STATEMENT - OMA Welcomes Premier's Council Recommendations to Improve Health Care and End Hallway Medicine
TORONTO, June 25, 2019 /CNW/ - The Ontario Medical Association (OMA) is committed to addressing hallway medicine and is encouraged by the recommendations in today's report from the Premier's Council on Improving Healthcare and Ending Hallway Medicine.
Ontario's doctors fundamentally believe that patients should be at the centre of the health care system in Ontario. This report supports that view.
"We are pleased with the Council's recommendations to offer more virtual care, incorporate digital solutions and ensure clinicians help lead the new Ontario Health Teams (OHTs)," said OMA President, Dr. Sohail Gandhi. "Physicians are critical to the successful integration of health care services and are best positioned to take on a leadership role in the process of establishing OHTs. Experience around the world proves that physicians are crucial in health care transformation and that physician-led systems that focus on integrated care deliver better quality at lower cost."
Equally important is the focus on the Quadruple Aim which is an internationally-recognized framework that designs and delivers an effective health care system. An effective health care system is one that balances three components (improved patient experience, better health outcomes and lowered costs) with a fourth pillar of improving the experience of physicians and other health care providers. This aligns with work the OMA has been doing on physician burnout and could significantly improve both our health care system and the health of doctors.
The OMA continues to be a partner with the government on the following:
Ensuring physician leadership in new Ontario Health Teams and support of strong, meaningful partnerships with the primary care sector.
Caring for our health care system and providers by implementing the Quadruple Aim.
The importance of emerging technology in medicine including improved patient record keeping and sharing of data.
Investments to community-based mental health.
Commitments to revise the Personal Health Information Protection Act (PHIPA).
The priority of Ontario's doctors is the health and well-being of every resident in the province. The OMA welcomes the opportunity to work with the government of Ontario to effectively deliver the health care services Ontarians need. Additional background on the OMA's priorities and positions can be found here: Ontario's Doctors Welcome Premier's Council Report on Ending Hallway Health Care
About the OMA The Ontario Medical Association is a membership organization that represents the political, clinical and economic interests of doctors in Ontario. Our 41,000 members are practicing and retired doctors, residents and medical students.
SOURCE Ontario Medical Association
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L’ORÉAL PARIS AND THE HOUSE OF KARL LAGERFELD ANNOUNCE AN EXCLUSIVE COLLABORATION
The two iconic Parisian brands will launch a makeup collection on September 27, 2019, on the eve of Paris Fashion Week Spring/Summer 2020.
#KARLXLOREALPARIS
PARIS, FRANCE – L’Oréal Paris and KARL LAGERFELD are pleased to announce their exclusive collaboration to introduce a makeup collection.
Initiated by the late designer, the collection will channel KARL LAGERFELD’s iconic rock-chic style, fused with a sense of Parisian elegance that is both classic and effortless. To celebrate both his vision of beauty and his creative legacy, the KARL LAGERFELD X L’Oréal Paris collection will be revealed worldwide on September 20, 2019. The global release will take place a week later during Paris Fashion Week on September 27. Product will be available to the Canadian market February 2020. “This line of makeup truly reflects the KARL LAGERFELD brand universe and what Karl loved in makeup — he often used eyeshadows as colours in his sketches,” said Caroline Lebar, Head of Image and Communication at Maison KARL LAGERFELD. “L’Oréal Paris has an inclusive message of beauty for all. Karl liked it when a collaboration resonated with his brand and would make a real impact to many people.”
Connected by their Parisian heritage, both KARL LAGERFELD and L’Oréal Paris share a pioneering spirit and commitment to celebrating feminine power, with a relentless quest to create the unexpected. TheKARL LAGERFELD X L’Oréal Paris products have been created with L’Oréal’s scientific dedication and colour expertise. The collection will be complemented by a striking campaign inspired by Karl Lagerfeld’s most iconic quotes and instantly recognizable codes.
“For L’Oréal Paris, all of our fashion designer collaborations are an honour, but this one is particularly meaningful,” said Delphine Viguier, L’Oréal Paris Global Brand President. “While Karl upturned the hierarchy of the landscape to democratize fashion, L’Oréal Paris is committed to making beauty according to women’s own rules and desires. We look forward to sharing with the world the makeup born from this creative connection: KARL LAGERFELD’s rock chic and L’Oréal Paris’ empowered vision of beauty.”
