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Testosterone Replacement Therapy Market is Booming Worldwide with Endo Pharmaceuticals, Inc., Eli Lilly and Company, Kyowa Kirin International plc,…

Posted: October 4, 2020 at 11:48 pm

Overview for Testosterone Replacement Therapy Market Helps in providing scope and definitions, Key Findings, Growth Drivers, and Various Dynamics.

The study of Testosterone Replacement Therapy market is a compilation of the market of Testosterone Replacement Therapy broken down into its entirety on the basis of types, application, trends and opportunities, mergers and acquisitions, drivers and restraints, and a global outreach. The detailed study also offers a board interpretation of the Testosterone Replacement Therapy industry from a variety of data points that are collected through reputable and verified sources. Furthermore, the study sheds a lights on a market interpretations on a global scale which is further distributed through distribution channels, generated incomes sources and a marginalized market space where most trade occurs.

The study is also divided in an analytical space where the forecast is predicted through a primary and secondary research methodologies along with an in-house model. Along with a generalized market study, the report also consists of the risks that are often neglected when it comes to the Testosterone Replacement Therapy industry in a comprehensive manner.

Download Free Sample Copy of Testosterone Replacement Therapy Market Report Study @https://www.coherentmarketinsights.com/insight/request-sample/2024

Key players in the global Testosterone Replacement Therapy market covered in: AbbVie, Inc., Bayer AG, Endo Pharmaceuticals, Inc., Eli Lilly and Company, Kyowa Kirin International plc, Pfizer, Inc., Acerus Pharmaceuticals Corporation, and Perrigo Company plc.

Competitive Landscape of the Testosterone Replacement Therapy Market

The chapter on competitive landscape provides information about key company overview, global presence, sales and revenue generated, market share, prices, and strategies used.

Our analysts engage in extensive primary and secondary research to cull out in-depth and authentic information. Primary research includes gathering information from official government and company websites, journals, and reports. Contact our sales team who will guarantee you to get a customized report that suits your specific needs.

The Testosterone Replacement Therapy study also classifies the market into a global distribution where key market demographics are established based on the majority of the market share. The following markets that are often considered for establishing a global outreach are North America, Europe, Asia, and the Rest of the World. Depending on the study, the following markets are often interchanged, added, or excluded as certain markets only adhere to certain products and needs.

Here is a short glance at what the study actually encompasses:

Study includes strategic developments, latest product launches, regional growth markers and mergers & acquisitions

Revenue, cost price, capacity & utilizations, import/export rates and market share

Forecast predictions are generated from analytical data sources and calculated through a series of in-house processes.

However, based on requirements, this report could be customized for specific regions and countries.

The Global Testosterone Replacement Therapy Market Report has been Segments into:

By Active Ingredient TypeTestosteroneMethyl TestosteroneTestosterone UndecanoateTestosterone EnanthateTestosterone CypionateBy Route of AdministrationInjectablesParenteral

Global Testosterone Replacement Therapy Market Size & Share, By Regions and Countries/Sub-regions:

Asia Pacific: China, Japan, India, and Rest of Asia Pacific

Europe: Germany, the UK, France, and Rest of Europe

North America: the US, Mexico, and Canada

Latin America: Brazil and Rest of Latin America

Middle East & Africa: GCC Countries and Rest of Middle East & Africa

Request a discount on standard prices of this premium research:https://www.coherentmarketinsights.com/insight/request-discount/2024

Some Point of Table of Content:

Chapter 1: Report Overview

Chapter 2: Global Market Growth Trends

Chapter 3: Value Chain of Testosterone Replacement Therapy Market

Chapter 4: Players Profiles

Chapter 5: Global Testosterone Replacement Therapy Market Analysis by Regions

Chapter 6: North America Testosterone Replacement Therapy Market Analysis by Countries

Chapter 7: Europe Testosterone Replacement Therapy Market Analysis by Countries

Chapter 8: Asia-Pacific Testosterone Replacement Therapy Market Analysis by Countries

Chapter 9: Middle East and Africa Testosterone Replacement Therapy Market Analysis by Countries

Chapter 10: South America Testosterone Replacement Therapy Market Analysis by Countries

Chapter 11: Global Testosterone Replacement Therapy Market Segment by Types

Chapter 12: Global Testosterone Replacement Therapy Market Segment by Applications

Chapter 13: Testosterone Replacement Therapy Market Forecast by Regions (2020-2027) continued

Do You Have Any Query Or Specific Requirement? Ask to Our IndustryExpert @https://www.coherentmarketinsights.com/insight/request-customization/2024

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Testosterone Replacement Therapy Market is Booming Worldwide with Endo Pharmaceuticals, Inc., Eli Lilly and Company, Kyowa Kirin International plc,...

Why you may not be losing weight on the keto diet – Business Insider India

Posted: October 3, 2020 at 5:59 pm

The keto diet is a popular way to lose weight and improve health. But not everyone loses weight on keto, and some stop losing weight after a few months.

