Aging in the Research Triangle: Keeping your brain healthy

2021-03-03T13:01:00

(BPT) – With people being more active and healthier than ever at any age, today’s retirement isn’t about slowing down. It’s about having the time for growth, discovery and expanding horizons. For retirees, or those looking ahead to retirement, one place to find all of the above is in North Carolina’s Research Triangle.

No, it’s not a mathematics term. With some of the best weather on the planet, gorgeous scenery and a concentration of cultural, educational and entertainment resources, the Research Triangle is one of North Carolina’s crown jewels. It’s also one of the top places in the United States to enjoy an active, healthy, mentally stimulating retirement.

Defined by the three major universities as well as the three highly livable cities within its borders, North Carolina’s Research Triangle has long been a magnet for scientific, academic and corporate leaders who are attracted by the inquisitive culture and concentration of resources here.

Where you retire matters. Retiring in a community that is bountiful in cultural, educational and entertainment opportunities isn’t just nice to have. It’s a must for keeping your brain healthy. Everyone has “senior moments” from time to time. But declining brain health, dementia or Alzheimer’s disease are not a normal part of aging. They are not a foregone conclusion. According to the Mayo Clinic, your habits before and during retirement can significantly lower your risk of developing these conditions. The Mayo Clinic’s recommendations for staving off declining brain health include:

  • Exercising regularly
  • Staying mentally active
  • Eating a healthy diet
  • Getting plenty of sleep
  • Remaining socially involved

One retirement community in the Research Triangle that takes those recommendations to heart is Searstone Retirement Community, founded in 2013. Its residents frequently cite the natural beauty of the surrounding countryside as well as the cosmopolitan comforts and cultural treasures of its cities and towns to explain why they came and chose to stay in what is now the state’s second-largest population center.

Resident Jewel Tolan can attest to that. Jewel and her husband David were drawn to the Research Triangle initially because it was located near their son and daughter-in-law in Cary, North Carolina. When they looked deeper into Searstone, they found it ticked many more boxes for the active, mentally satisfying lifestyle they envisioned for their golden years.

“We wanted a community surrounded by conveniences. We didn’t want to drive 30 minutes to shop,” she explains. “We wanted to be near urban areas and were thrilled to find a community that was a block away from everything.”

Other benefits of retiring in the Research Triangle:

Proximity to medical care. This is an important factor as you age, and Duke and UNC health systems are nearby, offering residents an endless number of specialists and excellent care. “We are right in the center of a medical oasis,” Jewel says.

Proximity to the airport. Retirement does not mean the end of travel. Just the opposite. Searstone is 20-minute drive from an international airport, making it easy to zip away for a long weekend when the travel bug bites.

Cultural and educational opportunities. The Research Triangle is known for its cornucopia of culture. The universities are nearby, and the symphony is a short drive away in Raleigh. Pre-pandemic, Searstone organized outings to the museums, the arboretum and more. Now, the calendar is packed with virtual events until the pandemic subsides. Lecturers and authors hold events, virtually and in person, for residents. Some of those speakers include the residents themselves. “We have some really accomplished residents that speak to us about all different topics,” Jewel notes.

Fitness. Numerous studies have shown that staying active keeps you mentally sharp throughout your life. Whether it’s a stroll around the grounds, using the state-of-the-art fitness facility, swimming or even Zumba classes, keeping active is easy.

Socialization. Jewel says she has no lack of social life. “There is a great community here. I’ve made some great friends, through book club and the women’s discussion group on Tuesday mornings. If you are a people person, it’s really great to have this opportunity. There is always more to learn.”

Today’s retirement is not your grandparents’ retirement. It’s an active, healthy, intellectually stimulating opportunity for growth and expanding your horizons. North Carolina’s Research Triangle is one of the best places in the United States to do just that.

To learn more about retiring in the Research Triangle, visit https://searstone.com or call 919-899-2431.

The Question Every Small Business Owner Needs to Ask

2021-03-03T09:19:01

(BPT) – Whether you’re just starting out or you’ve been in the small business game awhile, right now, you’re likely filled with questions. Like, “Is this the right time to turn my passion into a business?” Or, “How am I going to survive if the economy doesn’t bounce back?” Without a doubt, both are important questions, regardless of the pandemic.

