#Vitamin D and obesity | Explore Tumblr posts and blogs

molsons112000 · 1 month ago

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So when you have bulging veins, it causes blood flow issues, sluggish blood flow, and that could lead the blood clogs. Especially if you're black and have extremely high levels of platelets... so with four out of five black women being obesed, they're more likely to have these bulging veins, causing sluggish circulation, adding to their obesity, cause bulging veins also causes metabolism issues... they also cause tissue to be undernourished with nutrition and oxygen, causing faster decay of tissue as well as problems with bone marrow and bone strength...

When veins bulge or become twisted, as they do when someone is affected by varicose veins, blood flow through them can become sluggish or slow. This can cause superficial blood clots, also known as superficial thrombophlebitis, phlebitis, or superficial venous thrombosis.

https://www.stoptheclot.org › bloo...

Blood Clots and Varicose Veins

People also ask

What deficiency causes bulging veins?

It your Vitamin D levels are low then your veins may start to struggle which then puts you at risk of venous issues such as varicose veins.

https://www.theprivateclinic.co.uk › ...

Are Varicose veins caused by a vitamin deficiency?

Studies indicate that inadequate levels of Vitamin K can increase one's chances of developing varicose veins. This vitamin comes in 2 forms: K1 and K2.Feb 4, 2019

https://www.physiciansveinclinics.com › ...

4 Vitamins to Vanish Varicose Veins

Oh, bulging veins cause sluggish circulation. Sluggist, circulation causes metabolism issues. Leave proper blood flow is critical for proper metabolism.... And if you're gaining weight, it could mean if you don't have bulging veins that you could have a blockage.... Yes, extra weight gain could mean you have coronary artery disease somewhere... they have to amelize blood flow into the digestive track and the rate of blood flow. Oh. You have to eat something at the doctor's office and then relax and let them monitor blood circulation into the digestive track...

When your circulation is compromised, your metabolism may slow down. And that means you may gain weight, even if your diet and exercise routine remains the same. At the same time, poor circulation can keep you from losing weight, regardless of your exercise or dietary efforts.Jun 2, 2023

https://texaseva.com › posts › how...

How to Improve Circulation and 6 Signs You Need to Do It

So you can use Doppler ultrasound to record blood flow into the digestive track. And there could be a blood flow issue, and doctors need to understand this, and this can cause obesity... but they could also have coronary artery disease or blockage somewhere in the cirplatory system, causing sluggish blood flow.If they don't have bulging veins and bulging veins can again cause sluggish blood flow, because they can get blood clots....

National Institutes of Health (NIH) (.gov)

So to find issues with blood flow, doctors can look at doppler ultrasound, and they can watch your blood flow in real time... Remember, this is a handheld device, so they can do it anywhere on the body, even looking at blood flow into the penis to see if it's a blood flow issue for a rectile dysfunction or a psychological issue... Sometimes erectile dysfunction is psychological, not physical. The psychological causes the physical...

Doppler ultrasound is a noninvasive test that can be used to measure the blood flow through your blood vessels. It works by bouncing high-frequency sound waves off red blood cells that are circulating in the bloodstream.

https://www.mayoclinic.org › faq-...

Doppler ultrasound: What is it used for? - Mayo Clinic

So again, this is another way for doctors to analyze blood flow. Now we can use this also to monitor the lymphatic system...

Oh, you can see here doppler.Ultrasound can monitor the flow of fluid and blood cells through the lymphatic system, making sure the lymphatic system is working properly....

National Institutes of Health (NIH) (.gov)

https://www.ncbi.nlm.nih.gov › NB...

Sonography Vascular and Lymphatic Assessment ...

by B Covello · 2023 — Doppler ultrasonography utilizes Doppler shift to determine the rate at which red blood cells are moving through the

I also say you can use a c t scan.It's a monitor flow of the lymphatic system...

How do you check lymphatic flow?

CT scan. This X-ray technique produces detailed, cross-sectional images of the body's structures. CT scans can reveal blockages in the lymphatic system.Nov 24, 2022

https://www.mayoclinic.org › drc-2...

Lymphedema - Diagnosis and treatment - Mayo Clinic

National Institutes of Health (NIH) (.gov)

https://www.ncbi.nlm.nih.gov › pmc

Diagnostic Efficacy of Ultrasonography, Doppler ...

by HÇ Tunçez · 2023 · Cited by 3 — A recent study found that combining USE with the US examination serves to increase the accuracy of

www.ncbi.nlm.nih.gov

A framework for the modeling of gut blood flow regulation and ...

by AD Jeays · 2007 · Cited by 29 — This paper reviews current knowledge on blood flow regulation in the gut vasculature, presents new

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bottlecaprabbitgames · 1 year ago

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Weight Loss, Dieting, Medical Shit Goin' On

At the request of @meethisharma , I'm making a big post of like. EVERYTHING I've learned so far since truly trying to lose weight and do better since February of this year. I'm of course going to go into my background as to why I need to lose weight and my life as an obese person, different references I've used to help with my weight loss, dietary changes, THE WHOLE SHEBANG.

So uh. Buckle up, it's a LONG post.

(Also, shout out to Jordan Shrinks over on YouTube, I've followed this woman for years and she is still the biggest inspiration and my favorite fucking person who has helped me shape my routine for weight loss.)

Why did I start trying to lose weight?

I have been obese pretty much my whole life. In high school, I weighed 260-270 lbs. Both of my parents struggled with drug addiction, and that meant that we ate a lot of unhealthy, over processed food as it was the cheapest. I also rarely, if ever, drank water growing up; we mostly had soda in the house, and that's what I drank.

Last year, in May of 2022, I weighed 330 lbs. This was after I had already lost an unknown amount of weight, as I put on a LOT working at McD's given the food was free and I was broke most of the time. This was still not enough for me to start losing weight, but I did start packing my own lunches and at least started eating better. In September, I started my first hotel job, and with the better work and pay, I was finally able to afford insurance for 2023 and start going to doctors like I needed to. I've always had a LOT of chronic issues, but none were ever diagnosed as I really didn't go to the doctor much unless it was an absolute dire emergency.

Timeskip to the first week or two of February, 2023, and I finally get in to see a nurse practioner who will lead me to find my current primary care doctor. I weighed 312 lbs, and she was very... well, blatantly, she didn't even give me the time of day LMAO. She didn't even bother to tell me I was pre-diabetic, I had to find that out from looking at my lab results myself.

Week 3 of February, I get in with the guy who's now my primary care doctor. He's also fat, like I am, and he was also far more direct with me about my situation. As it turned out, I was in like stage 3 hypertension (my blood pressure was 150 smth over 140), I was almost 90% deficient in vitamin D (y'know, the shit that makes your bones HARD), my iron saturation in my blood was in single digits (aka severely anemic, borderline needed a blood transfusion), I was well into my way to being a Type-2 Diabetic (my A1C was 5.8, you need to be 6.4 to be diagnosed), AND... my liver was struggling really, really badly. Side note, he's also a mental health professional, and he's the one who originally diagnosed my severe PTSD and got me in with my therapist.

NEEDLESS TO SAY, I WAS NOT IN THE BEST CONDITION. I was actually well on my way to developing early heart disease, osteoporosis, diabetes, blood clots, like everything I was the MOST afraid of was what I was about to have. Because I wasn't taking care of myself, I was living off of ramen and fast food and processed as shit food all the time, TV dinners... I'd make a meal out of a family-sized bag of chips or a whole roll of crackers and several slices of cheese.

