Sunday, July 27, 2025

Worst Things to Eat or Drink Before a Workout

 Granola or Protein Bars

These might seem like a good idea before you hit the gym, but there’s no clear definition of what they really are. Check the labels -- both kinds can have lots of sugar. If they do, your body will burn through that fast, and you may not get much else.

High-Fiber Vegetables

Your body needs fiber, but not before a workout. Vegetables like broccoli, Brussels sprouts, or cauliflower can be hard to digest and could make exercising uncomfortable. Stick with veggies that are easier on your system, like well-cooked asparagus or potatoes.

High-Fat Food

Not all fats are bad for you. But foods that have a lot of any fat can be a bad idea if you’re about to be active. Things like red meat make your body work hard to change their fat to energy. That can make you tired before you even get started.

Yogurt

As with protein bars, you’ll need to read the label carefully. Certain brands can be surprisingly high in sugar and fat, neither of which is good for your workout. And if you don’t digest dairy easily, a stop at the gym can make things worse.

Smoothies

These sound great in theory as a way to hydrate and get nutrients at the same time. But in practice, they can be less than ideal. Some are packed with sugar and will give you only a short burst of energy before the dreaded “crash.” And depending on what’s in it, a single smoothie can have as many as 800 calories.

Flaxseed

This seed has all sorts of potential health benefits -- some people use it to try to ease constipation or lower their cholesterol level. But it’s high in fiber and fatty acids, which aren’t what you want before a workout. So when adding it to your diet, pay attention to when you have it.

Fast Food

It might be tempting, but skip the drive-through on the way to the gym. Chances are, you’ll feel uncomfortably full, and the fat and sugar in most fast food items will keep you from getting the most out of your workout.

Energy Drinks

Like smoothies, these might seem like a natural pre-workout boost, but they have lots of things that can make you jittery and raise your heart rate and blood pressure. It’s better to steer clear of energy drinks, which are loaded with sugar and caffeine.

Soda

This can give you the "daily double" of sugar and caffeine. You’ll get a quickly disappearing rush of energy and lots of calories, along with all the issues caffeine can cause. It doesn’t give you any nutritional value and isn’t a good choice for hydration.

Don’t Go Hungry

While plenty of things aren’t great for pre-workout snacks, not eating might be just as bad, even if you’re trying to lose weight. Your body needs fuel to keep you going strong, but it needs the right fuel at the right time.

What to Eat

Experts say the best way to go is a snack that’s a combination of carbs (to give you fuel) and protein (to get your body ready to build and repair muscles). Some ideas include a banana and some peanut butter with crackers, a handful of nuts and raisins, or a hardboiled egg.

When to Eat

Even the right choice of pre-workout meal or snack isn’t a good idea if you have it right before you’re active. Your digestive system will be competing with the rest of your body for blood and oxygen, which are important for building and repairing muscles. Everyone is different, but a buffer of 1 to 3 hours does the trick for most people.

Worst Sandwiches: Doubled-Fisted Diet Wreckers

 Sandwiches to Skip, and to Enjoy

At many popular sandwich chains you can unwittingly gobble up a diet disaster -- unless you know how to order. Check out some sandwiches that are poor bets -- items that are packed with hidden calories. Then check out some better choices at the same restaurants. And beware the turkey sandwich, which has become a blank canvas for fattening additions of all kinds.

Burger King: Poor Bet

The Triple Whopper with Cheese is as unhealthy as its name suggests. It may have lettuce, tomato, and onion, but the three beef patties make up most of the 1,299 calories in this burger. Each Triple Whopper has almost 90 grams of total fat, 26% more than the recommended amount for an entire day. It’s also high in sodium and cholesterol.

Burger King: Better Bet

The Original Chicken Sandwich ranks among BK’s healthiest sandwiches, certainly higher than the Triple Whopper. The breaded chicken patty, topped with lettuce and mayo, comes in at a little more than 660 calories and just under 40 grams of fat -- both around half of what you get with the Triple. It’s lower in saturated fat and cholesterol, too.

McDonald’s: Poor Bet

The Double Quarter Pounder with Cheese is actually a worse option than the Double Big Mac. Its two beef patties, two slices of cheese, ketchup, pickles, mustard, and onion not only have more calories (740 vs. the Double Big Mac’s 730), but they’re also higher in saturated fat (20 grams vs. 16 grams), cholesterol (165 milligrams vs. 115 milligrams), and sodium (1,360 milligrams vs. 1,020 milligrams).

McDonald’s: Better Bet

The classic Filet-O-Fish sandwich is fried, but its caloric punch is surprisingly weak. The Filet-O-Fish takes a fried fish patty, a slice of processed cheddar cheese, lettuce, and tartar sauce and stacks it on a steamed bun. It comes in at a relatively healthier 400 calories, with 4 grams of saturated fat, 45 milligrams of cholesterol and 560 milligrams of sodium. McDonald's says the sandwich is made from wild-caught fish.

Chick-fil-A: Poor Bet

The Spicy Deluxe Chicken Sandwich tips the scales when it comes to calories among Chick-fil-A options. With its fried, breaded chicken breast, buttered bun, and slice of pepper jack cheese, it clocks in with 550 calories and 25 grams of fat. It also has 85 milligrams of cholesterol and a hefty 1,810 milligrams of sodium.

Chick-fil-A: Better Bet

The Grilled Chicken Sandwich is a simpler, healthier option than the Spicy Deluxe. The chicken breast is prepared in a lemon-herb marinade then grilled and topped with a slice of tomato and lettuce and served on a multigrain bun. It comes in at 320 calories, more than 200 fewer than the Deluxe, and has almost a third of the sodium (680 milligrams) and a quarter of the fat (6 grams). (Don’t be tempted by the Grilled Chicken Club, which does not boast these lower numbers.)

Subway: Poor Bet

The 6-inch Chicken and Bacon Ranch Melt is a fatty choice at a restaurant better known for its healthy options. This 6-inch sub comes in at 570 calories, 29 grams of fat, 11 grams of saturated fat, and 1,280 milligrams of sodium.

Subway: Better Bet

Keep your calorie count low with the 6-inch Black Forest Ham Sandwich. This has 260 calories, 4 grams of fat, 1.5 grams of saturated fat, and 810 milligrams of sodium. The restaurant has other low-calorie choices. Top them with lots of veggies to keep them between 230 and 380 calories.

Wendy's: Poor Bet

The Asiago Ranch Classic Chicken Club can turn a quick lunch into a fatty affair that lingers on your hips. Wendy’s tops their breaded, fried filet with bacon, cheese, lettuce, tomato, and mayo for 630 calories, 31 grams of fat, 8 grams of saturated fat, and 1,800 milligrams of sodium.

Wendy's: Better Bet

Wendy's Grilled Chicken Sandwich boasts only 350 calories, 8 grams of fat, 1.5 grams of saturated fat, and 850 milligrams of sodium. This simple yet satisfying sandwich of grilled chicken, lettuce, and tomato adds tangy honey mustard instead of high-fat mayo -- for a dietitian's delight.

Arby's: Poor Bet

Arby's Roast Turkey Ranch & Bacon Sandwich comes with bacon, turkey, lettuce, tomato, cheese, and ranch sauce. It all adds up to 810 calories, 35 grams of fat, 10 grams of saturated fat, and a shocking 2,420 milligrams of sodium.

Arby's: Better Bet

A plain Roast Beef Classic Sandwich is a decent choice for controlling calories. But skip the melted cheese, mayo, and the "horsey" sauce (60 calories and 5 grams of fat in a tiny packet.) Their Arby's sauce adds flavor with zero fat and only 15 calories. The nutrient tally before additions is 360 calories, 14 grams of fat, and 5 grams of saturated fat. The high sodium content may be a deal-breaker for some at 970 milligrams.

When a Loved One Has Alzheimer's Disease

 Could It Be Alzheimer's?

It’s normal for people to become a bit forgetful as they age. So how can you tell a harmless "senior moment" from Alzheimer's disease? One in nine people 65 and older have this devastating form of dementia. In its first stages, Alzheimer’s may not be obvious to friends and family. But there are some early warning signs to watch for.

Warning Signs: Memory and Speech

In early Alzheimer’s, long-term memories usually remain intact while short-term memories become sketchy. Your loved one may forget conversations you had. They may repeat questions that were already answered. The disease also disrupts speech, so they might struggle to remember common words.

Warning Signs: Behavior

In addition to memory loss, Alzheimer’s can cause confusion and behavior changes. Your loved one may get lost in familiar places. Mood swings and lapses in judgment are also common, as is poor hygiene. People who were once stylish may start wearing stained clothes and forget to wash their hair.

