Detox Tea – 5 Best Detox Tea Recipes for Weight Loss

Most people are not aware that increasing tea intake can keep them hydrated. If you want to remain healthy, look for the best detox teas.

However, there are no magical techniques that can help someone lose weight without adjusting their lifestyles. There is no healthy or safe way to lose weight without being active and eating a proper diet. The food that you put in your body matters a lot. For example, if you drink tea instead of sodas, you will be healthier than many people.

Apart from being physically active and consuming the right food, drinking detox tea can aid in weight-loss very fast. Below are five recipes for best detox tea weight-loss.  

5 Detox Tea Weight Loss Recipes  

  1. Try a Fruity-Green-Detox-Tea

If you would like to grab fruity and refreshing detox tea benefits, try fruity-green-detox-tea. With strawberries, lemon and cucumber, it is one of the best detox tea when served on ice. Always mix the green tea with slices of strawberry, or cucumber and lemon slices.  

The green detox teas have numerous health benefits. It is a weight-loss jump-starter and makes you active the entire day. Preparing the tea from the teabag is one of the simplest ways to get the daily detox tea benefits as dose and combining it with some lemon-slices or strawberry-slices can give you the taste you like it. Besides, taking green tea provides short and long-term fat-burning effects.

  1. Sip a Lemon-Ginger-Turmeric-detox-tea 

Looking for the best detox tea that can enhance digestion? Lemon-ginger-turmeric-detox-tea is the best.

For example, lemon is a digestive system booster and also good dosage of antioxidants. Ginger helps to relieve nausea and helps to reduce gas and bloating. Adding turmeric, cinnamon or cayenne adds flavor and boost the immune system.

Without caffeine in your drink, the lemon-ginger-turmeric blend is one of the best detox tea you can enjoy during the day or at night. Prepare a large amount of concentrated batch, and then dilute it with hot water.

To have antioxidant boost and good flavor, prepare your tea with ground ginger, fresh lemons, and natural cinnamon sticks.  

  1. Understand the Secret-Detox Drink Recipe 

Today, most people know the benefits of Apple-Cider-Vinegar (ACV). Apart from its nutritional value, ACV helps to reduce the blood pressure.  

The secret-detox drink recipe is one recommended drink that helps to keep the energy up and also cleanse your body. It is also good for burning fat.  

To prepare the drink, you need to mix ACV with lemon juice, cayenne pepper, and cinnamon. Cinnamon will help to balance the blood-sugar. On the other hand, cayenne lowers the blood pressure. You can also add natural sweetener to enhance the flavor, but it is not necessary.  

The drink should not have a bad taste. To make the drink flavor good, you can adjust the ingredients to suit you.  

  1. Enhance your gut by preparing a probiotic Kombucha-Brew 

If you are looking for the best detox tea with several healthful properties, Kombucha is the best. It has detoxifying elements and an acid that helps to prevent cancer. The gut will also benefit from the probiotics in the drink. The probiotics also improve the immune system and enhance digestion.  

People who drink kombucha regularly obtain some of the best nutrients that include vitamins, acids, and enzymes that are important in weight-loss and giving the body a boost.  

You can add some flavors to your drink to suit you or mix Kombucha tea with fruit slices or spices. You can also look for a ready-made Kombucha at the local supermarket.  

  1. Enjoy a Parsley-and-Mint-Detox-Tea 

Did you know that the liver naturally detoxifies the body without support from other body organs? However, eating junk food, taking certain drugs and experiencing some levels of stress can damage your liver. To help it rejuvenate to finest, you need proper nutrition.

Parsley and mint-detox tea is a good drink that can help your liver and the entire body revive itself. Parsley contains both Vitamin C & A, the two main nutrients needed for ideal liver function. The ingredients are also good for boosting the immune system.

The mint helps in digestion and also help to stimulate liver function, particularly when the liver becomes overloaded.

Leave your parsley and mint slices in a glass of hot water for some hours, then add lemon juice to have a stimulating and exciting detox teas.

The Best Detox Tea for Healthy Living

Our daily encounters in life sometimes prove to be very stressful. Therefore, it is very important to have self-care products in our homes or even places of work. In order to stay relaxed and healthy, you should include a cup of best detox tea into your daily routine. This will not only keep you relaxed but also help improve your immunity and detoxify your body of toxins from unhealthy lifestyle such as too much alcohol or unhealthy food.

The following are some of the best detox tea cleanses that you should incorporate into your daily routine this season.  

