A simple guide to living a more plant-based lifestyle

2023-09-14T10:27:00

(BPT) – Whether you’re seeking a better approach to your diet, a more environmentally conscious lifestyle or both, you’re in good company. Last year’s plant-based food market in the U.S. totaled $8 billion, up 7% from 2021 — and interest in plant-forward eating is not slowing down. Whatever your reasons for wanting to make this change, you probably have questions. Do you want to go vegan, or just vegetarian? Can you add a few more plant-based foods to your day and reap the benefits?

“A diet centered around fruits, vegetables and other plant-based foods can deliver nutrients your body uses for energy while avoiding many of the drawbacks associated with eating meat,” said Dr. Luigi Gratton, M.D., M.P.H. and vice president of Training for Herbalife. “Eating whole fruits, vegetables, nuts, seeds and grains is beneficial because they contain a plethora of nutrients that support healthy function across all bodily systems.”

Although any effort to incorporate more plant-based foods into your routine offers benefits, it may be difficult to do all at once. To make lasting change, experts recommend taking one step at a time. New ways of shopping, cooking and eating take getting used to — as does adjusting to new flavors and textures.

What is a plant-based lifestyle?

“Plant-based” means you primarily eat food derived from plants. This is similar to the term “plant-forward,” emphasizing whole grains, fruits, vegetables, legumes, seeds and nuts — but not limiting you to those foods. Versions of plant-based diets include:

Vegetarian: You abstain from eating animal products including meat, poultry or fish. Vegetarians consider it acceptable to eat animal by-products, such as milk and eggs, if the animals are kept in adequate conditions.

Vegan: In the strictest version of the plant-based approach, you eliminate any food of animal origin. In addition to avoiding meat and seafood, vegans also avoid dairy products, eggs and honey. Vegan foods never contain byproducts of animal agriculture like lard, whey or gelatin.

Flexitarian: An alternative to vegetarian, flexitarians focus on fruits, veggies, whole grains, legumes and nuts, but occasionally include meat, poultry, fish or eggs. When incorporating meat, flexitarians choose organic, free-range, pasture-raised or grass-fed beef, chicken or turkey. This is a great option if you’re just starting to experiment with a plant-based lifestyle.

How do you know you’re getting enough nutrients?

One question for anyone considering going vegetarian or vegan is whether they’ll get enough protein and other nutrients for optimal health. Beyond seeking plant-based forms of protein like beans and legumes, nuts and seeds, iron-rich tofu and spinach, and whole grains like quinoa, you can add supplements to support your well-being with plant-based certified products like those from the Herbalife V Line.

“While following a plant-based lifestyle can be a very healthy way of eating, it may be tough to meet all your goals. For example, vegans seek good options to increase or meet their protein goals, including supplementation,” said Gratton. “Plant-based certified products like the shakes in the Herbalife V line can help you hit your macro target while taking out the guesswork of plant-based living.”

The product line offers four plant-based certified products to help simplify plant-based nutrition:

Plant-based Protein Shakes: Available in classic and chocolate flavors, their 20 grams of protein (pea, pumpkin seeds and chia) satisfies hunger, reduces food cravings, maintains lean muscle tone, sustains energy and promotes healthy skin. The shakes are also a source of non-heme iron.
Greens Booster: Formulated with special blends derived from organic fruits, vegetables, superfood powders and green tea, this is an easy way to add more fruit and vegetable ingredients to your daily routine.
Immune Support: Contains vitamins C, D and zinc to help balance and support daily immune health.*
Digestive Support: Oat and guar fibers support a healthy gut, digestion and regularity.*

Herbalife V products are backed by science and rigorously tested for quality. All products are certified USDA Organic, non-GMO-verified, Kosher, as well as Plant-based and Vegan by FoodChain ID. They’re formulated with no soy or dairy, with no artificial sweeteners or flavors. Herbalife V is available in the U.S. and Puerto Rico exclusively through Herbalife independent distributors. Learn more at Herbalife.com/herbalifev.

Ready to get started? Begin adding one plant-based meal per day, then slowly increase to three a day over the course of a month or two. Before you know it, you’ll be following a plant-forward lifestyle. Making one small change at a time can help improve your daily diet and overall wellness.

*These statements have not been evaluated by the Food and Drug Administration. This product is not intended to diagnose, treat, cure or prevent any disease.

Five Misconceptions About Enlarged Prostate

2023-09-12T08:01:00

(BPT) – Enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a condition in which the prostate grows and presses on the urethra. This can obstruct the flow of urine and can disrupt a man’s life by causing uncomfortable symptoms, like having a weak stream or difficulty starting or stopping urination.[1] BPH is a common condition in older men, yet there are many misconceptions about treatment options, their side effects and what it means to live with BPH.[2]

Here are five common myths about BPH.

1. Only older men get BPH

While it’s true that up to 90% of men develop BPH by age 85, younger men can develop the condition too. Did you know 50% of men by age 60 will develop BPH?2 Some data suggest that approximately 1 in 12 men between the ages of 41 and 50 can also suffer from BPH. Men with BPH may experience waking up throughout the night to urinate or the feeling that the bladder is not empty, even after relieving themselves.[3]

2. BPH is connected to prostate cancer

BPH and prostate cancer may present similar symptoms, but having BPH does not increase the risk of developing prostate cancer.[4] However, since they do have similar symptoms, such as a frequent urge to urinate or a weak urinary stream, it is important to talk to a doctor for an accurate diagnosis.4

3. If BPH symptoms aren’t severe, treatment isn’t needed

When BPH symptoms aren’t severe, health care providers may recommend a “watch and wait” approach, which may include behavior modifications and therapies.[5] Examples include:

  • Avoiding fluids prior to bedtime or before going out
  • Reducing consumption of diuretics such as caffeine or alcohol
  • Pelvic floor muscle training

If the “watch and wait” approach isn’t effective, minimally invasive treatment options may provide relief. It is important to speak with a healthcare provider to determine the best course of action to help maintain quality of life. By delaying treatment, men, particularly those who are older, may experience worsening BPH symptoms.[6]

