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netrf-org · 6 years

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The Road to PRRT: A Path of Self-Discovery and Growth

By Josie Rubio, NET Blogger, A Pain in the Neck

Sitting on a yoga mat in a Brooklyn park, looking across at the Manhattan skyline, I recently found myself taking stock of how much had changed in just a month and a half. In mid-May, I’d just been released from the hospital for the fourth time this year, after a blood infection. Since severe NET-induced diarrhea had persisted since January, I had been doing daily IV hydration at home almost four hours a day. It was hard to imagine then a life in which my guts weren’t constantly roiling or when I didn’t have to wear diapers to bed.

An Unlucky History of Cancer

I’ve had two separate, unrelated cancers within the past five years: first, refractory Hodgkin’s lymphoma and the neuroendocrine tumors. Occasionally I buy a lottery ticket to see if my luck goes the other way. I’m always genuinely surprised when I don’t win.

I had previously had a Whipple procedure for my NET tumors in early 2016, followed by a liver ablation. Almost exactly a year ago, I received the news that the ablation was successful and the cancer was unlikely to come back. The next day, my oncologist delivered the news that they had missed seeing a new tumor in my pancreas. I would always have this cancer, which would be treated more like a chronic disease.

My tumors are pretty aggressive. Despite relatively good health up through December, I had severe diarrhea and could barely keep food down by New Year’s. My potassium dropped so low that I was rushed to the hospital. I spent most of January at Memorial Sloan-Kettering Cancer Center. I received radiation for the second time; the first was in 2014 for the lymphoma, during a month-long stay at Sloan-Kettering that also included an autologous stem cell transplant.

The radiation helped a little bit. I received several additional radiation tattoos—small dots to help line me up in the machine—so I now have a grand total of 15—14 radiation dots and one small Libra symbol I got when I was 20. “You’re like Tommy Lee now,” a friend noted about my rock star number of tattoos. However, I stopped improving a few weeks after the radiation, and I still was significantly sick with diarrhea.

When dacarbazine chemotherapy didn’t help and I ended up in the hospital for a blood infection in March, I had an embolization for a liver tumor. That also didn’t help curb the diarrhea caused by the VIPoma tumors. Finally, a few rounds of carboplatin and etoposide helped slow the diarrhea a little bit but I was so sick immediately following the chemo, I ended up in the hospital again because of a second blood infection.

Getting PRRT is good news

At every appointment with my oncologist, I would ask about the peptide receptor radionuclide therapy (PRRT) treatment called Lutathera®, which had been approved by the FDA in January.

In June, I was the first patient who wasn’t part of a clinical trial at Memorial Sloan-Kettering Cancer Center to receive PRRT to treat the neuroendocrine tumors in my pancreas.

It wasn’t available immediately as hospitals sorted out the logistics, from health insurance to training for administering the treatment. At an appointment in May I asked and received the familiar answer, so I was pleasantly surprised the following day when I got a call scheduling a meeting with the doctor who would administer the PRRT.

In June, I was the first patient who wasn’t part of a clinical trial at Memorial Sloan-Kettering Cancer Center to receive PRRT to treat the neuroendocrine tumors in my pancreas.

Though PRRT is new in the U.S., there’s quite a bit of data on it since it’s been available elsewhere, particularly in Europe, for so long. My VIP-producing tumor, however, is very rare, so there’s less information. However, when it works, it shrinks the tumors and keeps them at bay enough to relieve the symptoms. From what I have learned, a person may experience relief for an average of three years, though I fear I will be the exception. According to the tests that measure Ki-67 markers, my tumors are very aggressive. What would I have? …The guess is something closer to six months.

The doctor explained how the targeted radionuclide therapy works: essentially like a Trojan horse. My bloodstream wheels the Lutathera Trojan horse to the NET tumor’s receptors—the enemy gates, which accept the gift of the octreotide, a synthetic hormone I also inject subcutaneously several times a day. A chelator, however, has bonded a radionucleotide to the octreotide, so once the bind has occurred, the radioactive atom emerges and destroys the unsuspecting tumor cells.

The doctor warned that, like chemotherapy, the diarrhea could become significantly worse as the cells were destroyed, temporarily increasing the release of VIPoma into my bloodstream. In addition to the Lutathera, I would also be given anti-nausea medication and a corticosteroid to combat other possible side effects, as well as four hours of intravenous amino acids to protect my kidneys from the radioactivity.

“I’m absolutely glowing”

…Oh, I would also be radioactive. I’d received radiation and had various scans over the years that made me radioactive, with the cards to carry around in case I was stopped or scanned at an airport or checkpoint and tested positive for radioactivity. But this seemed like it would be on a whole new level, the kind that might make me glow in the dark.

I would have to avoid babies and pregnant women for about 10 days instead of just one, but I would also have to keep people at an arm’s length for at least a day. My sheets and clothing that I wore for the first five days post-treatment would have to be washed separately. I was told repeatedly not to pee in the shower, something I don’t do anyway; however, I’d have to be careful about my bathroom habits since most of the radioactivity would be flushed out in urine.

That night, a mosquito found its way into the guest bedroom and buzzed around my face. “Serious question: If a mosquito bites me while I am radioactive, will it die or turn into a superhero mutant?

I arrived at the nuclear medicine department on the appointed morning exhausted. The doctors and nurses looked at my PICC line and started a peripheral IV as well and asked me questions as they explained the long- and short-term side effects.

It’s strange to be a toxic creature. There were so many precautions. People wore little booties over their shoes. They woke me up long enough to bring me to a scan, which showed good uptake of the Lutathera in the pancreas. I celebrated by resuming my nap until about 5 pm, when I was cleared to go.

A friend picked me up after treatment and took me to her apartment with an extra bedroom made up for me. “Should I put you on a blanket?” my friend asked. She put down a sheet on one end of the couch and watched TV with me from the other end of the room. We ordered takeout using the Seamless gift card former coworkers chipped in to buy me, and I used plastic silverware and my own cup.

That night, a mosquito found its way into the guest bedroom and buzzed around my face. “Serious question: If a mosquito bites me while I am radioactive, will it die or turn into a superhero mutant? Should I phone the on-call oncologist?” I asked on social media.

Friends kept asking if I would develop superpowers.

I worked remotely for a few days and stayed in my semi-isolation. I was feeling sorry for myself and crying radioactive tears when I realized my diarrhea hadn’t worsened. In fact, I had solid stools again. I took my Zofran® and didn’t experience nausea and ate all of the best types of the small chocolate bars from the mix my friends had out.

Alone with my cancer?

