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Shelter in Place: Staying Sane & Productive, with Terry Galvan (Part 3) – thirdcoastreview.com

Mar 29th, 2020
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Photo Credit: Leung Chi Tak via Flickr. (https://www.flickr.com/photos/leungchitak/)

A series with contributor Terry Galvan.

In 2013-14, I spent nine months in the provincial capital of Latacunga, Ecuador on a Fulbright grant. Social-cultural norms meant that daily life had a lot in common with todays shelter in place mandates. Here I share what I learned, and how to best embrace this new normal.

For FAQs on why I chose this lifestyle, please see part 1. For tips on Social-Emotional and Professional health, see part 2.

Part 3: Physical Health

When I first heard stay inside I freaked out. Without exercise or healthy food or sunlight, I was convinced I was going to have a total breakdown.

I was wrong! Maintaining physical health while sheltering in place in Illinoisand also in Latacungaturned out easier than under normal circumstances. Here are my tips:

A note: I am NOT a doctor and this is NOT medical advice. Please follow the instructions of your actual doctors and therapists and nutritionists and the CDC. I am sharing anecdotes relevant to at-home self-care, which does NOT replace medical care!

Think about it: What do I REALLY want to put in my body?

This sounds trite, but listen to your body. Pay attention to the signals your body sends your brain about how much energy, sodium, caffeine, alcohol, and water it really needs, versus what youre used to feeding it.

Switching up your routine means your stimuli & chemical expenditures are naturally going to change. Dont be afraid to experiment with more or less of something youre used to gulping down.

Alcohol

If youre any Chicagoan I know, your reaction to the pandemic and social distancing was probably, screw toilet paper, I need to hoard alcohol. Tons of alcohol. Thats how we survive blizzards, which is basically what this is, right?

Strangely, my alcohol craving drops to basically zero when I have no social obligations. Even when I had work stress, I never wanted alcohol. Before I started working in corporate America, I exclusively drank socially. I stopped drinking during my Fulbright except during parties where I matched married women drink for drink (they would barely get buzzed). In fact, the couple of times I tried to have a beer after work I got sick and couldnt finish it.

Tip: try not drinking (or smoking) at the times you usually do. Give it an hour. Have tea or fruit instead. Work on your side hustle or talk on the phone. Do you still want it after an hour, or have you forgotten about it? Does your brain feel better or worse?

After working remotely at my current job (during our busiest season, mind you!) for a full week, I can assure you that my alcohol consumption has halved. Yes, halved. Just from not dealing with the El, my coworkers walking up to my desk all the time, or any in-person social obligations. Its got me thinking that introverted streak is bigger than I thought.

Caffeine

On the flip side of the coinIve found I still really need caffeine. No matter how much I sleep or what Im up to, I cant say no to a cup of Joe or pack-a-punch tea in my first hour awake. Ive been known to use coffee as an antidepressant during long Chicago winters when vitamin D isnt as readily available, and this March Im definitely indulging that habit.

Tip: to avoid over-doing it with your favorite caffeinated beverage, switch them up every couple of days. For example, stick to green tea on weekends, and save the Intelligentsia for the weekdaysand the Monster for Friday night Twitch tournaments.

Sunlight

I dont care who you are everyone needs sunlight, every day. In Ecuador I got it walking around campus, doing laundry on my patio, or taking walks to the bakery down the street. It is easy to forget about when sheltering-in-place and trying to socially distance.

Tip: Make it a priority to go for a walk around noon every day. Set a timer, go even if youre being really productive inside. Around the block is fine. Aside from the sunlight, the stimuli of moving around and the environment outside your apartment will do you a world of good.

A rare sunny afternoon in Latacungas central park

Sleep

I have terrible insomnia in Chicago. I did not in Ecuador. This past week working remotely, and going to bed when my body wanted tothe insomnia disappeared. Just because I didnt have to worry about getting to work on time.

Tip: As much as your work schedule allows, now might be a great time to let your body sleep when it wants to. Think youre a night owl? Be one. Morning person? Get up at dawn, go to bed at 8. Nap person? Nap away. Whos going to judge you? You might feel better than you ever have without outside obligations messing up your circadian rhythm.

Water

My need for water is always astronomically higher than the people around me. In Ecuador, fresh water that a gringo can drink without getting instant food poisoning wasnt always readily available; furthermore, as Ecuadorians tend to drink less water than US Americans, restrooms were also not readily available. I boiled my own in my house and carried as much as I could with me, but I often ran out. What I learned was I could balance out my sodium intake with my water intake and actually retain more water. In situations where I knew there wouldnt be any bathrooms, I used Coca-cola (full of sodium!) to hydrate or just keep my salt balance steady.

Tip: Its easy to get dehydrated or feel dizzy when youre drinking a lot of caffeine and staring at screens. (I just got a killer migraine from, yes, too much screen time). Drink water, yes, but make sure youre eating right to maintain your electrolyte balance and keep carb-to-protein ratio and vegetables steady too.

Food

This sounds horrifying, but seriously observe and calibrate your calorie intake vs. output. If youre staying home instead of commuting, you might need fewer calories. If youre working from your bed instead of standing up and walking around conference rooms, thats a material difference. For me personally, its really important for me to avoid feeling hyper specifically the spike and drop associated with sugar.

