Athlete Nutrition Plans Near Me

Westlake Village CA Board Certified Health and Wellness Coach,Certified GGS Women's Coach,ACE Certified Personal Trainer Health Coach,Personal Trainer,Life Coach,Wellness Coach,Holistic Health Coach,Senior Fitness Trainer,Nutrition Coach,Health and Wellness Coach,Personal Coach,Fitness Coach,CrossFit Trainer,Weight Lifting Trainer,Private Personal Trainer,In Home Personal Trainer,Bodybuilding Trainer,Personal Trainer for Women,Fitness Instructor,Gym Trainer,Mental Health,Weight Loss Hypnosis,Weight Loss Coach,Alternative Health Doctor,Mental Wellness,Athletic Training,TRX Training,Running Training,Speed Training,Boxing Training,High Intensity Interval Training (HIIT),Strength Training for Women,Resistance Training,Couples Personal Training,Fitness Class,Plyometrics,Obesity Care,Self Esteem Coach,Mindset Coach,Women's Health,Anxiety Coach,Goal Setting,Visualization Technique,Mindfulness Class,Liver Support,Stress Coach,Resilience Coach,Athlete Nutrition Plan
Melissa King

Melissa King

Board Certified Health and Wellness Coach Certified GGS Women's Coach ACE Certified Personal Trainer
Offers virtual services

English

Hi! I’m Melissa King and I’m a certified health coach and personal trainer specializing in helping women overcome their anxiety and depression so they can be more productive, have more energy, and live an abundant life. I believe that in order to create healthy lifestyle habits that are sustainable…


REDDING CA Nutritionist, Herbal Coach and Assistant Professor of Nutrition Nutritionist,Wellness Coach,Sports Nutritionist,Holistic Nutritionist,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Nutritional Therapist,Health and Wellness Coach,Personal Coach,Herbalist,Nutrition Counseling,Weight Loss Coach,Alternative Health Doctor,Natural Medicine Doctor,Mental Wellness,Holistic Nutrition,Obesity Care,Keto Specialist,Food Allergist,Vegan Dietician,Pediatric Nutritionist,Functional Nutritionist,Stress Counseling,Fertility Coach,Women's Health,Anxiety Coach,Integrative Health,Liver Support,Autoimmune Specialist,Infertility Specialist,PCOS Specialist,Stress Coach,Gas and Bloating Specialist,Chronic Fatigue Specialist,Sleep Coach,Acne Specialist,Menopause Specialist,Fatigue Specialist,Hashimoto Disease,Thyroid Specialist,Lyme Disease Specialist,Inflammation Specialist,PMS Specialist,Gut Health Specialist,Hormone Specialist,Adrenal Gland Specialist,Epstein Barr Specialist,Brain Fog Specialist,Joint Pain Specialist,Gout Specialist,Detox Specialist,Teen Nutrition Coach,Paleo Diet Coach,Plant Based Diet Coach,Holistic Doctor,Anemia Specialist,Endometriosis Specialist,Skin Health Specialist,FODMAP Specialist,Liver Cleanse Specialist,Digestive Health Specialist,Epigenetic Test,Insomnia,Sleep Doctor,Multiple Sclerosis Specialist,IBS Specialist,Weight Loss Program,Rheumatoid Arthritis Doctor,Holistic Therapist,Fibromyalgia Specialist,Lupus Specialist,Osteoporosis Specialist,Nutrition Therapy,Mindful Eating,Eating Disorder Treatment,Food Allergy Doctor,Food Sensitivity Testing,Chronic Pain Specialist,Gluten Free,Celiac Disease Specialist,Medical Nutrition Therapy,Diabetes Specialist,Digestive Issues,Osteoarthritis Specialist,Colitis Specialist,Crohn's Specialist,Cholesterol Specialist,Cancer Specialist,Blood Pressure Specialist,Heart Health Specialist,Renal Specialist,Autoimmune Disease Doctor,Meal Plans,Keto Diet Coach,Vegan Diet,Vegetarian Diet,Intuitive Eating Dietitian,Pregnancy Nutrition,Postpartum Nutrition,Stress Management Class,Constipation Doctor,Wellness Counseling,Headache Specialist,Weight Management Doctor,Pain Management,Anxiety Treatment,Supplement Store,Irregular Periods,Post Birth Control Syndrome,Grocery Store Tour,Women's Health Specialist,Certified Holistic Health Practitioner,Gut Health,Cooking Lessons,Pantry Detox,Plant Medicine,Impotence Specialist,Organic Food,Herbal Tea,Protein Powder,Low Fat Diet,Alkaline Diet,Anti Inflammatory Diet,Mens Health,Metabolic Specialist,Migraine Specialist
Megan Grover