  1. Yogi berry detox tea benefits

Yogi Berry detox tea is a sweet blend made from a combination of açaí berry and hibiscus. Açaí berry is a super fruit and is, therefore, the most important ingredient in the tea as it imparts bright and fruity notes while at the same time supplying antioxidants to help combat the effects of free radicals. If you are a first-time detox tea drinker, then you can enjoy this as part of your regular wellness program. It is very affordable and only goes for $20 for a pack of six. 

  1. The Republic of Tea Get Clean Herbal Supplement 

This is a herbal tea that detoxifies the liver from harmful toxins and promotes overall wellness. It is designed for a two-week detox program and comes in a pack of three divided into a morning, day and evening versions. It is highly affordable and can be purchased for only $14.  

  1. Baetea14 Day Teatox Detox Herbal Tea Supplement  

This teatox detox tea contains a blend of organic traditional herbs and natural ingredients that are beneficial to the body in various ways such as:

  • Reducing bloating
  • Helps in digestion
  • Appetite suppression
  • The fast burning of fat
  • Increased metabolism
  • Body Cleansing
  • Energy boosting

It is so far the best-selling product and gives you proper detox tea benefits with a lot of people using it to either lose weight or maintain a healthy lifestyle. It is advisable to use this tea alongside a well-balanced diet and regular exercise. It is made from green tea leaf, guarana seed, and matcha green tea. It has some caffeine aspect in it, therefore, do not drink it at night. It is also very affordable and goes for only $24.  

  1. MatéFactor Detox Medley Tea with Ginger & Turmeric

It goes for $28 for a pack of three best detox teas. It is a combination of powerful functional herbs such as sarsaparilla, turmeric, fennel seed, and ginger. This detox tea is caffeine free therefore making it the number one detox tea that you can even sip in the evening after a night out with friends or dinner with the family.  

  1. Pukka Herbs Organic Aniseed, Fennel & Cardamom Detox TeaBenefits

It is organic as it is made from fennel, coriander, cardamom, and anise. This detox tea blend is top rated because of how efficient it is. Satisfied users have praised it for its prowess in aiding in minor digestive problems such as bloating and indigestion. It retails at only $5 making it pocket-friendly.  

  1. Choice Organic Teas Simply Detox

Choice organic is a simple detox tea that detoxifies the liver due to its natural detoxifying ingredients. A good example is the dandelion root which is capable of cleansing the liver. Other natural ingredients of Choice organic tea include burdock root and the rooibos herb. All these ingredients combined together work in helping digestion, detoxifying the skin and helping in improving liver functionality. It has a great flavor and goes for a pocket-friendly price of just $4.  

  1. Gaia Herbs Cleanse & Detox Herbal Dietary Tea

This detox tea costs only $6. It supports the detoxification process of the body naturally using natural ingredients such as fennel fruit, licorice root, orthosiphon leaf and artichoke leaf. Its focus is always on the liver.  

  1. Yogi DeTox Tea  

The Yogi DeTox Tea one the bestselling brand of detox teas all over the world. It goes for a pocket-friendly price of just 19$ a pack of six. This detox tea is very efficient and helps in the detoxification of both the liver and the kidneys leaving you very healthy. It comes in spicy and unique flavors such as black pepper, ginger, long pepper and Indian sarsaparilla.  

  1. Kusmi Detox Tea

Kusmi detox tea is a blend of tasty natural ingredients such as maté, green tea, and lemongrass. All the ingredients have natural detoxifying properties. It is very refreshing and can be sipped either cold or even iced. It comes in a very cute tin and only retails at $22. You can buy this as a gift for anyone who loves tea and they’ll surely love it because of the beautiful tin that makes it look more presentable.  

  1. Traditional Medicinal Everyday Tea 

Just as its name suggests it is made from natural ingredients that enhance a healthy liver function. It comes in a pack of sic and costs $21.  

  1. Tripple Leaf Tea Detox  

If you are looking for a decaffeinated option of detox tea then this is the perfect tea for you. Well, it is a blend of Chinese herbs that work efficiently to remove toxins from your entire system and in turn promoting a healthy skin.

  1. Yogi Soothing Rose Hibiscus Skin Detox Tea 

This is a soothing blend of green tea made with hibiscus and rose. It is meant to promote a healthy daily skin care regimen. If you have problems with a dull complexion, this tea is exactly what your body craves. It’s cost-effective as it retails at only $19 a pack of six. 