Going to a friend’s house following PRRT was new to me. When they asked if I had somebody at home, I started to cry—full-body-wracking sobs. I couldn’t sleep next to someone for five days after treatment. That wouldn’t be a problem. My boyfriend of 12 years and I had just parted ways. He says we were headed that way anyway. After I overheard a conversation in which he talked about how much he enjoyed reconnecting with a recently divorced friend during a business trip, and how nice it was to walk around London by himself not thinking about cancer, I knew a break up was the right thing to do, even if I felt like he was doing it for the wrong reasons. He said he’d been with me since I’d become really ill in January only out of a sense of obligation. He said he was tired of dealing with cancer for five years and deserved a vacation to Europe that he’d booked without me.

He was tired of dealing with cancer. I thought I’d dealt with it pretty well, considering, but he made me feel really bad, like I’d been a burden destroying his life. During those months I was so sick, I had actually hoped for a quick death, in part because I felt so bad for him. I had wanted him to move on, but I’d expected to be dead first.

I felt like I’d deeply disappointed everyone. Teams of doctors at a top cancer center have been helping me fight for my life for more than five years, and I was unraveling. I felt alone and abandoned despite so much support from family and friends.

Though I was staying with my friends, I had to return to my own place several times for things I’d forgotten like syringes and, inexplicably, shirts. (I made sure my ex wasn’t there, because I didn’t want to see him: he needed to stay at our apartment that week so he could pack for his upcoming move.) At one point, I found myself in the bathroom staring at his toothbrush, contemplating the satisfaction I would have at placing it in my radioactive mouth. (I didn’t, of course.)

Finding the will to fight

The break up happened in late May; I was a little in shock. I hadn’t been eating well or sleeping much for weeks. When the doctor asked me about my medications, I admitted hadn’t been taking them as regularly as I was supposed to. I felt like I’d deeply disappointed everyone. Teams of doctors at a top cancer center have been helping me fight for my life for more than five years, and I was unraveling. I felt alone and abandoned despite so much support from family and friends. It’s so easy to focus on what you don’t have.

What I did have that morning was a team of doctors and nurses, as well as a radiation specialist, prepping me for PRRT. I was introduced to two other doctors who would be observing, one of whom was from the PRRT Treatment Center in Rotterdam, early pioneers in PRRT. I couldn’t fully bask in my minor celebrity status because I kept falling asleep. In addition to my PICC line, they also put in a peripheral IV. The PRRT mechanism itself looked like a metal contraption that should be in an office supply catalog for mailroom. I actually don’t remember much as I kept falling asleep. I don’t think this is typical; it was weeks of physical, mental, and emotional exhaustion catching up with me.

Enjoying a bit of freedom

I had a Mediport® placed earlier this year, then removed because of a blood infection. The Mediport was placed again after treatment and my PICC line was removed. For the first time since January, I don’t have to do daily hydration. I can shower without using an arm shower cap or AquaGuards®.

It’s little things like that that make me like Alec Baldwin’s “enthusiastic Parker” character on Friends. Quiet bowels, diaperless nights, unencumbered showers are all cause for celebration.

About two and a half weeks after the PRRT, I felt a familiar ache in my scalp, a very specific feeling of hair follicles letting go of hair. I’d hoped it was because I’d been wearing a garden sun hat, but by Monday, tiny pieces of my super-short hair were on my pillow and my laptop and my work desk. I had been warned of mild alopecia, and my hair had already thinned from the previous chemo. Being a swarthy lady is the bane of my existence; about 90 percent of my beauty routine involves hair removal. Of course, my mustache is still fuller and more luxuriant than I’d prefer. I’d wear a wig, but I’m lazy. Yet I’d rather be bald and active—on a yoga mat, on a beach—than have a full head of hair and be attached to an IV pole four hours a day.

My bowels don’t feel quite as stable as they did initially but the doctors have reassured me that I’ll continue to improve with further treatment. I am told that some of my symptoms might come back a bit before the next treatment.

Finding joy & support

The other day I found myself crying when I saw how scans after PRRT can significantly reduce the tumors. They were tears of gratitude. I really thought I was dying earlier this year, and I’m grateful that this might buy me some more quality time with family and friends. It’s probably not a very long time, but I’ll take it. My break up hurt, but we can both move forward now with our lives and nobody needs to die first.

As for the rest of my emotional health, I still have some sad days, but I’m feeling better every day. In fact, I’m often happier than I have been in a long time. So many friends have rallied and given me so much support, I’m far from alone and surrounded by so much love. No matter how our opinions on the break up differ, here is a fact: We had six or seven containers of dental floss in the bathroom and he took all of them. I don’t want that kind of person around. From now on, I want only the kind of toxicity in my life that combats tumors, not the kind that makes me feel apologetic for having cancer. I might actually have to admit to myself that I won’t win the lottery, but many days, I still feel extremely lucky.

Editor’s Note: PRRT is not for everyone. Josie’s story is not intended to represent typical indications or protocols for PRRT. To find out more about PRRT, talk to your treatment team.

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from WordPress https://netrf.wordpress.com/2018/07/10/the-road-to-prrt-a-path-of-self-discovery-and-growth/

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babbleuk · 6 years

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The Big Questions – Two – What Are We?

The following is an excerpt from GigaOm publisher Byron Reese’s new book, The Fourth Age: Smart Robots, Conscious Computers, and the Future of Humanity. You can purchase the book here.

The Fourth Age explores the implications of automation and AI on humanity, and has been described by Ethernet inventor and 3Com founder Bob Metcalfe as framing “the deepest questions of our time in clear language that invites the reader to make their own choices. Using 100,000 years of human history as his guide, he explores the issues around artificial general intelligence, robots, consciousness, automation, the end of work, abundance, and immortality.”

In The Fourth Age, Byron Reese argues that most of the big questions around technology like AI and automation are not about what technological breakthroughs will happen, but center around foundational questions about life, humanity, and reality. He distills them down to three key questions. Below is the second one: What Are We? And check out the first and third questions: ” What Is the Composition of the Universe?” and “What is Your Self?”

What Are We?

Next question: What exactly are we? Again, a multiple-choice question, with three possible answers: machines, animals, or humans.

The first possible answer is that we are machines. This is the simplest, most straightforward answer. We are a bunch of parts that work together to achieve an end. We have a power source and an exhaust system. We self-repair and can reprogram ourselves to do a variety of different tasks.

Those who hold this viewpoint are quick to caution against thinking of the term “machine” as pejorative. We may “just” be machines, but we are the most amazing and powerful machine on the planet. Maybe in the universe. Your basic essence may be the same as a clock radio, but your form is so much more wondrous as to make the comparison ridiculous except in a purely academic sense.

Those who hold this belief maintain that everything that happens in your body is mechanistic. That is true almost by definition. It is neither miracle nor magic that keeps your heart pumping. We are simply self-sustaining chemical reactions. Your brain, while not fully understood, gives up more of its secrets every day. In a lab, an imaging device can already read some of your thoughts. If someone built an atom-by-atom copy of you, it would show up at your office tomorrow with a packed lunch, ready to work. You could easily get away with sneaking out the back door and going fishing, because that copy of you would do exactly the same job you would. Come to think of it, it would probably take the day off and go fishing, knowing that you were going into the office.