Human bodies metabolize stress in wildly different ways. When Im stressed about a social thingsay, a toxic work environmentmy body eats itself alive and I lose weight. (Please dont try this at home, it tends to come with horrible depression). Meanwhile, if Im in a socially stable situation, like a healthy relationship, I gain weight and become fat and happy. But if you flip the type of stress, my body will do the oppositework stress about hours and deadlines will prompt me to stress-eat, and actually gain weight instead! Meanwhile, I have friends who experience the opposite. They gain weight when the stressors are out of their control, and lose weight when they can work themselves to death. Cant win!

Something that helped me account for this in Ecuador was adopting Ecuadorian eating habits (and firmly rejecting others). Ecuadorians were big on pork fat and confusing carbs with vegetables. (A typical meal was pasta, potatoes, and bread on the sidedont ask). They were also big on only consuming fruit in juice format with about 19 cups of sugar. It took some experimentation, but after listening to my body and what made me feel good hours and days later, I was able to pick and chose my way into healthy eating.

For sheltering in place, I recommend the following:

Increase fat intake. It sounds crazybut fat fills you up. It stops you from snacking. For my body, fat is slow burn energy, meaning I will still feel energetic all day if I have a fatty meal at midday. In Ecuador, I didnt have a choicelunch was always decadent, with 2-3 types of animal fat incorporated into the soups and entrees. Once I stopped trying to fight it and let my body figure out how to respond, I felt a lot better.

Fritada, one of my favorite Ecuadorian foods, is half-popped corn, plantains, and pork meat all fried together in a wok-like pan, often outdoors

Tip: One of my favorite healthy eating tricks is to make a bacon-fat breakfast sandwich in the morningfry bacon, then fry your egg & toast in the leftover grease in the pan. Not only does it taste amazing, but I am not hungry til 5pm.

Watch carb/sugar intake. If youre not walking to work or transit, you probably dont need half the carbs youre used to eating. If you dont expunge them somehow by keeping your steps constant, they might make you spike and drop, which can be pretty bad for mental health as well as physical.

Tip: Try an open-face sandwich, or just halving the amount of rice / pasta you might normally eat. Arranging your plate helps a lot with this. When I eat spaghetti I try to take half of what I want, and then PILE on the sauce and vegetables, so my plate winds up looking much biggerjust its proportionally more sauce than pasta.

I also try tricking myself into thinking vegetables are actually carbs. Spaghetti Squash is great for this! I also lay down a bed of spinach under eggs or beans and rice to turn meals into fiber-rich burrito bowls.

Snack on nuts, seeds, & fruit before you reach for the chips and candy. Lets face it: we are all going to be snacking a LOT more since were just sitting in our houses on piles of food. If you want to train yourself to like healthy snacks instead of donutsmaybe now is the time to try it!

Tip: leave a bag of sunflower seeds or oranges near your Work Space so you subconsciously munch on them when the Snack Attack strikes. Carrots and hummus are great too.

All best practices asideI am a tremendous advocate of emotional eating. Emotional eating is the epitome of listening to your body. If youre craving salt, your body probably needs salt. Eat that bag of popcorn, just drink a glass of water too since you are also likely dehydrated If youre craving brownies, make the dang brownies and lick the bowl. Your body/mind probably needs a dose of theobromine. The more you cave to your desires and pay attention to the outcome, the more you will know about yourself, and the better youre be able to grease the machineand feel good while doing it.

Exercise, exercise, exercise

When I moved to Latacunga, I was most worried about getting enough exercise. I knew I wasnt going to have gym access, and I wasnt sure what social norms and infrastructure around exercise would be there.

Im one of those freaks whos addicted to cardio. Exercise is my main mental-health crutchIve been using endorphins as a free antidepressant/anti-anxiety med for 15 years. If Im not sweating 20-30 minutes a day, my brain short circuits and Im distracted, angry, and basically nonfunctional.

Obviously everyone is scrambling to figure this out with the shelter in place mandates. Much like now, I found new exercise routines that made sense in my new culture & environment.

But my gym is closed!

So what? Do you think the human body evolved to expend all energy on a treadmill or on the weight bench?

Nah, our bodies love to move around outside. Benefits of being forced out of your gym and into home/outdoor workouts:

In Latacunga I started running at dawn, because thats the only time Latacunguenos went running. In order to maintain the endorphin dose while avoiding getting repetitive stress injuries, I came up with my own Best Practices for Exercising without a Gym:

Space it out!

Dont do the same exercises every day. Even if you dont get bored, youll get injured.

With running the only viable option for cardio, I have to ration my cardio more than anything else. I regularly get repetitive motion injuries in my knees and shins from overrunning or continuing to run when my form is bad, Im too tired, I didnt let myself fully heal, or just because Im chasing that endorphin high.

If you canswitch up running with biking and walking. Spring for a Divvy subscription, and bike in the traffic-free streets for 20-30 minutes. Im also trying those infamous burpees and pilates videosDownDog is free until Apr 1, and the level 2 full body HIIT kicked my butt yesterday.

