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Stayin’ Alive: The Big ‘D’ with Jeordan Hill – Buffalo Rising

Posted: August 22, 2017 at 9:47 pm

When it comes to nutrition, most people have a pretty good handle on what foods are healthy and what foods have a negative impact on their overall health. The bigger question though is: whats missing? While eating fresh fruits and veggies, good fats like those from olive and coconut oil, and protein and fiber-rich foods may be very important to your nutrition, you may be missing one key ingredient: the sun.

The sun provides UV rays, which our skin cells use to manufacture vitamin D. The caveat to sun exposure is that too much is just that too much. Overexposure to the sun can actually destroy all of the vitamin D your skin produces, and, not only that, can lead to increased risk of skin cancer (Yikes! No thank you.). Depending on their complexion, the average person only needs 10-15 minutes of direct sunlight in order to create enough vitamin D to reach their daily needs. So, as much as youd like to work on your tan, do it safely, and keep in mind that youre affecting your overall health when you get a sunburn.

Ok, so whats so important about vitamin D?

There are some pretty awful effects that having a vitamin D-deficient diet can have on the human body. A lack of vitamin D has been associated with heart disease, an increased risk of various cancers, depression, and fatigue in men and women alike, with women also being susceptible to osteoporosis later in life. Aside from all of that, vitamin D is necessary to metabolize calcium, which our body uses to strengthen our bones.

The precursors for vitamin D deficiency may be a little less obvious in men, as the only symptoms they may have are muscle weakness or fatigue, but for women it may play a factor in their menstrual cycle. A regular cycle can be an indicator of bone health, and having an irregular or light cycle can be the bodys way of saying, Your estrogen levels are out of whack!. Estrogen plays a significant role in maintaining healthy bones in both men and women (Im man enough to talk about my estrogen levels, are you?). But according to studies, most women delayed seeing their doctor because they didnt consider having irregular cycles as being that significant. While your bone density may not seem like your biggest concern in your 20s or 30s, maintaining healthy bones will help you avoid brittle bones and conditions like osteoporosis later in life, especially as women reach menopause.

Ok, I get it. I need to get outside more.

Youre damn right you do, especially during the spring/summer months while there are so many events, free classes, and different goings-on to see. Here is a short list of free classes and events to help get you motivated to get outside this month:

Weekly FREE Classes:

Bidwell Park

Saturdays Yoga 10 a.m.

poweryogabuffalo.com/events/free-summer-yoga-classes

Buffalo Niagara Medical Campus

Colby Park

Wednesdays Yoga 5:30 p.m.

bnmc.org/events/fitness-parks-free-community-yoga

Buffalo RiverWorks

Saturdays FreeStyle Barre 10 a.m.

buffaloriverworks.com/event/fitness-in-the-park-riverworks

Delaware Park

(Rose Garden)

Sundays Yoga 10 a.m.

http://www.facebook.com/events/1804944059728976

Larkin Square

Mondays Yoga 5:30 p.m.

Thursdays Cardio Kickboxing 5:30 p.m.

larkinsquare.com/independent-health

Outer Harbor

Tuesdays & Thursdays Power Pilates 6 p.m.

outerharborbuffalo.com/events/event/ymca-fitness-parks-power-pilates

EVENTS

Williamsville, NY Tops 5K & 10K Run for Roswell and Family Walk

Saturday, August 26 @ 9:30 a.m.

http://www.tops5k.com

North Tonawanda, NY Our Lady of Czestochowa Parish 5K

Saturday August 27th @ 11 a.m.

http://www.itsyourrace.com

Buffalo, NY WNY Running Hall of Fame Presents: Tom Donnellys Hall of Fame 5K

Friday, September 1st @ 6:30 p.m.

wnyrunninghof.com

Its widely known that Buffalo has its fair share of dreary days during the wintertime. That means the we need to rethink our health strategies according to the seasons. The only other way to get our daily dose of The D (yeah I said it) is through food or supplementation. Studies in the U.K. have shown that during the month of January it would take the average person 150 minutes of UV exposure in order to achieve sufficient vitamin D levels!

