36. Thats the number of days until Thanksgiving. And just 65 days til Christmas Day. While were ready to crank up the Mariah Carey (Holiday) Pandora station, we also recognize the holidays can be a stressful time for many, in all areas of life: family, finance, and especially health + wellness.

Even if youre not anxious during the holiday countdown, its a good practice to have some tips for managing your mental and physical wellness as we approach the season. (Lets be honest, everyone could use some breathing techniques when politics comes up at the family dinner table.)

The health experts at PHD Weight Loss and Nutrition recently opened in Greenville by owner Dr. Ashley Lucas, PhD Nutritionist and Registered Dietitian specialize in helping their clients get healthier, sustainably, with support in nutrition, metabolism + behavior and no restrictive dieting or extreme practices.

Here are their 7 health + wellness tips as we approach the holidays:

The holidays will look different this year, but theres nothing you can do about that. Focus on what you can control, like planning a small gathering (distanced or virtual), planning your menu or just planning your day with a to-do list and giant cup of coffee. Practice mindfulness techniques to keep your mental clarity, which is affected by stress, uncertainty + isolation.

Sleep restocks, restores and prepares the body, and not getting enough can negatively impact your body physiology, mood and weight. Sleep is also the number one thing you can do to improve your brain health. Try establishing a calming wind-down routine and practice consistent sleep timing, including an uninterrupted 8-9 hours of time in bed.

If you succumb to a craving, its okay and not the end of the world. Understand that it happens to all of us dont beat yourself up. Self-induced stress and anxiety about food guilt negatively affects your metabolism + immune system, and can lead to easier weight gain. If you feel youve had a misstep, use it as motivation to strengthen new and improved habits, and an opportunity to re-confirm your decision to improve your health, simply because you want to.

Research shows that resiliency (the ability to bounce back from challenges) helps to build immunity and is something that can be developed. How? PHD experts say to identify a charismatic individual in your life that you admire and gives you joy or strength, and reconnect with them (virtually, if need be).

Leading an active lifestyle is important to maintaining health and mental acuity. But dont overdo it. Too much exercise can depress your immune system, and its important to understand your bodys limits.

We all have different metabolisms, dietary needs + food preferences. Do you know what your body requires for optimal health? No matter your unique needs, less sugar and eating real, whole foods is a great first step to feeling better if youre in a slump.

Your friends/family are likely going through similar holiday stressors connect with them by talking through things + supporting one anothers wellness. Think: Heart to hearts over some pumpkin pie, followed by an enjoyable, brisk walk together through Falls Park.

Interested in getting some extra support from PHD Weight Loss and Nutritions experts? Call Dr. Lucas and her team at 864-252-4925 or click for more info + to schedule a free consultation.

Quiz images via Pexels.

Excerpt from:
7 health + wellness tips for the holidays from PHD Weight Loss and Nutrition - AVLtoday

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TUESDAY, Oct. 20, 2020 (HealthDay News) -- It may seem counterintuitive, but when someone with the eating disorder anorexia nervosa is hospitalized, treatment often begins by cutting calories. Now, new research suggests that those eating restrictions can be safely relaxed in the hospital.

Starting with a lower-calorie diet has long been thought to prevent big shifts in fluid and electrolytes that can lead to cardiac arrest, coma and even death, said study lead author Andrea Garber. She's chief nutritionist for the University of California, San Francisco's Eating Disorders Program.

Though this has been the practice for decades, experts suspected that adding calories might speed recovery. Plus, with current medical technology and lab capabilities, doctors can safely monitor shifts in health and adjust treatment quickly if necessary.

The study compared typical care -- around 1,400 calories on the first day -- to starting at 2,000 calories a day. Not only did researchers find that the extra calories could be given safely, patients getting extra food reached "medical stability" three days sooner.

"This is the first and largest randomized controlled clinical trial of these two approaches, and now we finally have good evidence to support the higher calorie approach," Garber said.