Megan Grover

Nutritionist, Herbal Coach and Assistant Professor of Nutrition
Offers virtual services

English

My name is Megan and I have been in the industry of nutrition, herbal medicine and education for the last ten years. I have my Masters of Medical Science in Human Nutrition and I have worked with a variety of clients. I incorporate herbal medicine in my practice and have a small apothecary in my ho…


Nutrition and Wellness Coach Health Coach,Yoga Instructor,Holistic Life Coach,Wellness Coach,Holistic Health Coach,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Nutritional Therapist,Health and Wellness Coach,Personal Coach,Private Yoga Instructor,Meditation,Holistic Health,Holistic Medicine,Vinyasa Yoga,Prenatal Yoga,Hatha Yoga,Hot Yoga,Bikram Yoga,Aerial Yoga,Raja Yoga,Beginners Yoga,Yoga Class,Sweat Yoga,Ashtanga Yoga,Postnatal Yoga,Ashtanga Flow,Heat Yoga,Hot Power Yoga,Bikram Hatha Yoga,Antenatal Yoga,Maternity Yoga Class,Haute Yoga,Sauna Yoga Class,Weight Loss Coach,Alternative Health Doctor,Natural Medicine Doctor,Mental Wellness,Holistic Nutrition
Nataliya Bryantsev

Nataliya Bryantsev

Nutrition and Wellness Coach
Offers virtual services

English, Russian

I welcome anyone who is looking for lasting nutrition and lifestyle improvements in accordance with the latest science and research on nutrition, health, and wellness and/or their personal preferences. Being in Best Health educates clients about the science-based health-supporting holistic nutrit…


Holistic Nutrition Consultant Nutritionist,Teen Life Coach,Holistic Life Coach,Wellness Coach,Sports Nutritionist,Functional Medicine Practitioner,Holistic Health Coach,Holistic Nutritionist,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Nutritional Therapist,Health and Wellness Coach,Holistic Health,Holistic Medicine,Nutrition Counseling,Weight Loss Coach,Alternative Health Doctor,Natural Medicine Doctor,Mental Wellness,Holistic Nutrition,Pediatric Nutritionist,Functional Nutritionist
Lisa Spencer

Lisa Spencer

Holistic Nutrition Consultant
Offers virtual services

English

Hi! You want to win! To get stronger, fitter and faster - you need to optimize your fueling. Working together, we align your fueling to what your body needs as a unique female athlete, I provide evidence-based practices and support so you can reach your greatest potential - be the best you can b…


Boston MA Certified Integrative Nutrition Health Coach | Certified Personal Trainer | Integrative Mental Health Coach | Feng Shui Consultant
Katie Bonarrigo

Katie Bonarrigo

Certified Integrative Nutrition Health Coach | Certified Personal Trainer | Integrative Mental Health Coach | Feng Shui Consultant
Offers virtual services

English

I’m Katie, Integrative Nutrition Health Coach and Founder of Shift Wellness Collective. I enrolled at the Institute for Integrative Nutrition after many years of dealing with my own health issues. For the longest time I viewed being “healthy” as intimidating and unattainable. As a result, my day…


Nutrition & Wellness Coach for Women Nutritionist,Health Coach,Wellness Coach,Holistic Health Coach,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Nutritional Therapist,Health and Wellness Coach,Holistic Health,Nutrition Counseling,Sleep Therapy,Alternative Health Doctor,Mental Wellness,Holistic Nutrition
Laura Collis

Laura Collis

Nutrition & Wellness Coach for Women

English

Hi, I'm Laura! I help women at or entering midlife create a way of eating and living unique to their bodies and lifestyles to achieve the health and wellness they deserve to thrive. I created Nutritious Wellness as a means to communicate my vision of wellness in an approachable way. I coach …


