L Methylfolate Prenatal

Swelling of your face lips tongue or throat. L-Methylfolate is the active form of folate and is 7 times more bioavailable.

Amazon Com Mama Bird Prenatal Multi Methylfolate Folic Acid Methylcobalamin B12 Natural Whole Food Organic Herbal Blend Vegan Once Daily Prenatal Vitamins Immune Support 30 Count Best Nest Wellness Health Personal Care

Prenatal Vitamins and Minerals - Mamas Select Pre-Natal Plus 3 month supply.

L methylfolate prenatal. L-methylfolate is unaffected by this genetic disorder and offers you and your baby the active form of folate. Considering the important role of active folate in fetal growth and development ensuring adequate L-Methyfolate intake. Where things get a bit murky is determining how much is safe during pregnancy.

Prenatal vitamin with L-methylfolate. In one retrospective study 58 pregnant women taking prenatal supplements along with L-methylfolate had significantly higher hemoglobin levels at the time of delivery than 54 women taking prenatal supplements with folic acid. Last updated on June 22 2020.

Even if youre taking a ton of folic acid if very little is ending up as L-methylfolate then it doesnt do much good. 1 capsule Folate Dosage as 5-methyltetrahydrofolate calcium. Methylfolate is the key to conception pregnancy and a healthy baby If you are trying to conceive or if you are already pregnant dont underestimate the importance of folate for your fertility and pregnancy wellness.

Unfortunately over 50 of pregnant women in the US. L-Methylfolate calcium refers to the calcium. L-methylfolate side effects.

Because l-methylfolate is the naturally occurring biologically active form of folic acid synthesized by the human body it is safe to take during pregnancy. Folate Dosage as methylfolate. L-methylfolate is the biologically active form of vitamin B9.

5 This means that they are unable to process folic acid. Get emergency medical help if you have signs of an allergic reaction. This is not a complete list of side effects and others may occur.

L-methylfolate and folic acid. L-methylfolate is the active form in our body this is the form thats essential for fertility healthy embryo growth and pregnancy. DHA ONE with Folate uses L-Methylfolate to ensure a healthy pregnancy.

Prenatal Postnatal Multivitamin with DHA - Mamas Select 1 month supply. The Optimal Prenatal formulas contain both folinic acid not the same as folic acid and methylfolate two forms of active B12 two forms of vitamin A the second to assist those with the BCMO1 snp all the other required and active forms of B vitamins Betaine HCl and additional herbs and nutrients. L-5-Methyltetrahydrofolate L-methylfolate or 5-MTHF is the predominant active form of the nutrient in humans and is created through the activity of several enzymes including one called methylenetetrahydrofolate reductase MTHFR.

L-methylfolate Pregnancy and Breastfeeding Warnings L-methylfolate is also known as. It goes by several other common names including. Have a genetic disorder MTHFR Polymorphism that limits the conversion process.

Because some people have a genetic inability to convert the typical folic acid into l-methylfolate it is recommended to supplement with this form of folic acid. That means it is the form the human body can actually use in circulation. Your doctor might prescribe this instead of folic acid.

Some studies have shown that L-methylfolate can decrease the risk of anemia in pregnant women. In the United States up to 53 of women have impaired folic acid metabolism from a common genetic mutation. Prenatal vegetarian capsules supply essential vitamins and minerals to help support maternal health and wellness during pregnancy.

1 L-methylfolate is the active form of folate ready to be used by the body. Folate as L-methylfolate. Folic Acid There are two forms of folate in Prenate Restore.

Less serious side effects may occur and you may have none at all.

What's The Difference Between Ibs And Ibd

Inflammatory bowel disease IBD is a broad term that refers to chronic swelling inflammation of the intestines. Another difference between IBS and IBD is that people with IBD go through periods of symptom flare ups where symptoms are.

Ibs Or Ibd How To Tell The Difference

Inflammatory bowel disease refers to the condition that results when cells involved in inflammation and immune response are called into the lining of the GI tract.

What's the difference between ibs and ibd. Abdominal pain constipation and diarrhea and bloating to name a few. The overarching difference between IBS vs IBD is that while IBS does not create structural changes in the gut IBD does. That means that there is a pathology AKA a cause for the symptoms that doctors can find.