What's more, the higher-calorie approach led to a significant cost savings in shorter hospital stays -- nearly $20,000, she noted.

Anorexia nervosa affects about 0.6% of the U.S. population over a lifetime. It is about three times more common in females than in males, according to the U.S. National Institute of Mental Health.

People with anorexia intentionally try to lose significant amounts of weight. Typically, they severely restrict their overall calories and types of foods they eat. They may also exercise a lot more, according to the National Eating Disorders Association (NEDA).

Treatment typically includes psychological and nutritional counseling, NEDA said. Depending on how severely someone restricts their food intake, hospitalization may be necessary.

The new study included 111 young people (ages 12 to 24) with anorexia nervosa or a new diagnosis called atypical anorexia. Atypical anorexia occurs in teens who are not underweight but may still have medical problems due to abnormal eating and exercise.

The volunteers were randomly placed into a standard care group that started with 1,400 calories a day or a second group that received 2,000 calories a day as soon as they entered the hospital. After that, both groups received increases of 200 calories a day.

If volunteers didn't finish the food they were given, the uneaten calories were calculated, and they had to drink a high-energy liquid formula to replace those calories.

Those in the higher-calorie group saw a faster decline in troubling conditions, such as a slow or irregular heartbeat and low blood pressure. That led to shorter hospital stays, the study found. In the past, patients might have been hospitalized for weeks and might have lost even more weight on the restricted-calorie diet, Garber noted.

"Most kids and families want to get out of the hospital as soon as possible. They're missing days of school and teens want to be with their friends. And the sooner they get out of the hospital, the sooner they can engage in intensive psychiatric care," she said.

And, while finances weren't the primary driver, cost is always a concern. Hospital charges for those in the standard treatment group averaged $57,000 compared to $38,000 for the average higher-calorie patient.

Researchers plan to follow the patients for at least 12 months to see if other differences develop.

Garber added a note of caution for families: These treatments were undertaken in the hospital, under close medical supervision. This is not something that should be attempted at home.

Dina Hirsch, a senior psychologist with the Center for Weight Management at Northwell Health's Syosset Hospital in New York, reviewed the study.

"These findings are critical in helping to establish evidence-based treatment guidelines for treating anorexia in adolescents," she said. "Not only does the more rapid weight restoration process lead to better clinical results, it may also improve patient satisfaction and set them up for success in outpatient treatment."

Giving more food in the hospital also helps families once outpatient treatment begins. Patients may need 3,000 calories a day or more as they recover. Without any experience with higher-calorie eating, patients and parents may regard that as an impossible goal.

"But the experience of doing so in the hospital may give parents the confidence needed to continue to provide such meals and insist upon their completion post-discharge," Hirsch said.

The findings were published Oct. 19 in JAMA Pediatrics.

More information

Learn more about anorexia nervosa from the National Eating Disorders Association.

SOURCES: Andrea Garber, Ph.D., R.D., chief nutritionist, Eating Disorders Program, and professor, pediatrics, University of California, San Francisco; Dina Hirsch, Ph.D., senior psychologist, Center for Weight Management, Syosset Hospital/Northwell Health, Syosset, N.Y.; JAMA Pediatrics, Oct. 19, 2020

Read the original here:
Is There a Better Therapy for Hospitalized Anorexia Patients? - HealthDay News

The term asthenia refers to physical weakness or a lack of energy. Asthenia can affect specific body parts, or it may affect the entire body.

Asthenia is not a disease, but it is a common sign of many different acute and chronic medical conditions. Asthenia can also develop as a side-effect of certain medications.

This article outlines the causes and symptoms of asthenia. It also provides information on how doctors diagnose and treat the causes and underlying conditions that lead to asthenia.

Potential causes of asthenia include:

According to an older article, asthenia is a common symptom of various conditions, including:

Certain medications can cause side effects, such as weakness and fatigue.