To be fair, we dont need too much of The D (I couldnt resist) in order to hit our daily intake goals, but standing outside in January just isnt logical. Eating foods such as eggs, salmon, tuna, cheese, tofu, pork, and some types of mushrooms will keep you at healthy vitamin D levels. If youre vegan you will have to take a daily vitamin D supplement, which can be found at almost any drugstore or supermarket; the recommended daily dose is 600-800 IU per day for adults.

With the amount of fun family events and FREE classes there is no excuse to NOT to go outside during this last bit of summer. The gym is a great place to stay fit, but dont forget that exercising in the sunshine can have an amazing effect on your mood and overall health; just try your best not to go for the crispy look.

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Stayin' Alive: The Big 'D' with Jeordan Hill - Buffalo Rising

Vitamin B supplements linked to lung cancer in men, finds new study – The Independent

Posted: August 22, 2017 at 9:47 pm

Men who took high doses of vitamin B for years had a significantly higher chance of getting lung cancer, according to a new study.

Vitamin B6 and B12 has been previously found to have a protective effect against the disease but researchers who studied more than 77,000 people in the US concluded it appeared to be a double-edged sword.

Taking supplements containing thousands of times the recommended daily dose over a period of 10 years was associated with a 30 to 40 per cent increased risk of lung cancer, but only among men, not women, they found.

Smokers appeared to be more strongly affected by regularly taking vitamins B6 and B12 in high doses, with a three and four times higher risk of getting lung cancer for the two supplement respectively.

However other experts commenting on the research suggested the findings had been "over-dramatised" and should be taken with a "pinch of salt".

The researchers, from Ohio State University and the National Taiwan University, pointed out that most Americans already received enough vitamin B in their diet and so did not need to take more.

The people in the survey may have been taking extra vitamins in the belief that it would help stave off cancer. But the researchers wrote in the Journal of Clinical Oncology: These B-vitamins may have a double-edged sword effect on lung cancer in possessing dual effects that [are] time and dose-dependent.

Our study found that consuming high-dose individual B6 and B12 vitamin supplements over a 10-year period is associated with increased lung cancer risk, especially in male smokers.

Consistent with prior evidence of harm for other vitamin supplements on lung cancer risk in male smokers, the associations we observed provides evidence that high-dose B6 and B12 supplements should not be taken for lung cancer prevention and may, in fact, increase the risk of this disease in men.

They noted that half the US adult population uses at least one form of dietary supplement.

Dr Theodore Brasky, one of the researchers, stressed their results related to people who were taking unusually large amounts of the two vitamins.

Our data shows that taking high doses of B6 and B12 over a very long period of time could contribute to lung cancer incidence rates in male smokers. This is certainly a concern worthy of further evaluation, he said. These are doses that can only be obtained from taking high-dose B vitamin supplements, and these supplements are many times the US Recommended Dietary Allowance.

They are now carrying out two further studies: one to see whether the results among men are repeated in another similarly large study and another to examine whether there is no elevated risk among post-menopausal women.

However the other experts expressed caution about drawing any firm conclusions from the study.

Dr Kourosh Ahmadi, of Surrey University, described it asa credible and powerful prospective observational study but added it was likely that very, very few people would take such high doses of the vitamins.

And he added that: First and foremost, I think the take-home message would be that the study shows that normal supplemental use is not observationally associated with lung cancer per se.

This is not emphasised enough in the paper and I feel the over-dramatization of the conclusion may have a negative influence on the lay public.

Dr Ahmadi also raised methodological concerns, saying that there are only two or three nominally significant results for the highest dose categories which suggest very few subjects contributed to the highlighted associations.

And Professor Paul Pharoah, of Cambridge University, said the studys headline results should be taken with a pinch of salt.

The most likely explanation for those findings is statistical chance, he said.

The authors have investigated many sub-groups and they have focused on the results that are most significant.

Previous randomised controlled trials have found little evidence of association for supplementation of these vitamins on lung cancer risk.

In summary, this in an intriguing finding, but it cannot be considered definitive. While it is possible that the findings are real, the most likely explanation is statistical chance.