Don't Ignore the Signs

It's hard to face the thought that a loved one could have this disease, but it's better to see a doctor sooner rather than later. First, the diagnosis might be something else. The symptoms could be caused by a highly treatable problem, like a thyroid imbalance. And if it is Alzheimer’s, treatments work best when they’re used early in the course of the disease.

How Is It Diagnosed?

There’s no simple test for Alzheimer’s, so the doctor will rely on you to describe the changes in your loved one. A mental status test, sometimes called a “mini-cog,” or other screening tests can measure their mental skills and short-term memory. Neurological exams and brain scans may be used to rule out other problems, like a stroke or tumor, and they can provide other information about their brain.

What Happens to the Brain?

Alzheimer’s causes nerve cell death and tissue loss throughout the brain. As the disease gets worse, brain tissue shrinks and areas that contain cerebrospinal fluid become larger. The damage harms memory, speech, and comprehension.

What to Expect

Alzheimer’s takes a different path in every person. Sometimes the symptoms get worse quickly and lead to severe memory loss and confusion within a few years. For other people the changes are gradual. It could take 20 years for the disease to run its course. Most people live 3 to 9 years after diagnosis.

How Will It Change Daily Life?

Alzheimer’s affects concentration, so your loved one may not be able to do ordinary tasks like cooking or paying the bills. A study suggests trouble balancing the checkbook is often one of the first signs of the disease. As symptoms worsen, they may not recognize familiar people or places. They may get lost easily or use utensils improperly, like combing their hair with a fork. Incontinence, balance problems, and loss of language are common in advanced stages.

Should My Loved One Stop Driving?

Poor coordination, memory loss, and confusion are a dangerous combination behind the wheel. If you feel your loved one should stop driving, tell them why. If they won’t listen, ask their doctor to step in. If they still insist on driving, contact the Department of Motor Vehicles for an assessment. Then make other plans for their transportation needs.

Can Exercise Help?

Physical activity can help your loved one keep some muscle strength and coordination. It might also boost their mood and help them feel less anxious. Check with their doctor to learn which types of exercise are appropriate. Repetitive activities, like walking, gardening, or even folding laundry may be the best at giving them a sense of calm.

How Is It Treated?

There’s no cure for Alzheimer’s and no way to slow the nerve damage it causes in the brain. But there are medications that appear to help maintain mental skills and slow the disease’s effects. If your loved one gets treatment early on, they may be able to stay independent and do their daily tasks for a longer period of time.

The Caregiver's Role

If you’re caring for someone with this disease, you’ll probably wear many hats -- cook, chauffeur, and accountant to name a few. While you may have to handle meal planning and finances, encourage your loved one to do some things for themselves. It may help to label cabinets with their contents and put up sticky notes with reminders of daily tasks. Be sure to buy a weekly pill box for their medications.

Challenges in Caregiving

In the early stages, people with Alzheimer’s often understand what’s happening to them. They may be ashamed or get anxious. Watch for signs of depression, which the doctor can manage with medication. Later on, your loved one may become paranoid or aggressive and could even turn on you. Remember that the disease is responsible for this change. Tell the doctor about this kind of behavior promptly.

Sundown Syndrome

Experts don’t know why, but some people with Alzheimer’s get upset when the sun goes down. This tends to last through the evening and sometimes all night long. To ease tension, keep the house well-lit and close the drapes before sunset. Try to distract your loved one with a favorite activity or TV show. Switch them to decaf after breakfast.

When Your Loved One Doesn't Know You

Many people with Alzheimer’s have trouble remembering names, even of people closest to them. A temporary fix is to put up pictures of people they’re likely to see often or know well with names printed underneath. Eventually, your loved one may no longer recognize faces and may react as if family members are strangers. This can be distressing, especially for the main caregiver.

Warning Signs of Caregiver Stress

Caring for someone with Alzheimer's can be physically and mentally draining. Signs of caregiver stress include:

Anger, sadness, and mood swings

Headaches or back pain

Trouble concentrating

Trouble sleeping

 Take Care of Yourself

To avoid caregiver burnout, make sure you take at least a few minutes to do something you enjoy every day. Stay in touch with friends and keep up with hobbies when you can. Find a friend or relative to be your support person. You can also join an online or local caregiver support group through the Alzheimer’s Association.

Essential Documents

While your loved one is still able to make important decisions, talk to an attorney about drafting advance directives. These are legal documents that spell out what they want in terms of medical treatments and end-of-life care. They should name someone to make health care decisions and manage finances on their behalf. This will help avoid confusion later on if they're no longer able to state their wishes.

Home Health Care

Many people want to stay in their own homes as long as possible. That’s not easy if they have trouble getting dressed or using the bathroom on their own. A home health aide can help with personal hygiene and other daily tasks. You can also check with your local Area Agency on Aging for information on services that deliver meals or provide transportation to the elderly.

Assisted-Living Facilities

There may come a day when your loved one can no longer be cared for at home. If they don’t need 24-hour nursing care, an assisted-living facility may be good choice. They provide housing, meals, and activities, but are much less expensive than nursing homes. Look for one with an Alzheimer’s special care unit that can give 24-hour supervision and personal care to meet the needs of people with dementia.

The Later Stages

People with advanced Alzheimer’s may lose their ability to walk, talk, or respond to others. Eventually, the disease can hinder vital functions, like the ability to swallow. This may be the time to switch to hospice care, which provides pain relief and comfort for people with terminal illnesses.

How to Help Children Understand

Children may feel confused, afraid, or even resentful when a family member has Alzheimer’s. Let the child know these feelings are normal and answer their questions about the illness honestly. Help them celebrate happy memories of your loved one. You could create a scrapbook with pictures from happier times.

Can You Prevent It?

Is there anything you can do to lower your chances of getting this disease? Research in this area is ongoing, but diet and exercise appear to be important. Studies show people who eat a Mediterranean diet rich in vegetables, fish, and nuts and get plenty of physical activity are the least likely to get Alzheimer’s.

What to Know about Herbal Supplements and Blood Pressure

 Medically Reviewed by Brunilda Nazario, MD on September 09, 2024; Written by Alicia Ramella

Adding a supplement to your diet can help improve your health in many ways. If you have high or low blood pressure, there are dietary supplements you may take to help regulate it. If your blood pressure is high enough that you need medicine, you should consider taking a supplement. However, you must remember that natural supplements are not a substitute for medicine. You should always consult your doctor before beginning to take a supplement, as some may interact with certain medications.

In this article, we will look at some supplements that help regulate blood pressure, as well as some to avoid. Then we'll look at lifestyle changes you can make to help control your blood pressure.

What Supplements Work Best for High Blood Pressure?

Hypertension is common in the United States. In fact, about 47% of adults in the United States have hypertension. Let's look at some natural supplements for high blood pressure.

Magnesium

Magnesium Glycinate has been studied for years as one of the supplements for lowering blood pressure. A study found that over 24 weeks, magnesium supplementation decreased systolic and diastolic blood pressure. The dose used in this study was between 500 mg and 1000 mg a day; however, users are cautioned to start at a lower dose and increase as tolerated. There are many explanations as to how magnesium works to reduce blood pressure, including the following:

Works as a calcium channel blocker

Increases prostaglandin

Increases nitric oxide synthesis

Another study found that taking oral magnesium had a significant antihypertensive effect on blood pressure. Therefore, they suggest it could be used as a prevention method or as adjuvant therapy.

Beetroot juice

Beetroot juice contains an abundance of inorganic nitrates that is helpful to your blood pressure. Many studies suggest that it can lower your systolic and diastolic blood pressure. It is also high in antioxidants. The betalain pigments in beetroot protect your cells from damage and help lower inflammation, which can help keep your blood pressure in check.

Another placebo-controlled study found that people who drank beetroot juice daily experienced a reduction in systolic blood pressure.

Vitamin C

Having a vitamin C deficiency is a risk factor for high blood pressure. The use of vitamin C for eight weeks reduced systolic blood pressure, but not diastolic. Amlodipine was given to elderly patients who had hypertension and were already on the maximum dose. The researchers added 600 mg of vitamin C and patients who were administered the medication had lower blood pressure than the control group. The antioxidant activity of vitamin C helps protect the lining of blood vessels from damage and increases nitric oxide, which helps relax arterial walls.

Hibiscus sabdariffa

Hibiscus sabdariffa has a compound that has a diuretic effect on blood pressure. Polyphenols extracted from hibiscus have antioxidant effects and help reduce blood pressure. For example, in random controlled studies, drinking hibiscus tea or extract lowered systolic and diastolic blood pressure in adults with moderate hypertension and type 2 diabetes.

Another study found that daily drinking of hibiscus tea lowered the blood pressure of adults with mild hypertension.

Olive Leaf Extract

Olive leaf extract can help treat cardiovascular diseases. A study found that olive leaf extract taken regularly may reduce the risk of coronary heart disease by 9–14%. The study involved 61 people, half of whom drank 20 mL of olive leaf extract daily for 16 weeks. Those that drank the olive leaf had lower blood pressure than the control group.

