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EXERCISES AND TIPS TO PREVENT INJURIES DURING OUTDOOR PHYSICAL ACTIVITY

Preventing sports injuries during outdoor training requires special attention to several factors.

Understanding what physical condition you are starting fromand it is fundamental, to understand it you can do some TESTS in particular STRENGTH, RESISTANCE, POWER, COORDINATION, FLEXIBILITY tests

-Importance of a good warm-up: warming up serves to raise body temperature, thus improving the FLUIDITY of the blood and promoting the OXYGENATION of the muscles in order to avoid contractures, strains or tears.

-Use the right equipment: Prefer TECHNICAL MATERIALS and suitable footwear. Every high or low impact activity requires adequate equipment.

-Train gradually: recovery must be SLOW AND GRADUAL so that the body is not subjected to excessive stress

-Hydrate frequentlyIt is recommended to drink a quarter of a liter of water approximately every 15 minutes during training. After finishing your workout, drink small sips of fresh water every 15 minutes.

-Adequate recovery times: make sure you recover properly, favor recovery times longer than the usual minute

By following these tips, a beginner can reduce the risk of injury and train in a safe and healthy way.

 

Useful exercises for running

 

  • Lift yourself up on your toes at least ten times
  • Going up and down a step
  • Grasp a towel with your toes

 

Useful exercises for any activity

Core strengthening (plank), exercises for shoulder, hip, ankle and shoulder blade mobility

 

  • Do circles on your ankles, hips, arms and wrists.
  • Mobilizes the shoulder blades upwards and downwards, outwards and inwards.
  • Lift your foot slightly and point your toe towards the ground, then your heel.
  • Bend your knee to 90 degrees and bring it outward.

SPORTS PERFORMANCE, NUTRITION AND HYDRATION DURING THE SUMMER

To promote athletic performance and muscle recovery during the summer, proper nutrition and hydration are important.

Sports in summer

Summer is a season when many people engage in outdoor sports, such as swimming, running, cycling, and soccer. During this time, it's even more important to eat properly and maintain adequate hydration, as the thermal and physical stress our bodies are subjected to during physical activity is significantly greater.

 

Adequate hydration

Maintaining adequate hydration is essential for athletic performance and, in general, for overall health. During the summer, due to high temperatures, the body loses more fluids through sweating. Dehydration can lead to decreased physical performance, energy drops, excessive fatigue, and muscle cramps. Therefore, maintaining adequate fluid balance is essential.

 

 

Here are some tips:

  • Remember water! Drinking water regularly during exercise is essential to replace fluids lost through sweating. It's definitely advisable to drink small amounts of water at regular intervals, rather than waiting until you feel thirsty.
  • Supplement with electrolyte drinks. During prolonged physical activity, the body loses not only water but also important minerals called electrolytes. These electrolytes can be replenished through sports drinks containing sodium, potassium, and other minerals.
  • Limit alcohol and caffeine intake. Alcohol and caffeine can increase the risk of dehydration. During the summer, especially during physical activity, it's best to limit your consumption of these beverages, as they can significantly increase sweating and urine production, thus causing fluid loss.
  • Choose hydrating foods. Some foods, such as watermelon, cucumbers, tomatoes, and strawberries, are largely water-based and can contribute to overall hydration. Include these foods in your summer diet to promote good hydration and support athletic performance.

Adequate nutrition

 

In addition to hydration, nutrition plays a fundamental role in promoting athletic performance and muscle recovery. During the summer, heat and intense physical activity can put a strain on our bodies. It's important to provide the body with the nutrients it needs to sustain energy and promote muscle recovery.

 

 

Here are some tips for proper nutrition during the summer:

  • Consume complex carbohydrates. Carbohydrates are an important source of energy for the body. Opt for complex carbohydrates such as whole grains, brown rice, quinoa, and sweet potatoes. Avoid refined carbohydrates and added sugars, which can cause blood sugar spikes and energy crashes.
  • Eat high-quality protein. Protein is essential for muscle repair and growth. Eat lean protein sources like chicken, fish, eggs, legumes, and low-fat dairy products. Protein also helps reduce hunger and keep you feeling full for longer.