My doctor was very point fucking blank about my outcomes. I could've died if I did nothing. A really horrible way to die, too. He told me that if I wanted to make changes, he'd get me every resource possible he could to help me, but I had to want the changes if they were gonna stick. Keep that in mind, right? YOU have to want the changes needed.

And that's when everything started.

THE GAME PLAN

SO, what did I do to start losing weight? What changes did I make?

Everything. FUCKING everything. My doctor said I needed a low-as-possible sodium diet, so I changed it. I needed to start exercising, so I did. I needed meds and to get into therapy to help deal with my mental health, so I religiously take my meds and I go to therapy as many times as possible each month. He also wanted me to get a daytime job, as my overnights were likely making things worse, and I finally got that done now, too.

A big thing to add here, too: my doctor has not talked to me about BMI. The only thing he has asked me to do is get to 200 lbs. He says so long as I don't drop under 120, he's said it's fine whatever weight I stop on, so long as I get to 200.

But where did I begin? The SIMPLE shit.

I started with ten minute walks. That's it for exercising, I started with TEN MINUTE WALKS. And you know what? It was fucking hard. It still is. It's like pulling teeth sometimes to get me to get up and go take a 30 minute to an hour walk. But don't let these fucking fitness influencers bully you into thinking that if you can't handle pumping iron in the gym for 6 hours straight then you're always gonna be a fat slob or whatever those fuckheads say these days. And, if you don't like walking, if you'd rather lift weights, you can do that too! If you don't want to go to a gym like I don't, order some cheap ones off of Amazon or Walmart. Go cycling or swimming or jumping rope. You don't have to go big and hard into exercise to be healthier. Start small.

Now, diet-wise, I threw myself in it a little too vigorously and I also paid the price of wasting like $50 each payday in shit I didn't eat or still haven't, and I also fucked up my GI tract for a solid month. I was ROUGHING it. Raw-dogged the low sodium diet and it did it back double time, do NOT do what I did. There's gonna be a WHOLE section after this one on dietary shit. Big thing, though? MEAL PLANNING. I don't care if you only meal plan one meal of the day, I only do my damn dinners. Just take time on your day off to batch cook a bunch of shit to be able to eat for one meal throughout the week.

MAKE GOALS. I don't care if the goals you set seem shallow to you or not, make some fucking goals. Keep them on a list you can easily find, especially like on your phone. HELL, keep the list in SEVERAL ways, like a paper on your wall. I have another section planned for like examples and my own goals on down.

EXERCISE

AGAIN, start small. Don't go hog wild and try to do an hour a day at the gym to start; that's gonna burn you out and wear you down before you even get started. Also, you don't need a gym to exercise. If you never wanna step foot in a gym, you NEVER have to.

Start with a five to ten minute walk every other day. You don't like walking? Cool, get some cheap weights (or a kettlebell weight) and lift weights for 5-10 minutes. I just recently got a 5lb kettlebell on Amazon for like $8.55 after tax so I can start doing weighted exercises. (NOTE: don't start with big heavy weights. You'll fuck up your muscles and joints. You'll want to research what weight to start with first.)

I think it wassss two weeks of me walking for ten minutes every other day before I moved to 15 minutes? Now, in May, I can go for an hour at a leisurely pace.

My Routine:

45 minute-hour walk at LEAST 4 days a week.

One day of 30 minute power walking or walking-jogging intervals. I walk along the street I live on, and I do 1/3 of the way jogging, the rest walking.

At LEAST one day using resistance band exercises. Resistance bands are like $10 at Walmart, I recommend using a light one to start WHILE AT YOUR HEAVIEST WEIGHT. Resistance bands work by using your own body weight as the resistance, so it's best to start while you're still at the heaviest.

Hoping to work the kettlebell in on at least three days of the week, doing weighted HIIT exercises (high intensity training).

DIETARY CHANGES

The BIGGEST piece of advice I can give you is to make sustainable changes. The reason diet culture doesn't work is because you can't survive off of diet food for a long period of time, meaning you'll just regain the weight back once you return to a normal diet. Also, carbs are not bad for you. Unless a doctor specifically tells you to lower carb intake, PLEASE do not just suddenly decide to stop eating carbs as you can permanently damage your major internal organs.

Now, I am not on a diet, persay. The changes I've made I plan to keep for the rest of my life. Now, I can only tell you what I do, and not what you should do. I have some formal training in nutrition, and I can give you advice on what not to do, but again, I can mostly tell you what works for me.

NOW THAT THAT'S OUT OF THE WAY, HERE WE GO! I am on a low-sodium diet, meaning I do not add salt to shit. I use Accent, a shit ton of seasoning and spices, and I get my canned food no salt added when I can. I also mainly only eat turkey and chicken (mostly chicken), while beef and pork are like... a treat every once in a while. I also get low sodium canned tuna or like... actually good fish sticks. And, as I live on the Gulf Coast, I get fresh shrimp once or twice a month. I also do NOT add sugar to something unless it's a recipe for like bread to feed the yeast. I get canned fruit in 100% juice, or I get it frozen mostly. If I want to add something to make it sweet, I dump fruit in it. I've also recently been adding like... one packet of splenda ALONG WITH FRUIT to my oatmeal. Tastes p good, do not recommend splenda in coffee. Shit's nasty.

I am also a calorie counter and believer. The easiest way to think of calories is like... energy. One calorie is one unit of energy. I HIGHLY recommend using a couple of calorie calculators to help figure out your daily intake, and I use the My Fitness Pal app to keep track of what I eat, especially as I am prone to boredom eating and binge eating, as I do still struggle with disordered eating. I also keep an eye on my macros (protein, carbs, fats), as well as my cholesterol, sodium, and saturated fat levels.

So, what does Cy do for food? A lot but also... not very much, lol. I am a convenience bitch. I ain't here to cook several times a day and shit, I ain't got time for it. I be makin' shit as easy as possible.

I do often drink protein shakes before or after I walk or have an intense workout. You don't have to, just keep in mind you DO need high protein intake before or after working out, to help your muscles repair themselves. I get the cheap af Purely Inspired brand at Walmart, mix it with frozen fruit and milk in my blender.

PLEASE, GOD, DRINK WATER! Drink plenty of frickin water. Your body has to be hydrated and the more water you drink, the less water your body retains as extra. A bit weird, I know, but take it from me as I carry about 10-12 lbs of water weight a day, and it was a LOT more when I wasn't hydrating properly.

I meal prep one meal a week. It's dinner now, so I take a day I'm off, make a big batch of smth, and separate it into like 5-7 containers, freezing some and fridgerating the others. I post recipes and total costs over on @cylentlycrafting , and I get those cheap ass Mainstays meal prep containers. It's like $5 for 5 of em, and I have like... 3-4 sets.

The main meat I eat now is chicken, as it has the highest amount of protein across all meats. I also pretty much exclusively eat whole grain foods (brown rice, whole wheat bread, whole wheat or brown rice or quinoa pasta), and I keep instant brown rice and instant oats on hand. Listen, I'm an impatient ass mfer, I don't have 45 mins to cook some goddamn rice.

I also luv eggies. And cheese. And dairy. Though I typically get reduced fat dairy products, except milk. Reduced fat sour cream, reduced fat cheese, sometimes reduced fat yogurt, but I take any yogurt I can get my hands on.

