Duodenal Cancer

Those who are significantly overweight suffer from a host of life-threatening, obesity related health conditions, referred to as co-morbidities. The most common of these include Type 2 diabetes mellitus (adult onset diabetes), high blood pressure, and high cholesterol. The higher an individual's body mass index (BMI), the more prevalent and severe these co-morbidities become. The "super obese" those with a BMI over 50 are at particularly high risk. Achieving sustained weight loss as well as resolving related health conditions are the two main objectives of weight loss surgery at our San Francisco practice.

Options for the Super Obese

Gastric bypass surgery (Roux-en-Y) is the traditional surgical approach to helping the super obese reduce their BMI and eliminate related health conditions. In recent years, however, studies have shown the duodenal switch procedure to be more effective both in terms of weight loss and in resolving co-morbidities, particularly for the super obese.

Pacific Laparoscopy has pioneered the laparoscopic duodenal switch procedure, which combines the benefits of both restrictive and malabsorptive procedures. The stomach is made smaller and part of the small intestine is bypassed. However, by keeping the pyloric valve intact, and retaining part of the duodenum, this procedure maximizes the digestion of food by the stomach and minimizes nutrient loss.

Traditional gastric bypass surgery bypasses the pyloric valve and the duodenum and connects the stomach directly to the small intestine. While both duodenal switch and gastric bypass result in significant weight loss and resolution of related health concerns, recent data indicates that independent of weight loss duodenal switch surgery produces a marked increase in the rate of resolution of co-morbidities.

Evidence Supports Duodenal Switch

In an extensive 3 year post-operative study of 350 super obese weight loss surgery patients, Vivek N. Prachand, MD, assistant professor of surgery at the University of Chicago Medical Center in Illinois, compared gastric bypass to duodenal switch (DS) in terms of how effectively each resolved several life-threatening health conditions. Of the participants, 198 were DS patients and 152 were gastric bypass patients. The study found the following rates of co-morbidity resolution:

Diabetes 100% of DS patients compared to 60% of gastric bypass patients

High blood pressure 68% of DS patients compared to 38% of gastric bypass patients

High cholesterol 72% of DS patients compared to 26% of gastric bypass patients

Remarkably, the rate of resolution correlated to the procedure type, rather than the amount of weight the patient lost. Regardless of weight loss, those in the DS group resolved these health problems at a significantly higher rate than those in the gastric bypass group.

There are several theories as to why duodenal switch resolves obesity related health concerns more effectively than other weight loss surgeries, but no clear answers. One factor may be that the unique gastrointestinal configuration used in the duodenal switch procedure preserves more natural digestive functioning. Other theories have to do with the causes of obesity and how the endocrine system is affected by each procedure.

What the Future Holds

These recent findings have provided some answers and brought about many more questions. While research will continue into the many complexities of this issue, mounting evidence supports duodenal switch as an effective alternative to gastric bypass for the super obese.

duodenal cancer

How Do You Get Cancer

Many of us are asking, how do we get cancer? There are a range of cancers and research is being carried out around the world by scientists looking at causes and endeavoring to find cures. It is recognized that smoking is a major contributor to cancer.

First we have to understand what is in a cigarette and the fact that people who do get cancer are normal human beings like everyone else. Anyone can get cancer, but smokers are definitely more prone to cancer. Smoking causes deadly diseases in the body including those related to skin, respiratory, throat, gastrointestinal and lungs. A cigarette contains more than four thousand harmful chemicals that include carcinogens or also know as cancer-causing chemicals, these chemicals play a big role.

Imagine what a smoker does to their lungs, heart and other organs by smoking. Chemicals are added to a cigarette to make the smoker believe that it is good for them, in the sense that they think it calms them down or lifts them up. This is all an illusion performed by the chemicals. In actual fact there is no addiction there, the 'need' to smoke a cigarette is purely an immensely strong habit. Therefore it is not surprising that the most common disease that occurs when one smokes, is cancer.

There are many different types of cancer that are caused in different ways and effect different areas of the body. Skin cancer as an example; a recent medical research conducted in Europe says that smokers are 80% more likely to be diagnosed with skin cancer than non smokers. The research report also reveals that the number of cigarettes that are smoked on a daily basis is directly related to the risk for skin cancer. Smoking damages skin as it reduces the amount of oxygen flowing into the blood stream. Toxic chemicals in cigarettes also damage skin cells that develop cancer.