  1. Afterglow Tea Detox and Weight Loss Tea Combo

This tea retails at a pocket-friendly price of $24. It is made from white tea, green tea, and goji berries. It helps in speeding metabolism and suppressing sugar cravings. If you want to lose weight, drink one blend in the morning and another at night for at least two weeks.  

  1. Hint Wellness 14-Day Detox Tea

Retailing at $20, the Hint Wellness 14-day detox tea is that tea that will detoxify your body leaving you feeling like a new you. It is made from natural ingredients. However, be prepared to make bathroom trips while using this detox tea.  

  1. Gaia Herbs Liver Cleanse Tea 

For natural detoxification and digestive support, your body’s vital organs need to be taken good care of. This detox tea is made from natural ingredients that will help to purify your body naturally. It costs only $6.  

Whenever you feel under the weather, get yourself a detox tea and detox trough it!

Great Advantages of Best Diet Services

Finding a best diet services for you may be harder than it seems. Once you’ve entered three simple keywords into a search engine, you’ll get millions of results. If, where you should start, you will find the best meal delivery service that suits your lifestyle. With many different meal choices available to you ranging from low carbohydrate, high protein to low calorie. How to know which program is best for you. In addition, there are some meal delivery services that operate only in certain areas of the United States, while some provide meals nationwide. Regardless of your location. There are many delivery services that can meet your needs.

It is a fact that most of us are also too busy to cook our own meals. That’s why we have to eat the foods that are processed or the fast foods, which are extremely unhealthy and is the real cause of weight gain.

In addition to being busy, we are also aware of health these days. So, we need something that provides us with healthy foods. This is possible only with the help of the diet delivery service. This service will bring cooked food to your door.

With the help of the best diet services you can get dietetic foods in no time in your home. This diet food will help you maintain a healthy weight and there will be no possibility of being overweight.

There are a number of best diet services these days that provide you with these types of diet meals. These diet programs are generally based on the principle of balance, which is very important to maintain a good and healthy weight.

Best diet services will provide you a balanced diet, which contains a high protein, low-calorie and carbohydrate. You can order this meal for the entire family. You can offer this meal without any concern because these food services are authentic.

With the help of these best diet services you can maintain a healthy diet and you will have no tension of following some other diet plans. These programs have ensured not only healthy eating, but also satisfaction with food.The diet service is designed specifically for those professionals who have little time or no time at all to cook their own meals. This is when they tend to eat unhealthy foods.

So there are some restaurants that offer this food diet service. They prepare food with the help of great chefs and then bring a meal prepared at your doorstep. They can provide you with a full meal that you can partially eat.

The best meal delivery service is supposed to provide you with a variety of fresh food, menu and diet. Meals are not only designed for individuals who want to lose weight alone, but also for people with diabetes, cancer patients and busy individuals that are only busy to cook their own healthy meal.

With best diet services you can get healthy cooked meals at reasonable prices, as you get fresh and direct meals at your door.

The best meal delivery program will provide you with a healthy menu and a variety of fresh and fresh meals to choose from as well as deliver reliable content to your doorstep.A healthy meal is prepared with fresh ingredients that are organically grown in addition to the absence of artificial sweeteners.

You have a range of options here as well. For example, the best best diet services does not restrict you to a long-term contract. They are flexible – allowing you to customize your meals to personal likes and dislikes.

They are also flexible with other things like the number of days you want to get your meals and the number of meals per day you want.

While mostly you can find best diet servicesthat offer weight loss meals, the most cost effective services are usually delivery services throughout the country. Because they buy food in large quantities, they can get their food at a cheaper price and this is reflected in lower prices for you!

You have the opportunity to choose foods that are already prepared or you can choose at least weight loss for breakfast, lunch and dinner. In addition, DineWise also offers a free three-day experience for those who want to try their meals.

Best Glucometers for Diabetics that You Should Know

Before checking the glucometers recommended below, it is crucial to know that the reviews are not in any way a proper substitute for your doctor. The recommendations are made after considering factors like experience, how much they cost as well as a comparison of several other features. Though it is as well recommended that you consult with your doctor for a glucometer that will suit your needs best.

Glucose meter – it is used to determine the concentration of glucose in the blood. It is mainly used by people suffering from hypoglycemia or diabetes where some blood is put on a test strip that’s disposable and it is used to read the blood glucose level. The below-listed glucometers offer the best healthcare for a diabetic.

The best glucometers:

1. Contour next one

This is the best glucometer overall. You can sync all your readings to your phone via app or Bluetooth. This is because it does not have a large display. It’s very easy to track your diabetes and it’s also very affordable.