I use a LOT of canned beans, peas, chickpeas, and tomatoes. I also get frozen broccoli, cauliflower, sweet potatoes, red potatoes, and carrots as far as veggies go. I also often get chopped romaine lettuce, carrot chips, grape tomatoes, and onions. That is the beginning and the end to the veggies I eat, and best be fucking sure I put red kidney beans and chickpeas in everything almost it. Broccoli, too. Tomatoes.

Fruit wise, I have a LOT of fruit cups and canned fruit in 100% fruit juice, frozen fruit, and I also have a thing for clementines lately. Been eating tf out of them.

Snackies wise, I usually get that big box of baked chips from Lays. Peanut butter and graham crackers. Dark chocolate. Power Crunch protein bars because PROTEIN BARS DON'T HAVE TO BE DISGUSTING!!!!!

I pretty much exclusively use olive oil, but canola oil is also pretty damn good if you're on a budget! Just avoid regular butter, that shit's got so much calories and fat in it.....

Listen, you don't have to go broke buying shit. I tend to allot more money to food than most people because I have a LOT of food issues, and because I commit hard to shit. I have olive oil mayo and butter replacements, I keep low sugar and low sodium ketchup, and I buy expensive ass Lucini tomato sauce. You don't have to. Like I also buy tater tots and off-brand coco puffs and mini wheats.

I have experimented with a LOT of brands in the past few months, which I will probably make another post about eventually? Maybe? Also more budget-friendly shopping hacks and shit given I be trying to save as much money as possible.

GOALS

Listen, like every big project, you need goals. Getting your body healthy is a big project, and you should make goals. Goals on why you want to get healthy, goals on why to keep going even when shit gets hard. I don't care if it's the most vain shit ever, if it's a goal it's a fucking goal.

Here are some of mine:

More clothing options. If I lose more weight, I will be able to fit into smaller sizes and have more choices on what to wear.

SELF CONFIDENCE

Feeling less embarrassed when eating out somewhere.

HEALTH. A large part of me always feeling shitty is my diet and lack of proper vitamins and nutrients.

Prediabetes. I don't want to be like my mom and papaw and have to poke myself multiple times a day nor be reliant on insulin.

FINAL THOUGHTS

The main things I can impress upon y'all:

Build sustainable habits. If you don't think you'd be able to do it for the rest of your life, maybe rethink the habit before it becomes too set in stone.

You're gonna fall off the horse sometimes. You're gonna cheat, you're gonna make slip ups. And that's okay. Don't feel guilty, don't overrestrict or punish yourself for it. You're human, and you're trying, and that's okay. You can only do as much as you're able to right here and right now.

It's a hard and long road. Getting healthy and fit isn't going to be a breeze in the park. This shit is hard, especially if you're building new habits from scratch. But you got this. YOU CAN DO IT.

You HAVE to want this for yourself. No one else can want it for you. It has to be on you and you alone.

You're gonna find people wanting to sabotage you, as horrible as it sounds. Sometimes people feel threatened when others attempt to better themselves, because that person or those persons know they wouldn't put the time or energy into doing so themselves. And, unfortunately, some of those people are your close friends and family :/

TRY NEW THINGS. FAIL AND KEEP GOING. I have tried so much shit in the last few months, and some has stuck, some has not. I have learned I do not like a lot of vegetables, and that's okay. I also make taco salad (from 'scratch') at least two to three times a month. What works, works!

You are going to bloat A LOT when you start amping up workouts. Your body holds extra water and nutrients for up to FOUR WEEKS after you start exercising or start a new exercise routine/build up on your existing one. This is to repair your muscles and joints as they grow.

Scales like to lie, and they won't tell you how much water weight you're holding. And yes, you will be able to tell you're bloated. I never knew of bloating until now and sometimes shit fits weird when I'm majorly bloated. It SUCKS

Measure yourself. Your stomach, chest, waist, hips. All of it. Keep it. It'll be amazing to see how much you've changed eventually.

I actually would LOVE to keep making posts like this. But, here's my current progress:

I am a little under 270 lbs, unsure of how much as I am starting and trying new exercises, as well as my new job being HELLA more active than my old one.

I do have more processed stuff in my diet, but i do try to balance it with healthier food, too. Budgeting is.... hard.

My blood pressure tends to run 110/70 now.

I hope this helps someone out there.

My heart rate has gone down from 100+ bpm, to now it's at 60-75 bpm.

I also drink diet soda now, usually one a day.

#weight loss #weight #nutrition #health #health and wellness #wellness

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homeofhousechickens · 1 year ago

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what are the most important considerations for indoor chickens rather than outdoor ones? I’m considering a pair of chicken ESAs but I’m not sure if there’s any special considerations i should be aware of

Compared with outdoor chickens house chickens typically have a longer lifespan due to not be exposed to pathogens, predators, and the elements but there is one thing they are at higher risk for and that is Obesity. Obesity in chickens can lead to a variety of problems such as bumblefoot and arthritis but the most concerning ones are heart failure and fatty liver disease which are things some breeds are genetically more predisposed to.

Since house chickens typically wear diapers it's better to feed them high quality feed and feed it in smaller amounts at a time (or once a day) this will help prevent obesity and help diaper hygiene. I would suggest offering an enriched grit and oyster shell free choice though. Unprocessed feed will lead to more firmer and easier to clean stools compared to processed feed.

It's also important that their feed have added vitamin D since they are indoors.

House chickens need to be given baths every now and again for hygiene reason and because the oils from our hands can build up on their feathers.

It's good for house chickens to have their own enclosure to be able to go into to eat, drink, and dust bathe and it provides a location to let them be without their diaper. House chickens should be diaperless often and like a human baby kept in a dirty diaper for to long chickens can experience the same ill effects.

You should also make sure you have a vet available and close by who can treat chickens. House chickens can still have a chance of getting parasites or sick from the dirt you drag in from your shoes and stuff like impacted crops can be difficult to treat on your own. Speaking of shoes and clothing, always be mindful of the places your visiting if they have birds or poultry especially if you will be in close contact or stepping in poo as you can accidently bring disease to your birds if you not careful. This is stuff outdoor chicken keepers should worry about as well 😅

I think that's all of the really important considerations. Indoor chickens aren't much different from outdoor chickens which is why chicken coops inside large sheds and barns are not uncommon.

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optimal-living-lab · 7 months ago

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The Health Benefits of Outdoor Activities

In today's fast-paced world dominated by technology and indoor living, spending time outdoors might seem like a luxury. However, connecting with nature and engaging in outdoor activities is more than just a leisure pursuit; it's also crucial for our physical and mental well-being. From reducing stress to improving physical fitness, the benefits of outdoor activities are numerous and diverse.

1. Improved Mental Health

One of the most significant advantages of spending time outdoors is its positive impact on mental health. Studies have shown that exposure to nature can reduce stress, anxiety, and depression. The sights, sounds, and smells of the outdoors can have a calming effect on the mind, promoting relaxation and improving overall mood. Activities such as hiking, gardening, or simply taking a walk in the park can help clear the mind and alleviate symptoms of stress and anxiety.

2. Increased Vitamin D Levels

Sunlight is a natural source of vitamin D, which plays a crucial role in maintaining bone health, regulating mood, and supporting the immune system. Spending time outdoors allows our bodies to absorb sunlight, leading to increased vitamin D production. Adequate levels of vitamin D are essential for overall health and can help prevent various health conditions, including osteoporosis, heart disease, and certain types of cancer.