A recent meta-analysis of olive leaf extract found that a 500 mg per day dosage lowered systolic blood pressure. Researchers compared a 1,000 mg daily dosage to the effectiveness of a prescription blood pressure pill.

What Supplements Work Best for Low Blood Pressure?

Low blood pressure, or hypotension, is when you are not getting enough blood to your organs. Low blood pressure is anything less than 90/60 mmHg. If you regularly experience symptoms of low blood pressure, you may want to investigate natural remedies. Some of the adverse side effects of low blood pressure include:

Chest pain

Dizziness

Confusion

Falling in and out of consciousness

Having symptoms of low blood pressure can be scary. However, there are some supplements to help ease the situation.

Bitter orange

Bitter orange contains synephrine, which one study found can increase blood pressure and, therefore, could help people with symptoms of low blood pressure.

What Supplements May Interact With Medications?

Herbal supplements can interact with various medications. For example, suppose you take medicine to treat high blood pressure or heart failure. In that case, you need to check with your doctor before you add herbal supplements. However, some interactions can be dangerous. Let's look at a few supplements that have known interactions with medications.

St. John's wort

St. John's wort may help with symptoms of depression. However, St. John's wort may interact with, or lower the effectiveness of, various different drugs such as:

Warfarin

Calcium channel blockers

Statins

Antidepressants

Birth control pills

Cyclosporine

Blood thinners

Gingko Biloba

Because of its positive vascular activity, taking Ginkgo Biloba may improve blood flow and circulation. However, taking Gingko Biloba may increase your risk of bleeding if you take aspirin or Warfarin.

Licorice

Licorice interacts with Warfarin and digoxin. It can also interact negatively with ACE inhibitors.

Arnica

Arnica may potentiate the effects of anticoagulants such as Warfarin. It also may interact negatively with antiplatelet agents.

What Supplements To Avoid if You Have High Blood Pressure

Some herbal supplements negatively affect your blood pressure and can raise it. One study found that the following supplements may increase blood pressure:

Arnica

Ephedra

Gingko

Ginseng

Guarana

Licorice

Senna

St. John’s Wort

Yohimbine

Bitter Orange

Dong Quia

People with heart disease should not overeat black licorice, because it can cause serious problems that could kill them. Studies have also shown that it significantly raises blood pressure, lowers potassium levels, and raises sodium levels in the bloodstream when taken in larger amounts. Licorice is considered harmful for people with heart failure. The FDA advises against consuming more than 40-50 grams/day for more than two weeks. On the other hand, red licorice does not contain the same harmful ingredient and does not produce additional risk.

What Lifestyle Changes Should I Make?

Lifestyle changes help maintain healthy blood pressure. The DASH eating plan is one way to maintain healthy blood pressure levels. The "Dietary Approaches to Stop Hypertension" (DASH) diet is rich in vegetables, fruits, nuts, and low-fat dairy products.

Additional lifestyle modifications include:

Regular physical exercise

Limit salt intake

Lose weight

No smoking and limit alcohol use

Get a restful night of sleep

Reduce your stress

SOURCES:

British Journal of Clinical Pharmacology: “Nutraceuticals with a clinically detectable blood pressure-lowering effect: a review of available randomized clinical trials and their meta-analyses.”

CDC.gov: “Facts About Hypertension.”

Cleveland Clinic: “St. John’s Wort.”

European journal of nutrition: “Impact of phenolic-rich olive leaf extract on blood pressure, plasma lipids and inflammatory markers: a randomized controlled trial.” 

Fitoterapia: “Hibiscus sabdariffa L. in the treatment of hypertension and hyperlipidemia: a comprehensive review of animal and human studies.”

Foods: “Bioactive Candy: Effects of Licorice on the Cardiovascular System.”

Hypertension: “Effects of Magnesium Supplementation on Blood Pressure.”

Mayo Clinic: “Herbal supplements and heart medicines do not mix.”

Memorial Sloan Kettering Cancer Center: “Arnica.”

NIH: “Lifestyle Changes Can Lower Blood Pressure.”

Nutrients: “The potential benefits of red beetroot supplementation in health and disease.” 

Peer J: “Olive leaf extract effect on cardio metabolic profile among adults with prehypertension and hypertension: a systematic review and meta-analysis.” 

Plastic and Reconstructive Surgery: “Herbal Products That May Contribute to Hypertension."

PloS one vol. 17: “The effect of levocarnitine supplementation on dialysis-related hypotension: A systematic review, meta-analysis, and trial sequential analysis.”

The Annals of pharmacotherapy vol. 40: “Blood pressure and heart rate effects following a single dose of bitter orange.”

The Cochrane database of systematic review: “Ginkgo biloba for intermittent claudication.”

The Journal of nutrition: “Hibiscus sabdariffa L. tea (tisane) lowers blood pressure in prehypertensive and mildly hypertensive adults.” 

Therapeutic apheresis and dialysis: “Levocarnitine Decreases Intradialytic Hypotension Episodes: A Randomized Controlled Trial.”

Weight Loss Success With Type 2 Diabetes

 Set Small Goals

If weight loss feels like a daunting goal, start slowly and stay consistent. Pick one healthy habit to adopt, such as eating a veggie with each meal, and make it a practice. Then after a while, add on another.

Self-reflect

Eating and emotions are linked. You may eat to cope with stress, sadness, or boredom, for example. When you can identify these patterns and become aware of them, you can start to eat more intentionally.

Don’t Skip Meals

If you’re counting calories, you may be tempted to go without a meal, but don’t. When you go for longer stretches without eating, your blood sugar levels can plummet, plus your ramped-up hunger puts you at risk of making less healthy choices once you do.

Go for Fresh Fare

Fill up your belly with fruits and veggies first. Aim for at least five servings a day. Fresh produce is best, but canned or frozen works, too – just be sure to skip options with added sodium or sugar.

Try Meal Replacements

They shouldn't make up 100% of your diet, but meal replacement options tailored specifically for diabetes, such as low-calorie protein shakes, can be a quick and easy pre-portioned option to keep you on track during the day.

Be Sip Savvy

Think about what you drink. Are you downing empty calories alongside your food? Water is your best bet when you’re thirsty. If you need more flavor than plain water, add fresh cucumber, lemon, or lime.

Exercise Regularly

When you work out consistently, even with a brisk walk or daily yoga, your body uses insulin more effectively. Be sure you’re getting a combo of aerobic and strength exercises, and talk to your doctor about how to manage your medications for physical activity.

Ask About Weight Loss Meds

Recent developments in the use of medications for people with diabetes to lose weight have produced more effective and safer options, such as hormone-based drugs that improve glycemic control by prompting insulin release when you eat.

Practice Portion Control

Reducing the number of calories you take in helps you drop pounds. One way to lower your number is by serving smaller portions. Talk to your doctor about the ideal daily calorie count for your size and circumstances.

Get Plenty of Sleep

Having a sleep routine of at least 7 hours a night may be essential for helping you lose weight and managing your diabetes. When you don’t get enough sleep, you can make it harder to lose weight. Insufficient or poor sleep increases your appetite, raises your insulin resistance, and makes you more likely to make unhealthy food choices.

Surgery May Be an Option

If you’ve tried lifestyle changes without success, bariatric surgery may be the best path toward weight loss. Some people are even able to achieve remission from their type 2 diabetes after the procedure when they lose a significant amount of weight.

Symptoms of Kidney Problems

 You’re Always Tired

Kidneys filter waste from your blood and ship it out in your pee. When your kidneys don’t work right, toxins can build up. One common tipoff is fatigue. You may feel spent, weak, or have trouble concentrating. Kidneys make a hormone that tells your body to create red blood cells. If you have fewer of them, your blood can’t deliver as much oxygen to your muscles and brain as they need.

Poor Sleep

Studies show a possible link between sleep apnea and chronic kidney disease (CKD), which over time damages your organs and may lead to kidney failure. Sleep apnea may hurt your kidneys in part by preventing your body from getting enough oxygen. CKD in turn may cause sleep apnea by narrowing your throat, toxin buildup, and other ways.

Itchy Skin

This may happen if your kidneys can’t flush out toxins and they build up in your blood.  That can cause a rash or make you itch all over. Over time, your kidneys may not be able to balance the minerals and nutrients in your body. This can lead to mineral and bone disease, which can make your skin dry and itchy.

Swollen Face and Feet

When your kidneys can’t get rid of sodium well, fluids build up in your body. That may lead to puffy hands, feet, ankles, legs, or a puffy face. You might notice swelling especially in your feet and ankles. And protein leaking out in your urine can show up as puffiness around your eyes.

Muscle Cramps

Cramps in your legs and elsewhere can be a sign of poor kidney function. Imbalance in the levels of sodium, calcium, potassium, or other electrolytes can interrupt how your muscles and nerves work.

