New Treatment Option for People With Cystic Fibrosis

2018-02-20T12:01:00

(BPT) – For patients with cystic fibrosis (CF) 12 years and older with certain mutations

At 17 years old, Taylor Brown is a straight-A student balancing a 10-hour work week and competitive dancing. She is also one of approximately 30,000 Americans living with cystic fibrosis (CF), a progressive genetic disease that makes it difficult to breathei.

Taylor has been taking a combination of medicines to treat and manage her disease since her diagnosis when she was six days old. In the U.S., approximately 1,000 people are diagnosed with CF each yeari. CF is a disease you are born with.

“Cystic fibrosis has always been a part of my life, but I don’t let it define me,” said Taylor. “I’m still able to do the things I love, like competitive dancing and advocating for other people with cystic fibrosis.”

There is no cure for the life-shortening disease, but therapies are available for some people that target the underlying cause of CFii. CF is caused by a reduction in the quantity and/or function of cystic fibrosis transmembrane conductance regulator (CFTR) proteins resulting from gene mutations that leads to the buildup of mucus in organs, such as the lungsi.

After talking with her treatment team and family, Taylor participated in a clinical trial for SYMDEKO™ (tezacaftor/ivacaftor and ivacaftor). SYMDEKO was recently approved by the Food and Drug Administration (FDA) for the treatment of cystic fibrosis (CF) in patients aged 12 years and older who have two copies of the F508del mutation or who have at least one mutation in the CF gene that is responsive to SYMDEKO.

“SYMDEKO is a new treatment option that helps the body’s CFTR proteins work better,” said Patrick Flume, M.D., Director of the Cystic Fibrosis Program at the Medical University of South Carolina. “Scientific innovations have enabled medicines to target cystic fibrosis at its root. I encourage patients and their families to work with their doctors to understand how these developments may help them.”

SYMDEKO is made up of two medicines that work to help increase the quantity and function of CFTR protein in certain people with CF. The FDA approval of SYMDEKO was based on results from two global Phase 3 trials in approximately 750 patients, which demonstrated the safety and efficacy of SYMDEKO in people with CF ages 12 and older who had certain mutations in the CFTR gene.

“I’m excited about new discoveries and research in cystic fibrosis, because they have a very real impact on my life and the lives of others with cystic fibrosis,” said Taylor.

Indication and Important Safety Information for SYMDEKO tablets (tezacaftor 100 mg/ivacaftor 150 mg and ivacaftor 150 mg)

What is SYMDEKO (tezacaftor/ivacaftor and ivacaftor)?
  • SYMDEKO is a prescription medicine used for the treatment of cystic fibrosis (CF) in patients aged 12 years and older who have two copies of the F508del mutation, or who have at least one mutation in the CF gene that is responsive to treatment with SYMDEKO.
  • Talk to your doctor to learn if you have an indicated CF gene mutation.

It is not known if SYMDEKO is safe and effective in children under 12 years of age.

Important Safety Information

Do not take SYMDEKO if you take certain medicines or herbal supplements such as:
  • antibiotics such as rifampin (Rifamate®, Rifater®) or rifabutin (Mycobutin®)
  • seizure medicines such as phenobarbital, carbamazepine (Tegretol®, Carbatrol®, Equetro®) or phenytoin (Dilantin®, Phenytek®)
  • St. John’s wort

Talk to your doctor before taking SYMDEKO if you take any of the medicines or herbal supplements listed above.

Before taking SYMDEKO, tell your doctor about all of your medical conditions, including if you:
  • have or have had liver problems
  • have kidney problems
  • are pregnant or plan to become pregnant. It is not known if SYMDEKO will harm your unborn baby. You and your doctor should decide if you will take SYMDEKO while you are pregnant
  • are breastfeeding or planning to breastfeed. It is not known if SYMDEKO passes into your breast milk. You and your doctor should decide if you will take SYMDEKO while you are breastfeeding

SYMDEKO may affect the way other medicines work, and other medicines may affect how SYMDEKO works.

Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements, because the dose of SYMDEKO may need to be adjusted when taken with certain medicines.