 

  • Supplement with fruits and vegetables. Vegetables and fruits are rich in vitamins, minerals, and antioxidants. Eat a variety of colors to get a full range of nutrients. Antioxidants help combat oxidative stress caused by intense physical activity and heat.
  • Pay attention to meal timing. Eating regularly and balanced is essential for maintaining energy during physical activity. Eat light, frequent meals to avoid a heavy stomach during exercise.
  • Make sure you eat a full meal at least a couple of hours before your workout.
  • Avoid heavy foods and saturated fats. During the summer, avoid heavy foods high in saturated fats, which can slow digestion and cause fatigue. Opt for light, fresh, and nutrient-dense foods.

In conclusion, maintaining proper hydration and nutrition during the summer is essential to promote athletic performance and muscle recovery. Maintaining adequate fluid balance, consuming nutritious and balanced foods, and paying attention to meal timing are some of the key strategies for maximizing physical performance and promoting optimal health. Remember to always consult a health professional for a proper dietary plan based on your individual needs.

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AQUATIC PHYSIOTHERAPY AND POOL REHABILITATION

Physiotherapy

Physiotherapy is a branch of medicine that aims to restore patients to a normal state following trauma, illness, or surgery. Rehabilitation can be performed in a private practice or clinic, equipped with treatment tables, a gym, and a designated exercise area, or in water, or even better, in a fully equipped pool.

 

Water physiotherapy

Since there is no gravity in water, we don't perceive our body weight. Therefore, patients with functional limitations, obesity, or simply advanced age will be able to feel more independent in an environment like a pool or the sea. In fact, in water, we perceive that some seemingly difficult movements can become easier, thanks in part to the buoyancy that will lift us upward.

 

 

Pathologies most suitable for aquatic physiotherapy

Cardiovascular and respiratory conditions are certainly the most beneficial because blood circulation, breathing rate, and movement are facilitated, allowing those unaccustomed to physical activity to move more easily. However, in water, we encounter resistance that can be used to train or rehabilitate the body. It helps us stay afloat, allows us to be aware of the surrounding space, and therefore trains our coordination and body awareness.

 

Post-surgery physiotherapy

Water's resistance can be exploited to create and invent a variety of exercises aimed at strengthening muscles. For example, following lower limb surgery, patients lose their independence and the ability to walk, so water can be an excellent tool for re-educating patients to return to this physiological activity. The important message is not to recommend aquatic physiotherapy as a fundamental part of the rehabilitation process; rather, we must be aware that, as terrestrial animals, accustomed to gravity, we need to rehabilitate in our natural habitat.

If post-surgical physiotherapy were performed entirely in water, the patient might experience difficulties, for example, when returning to a sporting activity outside of the water. If the opposite were true, there would be no harmful consequences, but modern physiotherapy thinking does not suggest any contraindications to aquatic physiotherapy, but rather guidelines that should be followed as much as possible. Therefore, a hypothetical patient could easily complete part of their rehabilitation in water without experiencing any consequences.

 

Water physiotherapy, we recommend:

  • Check that the pathology that afflicts us is suitable for aquatic rehabilitation.
  • Do a comorbidity check
  • Have no open wounds or post-surgical stitches
  • Have no acute infections or inflammations
  • Walk in deep water if you have obesity, a sedentary lifestyle, swollen ankles, impaired venous return, cardiovascular, and respiratory problems.
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EXPOSURE TO SUN RAYS

The sun, positive and negative effects

The sun is our friend, but it can sometimes betray us. We must learn to know it and relate to it correctly.

Sun exposure brings numerous benefits, for example to the bones, the psyche, but in summer and especially during the hottest hours, it can create complications for our body.

 

 

Excessive and prolonged exposure of the body to the sun's rays causes the terrible "sunstroke" with generalized disorders, but first or second degree skin burns are also very frequent.

In particular, first-degree burns, also known as superficial burns, are the most common after prolonged sun exposure and are characterized by deep involvement of only the epidermis, the most superficial layer of the skin. Treatment involves dressings with specialized aids, and healing occurs within a few days. Second-degree burns, on the other hand, are more serious and involve both the epidermis and the dermis. Healing takes longer and requires complex dressings, sometimes even requiring surgery with skin grafts.