“For the House of KARL LAGERFELD, it is an exciting moment to bring these two Parisian fashion icons together in one compelling collaboration, and bring it to life in such a cool way — and Karl’s way,” said Pier Paolo Righi, CEO of KARL LAGERFELD.
Karl Lagerfeld, who passed away in February, was one of fashion’s most influential and prolific creators for more than half a century. Following nobody’s rules, he boldly stepped where no designers had before, turning his own image into a style itself.
“Embrace the present and invent the future.” - Karl Lagerfeld
For more information about L’Oréal Paris Canada makeup launches and products, please contact: Alexandra Scarlato, rock-it promotions, inc. at alexandra@rockitpromo.com or 416.656.0707 ext. 123
About L’Oréal Paris L’Oréal Paris, the world’s no.1 beauty brand, is dedicated to empowering women and men by offering the most luxurious and innovative products and services available in the mass market. For most, the name “L’Oréal” is immediately evocative of the brand’s signature phrase, “Because I’m Worth It.”— the tagline behind the legendary advertising campaign for the Superior Preference® hair colour launch in 1973. Today, it represents the essence of the L’Oréal Paris brand as a whole, a spirit which is about helping every woman – and man - embrace their unique beauty while reinforcing their inner sense of self-worth. For more than 100 years, L’Oréal Paris has held an unparalleled commitment to advancement in technology, innovation and research, providing ground-breaking, high-quality products for women, men, and children of all ages and ethnicities in five major beauty categories: cosmetics, skincare, hair colour, haircare, and men’s grooming.
Summer is finally here. From State Fairs to Labor Day, Americans are spending more time in the sun at cookouts and trips to the beach. Hours spent outside under the sun sounds great; but too much exposure to the sun can lead to painful sunburn and worst yet could lead to skin cancer.
Skin cancer is the most commonly diagnosed cancer in the United States and men are impacted the most. Basal cell carcinoma, the most common form of skin cancer, disproportionately affects men,[1] and this year an estimated 60,000 American men will be diagnosed with melanoma, the deadliest form of skin cancer.[2] That said, men are still less likely than women to apply sunscreen regularly[3] and more than one-third of men are hesitant to share health concerns with their family.[4] As the days get warmer and families are spending more time outdoors during the summer, it's important that conversations with men and their families include sharing “sun sense” about the dangers of the sun, healthy skin habits and tips for prevention to future generations.
[1] The Skin Cancer Foundation Journal. Men on the Hook. 2018.
[2] American Cancer Society. Cancer Facts & Figures 2019.
[3] JAMA Dermatology. Gender Differences In Melanoma Awareness And Detection Practices Between Middle-Aged And Older Men With Melanoma And Their Female Spouses. 2009.
AbbVie Receives Positive Recommendation from the Institut national d'excellence en santé et en services sociaux (INESSS) for the Combination VENCLEXTA® With Rituximab as a Treatment for Patients With Chronic Lymphocytic Leukemia
INESSS recommends the reimbursement of VENCLEXTA® (venetoclax) in combination with rituximab for the treatment of adult patients with chronic lymphocytic leukemia (CLL).i
Adult patients with CLL taking VENCLEXTA in combination with rituximab can stop their therapy after a defined treatment period of 24 months on treatment.
MONTREAL, June 25, 2019 /CNW/ - AbbVie (NYSE: ABBV), a global research and development-based biopharmaceutical company, today announced that the Institut national d'excellence en santé et en services sociaux (INESSS) recommends that the Minister include Venclexta, in combination with rituximab, on the Lists of Medications for the treatment of chronic lymphocytic leukemia (CLL), if the following conditions are met: exceptional medication and lessening of the economic burden.i VENCLEXTA in combination with rituximab is an effective treatment option that has the benefit of a finite treatment approach, meaning patients are able to stop their therapy after two years of treatment.