Especially tell your doctor if you take:
  • antifungal medicines such as ketoconazole (e.g., Nizoral®), itraconazole (e.g., Sporanox®), posaconazole (e.g., Noxafil®), voriconazole (e.g., Vfend®), or fluconazole (e.g., Diflucan®)
  • antibiotics such as telithromycin (e.g., Ketek®), clarithromycin (e.g., Biaxin®), or erythromycin (e.g., Ery-Tab®)
What should I avoid while taking SYMDEKO?
  • SYMDEKO can cause dizziness in some people who take it. Do not drive a car, use machinery, or do anything that needs you to be alert until you know how SYMDEKO affects you.
  • Avoid food or drink that contains grapefruit or Seville oranges while you are taking SYMDEKO.
What are the possible side effects of SYMDEKO?
SYMDEKO can cause serious side effects, including:
  • High liver enzymes in the blood have been reported in people treated with SYMDEKO or treated with ivacaftor alone. Your doctor will do blood tests to check your liver:
    • before you start SYMDEKO
    • every 3 months during your first year of taking SYMDEKO
    • every year while you are taking SYMDEKO
  • Your doctor may do blood tests to check the liver more often if you have had high liver enzymes in your blood in the past.
  • Call your doctor right away if you have any of the following symptoms of liver problems:
    • pain or discomfort in the upper right stomach (abdominal) area
    • yellowing of your skin or the white part of your eyes
    • loss of appetite
    • nausea or vomiting
    • dark, amber-colored urine
  • Abnormality of the eye lens (cataract) in some children and adolescents treated with SYMDEKO or with ivacaftor alone. If you are a child or adolescent, your doctor should perform eye examinations before and during treatment with SYMDEKO to look for cataracts.
The most common side effects of SYMDEKO include headache, nausea, sinus congestion, and dizziness.

These are not all the possible side effects of SYMDEKO. Call your doctor for medical advice about side effects. You are encouraged to report side effects to FDA at 1-800-FDA-1088.

Please click here to see the full US Prescribing Information for SYMDEKO.

To learn more about SYMDEKO, visit www.SYMDEKO.com.

i Cystic Fibrosis Foundation. About Cystic Fibrosis. Available at https://www.cff.org/What-is-CF/About-Cystic-Fibrosis/. Accessed February, 2018.
ii Pettit, RS and Fellner C. CFTR Modulators for the Treatment of Cystic Fibrosis. P T. 2014 July; 39(7): 500-511. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103577/.

© 2018 Vertex Pharmaceuticals Incorporated | VXR-US-23-00149 | 02/2018


Visit Durban for an unforgettable South African experience

2018-02-08T10:32:00

(BPT) – Think of South Africa, and images of majestic savannas and roaming wildlife come to mind. A South African safari is an unforgettable experience, but no visit to the country is truly complete without a cultural immersion. The vibrant city of Durban combines the best of both worlds. Located along the Indian Ocean coast an hour from Johannesburg by air, Durban offers an eclectic array of activities where you can explore the city’s significant role in world history, the rich heritage of its Zulu people, and innumerable natural wonders — from the beach to the bush.

Experience authentic Zulu culture

Named for its dramatic surrounding landscape, the Valley of 1,000 Hills has been home to the Zulu people, South Africa’s largest ethnic group, for centuries.

Visitors can take an organized tour deep into tribal lands to experience Zulu culture with its exuberant ceremonies, traditional music and dancing. You’ll learn about Zulu beliefs and healing practices, break bread with local families and learn the hidden meanings behind their colorful beadwork. You can even arrange one-on-one sessions with the village healer or spend the night with a Zulu family in their home.

Walk in Gandhi’s and Mandela’s footsteps

Not everyone is aware that Mahatma Gandhi’s life work was inspired by his experiences in Durban. In 1893, he arrived as a young lawyer, and the discrimination he witnessed personally and against his fellow Indians drove him to start his worldwide movement of passive resistance fighting for the rights of the Indian population. At the Phoenix Settlement, you will see Gandhi’s house and the printing press he used to publish his newspaper, The Indian Opinion. Many of the more than one million Indians living in the city make the pilgrimage to this historical site alongside visitors from around the world.

Five years after his death, Nelson Mandela remains South Africa’s most revered public figure. 2018 marks a year-long celebration of his life and what would have been his 100th birthday on July 18. Honor his work when you’re in Durban by visiting the Nelson Mandela Capture Site, at the exact spot where he began his “Long Walk to Freedom” after being arrested for anti-Apartheid activism in 1952. Visit the striking monument and educational exhibition walking you through Mandela’s life and role in establishing a democratic South Africa.

Hit the beach at Umhlanga Rocks

Umhlanga Rocks, Durban’s laidback beach village, is on a picturesque stretch of the Indian Ocean. It beckons visitors with a scenic promenade passing by local landmarks including Umhlanga Lighthouse and Whale Bone Pier. A walkable downtown makes dining and nightlife easily accessible from the area’s many boutique hotels and guesthouses, and opportunities to get on the water abound — from surfing to deep sea fishing, scuba diving, whale watching and kiteboarding.