Austin TX Certified Integrative Nutrition Health Coach,Allergies Health Coach,Clean Beauty Expert Health Coach,Holistic Health Coach,Nutrition Coach,Health and Wellness Coach,Personal Coach,Holistic Health,Nutrition Counseling,Alternative Health Doctor,Natural Medicine Doctor,Mental Wellness,Holistic Nutrition,Meal Prep,Private Cooking Class,Healthy Cooking Class,Food Allergist
Renata Esteves

Renata Esteves

Certified Integrative Nutrition Health Coach Allergies Health Coach Clean Beauty Expert

English, Portuguese

Hi, I'm Renata. I am Health coach and Clean Beauty expert. My passion is working with women who struggle with allergies and support them to detox their life and beauty routine. I encourage my clients to take control of their health, and help them get to the root cause of their symptoms to improve t…


Board Certified Holistic Nutrition and Wellness Coach & Founder of Be Well with Chris Ann, Inc. Health Coach,Life Coach,Personal Life Coach,Spiritual Life Coach,Holistic Life Coach,Wellness Coach,Holistic Health Coach,Holistic Nutritionist,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Anxiety Therapist,Health and Wellness Coach,Personal Coach,Healer,Chef,Essential Oil,Holistic Health,Mental Health,Quit Smoking Hypnosis,Weight Loss Hypnosis,Holistic Medicine,Grief Counseling,Nutrition Counseling,Behavioral Health Counseling,Social Anxiety Therapy,Cognitive Behavior Therapy,Grief Coach,Manifestation Coach,Sleep Therapy,Mental Therapy,Spiritual Cleansing,Weight Loss Coach,Alternative Health Doctor,Mental Wellness,Holistic Nutrition,Meal Prep,Private Cooking Class,Healthy Cooking Class,Beginner Cooking Class,Kids Cooking Class,Obesity Care,Keto Specialist,Food Allergist,Self Esteem Coach,Mindset Coach,Women's Health,Anxiety Coach,Integrative Health,Relaxation Technique,Goal Setting,Visualization Technique,Mindfulness Class,Liver Support,Stress Coach,Gas and Bloating Specialist,Chronic Fatigue Specialist,Sleep Coach,Fatigue Specialist,Hashimoto Disease,Thyroid Specialist,Lyme Disease Specialist,Inflammation Specialist,PMS Specialist,Gut Health Specialist,Hormone Specialist,Adrenal Gland Specialist,Epstein Barr Specialist,Energy Coach,Brain Fog Specialist,ADHD Specialist,Joint Pain Specialist,Gout Specialist,Detox Specialist,Teen Nutrition Coach,Paleo Diet Coach,Plant Based Diet Coach,Depression Therapist,Resilience Coach,Liver Cleanse Specialist,Athlete Nutrition Plan,Digestive Health Specialist
Chris Ann Sepkowski

Chris Ann Sepkowski

Board Certified Holistic Nutrition and Wellness Coach & Founder of Be Well with Chris Ann, Inc.
Offers virtual services

English

So happy to meet you! My name is Chris Ann Sepkowski. I am a Board Certified Holistic Nutrition and Wellness Coach specializing in Hormonal Health and the proud founder of Be Well with Chris Ann, Inc. 10 years ago, I suffered a major health scare that changed my life. From that experience, I …


Nutrition & Fitness Coach Personal Trainer,Life Coach,Personal Life Coach,Wellness Coach,Sports Nutritionist,Holistic Health Coach,Senior Fitness Trainer,Nutrition Consultant,Nutrition Coach,Health and Wellness Coach,Personal Coach,Fitness Coach,CrossFit Trainer,Weight Lifting Trainer,Private Personal Trainer,In Home Personal Trainer,Bodybuilding Trainer,Personal Trainer for Women,Fitness Instructor,Gym Trainer,Holistic Health,Mental Health,Weight Loss Hypnosis,Nutrition Counseling,Sleep Therapy,Mental Therapy,Weight Loss Coach,Alternative Health Doctor,Mental Wellness,Holistic Nutrition,Prenatal Fitness Class,Athletic Training,TRX Training,Running Training,Speed Training,High Intensity Interval Training (HIIT),Strength Training for Women,Resistance Training,Couples Personal Training,Fitness Class,Plyometrics,Obesity Care,Self Esteem Coach,Women's Health,Anxiety Coach,Goal Setting,Stress Coach,Paleo Diet Coach,Depression Therapist,Athlete Nutrition Plan,Corporate Retreat Activity,Motivational Speaker
Lisa Maximus