If you aren't meeting your weight goals on the ketogenic diet, you may need to make some adjustments or talk with a registered dietitian. Here are some reasons why you might not be losing weight on keto.

You can check to see if you are really in ketosis using at-home urine test strips. These strips detect ketones, substances your liver creates when processing fat.

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Losing weight on the keto diet is like losing weight on any diet you need to burn more calories in the day than you consume.

Some foods to eat on keto that will help you feel full are:

However, if you're still having trouble controlling your caloric intake, here are some tips:

Numerous studies indicate a strong link between stress and obesity. Part of the reason could be related to the fact that stress increases levels of the stress hormone cortisol in your body, which leads to enhanced appetite and potentially overeating and subsequent weight gain.

Some simple ways to relieve stress include:

Even if you are keeping your metabolism up, your weight loss may still slow down over time. As you cut calories and lose weight, your body will adapt to the change and start needing fewer calories to keep itself going, says Keatley. In other words, people tend to hit a weight loss plateau.

There are certain medical conditions that are associated with weight gain, making it exceptionally difficult to lose weight. Many of these conditions are hormonal disorders like Polycystic ovary syndrome (PCOS), diabetes, Cushing's syndrome, and hypothyroidism.

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Why you may not be losing weight on the keto diet - Business Insider India

Pumping Up with Protein: Does This Work for Exercise and Health? – Diabetes In Control

Posted: October 3, 2020 at 5:59 pm

Author: Sheri R. Colberg, PhD, FACSM

Protein is never a key exercise fuel, but its critical for other reasons. During most exercise, protein contributes less than 5 percent of the total energy, although it may rise to 10 to 15 percent during a prolonged event like a marathon or Ironman triathlon. Taking in enough dietary protein is important because dietary protein allows your muscles to be repaired after exercise and promotes the synthesis of hormones, enzymes, and other body tissues formed from amino acids, the building blocks of protein.

You should consume at least 12 to 35 percent of your daily calories as protein. For most people this means taking in at least 60 grams of protein daily.

About half of the 20 amino acids are considered essential in your diet, meaning that you must consume them or your body will suffer from protein malnutrition, which causes the breakdown of muscles and organs. Essential amino acids are found in meats, poultry, fish, dairy, eggs, and soy products; all plant-based foods besides soy are lacking one or more essential ones, but taking in combinations of plant sources (like rice and beans) can supply what you need.

Your body can make the rest of the amino acids itself (they are the nonessential ones). But you need to have enough protein in your diet overall to synthesize body proteins after workouts, which is a critical time for increases in strength, aerobic capacity, or muscle size.

Because protein is important to overall health but isnt a major exercise fuel, you do need to worry about consuming enough, although it doesnt have to happen right before or during an activity. Youll get most effective restoration of liver glycogen if you keep your blood glucose levels in tight control after exercise. Consuming a small amount of protein along with carbohydrate (in a ratio of 1:4, or one gram of protein to every four grams of carbohydrate) after an activity may help you repair your muscles and get stronger more quickly.

Typically, an ounce of chicken, cheese, or meat has about 7 grams of protein.

Taking in more protein and slightly less carbohydrate after exercise can help keep your blood glucose more stable over time because protein takes three to four hours to be fully digested, and some protein is converted into blood glucose. You can eat protein strategically to prevent later-onset hypoglycemia, which insulin users are more likely to get. Have some in your bedtime snack (along with fat and carbohydrate) to prevent nighttime lows after a day of strenuous or prolonged activity, if you use insulin.

Taking in some protein along with carbohydrate right after hard or long workouts may help your body replenish its glycogen stores more effectively. Though anyone who is getting olderand that includes all of uscan benefit from taking in enough protein, supplements are usually not the optimal way to get enough. Let me explain why.

As you get older, your body may need more protein compared to when you were younger to form, maintain, and repair muscles and other body structures. Anyone who is doing regular exercise training also needs more protein to repair and build muscle, but you can usually get this amount (and more) when youre eating a balanced meal plan with adequate calories. To figure out how much you need, find the category that fits your age and training, and multiply your body weight (in pounds or kilograms) by the grams found in the corresponding table column.

TABLE Recommended Protein Intake by Training Status and Age

Per Pound Body Weight Per Kilogram Body Weight

Adults 19 to 50 years (inactive) 0.36 grams 0.8 grams

Adults over 50 years (inactive) 0.5 grams 1.1 grams

Endurance training 0.550.64 grams 1.21.4 grams

Strength training 0.680.77 grams 1.51.7 grams

Calorie deprived (diets) 0.730.82 grams 1.61.8 grams

The biggest myth about amino acid supplements, and protein in general, is that you must load up on them to gain muscle. Thats just not true. The protein requirement for strength-training athletes may be about twice as high as normal, but most people in the United States already consume more than these higher amounts of protein in their daily diets.