Discover an underwater wonderland

Consistently rated one of the top warm water diving and snorkeling sites in the world, Aliwal Shoal is also the spot to get up close and personal with blacktip reef sharks. Those brave enough can swim or dive alongside these mysterious creatures in the open ocean, but viewing from inside a cage is always an option.

Experience a Big Five safari

Back on land, the South African bush is less than four hours away by car. Private game reserves offer high-end safari lodge accommodations, minimal crowds and optimal chances for getting the perfect photos of the “Big Five” — elephants, rhinos, water buffalo, lions and leopards. In iSimangaliso Wetland Park, a UNESCO World Heritage Site, hippos, crocodiles, pelicans and flamingos roam Lake St. Lucia, while elephants, giraffes and leopards inhabit the adjacent grasslands.

Visit www.durbanexperience.co.za to learn more.


7 things you didn’t know about adult vaccination in the U.S.

2018-02-08T10:31:00

(BPT) – Even though vaccines are one of the greatest health innovations of the last century, a new survey shows that among some adults in America there is a lack of awareness about the immunizations they need as adults.

According to an online survey of 1,000 American adults aged 18 years and older, there is a critical gap between awareness and action when it comes to vaccination.1

Adults should talk to their healthcare providers about the Centers for Disease Control and Prevention’s list of recommended adult vaccines. The best way to protect yourself and those closest to you is to vaccinate for life. So, ask your doctor if you are up to date on all your vaccines. It’s a simple step that can help protect you, your family and your community.

1. Adults may think they know, but they have no idea

Nearly half of adults consider themselves to be “very” or “quite” knowledgeable about vaccines,2 yet fewer than three in ten Americans are aware of the vaccines recommended for adults their age.1

2. Vaccines are not just for kids

Most of us are familiar with the importance of vaccination during childhood; however, vaccination is equally important throughout adulthood, as the immune system begins to decline with age.3 Immunosenescence, also known as age-related decline in immunity, significantly contributes to the susceptibility of older adults to serious, yet preventable conditions including: influenza, pneumonia and shingles.3 Despite this, 65 percent of adults are not fully up to date on their vaccines.1

3. Vaccines may help save your life

Six million deaths are prevented globally each year as a result of vaccination. If global vaccination rates increased, even more deaths could be prevented.4

4. Vaccination may prevent unnecessary death

Vaccine-preventable diseases can cause long-term illness and even death. In fact, 99 percent of the more than 50,000 deaths from vaccine-preventable diseases that occur every year in the U.S. are in adults.5

5. Vaccination may protect against more than just vaccine-preventable diseases

Vaccination can also protect against other health problems. In fact, vaccinating against the flu can also help protect people against heart attacks and stroke.6

6. Vaccine knowledge may supersede action

Despite longstanding recommendations for the use of many vaccines, adult vaccination rates remain low. In 2015, the flu vaccination rate for adults aged 19 and older was less than 45 percent, Tdap (Tetanus/diphtheria/pertussis) vaccination rate for adults was only about 23 percent, and shingles vaccination rate for adults 60 and older was just about 31 percent.7

7. Vaccination may impact all of us in unexpected ways

Medical costs related to vaccine-preventable diseases in older adults are high and are expected to grow substantially in the coming years. One study forecasts U.S. medical costs for Americans 65 and older in the Medicare population to be $4.74 billion annually by 2030 for just one vaccine-preventable disease.8


1 Vaccinate for Life consumer survey. Exploration based on Q9. Which of the following statements best describes how up-to-date you consider yourself to be on vaccinations. I am aware of the vaccines recommended to adults of my age and have received all of these recommended vaccinations. Total base all respondents n=1000.

2 Vaccinate for Life consumer survey. Exploration based Q4A. How knowledgeable do you consider yourself to be on adult vaccinations, also referred to as immunizations? Are you … very knowledgeable, quite knowledgeable, not quite knowledgeable, not at all knowledgeable. Total base all respondents n=1000.

3 American College of Physicians et al. Aging and Immunity: The Important Role of Vaccines, 2017. Available at https://www.acponline.org/system/files/documents/clinical_information/resources/adult_immunization/aging_and_immunity_guide.pdf.

4 Ehreth J. The global value of vaccination. Vaccine. 2003;21:596-600.

5 Rice HR, Varkey P. What immunizations should I offer to my patients? A primer on adult immunizations. J Assoc Physicians India. 2011; 59:568-72.

6 Hung IFN et al. Prevention of acute myocardial infarction and stroke among elderly persons by dual pneumococcal and influenza vaccination: a prospective cohort study. Clin Infect Dis. 2010; 51:1007–1016.