However they have distinct characteristics and are treated differently although diet may be part of the treatment plan in both disorders. IBD is a chronic lifelong autoimmune condition in which parts of the gastrointestinal. For years I was told it was just IBS and then I was diagnosed with Colitis.

Irritable bowel syndrome IBS and inflammatory bowel disease IBD are conditions involving the gastrointestinal tract that can often be confused due to similar names and some overlapping symptoms. The most important difference between the two is that IBS is classed as a functional disease meaning the symptoms lack an identifiable cause whereas IBD involves some damage to the gut that will be obvious on a physical examination. Irritable bowl syndrome IBS and inflammatory bowel disease IBD are both ailments that affect the gastrointestinal tract.

IBS is a functional disorder of the gastrointestinal tract while IBD is a term used to classify a more serious group of illnesses that can impact your entire body. IBS is a functional disorder of the gastrointestinal tract while IBD is a term used to classify a more serious group of illnesses that can impact your entire body. IBS irritable bowel syndrome and IBD inflammatory bowel disease are not the same problems with the digestive tract.

The other major difference is that those with IBD may experience blood in their stools whereas this does not occur with IBS. Irritable Bowel Syndrome IBS Like IBD irritable bowel syndrome IBS is a chronic illness however it is not caused by the immune system. And although they share some common symptoms we are really comparing apples and oranges.

Inflammatory bowel disease IBD and irritable bowel syndrome IBS arent the same. Around 1 in 5 people in the US has IBS whereas about 1 in 200 people has IBD. This infiltration thickens the bowel lining and interferes with absorption and motility the.

But IBS and IBD are different. IBD is a term used for a group of bowel diseases that. Learn more about how these two gut conditions differ and what symptoms may be similar.

Unlike IBS IBD Inflammatory Bowel Disease is a pathological disease. IBS is a long-term condition that affects the intestines and causes a group of digestive symptoms that tend to occur together. It is seen primarily in women and it is estimated that up to 20 of the population have the symptoms associated with IBS.

IBS usually causes no ulcers or lesions in the bowel and it involves only the colon. It gets confusing because IBS and IBD can cause the same symptoms. Trending Content from A Gutsy Girl.

We discuss the differences between IBS and IBD below. Irritable bowl syndrome IBS and inflammatory bowel disease IBD are both ailments that affect the gastrointestinal tract. 5 rows Irritable bowel syndrome IBS and inflammatory bowel disease IBD are two distinct.

When IBD goes untreated it can lead to serious complications that can occur both inside and. Irritable Bowel Syndrome IBS and Inflammatory Bowel Disease IBD are not the same. Inflammatory bowel disease IBD is much rarer than IBS and can lead to very serious complications.

You can read all about it via my story. IBS and IBD are both chronic conditions that affect the large intestine. Its often confused with the.

Diagnosing IBD and IBS One of the major differences between these two conditions is that IBD shows clinical signs of disease when patients undergo an exam and imaging.

Nationwide 90 Fm

The most listen to programs across the station include their regular hourly news updates Timeline Sports nation live Nationwide at 5 Talking History Miss Kitty Live and more. By Nationwide Newsnet Apr 22 2021 Regional and International.

Nationwide 90fm Nationwide Radio 90 Fm Kingston Jamaica Free Internet Radio Tunein

Nationwide 90FM gives their listeners the experience they wants from a radio like them.

Nationwide 90 fm. It offers all platform of news updates in sports entertainment programmes and current affairs. Jadi for overall entertainment and passion for engaging experience makes this a very popular choice. The program is also available for live stream online and on the 90 fm band through the island.

This Radio broadcast various kind of latest Reggae Dancehall Hip Hop music. 46193 likes 4469 talking about this 881 were here. The radio station was established by Nationwide News Network Team and known as thoroughly fair and balanced in news reports published by WatchDog Editorial Board.

Nationwide Radio 90FM Jamaica. Listen radio Nationwide 90FM Kingston Jamaica 907 FM streaming live online for free. Having conquered that.

Nationwide90fm 876-630-1210 Whatsapp. Nationwide 90FM live broadcasting from Jamaica It is one of the most famous online radio station in Jamaica. Nationwide 90fm Online Live Radio Stations.

WRHA Highlights Noticeable Improvement in Health Facilities Across Western Region. It focuses on building and writing winning resumes. Nationwide News Network NNN is the only Emmy award winning network in Jamaica.