4. Most treatment options for moderate or severe BPH require significant recovery time

For moderate or severe forms of BPH, treatment options beyond lifestyle adjustments may be recommended. For patients who want to avoid the potential side effects that come with some surgical procedures, minimally invasive procedures, such as Rezūm™ Water Vapor Therapy, may be an option. Rezūm Therapy uses the energy stored in water vapor to reduce the size of the prostate and provide lasting relief. It works by releasing water vapor into the excess prostate tissue that’s causing bothersome urinary symptoms.[7] Over time, the body’s natural healing response absorbs the treated tissue, shrinking the prostate.[8] Most patients who receive Rezūm Therapy return to regular activities within a few days after treatment and see symptom improvement within two weeks.[9]

5. Multiple treatments are required to treat BPH

Treatment options for BPH can include medication to manage symptoms, minimally invasive procedures and surgery.[10] While some patients require multiple treatments, others may not. A clinical study found that patients treated with Rezūm Therapy had sustained symptom relief and preserved their sexual function out to five years — with only 4.4% of study participants requiring another surgical treatment for BPH symptoms.7

For more information about BPH and treatment options, including Rezūm Water Vapor Therapy, visit Rezum.com.

References


[1] Mayo Clinic. Benign prostatic hyperplasia. Available at: https://www.mayoclinic.org/diseases-conditions/benign-prostatic-hyperplasia/ symptoms-causes/syc-20370087. Accessed May 2023.

[2] Harvard Health. The growing problem of an enlarged prostate gland. Available at: https://www.health.harvard.edu/mens-health/the-growing-problem-of-an-enlarged-prostate-gland. Accessed May 2023.

[3] Nimeh, Tony, et. al. Benign Prostatic Hyperplasia: Review of Modern Minimally Invasive Surgical Treatments. Seminars in Interventional Radiology. 2016 Sep; 33(3): 244–250.

[4] National Cancer Institute. Understanding Prostate Changes: A Health Guide for Men. Available at: https://www.cancer.gov/types/prostate/understanding-prostate-changes. Accessed May 2023.

[5] UpToDate. Patient education: Benign prostatic hyperplasia (BPH) (Beyond the Basics). Available at: https://www.uptodate.com/contents/benign-prostatic-hyperplasia-bph-beyond-the-basics. Accessed May 2023.

[6] Elkoushy MA, Elshal AM, Elhilali MM. Changing patients’ profile presenting for surgical management of benign prostatic hyperplasia over the past 16 years: A single-centre perspective. Can Urol Assoc J. 2015 Nov-Dec;9(11-12):372-8.

[7] McVary KT, Gittelman MC, Goldberg KA, et al. Final 5-year outcomes of the multicenter randomized sham-controlled trial of Rezūm water vapor thermal therapy for treatment of moderate-to-severe lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2021 Sep;206(3):715-24

[8] Data on file with Boston Scientific.

[9] McVary KT, Gange SN, Gittelman MC, et al. Minimally invasive prostate convective water vapor energy ablation: A multicenter, randomized, controlled study for the treatment of lower urinary tract symptoms secondary to benign prostatic hyperplasia. J Urol. 2016 May;195(5):1529-38.

[10] Cleveland Clinic. Benign Prostatic Enlargement/Hyperplasia (BPE/BPH). Available at: https://my.clevelandclinic.org/health/diseases/9100- benign-prostatic-enlargement-bph. Accessed May 2023.

Caution: U.S. Federal law restricts this device to sale by or on the order of a physician.

All treatments have inherent and associated risks. The Rezūm System is intended to relieve symptoms, obstructions, and reduce prostate tissue associated with BPH. It is indicated for men ≥ 50 years of age with a prostate volume 30cm3 ≤ 80cm3. The Rezūm System is also indicated for treatment of prostate with hyperplasia of the central zone and/or a median lobe. Potential risks include but are not limited to painful urination (dysuria), blood in the urine (hematuria), blood in the semen (hematospermia), decrease in ejaculatory volume, suspected urinary tract infection (UTI), and urinary frequency, retention or urgency. You should talk with your doctor about benefits and risks before moving forward with any treatment option.

All images are the property of Boston Scientific. All trademarks are the property of their respective owners.

Rezum.com is a website owned by Boston Scientific.

©2023 Boston Scientific Corporation or its affiliates. All rights reserved. URO-1669006-AA SEPT 2023

Ready to Take Charge of Your High Cholesterol? Here’s What You Can Do

2023-09-11T08:01:00

(BPT) – “I have a plan.” When Linda walked into her cardiologist’s office in 2022, she felt confident. This visit felt different—empowering, even. The retired nurse had been battling high levels of what’s known as “bad” cholesterol (aka low-density lipoprotein cholesterol or LDL-C) for more than 30 years—a struggle that millions of Americans know all too well. But this time around, she came prepared with a different game plan.

When lifestyle changes and statins (the most prescribed drugs used to lower cholesterol levels) aren’t enough, giving up on lowering your bad cholesterol isn’t an option. In honor of National Cholesterol Education Month this September, Linda is sharing her inspirational health journey to help other people struggling with high levels of bad cholesterol reach their personal LDL-C goals.

Who knows more about you than…you? While doctors are there to offer support and help every step of the way, it’s important to always advocate for yourself. And what is the very first step to opening a productive, two-way conversation? Honesty. If you’ve been doing everything as recommended by your doctor—such as replacing french fries with fruits, skipping that glass of wine each night, going for a walk around the block five times a week—and aren’t seeing results, say something.

Linda knows firsthand there’s nothing to be ashamed of. “The usual diet and exercise routine and my statin regimen that my doctor recommended was no longer getting me to my goal,” she shares. Over time, it became more of a priority to manage her overall health. Due to her family’s history with heart disease, Linda took her regular chest pains seriously as soon as they first began in the early 2000s. After a 20-minute episode resulted in an emergency cardiogram, her doctor informed her of plaque buildup and she had a stent put in. Despite her many attempts to get the situation under control, there always seemed to be more left to do to help get her bad cholesterol under control. This episode was the wake-up call she needed to make a change. “It felt like I was stuck in a cycle of putting in the effort and ending up disappointed, and the only way out was to try something new.”