7 U.S. Centers for Disease Control and Prevention. Surveillance of Vaccination Coverage Among Adult Populations — United States, 2015. MMWR Surveill Summ. 2017; 66(11):1–28.

8 Varghese L et al. The temporal impact of aging on the burden of herpes zoster. BMC Geriatrics. 2017;17:30.


Fight for your sight: 5 tips to fight Age-related Macular Degeneration

2018-02-08T16:01:00

(BPT) – The ability to see is one of our most precious gifts. Like most things in life, our vision may be impacted as we age. That’s why it’s important to learn about Age-related Macular Degeneration (AMD). Prevalent among older Americans, it affects one in five adults age 65 and older, and is the leading cause of blindness for this population. While there is no cure for this condition, there are steps that you can take to help reduce the risk of progression, including:

1) Schedule routine eye exams. As early stages of AMD may not present any symptoms, you may not think to consult your eye doctor. Keeping routine eye exams that include eye dilation may help to identify the condition early, as well as help maintain overall eye health.

2) Address symptoms immediately. See your eye care professional right away if you experience sudden or gradual changes in vision quality. As AMD progresses, straight lines may appear distorted, central vision may look dark, blurry or white, or changes in color perception may become noticeable. If you have been diagnosed with AMD, you should also regularly check your eyes with an Amsler grid tool that helps track incremental vision changes.

3) Lead a healthy lifestyle. If you smoke, quit. Regular exercise can also help to maintain eye health and minimize the risk of progression. Other risk factors for AMD include obesity, high cholesterol and high blood pressure.

4) Eat right. A diet rich in green, leafy vegetables as well as healthy fatty acids may also help reduce the risk of progression. Foods that contain these nutrients include: spinach, kale, broccoli, cabbage, romaine and chard, and fatty fish such as salmon, sea bass, herring, whitefish, mackerel, anchovies and sardines.

5) Consider supplements recommended by the National Eye Institute. If you’ve been diagnosed with moderate to advanced AMD, The National Eye Institute recommends taking a specific nutrient formula based on the AREDS 2 study, that may help reduce your risk of progression. Talk with your doctor to see if an AREDS 2 formula eye vitamin is right for you.

To raise awareness of this public health issue, Bausch + Lomb, in collaboration with Prevent Blindness, the nation’s oldest volunteer eye health and safety organization dedicated to fighting blindness and saving sight, has launched the Why Eye Fight campaign.

To learn more about AMD, what steps you can take to help fight for your sight or to watch the patient stories or PSA, visit www.WhyEyeFight.com. You can also join the online conversation and share your story using #WhyEyeFight on Facebook and Twitter.


Five Ways You Can Support Your SweetHeart This Valentine’s Day

2018-02-13T15:07:00

(BPT) – Like millions of Americans, your loved one may be living in a bad relationship this Valentine’s Day — the relationship between diabetes and their heart. People with type 2 diabetes are up to four times more likely to develop cardiovascular disease than people without diabetes. Yet, over half of Americans with type 2 diabetes are unaware of this link as they celebrate the holiday with those they cherish most. In fact, people with type 2 diabetes spend 1,000 percent more time planning for Valentine’s Day than talking to their doctor about their heart disease risk.

But, this year, caregivers who have joined the For Your SweetHeart® movement are making sure their sweethearts with type 2 diabetes know their risk and take action. Here are five ways to support and celebrate your sweetheart, so they can be around for a long time:

1. Have a heart-to-heart with your loved ones

Award-winning actress Angela Bassett has a heart-to-heart with her uncle Ralph, who has type 2 diabetes.

Don’t wait to open up to those you love. Award-winning actress Angela Bassett had a heart-to-heart with her uncle Ralph, who has type 2 diabetes, about managing his risk for heart disease. Bassett learned about the connection between the two conditions after her mom, Ralph’s sister, died of heart disease related to her type 2 diabetes. “For my mom, this knowledge came too late. But the good news is the sooner you know your risk, the more you and your doctor can do about it,” Bassett said. You can find tips for talking to your sweetheart about their risk on ForYourSweetHeart.com.

2. Know the facts

People with diabetes spend over 1,000 percent more time planning for Valentine’s Day than talking to their doctor.

Over 80 percent of adults with type 2 diabetes would change their diet, exercise and talk to their doctor if they knew they were at an increased risk for heart disease. Yet, more than half are still unaware of the connection. Endocrinologist Jennifer Green, M.D., associate professor of Medicine, Duke University Division of Endocrinology and Duke Clinical Research Institute, explained that people with diabetes are at higher risk for plaque to build up on the walls of arteries, which makes it easier for cholesterol to gather. Eventually, this reduces the space through which blood can flow, and may lead to life-threatening problems like heart attacks and strokes. “Diabetes is a progressive condition and even if blood sugar is controlled, the heart disease risk remains,” Dr. Green said. Encourage your sweetheart to talk to their doctor at their next appointment about available treatment options.