Breathlessness

When you have kidney disease, your organs don’t make enough of a hormone called erythropoietin. The hormones signal your body to make red blood cells. Without it, you can get anemia and feel short of breath. Another cause is fluid buildup. You might have a hard time catching your breath. In serious cases, lying down may make you feel like you’re drowning.

Foggy Head

When your kidneys don’t filter all waste out of your body, the toxins can affect your brain. Anemia also may block your brain from the oxygen it needs. You may feel dizzy and have trouble with concentration and memory. You may even become so confused that you have trouble with simple tasks.

Low Appetite

Kidney disease can cause nausea or vomiting and upset your stomach. That may leave you with little craving for food. That sometimes may lead to weight loss.

Foul Breath

When your kidneys can’t filter out waste, it can cause a condition called uremia. That can make your mouth smell. Also, toxins in your bloodstream can give food a metallic or off taste.

Foamy, Brown, or Bloody Urine

Bubbly pee could be a sign of too much protein called albumin. That can result from kidney issues. So can brownish or very pale urine. Faulty kidney function also may let blood leak into your bladder. Blood in your urine also can be caused by kidney stones, tumors, or an infection.

How to Stay Youthful: Avoid These Mistakes

 You Don't Sleep Enough

If you don't get your ZZZs, your skin can start to wrinkle and sag early. That's in part because your body releases more cortisol, a "stress hormone" that breaks down the collagen that keeps your skin smooth and springy. Try to set up a quiet, soothing bedtime ritual with regular hours, and avoid alcohol, caffeine, and electronics before bed.

You're a Smoker

If you use tobacco, besides raising your chances of getting cancer, you could end up with wrinkled, sagging skin at a younger age. Smoking lessens blood flow that carries essential nutrients like oxygen to the surface of your skin and may slow your body's production of collagen. Talk to your doctor about ways to break the habit.

You're in the Sun Too Much

Some sunlight is good for you, but soaking up too many UV rays damages collagen in your skin and may cause your body to make too much of a protein called elastin. You might notice your skin start to thicken and develop a rough feel with deep wrinkles and varied color (age spots). If you must be in direct sun, cover up with hats, long sleeves, and sunglasses. Use a "broad spectrum" sunscreen that's got a rating of SPF 30 or higher.

You Don't Moisturize Your Skin

If your skin dries out, it can give you the rough and scaly look of an older person. Wash your skin once or twice a day. Try to be fairly gentle because hard scrubbing can irritate it. Use a mild cleanser without alcohol or other ingredients that could inflame, roughen, or dry out your skin. Moisturize with cream twice a day to help seal in moisture that keeps you looking young.

You're Not Eating Healthy

The right foods help prevent heart disease, diabetes, and other illnesses that sap your youthful energy. Consider the heart-healthy Mediterranean diet. It's good for your brain, too. You may have to cut back a little on fatty red meat, but you'll get healthy fats from foods like fish, nuts, olive oil, and avocado, as well as plenty of whole grains, fruits, and vegetables.

You Don't Exercise Enough

Regular physical activity is a key way to keep yourself feeling young. It strengthens your muscles, boosts your energy, and improves your mood. Moving around keeps your brain sharp and lessens the risk of age-related diseases like heart disease. You don't need to go to a gym or join a rugby team. Some brisk walking, yard work, or even dancing is just fine -- 30 minutes on most days of the week should do the trick.

You Squint a Lot

When you squint, you crinkle up the skin on your face, which over time can lead to lines and wrinkles. Actually, any expression you make over and over can be a problem. If you're outside a lot, sunglasses might keep you from squinting and help prevent the "crow's feet" that can develop on the outside corners of your eyes. A large brimmed hat wouldn't hurt either.

You Don't Have a Social Network

Staying connected with friends and family can help you stay young at heart -- and boost your emotional and physical health, too. It helps stave off anxiety, depression, and the dementia linked to old age, including Alzheimer's disease. And when you look for a community, remember, it's the quality of your social connections that matter, not the quantity.

You Don't Watch Your Blood Pressure

High blood pressure raises your risk of age-related problems like vascular dementia and Alzheimer's disease, probably because it damages the tiny blood vessels in your brain. People who control their blood pressure with diet, exercise, and medication seem to be able to slow or prevent this brain decline.

You Don't Lend a Helping Hand

Your body releases more "pleasure hormones," or endorphins, when you spend money on other people than when you spend it on yourself. But it doesn't have to be money. The calmness, pleasure, and connection you feel when you help someone often makes you do it more, which in turn makes you even calmer and happier. It lowers stress and may even help your heart health and immune system -- your body's defense against germs.

You Skip Your Checkup

You should see your doctor for a physical exam every year after age 50. They'll check your blood pressure, cholesterol, and blood sugar. High levels can lead to heart disease, dementia, and other age-related illness. They may also check for any signs of mental decline, like memory problems. The earlier you find out about problems, the quicker you can start to treat them.

Health Benefits of Watermelon

 Loaded With Lycopene

The cheery red color comes from lycopene, an antioxidant. Studies show it may help curb your risk of cancer and diabetes as part of a healthy lifestyle. Watermelon has more of this nutrient than any other fruit or veggie -- even tomatoes. To load up on lycopene, choose a melon with bright red flesh rather than yellow or orange. And the riper, the better. Also, seedless melon tends to have more lycopene than those with seeds.

Sun Benefit?

Some pigments help protect plants from the sun. Oddly enough, just eating them may shield your skin, too -- at least a little. The lycopene in watermelon may make it less likely that you get sunburned. But that’s not for sure, so keep using your broad-spectrum sunscreen with SPF of 30 or higher every day.

Healthier Heart

Watermelon is rich in an amino acid called citrulline that may help move blood through your body and can lower your blood pressure. Your heart also enjoys the perks of all the lycopene watermelon contains. Studies show that it may lower your risk of heart attacks. Of course, your whole lifestyle affects your heart health. So make sure you also work out, don’t smoke, limit saturated fat, and keep up with your doctor’s advice.

Protects Your Joints

Watermelon has a natural pigment called beta-cryptoxanthin that may protect your joints from inflammation. Some studies show that over time, it could make you less likely to get rheumatoid arthritis.

Easy on Your Eyes

Just one medium slice of watermelon gives you contains 9-11% of the vitamin A you need each day. This nutrient is one of the keys to keeping your eyes healthy. Foods are the best ways to get all the vitamins and minerals that your body needs.

Naturally Sweet Hydration

Juicy watermelon is 92% water, so it’s a simple way to help stay hydrated. Every cell in your body needs water. Even a small shortage can make you feel sluggish. If you get really dehydrated, it can become serious enough that you need to get fluids by IV.

Soothes Your Skin

Vitamins A, B6, and C in watermelon help your skin stay soft, smooth, and supple. Because it’s loaded with water, melon also makes a great face mask. Mix 1 tablespoon of watermelon juice with the same amount of Greek yogurt. Spread over your face and leave on for 10 minutes to slough off any dry, dull skin. Rinse and pat dry.

Satisfies Your Sweet Tooth

A cup of ice cream will set you back around 300 calories. You can enjoy the same amount of watermelon for just 45.6 calories. And unlike many other desserts, it’s fat-free, cholesterol free, and has no sodium. Plus, the water in it will help you stay fuller longer. To make an easy sorbet, puree some watermelon in your blender, add a squeeze of lime, and pop in the freezer until it hardens.

Boosts Your Workout

Watermelon’s high water content, antioxidants, and amino acids may make for a better workout. It’s also high in potassium, a mineral that could cut down on cramps at the gym. You can sip watermelon juice after you sweat, too. Doing so could help prevent muscle soreness, as long as you don’t push yourself too hard.

Won’t Spike Your Blood Sugar

Trying to keep your blood glucose levels steady? You’re in luck. Watermelon has a glycemic index (GI) value of 80, about the same as a bowl of cornflakes. But it’s got few carbs. That means its glycemic load (how quickly it enters your bloodstream and how much glucose it can produce) is a mere 5. Enjoy a slice without guilt!

Easy to Digest

If you have a digestive condition like Crohn’s or colitis, the list of what not to eat during a flare can be long. You can put watermelon on your “yes” list. Its soft, fleshy fruit is easy for even an inflamed gut to digest. (Just don’t eat the rind or the seeds if you need to limit fiber.)

What If I Eat a Seed by Accident?

You may have been told as a kid that if you swallow watermelon seeds, they’ll grow in your belly. Not true! After all, your stomach has no sunlight or soil, and a lot of gastric acid. Many melons are seedless these days, but don’t worry if you do swallow a seed. They’re actually full of nutrients!