To put it in perspective, to gain one pound of muscle mass a week (a realistic maximum), a strength-training athlete needs no more than 14 extra grams of quality protein per day. You can easily get this amount from these sources:

About two 8-ounce glasses of milk

2 ounces of lean meat, chicken, fish, or cheese (which isnt much)

Slightly more than 2 eggs (only the whites contain protein)

Adequate intake of protein also helps to maintain lean body mass when you lose weight on a diet and can help you gain more muscle mass from exercise training.

Reference: Excerpted from Colberg, SR, Chapter 7: Eating Right for Exercise, Diabetes & Keeping Fit for Dummies, Wiley, 2019.

Sheri R. Colberg, PhD, is the author of The Athletes Guide to Diabetes: Expert Advice for 165 Sports and Activities (the newest edition of Diabetic Athletes Handbook). She is also the author of Diabetes & Keeping Fit for Dummies, co-published by Wiley and the ADA. A professor emerita of exercise science from Old Dominion University and an internationally recognized diabetes motion expert, she is the author of 12 books, 30 book chapters,and over 420 articles. She was honored with the 2016 American Diabetes AssociationOutstanding Educator in Diabetes Award.Contact her via her websites (SheriColberg.com and DiabetesMotion.com).

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Pumping Up with Protein: Does This Work for Exercise and Health? - Diabetes In Control

Pies, kombucha, burgers and Red Bull: The party leaders reveal their campaign diets – The Spinoff

Posted: October 3, 2020 at 5:59 pm

We asked the people vying for our votes how theyre keeping their minds sharp and bodies fuelled for the final stretch of the campaign marathon.

What New Zealands political party leaders eat isnt usually something many of us give much thought to, but come election time, when theyre out and about winning votes, politicians kai is in the public eye.

Food is political, as we witnessed during Wednesdays Newshub leaders debate, when moderator Paddy Gower asked Jacinda Ardern and Judith Collins how often they eat meat. Both said twice a week, then demurred when Gower clarified that fish counts as meat. When asked whether they thought New Zealanders should eat less meat for the good of the planet, both leaders answers Arderns eat New Zealand meat! and Collins Im not a communist! showed how politically sensitive the issue is.

Tuckers not always as controversial, of course sometimes food simply provides a way for politicians to show theyre ordinary people and meet their constituents. Collins visited a farmers market in Napier yesterday, telling supporters via a Facebook video that she bought sourdough, coffee, cheese and olive oil. The Herald was there too, and reported that the women running the dumpling food truck were disappointed Collins wasnt a customer, so the National leader had to explain she would have indulged if it werent for the threat of a picture of her eating ending up in the press.

Who can blame her, really, when you think of the photos of former National prime minister John Key tucking in that will exist forever on the internet and burnished into our brains.

But of course food is also just fuel, and it must be a bit rough at times keeping crazy hours as you flit from town to town, event to event, and you cant even sample a dumpling without fear of an unflattering snap ending up in the media. Its enough to make anyone hangry.

On that note, we asked the leaders of Labour, National, Act, the Green Party and NZ First about their campaign diets. We received answers from all but Winston Peters, who we can only presume subsists on the odd cheeky dart and an occasional sip of apple juice.

Jacinda Ardern buys a sandwich during a walkabout at Riverside Market in Christchurch in September (Photo: Kai Schwoerer/Getty Images)

My campaign diet is terrible. I go from being really earnest about having a healthy breakfast, to the campaign period where I just have coffee and a muesli bar (and when I say muesli bar, I mean hash brown). I carry food in my bag. None of it especially appealing, which is why I probably eat things like toasted sandwiches and pies more during a campaign than usual I skip meals, end up hungry, and go for fast comfort food. I hope my mother doesnt read this (shes often the reason I have healthy snacks in my bag).

Kieran McAnulty [Wairarapa Labour list MP] almost lost his place in caucus when he neglected to stop at my favourite bakery in his electorate. Im still miffed. But I recently visited The Golden Kiwi, the fish and chip shop in Morrinsville I worked at from when I was 14 years old until I left school, every single Friday night. They have a small restaurant. I had fish, chips, sausage, and a token salad. My old bosses Carol and Grant still run the show, and it was as good as I remember.

Judith Collins checks out the pastries at a stall at the Napier farmers market yesterday (Photo: Kerry Marshall/Getty Images)

Other than drinking a lot of tea and water, my diet hasnt changed at all. Im trying to eat healthily during the campaign, although occasionally I do indulge in a no-sugar cola and have even had a kombucha.

Marama Davidson, probably thinking about RJs raspberry chocolate twists (Photo: Hannah Peters/Getty Images)

My daily diet is sometimes terrible, and has included a dinner of a day-old muffin from a dairy because I had a very small window after a late night event to eat anything before I had to get to sleep for a 5.30am taxi. I do try to at least start off right, with my own homemade smoothie of greens and fruit and egg, but I dont always get to pop that in, especially when travelling. I think in short, my campaign diet has room to improve. A petrol station pie is sadly a menu regular. The nights that Im with whnau are normally the best people who make food for me with aroha and care are the strongest part of campaign resilience. RJs raspberry chocolate twists are also a campaign trail winner for me, and New Plymouth Airport caf saved my puku rumbles recently after hopping off a plane one morning without having had breakfast and about to head out on a full day.