3. Show support at your sweetheart’s next appointment

Cardiologist Dr. Karol Watson and her father, Edward, who has type 2 diabetes and experienced a heart attack related to his diabetes.

Scheduling an appointment with a healthcare provider is an important first step to addressing the link between type 2 diabetes and heart disease. And you can lend a hand by going with your sweetheart. After her dad, Edward, who has type 2 diabetes, had a heart attack, Karol Watson, M.D., Ph.D., FACC, professor of medicine/cardiology, co-director, UCLA Program in Preventive Cardiology, decided to pursue cardiology to dedicate her life’s work to helping people with diabetes understand their risk for cardiovascular disease. She sees firsthand how overwhelming it can be for people to learn about their increased risk for heart disease, so she suggests bringing your sweetheart to help take notes and ask questions. People can start this conversation with their sweetheart by downloading the patient discussion guide on ForYourSweetHeart.com and bringing it to their next doctor’s appointment.

4. Make a diabetes- and heart-friendly commitment

Jacqueline encourages her sweetheart, Sadegh, to do all he can to manage his type 2 diabetes and heart disease risk.

Sometimes the sweetest gift isn’t a box of chocolates — instead, you can show how much you care by making a commitment to support your sweetheart’s healthy choices to help manage their type 2 diabetes and heart disease risk. As a self-proclaimed “cupcake-lover,” heart-health advocate Jacqueline modifies her Valentine’s Day celebration to help her sweetheart, her husband Sadegh, eat well, exercise and manage his blood sugar. Sadegh has type 2 diabetes and suffered a heart attack from complications associated with the condition. Jacqueline encourages him to do everything he can to manage his condition so he can be around for many more Valentine’s Days.

5. Spread the love

Talk to your sweetheart about resources available to them to help them get smart about their heart disease risk.

If your loved one has type 2 diabetes, encourage them to visit ForYourSweetHeart.com to take the Heart You Quiz and understand their risk for heart disease, so they can be around for a long time. Sign up to receive more information about type 2 diabetes and heart disease that may help them talk with their doctor at their next appointment about their heart disease risk and available treatment options to help manage it. Spread the word about the connection and show your love because, by having a heart, you might just save theirs.


Improve your heart health in 2018 with these tips

2018-02-15T14:01:00

(BPT) – When it comes to maintaining and/or improving your heart health, it’s the little things you do day after day that can have a big impact on your immediate and long-term health.

A healthy diet and plenty of exercise are naturally the first things you think of when looking at ways to support your body’s most important muscle, but to really make your heart health initiatives as effective as possible, you need long-term solutions, not quick fixes.

The American Heart Association (AHA) has long been at the forefront of heart healthy initiatives, and this year’s Life is Why We Give (TM) campaign is drawing support from people and companies — like Pilot Flying J — all across the nation. In order to help you live a healthier life in 2018, follow these seven heart-healthy tips today.

1. Be careful of what you snack on between meals. High-fat and high-sugar snacks are popular, but ultimately unhealthy. Opt for fresh instead of processed and choose fresh fruits and vegetables for your snacks between meals.

2. Don’t just drink the drink. Your beverage choices could add unnecessary fats and sugar to your diet, so choose low-sugar and no-sugar alternatives as well as low-fat milk or cream for your coffee. This way you’ll avoid drinking empty calories.

3. Avoid ordering before-the-meal extras. Cocktails, appetizers, even bread and butter are all sources of extra fat, sodium and calories. Cut them out and your calorie intake will drop — and so will your bill.

4. On the side, please. Ask for butter, cream cheese, salad dressings, sauces and gravies to be served on the side when you dine out. This allows you to better control the quantity you consume.

5. Explore your options. When ordering fish or chicken, avoid fried whenever possible. Choose boiled, baked or grilled options instead for a healthier alternative.

6. Think small. Cutting back on portion sizes is a great place to start eating healthier, so don’t be afraid to ask for a smaller serving when you dine out. If smaller portions aren’t available, ask for a to-go box when you order and place the rest of your entrée in the box to eat later.

7. Make a healthy substitution. Often a healthier choice is available for nearly any dish. For example, if you order an item that naturally comes with French fries or onion rings, ask whether you can get a side of fruit or vegetables instead. It may cost you more, but the switch is certainly worth it.

To find answers to your health questions and to receive health services support in your area, stop by one of the Urgent Care Travel (UCT) medical clinics available at select Pilot and Flying J Travel Centers.