3. Enhanced Physical Fitness

Outdoor activities offer numerous opportunities for physical exercise, contributing to improved fitness levels and overall health. Whether it's cycling, hiking, swimming, or playing sports, outdoor activities provide a fun and enjoyable way to stay active. Regular exercise helps maintain a healthy weight, strengthens muscles and bones, and reduces the risk of chronic diseases such as obesity, diabetes, and cardiovascular conditions.

4. Better Sleep Quality

Exposure to natural light during the day can help regulate the body's internal clock, leading to better sleep at night. Spending time outdoors, especially in the morning, can help synchronize your circadian rhythm, making it easier to fall asleep and stay asleep. Additionally, physical activity during the day can promote deeper and more restful sleep, further enhancing overall sleep quality.

5. Stress Reduction

Nature has a calming effect on the human mind, helping to reduce stress and promote relaxation. Activities such as hiking, gardening, or simply sitting in a park can provide a welcome escape from the pressures of daily life. Being surrounded by greenery and natural landscapes can lower cortisol levels, the hormone associated with stress, and increase feelings of well-being and tranquility.

6. Boosted Immune System

Spending time outdoors exposes us to various natural elements, which can help strengthen our immune system. Fresh air, sunlight, and exposure to different environments can stimulate the production of white blood cells and enhance immune function. Additionally, outdoor activities often involve physical exercise, which has been shown to improve immune response and reduce the risk of infections and illness.

7. Connection with Nature

In today's urbanized world, many people are disconnected from the natural world. Engaging in outdoor activities allows us to reconnect with nature, fostering a sense of appreciation and stewardship for the environment. Whether it's observing wildlife, exploring forests, or simply enjoying a picnic in the park, spending time outdoors reminds us of the beauty and importance of the natural world.

In conclusion, the benefits of outdoor activities for health are vast and multifaceted. From improving mental well-being to boosting physical fitness and immune function, spending time in nature offers a range of advantages that contribute to a healthier and happier life. So, next time you have the opportunity, step outside and enjoy all that the great outdoors has to offer.

#healthy lifestyle #health tips #healthcare #fitness #health and wellness #healthy living #wellness #health #diet #exercise #energy #nature #wellbeing

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gaebh · 6 months ago

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The Nutritional Value of Food in Our Daily Life and Its Impact

Food is not just a source of energy; it is the foundation of our health, well-being, and overall quality of life. The nutritional value of the food we consume daily has a profound impact on our physical health, mental well-being, and longevity. In this article, we will delve into the importance of nutrition, the components of a balanced diet, and the far-reaching effects of proper nutrition on our daily lives.

The Importance of Nutrition

Nutrition is the science that interprets the interaction of nutrients and other substances in food in relation to maintenance, growth, reproduction, health, and disease of an organism. A balanced diet provides essential nutrients that the body needs to function effectively. These nutrients include macronutrients (carbohydrates, proteins, and fats) and micronutrients (vitamins and minerals).

Macronutrients

Carbohydrates: Carbohydrates are the body's main source of energy. They are found in foods such as bread, rice, pasta, fruits, and vegetables. Carbohydrates are converted into glucose, which is used by the body for energy. Complex carbohydrates, found in whole grains and legumes, provide sustained energy and are essential for overall health.

Proteins: Proteins are the building blocks of the body. They are crucial for the growth and repair of tissues, and they play a vital role in the production of enzymes, hormones, and other body chemicals. Sources of protein include meat, fish, eggs, dairy products, legumes, and nuts.

Fats: Fats are essential for brain health, energy, and the absorption of certain vitamins. Healthy fats, such as those found in avocados, nuts, seeds, and olive oil, support cell growth and protect organs. It's important to limit the intake of saturated and trans fats, which are found in processed foods and can lead to health issues.

Micronutrients

Vitamins: Vitamins are organic compounds that are crucial for various metabolic processes. For example, Vitamin C supports the immune system, Vitamin D is important for bone health, and B vitamins are involved in energy production and brain function. Vitamins are found in a variety of foods, including fruits, vegetables, and animal products.

Minerals: Minerals such as calcium, potassium, and iron are inorganic elements that support many bodily functions. Calcium is vital for bone health, potassium helps regulate fluid balance, and iron is essential for oxygen transport in the blood. These minerals are found in dairy products, fruits, vegetables, meat, and whole grains.

The Impact of Nutrition on Health

Proper nutrition has a wide range of positive effects on health and well-being. Here are some key areas where nutrition plays a crucial role:

Physical Health

Weight Management: A balanced diet helps maintain a healthy weight. Consuming the right amount of calories and nutrients prevents obesity and related health issues such as diabetes, cardiovascular diseases, and joint problems. Foods high in fiber, such as fruits, vegetables, and whole grains, help control appetite and promote weight loss.

Disease Prevention: A diet rich in fruits, vegetables, whole grains, and lean proteins can reduce the risk of chronic diseases. Antioxidants found in fruits and vegetables protect cells from damage, reducing the risk of cancer and heart disease. Omega-3 fatty acids found in fish have anti-inflammatory properties and are beneficial for heart health.

Bone Health: Adequate intake of calcium and Vitamin D is essential for maintaining strong bones and preventing osteoporosis. Dairy products, leafy greens, and fortified foods are good sources of these nutrients.

Immune Function: Nutrients such as Vitamins A, C, and E, as well as zinc and selenium, are vital for a healthy immune system. These nutrients help the body fight infections and reduce the severity of illnesses.

Mental Health

Brain Function: Nutrients play a critical role in brain health and cognitive function. Omega-3 fatty acids, found in fish and flaxseeds, support brain development and function. B vitamins and antioxidants protect the brain from oxidative stress and improve memory and concentration.

Mood Regulation: Diet can affect mood and mental well-being. Serotonin, a neurotransmitter that regulates mood, is influenced by diet. Foods rich in tryptophan, such as turkey, eggs, and cheese, can boost serotonin levels and improve mood. Additionally, a diet high in refined sugars and processed foods can lead to mood swings and increase the risk of depression.

Stress and Anxiety: Certain foods can help manage stress and anxiety. Complex carbohydrates, such as whole grains, increase the production of serotonin, which has a calming effect. Foods rich in magnesium, like spinach and nuts, help relax muscles and reduce anxiety.

Practical Tips for a Balanced Diet

Achieving a balanced diet is not about strict limitations or depriving yourself of foods you love. Rather, it's about feeling great, having more energy, and improving your health. Here are some practical tips to help you get started:

Eat a Variety of Foods: Incorporate a wide range of fruits, vegetables, whole grains, lean proteins, and healthy fats into your diet. This ensures you get a broad spectrum of nutrients.

Portion Control: Be mindful of portion sizes to avoid overeating. Using smaller plates and bowls can help control portion sizes.

Stay Hydrated: Drinking plenty of water is crucial for overall health. It helps regulate body temperature, keeps joints lubricated, and aids in digestion.

Limit Processed Foods: Reduce the intake of processed and sugary foods. These foods are often high in unhealthy fats, sugars, and sodium, which can lead to health issues.

Plan Meals: Planning meals in advance can help ensure you eat a balanced diet. Preparing meals at home allows you to control ingredients and portion sizes.

Listen to Your Body: Pay attention to hunger and fullness cues. Eat when you're hungry and stop when you're satisfied.