"Being able to prescribe a therapy, such as venetoclax in combination with rituximab, that has a finite treatment duration and manageable side effects is a welcomed option for my patients. After two years, I can tell them that they can stop their medication because this effective combination helps to delay disease progression. So far, my clinical experience with venetoclax plus rituximab has been remarkable," explains Dr. Sarit Assouline, Physician, Division of Hematology, Sir Mortimer B. Davis-Jewish General Hospital, Senior Investigator, Lady Davis Institute for Medical Research, Associate Professor, Department of Oncology, McGill University.
INESSS concludes that the evaluation of venetoclax's efficacy and safety in combination with rituximab is based on a good-quality study. The outcomes of that study demonstrated that venetoclax delays disease progression compared to intravenous chemotherapy. Although intravenous chemotherapy is not included on the Lists of Medications, INESSS has recognized its efficacy.i The most common adverse reactions with venetoclax in combination with rituximab were related to white blood cells. Furthermore, there is an unmet clinical need in CLL. The reimbursement of venetoclax in combination with rituximab would be beneficial in the care pathway of CLL patients.i
"The INESSS recommendation for VENCLEXTA plus rituximab is positive news for people living with CLL in Quebec," says Elizabeth Lye, Director of Research & Programs, Lymphoma Canada. "Receiving a diagnosis of CLL or any cancer is always shocking and overwhelming, therefore knowing that there are highly effective treatments available provides reassurance to people facing this uncertain journey."
CLL, which is typically a slow-progressing cancer of the bone marrow and bloodii, is one of the most common types of leukemia in adults. In Canada, CLL accounts for approximately 2,465 newly diagnosed cases of leukemia each year and is responsible for more than 600 deaths a year.iii The goal of treatment is to delay progression of the disease and improve quality of life.
"This is another tremendous milestone in our efforts to bring VENCLEXTA plus rituximab to people living with CLL in Quebec. This is a much needed treatment option as it is the first chemotherapy-free combination in CLL that allows patients a 24-month treatment duration," says Stéphane Lassignardie, General Manager of Abbvie Canada.
VENCLEXTA continues to be investigated in CLL and other hematological diseases.
VENCLEXTA is being developed by AbbVie and Roche. It is jointly commercialized by AbbVie and Genentech, a member of the Roche Group, in the U.S. and by AbbVie outside of the U.S.
About the MURANO Study A total of 389 patients with R/R CLL who had received at least one prior therapy were enrolled in the international, multicenter, open-label, randomized (1:1) MURANO study (NCT02005471). The study was designed to evaluate the efficacy and safety of VENCLEXTA in combination with rituximab (194 patients) compared with bendamustine in combination with rituximab (195 patients). The median age of patients in the trial was 65 years (range 22-85).iv
About AbbVie Care Canadians prescribed VENCLEXTA will have the opportunity to be enrolled in AbbVie Care, AbbVie's signature care program. The program is designed to provide a wide range of customized services including reimbursement and financial support, pharmacy services, lab work reminders and coordination, personalized education and ongoing disease management support throughout the treatment. For more information, please visit www.abbviecare.ca.
About AbbVie AbbVie is a global, research and development-driven biopharmaceutical company committed to developing innovative advanced therapies for some of the world's most complex and critical conditions. The company's mission is to use its expertise, dedicated people and unique approach to innovation to markedly improve treatments across four primary therapeutic areas: immunology, oncology, virology and neuroscience. In more than 75 countries, AbbVie employees are working every day to advance health solutions for people around the world. For more information about AbbVie, please visit us at www.abbvie.ca and www.abbvie.com. Follow @abbvieCanada and @abbvie on Twitter or view careers on our Facebook or LinkedIn page.
Natural Relief: Why CBD is Effective for Pain and Inflammation
CBD is an abbreviation for “Cannabidiol.” It is an element of the resin found in hemp plants. Cannabidiol is not to be confused with Delta-9 Tetrahydrocannabinol (THC). THC is the ingredient partially responsible for the “high” that some users experience when they smoke marijuana. CBD, by contrast, does not have addictive properties. It is for this reason that CBD is sometimes prescribed as a natural medicine.