 

It is also very accurate as it has never given a reading far from the range. It has everything you require for the blood sugar test and it’s portable.

2. True Metrix Air.

This is the best glucometer in terms of value. It gives accurate results it’s also the most affordable and easy to get. This is the glucometer which has the best value. It synchronizes the results of your tests to an app on your phone via Bluetooth and it is quite accurate. It as well as test strips which are very affordable and very easy to find.

3. Diabetes testing kit

This Give accurate and quick readings. The kit contains a full blood glucose kit.

4. Flora 6 connect

This glucometer is the best for diabetics who depend on insulin. It is the latest glucometer to be released. It can use Bluetooth and has dual functionality and can be used to test both ketones and blood glucose. According to best health care, it’s referred to as the best glucometer even when it doesn’t have the ketone strip. It’s easy to use as has multiple buttons and has a big and clear display. The most unfortunate part is that they are not available widely and to get one you must make your order online. However, the strips are affordable. Using the Ifora app one is able to share your progress with the doctor and also take notes from your readings.

5. Fora TN’D voice

This is the best glucometer for diabetics who have poor eyesight. It offers the best health care to the diabetics with poor eyesight because it has a loud voice. It loudly reads out one’s glucose level so there is no need of checking the display. The voice is loud and easy to comprehend. The strip is found only Amazon and Fora’s website.

6. Dario

This is the best glucometer for management of data. It’s among the newest and most unique it the market. The meter is connected to a smartphone where you will need to have the companion app to act as an interface. As you take your readings, the data is being uploaded hence provides a good data management system. It’s easy to use and read as the size of the display depends on the size of your phone’s screen.

The strips are not available in a lot of places as Dario is a small brand and is not widely distributed.

When buying a glucometer, you should consider:

  1. The cost – its price should not be an indication of its quality. It should just offer what you are looking for which is best health care.
  2. Its features – if a device has a lot of features compared to the other it doesn’t mean it’s in any way more accurate than the rest.
  3. Insurance coverage – Long-term expenses can be quite high. Several insurance plans cover the tests strips as well as the meters. Co-pays, as well as coverage, vary, it is recommended you check with your insurance provider and speak to your physician to gather more information about the best choice of your insurance plans. The con of using insurance to cover some of the expenses is your plan frequently decrees which brand you utilize. Most diabetics complain about this.
  4. Backup glucometer – it helps you verify the readings to be more accurate and you can use when you don’t have the test strips
  5. Lancets – Each glucometer listed above has it very own lancet. This is a gadget with a needle (spring-loaded) utilized for piercing your pal, forearm or finger. Contrary with test strips, it is not compulsory to use the lancet in your glucometer, you only require something that pulls enough blood to use in the glucometer, just utilize what you feel is affordable and easy. It is as well important to utilize a different lancet needle for every test.

Being diagnosed with diabetes can be tricky especially when it comes to testing the levels of glucose in your blood. If you have been recently diagnosed and you want to get used to testing glucose amounts in your blood then Contour Next EZ is a perfect glucometer for you.

All You Need to Know About TruVision Weight Loss Regimen

We all know the saying “health is wealth.” The idea behind this is that staying healthy also means having zero problems with medical bills and support services. Basically, no illness means no doctor’s bills to worry about. Of course, in order to actually take advantage of the financial benefits of being healthy, we need to put in the effort.

The only trouble is that staying healthy is hard, especially for people with weight issues. Healthy living takes up time, disrupts routines, and requires increasing amounts of effort. Those who do follow diets and exercise routines are forced to interrupt their schedules whenever work or family matters come up.

Healthcare companies are aware of such problems, which is why they are constantly creating new products to help their customers stay fit and healthy despite their busy schedules. Tru Weight Loss solutions is one such product. It’s an easy-to-follow system designed specifically for people who have trouble keeping up with their health and weight loss goals.
 

What is Tru Weight Loss?

This program was developed by TruVision to provide busy people a flexible alternative to conventional health and weight loss programs. Like many weight loss programs, it doesn’t offer fast results or sudden loss of weight. Instead, it was designed to help people lose weight at their own pace.  
 
At the heart of this system are two powerful Supplements:

TruControl and TruFix, both of which were designed to help people lose weight at a healthy pace. Additional items may also be included to make the Tru Weight Loss system more effective and sustainable. These include:

– MSM Powder, which is conducive for collagen formation in both the joints and the body. 