James Shaw cooking breakfast at Waitangi on Waitangi Day this year (Photo: Fiona Goodall/Getty Images)

There is no pattern to my campaign diet on any given day Ill eat a healthy lunch prepared for me by Green Party volunteers between events, fish and chips at a pub round the corner from the next meet-the-candidates evening, anything in between, or nothing at all. I stopped by the Clareville Bakery outside of Carterton recently and had a steak and red wine pie. It was exceptional. But everything in the cabinet looked exceptional too. If I lived anywhere near there Id die a death-by-baked-goods. And be happy about it.

David Seymour celebrating the All Blacks World Cup win with a beer in 2015 (Photo: Toby Manhire)

My campaign diets pretty bad Im down to 70kg. The two burgers Wisconsin and Fuel are fuelling my campaign. I regard that as a form of health food, given the quality of the vegetation on it. You get some really fresh lettuce on some of those burgers. And a lot of Red Bull.

The Spinoff Weekly compiles the best stories of the week an essential guide to modern life in New Zealand, emailed out on Monday evenings.

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Pies, kombucha, burgers and Red Bull: The party leaders reveal their campaign diets - The Spinoff

Over 30 models accuse TFM talent agency of non-payment of dues racking up to almost Rs 1 crore. Heres… – Hindustan Times

Posted: October 3, 2020 at 5:59 pm

The Indian film and modelling industry has quite a reputation, both good and bad, with people sharing experiences of lifelong friendships and burnt bridges that made, or ended their careers. However, over the past few months, over thirty models who worked with Mumbai-based talent agency TFM/360 India, owned by designer Ashish N Soni, have alleged that the company owes them lakhs of rupees (more than Rs 70 lakhs) in unpaid dues for shows, events and shoots that in some cases took place years ago and that the company has no intention to pay.

The incident was first brought to light when several models took to their social media handles and shared their experiences working with TFM, sharing how they hadnt been paid for months on end, some have even claimed they were threatened with gundas by upper management when they said theyd make the issue public. The incident was picked up by self-appointed Instagram-based fashion industry watchdog, Diet Sabya, which shared a post which revealed another side of the glamourous modelling industry. The post elaborated how TFM had deprived its talent of their rightful payment since 2018, often discrediting the model by claiming breach of contract, misbehaviour as a cause of non-payment.

The post read, Over the last couple of months, weve gone back-and-forth between 20+ creatives (models, make-up artists etc) and their talent agency, TFM. Mumbai-based agency, TFM allegedly owes them lakhs of rupees in unpaid dues. Multiple rounds of clarifications later the fact remains unchanged: Money is still owed! The bitter industry truth is that modelling/talent agencies are notorious for withholding money and TFM has been pulling this stunt since 2018 (shocking!). The models have finally had it and are no longer willing to wait for their own money. TFM agents did give us multiple reasons/explanations for the delay citing Covid economy, breach of contract, models misbehaving etc etc. Most of these explanations seem to be just excuses to buy time. Moral of the story? Its a messy, and incredibly heartbreaking situation for these creatives, who are dependent on agencies for their livelihood. Discuss!!

ALSO READ | Dark and Lovely: Padma Lakshmi posts about colourism, Diet Sabya demands ban on Fair and Lovely

Since then, several models came forward with similar stories, and Diet Sabya has also shared videos of models that have worked with TFM and are still awaiting payment. While Diet Sabya has always been a page that calls out copycats and gandi copies, over the past few months the page has racked up a new reputation for calling out companies, brands and employers for the mistreatment of employees, as well other social issues like colourism. Several models, in their testimonies, shared that given that they had their own bills and werent getting paid, they had to end their contract with the agency, which states that they cannot work with another agency during the three months after their contract with TFM is terminated, however, the contract allows them to work independently.

Diet Sabya, models get blocked by Ashish Soni, TFM on Instagram

In an interview with MidDay, model Arlette Grao, who was at TFM from 2016 to 2018, claimed that the company owes over Rs 70 lakh to the models, and that she didnt receive any payment for all the assignments she did during her time there, which racks up to Rs 8 lakhs. I have bank statements to support this. She went on to add that she ended up quitting the agency and after the contractual cooling-off period (three months) was complete, she began to freelance, Once I started freelancing, I realised there are multiple models whose payments are stuck with the company. Arlette mentioned that make-up artist Donald Simrock who worked for Lakme Fashion Week two years ago is waiting on a payment, which according to Diet Sabyas post comes up to Rs 9 lakhs. The model also added that in her case TFM cited breach of contract as the reason for non-payment of dues, When I havent breached any clause. They are putting similar false allegations on my other colleagues.

