour; we can also enter any further details
in the description, click regarding service (I don't know including pruning, how's that?
including pruning.)
And then we'll save it.
Let's create an invoice for this customer to see how that works.
As soon as you select your customer, any unbilled time will appear on the right.
So, we can see here we have the design time and the gardening time, let's add them both.
Now, just as we edited this description when we added the time, we can also edit descriptions
when we're in the invoice.
So, I'm going to type here, asks for agreement and we have to select a tax rate for our taxable
item.
So, let's assume these services were carried out in Tucson, the invoice is now ready to
send to your client and an email will be populated based on the information you set up on your
customer, okay here is an email, I can send and close.
If you'll be using your Company file, the invoice would now be sent to your client.
You can set up to receive credit card payments in Quick Books, which will help you facilitate
more timely payments.
There are also add-on services to Quick Books that provide much more sophisticated time
tracking.
If you'd like to know more and determine which might be best for your business, please contact
me; you can set up a free consultation through my website and we can discuss the options.
We've certainly covered a lot, please don't hesitate to reach out if you have any questions
or would like help getting this setup.
If this video was useful, please hit like below and subscribe to my channel for more
Quick Books tip and "how to's."
Also, I've created a small business month-end checklist to help you be sure your records
are up to date each month so you can make the best decisions for your business.
Click the link below to download a free copy, if there's another topic you like help, please
make a note below, my next video could be for you.
Cheers!
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Hurricane Irma Quiting YouTube for the time being USE SUBTITLES - Duration: 1:50.
I DONT KNOW HOW TO SAY TO THIS TO MY LOYAL FANS
my loyal fans.
my loyal fans and friends
but im quitting youtube
THERES many reasons for it I think the fame has gone to my head
I'm Sorry
Hurricane Irma is about to hit Florida and im about to Quit
its my decision
and i just believe that i will be okay
i will return to youtube because thats my passion
I Will bring entertainment to my chin cuck
masters
For my Chin Cuck Army
stay strong
stay passionate
i love you guys
i think this video has gone on long enough
even though it is my last video
I cant continue my youtube series
i love you guys
thanks for the support
and for the last time chin cuck army unite
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Is Now the Best Time to Invest? | Common Sense Investing with Ben Felix - Duration: 5:16.
Investors like to worry. And they should. Risk is part of investing. If you have nothing
to worry about, you should expect to have very low returns. Markets have been on a steady
rise for quite some time now. During periods like this, investors will usually worry that
the market is too high. Fear of investing at the top of the market might deter them
from investing at all, instead choosing to wait until markets drop.
The problem with this thinking is that we are not able to predict the future. If markets
continue to rise from here, you will have left gains on the table. And even if markets
do drop at some point, how will you know when to buy in? Successful market timing is no
easy feat, and there is no evidence that it can be accomplished consistently. Peter Lynch,
one of the most successful investors in history, explained that Far more money has been lost
by investors preparing for corrections, or trying to anticipate corrections, than has
been lost in corrections themselves."
If you have a pile of cash right now, there are a few things that you can do. You can
wait for a correction, dollar cost average over time, or invest right now in a lump sum.
I'm Ben Felix, Associate Portfolio Manager at PWL Capital. In this episode of Common
Sense Investing, I'm going to tell you why right now is the best time to invest.
Tactical allocation funds are actively managed funds that change their allocations to different
asset classes over time based on what they think is going to do well. In other words,
they are funds that specialize in market timing. As is the case with most actively managed
funds, tactical funds tend to underperform index funds. Market timing is not something
that you should expect to lead to a successful outcome.
If market timing won't work out well, maybe dollar cost averaging will produce a better
result. Dollar-cost averaging is a well-known strategy that consists of investing fixed
amounts over time. For example, instead of investing $200,000 in a lump sum, you might
choose to invest $20,000 per month over the course of 10 months. One of the reasons that
dollar cost averaging has a good reputation is that you won't end up investing all of
your money right before a market crash. As you buy assets at regular intervals, you will
be buying less shares when markets are going up, and more when markets are going down.