That’s exactly why preparation is essential when it comes to doctor’s visits. It doesn’t hurt to familiarize yourself with how high levels of bad cholesterol affects the body and the steps you can take to moderate it. It could simply mean spending an hour or two reading through materials online, or asking family and friends about their experiences: which treatment did they decide on? How did it make them feel? How easy was it to stick to the prescription schedule? Educating yourself allows you to arrive with specific questions for your doctor, and in certain cases, even have a potential add-on treatment already in mind.

BE YOUR OWN ADVOCATE: 5 QUESTIONS TO ASK YOUR DOCTOR

  1. How effective is this medication for lowering my bad cholesterol?
  2. How can I find a medication that works for my lifestyle?
  3. How does this medication work?
  4. What side effects does the medication have and can it be taken with other medications?
  5. How much will the medication cost?

When Linda first heard of a new medication, called Leqvio® (inclisiran), that could help lower her bad cholesterol, it was as if a lightbulb went off in her mind. And after researching more about the twice-yearly injection (after two initial injections), she took the idea straight to her cardiologist and nurse practitioner.1

Leqvio is meant for patients with heart disease and those with an increased risk of developing heart disease, whose bad cholesterol levels still aren’t where they need after taking statins and making positive lifestyle choices.1 Leqvio works by stopping certain proteins in the liver from being made, thereby allowing your liver to remove more bad cholesterol from the bloodstream for six months with one dose.1

“Leqvio is the first and only treatment proven to lower bad cholesterol by 50% and keep it low with two doses a year,” explains Dr. Stephanie Saucier, MD and Director of the Women’s Heart Wellness Program at Hartford Hospital.1 “What I especially like is that it works with the body’s natural processes and can fit into your lifestyle. Having an effective bi-annual treatment can allow people to live their lives and not have to consistently plan around treatment.”

The journey to lowering bad cholesterol isn’t always simple. Finding a care team that empathizes with your experiences and tailors treatment to your needs can make life so much easier. In Linda’s case, for example, twice-yearly Leqvio made sense for her lifestyle. “I’ve always loved to travel. The fact that my husband and I can freely book a trip to Italy, instead of worrying about staying local for my frequent appointments or injections, is life-changing,” she shared. Working with your doctor to find the right routine and medication can help you feel confident in managing your bad cholesterol and allow you to focus on the things you love most.

High levels of bad cholesterol is a bad problem. But making the choice to improve it is a brave step towards a healthier future. The good news? It’s treatable. The better news? There are tools to help you reach your cholesterol goals, such as Leqvio, which along with a statin was shown to lower bad cholesterol levels by 50% in patients during each six-month dosing interval.1 It’s all about knowing your body and teaming up with your health care provider to find what works. Take it from Linda: “It all starts with one conversation. I can’t say it enough: talk to your doctor. You can be one conversation away from reaching your cholesterol goals.”

To learn more about Leqvio, visit Leqvio.com.

Sponsored by Novartis Pharmaceuticals Corporation

What is Leqvio?

LEQVIO (inclisiran) is an injectable prescription medicine used along with diet and other cholesterol-lowering medicines in adults with high blood cholesterol levels called primary hyperlipidemia (including a type of high cholesterol called heterozygous familial hypercholesterolemia [HeFH]) to reduce low-density lipoprotein (LDL-C) or “bad” cholesterol.

IMPORTANT SAFETY INFORMATION

The most common side effects of LEQVIO were: injection site reaction (including pain, redness, and rash), joint pain, and chest cold.

These are not all the possible side effects of LEQVIO. Ask your health care provider for medical advice about side effects. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please click here for Leqvio full Prescribing Information.

Reference
1. Leqvio. Prescribing information. Novartis Pharmaceuticals Corp.

Licensed from Alnylam Pharmaceuticals, Inc.

Novartis Pharmaceuticals Corporation

East Hanover, New Jersey 07936-1080 © 2023 Novartis 8/23 298504

Moving to a new beat: How one dancer found hope after a rare disease diagnosis

2023-09-08T14:01:02

(BPT) – For dancers, their body is their instrument. This is certainly true for Hannah, a young dancer who has always loved the performing arts and expressing herself through movement and music.

“My story will always start and end with my body as art,” Hannah said. “Growing up, I learned I could create something beautiful with different parts of my body, from the sound of my voice to the way I move my muscles through dance.”

While studying to become a theater artist in college, Hannah started encountering symptoms she couldn’t explain, including severe abdominal pain and nausea. At first, she assumed it was related to her menstrual cycle. But when the symptoms became worse and persisted while interfering with her daily life, she went to the emergency room to try and find answers.

This was the start of Hannah’s journey to figure out what was happening to her body. Doctors tried to treat her for gastrointestinal disorders, but her symptoms kept recurring. The pain in her abdomen, low energy, severe nausea and dizziness made it impossible for her to do what she loved — and finally landed her in the hospital’s ICU.

“I was under constant medical supervision, and I was terrified,” Hannah explained. “This was a body that I trusted and thought I knew well, but suddenly I felt betrayed and confused. The doctors still weren’t sure what was happening to me.”

Eventually, Hannah was discharged from the hospital with no answers. Hannah stated, “I tried to return to my ballet class, but I had lost 15 pounds in the course of a week, and I couldn’t even stand in first position without feeling dizzy. I was like a musician who had lost their instrument.”

While Hannah was resting and recovering, her doctors worked to determine the correct diagnosis — though they did have suspicions of what could be causing her issues.

It wasn’t until a class trip to London that she finally received answers. While visiting the home of William Shakespeare, abdominal pain sent her to the emergency room again. After numerous tests, the British doctor came in and diagnosed her with acute hepatic porphyria (AHP).

What is AHP?