Lung cancer is another type that is largely caused by smoking. Studies and observations prove that the root cause of lung cancer is smoking. Smoking plays a fundamental role in harming the respiratory system of the human body. The carcinogens cause cell damage of all the key organs of the body, leaving them damaged. The risk of lung cancer increases with the length of time a smoker exposes ones lungs toward harmful oxidants. The number of cigarettes a person smokes per day also plays a big role, therefore the more a smoker smokes, the higher the risk of lung cancer.

Gastrointestinal cancer is the last type that I will touch on. This cancer it also very common and is more prevalent in smokers than non smokers. Deadly chemicals in cigarettes produce ulcers in the intestinal walls; these further develop into gastrointestinal cancer.

Medical science proves that smoking weakens the immune system of a smoker's body, leaving it more vulnerable to all cancers and other fatal diseases such as emphysema.

The question of how we get cancer is complex, as there are so many types and causes of cancer. Add to this, there are more being discovered every day. In the end, the question of the relationship between smoking and cancer is a no brainer. To read more about this and other health related topics go to http://masteryourlifepower.com/

how do you get cancer

Ovarian Cance

Roughly ninety percent of women develop ovarian cysts through their child bearing years. Even if the cysts usually disappear by themselves, that doesn't mean you can disregard the condition because occasionally, they could become serious.

Below are several common ovarian cyst symptoms:

Pain during sex

Pain in the pelvic area before or during your menstrual period

Hormonal imbalance which causes irregular and missed menstrual periods

Vaginal spotting

Swelling or feeling heavy around the stomach

Pain or feeling pressure in the bladder or rectum

Signs of pregnancy - tenderness of breasts and nausea which could be misleading


Instant severe pain caused by ruptured cysts

It is necessary to see a physician or any professional healthcare once you start to experience any of the mentioned signs. If you develop a fever and feel a sharp pain in the lower part of your abdomen that means the cyst could have already ruptured so seek medical assistance at once.

Ovarian cysts are by nature asymptomatic so women might never know that they already have or had them. There actually are no symptoms and if ever there are, they don't show in the early stages. Some women might never even in any way experience any symptoms or complications connected with ovarian cysts.

Unfortunately, sometimes women do experience the pain and sufferings associated with ovarian cysts. They go through majority if not all the signs mentioned earlier. Painkillers, birth control pills and surgery are among the conventional methods of treating ovarian cyst symptoms. These are all temporary because they don't deal with the root cause and the cysts usually come back.

A lot of women nowadays choose the natural method of treating ovarian cysts as it is a permanent cure. For the reason that several side effects and possible complications can be caused by medication, this option is not preferred if a woman experiences mild to moderate ovarian cyst symptoms. The natural method of treating ovarian cyst symptoms includes changes in the diet, cleansing practice, detoxification, the correct exercise program and dietary supplements.

The natural holistic method of treating ovarian cysts permanently is the most effective. It covers all possible areas such as listening to exactly what your system is attempting to tell you.

After identifying the root cause, you will be forever free of ovarian cysts.

ovarian cance

Aggressive Prostate Cancer

Prostate cancer is a form of cancer that develops in the prostate gland. An estimated 15% to 20% of American men develop prostate cancer during their lifetime. Prostate cancer can cause pain, difficulty in urinating and erectile dysfunction. Prostate cancer differs from most other cancers in the body due to the fact that it typically remains dormant for many years. However, in some men prostate cancer can become aggressive. Prostate cancer is considered to be aggressive when the cancer cells metastasize. This is the process whereby it spreads from the prostate gland to other parts of the body, particularly the lymph nodes and the bones.

Men typically seek medical treatment when they begin to have serious urinary problems. These problems are often indicative of prostate enlargement. Symptoms of prostate enlargement can include but not be limited to the following:

1. Frequent urination
2. Urinary urgency
3. Straining to urinate
4. Difficulty starting
5. Incomplete emptying of the bladder
6. Inability to urinate at all
7. A weak urine stream
8. Terminal Dripping
9. A sensation that the bladder has not completely emptied

It is important to note that symptoms of prostate enlargement are not necessarily signs of prostate cancer. These symptoms may simply be an indicator of an enlarged prostate gland. Physicians perform various tests before determining that a patient has cancer. If cancer is present the physician can discuss various treatment options and recommend the best treatment for each patient.