Forms Available
Vaporizer e-cigarettes (or “vape”) pens are an increasingly common method of consuming CBD. The smoke comes from boiling CBD oil. The effects can be felt in as little as 30 seconds. Straight CBD oil can also be consumed through a dropper or spray. Topical applications of CBD are mixed into carrier materials like beeswax or coconut oil. If you put CBD into a pill or mix it into an edible it may take up to 30 minutes or more for you to feel the high.
Use in Treatment
Use of cannabis for medical purposes is now legal in many states. In some cases marijuana itself is still illegal but there are permissions for CBD oil in treating severe forms of epilepsy. Most states still require a prescription to use it. Your healthcare provider is the first place to start if you are thinking about incorporating CBD oilinto your treatment plan. Your doctor will have the most up-to-date information about legality and side effects.
Effectiveness against Pain
Marijuana has a long and storied history of pain treatment. The first reports of this medical usage date from at least 2900 B.C. It is effective because of the body’s own endocannabinoid system, or ECS. These endocannabinoids bind to the cannabinoid receptors found in your nervous system. CBD affects endocannabinoid receptors which could then treat chronic pain.
Effectiveness against Inflammation
The aforementioned receptors also contribute to inflammation. The specific culprits involved here are the CB1 and CB2 receptors. The CB2 receptors are particularly tied to the immune system and therefore the body’s response to inflammation. CBD targets the CB2 receptors to calm inflammation. Patients with arthritis and other similar disorders can apply CBD balms to the affected joints or muscles for relief.
Don’t be surprised or discouraged if you don’t feel that CBD is an effective form of treatment. Continue to work with your healthcare provider to find the dosage or form that works for you.
DON’T SET FOOT AT THE BEACH OR POOL THIS SUMMER IF YOU’RE USING THESE SKINCARE PRODUCTS
You’re all set for a fun day in the sun with your wide-brimmed hat to shield you from the UV rays, and you have given your waterproof SPF 30 or higher plenty of time to absorb into your skin. To play it safe, you have brought more suntan lotion to reapply after swimming or sweating. You are a dermatologist’s dream- or so you think! Have you given any thought to what you applied to your skin the night before or that morning before your set out for your day? The answer is you probably have not if you have concocted a skincare regimen that works for your skin type. The problem: What is effective for Winter, Spring and Fall, can cause significant photo-sensitivity (read burning) and other skin complications come Summer. We turned to Dr. Manish Shah, a Board- Certified Denver, Colorado plastic surgeon to reveal what types of products/ingredients sun worshippers should avoid and what can serve as safe substitutes.
Dr. Shah explains that “Certain ingredients in products make people photosensitive. Photosensitivity (or sun sensitivity) is inflammation of the skin induced by the combination of sunlight and certain medications or substances. This causes skin redness and may look similar to a sunburn. Both the photosensitizing medication or chemical and light source have to be present in order for a photosensitive reaction to occur. Consumers should understand that it is not brands of skincare that can make one photosensitive but rather the ingredients in those brands.”
According to Dr. Manish Shah
If you are planning to be in the sun, do not use the following types of products
Topical Acids Alpha and beta hydroxy acids such as glycolic, lactic, and salicylic acids can cause the skin to be more susceptible to sun damage from being regularly exfoliated. These ingredients are commonly used in anti-aging, skin-brightening, and acne-fighting products.
Alternative: While AHAs and BHAs only cause minimal photosensitivity, you wouldn’t want to risk feeling that stinging sensation on your face. There are alternatives. Azelaic acid, found in wheat, rye and barley—comes in handy during the day as it is useful in the treatment of acne, rosacea, melasma and post-inflammatory hyperpigmentation and is not associated with the sun-induced reaction.
Benzoyl peroxide – This is most typically found in acne products and can cause the skin to be very sensitive.
Alternative: Zinc. Zinc enhances the immune system and has anti-inflammatory properties. Another major role of zinc is to regulate cell production and turnover and reduce the amount of natural oil that your skin produces. It prevents pores from clogging and subsequent acne formation. Zinc oxide is present in many physical sunscreens and is less likely to cause sun-sensitivity. “So, wear a good sunscreen with zinc oxide,” says Dr. Shah.
Hydroquinone- Typically used in skin-lightening products. Although hydroquinone is stable in sunlight, it’s not advisable to use it during the day as the sun’s skin-darkening effects are stronger than hydroquinone’s bleaching effect. Additionally, hydroquinone actually reduces your body's ability to create enough pigment to protect your from UV rays.