He recommended people should get the essential vitamins required for good health from a balanced diet with plenty of fruit and vegetables, rather than from taking supplements.

The Department of Health pointed to the "clear guidance" provided on the NHS Choices website about vitamins. For vitamin B6, it recommends about 1.4mg a day for men and 1.2mg a day for women. "You should be able to get all the vitamin B6 you need from your daily diet," it adds.

But the website warns: "When taking a supplement, it's important not to take too much. Taking more than 200mg a day of vitamin B6 for a long time can lead to a loss of feeling in the arms and legs known as peripheral neuropathy.

"This will usually improve once you stop taking the supplements. But in a few cases when people have taken large amounts of vitamin B6 particularly for more than a few months the effect can be permanent.

"Taking doses of 10-200mg a day for short periods may not cause any harm. But there's not enough evidence to say how long these doses could be taken for safely."

For B12, it recommended adults need about 1.5mcg a day and that people who eat meat, fish or dairy should get enough from their diet. Vegans, however, might not get enough this way and should get specialist advice.

NHS Choices said there was "not enough evidence to show what the effects may be of taking high doses of vitamin B12 supplements each day".

Continued here:
Vitamin B supplements linked to lung cancer in men, finds new study - The Independent

Intensive lifestyle change: It works, and it’s more than diet and exercise – Harvard Health (blog)

Posted: August 22, 2017 at 6:47 am

What if I could prescribe a pill that could prevent or treat high blood pressure, diabetes, high cholesterol, heart disease, even depression and dementia? And what if researchers had extensively researched this pill and the result was: ample proof that its effective. On top of that, its practically free and has no bad side effects. As a matter of fact, its only side effects are improved sleep, increased energy, and weight loss.

Actually, folks, this powerful medicine exists. Its real and readily available for everyone. Its called intensive lifestyle change. Its active ingredients are physical activity and drastic improvements in diet, and it works well. Amazingly well. If it were an actual pill, no doubt millions of people would be clamoring for it and some pharmaceutical company would reap massive profits. But heres how you can get it. Intensive lifestyle changes involves knowledge and action which many doctors think is just too difficult to teach, and many patients think is too difficult to do.

Im here to report that intensive lifestyle change is doable, sensible, and essential for good health. Cardiologist Dr. Dean Ornish is a pioneer of intensive lifestyle change. I had the opportunity to hear him speak at the Harvard Medical School Lifestyle Medicine Conference in July. (You can listen to his TED talks here.) Dr. Ornish and his team started researching this program decades ago, and they have consistently found positive results.

So, what exactly that does their program look like? It emphasizes nutrition and exercise, as one would expect, but it also addresses psychological factors like loneliness, isolation, depression, and anger. Why? Because research shows emotional and social health is associated with a reduced risk of disease and premature death. He spoke about the importance (research-proven) of connection, intimacy, and love. He points out that a lot of bad behaviors such as smoking, drinking, and overeating are actually peoples attempts to self-medicate emotional pain.

Heres how it works: nine weeks of nutrition and meal prep instruction on a plant-based, low-refined-carb and low-trans-fat diet, as well as shared meals with the group; recommendation for and guidance in three to five hours of moderate physical activity, along with two or three strength-training sessions per week; stress management, communications skills, and relaxation instruction; and a support group. The goal is for patients to adopt these health-promoting strategies for the rest of their lives.

The overall message for physicians is this: an intensive lifestyle change program wont work if its just ordered by docs, or if patients are expected to engage with it based on threats and warnings. During the course I learned the importance of avoiding guilt, shame, and scare tactics, and getting away from labels such as good or bad. Any lifestyle change has to be meaningful and pleasurable. If its meaningful and pleasurable, people will do it. For these changes to be most effective, people have to want to continue them for the rest of their lives. The physicians job is to act as a coach for the patient, encouraging and guiding their efforts, without judgment.