Sounds pretty good, right?
The problem with a dollar cost averaging strategy is that it lowers your expected returns. This
makes sense for the simple reason that over the period of time that you are dollar cost
averaging, you are holding cash. Cash reduces the expected returns of your portfolio. There
is a bit more to the downside of dollar cost averaging than my simple explanation.
In a 1979 paper titled A Note on the Suboptimality of Dollar Cost Averaging as an Investment
Policy, George Constantinides explained that dollar cost averaging is suboptimal. A 2012
white paper published by Vanguard titled "Dollar-cost averaging just means taking risk later"
analyzed a comparison between dollar cost averaging and investing in a lump sum across
the U.S., U.K., and Australian stock markets. They consistently found that investing a lump
sum outperformed DCA about two-thirds of the time.
The evidence is clear. Dollar cost averaging does not deliver optimal results most of the
time. Your best bet, is investing in a lump sum, resulting in better performance
compared to dollar cost averaging about ⅔
of the time, is investing in a lump sum.
Optimizing based on the evidence is a great sounding idea, but an investor holding large
amounts of cash would often be uncomfortable dumping all of their money into the market
at once. They will fear the regret of watching their newly invested portfolio drop in value.
If you had invested $200,000 in a globally diversified portfolio in March, 2008, you
would have been left with only $119,000 by February, 2009.
As bad as that sounds, that same $200,000 investment would be worth $364,000 if you
had held it until the end of July, 2017. It's all about how much risk you can emotionally
handle. Lump sum investing is likely to give you the best result, but you need to be able
to emotionally handle potential swings in your portfolio.
Market timing is not an option. If you have money to invest, you should either build out
a dollar cost averaging strategy, or invest a lump sum in a risk-appropriate portfolio
right now. Statistically, the lump sum investment will give you the highest expected return.
As long as you can handle the ride, right now is the best time to invest.
Join me in my next video where I will tell you why your financial advisor doesn't like
index funds.
My name is Ben Felix of PWL Capital and this is Common Sense Investing. I'll be talking
about a lot more common sense investing topics in this series, so subscribe and click the
bell for updates. I want these videos to help you to make smarter investment decisions,
so feel free to send me any topics that you would like me to cover.
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Broward Emergency Mgr: 'There's Still Time To Evacuate' - Duration: 1:43.
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[Out of Time] Tribute to Chester Bennington. Linkin Park with LOVE from Russians fans [eng sub] - Duration: 24:28.
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YHBOYS - Art Time Machine EP01 [PT.2] ATIVAR AS LEGENDAS - Duration: 17:41.
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가는 세월 1977 서유석 The time going by 방글라데시 - Duration: 3:16.
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Marketing a Small Business Online in the Digital Age - Got time? - Duration: 15:55.
Closed Caption by YouTube hey my friend this is all coming to you live from my empire pro studios today
we're talking about marketing for small business small businesses that time do
you have time for this stay tuned alright what's going on
what's going on sure this is a lot coming to you live from my empire pro
studios today I want to talk to you about marketing for small businesses and
there's a question that came in with regards to if you have time for
marketing for small business and small businesses in for small business in the
digital age okay and the question goes like this as
a small and medium medium business owner really got the time to do what you're
saying in this video so as you know I shot quite a few videos or marketing for
small businesses Network marketers internet marketers consultants coaches
doctors lawyers you know small business people that care for profits in the
private practice in the regular practice small medium sized business right and we
keep talking about this digital age marketing right we talk about marketing
not anything else not business not productivity kind of the marketing
specifically and then somebody sent this question in is a business owner really
got the time to do what you're saying in this videos if you want to know what
videos they're talking about simply you want to Google all our talks I'll be
talking marketing okay if you google that or you will see a lot of the videos
alright but anyway I've at that time for digital age marketing so let's let's
dissect what your options are okay there's no other options okay that's it
we're in the digital age and if you don't want to get swept under
right by Amazon right by many companies that have gone on there because they
keep saying a long time for that I just want to create business I just want to
make Nestle's right if you don't walk up alright if you don't wake up you're
gonna have your only self to be blamed because I did Enes day may evolve you
know and how will response information also evolve that's just the fact of the
matter okay and there's no way around it so if you think you don't have time that
means you really don't have time to not implement digital age marketing that's