Alternative: Vitamin C is an excellent alternative to hydroquinone, as it is an antioxidant and combats dark spots while also having anti-inflammatory and anti-aging properties.
Retinol and retinol derivativesencourage cell turnover, which exposes delicate, new skin. These newer layers of skin can be more sensitive to the sun. With enough sunscreen protection, newer formulations of retinol can be safely used during the day, but experts still advise limiting its use to nighttime especially for those who have sensitive skin.
Alternative: Bakuchiol is the new, clinically proven “natural retinol,” a powerful plant-based retinol alternative that decreases skin sensitivity to the sun. It is derived from the leaves and seeds of the babchi plant and helps to heal, calm and soothe the skin, via its anti-inflammatory and antibacterial properties.
Essential oils including bergamot, bitter orange, grapefruit, lemon, lime, and mandarin leaf can also cause sun sensitivity.
Alternative: It is best to choose FCF or “furocoumarin free” essential oils when in the sun, as these are not known to be “photosensitive” or cause reactions to sunlight. Furocoumarins are phototoxins which are produced by plants as a mechanism to ward off small animals or bugs. Common ones include Oxypeucedanin and Bergapten. Examples of FCF essential oils are Bergamot FCF (Citrus bergamia), Blood Orange, Tangerine, and Red Mandarin.
Topical and oral prescriptions including antibiotics, antifungals, antihistamines, and anti-inflammatories can also cause sensitivity, so it's vital to thoroughly read labels, instructions, and warnings as well.
Manish Shah, M.D., F.A.C.S. was born in Canada and raised in the Washington, D.C. area. He graduated with honors from the University of Pennsylvania, receiving a degree in biomedical engineering. He then completed his medical training at the University of Virginia, earning his Medical Doctorate. During this time, he also completed a one-year fellowship in microsurgery research at the New York University School of Medicine / Institute of Reconstructive Plastic Surgery. As a prelude to his plastic surgery training, Dr. Shah completed a rigorous five-year training program in General and Trauma Surgery at Emory University and the Medical College of Georgia. His formal training in Plastic and Reconstructive Surgery was completed at the Univ. of Tennessee College of Medicine – Chattanooga Unit. After completing his plastic surgery training, he moved to New York City when he was selected for the prestigious Aesthetic Surgery Fellowship at Manhattan Eye, Ear, and Throat Hospital. He underwent extensive, advanced training in aesthetic surgery of the face, breasts, and body at the hands of some of the most renowned cosmetic surgeons in the world. This fellowship is widely considered to be the best of its kind in the world. Dr. Shah is one of only a select few plastic surgeons in the country who have undergone formal post-graduate training in aesthetic surgery.
Dr. Shah’s specialties include revision facial aesthetic surgery, rhinoplasty (“nose reshaping”), and aesthetic surgery of the breast (breast augmentation, breast lift, breast reduction). He is, however, well-trained in all areas of aesthetic surgery.
Dr. Shah’s aim is to obtain a natural appearing transformation that complements the real you!
Dr. Shah is a Clinical Assistant Professor of Surgery at the University of Colorado Health Sciences Center. He maintains a private practice in Aesthetic Plastic Surgery in the Cherry Creek neighborhood of Denver.
Dr. Shah is a member of the American Society of Plastic Surgeons, the American Society of Aesthetic Plastic Surgery, the International Society of Aesthetic Plastic Surgery, the Rhinoplasty Society, and the European Academy of Facial Plastic Surgery.
Dr. Shah is board-certified by the American Board of Plastic Surgery.
Scientists Say Specific Fat Cell Protein may be Key to a New Treatment for Diabetes
By Eddie Fatakhov M.D. (a.k.a. Dr. Fat-Off)
A study released this week out of a British Columbia research lab in Canada provided a new possible treatment for one of the most rampant diseases in the world. The study found that manipulation of a specific protein within fat cells may not only prevent the development of, but also reverse type 2 diabetes.