This viewpoint calls to mind a thought experiment articulated best by the philosopher Derek Parfit. You have probably considered something like it before. In the future there is a teleportation device. You step in. It takes you apart, painlessly, cell by cell, scanning each cell. The data about that cell is beamed to Mars, where a similar device does the opposite: it builds someone cell by cell who is identical to you in every way. That person steps out and says, “Man, that was easy.”

Would you step into such a device? The majority of people probably would not consider that “person” on Mars to be themselves. They would probably consider it a creepy doppelganger of themselves. And yet it is incumbent on them to explain just exactly what attribute they have that a high-enough resolution 3-D scanner can’t capture. But to people who believe they are machines, there is nothing philosophically troubling about such a device. Why would you ever want to wait in traffic when you can just step into the teleporter?

With regards to life, this view holds that it too is simply a mechanistic process. Consciousness as well. To those who hold this view, all this is painfully apparent, and they do not wince when they read Kurt Vonnegut’s thoughts on this question:

I had come to the conclusion that there was nothing sacred about myself or any human being, that we were all machines. . . . I no more harbored sacredness than did a Pontiac, a mousetrap, or a South Bend Lathe.

Your second choice is that we are animals. Often this view sees an inorganic, mechanical world that is a completely different thing from the biological, living world. Life makes us different from machines. Maybe our bodies are machines, but “we” are animals that inhabit those machines.

This position maintains that there is something to life that is more than electrochemical, for if it were solely that, we could build a living thing with a couple of batteries and a sufficiently advanced chemistry set. Life has some animating force, some mysterious quality that perhaps is not beyond science, but is beyond machines. New stars are born, crystals grow, and volcanoes die. But although these objects exhibit these characteristics of life, we don’t think they are alive. Machines, in this view, are the same sort of thing, lifelike but lifeless.

This distinction between living animals and nonliving machines seems a natural and obvious one. While we anthropomorphize our machines, and talk about “the car not wanting to start because the battery is dead,” we use those words without contemplating therapy for the car or mourning the loss of the battery whose life was cruelly cut short.

Life is something we don’t fully understand. We don’t even have a consensus definition of what it is. If you do believe that we are animals, and that we are different from machines because we are alive, then our big question is going to be if computers can become alive. Can something that is purely mechanical get the spark of life? We will get to that in part four.

The final choice is that we are humans. Everyone agrees that we are called humans; I mean something more here. This position says that of course our bodies are machines, and yes, of course we are alive like animals. But there is something about us that separates us from the other machines and animals, and makes us a completely different thing. We aren’t just the ultimate apex predator, the preeminent animal on the planet. We are something fundamentally different. What makes us different? Many would say that it is either that we have consciousness or that we have a soul. Others say it is that we make and use complex tools or that we have mastered complex language or can reason abstractly. Maybe humanity is something emergent, some byproduct of the complexity of our brains. Aristotle suggested that what makes us human is that we laugh. The Dalai Lama expressed it as such: “Humans are not machines. We are something more. We have feeling and experience. Material comforts are not sufficient to satisfy us. We need something deeper—human affection.”

We share a huge amount of DNA with every living thing on the planet, including plants. This notion is profound, and it is one best expressed by the author Matt Ridley in just four words: “All life is one.” Beyond this idea of unity, we share as much as 99 percent of our genome with a single species: chimpanzees. So as machines and animals, we are strikingly similar to chimps, with only a rounding error of difference. But viewed through another lens, we are absolutely nothing like chimps. And whatever that lens is, that is what makes us human. However, just having some difference from animals doesn’t make us not an animal. The distinguishing factor has to be something that changes our essential selves. For instance, humans are the only creatures that cook their food. But that distinction alone doesn’t make something more than an animal. If we suddenly discover a magpie in Borneo that drops crabs into fires and retrieves them later to eat, we wouldn’t grant “humanness” to magpies. But if that same magpie developed a written language and began writing limericks, well, we would have to consider it. So that is the question: Is there something about us that makes us no longer only an animal?

Interestingly, some of the Greeks divided the living world into those three similar categories as well. Plants, the reasoning went, have one soul, because they are clearly alive, and eat, grow, reproduce, and die. Animals have two souls. That same one the plants have, but another one as well: they are purposeful. Finally, there are humans, who have three souls. The plant soul, the animal soul, and a third one, a reasoning soul, because only we can reason.

So, it is decision time: Are we machines, animals, or humans?

To read more of GigaOm publisher Byron Reese’s new book, The Fourth Age: Smart Robots, Conscious Computers, and the Future of Humanity, you can purchase it here.

from Gigaom https://gigaom.com/2018/04/26/what-are-we/

#Gigaom

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cynthiamwashington · 6 years

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The Roots of Depression: How Much Does Modern Culture Have to Do With It?

I can’t complain about my existence in modern culture. My life is great. I have a loving family. My kids are happy and successful. My wife is a friend and lover and confidante and partner. Business is good and interesting. I care about what I’m doing. Every day is meaningful—and unburdened by concerns around mental well-being. Depression isn’t an issue for me.

But it’s not the case for everyone. The numbers don’t lie. Depression rates are climbing. Antidepressants are among the most common drug prescriptions, even among children. And because it can be embarrassing to admit you’re depressed—like there’s “something wrong” with you if you say as much—many people with depression never seek help, so the real numbers could be even higher. Depression isn’t new of course. The ancients knew it as “melancholia,” or possession by malevolent spirits. But all evidence suggests that depression is more prevalent than ever before.

What’s going on?

First of all, the way we speak about depression makes getting to the root of the issue harder.

“It’s all brain chemicals.”

“You have a neurotransmitter imbalance. There’s nothing you can do but take this pill.”

“You were born with it.”

This is an admirable attempt to de-stigmatize depression, turning it into a medical condition that “just happens” and “isn’t your fault.” Some people get brain tumors, some have type 1 diabetes, some have depression. There’s no shame in getting treatment for legitimate medical condition. This is an important development, but there’s a cost: It removes agency. If depression is just something you get or have from the outset, many (certainly not all) people believe there’s no reason to investigate the root cause or pursue alternative solutions.

While there’s definitely a genetic component to depression, and neurotransmitters play key roles, most depression requires some precipitating series of environmental inputs. The vast majority of babies with “depressive genes” don’t come out of the womb listless and morose with “bad brain chemicals.” They may be more or less susceptible to the environmental factors that can trigger depression later in life, but they still require those factors.

What’s happening? Clearly, something novel is afoot. Although we don’t have data on the mental health of paleolithic hunter-gatherers, extant hunter-gatherers exhibit an almost complete lack of depression.

What might help fill in one neglected dimension is to examine what’s unique about modern society.