 

Skin protection

All of these conditions can obviously be prevented with the right precautions. First and foremost, it's essential to avoid sun exposure during the hottest hours of the day (from 12:00 PM to 3:00 PM). It's also important to properly apply sunscreen, using high-quality products with an SPF of at least 50+. After the beach, it's important to moisturize skin stressed by the sun's rays with after-sun moisturizers.

 

 

Solar radiation also causes numerous aesthetic disorders such as annoying sunspots or actinic spots. They arise after prolonged and repeated exposure to the sun without adequate protection and their treatment is based on chemical peels or laser therapy.

There are a few precautions to follow to avoid even serious consequences with damage that in some cases can even be permanent.

Take care of your skin and it will thank you.

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BENEFITS OF THE SEA

Benefits of the sea

In water, our body weight becomes zero, and due to the buoyancy, it's easier to ignore our weight. However, this depends on the depth of the water covering our body. The more surface area of our body is immersed in water, the more resistance we'll encounter, which can be used to train our cardiovascular and musculoskeletal systems.

Walking in deep water can be beneficial for vascular conditions such as phlebitis or venous insufficiency, vascular disease, or neurological conditions such as Parkinson's disease or multiple sclerosis. It's also very beneficial for obese or sedentary patients. Immersing yourself in water facilitates standing, resistance training, and therefore movement.

 

Water therapy and weightlessness: pros and cons

However, water therapy is often recommended for conditions such as disc disease and lumbago without having carried out a sufficient assessment.

In reality, water has no negative effects, but the specialists' advice is wrong. The absence of gravity in water can be a useful factor for certain pathologies, but it is wrong to advise against doing so. hydrokinesitherapy at all costs for disc pathologies. Water cannot be defined as a harmful element for the body, but Continuous exposure to zero gravity (as for example for swimmers and astronauts) can lead to multiple problems, such as ligament laxity and even spinal problems, as the spine is no longer accustomed to supporting the gravitational load.

 

Swimming or walking in water aims to strengthen muscles, useful for example for the knee joint, doing physical activity to help the cardiocirculatory rhythm, and doing physical exercise useful for general health, but certainly cannot have the aim of reducing back pain.

Many patients choose, even under medical advice, to go to the pool for meniscal, arthritic, or post-operative issues. This can be effective when the patient feels the need to move. Everything becomes easier in the water, however, rehabilitation cannot be reduced to water lessons, as the body needs to rehabilitate while carrying weight, and therefore on dry land. We are terrestrial animals, therefore constantly subject to gravity, and for this reason, rehabilitation is designed to bring the patient back to their natural habitat.

Correct rehabilitation

For example, some patients who underwent knee cruciate ligament surgery or hip replacements received post-operative treatment recommendations from their doctor, which included only hydrokinesitherapy and walking. A year later, these patients, having failed to undergo proper rehabilitation, are at risk of chronic inflammation such as tendinitis, postural problems, back pain, and other conditions. This leads to the need to consult a therapist, which they could have avoided if they had followed the correct post-operative protocol.

Claiming that doctors often give incorrect advice may be inappropriate, but it helps patients better understand the causes of certain problems, which often remain unresolved or difficult to resolve.

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WATER THERAPY FOR BACK PAIN

Water therapy for back pain: benefits

Water is an extraordinary element, with multiple positive effects, and is often used in rehabilitation and orthopedic practices through hydrokinesitherapy. In a pool or in the sea, our body's actual weight is eliminated because gravity is absent. This phenomenon eliminates the load on the joints. By following this principle, reducing the load and stress, patients with back pain will be free of negative stimuli that could worsen the symptom.

 

Water therapy for back pain: contraindications

Recent studies on disc pathologies have highlighted contradictions with the multiple medical indications regarding water therapy.

One of the most common causes of lumbago Discogenic pain, caused by the intervertebral disc, is a spinal problem that can lead to multiple consequences. Several observational studies are unclear as to whether unloading or loading the disc is more appropriate, but they do provide some very interesting answers.

From the studies of Andrew J Teichtahl et al. on the relationship between physical activity and mean intervertebral disc height, it was seen that some stimulations had a positive effect, while the absence of them had a negative effect. Therefore, the possibility that low levels of physical activity could have detrimental effects on maintaining disc integrity is high. This analysis makes us consider whether there are useful exercises for patients with disc problems, and above all, which ones can benefit the disc.