Another model, Shivani Bafna, who also worked with TFM, took to her YouTube channel and shared her experience working with TFM. She spoke of her time at the agency in 2018, and having to wait on payments for months in 2018, she added that she clarified with her manager as well as one of the owners Rishy Bartariya, that she needed to be paid. After months of polite following up and not getting anything except excuses, Shivani got exasperated and decided to share her experience with other models via a group text on WhatsApp. This however, did not sit well with Rishu, who allegedly threatened Shivani saying that if she puts anything on social media, or speaks up she would send gundas after her. They even discredited everything Shivani said by saying she had breached her contract which is why she wasnt paid. However, after filing a lawsuit, and a lot more persistence, Shivani got her payment of Rs 5 lakhs.

Ashish Soni and TFMs side of the story

There are several such instances, and many models have already filed police complaints and sent legal notices to the agency, or are planning to. A written statement mailed to LiveWire by TFM stated, Ashish Soni, on behalf of TFM/360 India, reassures everyone that TFM/360 India shall clear its dues as soon as possible as has also been done in the past.

MidDay reached out to Soni, who said that the firm has been running in losses since it was set up five years ago, on account of which the foreign partner, who was the parent company, decided to pull out leaving Soni, a 40% investor in TFM, struggling to keep the company afloat. He added, They wanted to shut it down. I took on their debt and ensured that the models income stays afloat. It was a liability and I have been running it for two years. Company records that are public will tell you that I havent drawn a single salary from the company. I hope to find an investor with deeper pockets for this agency. Till March, we had a regular cash flow but the business has been affected due to COVID. People are not in a position to pay up. To malign someone(for that), is out of line. I am willing to open this up for audit and if to prove my integrity, if I have to take a loan, I will do so.

According to the written statement by TFM to Livewire, TFM/360 India has paid Rs 2.65 crore to several models in payments. The statement added that when the foreign partner pulled out TFM tried to recover as much as it could, but due to the fact that TFM/360 India was owed a great deal of money and such money was not recovered within a considerable amount of time, the financial and economic health of the company worsened. The statement also added that TFMs management was never in Ashish Sonis purview and that there were other people running the show, and in some instances clients also failed to pay the company on time. The statement also went on to say that now Soni is taking steps to mitigate the damage caused by earlier mismanagement.

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Over 30 models accuse TFM talent agency of non-payment of dues racking up to almost Rs 1 crore. Heres... - Hindustan Times

COVID-19, food and nutrition, and the presidential debates | TheHill – The Hill

Posted: October 3, 2020 at 5:59 pm

Watching the first presidential debate, many things stood out. Among them, one crucial but still largely overlooked issue was the absence of any meaningful questions or discussion on one of the most important challenges and opportunities facing our nation.

As cardiologists from Michigan and Massachusetts who study how policy can be leveraged to save lives, we have a message for the candidates and the debate moderators: its time to fix food.

At current rates, COVID-19 will claim a quarter of a million American lives by Election Day. The current national plan to address the virus is heavily focused on creating a vaccine: $12.6 billion committed to-date. We need a vaccine. Yet, at the same time, comparable focus should be given to treatment to reduce the severity of COVID-19 infections. Unfortunately, treatment has received relatively little national emphasis or investment. For our country to successfully conquer COVID-19, the current nominees, and the next president, must make this a top priority. Figuring out how to leverage healthier eating tops the list.

The powerful linkages between diet-related poor metabolic health and how sick a person becomes when infected by COVID-19 are now well documented but widely underappreciated. A 35-year old infected with COVID-19 who also has obesity, high blood pressure, diabetes, or a handful of other less common conditions, has the samerisk of hospitalizationas a75-year oldinfected with COVID-19 who has none of those comorbidities. These diet-driven metabolic conditions are a top risk for critical illness with COVID-19; each independently increases risk of severe illness about two-fold. And these risks are cumulative:a person with diabetes, high blood pressureandobesity would be expected to have about aneight-foldhigher risk of hospitalization.

What if we start reversing these conditions in the U.S.? Can you imagine if we identified a drug that might reduce the risk of being hospitalized from COVID-19 by many fold, within a few months? Our national government would be investing billions of dollars to test such a drug. Such a treatment, by greatly reducing the severity of COVID-19 infections, would also help schools and universities to reopen, businesses to restart and help our lives and economy to return toward normal. Notably, even when an effective vaccine is developed, it could take many more months and would likely take even longer to be widely delivered. Despite development of a vaccine, an effective, safe treatment to reduce the severity of COVID-19 among those who still get infected will remain incredibly important.

Better nutrition holds this promise. COVID-19 is like a heat-seeking missile for poor metabolic health. This fast pandemic is far worse because its hitting us on top of a slow pandemic of diet-related diseases, like diabetes, obesity and other conditions. More Americansdie prematurelyfrom a poor dietthan any other risk factor. This year, about 500,000 Americans will die from diet-induced diseases. These deaths, like COVID-19, also disproportionately affect Black and Brown Americans, through long-standing systems of structural racism that are in large partmediated through lifestyle and diet-related metabolic risk factors.Its time to address these inequities.