Nationwide 90FM - Nationwide Radio is the leading news station in Jamaica and is the the only Emmy winning award news team in the country. Nationwide 90fm is an online music radio station. Nationwide 90FM gives their listeners the experience they wants from a radio like them.

The programme segments include. Info of The Station. Nationwide 90FM Nationwide Radio is the leading news station in Jamaica and is the the only Emmy winning award news team in the country.

Listen to Nationwide 90 FM for your latest news reports. Nationwide 90 FM on radioguidefm. By Abigail Bartley Apr 23 2021 Coronavirus.

At Your Service AYS with Vernon Derby empowers listeners with life saving tools to guide them through the tough economic realities. Interviewee strategies and personal branding. This radio station has been broadcasting on air and online from Kingston Jamaica.

This radio promotes various kinds of latest news sports entertainment etc We are streaming music and programs both in online and broadcasting 24 hours a day. NNN has earned the enviable reputation of being first with the news with fair and balanced reporting exclusive. NationWide Radio 90FM is a Jamaican radio station in Kingston frequency 903 broadcasting in the whole Kingston town.

Nationwide 90FM has steadfastly built a reputation as the premier news current affairs sports and entertainment provider in Jamaica. The playlist Nationwide 90FM for the last week find out what is now playing on the radio. By Nationwide Newsnet Apr 21 2021 Vote 2020 PNP Activist Facing Looming Disciplinary Action Threatens to Burn Down the Party by Nationwide Newsnet Apr 21 2021.

So for overall entertainment and passion for engaging experience makes this a very popular choice. Nationwide90FM is Jamaicas number one news current affairssports and entertainment radio network in Jamaica. CONTACT 6 Bradley Ave Half Way Tree Saint Andrew Jamaica 876-630-1210.

Nationwide 90FM Merch Store. The Job Centre- this seeks to guide the unemployed on how to market themselves for employment. Nationwide Radio is the leading news station in Jamaica and is the the only Emmy winning award news team.

National Academies Of Sciences Engineering And Medicine

The National Academies also encourage education and research recognize outstanding contributions to knowledge and increase public understanding in matters of science engineering and medicine. The group originated with 140 inaugural members who hold the highest career distinction in the United States as members of the National Academies of Sciences Engineering and Medicine.

U S National Academies Of Sciences Engineering And Medicine Announce Campaign To Address Gulf Of Mexico Loop Currents Iadc Org

National Academies of Sciences Engineering and Medicine reports on space nuclear propulsion.

National academies of sciences engineering and medicine. Members are elected by their peers for outstanding contributions to research. The National Academies of Sciences Engineering and Medicine 500 Fifth Street NW Washington DC 20001 T. Food and Drug Administration at the direction of Congress to evaluate the.

Reports typically include findings conclusions and recommendations based on information gathered by the committee and the committees deliberations. And its awards programs and special activities. The NAS recognizes and promotes outstanding science through election to membership.

National Academy of Sciences. The National Academy of Sciences NAS is a private nonprofit organization of the countrys leading researchers. The National Academy of Sciences was established in 1863 by an Act of Congress signed by President Lincoln as a private nongovernmental institution to advise the nation on issues related to science and technology.

It says The National Academies of Sciences Engineering and Medicine provide independent objective advice to inform policy with evidence spark progress and innovation and confront. How can we promote equity in science and engineering education for K-12 students. National Academies report urges nuclear-powered rockets for trips to Mars and lays out synergies in space nuclear activities between NASA and the US.

The National Academies of Sciences Engineering and Medicine also known as NASEM or the National Academies is the collective scientific national academy of the United States. Experiences and Prospects summarizing scientific consensus on genetically engineered crops and their implications. Operating under the 1863 Congressional charter of the National Academy of Sciences the National Academies are private nonprofit institutions that work outside of government to provide objective advice on matters of science.

National Academy of Sciences. 2023342000 Copyright 2021. Founded in 1970 as the Institute of Medicine IOM the National Academy of Medicine NAM is one of three academies that make up the National Academies of Sciences Engineering and Medicine the National Academies in the United States.

The National Academy of Engineering was established in 1964 under. Publication in its journal PNAS. The name is used interchangeably in two senses.