Conclusion

The nutritional value of the food we consume daily has a profound impact on our health and well-being. A balanced diet rich in essential nutrients supports physical health, enhances mental well-being, and prevents chronic diseases. By making informed food choices and incorporating a variety of nutrient-dense foods into our diets, we can improve our quality of life and achieve optimal health. Remember, good nutrition is not about deprivation but about making sustainable and enjoyable choices that nourish the body and mind.

#nutrition

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desperate2lose · 1 year ago

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hi, i’m Des. i haven’t had an @na/mi@ account since i was probably 14. that was the last time i was thin. all my life i have had weight issues, which i now know are due to PCOS (i’m ftm, have been for 12 yrs). the only 2 times i was ever thin were when i was 9 because i played sports, and when i was 14 because i was r3stricting. i’m 5’6, and i should be somewhere in the 120-150 range to be considered healthy. my lowest was 130 in high school. i’m currently at my highest, somewhere between 250-280. at about 18 i started ballooning, rapidly gaining weight no matter how much i worked out. since then i’ve rel@psed a couple times but it never stuck because i was so scared of being how i was in high school.

back then i was a zombie. due to mental health issues but also because of my ed. i was constantly tired and sad and i wanted to be a skeleton. i preferred being d3@d thin rather than fat and alive. i don’t feel that way anymore. i don’t want to be underw3ight, i don’t want to d!3. i want to be thin, i want to lose.

i’m aware that reverting to this lifestyle and r3stricting isn’t the healthy way to lose. however, it’s the only thing that has worked for me in the past. and i believe it’s the only way to regain my self control. i definitely b!nge sometimes for emotional reasons and i am not okay with that. whenever i’ve tried to diet in a “healthy” way, i fall off of it, or i don’t hold myself accountable enough.

i feel like i’m the type of person where if i say i’ll only eat 1200 cals it turns to 1500. if i say i’ll only eat omad it’ll end up being tmad. so my theory is that i have more than enough to lose, so if my goal is to eat n0thing, i’ll probably fail but still progress.

some things i’m trying to avoid:

• ending up malnourished

i plan on taking vitamins and if i do eat, making sure it’s the right type of food to get me thru my physical job/working out/life.

• my mental health declining

i’ve been working very hard on my mh and i’m not going to throw that away. so i’ll be tracking my moods and modifying what/how much i eat to keep myself stable.

• “⭐️vation mode”

i dont want to end up keeping my fat on because my body goes into this mode. so i’m gradually going to reduce my calories over probably 6 weeks.

• going under my ugw

if i even hit my ugw it’ll be a miracle, but i don’t want to become so @ddicted to r3stricting that i continue rather than maintaining if i eventually get there.

• my loved ones finding out

i plan on making it seem like im just changing my lifestyle. i don’t want to lie, so i’m hoping no one will notice.

• failing

pretty much the only perk of me being obese right now is that my doctor wants to put me on appetite suppressants. i just have to figure out which i’d rather have, do some bloodwork, and then i’m golden.

DISCLAIMERS

i’m not in the mindset to be swayed into not r3l@psing. so pls don’t try to convince me.

i’m not fatphobic. i don’t see anyone worth less no matter what their body looks like. this is solely about me and how i see myself.

i’m not into shaming/triggering each other on purpose to promote progress. you can do that but leave me out of it. if i see anyone insulting me, i’m blocking them, period.

i (in general, sometimes i have bad days) do not hate myself. i understand that this corner of the internet tends to have a lot of self hatred, sh, etc. that’s not where i am in life. this is strictly about w3ight to me. if you are sewer slidal, post sh, talk about sh, or constantly post self hatred, i probably won’t follow you. i hope you love yourself soon though.

any tips on how to lose/vitamins to take/recipes/etc are appreciated.

so thats basically it. im gonna be blogging some kind of mix between ana and d!et stuff. some healthy stuff. some not healthy stuff. i’m not trying to fit in any boxes, just trying to figure out what works for me because i am so fucking desperate to lose at this point.

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dolleminas · 2 years ago

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hi, my doctor has given me a tentative diagnosis of pcos and the only info I can find about it online that doesn't relate to getting pregnant is your Tumblr post. do you have any sources for the stuff about fatigue, vitamin D deficiency, etc being super common in pcos? cos I've dealt with those forever too. things are clicking into place but also with the way the NHS is I don't know if there's much point confirming the diagnosis (it's only diagnosed with transvaginal ultrasound :c) because the only treatment offered seems to be birth control and fertility treatment.

Good afternoon, nonny. Thanks for reaching out to me! And congratulations on getting a (albeit tentative) diagnosis. I know it might not seem positive, but now you know what you have and what can be done about it. At least, that is how I felt.

When I first made that post I never expected so many women to add their own experiences, talk of their their shock, their anger... or just admit that they had been diagnosed for years but that I somehow taught them things they never knew.

It's been an experience and a half. But I'm very glad that I can spread information and if that helps you, even better.

First of all, to diagnose PCOS, you need to fit 2/3 criteria of the Rotterdam concensus. Irregular periods, higher testosterone, and 12 or more follicles on your ovaries each. So, even without a hormone test you can usually tell whether someone has PCOS. Even so, I would still recommend asking for a hormone test if your health insurance covers it.

Sources

I tried looking up an English source for you since you mentioned NHS. Do keep in mind that women's healthcare is really not researched well and that there will be sources and information that will contradict one another. Here is one such article about the Rotterdam concensus.

As you can see they also mention the insulin resistance in this article, IBS, and fatigue, among other things.

Here is another one.

Here is some information about Insulin resistance in women with PCOS.

And here is some about depression.

You specifically asked for vitamin D so here is a study.

And another.

And one about fatigue.

I will however stress that these are all scientific sources and we all know that it can sometimes be biased, and again, not researched properly. My advice would always be to listen to women who have PCOS before listening to a medical source (no matter how professional it looks.)

My Own Experiences & Tips

I've not been diagnosed with PCOS long, but I have been quite thrown into studying it because it pissed me off interested me so much, and by researching (and reading a lot) here are some things that helped me, and I hope they can help you too.

Vitamin deficiencies are common in women with PCOS, especially Vitamin D. What I do is drink a glass of orange juice every morning with Vitamin D supplements. I take Solgar liquid vitamin drops, but depending on where you live they might have something of a different brand. Remember; take it during a meal.

Carbs make your sugar spike, so try to swap out some high-carb foods for lower carb. This way I have managed to lose weight, and this is often recommended for women with PCOS. And if you have a tendency for disordered eating, this will (generally) be easier than counting calories and going on a diet. After going low-carb my blood sugar level (which was high before) went down to regular levels and according to my doctor, I am now no longer immediately in danger of developing Diabetes Type 2.

Exercise! Especially weight-lifting, since it is mentioned it gives you more energy. Since starting myself, I have also noticed a difference. Here is a link for at home work-outs. Taking daily walks is also recommended for your exposure to sunlight and to help depression and anxiety.

Keep a diary of your symptoms. I have a word document with my own diary, so if anyone is interested I will be posting it. Just send me a message :)

Besides this, you do not need to go on birth control if you do not want to. My gynocologist said to me that once every three months you need to have your period. Women with PCOS can have a period 4 times a year, and that is enough! If you get your period less, then you can take progesteron pills for 7 days, and it will start your period. Again; you only need to use them for 7 days. You could do this four times a year and that would be all. Then again I am not a gynocologist so do talk about this with your doctor.