It Is Atomized

People exist in their own bubbles. We sit in cars, in cubicles, in houses, in separate rooms. Even friends out to lunch are often seen gazing into their smartphones, half-ignorant of the normal waking reality occurring around them. Families gather in the living room not to play board games and chat about the day, but to access their personal portals into cyberspace. Together but apart. It may feel like we’re connecting, but we’re really just lonely. Like something out of a post-Sergeant Peppers Beatles dystopian concept album, the UK even just established a Ministry of Loneliness.

Loneliness has stronger associations with depression than any other social isolation indicator.

Lack Of Tribe

Robin Dunbar came up with Dunbar’s Number after studying disparate tribes and communities across the world: The maximum number of fulfilling, meaningful social relationships a person can reasonably maintain is about 150. We’re geared to desire social acceptance from our tribe, because social acceptance in a tribe of 150 people is both feasible and desirable. It increases survival. If “desire for social acceptance” is mediated by genes to at least some extent, it undergone positive selection; it was helpful and beneficial and supported species survival. Consider what the tribe originally meant: these are the people you grew up with, the people who will have your back. It’s important that your tribe accept you, and that you accept them. Things work better that way.

Today, our tribes are enormous and unwieldy. There’s the city. The state. The nation. The globe. Twitter. Our social media feeds. We can’t know everyone in our city, state, or Twitter feed, yet we get feedback from them. We see the best parts of their lives—what they show to the world—and compare them to the lowest parts of ours—what we hide from world but cannot escape internally. And then ironically, many of us feel estranged from or ignore the people who could actually comprise our true tribes—family, friends, loved ones, neighbors—even when they’re in the same room in favor of the larger, faker tribe. Yet the desire for social acceptance from this sprawling “tribe” persists. And it’s impossible to achieve for most people. Letting your tribe down hurts. We have tribes. They’re just not real or realistic.

Social media consumption predicts depressive symptoms.

It’s Devoid Of Higher Meaning

The roles of religion and other binding schools of philosophy and morality in society are waning. Most people can’t lean on the church or patriotism to find meaning or direction anymore. They must create their own, or discover it. That isn’t easy. It’s far simpler to ignore the void within, flip through your Netflix feed, and obsess about the latest superhero movie than it is to find your purpose.

Having a sense of life meaning is inversely associated with depression.

Life Is Easier

Most people (most reading this, anyway) aren’t walking three miles each way just for moderately fresh water that they still have to dose with iodine tabs or risk parasitic infection, slaving away their entire lives just to produce enough calories for their feudal lord and family, building their own homes out whatever they can manage and fixing whatever breaks (or not). They just turn the tap, order food from Thrive Market, call the plumber.

Work Is Increasingly “Information Work”

Rather than manipulate material objects in the world, we’re manipulating data, filling spreadsheets, fiddling with abstract numbers. Information work is no less real, but it doesn’t feel like that to our psyches.

Life Isn’t As Tragic

There are fewer “classic tragedies.” Fewer people lose loved ones to warfare, babies to disease. While we still have plenty of wars going on, they aren’t logging death counts like the World Wars or Genghis Khan’s conquests. Major civilian centers aren’t being leveled regularly by bombing raids. This is a positive development, but there’s a catch: Research shows that real life disasters strengthen bonds between friends, the neighbors, and the community. If we aren’t facing difficulties, we may not be living to our fullest potential.

Powerful Technology Is Widely Available Almost Everywhere

You can follow Maasai herders on Twitter. You can engage in live video chat with anyone in the world. No need to visit Grandma in Del Boca Vista; you can Facetime her!

Material Problems Are Disappearing

Most people get enough to eat, can get from here to there, can access the Internet, and get medical care if required. You have to try really hard in a modern Western society to die in the street. Even worldwide, poverty is falling. In 1981, nearly half the world’s population was “extremely poor.” As of 2016, it was under 10%. All that’s left are psychological problems.

Why am I here?

What’s the purpose of life?

Why should I continue working this job I don’t really like just to support the same boring routine?

This kind of rumination is a major factor in depression.

In Tribe, Sebastian Junger shows how veterans returning from war—on paper, a hellish experience no one would ever miss—feel suddenly lonely, lost, and often depressed back home. War compresses human experience and intensifies human bonding like nothing else. When these men and women leave war, they’re leaving the strongest, most cohesive tribe they’ve ever known. They’re leaving people who’d die for them and for whom they’d die. What, are they supposed to stand in line at Starbucks, staring at their phones like everyone else and think everything is just fine?

Why are potential root societal causes ignored?

For one, they’re huge problems. A pill is way easier than restructuring the fabric of modern society. If you did that, you’d have to get it right the first time. You can’t exactly run an RCT on social upheaval.

Two, we assume a shared environment. Most of the people you see walking around eat the same basic diet, do the same basic exercises (or don’t), and deal with the same societal pressures and conditions. If you look at things wrong, it seems immutable and unavoidable. Even if they’re aware on some level that modern living is involved in the etiology of depression, most clinicians are assuming, based on prior experience with patients and their own misconceptions about what’s possible and what’s not, that we just have to accept it and apply the best band-aids we have. But if you’ve approached diet and exercise from an evolutionary angle and had incredible results where nothing else had ever worked—you know that common is not normal. You know that the environmental inputs shared by so many in the industrialized world might be persistent and tempting and hard to avoid, but they are avoidable. You can change your surroundings, your inputs, even your mindset.

Three, it isn’t clear what the solutions even are. The world is better today in many ways. Just because many veterans find their tribe in war and suffer upon returning, it doesn’t follow that we should go to war more often for our mental health.

We can’t rely on technocratic overlords to engineer the perfect utopia. Those always end in dystopias—more Brave New World than 1984. No, any change has to start within each individual, at dinner tables, in friend circles, in one person—you—deciding to do things differently.

I won’t get much into diet or exercise or sunlight or sleep today. Those are major parts of the equation, but I prefer to focus on how the structure of our society impacts depression and how we can transcend it.

These are some ideas. They’re not perfect. They’re not the whole story. And they’re not meant to replace medication or therapy or anything like that. But they won’t hurt….

Listen to the “first voice.” Every time you get that little voice saying “I should finally pick up that book” or “I should walk the dog” or “I wonder what my friends are up to,” DO IT. Don’t let the other voice override you and say “Nah, let’s just stay inside today.” That second voice is destroying you. Do everything you can to ignore it.

In low moments, rather than try to cheer yourself up, be of service to someone. A concerted effort to cheer oneself up often produces the opposite effect. We’re not great at doing it for ourselves, perhaps because at some level we sense it’s all a sham, a ploy to shift around neurotransmitters. But when you help someone else, you’re truly helping them. They feel good, you feel good, and everyone wins.

Chase meaning, not happiness. “Being happy” is hard work. You can’t get there by trying. Figure out what you care about at the deepest level of your being. What stirs you. What, most importantly, you can actually affect with your skillset. If you can manage to imbue every fiber of your being with that purpose, you’ll get going after it. You’ll have something to do, and maybe you’ll have less time for rumination and other things that make your depression worse.