Choose a Good One

Pick a melon that’s free of dents, nicks, and bruises. Look for a yellow, not white, spot on the bottom. This signals that it’s ripe. A juicy, ready-to-eat watermelon will feel heavy for its size. When you thump it, it should sound hollow.

Safely Cut and Store Your Melon

Wash the outside of your melon before you slice into it. You don’t want your knife to transfer any germs to the inside. While melon tastes best right after its cut, you can store it in your fridge for up to 5 days. Freezing is an option, too. While the watermelon won’t stay crisp, you can thaw it to use in smoothies.

Don’t Stop With a Slice

A slice of fresh watermelon tastes great, but you can do more with it. Top a salad with cubed melon and crumbled feta cheese. Make a watermelon pizza by topping wedges with yogurt, mint, slivered almonds, and berries. And save the seeds! Tossed with olive oil and sea salt, they can be roasted for a tasty (and healthy) snack.

Supplement Smarts: Best Ways to Take Vitamin Supplements

 Make Food Your Plan A

With hundreds of supplements available, it’s hard to believe that not every nutrient in whole foods has been captured in a capsule. That’s why eating a variety of healthy foods is the best way to meet your health needs. But if you’re low on a certain vitamin or mineral, or just want to cover all bases with a daily MVM (multivitamin/mineral), these tips will help you get the most from it.

Timing Your Multi

You can take your MVM any time you’d like. Your body absorbs some of its vitamins better with food, so you may want to take it with a meal or a snack. You’ll also avoid the upset stomach that you can get when you take it on an empty stomach. Not a breakfast person? Have it with lunch or even dinner.

When to Take Water-Soluble Vitamins

Water dissolves them, and your body doesn’t store them, so most must be taken every day. They include C and the B’s: thiamin (B1), riboflavin (B2), niacin (B3), pantothenic acid (B5), pyridoxine (B6), biotin (B7), folic acid (B9), and cobalamin (B12). Take them with or without food, with one exception: You’ll absorb B12 better with a meal. If you also use vitamin C, put 2 hours between them. Vitamin C can keep your body from using B12.

When to Take Fat-Soluble Vitamins

Vitamins A, D, E, and K need to go with fat from a meal for your body to absorb and use them. But you don’t need a lot of fat -- or any saturated fat. The healthy plant-based kind you find in foods like avocado or nuts will do just fine. 

If You Take Iron Supplements

You absorb iron best on an empty stomach. Take it with water or, better yet, a citrus juice: Iron and vitamin C have a tag-team effect. If it makes you queasy, save it for right after a meal. But don’t mix it with calcium or high-calcium foods -- these interfere with iron. You won’t take in either one fully. Men and postmenopausal women should skip supplements with this mineral unless a doctor says otherwise. The average MVM has more than you need.

If You Take Mineral Supplements

Large doses of minerals can compete with each other to be absorbed. Don’t use calcium, zinc, or magnesium supplements at the same time. Also, these three minerals are easier on your tummy when you take them with food, so if your doctor recommends them, have them at different meals or snacks. Don’t take any individual mineral at the same time as an MVM or an antioxidant vitamin formula, like one with beta-carotene and lycopene. Also see: What is silicon dioxide and how is it used in supplements?

If You Take Vitamin A

Watch the amount of what’s called preformed vitamin A. If you’re pregnant, doses over 10,000 IU a day can cause birth defects. High levels of both A and the usually safe beta-carotene (a substance that the body coverts to vitamin A) may raise your chances of having lung cancer if you’re a smoker, and maybe even if you’re a former smoker.

Prenatal Vitamins and Morning Sickness

Extra folic acid and iron are very important for a healthy baby. They can be found in most prenatal vitamins. But some prenatal vitamins can make nausea worse, mostly because of the iron. If this happens to you, pair your prenatal vitamins with a light snack before you go to bed. Talk to your doctor about the best prenatal formula for you.

Supplements and Your Prescriptions

Even essential nutrients can interfere with many common medications. If you take a traditional blood thinner like warfarin, just the small amount of vitamin K in an MVM can cut its strength. Taking more than 1,000 mg of vitamin E per day can raise your risk for bleeding. And if you take thyroid medication, taking calcium, magnesium, or iron within 4 hours can cut its strength. Ask your doctor about how best to time it.

The Alphabet of Amounts

RDA (recommended daily allowance) is the daily amount of a nutrient you should get, based on sex and age. DV (daily value) is the percentage of a nutrient that a supplement or food serving adds to the average daily diet for all ages. UL (upper limit) is the most of a nutrient you should get in a day. Side effects from big doses range from tiredness or diarrhea to kidney stones or organ damage.

Know What’s Inside

There’s no one standard MVM formula. Some have more nutrients than recommended. Others may come up short on some RDAs. For instance, the amount of calcium you need to meet the RDA is too much to fit into a tablet that you could easily swallow. Scan the full ingredients list so you know exactly what’s in the supplement you’re considering. This will also help you know if you need to time when you take it.

Personalize Your Formula

Another way to get more of the nutrients you need is to shop for formulas geared to your age and sex. For example, many vitamins for seniors have more calcium and vitamins D and B12 than younger people need. As you get older, your body doesn’t do as good a job of absorbing B12. Women in particular often need extra calcium and vitamin D after menopause to protect bones. Men’s formulas leave out the iron.

Are Gummies Any Good?

Opinions about gummy vitamins are mixed. One study found that people who take vitamin D in gummy form get more from it than from a tablet. On the other hand, gummies can have a lot of sugar and calories. And because they taste like candy, it’s easy to go overboard and eat too many. They may even cause cavities. Also, not all brands contain all essential vitamins and minerals. Some may not even contain the amounts listed on the label.

Look for Quality Checks

Since the FDA doesn’t regulate supplements, look for brands that have been “verified” by one of the three companies that test supplements in the U.S.: Pharmacopeia, Consumer Lab, or NSF International. These testing organizations verify that what’s on the label is in the bottle in the right amounts.

Keep a Supplement Diary

If you keep a log, it can help you time out different supplements and keep track of how much you take every day. The National Institute of Health’s Office of Dietary Supplements has a form called "My Dietary Supplement and Medicine Record" that you can print out and fill in. Bring it with you, along with your medication list, when you go to doctor visits.

Safe Sex Mistakes to Avoid

Not Getting Tested for STIs

You’d know if you had one, right? Not so fast. Some sexually transmitted infections (STIs) have mild symptoms or none at all. If you’re sexually active, talk to your doctor about testing or visit a health clinic. They’ll take some of your blood to test or have you pee in a cup.

Using a Condom the Wrong Way

Condoms help protect you from STIs and pregnancy, but only if you use them the right way. Only put a condom on an erect, or hard, penis. Pinch any air out of the end and roll it all the way down. When you’re finished having sex, hold the base of the condom and pull out.

Using Expired Condoms

Don’t forget to check the expiration date. If a condom is dry, sticky, or stiff when you take it out, toss it and use a fresh one.

Thinking Birth Control Stops STIs

The only surefire way to avoid them is to not have sex -- oral, anal, or vaginal -- or swap bodily fluids. Most forms of birth control, like pills or intrauterine devices (IUDs), won’t protect you from STIs. Barrier forms of protection, such as condoms and dental dams, lower your chances of infection and pregnancy.

Having Anal Sex to Avoid Pregnancy

Your chances of getting pregnant from anal sex are low, but it’s not impossible. That’s because semen can move from your anal area to the vagina. STIs are your main concern, though. Rectal tissue is thin and can tear easily, letting infection in. Use a condom every time you have anal sex. And use plenty of lube. Condoms are more likely to break during anal sex because there’s less natural lubrication.

Unprotected Sex During Your Period

Pregnancy is more common around the time your ovary releases an egg (ovulation). That’s around the middle of your cycle. You’re most fertile during these 5-7 days, including the day of ovulation and 3-5 days before. If you have a shorter menstrual cycle and have sex toward the end of your period, you could get pregnant 4-5 days later.

Unprotected Sex Your First Time

Some people think you can’t get pregnant the first time you have sex. But this just isn’t true. Whenever sperm is in or near the vagina or vulva (the vaginal opening), there’s a chance of pregnancy. The only way to avoid getting pregnant is to not have sex. But if you do, be sure to use condoms or some other form of birth control.

Pulling Out as Birth Control

Also called the withdrawal method, the goal is to take your penis out of the vagina before you climax, or ejaculate. But it’s risky for a few reasons. It takes self-control to pull out in time. And sperm can still get into the vagina through fluid that comes from the penis before you ejaculate. There’s also no protection against STIs.

Not Using Condoms Because You’re Symptom-Free

You or your partner can have no symptoms and still have an STI. This means you can infect each other. Always use a condom during sex and get tested regularly for STIs.

Douching to Stop Pregnancy

Douching, or cleaning your vagina with water or a special solution, doesn’t protect you from pregnancy or an STI. In fact, it can spread an infection to other parts of the reproductive system like your uterus and fallopian tubes. Your vagina cleans itself.