The Ornish program is just one approach to diet, exercise, and psychological lifestyle changes. Dr. Ornish is honest about this, and he himself points out that many programs emphasize the same things as his does:

He also emphasizes that any increase in physical activity is desirable, and patients can follow the specific recommendations from their physical therapists, doctors, or trainers. And of course, people can use a variety of resources and methods to improve stress management, coping, and communication skills.

Interested in online resources for healthy diet, exercise, and psychological change? Heres some additional reading.

Continued here:
Intensive lifestyle change: It works, and it's more than diet and exercise - Harvard Health (blog)

Is Delmar willing to go on a ‘road diet’ on Delaware Avenue? – Albany Times Union

Posted: August 22, 2017 at 6:47 am

Photo: PAUL BUCKOWSKI, Albany Times Union

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

A view of Delaware Ave. on Monday, Aug. 21, 2017, in Delmar, N.Y. This area of Delaware currently has four lanes for traffic. (Paul Buckowski / Times Union)

*Date range for data is from January 2015 to December 2016

*Date range for data is from January 2015 to

No. of crashes: 6

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No. of crashes: 16

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No. of injuries: 9

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No. of injuries: 10

No. of crashes: 15

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No. of injuries: 10

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No. of crashes: 24

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No. of injuries: 7

No. of crashes: 28

No. of injuries: 7

No. of crashes: 23

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No. of crashes: 23

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No. of injuries: 12

No. of crashes: 17

No. of injuries: 12

No. of crashes: 17

No. of injuries: 12

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No. of injuries: 12

No. of crashes: 21

No. of injuries: 11

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No. of injuries: 11

No. of crashes: 25

No. of injuries: 10

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No. of injuries: 10

No. of crashes: 25

No. of injuries: 10

No. of crashes: 25

No. of injuries: 10

No. of crashes: 21

No. of injuries: 12

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No. of injuries: 12

No. of crashes: 16

No. of injuries: 14

No. of crashes: 16

No. of injuries: 14

No. of crashes: 24

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Is Delmar willing to go on a 'road diet' on Delaware Avenue? - Albany Times Union

Not all vegan or plant-based diets are equally healthy – STAT

Posted: August 22, 2017 at 6:47 am

M

ove over, low-fat diets. More and more experts are recommending plant-based diets to reduce the risk of heart disease and other chronic conditions such as diabetes and cancer. But are all plant-based diets equally beneficial? And must they be all-or-none eating strategies, or is there a role for a semi-vegetarian or flexitarian approach?

The term plant-based diet often conjures up images of vegetarian or vegan fare. But it really means a diet that emphasizes foods from plants vegetables, fruits, grains, nuts, seeds, and the like not one that necessarily excludes non-plant foods.

The results of studies on the health effects of plant-based diets have varied widely, largely due to how these diets were defined. Some focused on vegetarian or vegan eating habits, others included some foods from animals. Notably, these studies tended to treat all plant foods equally, even though eating certain foods from plants, such as refined grains and sugar-sweetened beverages, is associated with a higher risk of developing diabetes or having a heart attack or stroke, while eating whole grains and produce are associated with lower risks.

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Thats why we were so interested to see the results of a recently published study performed by researchers at the Harvard T.H. Chan School of Public Health. Led by Ambika Satija, the team catalogued the diets of nearly 210,000 nurses and other health professionals based on their answers to food frequency questionnaires every two years for an average of 23 years. From these data, the researchers defined three versions of a plant-based diet: an overall plant-based diet that emphasizes the consumption of all plant foods and reduced the intake of animal foods; a healthful plant-based diet that emphasizes the intake of healthy whole grains, fruits, and vegetables; and an unhealthful plant-based diet that emphasizes the intake of less-healthy plant foods, such as refined grains.

In addition to detailing their food choices, the study participants also recorded other lifestyle choices, health behaviors, and their medical histories.

Over the course of the study, 8,631 participants developed coronary heart disease, which the researchers defined as a nonfatal heart attack or dying of heart disease. Those who followed an overall plant-based diet were slightly less likely (an 8 percent reduction) to have developed coronary heart disease than those who didnt.