– TruMed, which is primarily a soothing balm. It can also be used for itches and skin irritation. 

– ReNew Capsules, which are used for detoxification 

– TruWeight and Energy, which acts as an appetite suppressant as well as an energy giving agent 

– TruDefence, which offers protection against viral infections. 

– Grapefruit based products, which helps to increase metabolic and brain functions

The whole weight loss program itself was developed by four wellness practitioners with years of expertise. They understood that leading a healthy lifestyle is not easy, which is why they developed the program to allow people to carry out the necessary tasks at a pace that is suitable for each person’s body.
 

Why Take TruVision Weight Loss Products?

Weight loss and healthy living are bound up with one another. It’s as much about diets and weight loss programs as the type of food you eat and the types of medicines you take. TruVision developed the Tru Weight Loss program to synthesize all of these different things into one single package.

TruVision’s TruFix and TruControl pills, as well as the wide array of other products included in the set, are made from natural ingredients and they include detailed summaries of their contents to prove it.

These pills are not designed to make you lose weight immediately. Instead, they were developed to support a support a healthy lifestyle, so that you will be able to sustain your efforts no matter what curveballs life throws at you.

The important point here is pacing. TruVision was designed to make weight loss and healthy living easy and sustainable, so that you will be able to keep at it even if you have a busy or unpredictable schedule.

Here’s are some of the benefits that you can expect when you take TruVision’s weight loss products

– Improved blood sugar levels 
– Lower cholesterol levels 
– Better metabolic rate 
– Increased energy 
– Suppressed appetite

All of these benefits will contribute to your continued health and well-being. So even though this program may not offer fast results, you can be sure that its effects are more permanent.

Conclusion:

TruVision’s weight loss program was developed specifically for people with busy schedules, but it was also made with their health in mind. The only catch is that users must follow the instructions that go along with these products otherwise, they won’t get the results they’re looking for.

It’s also important to point out that different people have different weight loss goals and requirements. TruVision understands such differences, and they’ve taken them to account when they developed these pills and the program in general. So no matter your weight or health condition, go ahead and give Tru Weight loss a try and see for yourself if it matches your needs.

Apple cider vinegar for heartburn?

I’ve always thought it sounded counterintuitive to use an acid to alleviate indigestion, but the number of times I’ve heard people treat their symptoms of heartburn with apple cider vinegar is too large to count. So, I decided to look into whether this strategy works, and to do some investigation about the idea behind its use. To my surprise, there is no research published in medical journals that addresses using raw apple cider vinegar to treat heartburn, despite widespread use and recommendations from blogs and websites.

What is heartburn?

Heartburn is most commonly caused by stomach acid contents traveling up into the esophagus, the pipe that connects the mouth to the stomach. Unlike the stomach, the esophagus is not used to the presence of acid. The stomach acid irritates the esophagus, leading to several symptoms including throat clearing, burning sensation in the chest and neck, sour sensation in the mouth, cough, and bloating. It is not a pleasant feeling. It’s what we call GERD, or gastroesophageal reflux disease.

There are several reasons why gastric contents move up into the esophagus instead of going down to the bowel. The relaxation of the lower esophageal sphincter (LES), a valve that sits between the esophagus and the stomach, is the most common culprit. The LES is usually closed, creating a contained system to digest food. But it opens from time to time, to let air out in the form of belching. Reflux mostly happens when the valve relaxes too much, or too often. It allows not only gas but also gastric acid to move up, causing the discomfort.

There is a theory stating that what controls the LES is the stomach’s acidity. If for some reason the stomach is not producing enough acid, the muscles around the LES would relax, resulting in more reflux. However, the mechanism that controls this valve is much more complex than the level of gastric acidity. It involves a complex network of involuntary muscles and several different hormones and neurotransmitters.

Medications for heartburn

The gold standard to treat heartburn is to take an over-the-counter class of medications called proton pump inhibitors (PPIs) that reduce stomach acidity. Using these drugs will not prevent reflux, but can reduce inflammation in the esophagus, allowing it to heal. Avoid taking these medications for more than a month, unless recommended by your doctor. It is not unusual to become used to PPIs. After taking them for a few weeks it may be hard to wean off of them, because stopping can cause rebound symptoms. PPI side effects are minimal, but long-term use can cause osteoporosis, infections, and a decrease in the absorption of nutrients.

Antacids and medications such as ranitidine and famotidine (H2 blockers) may work well and have fewer side effects, but if these strategies do not make you feel better within a few weeks, it is a good idea to consult with your doctor. Although rare, heartburn could be a sign of other serious illnesses.