Easier said than done, you might say. Definitely. I haven’t been there myself, but I’ve helped people close to me who have. Clinical depression isn’t just sadness. It’s profoundly demotivating, where taking even the smallest act like getting dressed can be a struggle. Dopamine, the neurotransmitter involved in movement and achievement and motivation, tends to plummet in major depression.

Still, what else is there? You are an individual, not an atom. An atom is separate but unconscious. It has no agency. It simply is. An individual is separate from other individuals but conscious. It has agency. It can form communities, strong bonds. Revel in your personal sovereignty but don’t forget that you’re a social animal who will probably be much happier with a few good friends (who aren’t all wielding smartphones 24-7).

There are other specific things to try. Trawl the scientific literature and you’ll find hundreds of studies showing efficacy for any number of medication-free depression therapies and interventions. None of them are the final answer, though, as much as they can help. Ballroom dancing isn’t going to fix things. Gardening isn’t enough. Heavy squats won’t do it. Plunging into cold water isn’t everything.

It has to be a comprehensive shift.

The common theme running through most of these “alternative” interventions is that it places you square in the midst of cold hard reality. You’re on your knees, handling soil and planting vegetables. You’re dancing, immersed in the music and managing the dynamic interplay between you and your partner. You’re lifting something very heavy. You’re completely submerged in freezing water. These are real. They cannot be escaped or negotiated with. They aren’t running on perpetual loops inside your head. They’re actually happening.

Get as much of that in your life.

In the future, I’ll discuss this topic further. I’ll talk about dietary, exercise, lifestyle, supplement, and psychological modifications we can make.

For now, I’d love to hear from you. Those who’ve dealt with or who currently deal with depression, what’s helped? What hasn’t? What’s your take on the list of social factors that may explain the rise in depression—or the severity of symptoms as you experience them? What do you think we can do—as individuals and as a society—to make things better?

Thanks for reading. Take care.

The post The Roots of Depression: How Much Does Modern Culture Have to Do With It? appeared first on Mark's Daily Apple.

Article source here:Marks’s Daily Apple

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watsonrodriquezie · 6 years

Text

The Roots of Depression: How Much Does Modern Culture Have to Do With It?

What’s going on?

First of all, the way we speak about depression makes getting to the root of the issue harder.

“It’s all brain chemicals.”

“You have a neurotransmitter imbalance. There’s nothing you can do but take this pill.”

“You were born with it.”

What might help fill in one neglected dimension is to examine what’s unique about modern society.

It Is Atomized

Loneliness has stronger associations with depression than any other social isolation indicator.

Lack Of Tribe

Social media consumption predicts depressive symptoms.

It’s Devoid Of Higher Meaning

Having a sense of life meaning is inversely associated with depression.

Life Is Easier

Work Is Increasingly “Information Work”

Life Isn’t As Tragic

Powerful Technology Is Widely Available Almost Everywhere

You can follow Maasai herders on Twitter. You can engage in live video chat with anyone in the world. No need to visit Grandma in Del Boca Vista; you can Facetime her!

Material Problems Are Disappearing

Why am I here?

What’s the purpose of life?

Why should I continue working this job I don’t really like just to support the same boring routine?

This kind of rumination is a major factor in depression.

Why are potential root societal causes ignored?

These are some ideas. They’re not perfect. They’re not the whole story. And they’re not meant to replace medication or therapy or anything like that. But they won’t hurt….

It has to be a comprehensive shift.

Get as much of that in your life.

In the future, I’ll discuss this topic further. I’ll talk about dietary, exercise, lifestyle, supplement, and psychological modifications we can make.

Thanks for reading. Take care.

0 notes

fishermariawo · 6 years

Text

The Roots of Depression: How Much Does Modern Culture Have to Do With It?

What’s going on?

First of all, the way we speak about depression makes getting to the root of the issue harder.

“It’s all brain chemicals.”

“You have a neurotransmitter imbalance. There’s nothing you can do but take this pill.”

“You were born with it.”

What might help fill in one neglected dimension is to examine what’s unique about modern society.

It Is Atomized

Loneliness has stronger associations with depression than any other social isolation indicator.

Lack Of Tribe

Social media consumption predicts depressive symptoms.

It’s Devoid Of Higher Meaning

Having a sense of life meaning is inversely associated with depression.

Life Is Easier

Work Is Increasingly “Information Work”

Life Isn’t As Tragic

Powerful Technology Is Widely Available Almost Everywhere

You can follow Maasai herders on Twitter. You can engage in live video chat with anyone in the world. No need to visit Grandma in Del Boca Vista; you can Facetime her!

Material Problems Are Disappearing

Why am I here?

What’s the purpose of life?

Why should I continue working this job I don’t really like just to support the same boring routine?

This kind of rumination is a major factor in depression.

Why are potential root societal causes ignored?

These are some ideas. They’re not perfect. They’re not the whole story. And they’re not meant to replace medication or therapy or anything like that. But they won’t hurt….

It has to be a comprehensive shift.

Get as much of that in your life.

In the future, I’ll discuss this topic further. I’ll talk about dietary, exercise, lifestyle, supplement, and psychological modifications we can make.

Thanks for reading. Take care.

0 notes

athusia · 7 years

Text

Learnable Magic

All of the below-listed categories can be learnt by any Versipellis without any exception. It's possible to lack the talent for one of those, but it will never be impossible for an individual to learn at least the basics of it. Most Versipelles focus on 2-3 connected categories during their life to use them in their full form.