But heres where things get interesting. Those who followed a healthful plant-based diet had a substantial 25 percent lower risk of coronary heart disease, while those who followed an unhealthful plant-based diet had a substantial 32 percent increased risk.

This study is certainly not the last word on the subject. As an observational study, it cant prove cause and effect like a randomized trial can. And the diet data came from self reports, which arent always accurate at measuring an individuals diet. However, these diet assessments were validated against multiple-week diet records and biomarkers. Overall, this work adds to the substantial evidence that a predominately plant-based diet reduces the risk of developing heart disease.

It has two important take-home messages. One is that a plant-based diet is good for long-term health. The other is that not all plant-based diets are equally healthy. The kind that deserves to be highlighted in dietary recommendations is rich in fruits and vegetables, whole grains, and unsaturated fats, and contains minimal animal protein, refined carbohydrates, and harmful saturated and trans fats.

In practice, this translates into eating mostly vegetables, fruits, whole grains, legumes, and soy products in their natural forms; sufficient good fats, such as those in fish or flax seeds, nuts, and other seeds; very few simple and refined carbohydrates; and little or no red meat, poultry, fish, eggs, and dairy. It also means choosing quality over quantity.

As we wrote in a commentary on the Harvard study, just as physical activity is a continuum some activity is better than none, and more is better so is diet. For anyone following a traditional American diet, heavy on the meat, its easier to make a change by starting with small dietary tweaks instead of embracing a precipitous shift to a vegetarian or vegan diet. Try the elimination game: cut out red meat from your diet then, after a couple weeks, eliminate other types of meat; and then do the same with dairy foods and eggs. Or try the Meatless Monday approach dont eat meat on Monday then gradually add more meatless days each week. No matter what approach you take to cutting out foods, try to add one or more new plant-based recipes to your cooking repertoire every week.

What you stand to gain is so much more than what you would give up.

Hena Patel, M.D., is a cardiology fellow and Kim Allan Williams Sr., M.D., is chief of the division of cardiology at Rush University Medical Center in Chicago.

Originally posted here:
Not all vegan or plant-based diets are equally healthy - STAT

How Netflix changed Cardinals running back David Johnson’s diet – ClutchPoints

Posted: August 22, 2017 at 6:47 am

Add another one to the list

There has been a recent trend in the NFL, and Arizona Cardinals running back David Johnson is the latest to convert to a plant-based diet.

Apparently, popular Netflix documentaries What the Health and Fork Over Knives had some influence on Johnsons decision to adopt a plant-based diet.

Johnson quickly realized that his new diet was causing significant weight loss. He reported to camp at 223 pounds, which is lighter than he was in the past. But running back is a grueling position and with Johnson being a work-horse back, he needed to maintain his target weight, so he added some meat-based protein back into his diet.

But, after cutting most meat from his diet, he has noticed he has significant increase in energy.

Like Johnson, many other NFL players have joined the movement after watching the popular Netflix documentary, notably QB Aaron Rodgers, Tom Brady, and defensive back Tyrann Mathieu, to name a few.

We as Americans are conditioned to eat meat and programmed to think that meat is the only way to get quality protein. Now, by weeding out meat, how does Johnson get the necessary calories to sustain full NFL season?

According to ESPN staff write Josh Weinfuss, Johnson eats nuts between meals to help increase the necessary calories to maintain his weight.

Could this be a trend? If Johnson has another spectacular season on this new diet, could more and more NFL players adopt a plant-based diet? Will this be a fad that comes in goes or could we really see a change in the eating habits? Only time will tell.

Read the original here:
How Netflix changed Cardinals running back David Johnson's diet - ClutchPoints

Warmer temperatures may disrupt the Kodiak bear’s diet – KTOO

Posted: August 22, 2017 at 6:47 am

Bright red elderberries ripe for bears to harvest. (Photo courtesy of Caroline Cheung/United States Fish and Wildlife Service)

Climate change may be throwing off the Kodiak bears eating equilibrium.

On years with warmer spring temperatures, research says that elderberries ripen several weeks earlier than normal.