Protein powder is your friend.

Weird thing to say in a quarantine post, but true. Protein powder takes the edge off of soreness and helps your body recuperate from new and repetitive exercise. It also makes you less hungry and less likely to emotionally eat.

Dont forget your physical therapy.

If youve ever been to physical therapy, nows the time to resurrect those floor exercises you were assigned five years ago to do four times a week. Physical therapy is designed to help compensate for your bodys weaknesses and strengthen it to prevent or heal injury. Im trying to incorporate it into a daily routine.

In conclusion: Youre in a relationship with your physical body. Treat it like you would a significant other, or a pet, or a relative. Sure, it annoys the crap out of you sometimes, and it makes you crazy and does illogical things, but its a living thing that you feed and take care of anyway and you want the best for.

Fireworks display from an August festival

Shelter-in-place may seem like a bummer, but theres lots of opportunity to make the best of it. Best of luck, Chicago!

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Lettuce Health Benefits: HEREs how this veggie aids in weight loss and boosting immune system – PINKVILLA

Mar 29th, 2020
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Lettuce is a potential source of Vitamin A, K and C. It aids in weight loss, weight management and improving immune system. Check out the health benefits and some healthy recipes of this vegetable.

Lettuce is popularly known as a salad vegetable the leaves of which are the prime ingredients for the salad recipe. The crispy leaves of this veggie is also an important part for burgers and sandwiches. Health-conscious people even like to have it raw or with some dips. A salad or a burger is never ready without this leafy vegetable.

Lettuce is an annual plant of the daisy family Asteraceae. It is mostly grown as a leafy veggie but its stem and seeds are also used sometimes. Lettuce has also religious and medicinal significance in some countries. Earlier, Europe and North America used to dominate the Lettuce market but later its popularity spread all around the world. This veggie is highly beneficial for health as its rich in Vitamin K and Vitamin A. Lettuce is also helpful for weight loss and weight management.

History of LettuceLettuce is considered to be an ancient vegetable the history of which dates back to 2680 BC. It was first cultivated by ancient Egyptians and used as a weed to extract oil from it.

Heres how Lettuce aids in weight loss and weight management.

Low in calorie

100 gm lettuce has only 15 calories. Being a negative calorie food, lettuce can burn more calories in the digestion process than the amount of calories this veggie contains.

Zero cholesterolLike most of the vegetables, lettuce also has zero cholesterol, saturated and unsaturated fat.

Contains high water contentLettuce is 96 percent water by its weight which makes it more filling than any other veggies. Iceberg lettuce has an almost equal amount of water as cucumbers.

Controls blood sugar levelsLettuce has Lactucaxanthin which is considered to be an anti-diabetic carotenoid. It is highly effective in regulating blood sugar levels. Lettuce can also regulate cravings and hunger pangs by improving the blood sugar levels. Hence, lettuce is also considered to be helpful for a diabetic diet.

Some of the healthy recipes with Lettuce1- Romaine lettuce salad

2- Broccoli and Lettuce Salad

3- Pineapple and lettuce salad

4- Greek salad with lettuce

5-Chicken Caesar pasta salad

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Lettuce Health Benefits: HEREs how this veggie aids in weight loss and boosting immune system - PINKVILLA

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’90 Day Fiance’: Narkyia Reveals This Isn’t First Pregnancy Since Weight Loss Surgery – Soap Dirt

Mar 29th, 2020
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90 Day Fiance alum Narkyia Lathan Shodipe revealed to fans that this isnt her first pregnancy since her weight loss surgery last year. What else did she say? Weve got the inside scoop here, so keep reading.

Just recently,90 Day FiancesNarkyia Lathan Shodipe dropped the big news that she is pregnant with husband Olulowo Shodipes baby. This comes just after her dramatic shedding of around 100 pounds.

Due to Narkyia Lathans age (she just turned 41), and the fact that her son Malcolm was a high-risk pregnancy, her current one is high-risk as well. Narkyia will probably have a scheduled C-section when the time comes.

Narkyias proud to say that all her blood test results came back normal, except for vitamin D. Thats to be expected because vitamin D is made by getting out in the sun. But, the weather hasnt been so great in Pennsylvania, where the 90 Day Fiance reality star resides with her husband and kids.

Because of the risks that come with her pregnancy,90 Day Fiance celebrity Narkyia Lathan Shodipe was getting early ultrasounds. That is how she found out the gender so quickly.

Narkyia admits she and husband Olulowo (aka Lowo) werent intending to get pregnant. She says even before her gastric sleeve surgery, she was very fertile. The 90 Day Fiance celeb had her surgery performed in Mexico as American doctors wouldnt see her),

And after the operation, Narkyia Lathan Shodipe was even more fertile. In fact, this isnt the first time in the last year that she fell pregnant.

Despite turning the big 4-1, Narkyia had to cancel a birthday cruise trip this week due to the coronavirus. Instead, she spent a quiet birthday in the house with her loved ones. Understandable, considering the state of the world now and the fact that shes carrying a baby.

But thats not the only birthday her family is missing out on. Kyia says Malcolms 16th birthday is next week as well, so its looking to be another low-key celebration.