Crucially, healthy eating doesnt require years to work. Changes in our food choices can alter metabolic health within six to eight weeks, even with no weight loss. And, of course, improving diet can also significantly improve our weight over just a few months. Were not talking about years, but just months to see and test potential benefits.

The potential for food-related actions to bend the curve of COVID-19 must be prioritized by federal, state and local governments. For our nations presidential candidates, we call for the following actions:

Sensible food and nutrition policy can help reduce the severity of COVID-19, restore our shattered economy, improve national resilience toward future threats and be a major step toward health equity. Such policies can also save hundreds of thousands of Americans from premature disability, suffering and death each year. Governments in theU.K.andMexicoare recognizing this need and they are taking action. Its time we demand the same from our presidential candidates and the next administration.

Eric J. Brandt, MD, MHS., is a clinical lecturer for the Division of Cardiovascular Medicine and the University of Michigan Medical School.

Dariush Mozaffarian, MD, DrPH, is dean and professor at Tufts Friedman School of Nutrition Science and Policy and professor of medicine at Tufts School of Medicine.

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COVID-19, food and nutrition, and the presidential debates | TheHill - The Hill

The ’75 Hard Challenge’ Is Going Viral On TikTok But You Might Want To Skip It – Yahoo Lifestyle

Posted: October 3, 2020 at 5:59 pm

Photo credit: Stephen Swintek I Raydene Hansen

From Women's Health

*Weve decided not to link to this and other concerning and/or triggering content.

If youre on TikTok, its highly likely your feed has served up a friend or influencer doing something called the 75 Hard Challenge. The hashtags #75HardChallenge and #75Hard have more than 31 million views, collectively.*

And while questionable weight-loss trends are not new (sup, keto diet, Whole30 recipes, and intermittent fasting?), this 75-day plan created by motivational speaker, podcaster, author, and supplement company owner Andy Frisella is going viral for all the wrong reasons.

In March 2019, Frisella, who is not a certified trainer, dietitian, or licensed clinical therapist, introduced the concept of the 75 Hard Challenge on his podcast, Real AF, suggesting that its a way to change your life for the better and lose weight. Ive spent more than 20 years figuring out how to master mental toughness and Im putting everything Ive learned into a program I call 75HARD, he writes in the episode notes.

On his website, Frisella writes that 75 Hard is NOT A REGULAR FITNESS PROGRAM. Rather, its a MENTAL TOUGHNESS PROGRAM that he is qualified to teach based on his 20 years of intensive study and real-life experience. He does not reference any health, fitness, or therapy courses.

The basic principles of his challenge include:

Follow a diet. Although he doesnt specify which foods this includes, he doesnt allow alcohol or cheat meals. Its unclear what qualifies as a cheat meal.

Work out twice a day for at least 45 minutes. One of these workouts must be an outdoor session, although its not explained why.

Drink 4 liters of water per day.

Read 10 pages of nonfiction a day.

Take a 5-minute cold shower.

Take progress photos every day.

Perform other unrelated tasks like a random act of kindness or talk to someone in person daily.

Honestly, yes. Besides the seemingly arbitrary rules, there are many other reasons to be worried about the impact Frisellas challenge can have on your physical and mental health.

Story continues

For starters, following a diet for 75 days can mean different things to different people. While some may decide that their diet is limiting how much takeout they order, others might take it upon themselves to cut out entire food groupsespecially if their motivation to do the challenge is to lose weight.

That can completely eff with a persons relationship with food, says licensed clinical social worker and therapist Ayana Ali.

Diets that severely restrict food often result in the creation of a negative relationship between individuals and how they nourish themselves, says Ali. It works like this: When you categorize foods as bad or cheat foods and avoid them, you may crave those foods more intensely. And once you eat them, you will likely overindulge and subsequently drown in guilt and shame for having consumed so much of it, says Ali. That can set you up for a disordered cycle of bingeing and restriction.

Whats worse: Extremely restrictive eating means you may never actually learn healthy eating habits or honor your bodys desires, says Ali.

Then there are the fitness rules that dont take into account your underlying health conditions, previous injuries, or current fitness levels. Exercising for 90 minutes a day, with 45 minutes spent outside regardless of the temp, is not safe for everyone.

And like the diet rules, the fitness recommendations are basically a choose your own adventure. That means some might take it upon themselves to go HAM with burpees, cardio, strength, or workouts theyve never tried before. Which, yeah, is super problematic.

The workout plan is so nonspecific that youre at great risk for injury, confirms registered dietitian Albert R. Matheny, certified strength and conditioning specialist and owner of the SoHo Strength Lab in New York City. And for a lot of people, working out twice a day is too much too fast.

Before starting any fitness plan, you should get a physical from your doctor and an assessment from an actual certified personal trainer. This ensures you develop a plan that is safe, effective, and personally aligned toward your goals, says Matheny.