Oregon State Universitypostdoctoral researcher William Deacy just published findings from a multi-year study of bears on the southwest side of Kodiak Island.

The paper looks at how climate change affects the relationships between two species that have evolved to rely on one another.

Elderberries are the Kodiak bears favorite snack, Deacy said, even more than salmon.

The salmon is essentially the super Aktins diet for the bears, he said. Its just lean protein, almost no fat, and they end up gaining very little weight eating that, and the elderberries have a really perfect amount of protein for bears, and that allows them to gain weight really rapidly.

Bears normally feed on salmon,Deacy said, and then switch over to elderberries.

This new pattern means that the elderberries are available at the same time as salmon spawn in tributary streams.

Deacy said the bears sense that, and once they switch over from one food source to the next, they stick with the berries.

Its probably because theyre very, very good at detecting what foods are valuable to them, and they have instincts that tell them that these berries are the best food, and so they go and just eat those berries instead of having a mixed diet.

Deacy said the warming temperatures force bears to choose between salmon and elderberries.

Meanwhile, the salmon spawn out and die.

He says that leaves a gap where bears dont have access to either elderberries or salmon.

The bears usually stick to one area with its own resources and salmon run patterns,partly due to how much energy they expend while moving from point A to point B,

Bears dont appear to be suffering from these changes so far, Deacy said, and reproductive rates are about the same, if not better.

He said one possible effect of the timing change is that during early elderberry years, salmon may spawn more successfully.

Just cause the bears arent there and the salmon can kind of do their thing without being killed, so thats pretty intuitive, but we dont know whether that would show up four, five, six years later as increase in returning salmon because theres just so many other things that could happen to salmon in their life cycle before they come back.

This study is one example of how climate change can scramble the timing of two closely tied species and disrupt a food web, he said.

Originally posted here:
Warmer temperatures may disrupt the Kodiak bear's diet - KTOO

Fat: Why it isn’t an ‘f’ word – DailyO

Posted: August 22, 2017 at 6:46 am

I recently got asked the question: Can diet help me lose fat? Those of you who follow my work would know how this question made me silently scream in agony. But then I paused, and felt relieved about two things pertaining to this question:

1. This gentleman has read enough to not see all weight as fat. He chose to focus on losing fat, not all of his excess weight, however "excess" may be defined by him.

2. He is wise enough to wonder whether diets can really pull this off.

As for why questions about fat agonise me, it is because they reek of an unchallenged fear of fat. Also, it shows we have accepted the beauty industrys evil claim that fat equals ugly.

Healthy doesn't have a size.

In decades of work, Ive realized that fat is not the bad guy.

Why fat isnt an f-word: Fat has many things going for it.

Next we must understand when fat is problematic. No, not when your slim-fit shirt stops looking flattering. It is problematic when there is so much of it inside cells, especially muscle cells, that the cells can no longer hear the message of the insulin. In brief, insulin moves food (glucose) from blood to muscle cells. If the cells do not "hear" this message the food remains in the blood. This is toxic for us. Also the muscle cell starves due to lack of food. This keeps us tired. Double trouble!

Instagram/maharajabhoguae

When does this helpful fat tissue become a problematic component, making muscles hungry and blood sugar high? When we do nothing to bring down our stress or pollutant levels for an extended time. To prevent ill-effects of excess fat, have a short relaxation routine. It can be anything from spa to hobbies, from sports to meditation. It can be short revitalising breaks woven into your work months.

The other part of managing body fat is to move towards natural foods, grown and cooked locally using traditional recipes. The word "organic" has not only become clichd but also controversial. So suffice to say, live closer to nature on a day-to-day basis, as best you can.

At the end of it, celebrate all that you do! Bobby McFerrin got it so right: Don't worry, be happy.

Also read: Leptin diet may actually help you lose fat

Link:
Fat: Why it isn't an 'f' word - DailyO

Delayed Ejaculation and Associated Complaints: Relationship to Ejaculation Times and Serum Testosterone Levels. – UroToday

Posted: August 22, 2017 at 6:45 am

Although delayed ejaculation (DE) is typically characterized as a persistently longer than anticipated or desired time to ejaculation (or orgasm) during sexual activity, a timing-based definition of DE and its association with serum testosterone has not been established in a large cohort.