Another thing is that the fatigue could also very well be a side-effect of low vitamin D, B12, and low iron. My advice would be to get tested monthly if you can, and then try to balance your vitamins and see if this improves your fatigue.

And last but no least I recommend Meals She Eats. I made a post about it before, but even if you ignore everything else that is said (they are a bit woo-woo about organic foods and sugars) they still are very informative about the menstrual cycle. If for any reason you are unable to get your hands on the book do reach out to me in my DM's and I can help you.

If there is anything else I forgot I will reblog this and add more information, and I also will request others do too! The more we learn about PCOS and our cycle, the better.

I hope you have a nice day, anon. And I apologise if it took me a while to get to this ask!

#PCOS #asks #anon asks #honey writes #female reproductive health #female reproductive system

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mightyflamethrower · 10 months ago

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From: "How to Meyow in Yiddish" blog spot.

Well, I have had my eyes opened. Again. But for reasons that will be easy to keep in mind in future.

If you can, it would be worthwhile to watch the video, before it gets lost or something.

youtube

It's about vitamin D. Yep. We all know about vitamin D. It's good for your bones! However, it is utterly essential for your immune system.

Some things I learned by knitting and sitting and listening.

1. It's made in the skin of oily young pale people when they go out to play in the sunshine.

2. The elderly, the dark skinned can't make it in their skin. The obese make it in their skin but it gets sidetracked. The elderly because their skin is dry, the dark because sunshine is blocked out and the obese because the vitamin D gets grabbed by their adipose tissue and kept there. The only way to correct their deficiency is by supplementation. Having them sit in the sun is nice, but it doesn't raise their blood levels of vitamin D.

3. These were the people who were most ill from covid, or who died from it.

4. The medical powers ignored all of this and continued to push the poison shots. After each injection a person's blood level of vitamin D goes down and unless it is supplemented it gets down to where their lives are in peril.

5. Each vitamin D molecule, converted to the proper chemical to activate the immune cells is only used once. Must keep supplementing.

The video lays it out well. I just hit the highest high spots. It's an easy and cheap thing to supplement and also life saving.

I just wanted to be sure you all knew how important it is.

#Youtube

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mariacallous · 2 years ago

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The word “processed” has become something of a slur.

Say “processed food” and most of us picture unhealthy, cheap junk. Fresh food straight from the garden or the field is good. Once we’ve put it through a processing plant or a laboratory, we’ve removed its halo qualities and added a bunch of bad ones. That means meat substitutes are no better than junk food.

But this perspective is short-sighted. We’re not going to feed billions a nutritious diet sustainably without food processing. The growing backlash against processing is one that neither people nor the planet can afford.

The benefits of processed food

Processed food is more than Coca-Cola, Dairy Milk chocolate, and ready meals. Most plant and animal products go through some form of processing to convert them into something that we can—and want to—eat. We mill grain into flour to make bread. We butcher and debone animals to get meat. We pasteurize milk.

Processed foods have brought us countless benefits, many of which we quickly forget. Iodized salt is just one example; iodine deficiencies used to be common across the world, leading to increased risks of stillbirths and miscarriages, significant reductions in IQ, and reduced cognitive development. Most of the world now consumes salt with iodine added, and many countries have eliminated this deficiency. By adding nutrients to food, we’ve been able to address a number of other micronutrient deficiencies.

We’ve been able to preserve food and increase its shelf life, reducing food waste. We’ve reduced the spread of food-borne diseases. Those with food allergies and intolerances can now eat a balanced diet. We don’t need to spend the day preparing food—this has been particularly important for the educational and career development of women. Last but not least: taste. Our shelves are now lined with great-tasting foods.

Of course, when people talk about “processed” food they’re often talking about ultra-processed food (UPF). These snacks and prepared meals are designed to have a longer shelf life and be more convenient and palatable. Corporations work hard to find the “Goldilocks” flavor profile we can’t resist by adding sugar and fat to make food as tasty as possible. Many describe these finely tuned combinations as addictive.

It’s true that increased consumption of ultra-processed food has been linked to poor health outcomes. It has been associated with lower consumption of essential nutrients, such as vitamins C, D, and B12. The more of these foods we eat, the more likely we are to be overweight or obese. This puts us at higher risk of health conditions like cardiovascular disease, diabetes, and cancer. Ultra-processed foods are easy to overconsume.

The problem with most UPFs is that they are higher in calories, sugar, and fat. And they’re lower in protein and fiber, the nutrients that keep us full.

But this isn’t inherent to food processing itself. What matters is what corporations add to our food. They can create healthier foods if they want to—or if we demand it.

The growing backlash against meat substitutes

One area where I see the biggest backlash against processing is with meat substitutes.

These products try to emulate the experience of meat and include plant proteins such as soy-based sausages; Impossible and Beyond Meat burgers; proteins made from fermentation, such as Quorn, and lab-grown meat.

Passionate meat eaters and vegans don’t always see eye to eye, but they do often agree that natural is best. Vegans push back against meat substitutes because they’d rather people go straight to natural plant foods like peas, beans, and lentils. Meat eaters push back on these products for their artificiality, calling them “Frankenfood.”

Headlines critical of these foods go something like this: “People have told you that meat substitutes are super healthy, but they’re lying to you.”

So are meat substitutes better for your health or are they part of an elaborate con?

Well, “healthy” compared to what?

Are they better than meat equivalents? Are you better off going for an Impossible or Beyond Meat burger than a beefburger? Or a soy-based sausage over a pork one? Possibly.

I crunched the numbers on the nutritional profile of meat substitute products and compared them to meat. (You can find a graph of this comparison here.) To their credit, meat substitutes tend to be lower in calories and saturated fat and higher in fiber. To their detriment, some are lower in protein, and importantly, often contain lower-quality protein, meaning they contain less of the essential amino acids that we need.

When it comes to sodium, it’s a bit of a mixed bag. Substitute burgers tend to be comparable to beef. Substitute sausages look bad, but they contain less salt than their pork equivalents.

Many substitute products are now fortified with Vitamin B12, iron, and calcium. The Impossible burger actually has more Vitamin B12 and iron than beef. Many plant-based milks are fortified too. (I compared the nutrition of dairy and plant-based milks here.)

On balance, they’re probably a bit better for our health than their meat equivalents.

Are they better than whole, plant-based foods? Less likely, but possible, depending on the nutrients you’re trying to optimize for. They are higher in protein and have micronutrients added that plants don’t have much of, such as Vitamin B12. But they are also higher in saturated fat and salt.

However, this showdown between natural plant foods and meat substitutes is kind of beside the point. People who want a whole, plant-based diet aren’t the target for these products. If people want to switch to plant proteins such as peas and lentils, great. But this group is a minority. What meat substitutes offer is an easy swap for people who want “meat-like” meals. Many want an experience similar to meat: Substitutes try to give them this without killing animals—and without the high environmental cost of farming meat.

To have a chance of meeting our global climate targets, ending deforestation, and protecting the world’s wildlife, we need to eat much less meat. Both plant foods and meat substitutes have a much lower carbon footprint, use much less land, and cause less water pollution than meat. The environmental toll can be 10 to 100 times lower than that of beef or lamb.

Meat substitutes are our best shot at feeding the world without destroying it. The backlash to these products is counterproductive. And the blanket dismissal of such foods as “ultra-processed” isn’t helping. Most are defined as ultra-processed based on the methods used to produce them. But if we list the reasons UPFs are bad for our health, meat substitutes have almost none of those qualities. As shown above, they are generally not high in calories—most are lower than meat. They have less saturated fat, almost no added sugars, and are higher in fiber.