Lisa Maximus

Nutrition & Fitness Coach
Offers virtual services

English

Lisa Maximus has rapidly emerged as a premier leader in the fitness community. Her holistic, no-frills approach to training mind and body empowers life changes in her students and ensures men and women train the “right way”. She is spirited, intelligent and highly competitive and is driven by the d…


Nutritional Therapy Practitioner, Culinary Nutrition Expert
Cindy Santa Ana

Cindy Santa Ana

Nutritional Therapy Practitioner, Culinary Nutrition Expert

English

Welcome! I'm Cindy Santa Ana, Nutritional Therapy Practitioner, and Culinary Nutrition Expert. I help my clients overcome autoimmune disease and hormone balance. I use the DUTCH test, FIT test, and GI Map to uncover underlying health issues in my clients. I'm also the author of Unprocessed Living: …


Physical Therapist Health Coach,Physical Therapist,Wellness Coach,Therapist,Health and Wellness Coach,Holistic Health,Physical Therapy,Women's Health,Athlete Nutrition Plan,Motivational Speaker,Pelvic Floor Therapy
Katie Ruebush

Katie Ruebush

Physical Therapist

English

Welcome! My name is Katie Ruebush and I am a wellness coach, physical therapist, farm wife, and boy mom dedicated to helping clients throughout their lifespan live healthy, active lifestyles. Please use Physio Pharm to empower yourself or someone you love through my online educational resources. …


Nutrition Therapist Master Nutritionist,Health Coach,Dietician,Personal Life Coach,Holistic Life Coach,Wellness Coach,Sports Nutritionist,Holistic Health Coach,Holistic Nutritionist,Nutrition Consultant,Nutritional Therapy Practitioner,Nutrition Coach,Nutritional Therapist,Health and Wellness Coach,Personal Coach,Breathwork,Holistic Health,Mental Health,Holistic Medicine,Nutrition Counseling,Social Anxiety Therapy,Sleep Therapy,Mental Therapy,Weight Loss Coach,Alternative Health Doctor,Natural Medicine Doctor,Mental Wellness,Holistic Nutrition,Obesity Care,Vegan Dietician,Pediatric Nutritionist,Functional Nutritionist,Intimacy Coach,Impotence Specialist,Organic Food
Andrea Nicole

Andrea Nicole

Nutrition Therapist Master
Offers virtual services

English

Hi I’m Andrea! I’m a Nutrition Therapy Master and creator of the Nourished Magnolia nutrition practice. I help others support their mental and physical health, recover from chronic stress and trauma, and get to the root of their health issues using functional nutrition and breathwork techniques. If…


Health and Fitness Coach Health Coach,Personal Life Coach,Holistic Life Coach,Wellness Coach,Holistic Health Coach,Senior Fitness Trainer,Nutrition Coach,Health and Wellness Coach,Personal Coach,Fitness Coach,Private Personal Trainer,In Home Personal Trainer,Holistic Health,Mental Health,Weight Loss Hypnosis,Nutrition Counseling,Sleep Therapy,Weight Loss Coach,Alternative Health Doctor,Mental Wellness,Holistic Nutrition,Fitness Class,Obesity Care,Stress Coach,Sleep Coach,Athlete Nutrition Plan
Karl Leiderman

Karl Leiderman

Health and Fitness Coach
Offers virtual services

English

Hello and welcome to my landing page for the over 50 years young man or woman who wants to lose weight, gain muscle, have increased energy, reverse chronic illness, stabilize your mood, and be that active person you used to be or want to be again. Feel free to contact me directly at myhealthcoachka…


Nutrition Therapist Master/Personal Trainer/Yoga Teacher
Mandy Towns

Mandy Towns

Nutrition Therapist Master/Personal Trainer/Yoga Teacher

English

Coming Soon


Toronto Ontario Reiki Master, Meditation Guide, Holistic Nutrition Coach
Stephanie Glover