Lift Lighter Weight, Get Just As Strong

 Written by Jen Ator

“Muscle” and “strength” and “lifting” as it all happens in your average local gym is what makes strength training intimidating for some. “Instatrainers” and showoffs and pseudoscientists on social media only make it noisier with conflicting research, elaborate workout protocols, and stunt exercise videos to get eyeballs.

But strength training is critical for health. We all need it. Keeping our bodies strong and functional is how we maintain health and achieve, hopefully, longevity.

So let’s get away from the show of muscle.

Some facts based on the most recent science: You don’t have to lift heavy weights to get great results (unless you want to). You don’t need complex equipment and workouts to get great results (unless you want those things).

In fact, lighter weights can give you the same muscle-building results as heavier weight if you know how to do it. You can also lift those lighter weights to achieve more muscular power, which, as you’ll see, is something worth striving for as you get older.

So let’s put on a different muscle show — based on the latest data.

What Really Matters With Strength Training

When it comes to building and maintaining muscle, two factors matter more than anything else: volume and loading.

Brad Schoenfeld, PhD, is a professor in exercise science at CUNY Lehman College in the Bronx in New York City. He’s also a researcher who has published more than 300 studies in the field of exercise science and sports nutrition. His studies have consistently found that total training volume — that is, the sum of all the sets performed per muscle group per week — is a key driver of muscle hypertrophy (a.k.a. growth).

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Individual differences such as training experience, recovery capacity, and even genetic factors can influence how much volume is optimal for you.

“Some people respond better to lower volumes, some people need more volume to maximize their results,” says Shoenfeld. “But as a general guideline, to optimize hypertrophy you want to be somewhere between 10 to 20 sets per muscle per week.”

So to target the quads, for example, you’d want to complete three to four sets of exercises like squats and leg presses two to three times a week. To hit 20 total sets, you’d need to do five to seven sets of the same exercises across three sessions.

Is that the bare minimum? No. That’s the ideal. Shoenfeld’s team recently published a review paper where they looked at what might be a “minimal effective dose.”

“It was roughly around four sets per muscle per week, which can be done in two to three half-hour sessions,” he says. “If your goal is just to build some muscle, gain some strength, you can get very nice results and — I think probably for most people — the majority of gains in that period of time.”

He quickly follows up with an important caveat: “Provided you’re training hard.”

That’s where loading comes in.

Why Light Can Be as Good as Heavy

“In certain respects, my views have done a 180 [over the years], and nothing can be characterized more so than loading,” says Shoenfeld. “I had always thought that if you're doing anything over 12 to 15 repetitions, you're not going to gain muscle. The literature has now compellingly shown that you can gain similar amounts of muscle across a wide loading spectrum — even up to 30 to 40 repetitions.”

A study by one of his peers back in 2012 was a real watershed moment. “It was on untrained subjects doing leg extensions, and it showed that there was no difference in whole muscle hypertrophy between 30% 1RM (which is like 30 reps) versus 80% 1RM (which was like eight reps),” says Shoenfeld. He couldn’t believe it. In fact, he decided to do his own study to prove his colleague wrong.

“And lo and behold, I carried out that study and — no difference,” he says.

Since then, there's been so much evidence across the spectrum of populations: untrained, trained, older, younger, men, women. “Really any and every population has been extensively studied,” he says. “And it really is a beautiful thing because it provides so much flexibility and options to carry out resistance training.”

It's great news for people who don’t want to or can’t lift heavy weights.

“The caveat to this is that the lighter loads have to be taken with a high degree of effort. If you do not extensively challenge your muscles — meaning that the last few reps are difficult to complete — you're not going to achieve gains,” he says.

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So when we talk about light loads, this isn’t about grabbing a pair of pink dumbbells and breezing through a few reps. you must challenge the muscles.

Remember: The reason the body adapts to anything is through a survival mechanism, says Schoenfeld. “If you are not challenging it in a way it is not accustomed to being challenged, it has no impetus to adapt. The reason you will get these adaptations in strength and power, muscle endurance, bone density, etc., is because the muscles and bones, tendons and ligaments are being challenged beyond their present capacity.”

The only downside to lighter loads? They take longer. “If you're doing 30 reps, the sets are going to take triple the amount of time if you're training with 10 reps,” he says. “So that can be a consideration if you're very time-pressed.”

But if you want to avoid the heavier iron, the effort is worth it.

Speaking of Effort: Lifting Lighter for Muscle Power

As Schoenfeld says, you want to reach a point where you lift almost to failure, meaning the last few reps will be really hard. Theoretically you’d do the same thing lifting heavy weights. Those tough reps do you the best no matter how much weight you lift.

Another interesting benefit of lifting lighter weights: You can experiment with lifting the weight faster and more explosively to generate more power.

New research in Mayo Clinic Proceedings shows that muscle power — which comes from force and velocity — is linked to lower risk of premature death than just muscle strength alone, particularly as we get older.

For example, a good proxy for overall strength is a handgrip test where you squeeze a dynamometer to get a grip strength measurement. That’s very easy to track over time, and grip strength has long been considered a good measure of overall vitality.

Muscle power isn’t as easy to test, say, in a doctor’s office because it requires you to move a certain weight as fast and hard as you can through a range of motion. This is particularly important as we age because as we lose muscle and strength, power goes too. As the study authors say, “Every time an individual performs a movement against gravity or inertia, it is muscle power rather than muscle strength that is the most important variable in terms of muscle function.”

Lifting lighter weights can allow you to experiment with lifting for power. The participants in that study did upper-body rows with increasing speed and force to measure their power. You can do the same through your variety of lifts. Just be careful you don’t break form.

This also will raise the intensity of your workout, which has been linked to all kinds of benefits, including better cardiovascular fitness, curbed hunger, better cognition, and reduced cancer risk.

The only downside to lifting lighter weight? It’s possible your muscles could take longer to recover from the workout. You’ll need to pay attention to how your body responds to these different approaches, says Schoenfeld.

“You need to really start to be in tune with your body,” he says. “I think a lot of times people are just oblivious. They get into a routine and it just ‘has to do this, have to do that.’ Try to be intuitive.”

SOURCES:

Brad Schoenfeld, PhD, CSCS, FNSCA, professor of exercise science, CUNY Lehman College, Bronx, New York City.

Journal of Strength and Conditioning Research: “Effects of Resistance Training Volume on Muscle Hypertrophy: A Systematic Review and Meta-Analysis.”

Sports Medicine: “No Time to Lift? Designing Time-Efficient Training Programs for Strength and Hypertrophy: A Narrative Review,” “Physiological Responses and Adaptations to Lower Load Resistance Training: Implications for Health and Performance,” “Dose–Response Modelling of Resistance Exercise Across Outcome Domains in Strength and Conditioning: A Meta-analysis.”

Mayo Clinic Proceedings: “Muscle Power Versus Strength as a Predictor of Mortality in Middle-Aged and Older Men and Women.”

Help! I Have Dark Circles Under My Eyes!

 By Mary Alice Mina, MD; August 12, 2024; Double board-certified dermatologist

Let’s talk about dark circles under the eyes! It is a common and universally abhorred problem for many people. But did you know that darkening under the eyes can affect anyone, regardless of age or gender? Before seeking out specific treatments, it’s best to understand all the different things that cause dark circles in the first place.

What Causes Dark Circles?

Dark circles can result from a variety of factors, often in combination. Here are some of the most common causes:

Genetics: If your parents or grandparents had dark circles, you might be more likely to develop them. Genetic predisposition can affect the pigmentation and the skin structure around your eyes.

Aging: As we age, our skin becomes thinner and loses collagen, making blood vessels beneath the skin more visible. This can create the appearance of dark circles.

Fatigue: Lack of sleep can make your skin appear dull and pale, allowing dark tissues and blood vessels beneath your skin to show through. Fatigue can also lead to fluid buildup under your eyes, causing them to appear puffy and darker.

Allergies: Allergic reactions can cause your body to release histamines, which can lead to dilated blood vessels and increased blood flow under the eyes, contributing to dark circles.

Dehydration: When your body is not well-hydrated, the skin under your eyes can look dull and sunken.

Sun exposure: Excessive sun exposure can increase melanin production in your skin, leading to pigmentation changes and dark circles.

Lifestyle factors: Smoking, alcohol consumption, and poor diet can all contribute to the appearance of dark circles.

Once you determine the cause of your under-eye darkening, then you can determine a treatment plan to correct it. I think of under-eye darkening as either increased pigment under the eyes, increased blood vessels under the eyes, or increased shadows and valleys. Each one is treated differently.