What they do have are additives. Impossible Foods adds them to give its burgers a juicy, meat-like texture. Many companies add binding agents and preservatives to extend their products’ shelf lives. People get freaked out by lists of ingredients they don’t recognize. But the notion that how pronounceable something is can determine whether we should eat it is not scientifically sound. You can probably pronounce “lead” and “mercury,” but I don’t recommend seasoning your dinner with them.

This is still an area that needs more research, but I’ve seen little good evidence that additives or sweeteners consumed within regulatory guidelines have negative health impacts.

We shouldn’t be eating them all the time, but as part of a diverse diet, there is little to suggest meat substitutes are bad for our health. In fact, some can be a nutritional plus.

Food processing could alleviate malnutrition for billions

Meat substitutes are mostly targeted at wealthy consumers. But the implications of a backlash to processed food are just as harmful for people with less money—if not more so.

More food processing, not less, could improve health and nutrition in developing countries.

Billions of people in the world suffer from “hidden hunger”—they don’t get enough of the micronutrients that are necessary for good health. The preferred way to address this would be for them to eat a more diverse diet.

That’s a nice pipe dream, but it’s decades away. These billions can’t afford a healthy, balanced diet even if they spend all of their income on food. The goal is to make sure their incomes rise, but this will take time.

What are we going to do in the meantime? Accept that billions are left malnourished and billions of children will never reach their potential?

We could solve this problem quickly and cheaply with more food processing. Simply add micronutrients to staple foods. Micronutrient fortification—the addition of key vitamins and minerals to foods such as flour, salt, bread, and cereals—is incredibly cost-effective. It can cost mere cents or a few dollars per person per year. To move from a diet that meets an individual’s energy needs—eating cheap staples that are high in calories—to a nutritionally complete or healthy diet will cost someone at least a few dollars per day. Micronutrient fortification would cost just a few dollars per person per year.

This is also true of meat and dairy products. In richer countries, we consume a lot of meat, and most people could easily cut back. Poorer countries eat very little meat, if any. Without nutritious alternatives, eating more animal products might actually be good for health. The problem is that meat is expensive—economically as well as environmentally. It’s hard to get cheap meat without sacrificing welfare and environmental standards. So we face a dilemma: Increasing meat consumption for those with lower incomes would improve nutrition but result in a larger environmental footprint.

But if meat substitutes become cheaper, we have the opportunity to make low-cost, high-quality protein available for everyone. People will be able to improve their nutrition long before they can afford to buy more meat. What’s even more promising is that consumers in low- and middle-income countries seem to be more accepting of meat alternatives. We don’t have a lot of data on these markets, but large surveys across China, India, and the US suggest that Chinese and Indian consumers would be much more likely to buy plant-based substitutes and lab-grown meat than Americans.

I’m all for a predominantly whole-food diet. But used in the right way and in moderation, processed foods could be a big boon for global nutrition. Stigma against them hinders such efforts, so rather than shunning food processing, we should embrace it in the appropriate contexts.

It’s not the process; it’s what we add that matters

I’m not here to defend ultra-processed foods or big food corporations. They’ve hijacked our food system in many ways and have created a plethora of health problems. But we need to stop throwing all processed foods into one group.

The problem is not the process itself; it’s what we add and how we do it. We can use processing to enhance nutrition or hinder it. We can embrace it where it adds value and boycott it where it doesn’t.

The backlash against food processing is a luxury that the world can’t afford to embrace. It’s not good for people or the planet. Nutritionally sound processed foods are one of many tools that will help nourish billions without destroying the environment.

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cozydogzncatzz · 11 months ago

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Walking With My Furry Friend!!!

The Health Benefits of Taking Your Dog for a Walk

🐾 Physical Exercise:

Regular walks are essential for your dog's physical health, promoting cardiovascular fitness and maintaining a healthy weight.

It helps prevent obesity and related issues, ensuring your furry friend stays active and agile.

🌞 Sunshine and Vitamin D:

Outdoor walks expose your dog to natural sunlight, aiding in the production of vitamin D, which is crucial for bone health and overall well-being.

Sunlight also has mood-boosting effects, contributing to a happier and more content canine companion.

🌲 Mental Stimulation:

Exploring the outdoors engages your dog's senses, providing mental stimulation that prevents boredom and reduces the risk of behavioral issues.

New scents, sights, and sounds during walks contribute to cognitive enrichment.

🤝 Socialization:

Interactions with other dogs and people during walks enhance your dog's social skills, fostering a well-balanced and friendly demeanor.

Positive social experiences contribute to better behavior and reduce anxiety in various situations.

😴 Improved Sleep:

Regular exercise helps regulate your dog's sleep patterns, ensuring they get restful and rejuvenating sleep.

A tired dog is a content dog, less prone to disruptive behavior.

🍽️ Appetite Regulation:

Physical activity helps regulate your dog's appetite, ensuring a healthy balance between food intake and energy expenditure.

It can contribute to maintaining a healthy weight and preventing overeating.

🌈 Bonding Time:

Walks provide an excellent opportunity for quality bonding between you and your dog, strengthening the human-animal connection.

Shared experiences build trust and deepen the emotional bond you share with your furry friend.

Making a walk with your furry friend the best with DOG POOP RECEIVER: cozydogzncatz.bigcartel.com/product/lahti-dog-urine-catcher-aluminum-alloy-pooper-scooper-catcher-adjustable-telescopic-pole-cats-poop: free shipping + more

#dog #cat #pet #pets #bungou stray dogs

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mcatmemoranda · 1 year ago

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Anticoagulation Lecture 6/21/23

Factor Xa inhibitors = rivaroxaban, apixaban (Eliquis)

Direct thrombin inhibitor = dabigatran

Vitamin K inhibitor = warfarin

Apixaban has the lowest bleeding risk compared to the other Direct Oral Anticoagulants (DOACs); avoid in pts with BMI greater than or equal to 40 or weight more than 120 kg. Avoid dual inhibitors or inducers of CYP3A4 and P-gp.

VTE/PE tx = 10mg bid x7 days, then 5 mg bid

AFib = 5 mg bid (reduce to 2.5 mg bid if Cr greater than or equal to 1.5 or weight less than 60 kg or age greater than 80

Rivaroxaban (Xarelto) = once daily dosing compared to Eliquis

VTE/PE: 15 mg bid x21 days; then 20 mg qd

AFib: 20 mg qd with food to increase absorption

PAD/CAD: 2.5 mg bid (+antiplatelets if at increased risk)

Avoid with CYP3A4 inhibitors or inducers and P-gp

Edoxaban (Savaysa) – not used in pts with CrCl greater than 95

VTE/PE = parenteral anticoagulation for 5-10 days, then PO

VTE/PE/AFib = 60 mg qd

Does not have reversal agent like other DOACs do (which are reversed with Kcentra or andexanet)

Dabigatran (Pradaxa)

AFib: 150 mg bid; consider 110 mg bid if bleeding risk

VTE/PE: 5 days IV, then 150 mg bid

VTE ppx after THA/TKA: initial 110 mg once, then 220 mg qd x10-35 days

5-10 day bridge required for PE/VTE

Caution in pts greater than 75 years due to increased bleeding risk

Has own reversal agent (praxbind; idarucizumab)

C/I in pts with prosthetic heart valve

Store in original bottle and discard if unused after 4 months

Eliquis and Xarelto can be crushed and given via feeding tubes.