Stephanie Glover

Reiki Master, Meditation Guide, Holistic Nutrition Coach
Offers virtual services

English

Bringing a wealth of experience and expertise, Stephanie is a seasoned practitioner certified as a Reiki Master, Meditation Guide, Life Coach, and Holistic Nutritionist. With a deep understanding of energy healing, therapy, and the crucial role of nutrition in holistic wellness, she provides steadf…


Certified Integrative Nutrition Health & Wellness Coach & Marketing Consultant
Jennifer D'Aponte

Jennifer D'Aponte

Certified Integrative Nutrition Health & Wellness Coach & Marketing Consultant
Offers virtual services

English

Jennifer is a Certified Integrative Nutrition Health Coach and is passionate about helping people with personal growth and health modification through a collaborative and integrative approach to nutrition, lifestyle, and behavior. Jennifer’s 360-degree approach to wellness consists of nutrition and…


Morrison Colorado Master Nutrition Therapist
Jo Icenhower

Jo Icenhower

Master Nutrition Therapist

English

I work with women who want to lose weight through detoxing, balancing hormones, improving GI systems – all by and switching to whole-foods, proper supplementation, and daily habit changes. I will be working DIRECTLY with YOU, one-to-one, in our sessions, emphasizing that everything you’re experi…


Alexandria Egypt Nutrition Coach
Sherine Balbaa

Sherine Balbaa

Nutrition Coach
Offers virtual services

English

Nutrition Specialist holding Professional Doctorate Degree in Nutrition from “American University for continuing learning”, Diploma with Distinction in Holistic Nutrition- Accredited by “ International College of Holistic Medicine “ and a Certificate in Nutrition Psychology Methods.


Frequently asked questions

 

How can I make a same-day appointment with a Athlete Nutrition Plan in Ottumwa?

Same day appointments are available with many Athlete Nutrition Plans. For the most part, clients who use Sofia to search for a Athlete Nutrition Plan in Ottumwa can schedule an appointment and see the Athlete Nutrition Plan within 24 hours. You can search for real-time availability of Athlete Nutrition Plans in Ottumwa and make an appointment online today.

 


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How can I find a top-rated Athlete Nutrition Plan in Ottumwa?

You can use Sofia to find Athlete Nutrition Plans in Ottumwa who are highly rated. View each Athlete Nutrition Plans education, license and certification credentials. Watch their video introductions and book a virtual consultation see if they are a good fit for you.  

 


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Almost all Athlete Nutrition Plans in Ottumwa on Sofia have virtual visits available. Every Athlete Nutrition Plan can be scheduled online for either in-person or virtual appointments. When you book your session, choose in person or online.  

 


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Ottumwa, IA 

 

Ottumwa is a city in and the county seat of Wapello County, Iowa, United States. The population was 25,529 at the time of the 2020 U.S. Census. Located in the state's southeastern section, the city is split into northern and southern halves by the Des Moines River.

The city's name derives from the Native American Sac and Fox, alternatively Meskwaki, language. The English language translation is generally presumed to refer to the Appanoose Rapids of the Des Moines River, as "tumbling waters" or similar. Earlier versions of the name were suffixed by the Sac word for place, noc.

In May 1843, several investors formed the Appanoose Rapids Company and staked claim to 467 acres of land in the present site of Ottumwa. Their colonization involved claiming land supporting three indigenous settlements. The first official cabin was built in May 1843 after the area was opened to settlement (an earlier cabin built in defiance of this date was destroyed by Army troops at that time). The original plan was titled Louis Ville. In 1844 the city was named as the county seat. The town was severely damaged during the flood of 1851.

In 1857, coal was being mined from the McCready bank, a site along Bear Creek four miles west of Ottumwa. In 1868, Brown and Godfrey opened a drift mine four miles northwest of town. By 1872, Brown and Godfrey employed 300 men and had an annual production of 77,000 tons. In 1880, the Phillips Coal and Mining Company opened a mine two miles northwest of town. In subsequent years, they opened 5 more shafts in the Phillips and Rutledge neighborhoods, just north of Ottumwa. The Phillips number 5 shaft was 140 feet (43 meters) deep, with a 375-HP steam hoist. By 1889, the state mine inspector's report listed 15 mine shafts in Ottumwa. In 1914, the Phillips Fuel Company produced over 100,000 tons of coal, ranking among the top 24 coal producers in the state. Coal mining was so important to the local economy that, from 1890 to 1892, the Coal Palace was erected in Ottumwa as an exhibition center. John Morrell & Company and their meat packing comples played a significant role in the development of Ottumwa from 1877 to 1973.