There are various methods for treating prostate cancer. One treatment method involves the use of radiation seeds. Radioactive seed implants are a popular form of radiation therapy for prostate cancer. This procedure is called brachytherapy or internal radiation therapy. There are two types of prostate brachytherapy. They are permanent brachytherapy and temporary brachytherapy.

Permanent brachytherapy also called seed implantation is a method whereby radioactive seeds or pellets (about the size of a grain of rice) are placed in or near the tumor and leaving them there permanently. Over time the level of radioactivity diminishes so that after several months the radioactivity level of the implants will be practically zero. These inactive seeds are allowed to remain in the body because they present no further effect on the patient.

Temporary brachytherapy refers to the use of implants such as hollow needles, catheters or balloons filled with fluid which are inserted into or near the cancer for a specific period of time. These implants are removed after the treatment has ended. This method can be used with either low-dose or high-dose brachytherapy.

A patient having brachytherapy will usually be treated in a hospital on an inpatient basis. The primary reason for this is to protect others from the effects of the radiation while it is active inside the patient's body. The physician will determine the amount of time the implant will remain. If is it a low-dose implant, it could be left in for several days whereas high-dose implants may be removed after only a few minutes.

Side effects of brachytherapy include urinary problems which can include frequent urination, urgent urination, slower urination and urine streams that are so weak that the patient is unable to empty their bladder. Burning during urination can also occur. Rectal side effects include rectal urgency, rectal frequency, rectal bleeding or discomfort. Erectile
dysfunction (ED) can also occur immediately after the implant.

Side effects of brachytherapy are typically mild and short-term. However, because people respond differently to treatments, some side effects can be long-term. Brachytherapy is typically associated with a reduced risk of side effects compared to other treatment options for prostate cancer.

aggressive prostate cancer

Preventing Utis

Pain while urinating and blood in your urine are often a signs of a UTI (Urinary Tract Infection). UTIs are usually the result of bacteria in your urine. How the bacteria ends up in your urinary tract systems is not always clear but some people are more prone to frequent UTIs than others. Many UTIs can be treated naturally.

Urinary tract infections are often treated by antibiotics (which can have side effects such as nausea, diarrhea or allergic reactions) or the home remedies listed above. Home remedies may help decrease the number of bacteria or provide UTI relief, but rarely can completely eliminate the infection itself.

Homeopathic remedies may be used to treat UTI infections and the resulting symptoms. The specific homeopathic remedy chosen will depend on the symptoms being addressed. Belladonna is often used to treat UTI infections in which the urge to urinate is frequent and intense. Those who fail to pass a normal amount of urine can benefit from Clematis. Sarsaparilla is a good choice for those who have not had success in treating the UTI infection with other remedies. However, homeopathic remedies can be confusing and difficult to choose from without the help of a qualified homeopathic practitioner.

There are many natural solutions you can use to try and resolve a UTI. The most popular one is cranberry juice. Cranberry juice flushes out your urinary tract without allowing the bacteria to cling to the walls of the urinary tract. You can either drink pure cranberry juice, or take cranberry tablets. If you do use the juice, make sure its it is pure cranberry juice and not cranberry juice "cocktail".

When dealing with a chronic UTI is to make sure that the body stays properly hydrated. Drinking water helps the body stay properly hydrated. Many people contract UTIs because they have a weakened immune system. Having a poor diet and eating too much sugar can cause a person to have a weakened immune system.

Urizol, a natural urinary tract formula, can be used to treat UTI infections effectively. Urizol is a safe herbal supplement with a special proprietary blend of substances to treat UTI infections and relieve symptoms quickly. Urizol is well researched and clinically proven to not only treat UTI infections, but also help prevent future infections. By taking just one capsule of Urizol every morning and evening, you will soon find relief from the painful symptoms of UTI infections.

preventing utis

Cranberry Softgels

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Cancer Researcher

When doing a research where it is institutional research projects or school related like biochemistry research, it is important that the materials used are of good quality and dependability.With the chemical research materials used can also influence the success of the final result.Therefore getting the right materials has to be done in order to be successful.

If Looking for on-line research chemicals dealers then Research-drugs.com is a hot spot to visit.The site is made to provide specific chemicals, like if you desire to buy MDAI, Benzo Fury, 6 apb, and similar products.These Chemical substances are of excellent quality that will help in your research projects.The sites objective is providing excellence and quality in the transactions made with their customers.Being a UK based supplier of said chemicals, Research-drugs.com has a good reputation in what it does.