Warfarin (Coumadin)

Dosing is pt specific. Goal INR is 2-3. (2.5-3.5 if mechanical mitral valve).

Slow onset; slow time to steady state means dose taken today may not be reflected in INR for several days (2-4 days).

So many drug-drug interactions!

Metabolized by CYP pathways

Vitamin K antagonist

Dosing: recommend taking at night because INR is taken during the day, makes it easier to adjust dose.

Warfarin’s therapeutic steady state is based on half-lives of clotting factors. At least 5 days of consecutive warfarin needed for pt to be fully anticoagulated (this is why you use heparin until they get to this point).

Usually start with 5 mg qd. If bleeding risk, start with 2.5 mg qd. For obese pts or otherwise healthy/young can start with 7.5 mg qd. You go to maintenance protocol on 7th day.

Pts on VTE/PE tx are not anticoagulated the first 5 days, so use heparin IV or LMWH outpt. Once anticoagulated x24 hours, d/c heparin.

Start with 5 mg warfarin for first 3 days, then follow up with warfarin clinic on day 4. Typically, pt goes for weekly INRs. Then when at goal INR for 2 weeks, can spread out how often they f/u on their INR levels. Eventually they can go q6-8 weeks to check INR level.

VTE/PE – always bridge

AFib – risk assess to see whether heparin bridging is needed (assess bleeding risk [HASBLED]; CHA2DS2VASc for thrombotic risk).

Every 10 years, the dosing needed will decrease by 10%, so as pts age, the dose of warfarin needed will decrease.

DOACs = no INR monitoring, no dietary interactions, lower rates of bleeding, limited availability of reversal agent; contraindicated in pts with mechanical heart valves

AFib – AC (anticoagulate) indefinitely

1st VTE or PE that is provoked – AC for 3 months

1st episode of VTE/PE in setting of cancer – 3 months of AC (LMWH is better than DOAC or warfarin--new research shows DOAC may actually be more effective, so can use DOAC now; LMWH not preferred)

1st episode of VTE/PE unprovoked (no idea what caused it) – AC more than or equal to 3 months

2nd VTE – AC indefinitely

Heparin reversal – protamine (max dose is 50 mg), to reverse enoxaparin, give 1 mg protamine for each 1 mg of Lovenox

Warfarin reversal – vit K; 4 factor prothrombin compex (KCentra); FFP (if KCentra not available); KCentra is for life-threatening bleeding or if pt needs surgery for life-threatening condition

Apixaban/Rivaroxaban reversal – Kcentra (life threatening bleed or need emergency surgery; has thrombotic risk); FFP (Fresh Frozen Plasma); Andexanet Alfa. KCentra can cause clotting in 5% of pts; don’t give if you don’t need to.

Dabigatran reversal – idarucizumab (Praxbind); dosed as 5 g IV given 2.5 mg no more than 15 minutes apart)

Heparin lasts 2 hours

LMWH is preferred in pts who are pregnant (avoid warfarin). ESRD on dialysis – warfarin or Eliquis (avoid Xarelto). Obese pts – DOACs or warfarin. Cancer – use LMWH; recent study shows Eliquis is equal to or superior to LMWH in cancer pts who need anticoagulation.

Pregnancy = lovenox better, doesn’t cross placenta; UFH (unfractionated heparin) is an alternative in pts with poor renal function.

Stop heparin gtt and give Eliquis now or give 2 hours after stopping heparin gtt. Give loading dose Eliquis even if the pt was on heparin gtt.

#inducers #inhibitors #CYP3A4 #CYP3A4 inhibitors #anticoagulation #DOAC #warfarin #KCentra #FFP #Pradaxa

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vitalityvibe · 1 year ago

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Boost Your Testosterone Naturally with These Simple Tips

Introduction

Testosterone is a crucial hormone in the human body, playing a significant role in various aspects of health, including muscle growth, bone density, mood, and even libido. However, as we age, our testosterone levels tend to decrease, which can lead to a range of issues. The good news is that there are natural ways to boost your testosterone levels. In this article, we will explore some simple strategies to increase your testosterone levels, and we'll also introduce you to a product called Alpha Tonic that may aid in this process.

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Maintain a Healthy Diet

A balanced and nutritious diet is a fundamental factor in maintaining healthy testosterone levels. Include a variety of foods rich in essential nutrients like zinc, vitamin D, and healthy fats. Zinc, found in foods such as lean meats, nuts, and seeds, is essential for the production of testosterone. Vitamin D, obtained from sunlight and foods like fatty fish and fortified dairy products, is also crucial for healthy hormone levels. Make sure to consume enough healthy fats, such as those in avocados and olive oil, which support hormone production.

Exercise Regularly

Regular physical activity is another key to increasing testosterone levels. Engage in both resistance training and cardiovascular exercises. Lifting weights can stimulate the release of testosterone, and high-intensity interval training (HIIT) can also be beneficial. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise each week.

Get Adequate Sleep

Quality sleep is essential for overall health and maintaining healthy testosterone levels. Aim for 7-9 hours of sleep per night, as it helps your body repair and regenerate. Poor sleep can lead to hormonal imbalances and lower testosterone levels, so prioritize a good night's rest.

Manage Stress

Chronic stress can lead to elevated levels of the stress hormone cortisol, which can suppress testosterone production. Practice stress-reduction techniques such as meditation, deep breathing, or yoga to keep cortisol in check and support healthy testosterone levels.

Maintain a Healthy Weight

Being overweight or obese can contribute to lower testosterone levels. Losing excess body fat through a combination of diet and exercise can help increase your testosterone production. It's important to focus on sustainable and gradual weight loss for the best results.

Stay Hydrated

Drinking enough water is crucial for overall health, and it can also help maintain healthy testosterone levels. Dehydration can lead to an increase in cortisol levels, which can negatively impact your hormones.

Limit Alcohol and Avoid Excessive Drinking

Excessive alcohol consumption can lower testosterone levels. If you choose to consume alcohol, do so in moderation to support healthy hormone balance.

Introducing Alpha Tonic

In addition to these lifestyle changes, there are natural supplements like Alpha Tonic that can aid in boosting testosterone levels. Alpha Tonic is a dietary supplement formulated with a combination of ingredients known for their testosterone-boosting properties. It includes ingredients like fenugreek, ashwagandha, and tribulus terrestris, which have been used for centuries in traditional medicine to support male health and hormonal balance.

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Fenugreek, for example, has been shown to increase testosterone levels while also supporting libido and muscle strength. Ashwagandha is known for its adaptogenic properties, which can help your body manage stress and reduce cortisol levels. Tribulus terrestris has long been used to enhance athletic performance and support male reproductive health.

Before incorporating any dietary supplement into your routine, it's important to consult with a healthcare professional to ensure it's safe and appropriate for your individual needs.

Conclusion

Maintaining healthy testosterone levels is essential for overall well-being and quality of life. By making simple lifestyle changes such as maintaining a healthy diet, exercising regularly, getting enough sleep, managing stress, and staying hydrated, you can naturally increase your testosterone production. Additionally, considering a natural supplement like Alpha Tonic may provide added support in your quest for hormonal balance. Remember that achieving and maintaining healthy testosterone levels is a journey, so be patient and persistent in your efforts to boost your testosterone naturally.

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