According to the United States Census Bureau, the city has a total area of 16.53 square miles (42.81 km2), of which 15.86 square miles (41.08 km2) is land and 0.67 square miles (1.74 km2) is water. Northeastern Wapello County contains large deposits of coal, and there are also large deposits of clay in the region, which played an important role in the industrial development of Ottumwa. Ottumwa is the center of the Ottumwa Micropolitan Statistical Area which includes all of Wapello County

Ottumwa places a strong emphasis on health and wellness to its residents. The Beach Ottumwa is a premier aquatic center offering swimming lessons, water aerobics, and a lazy river for relaxation. Ottumwa Family YMCA provides a range of fitness classes, personal training, and wellness programs for all ages. The Pinnacle Club offers a luxurious setting for fitness and relaxation, including a state-of-the-art gym and spa services. Radiant Wellness Massage specializes in therapeutic massage treatments designed to alleviate stress and promote healing. Anytime Fitness in Ottumwa gives 24/7 access to a well-equipped gym and personalized training plans. Studio K Dance and Fitness offers a variety of dance and fitness classes, including Zumba and Pilates. Serendipity Salon & Day Spa provides an array of beauty and wellness treatments, from facials to massages. 23:20 Fitness offers comprehensive fitness programs including cardio, strength training, and group exercise classes.

Top sites in Ottumwa, IA are Beach Ottumwa, Bridge View Center, Cedar Creek Golf Course, and Iowa Heartland History Connection.

Population: 25,252 (2023). ZIP code: 52501. Area code: 641. Elevation: 650 ft (200 m). Area: 16.73 sq mi (43.32 km2).

 

FAQs

What is Ottumwa, IA famous for?

Meatpacking and the manufacture of farm equipment are the chief industries in this city. Ottumwa has a campus of Indian Hills Community College (1966). The city’s former airport is the site of the Airpower Museum, which displays a large collection of antique airplanes and artifacts from early aviation. Lake Wapello State Park is to the southwest near Drakesville, and the house that was used for Grant Wood’s painting American Gothic (1930) is in Eldon to the southeast. Inc.

 

What is the ethnicity of Ottumwa, IA?

In 2022, there were 9.36 times more White (Non-Hispanic) residents (18.7k people) in Ottumwa, IA than any other race or ethnicity. There were 2k White (Hispanic) and 1.03k Black or African American (Non-Hispanic) residents, the second and third most common ethnic groups. 14.9% of the people in Ottumwa, IA are hispanic (3.78k people). The 5 largest ethnic groups in Ottumwa, IA are White (Non-Hispanic) (73.7%), White (Hispanic) (7.87%), Black or African American (Non-Hispanic) (4.08%), Other (Hispanic) (3.75%), and Two+ (Non-Hispanic) (3.33%).

 

What is the crime rate in Ottumwa, IA?

With a crime rate of 45 per one thousand residents, Ottumwa has one of the highest crime rates in America compared to all communities of all sizes - from the smallest towns to the very largest cities. One's chance of becoming a victim of either violent or property crime here is one in 22. Within Iowa, more than 99% of the communities have a lower crime rate than Ottumwa.

 

Sources

Wikipedia

City Of Ottumwa

Britannica

Data USA

Neighborhood Scout

Beach Ottumwa

Cedar Creek Golf Course

Bridge View Center

Iowa Heartland History Connection

Ottumwa Family YMCA

The Pinnacle Club 

Radiant Wellness Massage 

Anytime Fitness

Studio K Dance and Fitness

Serendipity Salon & Day Spa

23:20 Fitness
 

The content herein is provided for general informational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Medical information changes constantly, and therefore the content on this website should not be assumed to be current, complete, or exhaustive. Always seek the advice of your doctor before starting or changing treatment. If you think you may have a medical emergency, please call your doctor or 9-1-1 (in the United States) immediately.