Acute hepatic porphyria (AHP) is a family of rare genetic diseases characterized by potentially life-threatening attacks and, for some people, chronic debilitating symptoms that negatively impact daily functioning and quality of life. There are 4 types of AHP: acute intermittent porphyria (AIP), hereditary coproporphyria, (HCP), variegate porphyria (VP) and ALAD-deficiency porphyria (ADP); with AIP being the most common type of AHP. AHP can affect people of any race, ethnicity, age or gender; however, approximately 80% of people diagnosed with AHP are women. Because AHP can have a wide range of symptoms that may resemble other diseases, it can be difficult to diagnose.

“I learned that AHP is a genetic disease that causes symptoms when toxins build up in the liver and then are released throughout the body,” said Hannah. “My symptoms are usually triggered by my period. I worked with my doctor to develop a management plan and learned to live a new normal as I integrated this into my life.” In people with AHP, there are certain triggers that can cause symptoms of the disease. Some known triggers include hormonal fluctuations, infection, stress, use of certain medications, alcohol consumption and fasting/low-carbohydrate diets.

Back on her feet

Eventually, Hannah’s doctor recommended that she try GIVLAARI® (givosiran), explaining that it was an injection administered once a month by a healthcare professional. Her doctor informed her of the possible risks and side effects, including the possibility of severe allergic reactions, liver problems, kidney problems and injection site reactions. GIVLAARI can also cause increased levels of blood homocysteine (a type of amino acid).

Hannah has experienced side effects when receiving her injections. “When I receive my injections, I sometimes experience a little bit of a stinging sensation at the injection site, as well as fatigue.”

Since starting treatment with GIVLAARI, Hannah has experienced fewer AHP attacks. “It almost feels like the spotlight of my life is back on me. Of course, this is just my experience, and everyone’s will be different.”

Currently, Hannah teaches numerous styles of dance, choreographs regionally and weaves yoga and dance into her preschool students’ daily routines. “When I teach, it’s from the heart. That’s where my strength comes from now,” she says.

As Hannah reflects on her AHP journey, she explains, “Having AHP has taught me that although the show goes on, part of being resilient is knowing when to rest and take time for yourself, and when to ask for help. After everything I’ve been through, I’ve realized my body is a work of art now more than ever. I want patients and doctors who encounter this condition to know that while the pain is real, so is the strength to overcome the pain.”

Please see Important Safety Information for GIVLAARI below.

To learn more about GIVLAARI, visit GIVLAARI.com.

Hannah is an Alnylam patient ambassador and was paid to share her story.

IMPORTANT SAFETY INFORMATION

Do not use GIVLAARI if you have ever had a severe allergic reaction to GIVLAARI.

GIVLAARI can cause:

  • Severe allergic reaction
    Tell your doctor or nurse right away if you experience any of the following signs or symptoms of a severe allergic reaction during treatment:
    • Swelling — mainly of the lips, tongue or throat which makes it difficult to swallow or breathe
    • Breathing problems or wheezing
    • Feeling dizzy or fainting
    • Rash or hives
    • Itching

    If you have a severe allergic reaction, your doctor or nurse will stop GIVLAARI treatment right away and you may need to take other medicines to control the symptoms.

  • Liver problems
    Your doctor will check your liver function by doing blood tests:
    • Before you start using GIVLAARI
    • Once a month for the first 6 months of treatment
    • And when they think it is needed

    If these tests show abnormal results, your doctor or nurse will decide whether to temporarily interrupt or stop treatment with GIVLAARI.

  • Kidney problems
    Your doctor will check how your kidneys are working while you are using GIVLAARI.
  • Injection site reactions
    GIVLAARI is given as an injection under the skin (called a “subcutaneous injection”). Reactions to this injection may happen during treatment with GIVLAARI.
    Tell your doctor or nurse right away if you experience any of the following symptoms of an injection site reaction during treatment: redness, pain, itchiness, rash, discoloration, or swelling around the injection site.
  • Increased blood homocysteine levels
    GIVLAARI may cause increased levels of homocysteine (a type of amino acid) in your blood. Your doctor will check your homocysteine levels before and during treatment by doing blood tests. If your levels are increased, your doctor may check your folate, vitamins B12 and B6, and tell you to take a vitamin B6 supplement.

What are the common side effects of GIVLAARI?
The most common side effects of GIVLAARI are nausea and injection site reactions. These are not all the possible side effects of GIVLAARI. Talk to your doctor about side effects that you experience. You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

WHAT IS GIVLAARI® (givosiran)?

GIVLAARI is a prescription medicine used to treat acute hepatic porphyria (AHP) in adults.

For additional information about GIVLAARI, please see the full Prescribing Information at https://www.alnylam.com/sites/default/files/pdfs/GIVLAARI-Prescribing-Information.pdf.

GIVLAARI and its associated logo are trademarks of Alnylam Pharmaceuticals, Inc. © 2023 Alnylam Pharmaceuticals, Inc. All rights reserved.

Sponsored by Alnylam Pharmaceuticals, Inc. AS1-USA-01513

What You Need to Know About Hepatitis C This Recovery Month

2023-09-08T14:01:02

(BPT) – Hepatitis C (HCV) is often referred to as the ‘silent disease’ due to silent symptoms that may not appear until years after exposure. In fact, of the more than 2 million Americans who are living with HCV, it is estimated that 40% are unaware of their condition.1

In the past ten years, cases of acute HCV have more than doubled with the opioid epidemic and substance use exacerbating the rise, and COVID-19 further limiting access to care.2-4 If left untreated, HCV can cause serious health problems, including liver damage, scarring of the liver (cirrhosis), liver cancer and even death.1

Fortunately, about 95% of chronic HCV cases can be cured with available treatments, and the virus can be detected through a simple blood test.1,5

This National Recovery Month, opioid addiction advocate Devin Lyall, the Founding Executive Director at Wilkes Recovery Revolution, Dr. Ada Stewart, family physician at Eau Claire Cooperative Health Centers and Gilead Sciences are encouraging testing and treatment for HCV, especially in vulnerable populations where substance use continues to impact communities.