Self-help measures for heartburn

Another approach that may be quite effective and free of side effects is to change specific behaviors:

  • Avoid foods known to cause heartburn: coffee, chocolate, alcohol, fatty foods, tomato, spicy foods, and acidic foods.
  • Avoid lying down for at least two to three hours after a meal.
  • Eat small meals.
  • Lose weight if you need to.
  • Don’t smoke, and if you already do, try to quit.

But what about taking apple cider vinegar for heartburn? Since we have no data to support the effectiveness or safety of its use for heartburn, it’s probably a good idea to stick to drizzling this deliciousness on colorful salads for now.

Where do you stand on bystander CPR?

A recent survey confirmed what many have suspected: if you collapsed, there’s a good chance that the average bystander would not be prepared to perform cardiopulmonary resuscitation (CPR). And if they tried to revive you, there’s an even better chance they wouldn’t do it correctly.

Of course, there is a certain circularity to this — if you don’t know how to perform CPR, or if you know how but aren’t sure you’ll perform it correctly, you’ll be less likely to try.

So why are so few prepared?

The list of reasons is long, including:

  • no prior instruction or certification
  • fear of doing it wrong or being blamed for causing more harm than good
  • waiting for someone else (who “knows what they’re doing”) to do it
  • little faith in the effectiveness of CPR
  • the victim might be sick with something the rescuer could catch
  • the “ick factor,” that is, a potential rescuer is put off by the thought of having mouth-to-mouth contact with a stranger (even though current guidelines do not recommend mouth-to-mouth resuscitation).

A new study suggests there’s room for improvement

A new survey performed by the Cleveland Clinic asked 1,000 people about CPR. It also asked about symptoms of stroke and heart attack, since these are conditions for which bystander help can make a big difference.

The results were disappointing:

  • Only 54% reported knowing how to perform CPR. While this is actually more than I would have predicted, it likely represents an overestimation, since many did not know some of the key details about it (as noted below).
  • Only 17% knew that current recommendations for bystander CPR have eliminated the mouth-to-mouth part; bystander CPR now involves only chest compressions.
  • Only 11% knew the proper rate of chest compressions (100 to 120 per minute). Certain songs can help you pace compressions without counting.
  • Only about a quarter reported having an automated external defibrillator at work.
  • About six in 10 people believed sudden numbness or weakness of the face, arm, or leg were symptoms of heart attack (when, in fact, those are more commonly symptoms of stroke).
  • Thirty-nine percent thought slurred speech (a symptom of stroke) was a symptom of a heart attack.
  • Less than half knew that back or jaw pain, nausea, and vomiting could represent symptoms of a heart attack.
  • Only about a third of respondents knew that victims of heart attack should chew an aspirin right away (more on that in a moment).

There’s much you can do — and it’s not difficult

Whatever the reasons for these findings, there seems little justification for it. After all, CPR is much easier now that mouth-to-mouth resuscitation is no longer recommended. And while it’s true that many people don’t survive cardiac arrest — the numbers vary by study, but some studies find rates of survival for out-of-hospital cardiac arrest at less than 5% — chances for survival are higher with bystander help. Instructions regarding the appropriate use of CPR and automated external defibrillators (AEDs) are not complicated and are widely available.

But wait, there’s more!

CPR is only one way to help someone with a medical emergency. Some other things you can do to help include:

  • Try to rouse the person.
  • Check for a pulse and whether the person is breathing.
  • Call 911 — in most cases, this is the very first thing you should do.
  • If heart attack is suspected, instruct the person to chew one full strength or three baby aspirin (total of about 325 mg) over 30 seconds; people with heart disease should be carrying aspirin with them.
  • Instruct others to find the nearest AED. Don’t be afraid to use it — they are designed to be used by anyone.
  • Calling for help, providing reassurance, and staying with a person in need can make a big difference to someone who is critically ill and frightened.

What now?

If you never learned to perform CPR, maybe now is the time. Some of the biggest obstacles (such as having to perform mouth-to-mouth resuscitation) have been removed. So, admit it — you’re running out of excuses! Learn CPR. You could save a life. And even if you never have the opportunity to perform CPR, at least you’ll be ready to try.