Type 2 diabetes now affects over 30 million Americans, according to the Centers for Disease Control and Prevention (CDC). The CDC estimates 84 million Americans are prediabetic (majority of them being unaware). Long-term complications of unmanaged type 2 diabetes can lead to heart disease, uncontrolled blood pressure, nerve damage leading to limb amputation, kidney disease and blindness. Obesity is a primary risk factor of type 2 diabetes. The steady incline of obesity rates is directly correlating with the number of people being diagnosed with type 2 diabetes.
Our bodies are designed to eat in order to produce the energy we need to survive. Glucose (or blood sugar) is the body’s main source of fuel. We produce insulin in response to sugar consumption. Insulin is essentially the key that opens the doors for glucose to enter our body’s cells and fuel our body. When we regularly consume more glucose than required for the energy we expend, our body cannot keep up with the insulin demand and we can become insulin resistant. This results in an inability to use glucose for fuel. In turn, the glucose remains in the bloodstream, resulting in high blood sugar levels over long periods of time, eventually turning into, you got it… type 2 diabetes.
Along with potential insulin resistance, eating more than our body needs results in expansion of white adipose tissue, where excess energy is stored as fat. This study conducted by a group of researchers out of Canada and Sweden examined a specific protein and its role in fat cells. This protein is a glycoprotein known as CD248, a protein that has a known association with the growth of tumors and inflammation. CD248 had never been studied in direct relation with obesity or insulin resistance. Researchers found that CD248 was found in greater amounts within the white adipose tissue in people that were obese or insulin resistant.
In a laboratory setting, researchers then artificially reduced the activity of CD248 in the white adipose tissue cells. From experimentation with the activity of CD248 in the white adipose tissue, researchers were able to conclude that the protein plays a role in the process that leads to insulin resistance and a cellular hallmark of obesity, hypoxia. Researchers next moved from the artificial reduction of activity to looking at the gene that codes for CD248 in mice. They used genetically-altered mice that lacked the gene that codes CD248 in white adipose tissue. These mice were fed high-fat diets and became obese, but did not develop insulin resistance and type 2 diabetes.
Potentially the most beneficial find is that the mice that already had diabetes and had the CD248 levels within their fat reduced, showed improvement in their insulin sensitivity. This discovery suggests the possibility of a future target therapy for type 2 diabetes, especially considering the reduction of CD248 did not result in any adverse events. Researchers are careful to point out that this is a very early stage of discovery, but the results give them a new pathway to head down in the treatment and/or prevention of type 2 diabetes. The more the prevalence of type 2 diabetes increases, the more urgent new treatment options become.
Eddie Fatakhov, M.D., a.k.a. Dr. Fat-off, is a Board-Certified Physician, Nutritionist, and Best-Selling Author. His latest book is “Dr. Fat-Off: Simple Life-Long Weight-Loss Solutions.”
Probiotics are not only live microorganisms found in supplements and some fermented foods such as yogurt and pickles, but they have also been found to have a variety of health benefits. These benefits include vitamin K and B production, the breakdown of insoluble (indigestible) fiber, immune system support, the improvement of mental health, improvement of heart health, reduction of certain allergies and skin conditions, and (possibly one of the most sought after effects) the reduction of belly fat.
What is the link between probiotics and body fat?
There are large populated families of primarily friendly microorganisms (bacteria) living in your digestive system, two of which are families tied to the management of body fat – bacteroidetes and firmicutes. According to a wide variety of studies, body weight is related to the balance of these two families of bacteria.
These studies look at the difference between the gut bacteria in normal-weight people versus overweight or obese people. The major difference found was that obese subjects had an imbalance in their firmicute levels versus their bacteroidetes.
Which probiotics help you lose weight?
Not all probiotics are created equal. While there are many strains available, only a few have been proven to have positive effects on weight. One strain that studies have found to assist in weight loss is the Lactobacillus family. Studies have found the following to be true:
When paired with diet and exercise eating yogurt with Lactobacillus fermentum or Lactobacillus amylovorus helped to reduce body fat by 3–4% over a 6-week period.
The effect of Lactobacillus rhamnosus supplements was measured on 125 subjects for weight loss and weight maintenance. The study found women taking the probiotics over a three month period lost 50% more weight than the placebo group.