Another question small business owners might have is, “What’s the best business entity structure for my small business?” Your business structure influences everything from your day-to-day operations to your taxes and personal liability. Different structures can affect legal protection and tax responsibility. Most small businesses start as a sole proprietorship or limited liability company (LLC).

Sole proprietorship

The simplest business structure is the sole proprietorship, which you own completely, with no distinction between yourself and the business. That also makes you responsible for all the debts and liabilities of your company. So, if you’re sued or your business goes under, your personal assets are fair game for creditors and you assume all legal liability. While that may sound scary, you should weigh the advantages and disadvantages of a sole proprietorship and decide what’s right for you.

Advantages: Sole proprietors have complete control over their business and all decisions made on its behalf. Also, the costs of forming a sole proprietorship are minimal. If you eventually want to sell your business, you can do so without having to consult with other business partners. Plus, there are no corporate tax payments.

Disadvantages: Remember, you can be held personally liable for the debts and legal obligations of your business. And being responsible for all business decisions can be a daunting proposition. The buck stops with you. Also, if you’re hoping to eventually expand, investors don’t typically invest in sole proprietorships without taking an ownership interest.

Limited Liability Company (LLC)

Many small businesses are structured as LLCs because they offer some of the advantages of a sole proprietorship without its obvious disadvantages. The real benefit is that LLCs are not taxed as a separate entity (as long as the LLC has not elected to be taxed as a C corporation) — all profits and losses are attributed to each owner-member of the company, and you’ll report all business income on your personal tax return. Also, as a single member LLC, you’re in charge — you own, manage and run your business, but without the same liability issues of a sole proprietor.

To get set up, you’ll register your LLC’s existence by filing articles of organization and paying a fee to your relevant state office, normally the secretary of state. While this involves more paperwork and hassle than establishing a sole proprietorship, it’s still relatively easy and can usually be done online. The key advantages of an LLC include:

Limited personal liability: An LLC is viewed as a legal entity separate from its individual members or owners. Generally, that means you won’t be held personally liable for your LLC’s debts or legal liabilities, and your personal assets — like your home or personal bank account — aren’t at risk. However, be careful. Under certain circumstances, such as if you personally guarantee a business debt, you’re still on the hook for it personally.

Pass-through tax treatment: LLCs receive what’s called ‘pass through’ treatment, allowing allocated profits to be taxed only once on each member’s individual income tax return. LLCs that also qualify as partnerships or S corporations may also receive ‘pass through’ treatment from the IRS. Note, this is not the case if you decide to have the LLC taxed as a C corporation for federal income tax purposes.

The disadvantages of LLCs include the additional administrative requirements when compared to a sole proprietorship, and the costs involved. Also, as an LLC owner, you may have to pay unemployment compensation for yourself (if you elect to have the LLC taxed as a C or S corporation), which you wouldn’t have to pay as a sole proprietor.

This is just a primer on business entity structures — there are many more options to consider for your small business. It’s not a one-size-fits-all decision. If you’re confused, you don’t have to go it alone. H&R Block’s Block Advisors can help.

“As part of our personalized tax service, Block Advisors will conduct a business entity structure analysis to see how different structures could impact your taxes,” said Ian Hardman, General Manager and Vice President of Small Business at H&R Block.

Block Advisors, a team within H&R Block, is dedicated to meeting the tax, bookkeeping and payroll needs of small business owners year-round. To start working with the experts at Block Advisors, visit blockadvisors.com.

Disclaimer: Taxes are only some of many factors to consider when selecting an entity. We recommend that you seek the advice of an attorney about other implications of entity selection.

How One Woman Fought Treatment-Resistant Depression

2021-03-03T08:01:00

(BPT) – For years before her diagnosis, Nicole thought her daily routine was normal. Habits like sleeping for 18 hours a day, missing school and struggling to maintain friendships just seemed like hallmarks of an “angsty” personality, as many in her life had labeled her. “It wasn’t until my mom became worried about me and started taking me to doctors and psychiatrists that I began to realize I wasn’t actually totally fine,” she said.