really what it means I don't have time all you know because you don't have time
that means you don't have time that means your business that means you're
working in your business as opposed to working on your business that's what
that means that means you don't understand leverage that means your time
is completely occupied right now because you're trying to catch up with something
and chances are your business is already struggling and that's why you're in that
state right now with your business because if your business was striving
right if your business was thriving and you have the opportunity like like the
like the people who do the empire in this world if you would have time you
have enough time for research for development and for implementing new
things okay now think about it what business is out there that you know
success would do not have a proper research and development department or
resources in place okay so this situation right now sounds like if
you're the one who's sending this kind of questioning do you really got time
chances are that you're in a situation that you don't you're not really running
a successful business you're running a job okay some people just only job you
know if you pay attention to what Robert Kiyosaki said about the four quadrants
you have the employee the e Box you have the S box which is self-employed you
have the B box which is business right business systems and you have the eye
box which is investing the investors box right you know the wealth building
happens on the system side on the system side of things which is business and
invest in B and I quadrant right and the rest of it is essentially there's a job
yeah you could be a plumber but most Columba's just own a job okay you work
for yourself he's on the job if you're over driver
and that's all you do is just on the job by the way that's a way to make a
business out of over but we'll talk about that later okay but e and s box is
where a lot of people are the S box a lot of camouflage business-owner type
of people the kind of people were sending questions like have you really
got time for digital age business that's what they are is the S quadrant you
cannot build wealth there you will always not have enough time and you know
what successful people do they create the time they have the research and
development resources in place because they understand success we understand
that man evolve the way men respond to information evolves what information
your marketing message okay if you're in any type of business you have a
marketing message and how you set it out to the marketplace it's everything
because it can make the difference between profit and profitability and and
losing money okay because if you're still sending direct mail and that's
what your primary you probably you probably you're burning money up and
eventually you run out of money you know why because money does not money is like
energy is neither created nor destroyed it just goes from hands of one person to
the other that's all and guess what if you're not paying attention to how
technology is moving the way people respond to your marketing message that
money is gonna flow from your hands into another process ends who as paid
attention who has honest taking the time to understand that they need to have
research development and to be able create time for new things for new
evolution especially in marketing so what is this evolution in marketing now
how should you pay attention individually you know the beautiful part
about all of this is that it's not really that different it's just still
human beings we still respond to a quote quite the same thing but in a different
way okay obviously you probably you're watching me on a laptop or maybe an
iPhone a smart device a handheld smart device you know I mean 15 years ago it's
a different story you know you're consuming this
information in a completely different way that you would consume this
information if it was 15 to 20 25 35 years ago it's different okay same
information same things that make you tick you still have a blood in your vein
right same things but in a different way okay and if you're gonna sit down saying
if you got time I've you really got time for digital age
I mean chances are you know you're not really a successful business and you
should start learning what successful people doing business what they do like
I said is that they have research they have development and they know that
there are certain things that they must they leave room to create time for
certain things by default none of us have time and the anything okay because
it's 24 hours and that's all we got that's the only talent that God give us
that's the piece of talent give us a what makes it different between you and
losers you're a winner the difference between and losers cut the losers we say
hey all I got is 24 hours I don't have time for anything else or to learn how
marketing is evolving in the digital age and the winners like you will say you
know what this thing is real everybody is consuming information on their phone
everybody is on the dinner table with their phone bad habit right this is real
social media cannot is not going anywhere we're all gonna be a part of it
oh you know I was just talking to my uncle yesterday and he's like oh I don't
like people posting my picture cuz it came to visit from Africa and it's like
all my peoples my feel like you can't do anything about that often time you're
gonna find that you can do anything about that because even if you're not