The items for sales are priced so that it will be affordable to the purchasers.There are materials directly from the manufacturing firms that is what's nice about this online company.That they require the manufacturers to offer them materials of good quality.In the dealings a certificate is provided by the manufacturer itself.The purpose for the certificate is to assure that at least a 99.8% of purity could be taken from the materials.Now with the certification the researchers are guaranteed with the materials they use.On one more note, with the direct contact it assisted them in providing little and big level customers.This means they could be the supplier of big scale research projects supplying the needs of such customers like a company or just be a supplier of a student who wants to make a science project.

Primarily on the list of chemicals that they supply is Benzon Fury.This investigation chemical is either on a pellet form or hand sachets manner. They are the most current item that has been unveiled.In coming up with this chemical, a comprehensive evaluation and assessments has been carried out to ensure the security of the researchers who will use it.The next product for sale is a compound that can be a substitute of methylone, this is if you want to Buy MDAI. Its highly selective serotonin releasing agent in vitro, having a sparkling white crystal appearance.Precautionary measure has to be done when using these chemicals, as they are harmful to humans.

The purpose that the web site follows is to provide the most and best service to help in the needs of its customers.With a top quality of materials on hand chemical substances like 6 apt will certainly allow your research to yield the results wanted.They also guaranteed the protection for the chemicals as they did a good packaging by making it more secured.

Look no further than research-drug.com to get a hold of the products you require in your research. You will definitely gain an upper hand against the others in accomplishing your research project.

cancer researcher

Spleen Cancer Symptoms

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Abdominal Trachelectomy

From the pages of this site you will learn how to get rid of abdominal fat and significantly improve how you look and feel. Not only can you get rid of that trying abdominal fat quickly, you can also learn new habit that can take care of both upper and lower abdominal fat issues.

Be you sick of that spare layer of "muffin top" fat peeking more your slacks. Make you forever turn to the side when looking in the copy to see if your belly is bulging. But these scenario sound known, you are among the millions of Canadian looking for a flatter belly for bikini season.

The good news is there are exact foods laden with class calories that can be the ideal answer to melt fat away from your mid-section eternally.

Include you tried the lot under the sun to get rid of your belly fat only to gain even more weight? Make you have a hard time leaving out in public always mood like people are talk about your weight? Are your poise shot and your hopes cracked after failed attempt to reduce belly fat time after time?

Abdominal Fat Causes

The immediate cause of obesity is net energy imbalance - the organism consumes more usable calories than it expends, wastes, or discards via elimination. The original cause of obesity is not well silent, but is most probably a mixture of the organism's genes and setting.

Stout accumulate in the lower body (the pear shape) is subcutaneous, while fat in the abdominal area (the apple shape) is mostly gut. Where a woman's fat ends up is influenced by several factors.

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Menopausal symptom is nature's wake up call to let you know to need to start paying more attention on your health. The plan in west is to stop the symptom, end the problem. But Ayurveda doesn't want to cover the symptoms. It needs to carry the body back in balance.

Yoga has proved able in curing some health linked problems. One can practice Yoga to regulate breathing, increase the body flexibility, regulate the heart rhythm, lose weight, get rid of asthma, etc. into fact, study have bare that Yoga can make you live longer.

Abdominal Fat Treatment

Mix the juice of one lemon with a glass of warm water, and consume this on an empty stomach early in the morning. Things will evident within a few days because the key is known to clean the body of all toxins.

Most nation who are round point the finger at their trade after that stress of creation a source of revenue representing their incapacity to have decent moreover progress as much as necessary exercise.