Oh, and its also not sustainable, says Matheny. Workout routines are best when you can gradually increase what youre doing every week. But doing the same thing every day for 75 days can get extremely monotonous and you may lose motivation fast or just burn out, says Matheny. If the only thing thats motivating you is your daily progress picture, thats a major problem too.

Although the plan is meant to improve your mental toughness, this challenge is more detrimental to your mental health than it is helpful, says Ali.

Being extremely regimented can damage your mental health, she says. If you believe (as Frisella suggests) that success only looks like completing a laundry list of random, time-consuming activities, you might see yourself as a failure when you cant complete them. But succeeding isnt so cut and driedand it has literally nothing to do with what you eat or how much you work out.

If the ability, or lack thereof, to stick to a highly prescriptive plan for 75 days is held out as a measure of mental health, anyone following this diet who does anything less than what the plan details may inaccurately believe that she is weak or that her mental health quotient is low, says Ali. This can lead to feelings of self-deprecation and an inability to appreciate other measures of progress toward better emotional health.

In a 2017 interview with Forbes covering Frisellas use of social media to earn $100 million in sales for his supplement company, he told reporters: When I first started posting things [for my company] online, I looked at all our competitors and all they were posting were pictures of protein powder. I thought that was so boring, and I wanted to do something different, so I catered our content around motivation instead, the lifestyle our customers wanted to live, said Frisella.

And this may be just another non-boring, motivational way Frisella aims to gain more sales, even if the plan is totally free.

Hes trying to sell you something, says Matheny. The goal of the 75 Hard Challenge isnt to improve your mental toughness, its to motivate you to unconsciously spread his name, his brand, and his supplement company to your friends. TL;DR: Hes pyramid-scheming us, fam.

For more information on eating disorders and resources that can help, visit the National Eating Disorders Association or the National Association of Anorexia Nervosa and Associated Disorders. If you need to talk to someone right now, call NEDAs hotline at 800-931-2237 or text NEDA to 741-741 to connect with a trained volunteer at Crisis Text Line.

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The '75 Hard Challenge' Is Going Viral On TikTok But You Might Want To Skip It - Yahoo Lifestyle

Weight loss story: I lost 34 kilos after a shopkeeper told me that he didn’t have clothes in my size! – Times of India

Posted: October 3, 2020 at 5:58 pm

My breakfast: I stick to mostly fruits for my first meal of the day. Alternatively, I may have oats, poha, daliya or upma

My lunch: A portion of salad, 1 bowl of daal, 1 bowl of curd, 1 multigrain chapati or moong dal chila

My dinner: A portion of salad and a bowl of soup. I prefer to skip dinners on days I have a heavy lunch

Pre-workout meal: A cup of green tea

Post-workout meal: Only water

I indulge in: Even on my cheat days, I prefer to stick to homemade food like aloo parantha. Occasionally, I used to have chocolates as well.

Low-calorie recipes I swear by: Oats with curds served with fruits as toppings. You can also add nuts and seeds.

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Weight loss story: I lost 34 kilos after a shopkeeper told me that he didn't have clothes in my size! - Times of India

Chia vs Sabja seeds: What is the difference and which one is better for weight loss? – Times of India

Posted: October 3, 2020 at 5:58 pm

Chia seeds are low in calories and are gluten-free. You can either have chia pudding or add the seeds in your bowl of salad and smoothie and enjoy the benefits of this nutrient-dense food. In weight chia seeds contain 6 per cent water, 46 per cent carbohydrates, 34 per cent fat, and 19 per cent protein. 28 grams of seeds contain 138 calories.

100 grams of chia seeds have:

Calories: 486

Protein: 16.5 grams

Carbs: 42.1 grams

Fat: 30.7 grams

Omega-3: 17.83 grams

Omega-6: 5.84 grams

The tiny seeds are loaded with antioxidants that can prevent our body from the damage caused by the free radicals. Chia seeds are considered good for health as they are a source of high quality of protein and most of the carb content in them are fiber. The fiber keeps you fuller for a longer time. Also, the protein could help reduce appetite and food intake.

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Chia vs Sabja seeds: What is the difference and which one is better for weight loss? - Times of India

Time-Restricted Eating Shows No Weight Loss Benefit in RCT – Medscape

Posted: October 3, 2020 at 5:58 pm

The popular new weight-loss approach of eating within a restricted window of time during the day, allowing for an extended period of fasting also known as intermittent fasting does not result in greater weight loss compared with nonrestricted meal timing, results from a randomized clinical trial show.

"I was very surprised by all of [the results]," senior author Ethan J. Weiss, MD, told Medscape Medical News.

"Part of the reason we did the study was because I had been doing time-restricted eating myself for years and even recommending it to friends and patients as an effective weight loss tool," said Weiss, of the Cardiovascular Research Institute, University of California, San Francisco (UCSF).

"But no matter how you slice it, prescription of time-restricted eating at least this version is not a very effective weight loss strategy," Weiss said.