5 things your doctor may not have told you about heart disease

2018-02-20T07:01:00

(BPT) – Every day your heart beats an estimated 100,000 times to move 2,000 gallons of blood through your body. That equates to more than 2.5 billion beats in your lifetime! It’s no surprise heart health is a priority for many people, especially considering that heart disease is so common.

One in four deaths in the United States is caused by heart disease. More than 610,000 people die of heart disease in the U.S. every year, making it the leading cause of death for both men and women, according to the Centers for Disease Control and Prevention.

You know you need to eat a nutritious diet, exercise and avoid smoking. However, there’s a lot more you need to know to protect yourself and your family. Consider these five surprising things your doctor may not have told you about heart disease.

Heart disease can be caused by a genetic disorder

You may never heard of familial hypercholesterolemia (FH), a common, but inherited genetic disorder that causes heart disease. FH affects approximately one in 250 people worldwide, but currently 90 percent of people born with this genetic condition are not diagnosed. Individuals with FH have a high amount of low density lipoprotein (LDL) or “bad” cholesterol in their blood from birth. This lifelong burden of cholesterol is a major reason why FH leads to very early and severe heart disease. The good news is that FH is manageable if detected and treated early in life. If high cholesterol and early heart disease runs in your family, learn more at thefhfoundation.org.

Many heart attacks occur outside the hospital

About 47 percent of sudden cardiac deaths occur outside a hospital, according to the CDC. This suggests that many people with heart disease don’t recognize or act on early warning signs.

Heart attacks have several major warning signs and symptoms:

  • Chest pain or discomfort.
  • Upper body pain or discomfort in the arms, back, neck, jaw or upper stomach.
  • Shortness of breath.
  • Nausea, lightheadedness or cold sweats.

Know the signs. Trust yourself. If you have any of these symptoms or sense something is just not right, call 911.

Heart disease affects young people

Many people think heart disease occurs in old age, but it can affect people of all ages. Even if you or your family members are 30 years old or younger, you could be affected, especially if you have risk factors like high cholesterol or a family history of heart disease. Keep in mind, each child with a family member with FH has a 50 percent chance of inheriting the disorder, which is present since birth. Untreated individuals with FH have up to a 20 times increased lifetime risk of early heart disease, yet 90 percent of people with FH are undiagnosed, according to the FH Foundation.

Children (even infants) can have high cholesterol

Many adults are regularly screened for high cholesterol, but it’s not as common for children to be screened, although the American Academy of Pediatrics recommends that all children between the ages of 9 to 11 be screened for high cholesterol. These guidelines also recommend screening for FH as early as age 2 years if there is a family history of high cholesterol, early heart disease or known FH. Talk to your children’s doctor about screening. FH is characterized by an LDL-C level of over 190 mg/dL in adults, or over 160 mg/dL in children. FH may also be confirmed with a genetic test, although this is not necessary for diagnosis.

You can maintain a healthy heart at any age

Being diagnosed with high cholesterol, heart disease or even FH is not a death sentence. Every person’s health considerations are unique, but by working with your doctor, you can come up with a plan to help manage your health and maintain the strongest heart possible. This could include lifestyle changes and medications to manage the LDL cholesterol level in the blood. The key is to keep asking questions, learn about your specific health needs and stay dedicated to your heart health plan.


5 tips from a tea expert to brew the perfect cup

2018-02-05T08:01:00

(BPT) – For most of us, a little evening downtime is not a luxury — it’s a necessity. After a hectic day of work, commutes, kids and dinner prep, we deserve to take a moment to slow down and enjoy some hard-earned “me time.”

Instead of using this time to stream your favorite show or scroll through social media, try a gentle and relaxing activity that puts your focus on the present moment and makes this time truly enjoyable.

“For a relaxing end-of-day activity, there’s nothing quite like preparing and savoring the perfect cup of herbal tea,” says Stephen Twining, whose family founded the world-famous tea brand, Twinings of London, in 1706.

The steps we take to prepare and enjoy our perfect cup of tea can help us unwind and feel refreshed, Twining says. Tea releases pleasing scents, the warm brew makes comforting sensations as we wrap our fingers around the mug and take sips, and there’s the deep and satisfying flavors of the tea itself.

Of course, when we’re engaged in a mindful activity, it’s that much easier to let go of daily stress and transition into a more relaxed state. Follow these five tips from Twining to brew your favorite cup of herbal tea, and try making this a part of your end-of-day ritual.

1. Start fresh: The perfect cup of tea starts with a clean mug and a clean kettle of fresh, cold water. Never reuse water that’s already been boiled, because that can weaken the tea’s flavor, Twining says.