posting your own pictures all people were taking picture if you're a social
being like the rest of us other people are taking picture while you're hanging
out with other people and boom they post it everywhere and the whole world get to
see I know if you're afraid of other things you know I mean it's just social
media okay yes you should still use your sense of some things you should still
have some filter you're human and there's certain type of attention you
may not want but when it comes down to you as a business owner this is a
beautiful thing for you okay this is beautiful for you being able to showcase
lifestyle that happens when people apply your services I apply the opportunity
that you have to offer that your business have to offer your product
being able to showcase that for literally less than pennies it's
priceless okay and you you don't you cannot afford
to say you don't have the time you can't you can't afford to say I don't have the
time to learn digital age marketing you can't afford to say hey I'm just gonna
market my business belly-to-belly because they are
know it doesn't always work as my fat is dying and slowing the problem with is
that is a slow death okay so sometimes you can't see it so fast sometimes gonna
take you five years to see it now if you have vision see smart and successful
business owners have something we call vision a vision they can see it they can
see things like three four five ten years ahead and that's something you
need to develop okay when you develop that you will know that wait I cannot
afford to not have our research development part of what I am as an
entrepreneur and you need to learn how to create time for some things that
naturally you would not create and this is not somebody calling you on the phone
you say hey I don't do that there's no one of those it's marketing for your
business is to how your customers respond to information is how more
importantly how your prospective customers right the people that your
money is in your hands right now when you serve them those degrees how they're
gonna find you that's what we're talking about so it really all comes down the
game comes down to the PPP the CCC the ILD T right the L the L squared right
what is that PPP products people process you gotta get your partner to the people
you gotta use a process called I call the CCC you gotta create capture and
convert okay create create solutions create contents that other people can
find useful this is how they're gonna find you okay you want to capture their
audience you need to capture that audience you need to capture their
attention because attention is at all-time low right you need to capture
it okay by capturing you build a list this building you cannot afford to not
build a list in the digital age okay because if you don't build a list you'll
be overpaying for marketing that's what's gonna happen okay
you'll be overpay for marketing and what most would is the market market and then
we catch a customer and then you have to remarket market well if you build a list
you're not have a list that's growing that you can market to for free anytime
that guess what they happen effects it affect your marketing cost it affects
your bottom line heavily okay and the third see is convert all this
process I told you so far we hope you convert because you're given
you're leaving with value and you are one of the leaders in the marketplace
people can see you as a leader in the marketplace you are building a brand and
especially trust equity and amarka bleep because you're showing up every time
okay you're showing up when you show up every time every day every week it's not
as a natural thing for people to just trust you okay that's what we show up
and you handle your business right people just natural for people to trust
you okay and an ILD t okay so you convert into sales now the the create
part it's really an ILD to thing you invest learn do and teach and your
documents in that process okay invest time in learning everything you can
learn about your craft okay no like literally you should know everything
invest and learn invest and learn invest time and possibly money in learning
right and of course you're doing it right you're doing it you're practicing
it you're practicing it right and sometimes you may not be able to
practice you're just teaching that's called leverage the professors do it and
the professors are looked at as the expert and sometimes they're not really
directly involved and you know they're by now you should know that it's not
hard work that makes you successful come on you should know that by now I mean
regardless of what Gary Vaynerchuk any of this guy says it's not hard work
really he's really consistency and it's leverage okay and that's the l-square
leverage leverage that listen 24 hours in the day it's just not enough to build
wealth it's not enough to leave the lifestyle you want okay I don't care if
they pay you 100 dollars per per hour that still means you're capped out at
$2,400 if you don't sleep per day so leverage leverage learning how to do
more with less less its truly more that makes sense that's a big part of what we
do you cannot avoid that leverage if you want to build a business a thriving
business that's the open of the beat and the I quadrant is based off of leverage
is based off of other people's time other people's money other people's
resources and you know you just bring the orchestrator of that situation just
because of the lesson you're learning today and marketing in the digital age