III. I. Abacomancy One of the oldest abilities as the use of the Versipellis ancestors was documented even before Ezriel appeared - which counts back to 500.000 AR. Abacomancy is the art of receiving an answer or a small glance at the future from supernatural forces through interpreting patterns in sand, dust and ashes. In some cases, the user also drops bigger objects such as bones or teeth. No matter the material, the object is dropped on a flat surface and interpreted. III. II. Alchemy Even though Alchemy might be the most taken subject during elementary teachings, only a few individuals focus on this topic as it is very big and also difficult to fully understand. Often also called 'meta-chemistry', it can be closely linked to the subject of science as it focuses the nature of different substances and their reaction to each other. Alchemy in the modern world mostly focuses on the search for materials which have the ability to turn worthless and cheap matters into valuable substances such as gold and silver. Next to this, it's also often used to understand the Spirit World better as many reactions are able to give a short glimpse into said dimension - and even more as the results from Akumenos's research show. Alchemy is a big science for itself and can be quite dangerous in case of mistakes. III. III. Arcane Magic This category is basically elementally neutral energy which can be used as an offensive or defensive force. As Arcane is seen as completely neutral, it is neither weak nor strong against any other type of active magic which can be used in fights. It's also quite often the first category young children learn as it's quite easy to control and can't be manipulated into backfiring during training. III. IV. Card Magic Formerly thought to be a blessing, Card Magic is still quite rare among Athusians - probably due to the need of a full set of cards or at least the one of a card symbol of choice, additional to the required knowledge about the interpretation and meaning of symbols. It is still discussed if this category is really one on its own or just a clever link between hypnosis and psychokinesis; reports suggest that the first option is the case. Next to being able to harden cards with induced energy, moving them with the sheer power of will and simple card tricks, the user is also able to force an opponent into hypnosis, even if this requires a lot of luck or psychological knowledge. This hypnosis can only be pulled through if the correct card is literally pinned to the opponent while the user focuses all of their energy on this one card which usually causes all other cards to either disappear back into their storage (in the case of an experienced user) or just drop to the ground. If the correct card is chosen, the opponent will start to dissociate and fall into so-called 'empty state' in which they are completely separated from their memory and life experiences but take on the identity of the card. This state can last between 5 seconds up to multiple days, depending on how skilled the caster is and how much energy they use for this. III. V. Catoptromancy Related to other forms of divination, Catoptromancy is the art of using mirrors to question supernatural forces or to get a glimpse into the future. As those hints are very vague, it's usually up to Oracles to interpret the results. These hints might come in form of a trick of the light, an unusual reflection or rippling on the mirror's surface. III. VI. Corrupted Magic Rather being the name of a family of magic than a type on its own, Corrupted Magic is known to have many different categories and uses - and almost all of them are equally dangerous to use. The usage of these powers will always lead to irreparable damage to the caster and their environment; what kind of hazards exactly are caused by this depends on the sub-category. There is no known way to prevent this since as soon as the first spell was cast, the progress can't be stopped, even if it's not used again after this. The only being known to be able to handle this ability without carrying away damage is the goddess Sirath. Necromancy was also considered to be a sub-category of Corrupted Magic but proved itself to be a topic on its own. Corrupted Versipelles are also commonly known as 'Pestilentia' as they are known to bring death and sickness to those around them. Neither of these abilities can be mastered. > Disease Magic A quite questionable category as it includes the ability to control diseases and parasites, including hazardous fungi. The alone presence of a so-called 'Pestilentia' draws flies to them, even if no scent of decay is in the air - it's probably the atmosphere around them. Disease Magic can't create new ailments, even if it's known to be able to drive the development of new pathogens forward. Pestilentia have a longer life expectancy and higher living quality than most corrupted individuals as they experience a full immunity to symptoms caused by their own bodies (such as fever) but still can infect themselves with their own powers. Most users show of rotting skin as many attract flesh-eating bacteria and necrosis. Blood poisoning and organ failure are the most common causes of death. > Radiation Magic Also known by 'Fallout Manipulation' or just 'Fallout', Radiation Magic highly focuses on the control of alpha, beta and/or gamma rays which are produced by radioactive decay of atomic nuclei. This category is not often practised because as soon as the caster learnt it, they can't stop it anymore until they die. To be more precise, Radiation Magic is based on corrupting the Aether flowing through one's body to the degree of it starting to emit its own energy in the form of particles and rays. Due to this, the caster ends up suffering from a slow proceeding radiation poisoning, radiation damage and also ARS in the end. This is also the reason why Radiation Magic is seen as a last resort to learn as it is really damaging to both spell caster and nature. As the Versipellis emits it themselves, they also affect organisms in their surroundings. This type of magic was often used in wars as fatally injured soldiers were often sent back to the enemy after learning this kind of magic, poisoning them in the process. Big parts of Eleancia are still in a lockdown state and the use of this kind of magic is highly questionable to the point of being banned. The final hours of the individual are determined by their physical tier of energy. While low tiers suffer from a fatal case of Acute Radiation Syndrome, Tier IVs often emit so much energy that their own chromosomes start to break apart - resulting in a long drawn out and painful death if they aren't put out of their misery quickly by organ failure. III. VII. Crystallomancy Another form of divination and quite similar to Catoptromancy. Visions are achieved through setting oneself in a deep trance while gazing at a crystal of at least the size of a fist. Even though it would be possible to have a vision when using a small gemstone, it's easier to see and understand if it is seen on a bigger medium. Crystallomancy is one of the most used methods by Oracles as it gives away the clearest visions. III. VIII. Culinary Magic Discovered by a cook who was overwhelmed by the amount of work he had to do and ran out of ingredients for a wedding meal. A culinary mage is able to create wonderful dishes out of almost nothing in a short amount of time with a great taste. Users of this category can also turn inedible materials or small rations into rich and tasty meals without harming anybody. Food can also acquire healing properties when prepared by a culinary mage. III. IX. Elemental Magic Next to arcane, elemental magic is the most basic categories in existence. While many mages prefer to learn and master the control of only one element, a few individuals wish to study more than a single one. All elements can be combined with each other. All of these have a maximal range of 10 meters. > Air (Aerokinesis) Rarely chosen, but a powerful element after some practice as air is not visible to the naked eye if it doesn't carry dust or other small objects. Attacks and defences build up with Aerokinesis are transparent and usually can't be seen. Although this might be considered as a clear advantage, the big area needed to let attacks fully unfold their power always delivers leaves, grass or other small objects to make the gust visible. It's not possible to pull the air out of living creatures. Air is considered to be a stealthy element as it barely leaves any traces, can be hidden in the natural wind and is invisible. > Earth (Terrakinesis) Related to strength, earth is the element of warriors and guards as its powers can be used as a defensive tool just as armour. Its name is slightly misleading though - Terrakinesis doesn't necessarily include dirt and earth, but rather stones and minerals. The weight of them isn't giving any limits as long as the stone is still connected to the ground and covers less than 5m³. If the stone breaks loose from its origin, the user loses the control