Providing a high quality science and engineering foundation for all K-12 students will remove some of the barriers that prevent them from pursuing careers in science technology. The three Academies work together as the National Academies of Sciences Engineering and Medicine to provide independent objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies of Sciences Engineering and Medicine published an independent report commissioned by the US.

In May 2016 the National Academies of Sciences Engineering and Medicine NASEM released the report Genetically Engineered Crops. The three Academies work together as the National Academies of Sciences Engineering and Medicine to provide independent objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. NASEM reports aim to give the public and policymakers information on socially relevant science.

The following resources provide information about careers at the National Academies of Sciences Engineering and Medicine fellowship opportunities and advice from the Academies about careers in science and technology. Join us and let your talents make a difference. 1 as an umbrella term for its three quasi-independent honorific member organizations the National Academy of Sciences NAS the National Academy of Engineering.

The National Academies also encourage education and research recognize outstanding contributions to knowledge and increase public understanding in. National Academies of Sciences Engineering and Medicine. Through the National Academies of Sciences Engineering and Medicine the NAS provides objective science-based.

Consensus Study Reports published by the National Academies of Sciences Engineering and Medicine document the evidence-based consensus on the studys statement of task by an authoring committee of experts. March 13 at 1001 AM.

Ovulation Pain And Pregnancy Success

Women may notice these symptoms as early as 12 weeks after conception. Ovulation pain can indeed help a woman know that she is fertile as research shows that this pain mainly occurs on the day when the Luteinizing Hormone LH is at its peak.

How To Get Pregnant When You Have Endometriosis

If the fallopian tubes are blocked pregnancy cant occur.

Ovulation pain and pregnancy success. Some women experience mild implantation cramping several days after ovulation while others do not. In fact if youre trying to conceive knowing the signs of ovulation which can include ovulation pain can help you to get pregnant faster. Getting pregnant isnt only about the womans fertility.

If Youre Ovulating You Wont Have Trouble Getting Pregnant. But even if you knew for sure that your mittelschmerz pain happened at the precise moment that the egg bursts out of the follicle it wouldnt be very helpful in knowing when to have sex to get pregnant. For example the pathway to the egg must be clear.

If the egg was fertilized by a sperm cell when you ovulated the fertilized egg will transform into. I hadnt been feeling well for a couple of weeks and had been extremely moody. There was literally nothing that my boyfriend could do that didnt make my blood boil.

The follicles swell and eventually burst releasing the egg and it can be the swelling that causes pain too. However if youre trying to avoid pregnancy it is unwise to rely on ovulation pain alone. Always use other methods of contraception.

Shettles and Rorvik recommend that couples who wish to have a boy should time their intercourse to coincide with ovulation with up to 85 percent success claimed for the selection of boys and 80. If your symptoms are very bothersome you can try hormonal contraceptive pills. If you have endometriosis and are trying to become pregnant surgery to remove as much endometriosis as possible while preserving your uterus and ovaries conservative surgery may increase your chances of success.

Ovulation is essential to getting pregnantbut it takes more than just an egg to conceive. Implantation tends to happen 6 to 12 days after ovulation when pregnancy occurs. While many women dont feel any pain prior to ovulating approximately 20 have a minimal amount of pelvic pain as the egg prepares to be released from their ovaries.

Ovulation pain and family planning. Where to get help. My Vitex Success Story.

I started a new job two months prior so I was assuming that it may have just been the. I tested the theory last month by using OPKs and the first day if pain I got a dark line which meant OV in the next 24-36 hours. Some women rely on ovulation pain to help them plan a pregnancy.

Ovulation induction procedure is beneficial for those women who experiences irregular infrequent menstruation oligomenorrhoea absence of menstruation amenorrhoea however if a woman is found to be advanced infertility issues then these medications are combined with other assisted techniques to have successful outcome. After all timing sex around ovulation is the best way to help sperm meet egg. Prescription birth control pills prevent pregnancy in part by stopping ovulation.

Progesterone starts to rise. The pain might happen before during or after ovulation and there is no easy way to know how the pain you experience correlates to ovulation. Changes in hormones.

If the egg released during ovulation is fertilized its an early step toward becoming pregnant. Hormone fluctuations may cause the breasts to swell feel tender and tingle or itch. If you have severe pain from endometriosis you may also benefit from surgery however endometriosis and pain may return.