In the meantime, Narkyias feeling cooped up, but shes not going to go outside unless absolutely necessary to protect her unborn child. She plans on doing IG live to do Zumba with her viewers and play pranks on her family.

If you want to read more about your favorite90 Day Fiance stars, then keep checking back with Soap Dirt.

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Weight Loss Market 2020-2026 by Research Methodology, Industry Current Trends, Application, Opportunities, Top Manufacturers and Forecast Report -…

Mar 29th, 2020
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Global Weight Loss market report on material, application, and geography global forecast to 2026.It is a professional and in-depth analyzed research report on the worlds major regional market conditions, the report also explores the major industry players in detail as well as company profile, product specifications, capacity, and production value.

The report forecast global Weight Loss market to grow to reach xxx Million USD in 2020 with a CAGR of xx% during the period 2020-2026.The report offers detailed coverage of Weight Loss industry and main market trends. The market research includes historical and forecast market data, demand, application details, price trends, and company shares of the leading Weight Loss by geography. The report splits the market size, by volume and value, on the basis of application type and geography.

You Can Get a Sample Copy of this Report at https://www.orianresearch.com/request-sample/1046013

The key players covered in this study

The scope of the Global Weight Loss Report:

Order a copy of Global Weight Loss Market Report @https://www.orianresearch.com/checkout/1046013

Market segment by Type, the product can be split intoFitness EquipmentCardiovascular Training EquipmentStrength Training EquipmentFitness Monitoring EquipmentBody Composition AnalyzersSurgical EquipmentMinimally Invasive Surgical EquipmentNoninvasive Surgical Equipment

Market segment by Application, split intoManWoman

Important Aspects of Weight Loss Report:

Why To Select This Report:

Complete analysis on market dynamics, market status and competitive Weight Loss view is offered.

Forecast Global Weight Loss Industry trends will present the market drivers, constraints and growth opportunities.

The five-year forecast view shows how the market is expected to grow in coming years.

All vital Global Weight Loss Industry verticals are presented in this study like Product Type, Applications and Geographical Regions.

Table of Contents

Part 1 Market Overview

Part 2 Global Market Status and Future Forecast

Part 3 Asia-Pacific Market Status and Future Forecast

Part 4 Asia-Pacific Market by Geography

Part 5 Europe Market Status and Future Forecast

Part 6 Europe Market by Geography

Part 7 North America Market Status and Future Forecast

Part 8 North America Market by Geography

Part 9 South America Market Status and Future Forecast

Part 10 South America Market by Geography

Part 11 Middle East & Africa Market Status and Future Forecast

Part 12 Middle East & Africa Market by Geography

Part 13 Key Companies

Part 14 Conclusion

Customization Service of the Report:-

Orian Research provides customization of reports as per your need. This report can be personalized to meet your requirements. Get in touch with our sales team, who will guarantee you to get a report that suits your necessities

About Us:Orian Research is one of the most comprehensive collections of market intelligence reports on the World Wide Web. Our reports repository boasts of over 500000+ industry and country research reports from over 100 top publishers. We continuously update our repository so as to provide our clients easy access to the worlds most complete and current database of expert insights on global industries, companies, and products. We also specialize in custom research in situations where our syndicate research offerings do not meet the specific requirements of our esteemed clients.

Contact Us:

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Vice President Global Sales & Partner Relations

Orian Research Consultants

US +1 (415) 830-3727| UK +44 020 8144-71-27

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Muskmelon Health Benefits: From Weight Loss to Hair Growth, Here Are Five Reasons Why You Should Include – LatestLY

Mar 29th, 2020
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Health Benefits of Musk Melon (Photo Credits: Pixabay)

In a matter of a few weeks' time, we will enter into summer and with that, we will have to bring about changes in food eating pattern. In winters, we mostly eat foods that help us keep warm from the inside and make our body immune system strong. While in summer, we will eat foods that will aid in keeping the body hydrated. Having said that, let us speak about the health benefits of muskmelon or cantaloupe melon, which include weight loss and hair growth.Too Lazy to Drink Water? Eat These 5 Foods With High Water Content to Stay Hydrated in Summer.

As per the data of the United States Department of Agriculture (USDA), 100 g of muskmelon provides 34 kcal energy which consists of 90.15 g water, 8.16 g carbohydrate, 267 mg potassium, 36.7 mg Vitamin C and fibre 0.9 g. Apart from this, muskmelon is loaded with antioxidants and is also rich in beta-carotene. The botanical name of muskmelon is Cucumis melo and this juicy aromatic fruit is one of the most loved and cultivated fruits in India.

Health Benefits of Muskmelon

1. Aids in Weight Loss -Muskmelon contains a good amount of potassium which helps in weight management and most importantly, it mostly contains water which keeps the body full and, thereby, helps avoid overeating. Also, the glycemic load of muskmelon is quite low compared to other fruits.

2. Improves Eyesight -Cantaloupe melon comes along with Vitamin A, which strengthens the eye muscle, and alsozeaxanthin which helps in improving eye vision.

3. Helps Treat Insomnia -Eating muskmelon regularly can relax the nerves and muscles of the brain which can aid in suppressing sleeping disorder like insomnia.