falls on the leverage okay it's not about what you know already
Martha lose what you know because now it's time for you to leverage what other
people know other people's knowledge okay because some people obviously if
you're asking that question obviously can see ahead of you leverage their
vision okay pay a little bit of attention and see that way in the
digital age and you cannot afford to do things the old way you gotta have a
Content base out there no matter what type of business you're in I don't give
you a coca-cola I don't care if you're a boxer out of the way and okay if you're
the moms and pops Connor only on the corner your cell it can be you gotta
have a content based on the internet because these are how people are gonna
find you literally marketing for free okay so if that's something you're
interested in you want to learn how to market for free wanna know how to
generate new leads new traffic to your website for free even if you don't have
a website yet that's okay if you want to learn how to do those things I have a
free class that I'm conducting and you see this the link on the screen
olá talks comm slash mastermind if you're listening to me on itunes it's
all at ox calm slash mastermind go there right now and reserve a seat and the
webinar okay and webinar I cover in details three secrets that you need to
learn how to generate free traffic free leads free signups on the internet and
learn how to even scale that to the sever figure something I cover
extensively you know in a free masterclass so go ahead it's free mask
wise one three ninety seven dollars by itself so go ahead and take advantage of
it okay if you like this video and you know somebody else will find it
beneficial use the share button share it to your social media network okay and if
you really really really like it give me a thumbs up and if you have thoughts
around what I've said so far in this video please do me a favor
share your thoughts in the comment box below I love to hear back from you
because this helps me to create more content that you're gonna find useful
you have questions contribution your thoughts please I really appreciate your
thoughts more apparently mmm more importantly please I need you to reserve
your seat and a free masterclass because you cannot
for to not start leveraging the beauty in digital age marketing for your small
business and thank you so much hopefully even enlighten and educate it and I'll
see you on the next episode peace
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Beso Apioni | First Time He Kissed a Boy - Duration: 1:08.
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When you meet your friend after a LONG time(FRIEND VS BEST FRIEND) || The TTA Channel - Duration: 1:47.
Hi Bro
Hi Bro
How are you? You haven't met from such a long time..
I was busy...
Okay.Let's go inside
Yeah let's go.
ABYAN!
ABEY SAALE!
Hi bro..
It's been so long bro.. Your such a busy man nowadays
No.. I was REALLY busy..Had some important work to do..
Get inside
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Gov. Scott: We Are Running Out Of Time - Duration: 18:35.
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Adventure Time - Full Series Credits - Duration: 2:23.
Come along with me
And the butterflies and bees
We can wander through the forest
And do so as we please
Come along with me
To a cliff under a tree
Where we can gaze upon the water
As an everlasting dream
All of my collections
I'll share them all with you
Maybe by next Summer
We won't have changed our tune
We'll still want to be
With the butterflies and bees
Making up new numbers
And living so merrily
All of my collections
I'll share them all with you
I'll be here for you always
And always be with you
Come along with me
And the butterflies and bees
We can wander through the forest
And do so as we please
Living so merrily
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Once Upon a Time melhor série trailler legendado - Duration: 2:08.
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How Effects of Minoxidil Wanes Over Time, and Importance of Saving Native Hair with Hair Transplants - Duration: 10:14.
Thank you for your question.
You submitted a question without any photos and you describe in your question that you
have been on minoxidil for about 2 years and you noticed that after awhile, it wasn't
working. And you decided to stop the minoxidil and you're going to undergo a hair transplant
in about 2 months. And you're asking if the stopping of the minoxidil will allow for
enough of the hair that was preserved with the minoxidil to be gone so your transplant
doctor can do a more accurate and effective hair transplant.
Well, I can certainly share with you my thoughts on your situation even though I don't have
the details of your clinical history, your age, the onset of your hair loss, the degree
of progression and the amount of anticipated grafts, etc. However, I can give you a global
understanding of how I approach this type of situation in our practice. A little bit
of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial
plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island
for over 20 years. Hair transplant has been a significant part of my practice for many
years. In fact, I am the founder of TrichoStem™ Hair Regeneration Centers. This is a system
we developed to help men and women with thinning hair, actually manage their hair loss non-surgically
using a system we developed that evolved from hair transplant. So I'll get into that later.