Lots of people now day are very edgy due to fat and weight problem. Every and every one wants to look fit and fine so the largest problem is how to cut fat. There are many yoga workout and fitness diets to keep ourselves fit. There are some tips to cut abdominal fat

abdominal trachelectomy

Simple Trachelectomy

Table of Contents

  1. Simple breading recipe
  2. Easy Breading Recipe
  3. Items that you need to have
  4. The Breading Recipe Ingredients
  5. Flour, Eggs, and Bread-Crumb Mixture
  6. Flour First
  7. Into the Egg-Wash
  8. Place into the Bread Crumb Mixture
  9. Set aside whatever you are 'Breading with this recipe'

  1. Simple breading recipe
  2. Easy Breading Recipe
  3. Items that you need to have
  4. The Breading Recipe Ingredients
  5. Flour, Eggs, and Bread-Crumb Mixture
  6. Flour First
  7. Into the Egg-Wash
  8. Place into the Bread Crumb Mixture
  9. Set aside whatever you are 'Breading with this recipe'
  10. In a large fryin pan add Oil and Butter
  11. The Oil and Butter is heated ready for browning
  12. Brown on each side
  13. Place your cutlets on paper towels to absorb excess oil
  14. Simple Breading Recipe points to rememeber;
  15. Optional Onions for Pork Cutlets
  16. The onions - Onion rings
  17. The Breading Recipe
  18. Do you have a favorite or Simple Breading Recipe?
  19. If you liked something on this page click the thumbs up button!
  20. You can Bookmark and Share this page
  21. Please leave a comment or question, I always answer questions...
  22. About Karin Hiebert
  23. My other pages;

Simple breading recipe

This is the breading recipe and breading mixture and method used for breading

  • Serves: 8
  • Prep Time: 10 minutes
  • Total Time: 45 minutes

First mix the Parmesan cheese and the seasoning salt together into the Italian style breadcrumbs (Optional is to add additional Parsley, or herbs to it)


  • Whatever you are 'breading'
  • Flour
  • Eggs
  • Bread Crumb mixture as per above
  • Extra Virgin Olive Oil (or your favorite cooking oil)
  • Butter (Not neccessary I like the extra flavor)
  • 1/3 of a cup of water
  • Sliced onions or onions cut in rings
  • Lemon juice - optional perfect for a veal dish


Dip your cutlets in flour
Shake off excess flour
Dip cutlets in eggs - let excess egg drip off
Dip cutlets in the breadcrumb mixture
Set aside the cutlets
Heat the oil and butter
Place cutlets in heated oil browning both sides to a golden brown
Place on paper towels to absorb excess oil
Place cutlets in a large baking or roasting pan
optional place onion rings at the bottom of roasting pan and in between cutlets
Add 1/3 cup of water
Cover with lid
Place in a preheated 350 degrees
Bake for 25 minutes to 35 minutes
Turn oven down to 225 degrees add a little more water or lemon juice for flavor for an additional 10 minutes.

Printable Version

Easy Breading Recipe

This recipe is one of those 'I don't really measure exactly' recipes...it's more about the ingredients themselves adding your own flavors and following the 'method' of the breading mixture.
Since I am always breading anything from pounded thin veal, to thick pork chops it WILL vary.

Items that you need to have

These are the items I use...it's important to have the right 'tools' for the job.
Pyrex Grip-Rite 3-Quart Oblong Baking Dish Clear

Pyrex Grip-Rite 3-Quart Oblong Baking Dish Clear

I use this glass bake-wear for my floor. I have a second one that I use for my breading mixture.
I like to use these as they are deeper than simply using a plate and the floor or breading mixture stays put and doesn't make a mess spilling off onto my counters.

These are multifunctional and are just simply outstanding baking and roasting dishes.
I have also used them as serving platters, or have served salads in them.
They have 'handles' for ease of handling...
A must have in the kitchen.

Get 2 at least...

Buy Now

Zyliss Cook-N-Serve Tongs (assorted colors)

Zyliss Cook-N-Serve Tongs (assorted colors)

Heavy duty stainless steel tongs...
Can handle all shapes and sizes of food, even thin pastas
Safe on coated and non-stick cookware
Another must have...every kitchen needs at least one pair of good Tongs.

Buy Now

Granite Ware 6106-6 13-Inch Covered Oval Roaster

Granite Ware 6106-6 13-Inch Covered Oval Roaster

Browns better and cooks more evenly
Dark interior absorbs ovens energy
Steel core evenly distributes the heat
Glass interior doesn't alter the taste
Item measures 13 inches handle to handle. Pot on the inside measures 10.5 inches.

Buy Now

Farberware 3-Piece Poly Cutting Board Set

Farberware 3-Piece Poly Cutting Board Set

Ideal for all kitchen prep work...
Paddle-shaped serving board has channel to catch meat juices

Both sides are usable - textured surfaces reduce slipperiness...

Non-absorbent, non-porous, dishwasher safe...