Chances of conception are high if a couple have sex in the days before during and after ovulation. Chances of Getting Pregnant After Ovulation Also known as the luteal phase this final portion of your cycle lasts a minimum of 12 days and a maximum of 16 days. Sometimes my OV pain last for a few days too.

Ovulation pain is usually nothing to worry about. Ovulation and Pregnancy Those with the inability to conceive utilize ovulation test strips to identify their most fertile days in order to get pregnant. Ovulation pain usually occurs BEFORE actual ovulation.

Also you need sperm. The symptoms of early pregnancy can vary greatly from woman to woman. If you begin taking hormonal birth control pills you will no longer ovulate and your painful ovulation will therefore disappear.

This is about the same time that a person would usually expect a. This pain is usually felt on the left or right side of their lower abdomen depending on which ovary releases the egg. It was 600 PM on Tuesday December 8 2015.

How Can I Get Hiv

To get HIV you need to have enough of. HIV could also be transmitted when needles or syringes are shared for piercings and tattoos.

Hiv Among Youth Age Hiv By Group Hiv Aids Cdc

Are a man who has sex with men.

How can i get hiv. Have had 1 or more new sex partners who could have HIV since your last test. These early HIV symptoms are called acute retroviral syndrome or acute HIV infection and are the bodys natural response. You can also ask your health care.

Men can also get HIV during vaginal sex. According to the CDC National Prevention Information Network CD4 levels give one indication that. We cant say that theres zero risk because there are a few cases of HIV infection in people who have no other known risk factors for HIV.

You can purchase a rapid HIV self-test online or at most pharmacies. Sore joints or muscles. You can also skip these steps to view general information.

You havent had a potential HIV exposure during the window period. This is because vaginal. HIV human immunodeficiency virus is a virus that attacks the bodys immune system.

If you get an HIV test after a potential HIV exposure and the result is negative get tested again after the window period. Check out our HIV awareness days page to see how you can support national observances to raise awareness and encourage people to get tested for HIV seek or return to care. How HIV is transmitted.

The body fluids that contain enough HIV to infect someone are. It is very unlikely to get HIV from kissing someone who has the virus. Either partner can get HIV during vaginal sex.

Have sex in exchange for drugs or money. The risk of getting HIV through receiving oral sex that is a partners mouth on your genitals is very very low. Your most recent test is after the window period.

Have sex with someone who has HIV. This is medication that helps stop HIV from progressing and can help prevent transmission of HIV. If HIV is not treated it can lead to AIDS acquired immunodeficiency syndrome.

The virus does nt spread through the air like cold and flu viruses. HIV is not passed on easily from one person to another. HIV can only be found in saliva in trace amounts and the natural enzymes and antibodies in your saliva prevent the virus from infecting new cells.

Most women who get HIV get it from vaginal sex. Visit the Greater Than AIDS Web site external icon. But with proper medical care HIV can.

Explore customized information about the risk of getting or transmitting HIV. To access FREE self-tests as part of a limited time distribution effort. Customize the content by gender HIV status and gender of sex partner.

Symptoms if they appear at all usually disappear within a week to a month and are often mistaken for those of another viral infection. HIV can enter a womans body during vaginal sex through the mucous. Get involved in HIV awareness days.

Use drugs with needles. This section answers some of the most common questions about HIV testing including the types of tests available where to get tested and what to expect when you get tested. This list will be updated so check back for additional resources.

Vaginal sex is less risky for getting HIV than receptive anal sex. To get HIV 1 of these fluids from someone with HIV has to get into your blood. HIV lives in the blood and in some body fluids.

Knowing your status gives you powerful information to keep you and your partner healthy. There is currently no effective cure. Remember you can only be sure you are HIV-negative if.

A healthcare provider can get a person with HIV started on antiretroviral therapy right away. Once people get HIV they have it for life. Stay abreast of changes in HIV prevention care treatment and research and learn about new tools or resources.

Stage 3 HIV also known as AIDS develops when HIV has significantly weakened the immune system. The only way to know your HIV status is to get tested. Repeat steps 1 and 2 to update selections at any time.

How often do I need to get tested for HIV. People who inject drugs hormones or steroids or silicone can get or transmit HIV by sharing needles syringes or other drug injection equipment for example cookers because these items may have someone elses blood in them.

