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Kelesidis, T., et al. (2010). Narrative review: The role of leptin in human physiology: Emerging clinical applications.

The SM was present in all 66 specimens. There were many muscle belly variants, and the following types were differentiated on the basis of meticulous dissection: Treatment may include hormone replacement therapy, medications, or lifestyle changes, such as diet and exercise. However, according to the NIDDK, if the body continues to produce high levels of cortisol for an extended period, it can lead to more severe conditions, such as Cushing’s syndrome, heart conditions, high blood pressure, and high cholesterol. Empire line: When it comes to hiding your stomach, empire line styles are always a good bet. Drawing the eye to the smallest part of your torso by nipping you in directly under the bust, they give the illusion of a higher waistline. The rest of the dress should have a flared or A-line fit that floats over the stomach. L. Osti, F. Soldati, A. Del Buono, and M. Buda, “Arthroscopic repair of the subscapularis tendon: indications, limits and technical features,” Muscles, ligaments and tendons journal, vol. 3, pp. 213–219, 2019.View at: Google ScholarThe upper arm is located between the shoulder joint and elbow joint. It contains four muscles - three in the anterior compartment (biceps brachii, brachialis, coracobrachialis), and one in the posterior compartment (triceps brachii). i) Special attention should be paid during removal of the fascia because there is sometimes an ASM [ 1] (ii) Particular attention should be paid to cleansing the head of the long biceps brachii because there is a risk that the SM tendons will be cut 2.1. Creating a Classification

When they run out of storage place in the belly, that's the time the fat starts to accumulate in the liver, pancreas and muscles," Li said. "Then, you start having real medical issues like [type 2] diabetes, high blood pressure, high cholesterol and heart disease." Meet Muak-Muak, the most loving Belly! She loves giving kisses and plays all the time. Purple is her favourite colour. Certain drugs, especially glucocorticoids, may cause Cushing’s. Pituitary tumors can also cause this disease. TreatmentS. Larson, “Subscapularis function in gibbon and chimpanzccs: implications for interpretation of humeral head torsion in hominoids,” American Journal of Physical Anthropology, vol. 76, pp. 171–190, 1988.View at: Google Scholar However, in continuing our search for the clinical significance of the different numbers of bellies, we refer to the function of the SM. As mentioned above, the SM is responsible for providing anterior glenohumeral joint stability [ 3]. It is involved in glenohumeral placing, particularly in avoiding the superior shearing force of the deltoid muscle during abduction. Thanks to this, the deltoid muscle retains its mechanical predominance, rather than merely driving the humeral head into the acromion for the duration of vigorous abduction [ 13, 29, 30]. One study showed that the activity of the SM is maximized in abduction around 60–80 degrees because it works as a structure resisting humeral migration [ 13]. The SM is also involved in limiting the anteroposterior translation of the humeral head, so it not only limits superior migration of the humeral head but also helps it to maintain its anteroposterior position [ 29, 31, 32]. S. Rathi, N. F. Taylor, and R. A. Green, “The effect of in vivo rotator cuff muscle contraction on glenohumeral joint translation: an ultrasonographic and electromyographic study,” Journal of Biomechanics, vol. 49, pp. 3840–3847, 2016.View at: Google Scholar Summarizing our assumptions above (identifying three groups to elucidate our way of thinking) and the results of our research, the overall prevalence of the group of muscles with an optimal number of bellies was 80.4%; that for the group of muscles with fewer bellies was 4.5%; that for the group of muscles with more bellies was 15.1%. Hypothyroidism, or an underactive thyroid, is a condition that occurs when the thyroid gland does not produce enough thyroid hormones. When this happens, many of the body’s functions slow down.