4. Good For Immune System -Musk melon contains an adequate amount of Vitamin C, which enhances the production of white blood cells. This, in turn, leadsto the destroying ofdangerous bacteria, viruses, and other toxic substances.

5. Helps in Hair Growth -Since musk melon consists of Vitamin A, it can help in hair growth. Vitamin A helps in the production of sebum, which is the oily secretion of the sebaceous glands present under the scalp. This aids in hair growth, at the same time, keeping it well moisturised.

Apart from these above-mentioned benefits, muskmelons also help fight constipation and cure the ulcer problem. Now you have multiple reasons to eat muskmelon and by no means should you ignore this fruit, as it is beneficial for overall health development.

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Muskmelon Health Benefits: From Weight Loss to Hair Growth, Here Are Five Reasons Why You Should Include - LatestLY

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Unplanned resident weight loss on the rise – Australian Ageing Agenda

Mar 29th, 2020
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Almost 3,000 more aged care residents recorded significant unplanned weight loss last quarter than in the previous period, the latest aged care quality indicators report shows.

In the October-December 2019 quarter, 14,733 residents experienced significant unplanned weight loss, which is a loss of three or more kilograms in the period.

And 15,398 residents recorded consecutive unplanned weight loss, which is a loss of any amount every month over the three consecutive months.

This is up from 11,803 and 12,177 residents experiencing significant and consecutive unplanned weight loss respectively in the July-September 2019 quarter.

Thats according to the second quarterly report of the National Aged Care Mandatory Quality Indicator Program published by the Australian Institute of Health and Welfare onGEN Aged CareData.

There were also more occasions of intentional physical restraint recorded in the October-December 2019 quarter (25,529) than in the previous quarter (25,101).

There were 60,804 recorded occasions of physical restraint devices such as bedrails, chairs with locked tables, seatbelts, safety vests and shackles to intentionally or otherwise restrain a resident, up from 60,217 the previous quarter.

In the October-December 2019 quarter, there were 12,509 pressure injuries recorded, down from 13,306 the previous quarter, according to the report.

Pressure injuries are categorised as:

Most of the recorded pressure injuries were stage 1 (5,426) and stage 2 (5,225), the least severe categories and both have decreased from the previous quarter (5,801 and 5,425 respectively).

However, the report shows there were more stage 3 pressure injuries (906) in the October-December 2019 quarter than the previous quarter (861).

Last quarter, 94 per cent of Commonwealth approved residential aged care services submitted on quality indicator data, up from 90 per cent the previous quarter, the AIHW said.

View the quality indicators datahere.

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‘I wasnt in a good place’ Kedren loses amazing 3.5st to help turn life around – Stoke-on-Trent Live

Mar 29th, 2020
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After being made redundant and receiving a diagnosis which forced her to stop satisfying her passion for running, Kedren Elliott embarked on a weight-loss journey to help turn her life around.

The 45-year-old admitted she 'wasn't in a good place' at the time in 2015, when she also weighed in at her heaviest of 13st 10lbs.

She was also diagnosed with Fibroids tumours on a woman's uterus which can cause severe abdominal pain.

But on seeing a leaflet for Slimming World, Kedren, from Congleton, decided to make a change and embarked on a weight-loss journey which has now seen her lose 3.5st.

She said: I was feeling pretty rubbish, none of my clothes were fitting me. I am a runner but at that time I wasnt doing much activity, I had been made redundant from Barclays as well so I wasnt in a good place.

I got a leaflet through my door and I was like I think I need to give this a go because I am unhappy and this is probably the heaviest I have ever been.

When I joined Slimming World it was the first time I felt like I was in control of my food rather than the other way around.

Its about making permanent changes to the way that you cook and shop.

Prior to her weight-loss Kedren, who works for mental health charity MIND, was eating foods high in carbohydrates throughout the day including toast for breakfast and sandwiches for lunch, and in the evenings she was drinking quite often.

She added: My diet is a lot more varied now because not only have I changed a lot with Slimming World, I have gone back to being vegetarian and I am a vegan now.

Now for breakfast I quite often have high fibre cereals and things like overnight oats and things like that, I eat a lot of fruit for breakfast.

I like to cook for my lunch which is a good thing, Ive got a carrot and ginger soup so its about bringing stuff with you rather than going out and getting fast food.

In the evening we are having fajitas, it is a very varied diet and you can adapt to pretty much everything.

Unfortunately in this day and age everybody is so busy all of the time it is easy to go out and grab something that is going to be quick but its not going to be the best for your diet.

A varied diet is very important because if you go back to old habits and start eating fast food and not eating a lot of fruit and veg, I think it really affects not only your physical health but your mental health too.

On top of losing the weight, Kedren has now become a Slimming World consultant in her hometown and is helping other slimmers to reach their goals.

She added: I hardly ever have back pain from losing the weight, it enables me to get my personal best when I am running as well.

Generally I just feel better about myself, I think when I first joined I was made redundant so I wasn't in a good place. Losing that weight and taking control of my diet and weight loss was very empowering and I felt like I could do anything.

Being a consultant puts an extra amount of pressure on you because you are helping people to lose weight and you have got to be living it as well as teaching it.