Uterine Leiomyosarcoma Survivors

Palliative Care to Improve Quality of Life Palliative care helps to relieve the symptoms or problems caused by cancer or other diseases. Leiomyosarcoma LMS is a type of rare cancer that affects the muscle tissues of the human body.

Important Prognostic Factors In Leiomyosarcoma Survival A National Cancer Database Ncdb Analysis Springerlink

Cancer treatments are designed to cure or control the disease.

Uterine leiomyosarcoma survivors. I have a blog that is positive and uplifting centering on ways to de-stress and support the immune system. I was told to get my affairs in order and say my good-byes It tends to metastasize and kill its victims in 2-18 months. Your doctor may also order tests to check for cancer.

Are there any risk factors for leiomyosarcoma and other uterine sarcomas. Leiomyosarcoma is like most forms of cancer in that its survival rate is largely dependent on when you discover it. The earlier the better.

It was discovered and diagnosed eight days after successful surgical removal as uLMS uterine Leiomyosarcoma a rare aggressive and to-date incurable cancer. You may be relieved to finish treatment but yet its hard not to worry about cancer coming back. The estimated 5-year survival rate for stage I uterine leiomyosarcoma is 76 while it is 60 for stage II 45 for stage III and 29 for stage IV disease.

Uterine Leiomyosarcoma Survivor It has now been 4 years and 9 months since I was diagnosed with Uterine Leiomyosarcoma. Cedars-Sinais Sarcoma Support Group Los Angeles CA Dana Farber Cancer Institutes Sarcoma Support Group Boston MA Emory Winship Cancer Institutes Sarcoma Support Group Atlanta GA The James Cancer Hospitals Sarcoma Support Group Columbus OH Sarcoma Alliance Networking Group Redondo Beach CA Sarcoma Support Group Greenville SC. I changed my lifestyle radically to remove stress and consume food like it was my medicine.

Adjuvant therapies therapy given after tumor removal such as chemotherapy and radiation therapy have been used to combat the disease. Very rarely young women with low-grade leiomyosarcomas LMS that have not spread beyond the uterus may be able to have just the tumor removed leaving the uterus fallopian tubes and ovaries in place. This is not standard treatment little is known about long-term outcomes and its not often offered.

Median disease-free survival was 14 months and overall survival was 27 months. It has been a long time since anyone posted on this thread but for those who find it I am a long term survivor of ULMS. The only definitive chance of survival comes with adequate and safe surgical removal of the tumor.

Living as a Uterine Sarcoma Survivor For some women with uterine sarcomas treatment can remove or destroy the tumor. Uterine sarcomas are very rare diseases. When I had surgery to remove them in 1995 the surgeon found fibroids as well as a tumor in my pelvis.

Women who are survivors of childhood cancers and who were treated with radiation are at increased risk for developing sarcomas as adults including uterine sarcomas. Survival is dependent on stage. 2 It occurs in women over 40 years of age who usually present with abnormal vaginal bleeding.

I had a vaginal hysterectomy in 1992 in Houston where we lived and soon after I felt a lump in my abdomen that was suspected fibroids. Linda a uterine leiomyosarcoma survivor shares her story. It is therefore possible for LMS to appear at any site in the.

The end of treatment can be both stressful and exciting. According to WebMD the approximate breakdown of survival percentages for patients diagnosed with leiomyosarcoma in a five-year window looks like this. Uterine leiomyosarcoma is an aggressive cancer that is difficult to treat.

2 Approximately 1 in every 800 smooth muscle tumors of the uterus is a leiomyosarcoma. Most women who develop these cancers do not have any identifiable risk factors for sarcoma. Historically uterine sarcomas have been grouped together for the purposes of clinical trials.

If you had leiomyosarcoma in your uterus you may also need a pelvic exam. They can depend on where your leiomyosarcoma was in. How did you discover that you had sarcoma.

After excluding carcinosarcoma leiomyosarcoma has become the most common subtype of uterine sarcoma even though it accounts for only 12 of uterine malignancies. Smooth muscle cells make up the involuntary muscles which are found in most parts of the body including the uterus stomach and intestines the walls of all blood vessels and the skin. Im Susan Berg and Im a three-year leiomyosarcoma survivor.