 

Lack of weight bearing and back pain

A very interesting study conducted by Treffel Loïc et al. evaluated the consequences of weightlessness for astronauts. It was observed that upon their return from space missions, numerous astronauts had developed symptoms of back pain (LBP), and many had also developed herniated discs. It is therefore fair to ask how much weightlessness (and therefore the absence of stimuli to the spine) may have played a key role in the onset of herniated discs or low back pain.

Absence of weight bearing is a negative factor. Patients should not be advised to avoid weight bearing at all costs, such as walking, standing, or avoiding daily activities simply because they have back pain. Instead, it is important, starting with a careful assessment, to understand the amount of weight bearing they can tolerate, or better yet, reduce the symptoms.

 

Negative effects on the back due to the absence of gravity

Other studies on astronauts have documented three negative phenomena in particular linked to prolonged absence of gravity:

– lengthening of the spine on the longitudinal axis; in a postural context it was found not to be correlated with a state of well-being;
– decrease in lumbar lordosis
– herniated disc
– muscle atrophy

Furthermore, once the astronauts returned to normal gravity, recovery was anything but quick, requiring long courses of physiotherapy and muscle trophism recovery.

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THE POSTURE

POSTURE IS “THE POSITION OF THE HUMAN BODY IN SPACE”

Static and dynamic posture

Two types of posture can be defined:

– Static Posture, that is, the one assumed for example while sitting in front of a computer.

– Dynamic Posture, an activity where various factors come into play (neurophysiological, biomechanical, emotional, psychological and relational).

 

Having good posture is therefore important not only because it makes you feel better but it is also healthy for your muscles, joints, blood circulation and the mind.

There are three useful elements for analyzing posture:
1 spatiality : that is, the relationship of the body in the three axes of space
2 antigravity: that is, the most correct position and with the least energy expenditure that our body assumes under the force of gravity
3 balance : the body in static and dynamic positions assumes a position of equilibrium depending on the environmental stimuli it receives from the outside.

 

Posture and psychology

A key point is the relationship between psychology and posture.
Our language is both verbal and nonverbal, and in this regard, our posture is a clear consequence of emotional states, stressful situations, trauma, and antalgic positions in the presence of pain. For example, a very closed and introverted person, perhaps with visceral issues, will certainly have hunched shoulders and a pronounced dorsal kyphosis.

 

There is no ideal correct posture; each of us has our own posture, which must be as suitable and functional as possible on a static and dynamic level of movement.
Therefore, those who have very sedentary jobs are advised not to prolong the same posture for many hours and to take short breaks by changing positions frequently to avoid experiencing pain caused by a prolonged altered position.

 

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SMART WORKING AND ITS CONSEQUENCES

COVID-19

 

March 10, 2020, a date forever etched in our memories: Covid-19 entered our homes, causing significant repercussions on our lives and habits. It was an unprecedented time of fear and uncertainty; humanity was completely unprepared to face such a pandemic.

 

Anxiety and fears

We were forced to stay indoors to prevent the spread of the virus, creating anxiety and fear in many people, and avoiding all social contact. There was a sense of impending doom. Leaving the house had become difficult, shopping for groceries created a mix of anxiety and relaxation along those endless lines, and buying the necessities seemed indispensable to get through the days at home. Somehow, society responded, dictating both life and work rules.

 

Smart working

Indeed, although it was already a widespread practice in some companies, working from home was an integral part of that historical period. Hours and hours spent at home working in front of the computer, without having had the time to transform our homes into offices. Kitchen chairs and tables were converted into work tools because humanity cannot stop, even in the face of disaster or war. Our instinct is to keep going, and society will increasingly push us to do so.

 

 

Psychophysical discomfort

All of this creates enormous feelings of stress; the Covid-19 pandemic itself has made us more uncertain about the future. Hours and hours of working from home, fixated on the future, sitting on a couch or in bed. Your boss calls and emails you as if they'd never looked out the window: the important thing is the business, even in these situations, and the context becomes less relevant.