Lactobacillus gasseri is one of the most productive probiotic when it comes to weight loss. This specific probiotic inhibits dietary fat absorption. This means the calories your body would otherwise “harvest” are excreted instead.
How can probiotics help you lose weight?
While research is still ongoing, here are some of the ways probiotics are thought to assist in weight loss:
They release GLP-1. Probiotics may play a part in the release of GLP-1 (appetite-reducing hormone). Studies have shown increased levels of GLP-1 may actually help you burn calories and fat.
They increase production of ANGPTL4. Levels of the protein ANGPTL4 may rise from probiotic use. This production might actually lead to decreased fat storage.
Are probiotics safe?
There are many types of probiotics available today. Because of this, it’s good to remember that some have a lot of research behind them and some do not. Here are some things to know before you buy a probiotic:
Mild side effects are possible such as gas or bloating within the first few days of use.
All foods with probiotics are not created equal. While these foods usually have good levels of live bacteria – “live and active cultures” yogurt, kefir, aged cheeses, brined pickles, sauerkraut, tempeh, and miso – products that claim to have probiotic benefits might not. Enriched juices, cereals, and snack bars may have less than promised levels or weakened forms of the organisms.
Probiotics might not be safe for everyone. People with weakened immune systems, such as cancer patients in treatment, should avoid probiotics.
Expiration dates and storage are very important. Because probiotics are living organisms they have a limited shelf life. Using probiotics before their expiration dates and following the suggested storing advised on the product label maximizes their potency.
Before taking any supplements we recommend talking to your doctor to ensure you are taking one that is right for you.
Eddie Fatakhov, M.D., a.k.a. Dr. Fat-off, is a Board-Certified Physician, Nutritionist, and author of the new book, "Dr. Fat-Off: Simple Life-Long Weight-Loss Solutions.”
CONTACT: Jerry McGlothlin 919-437-0001
Rights 4 Vapers Reaction to Study Showing Increase in Vaping Among Youth in Canada
TORONTO, June 21, 2019 /CNW/ - Across Canada underage youth are legally restricted from purchasing alcohol, marijuana, cigarettes and vaping products. But according to recently released data in a study published yesterday in the British Medical Journal (BMJ), they are using them anyway.
Provincial tobacco control coalitions and physicians' groups immediately reacted to the results of the study and the media headlines say it all: a recent report in the British Medical Journal, shows that Canada has experienced a "massive", "staggering", "whopping" increase in teen vaping.
The provincial government of British Columbia and the Canadian Cancer Society used the data from the BMJ Report to publicly demand that the Federal Government immediately introduce vaping regulations that would restrict nicotine content, device design and flavours. Their failure to do so, the BC government implied, would result in BC introducing more restrictive provincial regulation.
"What's not mentioned is that both federal and provincial vaping legislation already exists which restricts sales to anyone under the age of 18, promotion, display advertising and communication and limits features like certain flavours and designs thought to be appealing to youth," said Dr. Chris Lalonde, Academic Research Advisor for Rights 4 Vapers. "Is this single set of data enough to justify the hasty introduction of more draconian regulatory measures that could simultaneously reduce the appeal of these products to adult smokers that rely on vaping to reduce or quit smoking?"
What's more concerning is that the same report shows that teen cigarette smoking in the past 30 days increased 45%. The use of alcohol in the past 12 months by teens actually decreased by 3%, but cannabis use went up by 19%.
The important question then is which of these numbers should we be worried about? According to the study, 60% of youth used alcohol and 27% used cannabis in the past 12 months, 16% smoked cigarettes in the past 30 days, and 15% vaped.
If what we hope is that teens who already smoke might be tempted to switch to vaping, then the report contains some good news. Among current teen smokers, 44% are also vaping. Even "experimental smokers" are also vaping (29%). Are they on their way to fully switching from cigarettes to vaping (likely, and a good thing), or from dual-use to just smoking (unlikely, and a bad thing)?
And what about teens who have never smoked? Are they being lured into a lifetime of addiction by vaping? Here the news is good from a public health perspective.