Now essentially when you think about hair loss treatment, you are first of all dealing
with a condition that is progressive. So regardless of whatever the intervention is, minoxidil,
the oral drug finasteride so that falls in the pharmacologic realm as well as PRP, Hair
Regeneration and transplant, what you are really doing is managing hair loss. You're
managing from one strategy the effective lifespan of hair follicles and in the other strategy,
the surgical strategy, you're trying to place coverage in areas that are devoid of
coverage.
So when it comes to the effect of minoxidil, certainly, there is some benefit with minoxidil.
But as is the case for any pharmaceutical, when you stop the drug, you stop the effect
of that drug. And the slow progressive loss of perception of effectiveness is very common
with minoxidil. Minoxidil can prolong the growth cycle of thinning hairs but those thinning
hairs will still fall out. And in my observation, a more effective benefit from a pharmaceutical
will be the use of a drug finasteride which for the right candidate, by blocking DHT or
dihydrotestosterone, result in a prolongation of the hair growth cycle and allow for a more
sustainable longer lasting effect when compared with minoxidil. A lot of people are unfortunately
afraid of taking finasteride although clinically speaking, in my experience, it's still a
viable choice in the management of hair loss.
We developed a system for hair loss that actually evolved from hair transplant and this treatment
is called Hair Regeneration. Hair Regeneration was developed as a result of first using a
material called extracellular matrix which is a wound healing material that is based
on stem cell technologies. It's not placement of stem cells but rather your body's recruitment
of its own adult stem cells to expedite wound healing. This was in combination with something
called PRP or platelet-rich plasma. This was derived from your own blood and what we developed
over time is a combination that helps people with hair thinning. Now what developed from
hair transplant was that we wanted the hair grafts heal better and have better outcomes
in terms of yield as well as improve the healing of the donor area where the hair is harvested.
I think it's very important to understand that anything that can prolong the lifespan
of your existing hair and mitigate this progressive condition of hair loss is important regardless
of what transplant you do. People feel very good about getting hair transplant and as
surgeons, we like doing the hair transplant. But the success of the long-term coverage
of the transplant is dependent on the integration of existing hair with transplanted hair. And
so, what you want is to maximize the lifespan of existing hair.
With Hair Regeneration, what we have learned over time and we have been at this for over
7 years is that for the right candidate, which basically means someone with moderate rate
of progression and moderate degree of hair loss, we're able to, for both men and women,
achieve with an injection treatment 5 years of improvement. And this improvement is defined
by stopping the progression, reactivating hair follicles that aren't growing and prolonging
the growth cycle and thickening existing thinning hair. In effect, getting the desirable coverage
that we want with a hair transplant.
So again, to answer your question about the minoxidil, certainly it's likely that hair
that is effectively not responding as well to the minoxidil which prompted your pursuing
of hair transplant is likely to not be present in any significant numbers by the time the
hair transplant is ready to be done. A lot of times, when you are doing hair transplant,
just to blend the transplanted hair with existing hair, these finer, thinner, wispier hairs
are essentially not seen as significant and the grafts are placed either between them
or through them and that is the reality of hair transplant.
So I think that it is important for you to discuss with your doctor what strategy for
stabilization will be of benefit. We are actually helping a lot of patients coming from all
over the world with Hair Regeneration as a primary treatment for male and female pattern
hair loss but we're also helping people who undergo hair transplant. And the way this
works is if the patient comes within the first month to 3 months after a transplant, we do
this injection treatment and we are able to expedite the healing of the transplant, expedite
the regrowth of the transplant as well as thicken existing hair so that the transplant
and the existing hair blend very well, the coverage is improved. So there's a nice
synergy there.
So I think that certainly, we have addressed the question about minoxidil but I think it's
important for you to at least learn about ways to help stabilize as much as possible.
Again, you can't stop hair loss but we can certainly slow it down and get coverage that
can last as long as possible depending on your genetic situation.
So I hope that was helpful, I wish you the best of luck and thank you for your question.
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