It doesn't make you immune and the thing about becoming a consultant is that you have to be a member first so you understand what its like for somebody to have problems with their weight.

Sometimes it takes a lot of courage for somebody to walk through the doors of the Slimming World and people wont know what to expect, Ive never done anything like it. Ive made so many friends through joining.

Its a great way of getting to know people and knowing that you are not on your own and forming a new social network.

Theres a problem at the moment with mental health as well where people are so isolated, everybody is busy and they are running a hundred miles an hour, this is a time for you to think about what you want to do.

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Coronavirus Update: Outbreak could kill up to 200,000 Americans, expert warns – The Globe and Mail

Mar 29th, 2020
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Good evening here are the coronavirus updates you need to know tonight.

Have questions about the coronavirus? Email audience@globeandmail.com. The Globes paywall has been removed on coronavirus news stories.

"Let's get hope back": graffiti in Caracas, Venezuela. (If you use a protective face mask, please don't wear it the way this man is!)

Matias Delacroix/The Associated Press

The coronavirus outbreak could kill 100,000 to 200,000 Americans, the U.S. governments top infectious-disease expert warned on Sunday as smouldering hot spots in nursing homes and a growing list of stricken cities heightened the sense of dread across the country.

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Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, made the dire prediction of fatalities on CNN, adding that millions in the U.S. could become infected.

By mid-afternoon, the U.S. had over 135,000 infections and 2,300 deaths, according to the running tally kept by Johns Hopkins University.

6,243 cases in Canada reported; with 484 recoveries and 63 deaths.

From Ottawa:

716,101: cases confirmed around the world; with 149,071 recoveries and 33,854 deaths reported.

Question: What happens on day 15 of self-isolation?

Answer: If you have tested positive for coronavirus, after 14 days you must undergo testing to ensure you are now negative, and be cleared by public health. If you self-isolated because you were showing symptoms, or because you had travelled outside Canada before the legal order, you can resume normal living. Or, at least new normal living, where we are all expected to practise social distancing.

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The Globes health columnist Andr Picard answered other reader questions.

Need more answers? Email audience@globeandmail.com

What happened today?

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Lia Grainger: Astrologers navigate the tricky waters of COVID-19

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Have you witnessed or performed acts of kindness in your neighbourhood? Share your stories, photos and videos and they might be included in the Globe and Mail. Email audience@globeandmail.com.

A montage of frame grabs of friends and relatives wishing a happy birthday to Cindy Stewart, who was stuck in Peru for her birthday. Courtesy of family

Courtesy of family

The birthday girl

Cindy Stewart had been expecting little more than a bag of Hawkins Cheezies for her birthday. For years, she and her husband, Charles, have opted to backpack the world during her big day, March 20. No matter their far-flung location, Charles would pull from his bag a beat-up card and that distinct red-and-white bag of Hawkins finest to celebrate. Its become our little ritual, she says.

On Mar. 20, while the couple remained stranded in Peru due to travel bans, the cheezies appeared. But a sense of unease remained. At around 7 p.m., an e-mail from Ms. Stewarts daughter, Megan, pinged. She knew her parents predicament and wanted to ease their anxiety. Mom, check your Facebook page," the e-mail read. Ms. Stewart followed the directions. There, she found a three-minute video featuring various friends and family from all over the world wishing her a happy 63rd birthday and swift return. Everyone who watched was overcome with emotion. At a time of extreme separation, Ms. Stewart had rarely felt so connected. It was honestly the best gift I could have imagined, she said. Global Affairs Canada got them home on Mar. 25.

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Coronavirus: What to do if you start showing symptoms of COVID-19 – Newshub

Mar 29th, 2020
Comments Off on Coronavirus: What to do if you start showing symptoms of COVID-19 – Newshub

The WHO initially recommended people with COVID-19 avoid taking ibuprofen to relieve symptoms. But it retracted that advice days later, so it seems reasonable to also consider using anti-inflammatory drugs.

You can treat nasal congestion with decongestants and nasal saline. Effective treatments for a sore throat include honey, salt water gargles, and sore throat sprays or gargles.

Cough is a more difficult symptom to control, but you may be able to improve it with honey, steam inhalations and saline nose sprays. Cough suppressants have only minimal benefit in reducing a dry cough.

It's also important to support your immune system, particularly with rest and a healthy diet.

There's some evidence zinc lozenges may shorten the duration of some colds and flus, including COVID-19. But this evidence is conflicting and not of high quality.

Meanwhile, there's no convincing evidence beyond the placebo effect for a range of other common treatments, such a vitamin C and echinacea. But these are unlikely to cause harm.

It's important not to take medicines that haven't been approved for the treatment of colds and flus.

Anecdotal reports and a small case series of patients in China have suggested a role for the antimalarial drug chloroquine in treating COVID-19.

Further clinical trials of this drug are currently underway, but at this stage it's recommended as treatment only in COVID-19 cases complicated by viral or bacterial pneumonia, and under the guidance of medical professionals.

One HIV antiviral combination drug, lopinavir-ritonavir, seemed promising. But it failed to make a significant difference in 199 patients with COVID-19 in China.