Impact of the Opioid Crisis on HCV in the U.S.

In the United States, injection drug use is the leading cause of HCV transmission and comes with the risk of acquiring other blood-borne diseases such as HIV underscoring the need for awareness and screening among those affected by the opioid addiction crisis.1,6 One person living with HCV who injects drugs is likely to transmit HCV to an estimated 20 other people through sharing equipment used to consume drugs.7 While the Southern and Appalachian regions are most impacted by the opioid crisis and have the highest increase in acute HCV cases, the impact is felt around the country with each community facing their own set of challenges.8

“As someone who experienced opioid addiction and has been cured of hepatitis C, I know first-hand how important it is to raise awareness of the impact of this crisis,” said Devin. “This is why I’m passionate about helping others in this situation and educating on the connection between the opioid epidemic, especially in vulnerable populations — if we can provide people a safer way to consume drugs that reduces risk of spreading transmittable diseases, like HCV, while working with them on their recovery journey, it not only positively impacts that individual, but our community as a whole.”

HCV Screening & Finding Care

Screening is the only way to know if someone is living with HCV. For this reason, the Centers for Disease Control (CDC) recommends every adult be tested for HCV at least once in their lifetime as well as those with risk factors should be screened yearly.1,5 However, during the recent COVID-19 pandemic HCV screening decreased by 25% compared to the year before due to several barriers — housing instability, medical provider availability, opioid addiction and financial concerns — that may have impacted access to treatment and care services.9

“By prioritizing vulnerable populations for HCV care, such as people who are experiencing addiction, we can advance national efforts to screen, treat and cure HCV,” said Dr. Stewart. “These individuals are often stigmatized or deprioritized for care due to concerns about adherence or potential drug interactions, but the data show this is not the case and that an increase in screening and linkage to care can lead to people being cured of HCV in these communities.”

Moving Toward HCV Elimination

As a nation, there is a need to work together to achieve the shared goal of HCV elimination — bringing together national and state governments, policymakers, public health officials, physicians, and community organizations to ensure vulnerable communities are not left behind or forgotten. Gilead Sciences has implemented several public and private partnerships during National Recovery Month and beyond to facilitate HCV care through efforts such as Gilead Relink as well as the FOCUS, HepConnect and LEGA-C programs with the goal to advance HCV testing and linkage to care.

Visit HepCHope.com to learn more about HCV testing and find support.


1 Centers for Disease Control and Prevention. (2023, February 6). Hepatitis C: By the numbers. Centers for Disease Control and Prevention. https://www.cdc.gov/nchhstp/newsroom/fact-sheets/hepatitis/hepatitis-c-by-the-numbers.html

2 Centers for Disease Control and Prevention. (2022a, August 18). 2020 viral hepatitis surveillance report. Centers for Disease Control and Prevention. https://www.cdc.gov/hepatitis/statistics/2020surveillance/index.htm

3 Perlman, D. C., & Jordan, A. E. (2018, April). The syndemic of opioid misuse, overdose, HCV, and HIV: Structural-level causes and interventions. Current HIV/AIDS reports. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5884743/

4 Centers for Disease Control and Prevention. (2022, August 19). 2020 viral hepatitis surveillance national profile of viral hepatitis. Centers for Disease Control and Prevention. https://www.cdc.gov/hepatitis/statistics/2020surveillance/introduction/national-profile.htm

5 Centers for Disease Control and Prevention. (2020, June 26). What to expect when getting tested for hepatitis C. Centers for Disease Control and Prevention. https://www.cdc.gov/hepatitis/hcv/HepatitisCTesting.htm

6 Centers for Disease Control and Prevention. (2021, April 21). HIV and injection drug use. Centers for Disease Control and Prevention. https://www.cdc.gov/hiv/basics/hiv-transmission/injection-drug-use.html

7 U.S. Department of Health and Human Services. (2023, July 20). Viral hepatitis. National Institutes of Health. https://nida.nih.gov/research-topics/viral-hepatitis

8 Centers for Disease Control and Prevention. (2022c, August 30). 2020 rates of acute hepatitis C cases by State. Centers for Disease Control and Prevention. https://www.cdc.gov/hepatitis/statistics/2020surveillance/hepatitis-c/figure-3.3.htm

9 Gamkrelidze A;Handanagic S;Shadaker S;Turdziladze A;Tsereteli M;Getia V;Aslanikashvili A;Surguladze S;Gvinjilia L;Kuchuloria T;Tskhomelidze I;Armstrong PA; (n.d.). The impact of covid-19 pandemic on the 2020 hepatitis C cascade of care in the Republic of Georgia. Public health. https://pubmed.ncbi.nlm.nih.gov/35305459/

Ever Heard of PBC? 5 Reasons to Pay Attention to This Rare But Serious Liver Disease

2023-09-08T13:31:00

(BPT) – Sponsored by Intercept Pharmaceuticals

Primary biliary cholangitis (PBC) is a rare liver disease that causes the body to attack its own cells in the bile ducts of the liver. Bile ducts are tube-like structures that carry bile from the liver to the intestine to help digest food. However, when bile can’t flow through the bile ducts, it collects in the liver and causes damage.

The most common early symptoms of PBC are pruritis (itching) and fatigue, though some PBC patients do not show symptoms at the time of diagnosis. If PBC progresses, it can cause an increase in risk of liver cancer, the need for liver transplant and death.

There is no cure for PBC, however, there are treatment options that can help people manage their disease. In recognition of September’s PBC Awareness Month, let’s look at five key facts about this condition and hear from healthcare providers, advocates and people living with PBC:

Fact #1: PBC is progressive and chronic, which means it won’t just go away and can get worse over time

Damage from PBC can cause fibrosis (scarring) and, in its most severe form, lead to cirrhosis (severe scarring). In some cases, this can result in liver failure and the need for a liver transplant.