Examples of these medications include:

Aging can also cause sarcopenia, which is the gradual loss of muscle tissue and strength. This overall loss of muscle strength can lead to asthenia or more widespread fatigue.

Depending on the cause, asthenia may cause regional weakness or full-body weakness.

Regional weakness from asthenia occurs in certain body parts, such as the arms or legs. It isnt the same as paralysis, which is the inability to move. A person with regional weakness due to asthenia may feel like they have to put in a great deal of effort to move.

The body parts experiencing regional weakness may also display additional symptoms, such as:

Full-body weakness affects the entire body. A person may also experience extreme tiredness or fatigue.

Other possible signs and symptoms of full-body weakness include:

In rare cases, asthenia could be a sign of a stroke or heart attack. Both conditions can cause weakness in one or both sides of the body.

Stroke may cause other sudden and severe symptoms, such as:

A heart attack may also cause other sudden and severe symptoms. Examples include:

Anyone who experiences symptoms of a stroke or heart attack should phone the emergency services immediately. Without prompt treatment, these conditions can quickly lead to severe complications or death.

Doctors may find diagnosing asthenia challenging because there are many possible causes.

A doctor will typically ask about a persons symptoms and take a full medical and family history. They will also assess any medications the person is currently taking to determine if they are causing the persons symptoms.

If a person experiences localized weakness, a doctor might also carry out a detailed physical examination of the affected body part.

After conducting the initial assessment, the doctor may have a better idea of what is causing the asthenia. They may follow up with one or more diagnostic tests, including:

The type of treatment a person receives will depend on the cause of their asthenia.

In some cases, asthenia may disappear following treatment for an acute illness.

For example, asthenia that develops from a bacterial infection should go away after a person completes a course of antibiotics.

Sometimes, asthenia may be due to a more chronic medical condition. To treat the asthenia, a doctor will need to diagnose and manage the underlying condition successfully.

Some chronic conditions will require long-term management. For example, people living with multiple sclerosis will receive ongoing rehabilitation, emotional support, and medications to manage the symptoms.

Some people may experience asthenia as a side effect of a particular medication. Where possible, a doctor may recommend lowering the dose of the drug or switching to an alternative.

However, a person should never adjust their medication dose or stop taking a medication unless their doctor has told them it is safe to do so.

Asthenia and myasthenia are different conditions that involve weakness in one or more parts of the body.

Myasthenia or myasthenia gravis (MG) is an autoimmune disease. In MG, the immune system recurrently attacks a particular part of the bodys nerves and muscles. This causes the muscles to become weak and tire easily.

The symptoms of MG tend to worsen when a person is tired and may include:

Although there is no cure for MG, there are medications that can help to manage the condition.

It is not always possible to prevent asthenia. However, living a healthy lifestyle can reduce the risk of chronic diseases that can cause asthenia.

Some steps a person can take to lower their risk of developing asthenia include:

Some cases of asthenia will pass on their own. However, people who experience persistent or frequent episodes of asthenia should see a doctor. They may have an underlying medical condition that requires treatment.

A person should seek emergency medical attention for asthenia symptoms that occur alongside symptoms of heart attack or stroke.

Asthenia is a symptom of an underlying condition. As such, it should go away following the successful treatment of the condition causing it. Chronic conditions may require life-long management to keep the symptom at bay.

In cases where asthenia is a side effect of a particular medication, a doctor may recommend lowering the drug dose or switching to an alternative. This should help to eliminate the asthenia.

However, some people may be unable to adjust or change their medication safely. If this is the case, a doctor may prescribe additional medicines alongside their regular medication to help control the asthenia.

Asthenia can sometimes be a symptom of a life-threatening condition, such as a heart attack or stroke. Anyone who experiences asthenia alongside symptoms of either of these conditions should phone the emergency services. Prompt treatment is vital to prevent complications and death.

Read the rest here:
Asthenia (weakness): Causes, symptoms, and treatment - Medical News Today