Increased pigmentation under the eyes

Some people tend to have more pigmentation under their eyes, and this can vary based on genetics and ethnicity. This can even be present in childhood! While it can be very difficult to treat, using a sunscreen is a must. Bleaching creams and gentle peels can also help lighten the pigmentation, but it's important to go low and slow so as not to get rebound pigmentation. You can also try using a retinol mixed with lotion or slugging with petrolatum like Vaseline. But be careful not to irritate your skin, as harsh treatments and even rubbing your eyes can make the darkness worse. So, try not to scratch or rub your eyes to break the cycle.

Increased blood vessels under the eyes

 

Darkening of the skin around certain areas, such as under the eyes, can sometimes be genetic, particularly in individuals with lighter skin tones where the skin can appear almost translucent. A laser that specifically targets blood vessels can be a game-changer, but make sure you see a professional for this area.

Caffeine products can temporarily help constrict the blood vessels. Try using a regular black tea bag – chill it in the fridge for extra coolness, or just use ice or a cold spoon from the fridge. Easy peasy, and it feels nice! Arnica cream can also be a helpful remedy for reducing darkening under the eyes due to blood vessels; just dab on a little daily and watch the discoloration fade! But, steer clear of hemorrhoid creams – they might make things worse by thinning your skin and making blood vessels more noticeable!

Increased valleys and shadows

Feeling like you are seeing more valleys and shadows under your eyes lately? There could be a few reasons for that. Puffiness in the lower eye area can be caused by various things like not getting enough sleep, drinking too much alcohol, not drinking enough water, eating salty foods late at night, smoking, or dealing with allergies – whether it's seasonal sniffles or skin reactions. Aging plays a role, too, with collagen and elasticity loss, changes in bone structure, and fat shifting leading to puffiness and shadows. So, what can you do? First off, prioritize sleep, ditch the excess alcohol, and cut out salty snacks before bed. If you smoke, it might be time to consider quitting. Remember, when it comes to your eyes, taking care of yourself inside and out can make a real difference.

If these at-home remedies just aren't doing the trick, see a board-certified dermatologist for some in-office procedures.

In-Office Procedures

Chemical Peels

If at-home brightening products aren’t helping you, talk to your dermatologist about getting a chemical peel around the eyes. These peels use acids like glycolic acid, kojic acid, salicylic acid, and mandelic acid to clear away dark spots and dead skin cells, leaving your under-eyes brighter, smoother, and a bit tighter.

Tear Trough Fillers

Tear trough fillers help with dark circles by restoring lost volume under the eyes. This reduces the appearance of shadows caused by hollowing, making the under-eye area look brighter.

PRP Injections

PRP (platelet-rich plasma) injections can help with dark circles under the eyes by stimulating collagen production and improving skin texture and tone. The platelets in PRP contain growth factors that promote tissue regeneration and rejuvenation.

Lower Eyelid Blepharoplasty

Puffiness of the lower eyelids can be surgically removed with a lower eyelid blepharoplasty. Removing the puffy fat also improves the appearance of dark circles by reducing the “shadow” effect.

Laser Treatments

Several lasers can help combat dark discoloration under the eyes, depending on if the cause is more pigment vs. blood vessels. It's important to see a specialist in lasers for this area, as damage to the delicate eyelid skin can occur, as well as vision changes, without proper eye protection.

There’s no one-size-fits-all model when it comes to tackling those pesky under-eye dark circles; it's all about understanding what's causing them. Whether it's extra pigment, visible blood vessels, or shadows and valleys from puffiness and aging, there are ways to deal with each one. Just remember, it's not just about what you put on your skin to help tackle under-eye discoloration. How you take care of your body with diet, sleep, exercise, and hydration is just as important in brightening up your under-eye area!

Sources

WebMD.com


Health Benefits of Sleeping Naked

 

Medically Reviewed by Gabriela Pichardo, MD on July 02, 2023; Written by WebMD Editorial Contributor

If you don't already sleep naked, it may be time to give it a try. This article will explain how sleeping naked can help you get better rest, reduce your stress, and even help you to lose weight.

How Sleeping Naked Helps You Rest Better

Sleep cooler. Temperature makes a big difference in the quality of your sleep. If your skin starts to overheat, even a little bit, you’re more likely to wake up too soon. Overheating also pulls your body out of the important phase of deep sleep, which you need to fight infection and stay alert during the day.

Sleeping naked is an easy way to keep your skin temperature down without changing the room’s temperature. It also helps you to stay cool overall. This improves your sleep quality and makes you feel less tired.

Brown fat. Sleeping at a lower temperature also causes your body to produce more brown fat.

Brown fat boosts your metabolism by burning blood sugar and stored white fat to keep you warm. High levels of brown fat may reduce your risk of conditions like obesity and diabetes.

Less weight gain. If sleeping naked helps you to stay asleep longer, it can help to reduce your risk of obesity and weight gain. Adults who sleep 5 hours per night or less are more likely to gain significant amounts of weight compared to those who sleep 7 hours or more.

The Benefits of Better Rest

If sleeping naked helps you to rest better, your mental and physical health will benefit. Better sleep is associated with:

Reduced risk of heart disease, diabetes, and other serious health issues

‌A stronger immune system

‌Clearer thinking and better focus

‌Better reasoning and problem-solving

‌Better productivity at work

‌Reduced risk of depression

Fewer toxins. ‌Deep sleep is particularly important for getting the full cognitive benefits of rest. When you sleep, your brain clears itself of toxic proteins. Some of these proteins can increase your risk of Alzheimer’s disease and other forms of dementia.

Sleeping naked helps you stay cool, which is important for getting the deep sleep you need. Taking off your clothes before bed may keep your mind healthy long into the future.

The Effects of Sleeping Naked on Relationships and Sexual Health

Oxytocin. Do you sleep with a partner? Sleeping naked together might improve your rest by reducing your stress and anxiety levels. Skin-to-skin contact between adults can increase levels of oxytocin, the “love hormone”.

That increased oxytocin can help to reduce your stress levels. It can also make you feel more connected to your partner.

Stronger bonds. By keeping you connected, sleeping together naked can keep your relationship strong. Couples who remain together tend to have higher oxytocin levels when they first get together. This is possibly because the hormone itself strengthens the emotional bond.

Long-term couples with strong relationships also tend to have higher oxytocin levels.

Fertility. For people with testicles, sleeping naked may also improve reproductive health. Sperm count and concentration are lower with tight-fitting underwear. This is possibly because it makes the testicles warmer. By sleeping without underwear, testicles have a chance to cool off.

No matter your gender or relationship status, sleeping naked is still good for your emotional well-being. It can also improve your relationship with yourself. Spending time nude helps to improve your body image, self-esteem, and overall feelings of well-being.

Tips for Sleeping Naked

The right temp. The benefits of sleeping naked are closely linked with keeping cool. Most people’s optimal sleep temperature is between 66 degrees and 70 degrees Fahrenheit. Different people will have different comfort levels.

An uncomfortably cold room will also make it harder to sleep. Let your comfort levels determine your room temperature. Also, make sure your hands and feet are warm enough. Your body drops its core temperature for sleep by sending blood flow to those areas.

If you tend to have cold extremities but want to sleep naked, consider bathing or showering an hour or two before bedtime. This helps improve circulation and your overall temperature regulation.

Bedding matters, too. Invest in quality sheets and wash them often in warm water. This helps you ensure that sleeping naked remains a healthy practice.‌

Finally, it’s okay if you’re not ready to sleep completely nude. Sleeping in just a loose pair of underwear can be enough to get a lot of the same benefits. Everyone’s sleep needs are different, and that goes for clothing as well.

SOURCES:

AMERICAN PSYCHOLOGICAL ASSOCIATION: “The two faces of oxytocin.”

 

Brain: “Skin deep: enhanced sleep depth by cutaneous temperature manipulation.”

Environmental research: “Fatigue and sleep under large summer temperature differences.”

Frontiers in Psychology: “Self-soothing behaviors with particular reference to oxytocin release induced by non-noxious sensory stimulation.”

Human reproduction: “Types of underwear worn and markers of testicular function among men attending a fertility center.”

Journal of Happiness Studies: “Naked and Unashamed: Investigations and Applications of the Effects of Naturist Activities on Body Image, Self-Esteem, and Life Satisfaction.”

Journal of Social and Personal Relationships: “Relationship quality and oxytocin: Influence of stable and modifiable aspects of relationships.”

NIH: “How brown fat improves metabolism," "The Benefits of Slumber."

Psychoneuroendocrinology: “Oxytocin during the initial stages of romantic attachment: Relations to couples’ interactive reciprocity.”

Sleep and Breathing: “Association between weight gain, obesity, and sleep duration: a large-scale 3-year cohort study.”

Sleep.org: “How Often Do I Really Need to Wash My Bedding," "What is the Best Temperature for Sleep?” ‌

UNIVERSITY of ROCHESTER Medical Center: “Not All Sleep is Equal When It Comes to Cleaning the Brain.”