Dr. Kris Kowdley, Director of the Liver Institute Northwest and Professor of Medicine at Elson S. Floyd College of Medicine at Washington State University, explained, “PBC can progress slowly for some people, while others may advance to end-stage liver disease or liver failure much more rapidly. Therefore, it’s important to catch it as early as possible so that we can treat the disease to slow the rate of progression and minimize the amount of damage and scarring to the liver. With early detection, we can hopefully reduce the risk of the patient developing cirrhosis or other complications of liver disease.”

Fact #2: Because many people with PBC have no symptoms, the disease is often discovered from abnormal results on routine liver blood tests

Most people with PBC do not experience symptoms at the time of their diagnosis. Instead, it is detected during routine blood tests which assess damage to the liver by measuring different enzymes and proteins in the blood.

One of the key enzymes used to help diagnose PBC is alkaline phosphatase, or ALP, which can also monitor disease progression and track how well someone is responding to treatment. More recent studies have shown that other liver enzymes beyond ALP are also important in assessing total liver health. Treatment can help improve these enzymes and reduce liver damage.

Dr. Kim Brown, Division Chief of Gastroenterology and Hepatology and the Associate Medical Director of the Henry Ford Hospital Transplant Institute, stated, “We typically look at ALP levels when assessing PBC, though recent research shows that there are several biomarkers that should be measured and assessed. While still considered the cornerstone of PBC evaluations, we now look beyond ALP to include other liver enzymes as well as liver fibrosis when evaluating total liver health.”

Fact #3: While PBC is more common in females, it can affect anyone

People with PBC have historically been portrayed as middle-aged Caucasian women; however, it is widely recognized now that men and people of color are affected in higher numbers than once believed.

Wayne, a man living with PBC, was diagnosed in 1992, and before his diagnosis, the only person he knew with PBC was his father. He was shocked when he walked into his first PBC support group meeting and was surrounded by women. While more common in females, PBC can impact individuals from any background and may also be hereditary. A PBC diagnosis is often delayed among males because of the myth that PBC is rare in males, thus, the disease course in males tends to be more aggressive with worse outcomes.

Research also suggests that people of color living with PBC tend to have more severe disease when first diagnosed and experience worse long-term outcomes.

As Donna Cryer, a key advocacy leader and Founder, President and CEO of the Global Liver Institute, stated, “No matter who you are, you should be able to receive timely and thorough diagnosis and care for PBC. Equitable care for PBC patients requires us to move beyond harmful stereotypes and improve the system so that everyone has the same opportunity.”

Fact #4: PBC was once called primary biliary cirrhosis

For many years, PBC wasn’t diagnosed until it was late-stage and patients had already developed cirrhosis. Unfortunately, the negative stigma associated with cirrhosis led some people to incorrectly believe PBC was related to alcohol consumption.

Almost 10 years ago, a dedicated group of patient leaders and medical professionals, with the support of industry partners including Intercept Pharmaceuticals, teamed up and advocated to have the name changed to more accurately reflect the disease. Carol Roberts, President of the PBCers Organization who played a pivotal role in the movement, said, “Prior to the name change many patients did not share their diagnosis with others, even friends and family, because of the stigma. This prevented them from receiving the support they needed while dealing with the diagnosis. The name change helps them feel more comfortable sharing the diagnosis, allowing them to receive support and understanding, while increasing awareness of PBC.”

Fact #5: Even with initial treatment, up to 50% of people have uncontrolled disease

For many people, the first treatment their doctor prescribes is not enough to adequately control their PBC. Medical guidelines recommend that liver function tests are repeated every three to six months to monitor the disease and help determine if their initial treatment is working, or if additional therapy should be considered.

With this, it’s important for people with PBC to talk to their doctor about symptoms and test results to understand how they’re responding to treatment and if more can be done.

Visit LivingwithPBC.com for helpful resources, including discussion guides, tips for managing symptoms, patient videos and the PBC Living® app that tracks test results.

How people living with paralysis can prepare for 5 common natural disasters

2023-09-08T11:01:01

(BPT) – From record-breaking blizzards in upstate New York and devastating wildfires in California to powerful hurricanes off the coast of Florida, natural disasters are becoming increasingly common because of the ongoing climate crisis. While everyone is affected by severe weather, it poses a particular risk for people living with disabilities.

When a natural disaster hits, the routines and the infrastructures people with disabilities depend on can be dangerously disrupted. Also, state- and county-level disaster response protocols may pose a danger to people living with paralysis, as they may not have made those protocols with the disability community in mind. That’s why it’s crucial that people living with paralysis and their caregivers know how to prepare themselves.

With this in mind, the Christopher & Dana Reeve Foundation partnered with the Federal Emergency Management Agency (FEMA) to create the Emergency Preparedness for People with Paralysis Booklet. This comprehensive, crucial resource can aid national organizations, people living with paralysis and other disabilities and their caregivers to prepare for impending weather, including wildfires, hurricanes and tornadoes.

Below are some ways the booklet can help you identify your mobility needs, assess challenges and create tangible solutions in case of a power outage, hurricane, wildfire, tornado and extreme heat.

Power outage

Power outages are common during various natural disasters and storms. Because they are so common, it’s important that people who use power wheelchairs and/or ventilators know what they’ll need to do to prepare.

First, you’ll need to identify your frequently used electricity-dependent medical equipment. If you have extra batteries, know how long they’ll last and understand how to use a backup power supply.

Next, contact your local utility company and register as a power wheelchair user or dependent on a ventilator. This registration list is used to prioritize power restoration services.

Finally, contact emergency services to understand their protocols for those who require electricity to support medical equipment. This includes information on priority shelter placement or transportation to local EMS facilities.

Hurricane

Hurricanes are tropical storms with wind speeds of at least 74 miles per hour. While these storms pose a significant threat to coastal communities, they can also cause torrential rains and severe flooding hundreds of miles inland.

To prepare for a hurricane, look around the interior of your home and identify what items need to be secured. Securing these items will prevent injury from falling debris.

Know your evacuation routes and leave immediately if an evacuation order is issued. If you’re at home when a hurricane strikes, head to the highest level or shelter in a windowless room.