So there are no effective curative treatments as yet, but clinical trials of different antiviral agents are continuing.

While lots of information about prevention and treatments for coronavirus is circulating online, a good rule of thumb is if it sounds too good to be true, it probably is.

If you're unsure about anything, look to reliable sources like the Australian government or the WHO, or consult a doctor.

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Esperion Announces Three Data Presentations of the NEXLETOL (bempedoic acid) Tablet and the NEXLIZET (bempedoic acid and ezetimibe) Tablet at the…

Mar 29th, 2020
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ANN ARBOR, Mich., March 28, 2020 (GLOBE NEWSWIRE) -- Esperion (NASDAQ:ESPR) today announced that two pooled analyses from four Phase 3 clinical trials of NEXLETOL and results from the Phase 2 (1002-058) study of NEXLIZET were presented at the American College of Cardiologys 69th Scientific Session Together with World Congress of Cardiology (ACC.20/WCC).

A poster titled Bempedoic Acid 180 mg + Ezetimibe 10 mg Fixed Combination Drug Product vs Ezetimibe Alone or Placebo in Patients with Type 2 Diabetes and Hypercholesterolemia was presented by Harold E Bays, MD, FOMA, FTOS, FACC, FACE, FNLA. The poster highlighted that in the Phase 2 (1002-058) study, NEXLIZET significantly lowered LDL-Cholesterol (LDL-C) by a mean 40% compared to placebo, reduced high-sensitivity C-reactive protein (hsCRP) by 25% compared to baseline and resulted in no worsening of glycemic control. The incidence of adverse events rates were generally comparable to placebo.

In addition, a poster, titled Factors Influencing Bempedoic AcidMediated Reductions in High-sensitivity C-reactive Protein: Analysis of Pooled Patient-level Data from 4 Phase 3 Clinical Trials was presented by Eric S. G. Stroes, MD, PhD. The poster highlighted that in the pooled Phase 3 studies, NEXLETOL significantly lowered hsCRP in patients with hypercholesterolemia regardless of the presence or intensity of background statin therapy. In patients whose hsCRP levels were >2 mg/L at baseline, the analysis showed NEXLETOL significantly reduced this marker of inflammation by 42% at 12 weeks.

The third poster, titled Bempedoic Acid Efficacy and Safety in Patients at High Risk for CVD Treated with or Without Ezetimibe: Pooled Analysis of 4 Phase 3 Clinical Trials was presented by Maciej Banach, MD, PhD, FAHA, FESC. The pooled analysis showed that in the Phase 3 studies, NEXLETOL provided significant additional LDL-C lowering as well as significantly lowered other lipid (total cholesterol, non-HDL-C Apo B, HDL-C) endpoints, regardless of the presence of background ezetimibe. Importantly, the safety profile of NEXLETOL was similar with or without background ezetimibe therapy.

We are pleased with the final results of the Phase 2 study that highlight NEXLIZET achieved an impressive 40 percent LDL-C lowering, a significant 25 percent reduction in hsCRP and did not worsen glycemic control in patients with Type 2 diabetes. The additional pooled analyses from the Phase 3 LDL-C lowering development program demonstrate NEXLETOL can be safely added to multiple LDL-C medicines, which is important to help more patients reach their LDL-C goals, said Tim Mayleben, president and chief executive officer of Esperion. These additional analyses further affirm the efficacy and safety of our medicines for the millions of patients needing to lower their bad cholesterol.

NEXLETOLTM(bempedoic acid) Tablet

NEXLETOL is a first-in-class ATP Citrate Lyase (ACL) inhibitor that lowers LDL-C by reducing cholesterol biosynthesis and up-regulating LDL receptors. Phase 3 studies detailed in the label were conducted in more than 3,000 patients, with over 2,000 patients treated with NEXLETOL, demonstrated an average 18 percent placebo corrected LDL-C lowering when used in patients on moderate or high-intensity statins. NEXLETOL was approved by the FDA in February 2020.

Indication and Limitation of Use

NEXLETOL is indicated as an adjunct to diet and maximally tolerated statin therapy for the treatment of adults with heterozygous familial hypercholesterolemia or established atherosclerotic cardiovascular disease who require additional lowering of LDL-C. The effect of NEXLETOL on cardiovascular morbidity and mortality has not been determined.

Important Safety Information

Warnings and Precautions:

Adverse Reactions:

Drug Interactions:

Use in Specific Populations

Patients or their physicians are encouraged to report negative side effects of prescription drugs to the FDA. Visitwww.fda.gov/medwatchor call 1-800-FDA-1088 or report side effects to Esperion at 833-377-7633 (833 ESPRMED).

Click here to see thefull prescribing informationfor NEXLETOLTM(bempedoic acid) tablet.

NEXLIZETTM(bempedoic acid and ezetimibe) Tablet

NEXLIZET contains bempedoic acid and ezetimibe and lowers elevated LDL-C through complementary mechanisms of action by inhibiting cholesterol synthesis in the liver and absorption in the intestine. Phase 3 data demonstrated NEXLIZET lowered LDL-C by a mean of 38 percent compared to placebo when added on to maximally tolerated statins. NEXLIZET was approved by the FDA in February 2020.