Buy Now

Wusthof 4183-7 Wusthof Classic 7-Inch Santoku Knife, Hollow Edge

Wusthof 4183-7 Wusthof Classic 7-Inch Santoku Knife, Hollow Edge

Japanese-style cook's knife Made in Germany...designed for chopping, slicing, dicing
The hollows on the blade's sides prevent food from clinging...

Blade, bolster, tang forged from single piece of high-carbon stainless steel...

Buy Now

The Breading Recipe Ingredients

Ingredients needed to make this 'breading recipe' for whatever you are breading...

These are the brand names that I use...you can make your own seasoning salt, or add parsley to bread crumbs and other spices - I choose to buy the Italian style bread-crumbs to make it even easier.

I buy Hy's Seasoning Salt with NO MSG...I am severely allergic to MSG.

Basics are;

-- Flour
-- Eggs
-- Seasoning Salt
-- Parmesan Cheese
-- Italian Style Bread-Crumbs

Flour, Eggs, and Bread-Crumb Mixture

In order from left to right...

Flour First

Let whatever it is you are breading sit for a few minutes on pie cooling racks to 'dry' somewhat.

If you take the meat out of the fridge and it's moist and cold feeling and you immediately start the process, the breading won't stick as well as if it were let to 'air dry' to room temperature.

The idea is to go from 'dry' which is also why we use flour...to a wet ingredient = the eggs, back into the dry mixture - the bread-crumbs.

This makes the bread crumbs really 'stick' to what you are 'breading'

Into the Egg-Wash

From flour into the egg...

Dip into the eggs, let the excess drip off before doing the next step...

Place into the Bread Crumb Mixture

The recipe for the breading mixture is below the image.

In a long glass dish like the glass-wear I showed you earlier mix together;

-- Italian style bread-crumbs (I was breading 8 cutlets so I filled the dish about half way)
-- Seasoning Salt (depends on you- I added approximately 2 teaspoons)
-- Parmesan Cheese (same as seasoning salt- I used one table-spoon)

Evenly coat in the bread crumb mixture...

Set aside whatever you are 'Breading with this recipe'

Set aside your finished breaded chicken, pork or veal...(or whatever you're breading...)

In a large fryin pan add Oil and Butter

I add butter for additional flavor

Using Olive Oil and Butter for browning give the veal, or whatever you are browning a nice rich great flavor...
I use enough oil and butter in the pan so that whatever I am browning will brown around the sides, now just on the bottom...

Now, you can use other oils, eliminate the butter...you might be the type of person who uses a non-stick coating when frying or browning something -- and that WILL work...this is however the way I was taught, and my preference.

The Oil and Butter is heated ready for browning

When the butter melts that is the sign that you are ready for browning

This is another reason why I use butter...not only does it give additional flavor, I can see when my oil is heated...it is ready when the butter melts and starts to bubble ever so slightly.

Brown on each side

Brown both sides to a light golden brown

Place your cutlets on paper towels to absorb excess oil

I lie my cutlets on pie cooling racks with paper towels, I then place paper towels onto, and stack the cutlets on top of each other with paper towels in between.


Simple Breading Recipe points to rememeber;

What are you breading?

If it is thinly pounded veal you will not need half a glass dish of the breading mixture; if you are using this to bread thick pork chops or chicken your cooking time in the oven will be longer.

This recipe is a Simple Basic Traditional Recipe handed down from a few generations and ingredients 'exact measurements' vary.

Optional Onions for Pork Cutlets

I add onions, either sliced or cut into onion rings in between layers of the cutlets...this is completely optional... I was making it this way that evening so I thought I would add this option for you

The onions - Onion rings

I lay the cutlets on a bed of onion rings, and cover with another bed of onion, followed by and topped with onion rings...

The Breading Recipe

The cutlet are ready for the oven

Place your cutlets of chicken pork or veal (or whatever you 'breaded')
into a preheated oven with a lid for 25 minutes or so...

Every oven is different I have found...We recently moved...our last oven got hot quick and was hotter than most...personally I don't know why that is...this oven doesn't get as hot...

I would heat this at 350 degrees for 30 minutes...check how it's doing at 20 minutes - if it's steaming hot, and it looks like the cutlets have cooked further then it's pretty much done...

I add 1/3 cup of water for additional moisture and turn down the heat to 225 and let it simmer for an additional 15 minutes...

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