Wildfire

Although wildfires may begin in natural areas like forests and prairies, they can quickly threaten residential communities. Hazardous air conditions and emergency evacuation are likely, like those issued in the recent Canadian fires in the Northeast. If you live in an area where wildfire risks are possible, it’s critical that you identify a safe space in your home that can be closed off before a wildfire strikes.

Another thing to remember is that regional power grids may be shut off to lower the risk of igniting power lines. Contact your local utility company and government agencies to find out how residents will be notified of a public power shutdown.

During a wildfire, if possible, get out of your wheelchair and onto the floor. Smoke rises, and the best air for breathing will be down low. Wear an N95 mask to limit smoke inhalation, and call 911 if you are trapped.

After the wildfire has been contained, don’t touch fallen power lines and continue to wear masks. Make sure to wash service animals and/or pets to remove residual ash.

Tornado

Tornadoes are most common in the Great Plains but occur throughout the U.S. and can be triggered by thunderstorms, tropical storms or hurricanes. The funnel-shaped cloud, containing violently spinning air, can leave a path of devastation a mile wide and 50 miles long.

In case of a tornado, identify a safe space to take shelter in your home. If the basement is not accessible, plan to use a windowless room, such as a bathroom or closet, on the lowest possible level of the home. Don’t forget to lock your wheelchair wheels.

Extreme heat

As a result of climate change, extreme heat is increasingly becoming an issue throughout the country. It can pose a specific risk for people who have difficulty regulating body temperature due to spinal cord injury.

Get in touch with local emergency management officials to locate community cooling centers. Make sure to visit ahead of time to ensure they are accessible.

Pay attention to your wheelchair and mobility equipment, which can become extremely hot when left in the sun. Overheated equipment can burn the skin of individuals who brush up against hot armrests and seats or who place bare feet on a metal footrest.

Beyond preparation

In addition to ensuring the safety and livelihood of those living with disabilities and their caregivers, the Reeve Foundation’s Emergency Preparedness for People with Paralysis Booklet is a powerful reminder to local and government leaders that people living with disabilities should be top of mind and included in the conversations of natural disaster response protocols.

To learn more and download the Emergency Preparedness for People with Paralysis Booklet, please visit ChristopherReeve.org.

This publication is supported by the Administration for Community Living (ACL), U.S. Department of Health and Human Services (HHS) as part of a financial assistance award totaling $8,700,000 with 100 percent funding by ACL/HHS. The contents are those of the author(s) and do not necessarily represent the official views of, nor endorsement by, ACL/HHS, or the U.S. government.

Atrial Fibrillation: One Woman’s Journey on Managing Diagnosis and Treatment

2023-09-07T15:45:00

(BPT) – A few years ago, Kathy F. was at lunch when her heart suddenly began to race.

Her immediate thought: “I had too much caffeine in the tea I drank.”

But when her Apple Watch detected an unusually high heart rate, she knew it was time for an intervention. She left the eatery, went home, and immediately called her cardiologist.

After some testing, the 55-year-old Floridian became one of millions of Americans living with atrial fibrillation (AFib), the most common arrhythmia. This condition causes the heart to beat too slowly, quickly, or irregularly. While treatable, an AFib diagnosis and its treatment options often confuse and scare the newly diagnosed.

“It was kind of scary to think about having any kind of procedure, especially one having to do with your heart,” said Kathy, one of many AFib patients who have successfully undergone catheter ablation after drug therapy failed or was an ineffective treatment option.

But, she said, there are many resources available today to help AFib patients manage their physical and emotional well-being. In celebrating AFib Awareness Month, Kathy shares the advice to listen to your body, have a relationship with your cardiologist or primary care doctor, ask questions, and be open to learning about all potential treatment options.

Listen to your body. If something does not feel right, bring it up to your doctor.

Following her AFib diagnosis, Kathy’s cardiologist placed her on multiple blood thinners, but her symptoms persisted.

When a heart is in AFib, it may not be pumping enough oxygen-rich blood out to the body, leading to symptoms such as a racing heart, palpitations, shortness of breath, chest pain, and fatigue or weakness.

Kathy’s AFib episodes would last between two to 12 hours. They became so debilitating that she could not focus, especially at work, and they would occur at unforeseen times.

“Wherever I went, I was always thinking, ‘Am I going to have an episode?'” said Kathy, president of a non-profit that operates five special needs schools in North Florida.

Concerned, she returned to her cardiologist, who had treated her previously for a pulmonary aneurysm. Her cardiologist referred her to Dr. Saumil Oza.

“Some have described AFib as a sensation that feels like fish flopping around in the chest,’’ said Dr. Oza, an electrophysiologist in Jacksonville, Florida, who performed Kathy’s catheter ablation.

After another unsuccessful round of blood thinners, Dr. Oza recommended Kathy undergo catheter ablation.

“I didn’t look back,” she said. “It (catheter ablation) was an instant relief for me.”

Do not be afraid to talk to your doctor.

Because the diagnosis and treatment of AFib can be confusing and scary, Kathy recommends communicating with your cardiologist or electrophysiologist early and often.

Dr. Oza agrees.

As with any medical treatment, individual results may vary, so it is essential to communicate with your cardiologist or electrophysiologist, especially women. Women, he said, often ignore their symptoms and as a result often do not get treated as quickly. Their AFib symptoms are often dismissed as stress, lack of sleep, or panic attacks.

“Medications can help control the symptoms and keep the AFib at bay, however, when that doesn’t work, we have to move on to other treatments like catheter ablation,” said Dr. Oza. “Again, only a cardiologist or electrophysiologist can determine whether ablation is an appropriate course of treatment for you, which is why having discussions with your clinician is key.”

It is ok to seek out other credible resources for information.

Kathy underwent catheter ablation in 2020. Initially, and out of fear of the unknown, she hesitated about the procedure.

“I was scared,” said the mother of four adult children.

It was not until after some research and speaking with a trusted friend who had undergone the procedure that her thoughts changed.