over it. This allows the individual to quickly build walls of any thickness, let stone spikes shoot out of the ground or create caves in grim weather situations. Some users are even able to create gems and other valuable minerals to control them. > Fire (Pyrokinesis) Often chosen, rarely understood. Fire is the only element which serves a purely offensive purpose - next to its rather minor use of giving warmth. Users of this element are able to create and control sparks, flames and ember, even without a substance to nourish it. The controllable amount of fire depends on the magical rank of the individual. Pyrokinesis also makes the user almost immune to heat and burn wounds, but long exposure will still sear the hair and skin - it just lowers the chance of suffering from third-degree burns to a minimum. Smoke is still toxic. > Water (Hydrokinesis / Nephokinesis / Cyrokinesis) Due to its fluency in its state of matter, Hydrokinesis can be divided into three more subtypes which are taught each by each as every state has its own way of handling and uses. While most only learn one of them, some spend a lot of time to master all of them to be a recognized Nereid. These individuals are also able to fluently switch between each kinesis type by changing the state of the water. If Nepho- or Cyrokinesis are the only learnt category, ice or steam (humidity of around 50% at least due to weather; boiling water near the user is also possible) have to be present before the individual starts. Elemental control around water is a multifunctional tool as water is everywhere and can be used as a help to survive in the wilderness, as defence and also an offensive weapon. The maximal controllable amount is 100 litres in the liquid state. Blood isn't included in Hydrokinesis as its amount of particles makes it too thick. Same applies to heavily polluted water. > Combinations Whether if combined by one user with multiple ability sets or a group, elemental magic offers a wide range of combination used in daily life and combat. Not all categories are compatible. Air + Earth = Control of small dust storms or stones carried by the wind. Air + Fire = Control of small fire tornados (rarely used as they often are out of control). Air + Water = Can create small storms, even tiny thunderstorms if done by several IV mages. Earth + Fire = Creates a small amount of lava which cools down extremely fast though. Earth + Water = Creates a huge pile of controllable mud. Not very useful outside of agriculture. Fire + Water = Substitution to Nephokinesis III. X. Extrasensory Perception Also known under the shorter name ESP, this ability describes the magically enhanced Sixth Sense which can help to detect energies, supernatural creatures or lingering danger. Individuals with at least an advanced rank in this category also show a high intuition towards emotional matters. The ability to project their own thoughts onto another being is also documented, but rare. III. XI. Green Magic While the magic category of tending to plants and mushrooms rather sounds quite peaceful, Green Mages are known to be quite dangerous if threatened in any way as it doesn't only describe the art of growing plants, but also everything about natural poisons. Next to being able to make plants move and grow to their will (such as letting roots snap out of the ground to wrap around another being), individuals with at least an advanced rank in this category are not affected by natural poisons found in plants. III. XII. Illusions This category can be divided into auditory and visual illusions which can be combined with any rank higher than high rank. The abilities of Illusion magic are pretty self-explanatory: Users are able to create either visual phantoms of objects and/or even living creatures or sounds (can either be simple noises such a door shutting or even a voice talking) after either getting into physical contact with the victim by touching them or owning a piece of them, such as nails or hair - this makes them invisible to any other person. These illusions grow in their quality and stability as the user improves rank-wise; as long as it is low or lower high rank, visual phantoms shatter as soon as they are touched while auditory tend to have static in the background or sound corrupted. III. XIII. Mind Control While any other categories in this list are learnable by mortals, Mind Control is exclusively for Demonicae Inferiae who are either taught by the original ones or take their place. The basics of Mind Control are simple; it's simply about putting impulsive thoughts into the head of the victim either until they do it or manipulating them to follow whatever the user wants them to do - as long as it stays in their learnt category. There are six known categories but all apart from Luxuria apparently died out during the Primal Wars - even this one only has two known users which makes Mind Control the rarest ability found in Athusia, even compared to blessings. Acedia - Latin for sloth - describes the ability to drain the victim of all energy and wishes to speak, move or do anything other than breathing while resting. Avaritia - Latin for greed - describes the ability to make the victim crave all kinds of goods - money, valuable objects, etc. Often makes the victim lie, steal and manipulate to get more and more. Invidia - Latin for envy - describes the ability to kindle hate towards others over their achievements, goods and life; this often makes the victim lash out to the point of injuring or even killing the person they project this onto. Gula - Latin for gluttony - describes the ability to force the everlasting feeling of gnawing hunger onto the victim, making the literally eat and eat until they die. Ira - Latin for wrath - describes the ability to make the victim highly aggressive and violent towards any provocation, no matter if it was meant to be. Luxuria - Latin for prodigality - is quite a misleading term as this category has two areas to influence: The need to spend money but also sexual desire. While first the first one is rarely used as it is rather destructive on a social level, the second option is often utilized to make the victim dependant on the caster - or to get something from the victim by earning their trust this way. III. XIV. Necromancy While lower ranks simply aim for the ability to communicate with deceased individuals to either get information or to force them to weaken living persons, high ranks have their main goal in the re-animation of corpses, producing revenants. This category is morally questionable as soon as it comes to manipulating the dead for their own use. Revenants aren't the person they were before their death, but rather an empty shell which is mobile until the decay will claim even this before ending their life a second time. This process can take up to 6 months. A necromancer can re-animate up to three corpses at the same time; in this state, these bodies are fully under the control of their master and will act to their will - which leads to even more controversial points. Necromancers are frowned upon as soon as it is known that they use their abilities this way. Revenants basically move until they are physically unable to do so - this can be achieved by a severed head, severing nerves or by cutting through muscles & tendons until they are immobile. These creatures survive for a short time when they are set on fire, can't drown and are immune to cold as long as it doesn't freeze them. Their main drive is either what their master tells them, but also the need for living meat to fill the void their placeholders left in the afterlife. When their master dies, so will the revenants. III. XV. Oceanic Magic Often confused with Hydrokinesis due to its vague name, Oceanic describes a magic category of a cult of Azaroth. Not much is known about this cult apart from one ritual which is also the only thing known about this category by the vast majority. Oceanic Magic heavily focuses on the Metamorphoseon, the ritual to shift into a creature which can survive underwater for the rest of their life. This can't be reversed. The ritual itself circles around the shifting individuum who has to travel to a specific small island near the underwater colony of the cult where they stand in the water of the sea while being watched by the leaders of the already shifted group. Chanting of an ancient language and the sacrifice of earthen figurines under the full moon will eventually make the individual morph into their new form. This is basically their regular appearance with their legs and replaced by an often vibrant fishtail of an existing species. The change also affects their equine form. After this, they can't breathe air anymore and are bound to live in the underwater society. What else is included in Oceanic Magic is a secret, but there are rumours about the ability to communicate with the creatures of the sea and a special bond to Azaroth himself. III. XVI. Palmistry Another form of divination, this Psychokinesis Psychological Magic Puppet Magic Spell Negation Switching