Chronic pain and childhood trauma

Recently a journalist colleague of mine put out a call for quotes from those who suffer from severe premenstrual syndrome and premenstrual dysmorphic disorder (more commonly known as PMS and PMDD, respectively) who also suffered a history of childhood abuse. Her interest was piqued by a 2014 peer reviewed article that appeared in the Journal of Women’s Health linking the disorders with early onset abuse. I answered the call, having both PMS and PMDD, as well as a history of child abuse by both my stepfather and my mother.

Yet despite having both a history of abuse and several diagnoses that contribute to chronic pain, it’s only been in the past few years that I’ve become aware of the connection between the two. It wasn’t until I started writing a collection of personal essays about my youth, and researching scientific literature about childhoods like mine, that I stumbled upon the now-famous 1998 ACE study, which explored “adverse childhood experiences.” Specifically, the study surveyed 17,000 middle-income adults who had health data stretching back to their early childhoods. The ACE research indicated that the more adversities an individual experienced as a child — whether poverty, parental death or incarceration, neighborhood violence, or abuse — the more likely that person would suffer from serious physiological disorders as an adult.

Understanding the connection

While the causality between childhood adversity and adult chronic illness has yet to be fully determined, researchers now have enough knowledge about the way chronic stress impacts physiological health to make some educated guesses about their potential link. When we are threatened, our bodies have what is called a stress response, which prepares our bodies to fight or flee. However, when this response remains highly activated in a child for an extended period of time without the calming influence of a supportive parent or adult figure, toxic stress occurs and can damage crucial neural connections in the developing brain. According to Harvard’s Center on the Developing Child, the impacts of experiencing repeated incidents of toxic stress as a child “…persist far into adulthood, and lead to lifelong impairments in both physical and mental health.”

Why addressing pain and trauma should go hand in hand

The fact that childhood adversity is so intimately intertwined with adult illness does not mean that those physiological diseases experienced by adults who had traumatic childhoods are not real or valid, or that their causes are “psychosomatic.” The biological impacts of childhood adversity are not only genuine, but can be very difficult (and sometimes impossible) to completely undo.

However, it does offer hope that psychological care for those with a history of childhood trauma may help tame their overactive stress response in the present day, and in turn provide some complementary health benefits for those also dealing with physiological diseases. In my case, while processing my traumatic childhood history in psychotherapy has not automatically cured my physical ailments (and will not), it does help me relearn how to react to stress.

Pediatric health care providers and educators should understand how far into the future the effects of childhood abuse and adversity may extend. This knowledge should serve as further motivation to help children in these situations access necessary supports as quickly as possible, to guard against some of the biological changes that could make them suffer later on in life. Likewise, those who work in the mental health field with adults who suffered childhood trauma would well do to study the link between that and chronic pain and illness, so that they can better support their patients.

A mix of treatments may extend life for men with aggressive prostate cancer

For men diagnosed with aggressive cancer that’s confined to the prostate and nearby tissues, the overarching goal of treatment is to keep the disease from spreading (or metastasizing) in the body. Doctors can treat these men with localized therapies, such as surgery and different types of radiation that target the prostate directly. And they can also give systemic treatments that kill off rogue cancer cells in the bloodstream. Hormonal therapy, for instance, is a systemic treatment that kills prostate cancer cells by depriving them of testosterone, which fuels their growth.

Now a new study shows that a mix of different treatments, or a “multimodal” approach to prostate cancer therapy, lengthens survival in men who have this diagnosis. The study was limited to men with Gleason 9 and 10 cancers. The Gleason grading system ranks tumors by how likely they are to spread, and 10 is the highest rank on the scale.

“The takeaway finding is that men with high-grade, localized prostate cancer do better when they get multimodal care,” said Dr. Amar Kishan, an assistant professor of radiation oncology at the University of California, Los Angeles David Geffen School of Medicine, who led the study. “If they can tolerate it, then that’s what should be offered.”

Kishan and collaborators from 12 large hospitals in the United States and Norway pooled nearly 20 years of patient data from their respective institutions. The 1,809 men included in the study had each been treated in one of three different ways:

  • with surgery to remove the prostate
  • with a combination of external beam radiation (which directs high-energy rays at the tumor from sources outside the body) directed at the prostate, along with anti-testosterone hormonal therapy
  • with hormonal therapy given together with external beam radiation and brachytherapy (which involves placing radioactive beads directly into the prostate gland).

After an average of five years of follow-up, 3% of the men given all three treatments (external beam radiation, brachytherapy, and hormone therapy) had died from prostate cancer. By contrast, 12% of the men treated with a combination of hormonal therapy and external beam radiation, and 13% of the men treated with surgery only, had died of their illness. Findings of metastatic cancer were similar, averaging 8% in the group given all three treatments, and 24% in the two other groups.