“She (friend) confirmed it was not as scary as I thought it would be,” said Kathy. “My advice is to talk to your doctor, get as much information as possible, and seek the best option. But also talk to people and do your own research.”

To learn more about AFib and what resources are available to help you cope with the diagnosis and treatment options, visit GetSmartAboutAFib.com.

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THERMOCOOL® Navigation Catheters are indicated for the treatment of drug refractory recurrent symptomatic paroxysmal atrial fibrillation, when used with CARTO® 3 Systems (excluding NAVISTAR™ RMT THERMOCOOL™ Catheter).

As with any medical treatment, individual results may vary. Only a cardiologist or electrophysiologist can determine whether ablation is an appropriate course of treatment. There are potential risks including bleeding, swelling or bruising at the catheter insertion site, and infection. More serious complications are rare, which can include damage to the heart or blood vessels; blood clots (which may lead to stroke); heart attack, or death. These risks need to be discussed with your doctor and recovery takes time. The success of this procedure depends on many factors, including your physical condition and your body’s ability to tolerate the procedure. Use care in the selection of your doctors and hospital, based on their skill and experience.

256147-230810

© Biosense Webster, Inc. 2023. All Rights Reserved.

Gut Check: 3 Tips for Improved Digestion and Immune Health

2023-09-07T10:23:00

(BPT) – Eating a well-balanced diet can positively impact your mood, energy levels and sleep, but did you know it can also impact your immune system function? The gastrointestinal (GI) tract is the body’s largest immune organ, so it’s important to prioritize gut health to support your overall well-being.

“Our bodies are interconnected in many ways, and supporting one function will in turn lead to improved function elsewhere,” said Olivia Robertson-Moe, Nutritional Therapy Practitioner (NTP). “For example, focusing on improving your digestive health can help support the immune system and your body’s response to toxins.”

According to Robertson-Moe, the foods we eat affect the composition of the bacteria in our gut, or the microbiome, which then affects our immune cell function and production. So, the phrase “you are what you eat” can be taken quite literally. However, it’s not always clear what foods we should and should not be eating. So, for more easy ways to support your digestive health, Robertson-Moe recommends the following tips:

  1. Take a supplement with key prebiotics such as GI Stability™ from Standard Process, a leading whole food-based nutritional supplement company. It supports the GI tract by delivering 2’-FL, a prebiotic first identified in human milk, that is able to reach the lower GI tract where it is broken down to feed the growth of beneficial microbes.*^
  2. Adding fermented foods to your diet can support the microbiome. Fermented foods contain live probiotic bacteria that can benefit the microbiome by supporting the diversity of your gut bacteria. The process of fermentation can also make foods easier to digest. If you want to support your gut and immune function, try incorporating fermented foods like sauerkraut, kimchi, yogurt and kefir.
  3. Reducing stress is key to good gut health. Stress may negatively impact digestion, increase gut permeability, and alter the composition of the gut bacteria. A nutrient-rich diet combined with regular exercise, meditation and breathwork is a great way to reduce stress and support good gut health.

Our guts have the essential job of making sure any toxins or particles that aren’t supposed to pass through the intestinal lining don’t. These toxins may cause inflammation, pain and food sensitivities; that’s why it’s important to prioritize our digestive system health and promote a healthy gut microbiome, which in turn supports a healthy immune system response. So go with your gut if you’re looking to improve your overall health.

*These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent disease.

^To date, shown in multiple animal studies, infants, and one adult human study.

Finding Joy in Everyday Activities After a Heart Failure Diagnosis: Bryan’s Journey

2023-09-07T07:01:01

(BPT) – Bryan, a dedicated father of three sons and a busy driver for a shipping company, was 52 years old when he underwent a quadruple bypass procedure following three heart attacks and was diagnosed with heart failure. Bryan saw his life change and, since then, he has found a new passion as a volunteer for The Mended Hearts Inc. (MHI), supporting others living with heart failure. Through his work with MHI, he shares his own journey with heart failure and how he finds joy in everyday activities, maintains a trusting relationship with his doctor, spreads awareness, and gives back to the community.

Heart failure is a common, serious condition in which the heart is unable to pump enough blood to meet the body’s needs for blood and oxygen. More than 1,000,000 new cases are diagnosed in Americans over the age of 55 each year. Currently, more than 6 million American adults have heart failure, and that number is expected to increase to nearly 8 million by 2030.

“When I was diagnosed with heart failure, I couldn’t believe it,” said Bryan. “But my cardiologist was able to explain the diagnosis in such a way that I could understand how it would impact my life.”

Since being diagnosed with heart failure, Bryan has enjoyed the support of his close friends and family. They help him stay on a healthy diet, accompany him on walks, and remind him to take his medications. Bryan’s children are among his biggest advocates, always looking out for him with the best of intentions. “My sons inspire me to continue looking forward to each day, even when some days are tougher than others,” said Bryan.

Bryan also maintains an open and trusting relationship with his doctor and continuously monitors his health, which has allowed for him to feel like a partner in his care.

“All the steps I am taking in my daily life allow me to find joy in the simplest activities,” said Bryan. “I want to be able to watch my two grandchildren, age two years and five months, grow. Family is everything to me.”

For people with heart failure, like Bryan, and their loved ones, At the Heart of the Matter: Moving Forward After Your Heart Failure Hospitalization is a program that provides support and educational information. Sponsored by Merck in collaboration with MHI, the program was created to help people living with heart failure better understand their condition and play a more proactive role in their care.

“I’ve learned that things can change in the blink of an eye, and it’s important to take life by the reins and enjoy it for all it’s worth. Living with heart failure is a wake-up call to start living your life and find your purpose,” explains Bryan. “I have had the humbling experience of giving back to my community and helping others through their own unique experiences with heart failure, which, in turn, helps me. Knowing that there are others in the community who have experienced similar challenges motivates me to keep going.”

For resources on living with heart failure and to see more stories from patients like Bryan, visit AtTheHeartOfTheMatter.com.