#athusia #magic

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workreveal-blog · 7 years

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Trans Fat food tax makes people buy Healthier food

New Post has been published on https://workreveal.biz/trans-fat-food-tax-makes-people-buy-healthier-food/

Trans Fat food tax makes people buy Healthier food

Taxes can motive clients to think two times

No one likes taxes. I certainly don’t. However, I’d Alternatively have the government food tax charges I’m able to manage, by using making smarter Health choices, than fiscal matters I can’t control, Because the politicians are too gutless to do What’s proper. And that I’d Instead not pay for better Health fees that we should all avoid with the aid of setting the tax onus on people to take Extra obligation for his or her Health selections.

If the federal authorities gained bring in a countrywide tax on sugary beverages or different junk foods, it could try any other track. It can provide additional Health transfer bills to provinces that tackle that duty, to compound the benefits their residents might derive from that tax shift. That could make that wished tax change Greater politically palatable.

Trans fat-free food

Don’t agree? Bully for you.

Sit lower back, pop your pop, and recognize that we received in all likelihood see any moves in that course whenever soon in Canada. As usually, it’s politics and public perception that matter most. And right now, the antitax crowd rules ideally suited.

As this difficulty proves, some thoughts are just too practical for self-Fascinated “commonplace feel” that views dangerous indulgence as a free proper of all Canadians.

Primer on fats

All fat have the similar basic structure; They are a chain of carbon atoms with various quantities of hydrogen atoms attached to every carbon. That is crucial to recognize the following piece to this article. Let’s delve into some undeniable chemistry:

Think of the structure of fat as a faculty bus; the bus itself is the carbon atom chain discussed above, and all of the seats are the hydrogen atoms.

O Saturated fat: all of the carbon atoms are full of hydrogen atoms, the “seats on the bus” are complete. No other atoms can in shape onto the structure Because there are not any “empty seats.” Saturated fats are easy to perceive Because They may be stable at room temperature (butter, shortening, animal fat, and so on).

O Monounsaturated fats: (mono, meaning one) facts: There’s one “empty seat” on the bus, and the rest are complete. There may be room to in shape Greater hydrogen due to the only “empty seat.” Monounsaturated fat is liquid at room temperature (vegetable oils, like olive oil, canola oil, and many others).

O Polyunsaturated (poly, which means many) facts: several of the “seats” are empty. Polyunsaturated fats also are liquid at room temperature (flax oil, fish oil, and so on).

Better taxes on alcohol, tobacco, and carbon have verified to be efficient in converting purchase behaviors. If Nothing else, they have raised lots of money for the government that no longer best finances critical public services, but that still reduces upward strain on different taxes. Devoted taxes that produce earmarked sales for Fitness service enhancement only makes the experience.

Food tax

In which do trans fat suit?

Trans fat is vegetable fats that have been changed chemically through a technique called hydrogenation. Recall the monounsaturated fats from above had one empty “seat” without a hydrogen atom. The method of hydrogenation or partial hydrogenation is while food manufacturers artificially upload hydrogen to unsaturated fats to offer more stability and, ultimately, longer shelf lifestyles further to a Greater suited texture; hydrogenation makes liquid significant high at room temperature. For these reasons, it has been used in food manufacturing for pretty some time.

Drawback to trans fat

The hassle is the frame treats the hydrogenated fat like it is a saturated fat. Trans fat has adverse actions on lipid profiles in view that they raise LDL, the “awful” cholesterol that contributes to plaque formation, and decreases HDL, the “appropriate” cholesterol, which gives protection in opposition to artery clogging fats. Trans fat also negatively have an effect on plasma markers of infection and decrease endothelial function, which is all finally related to a high cardiovascular sickness chance (1). Similar consequences have been realized no longer best for those with preexisting coronary heart disease however Additionally they occur in healthy individuals (2).

Desk 1: Select foods that typically (now not usually) incorporate trans fat

Therefore, with those negative Fitness outcomes indeed correlated to trans fats, It’s far critical to discuss specific meals they may be discovered in (Desk 1), suggested intakes, a way to avoid them, and the brand new labeling laws to require trans fats be indexed on food labels. These hints May additionally assist provide insight into the world of trans fat.

Is there a counseled intake for trans fat?

There may be no advised intake of trans fats. However, its miles cautioned that intakes are decreased as a lot as possible considering that There’s no requirement for trans fat in the eating regimen.

How can someone tell if a product includes trans fat? The only manner is to study the aspect panel; if hydrogenated or in part hydrogenated oils are listed, it contains a few trans fat. In 2006 it will likely be obligatory for all food producers to listing trans fat on their product’s vitamins statistics panel. This can be indexed on a separate line, beneath saturated fats.

How can the component list say hydrogenated or partially hydrogenated, but list 0 grams of trans fats?

Some products May include low quantities of trans fats, but still, list zero trans fat on the food label. Bear in mind, if the element list says hydrogenated or in part hydrogenated oils, the food consists of trans fats. Meals producers are allowed to containing some trans fats as 0, if, and handiest if, every serving incorporates less than zero.Five grams of trans fat. Take into account that This is in step with serving, so if it is every day to take a seat down with a field of non-herbal peanut butter on your lap and eat it by using the spoonful, the typically low amount of trans fat in every serving will quickly upload up. Of course, the energy will too, so this practice is not advocated in any respect. Take domestic message

The ethical of the story is that trans fat loose margarine is safe while consumed in small amounts. While there are Extra wholesome alternatives, like olive oil, flax oil, nut oil, and many others cooking or baking real foods require butter or margarine. Consequently, It’s far satisfactory to restrict the consumption to most active trans fat-free products and most practical use them when vital. Apart from that, stay with more healthy fats alternatives.

What is Trans fat?

The food and beverage enterprise does a first-rate task of shielding its pastimes with the aid of lobbying politicians and investment research efforts aimed at discrediting the Fitness organizations’ research and medical basis.

Something. I agree with the latter’s conclusions and Who is a word a whole lot More than what spills out of the for income boardrooms in defense of the junk food industry.

Trans fat is partly hydrogenated oils which boost human beings’ LDL cholesterol as a good deal as saturated fat does. Hydrogenation is the procedure which converts liquid oil into margarine. Food labels indicate the quantity of saturated fats in meals but in a case of trans fats, products which proudly declare “no trans fatty acids” Might also have them. They are invisible, but they clog the arteries. Therefore, these are the unknown killers.

Pinnacle Five Approaches TO keep away from TRANS fats and stay healthy.

Eat healthy

Do you test your meals labels? The quantity of “saturated fat” indexed underneath vitamins records on food labels for desserts, cookies, crackers, pies, biscuits, doughnuts undermines the mischief those meals play in your arteries that deliver blood to the coronary heart.

Research suggests that while you add the trans fat, this is present in those baked goods to their saturated fat content material, you double the damage they can reason to your blood vessels.

Test meals label for the words “vegetable shortening” or “partially hydrogenated” oils. Live away from deep fried meals because of the excessive fat content. The higher the fats, the More Probabilities of trans fat being a gift. It’s miles intelligent to buy low-fat chips, crackers, cookies, pastries, low fats margarine and different processed ingredients. Simplest make sure you do not become eating two times as a lot. Pick olive oil and canola oil over butter, margarine or vegetable shortening every time you may. Choose margarine tubs over sticks for decrease trans fat. Appearance out of food labels which examine “light,” fats free” or “low fats” foods. This facilitates to reduce down fats and energy. “Saturated fats loose” ingredients are low in trans fat. meals which read “low cholesterol,” “low saturated fats” or “cholesterol loose” may not be low in trans fat. The blunder most Health aware people make is to assume that less fat approach you can have twice as a great deal. Bear in mind they nevertheless add to calories and weight. While careful grocery shopping will ensure you avoid bad fats when you eat at home, what can you do if you eat out? Of course, you can always ask the server, but you cannot rely on receiving a truthful answer. Some restaurants advertise on food that they do not use trans fats; they say it’s healthy and skip tax. Follow health news, health articles, health information to stay healthy.

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