It turns out teens are not being lured into a lifetime of addiction by vaping – they are not very keen on vaping or smoking, according to the data in the study published in the BMJ. Most of the teens surveyed have never vaped, and among those who have tried it (20%), just 3% have vaped in the past week, and only 0.6% vaped on more than 15 of the last 30 days. That's just 14 teens out of the 2,441 surveyed.
Cigarette smoking and drinking carry far higher health risks than vaping or cannabis. If, as health authorities all agree, vaping is safer—not 'safe' but safer—than smoking cigarettes, then, perhaps, we should think clearly about what we hope to accomplish by battling teen vaping through introducing provincial regulations that go even further than regulations for smoking or drinking.
Rights 4 Vapers is an organization of vaping advocates dedicated to the advancement of Canadian-based research on vaping. Dr.Chris Lalonde is an academic advisor.
SOURCE Rights 4 Vapers
Rethinking The American Dream: 5 Tips To Live A Simpler Life Millennials have been coined “the burnout generation.”
Culture observers attribute the burnout to work, social, financial, and technological pressures that can leave a young adult overwhelmed and their coping mechanisms frazzled. With so much life yet to live, what can millennials do to reverse or avoid burnout? Further, how can subsequent generations handle the pressures that consume millennials? Simple life and self-help guru Gary Collins says it comes down to simplifying their lives. “Burnout is an undeniable fact among many millennials,” says Collins, author of The Simple Life Guide To Decluttering Your Life (www.thesimplelifenow.com). “They’re feeling the effects of complicated living. It’s no secret today that we’re bombarded by outside stressors that are unfamiliar to earlier generations of humans, and we’re struggling to deal with them. “Decluttering is a popular concept today in terms of organizing your closet, garage, etc., but it’s also an effective mindset for simplifying your life. It’s about removing the unnecessary internal and external stressors in order to live the life you want.” Collins offers five principles for decluttering your life – or living a simple life from the outset of adulthood:
Knowledge is power. People tend toward the quick fix in today’s fast-moving world, but Collins says it takes time to acquire the correct, in-depth information that helps someone make lasting, positive changes. “New habits are most effective when you know why you’re doing them,” Collins says. “Otherwise, you’re likely to be swayed by the next fad product that promotes the easy life but does not work long-term.”
Avoid extremes. People can be drawn to selling pitches such as, “Make millions in just a few hours per week,” but extreme claims rarely pan out. “A slow-and-steady approach with a well-thought-out plan that’s followed day-after-day delivers true change for the positive,” Collins says.
Keep it simple. “As a culture,” Collins says, “we’ve turned the concept of living a healthy, happy life into a confusing and overwhelming selection of products and gimmicks. But less is more. We love to overthink everything and make living the life we want far more complicated than it needs to be. Once you cut out the noise and clutter, everything comes into focus.”
Something is better than nothing. While overhauling an entire lifestyle can seem daunting, little changes and choices can add up. Examples are analyzing spending habits when short on money each month, or developing skills to find a job you enjoy rather than staying in a job you don’t like. “When it comes to doing nothing versus doing at least something, something is always the right choice,” Collins says. “Think of it like dropping a dollar into a piggy bank every hour of the day for years and years. Eventually, you’ll have a nice nest egg.”
Take action every day. “America is full of people who want to live a better and more fulfilling life,” Collins says, “but in reality very few ever take action to accomplish this. Happy, successful people take action — today and every day. Maybe that means getting up earlier to get to the gym, writing that novel you’ve talked about for the last 10 years, or selling that sports car you can’t afford and getting something more practical.”
“You must ingrain and practice positive habits to achieve positive outcomes,” Collins says. “Life gets hard, and making better choices is sometimes inconvenient, but today’s choices are under your control. Once it’s a habit, it gets easier.” About Gary CollinsGary Collins is the author of The Simple Life Guide To Decluttering Your Life(www.thesimplelifenow.com). He has a varied background, having worked in military intelligence, served as a Special Agent for the U.S. State Department Diplomatic Security Service, worked for the U.S. Department of Health and Human Services, and also worked for the U.S. Food and Drug Administration. In addition to being a best-selling author, Collins has taught at the college level, consulted and trained college-level athletes, and been interviewed for his expertise on various subjects by CBS Sports, Coast to Coast AM, The RT Network, and FOX News, among others.
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