2. Don’t over-boil: As soon as the water reaches a boil, it’s time to remove the kettle from the heat source.

“I never let the water over-boil because in doing so, you will cause the oxygen in the water to be reduced, making the tea taste ‘flat,’” Twining says. For that reason, he recommends not using a microwave to boil the water.

3. Savor the moment: Set the tea bag in the mug before you add hot water, pouring it directly onto the tea bag. Just then, it starts releasing its herbal scent, so make sure you take a moment to inhale and relax while enjoying the aroma. Twinings offers a range of herbal teas each expertly blended to provide the perfect balance of taste, flavor and aroma. For example, Buttermint has a refreshing blend of peppermint leaves combined with the creamy flavor of vanilla for a smooth taste and rich aroma, perfect for helping you unwind.

4. Wait for the perfect flavor: Many people make the mistake of thinking that once the brew darkens, it’s ready to drink. However, Twining says color merely washes off the tea leaves early in the process, so don’t let the appearance mislead you. To make sure the flavors fully develop, know how much time your tea needs to brew, and keep an eye on the clock. Herbal teas should steep for a full four minutes.

5. Customize and enjoy: Hopefully, you will find your perfectly brewed cup of herbal tea needs no embellishment because the expertly blended herbs and flowers will provide all the flavor you need. But as Twining says, “The best cup of tea is the one you like the most,” so feel free to make adjustments. The recommended add-ins for herbal teas are honey, sugar or a squeeze of lemon — do not add milk or cream. For a deeper flavor, let the tea steep a minute or two longer.

After a long day, you definitely earned this moment, so make sure you take time to enjoy it. If you’re interested in exploring Twinings’ complete line of herbal teas, visit twiningsusa.com.


5 ways to support your child and address issues at school

2018-02-14T14:01:00

(BPT) – Children and teens experience some of the most important moments of their lives at school. It’s where they spend two-thirds of their waking hours. Of course, school can be stressful, too — and not just because of pop quizzes and science projects.

“Stress isn’t the same for all children, and it impacts every one differently,” said Dr. Cheryl S. Al-Mateen, medical director of the Virginia Treatment Center for Children. “In fact, in some cases this stress can even be traumatic. If left unnoticed, it can lead to real mental health concerns, including depression, anxiety, self-harm and even substance abuse.”

Everyone deserves to feel comfortable talking about mental health — it plays an important role in a child’s overall health. Sometimes, however, topics around mental health can feel overwhelming or confusing for parents. Many may find it difficult to spot the difference between traditional school stress and the possibility of potential trauma. Fortunately, there are many resources available to help. As a start, Dr. Al-Mateen has five recommendations to support parents in understanding school issues, helping children cope and tackling potential problems.

* Check in about school. It can be difficult in our go-go-go world, but give your child your undivided attention for 5 to 10 minutes every day. Talk about their friends, teachers and classes. Open yourself to hearing the good and the bad, and ask what they find difficult — like feeling too nervous to talk or being teased for talking too much. These conversations help you identify problems as they arise, teach your child problem-solving skills and reinforce how deeply you care about their wellbeing.

* Strengthen your lines of communication. Your child may be more open about school if you have frequent conversations about other things as well. Talk to them about the little stuff, and they’ll be more apt to tell you about the big stuff. Listen without judging, and be ready to engage them in an activity if that makes them more comfortable. Braiding your child’s hair, shooting a few baskets in the driveway or working a puzzle can lead to a great conversation.

* Work with your school. If your child is showing signs of stress that concern you, don’t be afraid to reach out to their teacher(s) or school principal. Your child’s teacher may be able to shed light on what’s causing the stress and, if nothing else, can help watch out for your child during the school day.

* Establish a routine at home. Children thrive in stable, consistent environments. Creating a predictable schedule is helpful, if you can, but sometimes that’s just not possible. Make a big family calendar and keep it where everyone can access it. This empowers children to know what’s coming up and helps provide the solid foundation they crave at home. They’ll be better prepared to deal with changes and unexpected situations they may face at school.

* Seek help when you need it. How do you know if your child needs help beyond what you or the school can provide? Look for warning signs. For example, young children may complain about stomachaches and headaches that have no physical explanation. When depressed, a child may say that they’re angry, rather than sad, so listen for both — especially when their eating or sleeping patterns also change dramatically, they seem to have low energy or they aren’t taking pleasure in things they enjoyed before. These may be signs of a larger problem that needs to be addressed immediately with help from mental health professionals.