To examine in an observational study estimated intravaginal ejaculatory latency time (IELT) and masturbatory ejaculation latency time (MELT) in men self-reporting DE, assess the association of IELT and MELT withserum testosterone levels, and determine whether correlation with demographic and sexual parameters exist.

Men who resided in the United States, Canada, and Mexico were enrolled from 2011 to 2013. Self-estimated IELT and MELT were captured using an Ejaculatory Function Screening Questionnaire in a sample of 988 men screened for possible inclusion in a randomized clinical trial assessing testosterone replacement therapy for ejaculatory dysfunction (EjD) and who self-reported the presence or absence of DE and symptoms of hypogonadism. Additional comorbid EjDs (ie, anejaculation, perceived decrease in ejaculate volume, and decreased force of ejaculation) were recorded. Men with premature ejaculation were excluded from this analysis. IELT and MELT were compared between men self-reporting DE and men without DE. The associations of IELT and MELT with serum testosterone were measured.

IELT, MELT, and total testosterone levels.

Sixty-two percent of screened men self-reported DE with or without comorbid EjDs; 38% did not report DE but did report at least one of the other EjDs. Estimated median IELTs were 20.0 minutes for DE vs 15 minutes for no DE (P < .001). Estimated median MELTs were 15.0 minutes for DE vs 8.0 minutes for no DE (P < .001). Ejaculation time was not associated with serum testosterone levels. Younger men and those with less severe erectile dysfunction had longer IELTs and MELTs.

Estimated ejaculation times during vaginal intercourse and/or masturbation were not associated with serum testosterone levels in this study; thus, routine androgen evaluation is not indicated in these men.

This large systematic analysis attempted to objectively assess the ejaculation latency in men with self-reported DE. Limitations were that ejaculation time estimates were self-reported and were queried only once; the questionnaire did not distinguish between failure to achieve orgasm and ejaculation; and assessment of DE was limited to heterosexual vaginal intercourse and masturbation.

IELT and MELT were longer in men with DE, and there was no association of ejaculation times with serum testosterone levels in this study population. Morgentaler A, Polzer P, Althof S, etal. Delayed Ejaculation and Associated Complaints: Relationship to Ejaculation Times and Serum Testosterone Levels. J Sex Med 2017;XX:XXX-XXX.

The journal of sexual medicine. 2017 Aug 11 [Epub ahead of print]

Abraham Morgentaler, Paula Polzer, Stanley Althof, Alexander Bolyakov, Craig Donatucci, Xiao Ni, Ankur B Patel, Shehzad Basaria

Men's Health Boston, Chestnut Hill, MA, USA. Electronic address: ., Eli Lilly and Company, Indianapolis, IN, USA., Center for Marital and Sexual Health of South Florida, West Palm Beach, FL, USA., Weill Cornell Medical College, New York, NY, USA., Section on Men's Health, Aging and Metabolism, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

PubMed http://www.ncbi.nlm.nih.gov/pubmed/28807505

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Delayed Ejaculation and Associated Complaints: Relationship to Ejaculation Times and Serum Testosterone Levels. - UroToday

How to lose weight in a week – GQ India

Posted: August 22, 2017 at 6:45 am

If you want to lose weight in one week what you need is a very effective weight-loss plan. Although this may not be a long-termsolution to your fat loss journey,these few stepscan serve as a great beginning to your journey to lose weight, look good and motivate you to make long-term sustainable changes to your lifestyle. But for the short term, following these steps willhelp you shed those extra kilos before that upcoming beach vacation or that party next week. (ALSO READ This guy lost 24 kg in 16 weeks heres how he did it)

The short answer is yes. While it is possible to lose weight in a week, that weight wont necessarily pure body fat.The calorie deficit that is needed to burn every single kilo of fat makes it dangerous to lose a lot of weight in such a short time. That being said it isnt entirely impossible to lose weight in a week and look lean. What will happen is that you will mostly lose excess water weight and some body fat.As a result you will lookleaner (and hopefully get the motivation you need to get started on a longer weight-loss journey). This is how to lose weight in a week:

This may be a pretty straightforward thing to spell out.But hey, whohasnt skipped a meal (or three) just to lose weight? The problem is skipping meals doesnt help you lose weight. In fact it is counterproductive to your goal.Our body needs a regular supply of nutrients to keep itfunctioning. Allowing large gaps between meals can lead to undesirable physical symptoms such as headache, lethargy, intense hunger which may result in overeating. Skipping meals also slows downyour metabolism, thereby making you actually gain weight rather than lose it. In order to lose weight, you must followa healthyeating pattern and eat threemeals that willhelp you sustain through the day. Try not to go morethan fourhours between meals and let those meals be healthy with reasonable portion sizes.

The nature of our jobs makesus consume lesser water than our body needs. Air conditioned offices, free coffee machines and soft drink dispensers are often easy (not to mention unhealthy) alternatives to water.With lowered calories and carbs, water is the perfect slim-down drink as compared to energy drinks or protein shakes (which are usually high in sugar). Drinking waterdoesnt just help in cleansing and flushing out excess fat, but also increases your metabolism. Its ideal to drink a minimum of twolitres (or about eightglasses) a day.Drink water about 30 minutes before a meal to reduce your hunger pangs and make you feel fuller. It will also aid digestion.

If youre not following a diet, ensure that each meal contains proteins which can boost your metabolism. Start your day with a protein filled breakfast that will help you sustain the entire day. Ensure every meal contains one protein source, one low carb and one low-fat source. Fill your plate with spinach, lettuce, cucumber, kale and other low carb veggies. Healthy protein sources include like chicken, fish and eggs which help keep you stomach filled. Avacoda oil, coconut oil and olive oil are healthier alternatives to fat sources.

Again, pretty straightforward huh? But again, this is easier said than done. That being said,the easiest way to lose weight is to reduce your sugar intake. Foods with sugared starch tend to stimulate insulin secretion. Insulin is theprimary fat storage hormone in the body. So when insulin levels fall, your body starts to burn fats instead of carbs. Lower insulin levelsalso helps your body lose excess sodium and water that reduces bloating. The moment you cut on sugar and starch from your diet you will find a significant change in your body weight.

Whole foods such as fresh fruits, raw seeds, eggs, in their natural and unaltered state, are always healthier as compared to processed food. Packed with more nutrients including vitamins and minerals whole foods contain fewer additives like sweeteners, artificial colors and flavors, unhealthy fats and preservatives compared to processed foods.

Ideally one must have 2-3 meals a day to maintain your metabolism rate. But pick the wrong snack and these meals could leave you feeling hungry. It is always easy toreach out to that bag of chips or order in fries from your favorite fast food joint but losing weight requires sacrifice and choosing the right snack is just one of them.

Research has proven that people who eat fast gain more weight over time. We are rarely conscious of our eating patter and tend to swallow our food rather than chew and savour it. Apart from, well actually being able to enjoy your meal, eating slowly helps reduce hunger pangs and higher levels of satiety between meals. It also helps in better digestion. We could go on but you get the point, right?

No matter how much you change your food habits,a little bit of exercise always goes a long way in losing weight and feeling good. Apart from helping you lose weightfaster, cardiovascular exercises also release endorphins, which makes you happier and more cheerful. You could undertake aHigh Intensity Interval Training (HIIT) session but if you havent worked out before (or for a long time) it is always advisable to start slow. And theres nothingbetter than a 30-minute cardiovascular workout every single day. So go for a run, dust off that bicycle or just hitany of the cardio machines in the gym. (ALSO READ Best cardio exercises for fat loss)

The advantages of sleeping well are one too many to be listed here. But lets just say sleeping for an extra 30-60 mins helps you refresh your mind and sets you up for the day. Sleeping for7-8 hours every day doesnt just get you chipper in the mornings but also boostsyour metabolism and also helps muscle recovery.

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How to lose weight in a week - GQ India


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