Indication and Limitation of UseNEXLIZET is indicated as an adjunct to diet and maximally tolerated statin therapy for the treatment of adults with heterozygous familial hypercholesterolemia or established atherosclerotic cardiovascular disease who require additional lowering of LDL-C. The effect of NEXLIZET on cardiovascular morbidity and mortality has not been determined.

Important Safety Information

Contraindications:

Warnings and Precautions:

Adverse Reactions:

Drug Interactions:

Use in Specific Populations

Click here to see thefull prescribing information for NEXLIZET (bempedoic acid and ezetimibe) tablet. Patients or their physicians are encouraged to report negative side effects of prescription drugs to the FDA. Visitwww.fda.gov/medwatchor call 1-800-FDA-1088 or report side effects to Esperion at 833-377-7633 (833 ESPRMED).

CLEARCardiovascularOutcomes Trial

The effect of NEXLETOL on cardiovascular morbidity and mortality has not been determined. Esperion initiated a global cardiovascular outcomes trial (CVOT) to assess the effects of bempedoic acid on the occurrence of major cardiovascular events in patients with, or at high risk for, cardiovascular disease (CVD) who are only able to tolerate less than the lowest approved daily starting dose of a statin and are considered "statin averse." The CVOT known as CLEAR Cardiovascular Outcomes Trial is an event-driven, global, randomized, double-blind, placebo-controlled study that completed enrollment in August 2019 of 14,032 patients with hypercholesterolemia and high CVD risk at over 1,400 sites in 32 countries.

Esperion Therapeutics

Through scientific and clinical excellence, and a deep understanding of cholesterol biology, the experienced Lipid Management Team at Esperion is committed to developing new LDL-C lowering medicines that will make a substantial impact on reducing global cardiovascular disease, the leading cause of death around the world. For more information, please visitwww.esperion.comand follow us on Twitter atwww.twitter.com/EsperionInc.

Esperion Therapeutics Commitment to Patients with Hyperlipidemia

High levels of LDL-C can lead to a build-up of fat and cholesterol in and on artery walls (known as atherosclerosis), potentially leading to cardiovascular events, including heart attack and stroke. In the U.S., 96 million people, or more than 37 percent of the adult population, have elevated LDL-C. There are approximately 18 million people in the U.S. living with elevated levels of LDL-C despite taking maximally tolerated lipid-modifying therapy including individuals considered statin averse leaving them at high risk for cardiovascular events1. In the United States, more than 50 percent of atherosclerotic cardiovascular disease (ASCVD) patients and heterozygous familial hypercholesterolemia (HeFH) patients who are not able to reach their guideline recommended LDL-C levels with statins alone need less than a 40 percent reduction to reach their LDL-C threshold goal2.

Esperion's mission as the Lipid Management Company is to deliver oral, once-daily medicines that complement existing oral drugs to provide the additional LDL-C lowering that these patients need.

Forward-Looking Statements

This press release contains forward-looking statements that are made pursuant to the safe harbor provisions of the federal securities laws, including statements regarding the regulatory approval pathway for bempedoic acid tablet and the bempedoic acid / ezetimibe fixed dose combination tablet, the therapeutic potential of, and the clinical development plan for bempedoic acid tablet and the bempedoic acid / ezetimibe fixed dose combination tablet, including Esperion's timing, designs, plans for announcement of results regarding its CLEAR Outcomes study and other ongoing clinical studies for bempedoic acid tablet and the bempedoic acid / ezetimibe combination fixed dose tablet, timing for the review and approval of the NDAs and the MAAs, and Esperion's expectations for the market for medicines to lower LDL-C, including the commercial launch and market adoption of bempedoic acid tablet and the bempedoic acid / ezetimibe fixed dose combination tablet, if approved. Any express or implied statements contained in this press release that are not statements of historical fact may be deemed to be forward-looking statements. Forward-looking statements involve risks and uncertainties that could cause Esperion's actual results to differ significantly from those projected, including, without limitation, delays or failures in Esperions studies, that positive results from a clinical study of bempedoic acid may not be sufficient for EMA approval or necessarily be predictive of the results of future or ongoing clinical studies, that notwithstanding the completion of Esperions Phase 3 clinical development program for LDL-C lowering, the FDA or EMA require additional development in connection with seeking regulatory approval, or approval of an expanded indication, that existing cash resources may be used more quickly than anticipated, and the risks detailed in Esperion's filings with the Securities and Exchange Commission. Esperion disclaims any obligation or undertaking to update or revise any forward-looking statements contained in this press release, other than to the extent required by law.

References(1)Esperion market research on file: research project interviewing 350 physicians. Esperion Therapeutics, Inc. Sept-Oct 2018.(2)Data on file: analysis of NHANES database. Esperion Therapeutics, Inc. 2018.

Investor Contact:Alex SchwartzEsperion734-249-3386aschwartz@esperion.com

Media Contact:Ben ChurchEsperion734-864-6774bchurch@esperion.com

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Esperion Announces Three Data Presentations of the NEXLETOL (bempedoic acid) Tablet and the NEXLIZET (bempedoic acid and ezetimibe) Tablet at the...

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