The school years are exciting, important times for your children, but they can be tough. Check in with your child daily and don’t downplay the stress they may feel. Recognizing potential issues quickly can help prevent larger problems down the road. To learn more about the Virginia Treatment Center for Children and to find more resources to support you and your child, visit chrichmond.org/vtcc.


Eating healthy has never been more delicious

2018-02-14T16:21:00

(BPT) – Yoga mats, kale salads, fitness trackers, standing desks and gym memberships. It seems like everywhere you look, people are taking strides to get healthier. And with good reason.

In the U.S., 37.9 percent of adults aged 20 and older suffer from obesity, and heart disease accounts for one out of every four deaths. Despite these harrowing numbers, many people have difficulty embracing a heart-healthy lifestyle, especially when it comes to food.

Part of the reason for this is that too often people think that eating right involves a list of what you cannot eat.

It’s easier to focus on all the things you can eat.

As February is American Heart Month, it’s a perfect opportunity to consider how easy and delicious it is to stick to a heart-healthy diet.

Embrace convenience

Sometimes, at the end of the day you just want a quick meal. Unfortunately, most fast food options and restaurants don’t offer heart-healthy options.

Fortunately, Sun Basket, a rapidly growing healthy meal kit service, has developed a recipe each week that meets the American Heart Association’s(R) Heart-Check guidelines for a heart-healthy diet, and conveniently delivers them right to your door.

Sun Basket’s Heart-Check certified recipes have undergone meticulous evaluation to ensure each recipe meets the American Heart Association’s(R) strict nutrition guidelines for a main dish, with each serving having:

* No more than 500 calories

* No more than ≤ 3.5 grams of saturated fat

* No more than 600 mg of sodium

* A serving from at least two of the following food groups: Meat, poultry, fish, dry beans, eggs or nuts; fruits and vegetables; milk, yogurt or cheese; bread, cereal or pasta

* No added sugar and no trans fats

Eat deliciously

There’s a widespread misconception that a heart-healthy diet involves giving up all meat and snacks and only eating kale and whole grains.

That’s far from the truth. Many of the best cuts of meat are also ideal for a heart-healthy diet and can satisfy the most ardent carnivore. Pork tenderloin, skinless chicken and turkey breasts are naturally lean, while fatty fish, like salmon, trout and tuna, are loaded with omega-3 fatty acids.

As far as snacks go, it’s really just a matter of embracing things like fresh fruit with low-fat yogurt, vegetables and hummus, or a savory mix of nuts like almonds, walnuts and pistachios.

The list goes on, but the point is that a heart-healthy diet doesn’t have to be limiting; rather, it’s full of delicious food.

Shopping is easy

So how do you know if something meets the nutritional standards you need to maintain a healthy heart? You don’t need to be a nutritionist for this. Simply look for the American Heart Association’s(R) iconic Heart-Check mark on food packages when you ship, and you’ll instantly know it meets the Association’s recommendations to be part of a healthy eating pattern.

Try it and see

Still not convinced about how delicious and easy it is to follow a heart-healthy diet? Check out this recipe for Sun Basket’s Tandoori-style chicken with Bombay curried potatoes.

In your box you’ll receive:

2 to 4 boneless skinless chicken thighs

Tandoori spice blend

1 onion

Potatoes

4 sprigs of fresh cilantro

1 teaspoon curry powder

1 cup vegetable broth

1/2 cup diced tomatoes

2/3 cup peas

1 1/2 ounces baby greens

1. Prep and cook the chicken

Preheat oven to 425 degrees.

Pat the chicken dry with a paper towel. Season generously with salt, pepper and the tandoori spice blend.

Place the chicken on a pan lined with foil and roast at 425 degrees for 15 to 20 minutes. Halfway through, turn it over.

2. Prep the Bombay potatoes

Chop 3/4 cup of onions.

Scrub potatoes and cut into 1/2-inch by 1/2-inch pieces.

Coarsely chop the cilantro for garnish.

3. Cook the Bombay potatoes

In a large frying pan warm 2 to 3 teaspoons oil over medium-high heat. Add the onion, season with salt and pepper, and cook until starting to soften. Stir in the curry powder and cook until fragrant, about 1 minute.

Add the potatoes, vegetable broth and tomatoes. Bring to a boil, reduce to a vigorous simmer, cover and cook between five and seven minutes.

Uncover and cook until the liquid has thickened and the potatoes are tender.

Stir in the peas and cook for about two minutes.

Stir in the greens and cook until just wilted.

Transfer the chicken and Bombay potatoes to individual plates, garnish with the cilantro.

Serve and enjoy.

Eating right shouldn’t be a chore. With Sun Basket’s Heart-Check certified recipes, it’s never been easier to enjoy a heart-healthy meal.