The study, published online in JAMA Internal Medicine by Dylan A. Lowe, PhD, also of UCSF, involved 116 participants who were randomized to a 12-week regimen of either threestructured meals per day or time-restricted eating, with instructions to eat only between 12:00 pm and 8:00 pmand to completely abstain from eating at other times.

The participants were not given any specific instructions regarding caloric or macronutrient intake "so as to offer a simple, real-world recommendation to free-living individuals," the authors write.

Although some prior research has shown improvements in measures such as glucose tolerance with time-restricted eating, studies showing weight loss with the approach, including one recently reported by Medscape Medical News, have been small and lacked control groups.

"To my knowledge this is the first randomized controlled trial and definitely the biggest," Weiss told Medscape Medical News. "I think it is the most comprehensive dataset available in people, at least for this intervention."

At baseline, participants had a mean weight of 99.2 kg (approximately 219 lb). Their mean age was 46.5 years and 60.3% were men. They were drawn from anywhere in the United Statesand received study surveys through a custom mobile study application (app) on the Eureka Research Platform. They were given a Bluetooth weight scale to use daily, which was connected with the app, and randomized to one of the two interventions. A subset of 50 participants living near San Francisco underwent in-person testing.

At the end of the 12 weeks, those in the time-restricted eating group (n = 59) did have a significant decrease in weight compared with baseline (0.94 kg; P = .01), while weight loss in the consistent meal group (n = 57) was not significant (0.68 kg; P = .07).

But importantly, the difference in weight loss between the groups was not significant (0.26 kg; P = .63).

There were no significant differences in secondary outcomes of fasting insulin, glucose, A1c, or blood lipids within or between the time-restricted eating and consistent meal timing group either. Nor were there any significant differences in resting metabolic rate.

Although participants did not self-report their caloric intake, the authors estimated that the differences were not significant using mathematical modeling developed at the National Institutes of Health.

Rates of adherence to the diets were 92.1% in the consistent meal-timing group versus 83.5% in the time-restricted group.

In a subset analysis, loss of lean mass was significantly greater in the time-restricted eating group, compared with the consistent meals group, in terms of both appendicular lean mass (P = .009) and the appendicular lean mass index (P = .005).

In fact, as much as 65% of the weight lost (1.10 kg of the average 1.70 kg) in the time-restricted eating group consisted of lean mass, while much less was fat mass (0.51 kg).

"The proportion of lean mass loss in this study (approximately 65%) far exceeds the normal range of 20% to 30%," the authors say. "In addition, there was a highly significant between-group difference in appendicular lean mass."

Appendicular lean mass correlates with nutritional and physical status, and its reduction can lead to weakness, disability, and impaired quality of life.

"This serves as a caution for patient populations at risk for sarcopenia because time-restricted eating could exacerbate muscle loss," the authors assert.

Furthermore, previous studies suggest that the loss of lean mass in such studies is positively linked with weight regain.

While a limitation of the work is that self-reported measures of energy or macronutrient or protein intake were not obtained, the authors speculate that the role of protein intake could be linked to the greater loss of lean mass.

"Given the loss of appendicular lean mass in participants in the time-restricted eating arm and previous reports of decreased protein consumption from time-restricted eating, it is possible that protein intake was altered by time-restricted eating in this cohort, and this clearly warrants future study," they say.

Weiss said the findings underscore that not all weight loss in dieting is beneficial.

"Losing 1 kg of lean mass (is not equal) to a kg of fat," he said. "Indeed, if one loses 0.65 kg of lean mass and only 0.35 kg of fat mass, that is an intervention I'd probably pass on."

Time-restricted eating has gained popularity in recent years.

The approach "is attractive as a weight-loss option in that it does not require tedious and time-consuming methods such as calorie-counting or adherence to complicated diets," the authors note.

"Indeed, we found that self-reported adherence to the time-restricted eating schedule was high; however, in contrast to our hypothesis, there was no greater weight loss with time-restricted eating compared with the consistent meal timing."

They explain that the 12 pm to 8 pm window for eating was chosen because they thought people might find it easier culturally to skip breakfast than dinner, the more social meal.

However, an 8 pm cut-off is somewhat late given there is some suggestion that fasting several hours before bedtime is most beneficial, Weiss noted. So it may be worth examining different time windows.

"I am very intrigued about looking at early time-restricted eating 6 am to 2 pm," for example, he said."It is on our list."

Meanwhile, the study results support previous research showing no effect on weight outcomes in relation to skipping breakfast.

The study received funding from the UCSF Cardiology Division's Cardiology Innovations Award Program and the National Institute of Diabetes and Digestive and Kidney Diseases, with additional support from the James Peter Read Foundation. Weiss has reported nonfinancial support from Mocacare and nonfinancial support from iHealth Labs during the conduct of the study. He also is a cofounder and equity stakeholder of Keyto, and owns stock and was formerly on the board of Virta. Disclosures for the other authors are listed in the article.

JAMA Intern Med. Published September 28, 2020. Abstract

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Time-Restricted Eating Shows No Weight Loss Benefit in RCT - Medscape


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