Side effects data from each group were not available.

This is the largest study yet to compare the three approaches, and importantly, it was restricted to men who began treatment no earlier than 2000. Radiation therapy has improved over time: the doses are higher and the treated areas are more precisely defined. Therefore, the evaluated approaches are consistent with the kind of treatments men would still get today.

Kishan said it’s possible that combining hormonal therapy with high-dose radiation and brachytherapy eliminates cancer in the prostate completely, so that metastases are held in check. Or, he says, radiation might stimulate the immune system to attack cancer. These hypotheses are now under investigation by researchers around the world.

Dr. Marc Garnick, the Gorman Brothers Professor of Medicine at Harvard Medical School and Beth Israel Deaconess Medical Center, and editor in chief of HarvardProstateKnowledge.org, said the study adds to growing evidence that therapies directed solely to the prostate gland, namely radiation or surgery by itself, may be improved by adding other treatments; in this case, hormonal therapy and a second form of radiation. “The study didn’t evaluate the addition of hormonal therapy to surgery, which would have been of interest,” he added. “However, the findings support multimodal therapy, though many unknowns, such as the potential for greater long-term side effects, still need to be addressed.”

Are you taking too much anti-inflammatory medication?

You might call them pain relievers. You might take them for back pain, headache, or arthritis. Your doctor calls them “NSAIDs,” which stands for nonsteroidal anti-inflammatory drugs. Whatever you call them and for whatever reason you take them, NSAIDs are among the most popular medications worldwide. In fact, estimates suggest that about 15% of the US population takes an NSAID regularly (including those that are over the counter and prescription strength). Along with sporadic users, more than 30 billion doses are taken each year.

Some of the most common NSAIDs include ibuprofen (as in Motrin), naproxen (as in Aleve) and celecoxib (as in Celebrex).

Why are NSAIDs so popular?

There are several reasons:

  • For many conditions, they work quite well — in addition to working as pain relievers, they can reduce fever and inflammation.
  • They are relatively inexpensive, with generic versions available for most of them.
  • They’re available over the counter or, in higher doses, by prescription.
  • They have a good safety profile.

The downside of NSAIDs

No medication is completely safe, and that’s certainly true of NSAIDs. At the top of the list are digestive problems including stomach upset, heartburn, and ulcers. Kidney injury, easy bruising or bleeding, and mild allergic reactions (such as rash) are common as well. Less common side effects, including severe allergic reactions and liver injury, can be serious. NSAIDs can also raise the risk of heart problems, though this risk varies depending on the particular NSAID and the person taking it. Still, the vast majority of people taking NSAIDs in the recommended doses who have appropriate monitoring (such as the occasional blood test) have no major problems with them.

It’s easy for things to go wrong

The widespread availability and good safety record of NSAIDs makes it easy to misuse them. For one thing, there are more than 20 different NSAIDs, so you could be taking more than one of them without realizing it. In addition, several of them are available over the counter and are included in combination with other medications. Examples include prescription drugs like Arthrotec (a combination of the NSAID diclofenac and misoprostol, a medication that helps protect the stomach) and products available on the drugstore shelf, like Advil PM (ibuprofen plus the antihistamine diphenhydramine). So whether intentionally or by accident, it’s easy to take more than recommended doses.

A new study finds that this may be a bigger problem than anyone realized. Among more than 1,300 people taking ibuprofen:

  • More than one-third also took a second NSAID. Less than half of these “double NSAID” users realized that more than one of their medications was an NSAID.
  • Up to 15% took more than the recommended dosage.
  • Exceeding the recommended maximum dose was especially common among men, those with chronic pain, those with poor knowledge of dosing recommendations, and those who believed in “choosing my own dose.”

The bottom line

NSAIDs can be remarkably helpful medications, but they can cause trouble. The risk of serious side effects goes up when taken in higher than recommended doses.

Except for low-dose aspirin (commonly taken to prevent heart attack or stroke), NSAIDs are taken primarily to relieve symptoms of pain or fever. If you don’t think your NSAID is helping you (or if you aren’t sure), talk to your doctor about stopping it — even minor risks aren’t worth taking if there’s no benefit. Or there may be a better option, such as acetaminophen (as in Tylenol).

Keep an updated list of all of the medications you take, including over-the-counter drugs. Read the labels and instructions and take them only as prescribed. When in doubt, ask your doctor or pharmacist.