So, as we know, at the end of the lockdown, many people were left suffering from various aches and pains or feelings of physical discomfort, which required the intervention of specialists such as physiotherapists, manual therapists, and psychologists.

 

Negative aspects of smart working

Researchers have observed a significant increase in back pain after working for days at home. This can only be explained by looking at things from a holistic perspective on medicine and health, which considers multiple aspects of the problem. Humans are greatly influenced by their environment. Stress, fear, anxiety, prolonged incorrect postures, and furniture used as workstations are all factors that can lead a person to suffer from specific pain, which can worsen and become debilitating.

 

Incorrect posture

Many patients think they can work for hours on end on chairs that are typically used in the dining room: rigid, small, with low backs and often unsuitable for the table, which is either too high or too low.

Therefore, when working from home, it becomes essential to consider the height of the table, to find a position that does not force the body to bend forward, thus avoiding prolonged joint stress over time.

 

It's also very important to sit in a comfortable, soft chair with a high backrest that can rest your back during breaks or that can help maintain correct posture, preventing strain on other musculoskeletal structures.

During the initial assessment, patients may mention working remotely, even sitting or lying on the sofa or bed, which appears comfortable and pleasant, but which can be very dangerous for their back health if continued over time.

 

Positive aspects of smart working

However, it's also important to consider the positives, not just the negatives, of working remotely: for example, avoiding traffic, setting your alarm later, or staying in a comfortable environment. Families themselves have been able to spend more time together thanks to smart working.

But think about what would happen if work were completely structured from home! People would become socially isolated, and relationships with colleagues would be rarer. Perhaps a middle ground would be the best option, allowing workers to better organize their time and tasks during the week.

 

Therefore, it's important to organize your work from home so as to maintain proper posture, also to avoid back pain and discomfort and prevent harmful consequences. The body is fragile, and we must protect it from all external forces, both physical and emotional, that undermine our balance and, therefore, our well-being.

 

In conclusion, smart working today makes us reflect on what the future of work could be. We must therefore understand and share with our patients the best advice for performing it correctly, in order to prevent any future pain and discomfort.

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THE PAIN

The pain

Pain is a mechanism of the human body that is still extensively studied and not fully understood, and for this reason it deserves our attention.  Pain is not a symptom, but an unpleasant experience of our body.

In 2020, the IASP “international association for the study of pain” defined pain “an unpleasant sensory and emotional experience associated or appearing to be associated with actual or potential tissue damage.”

So pain isn't just an unpleasant experience, but also includes other elements such as sensations and emotions. This suggests that it's possible to feel pain even without actual injury.

The individuality of pain

Pain is a process our brain makes, it warns us that something is wrong inside our body. It's not necessarily associated with actual damage, so all the emotions and sensations we experience are completely subjective and personal. It's impossible to attribute the same painful symptoms to everyone; each of us will have a different and individual response. But why all this?

Pain is a hedonic experience, always personal and entirely individual. Two people with the same problem experience different pain situations, influenced by different factors. It's a mistake to underestimate or minimize the patient's sensations. The perception of pain is always real, so all the patient's bio-psycho-social aspects must be taken into consideration.

Pain is a multidimensional experience—sensory and emotional—and the nociceptive system alone cannot explain it. Pain isn't written in nerve conduction, nor in the thalamus, but in the individual.

Pain is not just something we feel in our bodies but something we experience deep within our souls.

Perception of pain

I want to give you some tangible examples of how pain can behave in people.

A few years ago an Australian surfer was attacked by a shark, losing a leg. The surfer reported never having felt pain, neither during the shark attack nor afterward in the hospital. This explains how the processing of painful information was individual. Probably because, in shock, the person did not focus on the pain, but on other sensations unknown to us. We are still talking about rare, but real, events. Another, more common example is phantom limb disease, where the patient reports pain in an area of the body that is no longer present, as in war veterans and children who lost their legs to landmines. These patients report precise and tangible pain, for example, describing in detail the sensation in their fingers even though they no longer have the anatomical structure that connects them to the painful sensation.

Muscle Pain

All this leads us to reflect that in many patients, for example with muscle painPain does not always come from easily recognizable structures, it often derives from more complex factors, not attributable to just one structure.