UT NEWS: “Take a Warm Bath 1-2 hours before Bedtime to Get Better Sleep, Researchers Find.”

VCU NEWS: “Cooler bedroom temperatures may boost metabolic activity.”

Guide to Breast Cancer

Breast Cancer Today

Breast cancer isn’t what it was 20 years ago. Survival rates are climbing, thanks to greater awareness, more early detection, and advances in treatment. For roughly 284,000 Americans who are diagnosed with breast cancer each year, there are plenty of reasons to be hopeful.

Breast Cancer Symptoms

Breast cancer often has no symptoms, but you may notice something you want the doctor to check. Keep an eye out for:

A painless lump in the breast

Changes in breast size or shape

Swelling in the armpit

Nipple changes or discharge

Breast pain can also be a symptom of cancer, but this isn’t common.

Signs of Inflammatory Breast Cancer

This rare, fast-growing type rarely causes a distinct lump. Instead, breast skin can become thick, red, and look pitted, like an orange peel. The area might also feel warm or tender and have small bumps that look like a rash.

Mammograms

The earlier you find the disease, the easier it is to treat. Mammograms, an X-ray of the breast, can show tumors before they get large enough to feel. The American Cancer Society says women ages 45-54 with an average risk level should get a yearly mammogram. Starting at age 55, mammograms can be performed every 2 years. Continue them as long as you’re in good health. The U.S. Preventive Services Task Force says until you’re 50 you should talk to your doctor about your need for testing. After that, get a mammogram every 2 years from ages 50 to 74. You don’t have to stop at 75; the group just doesn’t assess the pros and cons. You can work it out with your doctor.

Ultrasound and MRI

Your doctor may order an extra test that takes pictures of the inside of your body. A breast ultrasound can help find cysts, fluid-filled sacs that most often aren’t cancer. You might get an MRI along with a mammogram as part of your routine testing if you have a higher risk of breast cancer.

Self-Exams

For years, doctors told women to check their own breasts once a month. But studies suggest these exams play a very small role in finding cancer compared to other testing methods. The current thinking is that it’s more important to know your breasts and be aware of any changes, rather than checking them on a regular schedule. If you want to do a self-exam, go over the technique with your doctor.

What If You Find a Lump?

First, don’t panic. Eighty percent of breast lumps aren’t cancerous. They often turn out to be harmless cysts or tissue changes related to your menstrual cycle. But let your doctor know right away if you find anything unusual in your breast. If it is cancer, the earlier it’s found the better. And if it isn’t, testing can give you peace of mind.

Breast Biopsy

The only sure way to know a lump is cancer is to do a biopsy. This means removing a sample of the lump so it can be examined in the lab. Your doctor may be able to do this with a small needle. But you might need surgery to take part of or the entire lump for testing. The results will show whether it’s cancer, and if so, what type. There are several forms of breast cancer, and treatments are carefully matched to each type.

Hormone-Sensitive Breast Cancer

Some types of breast cancer are fueled by the hormones estrogen or progesterone. Your doctor will test for hormone receptors -- proteins that pick up signals from the hormone that tell cells to grow. A biopsy can show if a tumor has receptors for estrogen (it’s ER-positive) and progesterone (it’s PR-positive). About 2 out of 3 breast cancers are hormone sensitive. There are several medications that keep the hormones from causing further cancer growth.

HER2-Positive Breast Cancer

In about 20% of patients, breast cancer cells have too much of a protein called HER2/neu. It’s important to know whether a tumor is HER2-positive, because there are special treatments for this type of cancer.

Triple-Negative Breast Cancer

In up to 15% of breast cancers the tumor cells are lacking estrogen or progesterone receptors and have only small amounts of the HER2 protein. Doctors call this type of breast cancer "triple negative." It tends to grow and spread faster than other types. Hormone therapy or targeted drugs aren't helpful for this type. But there are other treatment options, including surgery, chemotherapy, and radiation.

Breast Cancer Stages

If breast cancer is the diagnosis, the next step is to figure out how big the tumor is and how much of your body it affects. This process is called staging. Doctors use stages 0-IV to describe whether cancer is only in the breast, has moved into nearby lymph nodes, or has spread to other organs like the lungs. Knowing the stage and type of breast cancer will help your health care team create a treatment plan.

Survival Rates

The odds of beating breast cancer are strongly tied to how early you find it. The American Cancer Society says 99% of women with stage I breast cancer live at least 5 years, and many women in this group remain cancer-free for good. The more advanced the cancer, the lower this figure becomes. By Stage IV, the 5-year survival rate drops to 29%. But these rates will rise as more effective treatments are found.

Breast Cancer Surgery

There are many types of breast cancer surgery, from taking out the area around the lump (lumpectomy or breast-conserving surgery) to removing the entire breast (mastectomy.) Talk about the pros and cons of each with your doctor to decide what’s right for you.

Radiation Therapy

This treatment kills cancer cells with high-energy rays. It may be used after breast cancer surgery to wipe out any cancer cells that remain near the tumor site. Sometimes, it is given during breast conserving surgery to the area where the tumor was removed. It might be paired with chemotherapy to treat cancer that has spread to other body parts. Side effects include fatigue and swelling or a sunburn-like feeling where you were treated.

Chemotherapy

This treatment uses drugs to kill cancer cells anywhere in the body. They’re often given by IV, but they can be taken by mouth or a shot. You might have it before surgery to shrink a large tumor or after to lower the odds of your cancer coming back. In women with advanced breast cancer, chemo can help control the cancer’s growth. Side effects may include hair loss, nausea, fatigue, and a higher risk of infection.

Hormone Therapy

This is for women with ER-positive or PR-positive breast cancer. These cancers grow faster in response to the hormones estrogen or progesterone. Hormone therapy can block this effect. It might be used after surgery to help keep the cancer from coming back. Doctors sometimes give it to women with high risk factors to reduce the chances of getting breast cancer.

Targeted Treatments

These newer drugs pinpoint specific things inside cancer cells. For example, women with HER2-positive breast cancer have too much of a protein called HER2. Targeted therapies can stop this protein from making cancer cells grow. These drugs are often used along with chemo because they tend to have milder side effects.

Immunotherapy

This turns your body’s own disease-fighting powers against cancer. Drugs called immune checkpoint inhibitors target certain proteins on immune system cells. They make it harder for cancer cells to evade attacks. Immunotherapy is sometimes used to treat advanced cancer.

Life After Diagnosis

There’s no doubt that cancer is a life-changing experience. The treatments can wear you out. You may have trouble managing daily chores, work, or social outings. This can make you feel isolated. It’s crucial to reach out to friends and family for support. They may be able to go with you to treatments, help out with chores, or just remind you that you aren't alone. Many people choose to join a support group, either near them or online.

Breast Reconstruction

Many women who have a breast removed choose to get reconstructive surgery. This replaces the skin, nipple, and breast tissue that are lost during a mastectomy. It can be done with a breast implant or with tissue from somewhere else in your body, like your tummy. Some women start the process right after their mastectomy. But you can also get it months or years later.

Breast Forms

Instead of reconstruction, you can be fitted for a breast form. This is a breast-shaped prosthesis that fits inside your bra. Wearing one allows you to have a balanced look when you’re dressed. Like the surgery, breast forms are often covered by insurance.

Breast Cancer: Why Me?

The most obvious risk factor for breast cancer is being a woman. Men get the disease, too, but it’s about 100 times more common in women. Other things that make it more likely include being over age 55 or having a close relative who had the disease. Still, up to 80% of women with breast cancer have no family history of the illness.

Breast Cancer Genes

Some women have a high risk of breast cancer because they got changes, or mutations, in certain genes at birth. The genes most often involved in breast cancer are known as BRCA1 and BRCA2. Women with mutations in these genes have a higher chance of getting breast cancer at some point in life than those who don’t. Other genes may be linked to breast cancer risk as well.

Reducing Your Risks for Breast Cancer

Women who breast-feed their children for the recommended length of time (6 months exclusively and up to 2 years or beyond partially) can reduce their risk of breast cancer by 25%. You can also reduce your risk by maintaining a low BMI and by getting exercise. You should also cut back on the amount of alcohol you drink. Birth control pills and some forms of hormone therapy after menopause can boost the odds. But the risk seems to go back to normal after you stop these medications. Good lifestyle choices can help survivors, too. Research says physical activity can lower the chances your cancer will return. And it's a proven mood-booster, too.

Breast Cancer Research

Doctors continue to search for treatments that work better and are easier to undergo. Funding for this research comes from many sources, including advocacy groups throughout the country. Many of the 3.8 million breast cancer survivors and their families choose to participate in walk-a-thons and other fundraising events. This links each individual fight against cancer into a common effort for progress.