Summing up, the previous hypothesis that number of bellies of the SM is morphologically constant was refuted. Our results showed that we can divide this muscle into nine types according to the number of bellies. However, if future research finds muscles with more bellies, this classification should be amended. We suggest that the basis for such differentiation is evolutionary. It is worth mentioning that not only evolutionary progression but also evolutionary regression could have taken place in response to the conflicting needs for optimal stabilization, satisfactory precision of movements, and sufficient SM strength. Different numbers of bellies could be clinically significant in humeral head dislocation cases. Higher waistlines: It can be tempting to opt for dresses that have little shape in a bid to hide your stomach, but actually when it comes to dressing to hide a tummy, having an element of shaping and tailoring is really important. While you should avoid horizontal detailing right across your stomach, do invest in tailored dresses, including shift dresses that have a slightly higher waistline. This again narrows you at a smaller part of your frame and a well-tailored dress will still skim the areas that make you feel self-conscious. K. Yoshinaga, K. Kawai, I. Tanii, K. Imaizumi, and K. Kodama, “Nerve fiber analysis on the so-called accessory subscapularis muscle and its morphological significance,” Anatomical Science International, vol. 83, pp. 55–59, 2008.View at: Google Scholar A person can perform exercises that burn fat, such as running, walking, and other aerobic activity. Reducing the calories a person consumes can also help. However, research on leptin resistance is relatively new, so no specific remedy offers certainty for treating this symptom.After confirming the significance of different number of bellies in the evolution of the SM, we wondered whether this is clinically significant, as in the different numbers of subscapularis tendons [ 6]. The division of the tendinous part of the SM into distinct tendons helps to prevent tearing of the structure and loss of function, allowing nonoperative treatment alone to suffice. A wide, nondivided tendon is more predisposed to tear completely, usually requiring more invasive treatment [ 22– 24]. However, we observed no similar relationship for the different numbers of bellies, so we continued to search for its clinical significance. Treatment depends on the cause. If a person has Cushing’s syndrome, treatment may include drug changes or surgery to remove a tumor. This study has some limitations. A larger sample size would have been desirable; the small size ( ) was sufficient to demonstrate the morphological variability of bellies of the SM for the first time. In addition, the study population was recruited from a specific population of people who had lived most of their lives in the region around Lodz, Poland. Therefore, more extensive studies are needed to determine whether the observed division is matched in larger populations. In addition, the sample size was not calculated; last but not least limitation is that the ultrasonography and MRI examination have not been carried out; however, this study is one of the largest to date on morphological variations of the proximal attachments of the SM. It is the first study of this magnitude to lead to a completely new classification of SM muscle bellies. Such a systematic classification will be valuable for improving the results of future interventions in the arm and shoulder area. 5. Conclusions The most common type was type III, with three bellies, in line with Larson’s model of the division of the SM into three parts. Muscles with four (type IV) or five (type V) bellies were also frequent. So, to clarify our additional assumptions, we included these types in one group of muscles with an optimal number of bellies. Continuing, we created another two potential groups: with fewer bellies and with more bellies. The group of muscles with fewer bellies includes type I, which was found in only one cadaver, and type II, which occurred twice among the population researched. The group with most bellies includes type VI, which was found in five cases, type VII in two, type VIII in one, and type IX in two. Dos Santos, M. R., et al. (2020). Benefits and risks of testosterone treatment in men with age-related decline in testosterone.

However, if cortisol levels increase due to stress, a person can try some natural ways to reduce it. In a timely lilac hue, reflecting some of this year's hottest colour trends, we love the addition of green leopard print for a directional feel. R. Diogo and J. Molnar, “Comparative anatomy, evolution, and homologies of tetrapod hindlimb muscles, comparison with forelimb muscles, and deconstruction of the forelimb-hindlimb serial homology hypothesis,” The Anatomical Record, vol. 297, pp. 1047–1075, 2014.View at: Google ScholarA person can try dietary and lifestyle changes to help reduce fluid retention and bloating during menstruation. When this happens, the adrenal glands produce more cortisol, which triggers the body to store more fat. The body often redistributes this fat to the stomach, chest, and face.