Even in athletes, pain is associated with tissue damage, as if it were a simple and precise equation. However, we often have patients complaining of muscle pain, who, diagnostically, appear to be "as fit as a fiddle." The patient expects us to provide a clear and specific explanation of the problem, when in reality we can simply offer a series of hypotheses.

This chapter on pain should not confuse or raise doubts in the reader, but rather aims to help understand how complex some mechanisms of the human body are and how only a multifactorial approach can help the patient, especially in the long term.

What therapies should be used to relieve muscle pain?

Physiotherapy together with manual therapy, must investigate the mechanisms affecting the patient, carefully assessing whether the associated problem has a specific or undefined origin. Muscle pain affects a large portion of the population, and the common feeling is that of seeking treatment to eliminate the symptom.

There are many instruments that therapists can use, let's always remember to evaluate The patient's needs and the origin of the problem should be carefully considered. Simply engaging with the pain and the painful symptom is a first form of attention that the patient will surely perceive as pleasant. Therefore, simple therapies aimed at eliminating the perception of pain at its source should never be underestimated.

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THE IMPORTANCE OF WATER

The importance of water in the human body

The importance of water: Our bodies are composed largely of water. Drinking water is essential for life; in fact, a water fast cannot last more than three days. Water, like vitamins and minerals, is considered a non-energy component of the diet, as it provides no calories.

Human water content varies significantly depending on age, build, and diet. Furthermore, organs and tissues are hydrated differently. When young, we have significantly higher water content, especially in soft tissues, skin, and connective and subcutaneous tissues. As we grow, our water content progressively decreases from an average of 751 TP3T in infants to approximately 501 TP3T in older adults.

 

 

 

The importance of water in our body

Water plays an extraordinarily important role in the human organism as it is an element necessary for the correct maintenance of vital functions (digestion, excretion, nutrient transport, respiration, thermoregulation).

In fact, life depends on the accessibility of water, whose supply must be continuously guaranteed for these vital functions to take place. Quantitatively, water is the main constituent of the organism: in a man medium-sized adult (70 kg) represents approximately the 60% of body weight; the women, compared to humans, have a lower water content, equal to approximately 50% of body weight; in the newborns this percentage reaches 75% of body weight. The need to drink water for humans (about 2-2.5 liters per day) can vary depending on the person's physiopathological conditions.

In particular, water within the body performs the following functions:

 

    • regulates cell volume and body temperature
    • allows the body to absorb and assimilate minerals, vitamins, amino acids and other substances
    • aids digestive processes
    • enables the transport of nutrients to cells and oxygen to the brain
    • promotes the removal of toxins and metabolic waste
    • acts as a lubricant for joints and muscles

 

 

 

 

How much water should you drink?

 

If we want to know exactly how much water our body needs, we just need to do a simple operation: multiply the kg of our weight by 14.2 and then divide by 113The answer is the number of glasses our body needs.

 

 

 

 

How to choose water to drink

The values and information we must learn to read on water labels are:

 

 

    • The fixed residue: Fixed residue, measured in mg/l, is the quantity of inorganic minerals contained in one liter of water, i.e., the dry residue remaining after evaporating one liter of water at 180°C. It is recommended to have water with a fixed residue of less than 30 mg/l.
    • The pH value: pH is a magnetic value and measures the degree of acidity/basicity. The determination of pH in order to achieve or Maintaining excellent health is extremely important because the human body tends to oxidize, or become alkaline, as it ages. It is recommended to drink between 1.5 and 2 liters of pure water every day, with a pH between 6.4 and 6.8.
    • Oxygen: We also ingest useful oxygen through water because, passing through the stomach walls, it enriches the venous blood reaching the liver. A high oxygen content (ideally at least 7 mg/L) in water can therefore contribute to the proper functioning of this organ.
    • Nitrates: It's important to keep the nitrate content low because there's a risk of nitrosamine formation in the human body after ingesting nitrates or foods containing amines. It's recommended to choose water with a maximum nitrate content of 5.0 mg per liter.

 

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00195 Rome
Tel. (+39) 06 39375719
Fisio Flaminio - orari apertura
OPENING HOURS
Mon. – Fri. 8:00 – 20:00
Saturday 8:00 – 14:00
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