After seeking help, Nicole learned that for years, she was actually fighting an invisible illness – a type of depression called major depressive disorder (MDD). Impacting nearly 17 million adults in the U.S., MDD is a serious, biologically based disease that has a major impact on the way people think, feel, and act.1

Nicole’s diagnosis marked the beginning of her lengthy journey to finding a treatment that worked for her. “After trying a long list of antidepressants that did not work, when I was around 20, I checked myself into an in-patient psychiatric facility because I wanted to live a full, healthy life,” she said. “It was the only way I knew how to keep fighting. I wanted the numbness to stop and knew I needed help figuring out how to cope.”

During her stay, Nicole was diagnosed with a form of MDD called treatment-resistant depression (TRD) – a term that finally validated her experience cycling through multiple treatments without relief. Approximately one-third of adult patients may have TRD which has been defined by some as MDD symptoms that have not adequately improved after taking at least two different antidepressants of adequate dose and duration in the current depressive episode.2,3

After her TRD diagnosis, Nicole found a psychiatrist that she trusted and began seeing him regularly. This led her to the next phase of her journey, where she learned about a different medication that was then in clinical trials, called SPRAVATO® (esketamine) CIII nasal spray. Nicole and her psychiatrist discussed the medication’s benefits and risks, including the most serious side effects including sedation, dissociation, the risk of abuse and misuse and increased risk of suicidal thoughts or actions. They also discussed the most common side effects of SPRAVATO® (please see below for a list of all side effects of SPRAVATO®). Nicole told her doctor she would let him know right away if she had new or sudden changes in how she was thinking, feeling or behaving. As part of the SPRAVATO® REMS program, Nicole was enrolled in the SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS) Program to keep track of any serious side effects she may experience.

Along with taking her daily oral antidepressant, Nicole self-administers SPRAVATO® once every week at her local certified treatment center under the direct supervision of a healthcare practitioner after she completed the twice-weekly induction phase, which lasted 4 weeks. After using the spray, she’d listen to music or catch up on reading for at least two hours while a doctor or nurse monitored her for side effects like increased blood pressure, among other potential side effects. She experienced a funny taste in the back of her mouth, and also saw distorted colors following treatment. After treatment, Nicole’s mom would take her home since she couldn’t drive, operate machinery or do anything where she needed to be alert until the next day – after a good night’s sleep.

While the medicine may not work for everyone and side effects may vary, it did help Nicole treat her TRD. “I know there will always be good days and not-so-good days, but I’m grateful to finally be in a better place and have a treatment plan that works for me,” said Nicole.

If you believe you or someone you know may have TRD, it’s important to remember you are not alone, and there are treatment options that can help. Nicole advises others who may be struggling: “Connect with friends and family for support and openly communicate with your psychiatrist. There will be difficult days, but for me, those have shaped me into the person I am today – I am a warrior. My life now is bigger than the challenges I’ve overcome, and I finally have hope.”

What is SPRAVATO® (esketamine) CIII nasal spray?

SPRAVATO® is a prescription medicine, used along with an antidepressant taken by mouth to treat:

  • Adults with treatment-resistant depression (TRD)
  • Depressive symptoms in adults with major depressive disorder (MDD) with suicidal thoughts or actions

SPRAVATO® is not for use as a medicine to prevent or relieve pain (anesthetic). It is not known if SPRAVATO® is safe or effective as an anesthetic medicine.

It is not known if SPRAVATO® is safe and effective for use in preventing suicide or in reducing suicidal thoughts or actions. SPRAVATO® is not for use in place of hospitalization if your healthcare provider determines that hospitalization is needed, even if improvement is experienced after the first dose of SPRAVATO®.

It is not known if SPRAVATO® is safe and effective in children.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about SPRAVATO®?

SPRAVATO® can cause serious side effects, including:

  • Sedation and dissociation. SPRAVATO® may cause sleepiness (sedation), fainting, dizziness, spinning sensation, anxiety, or feeling disconnected from yourself, your thoughts, feelings, space and time (dissociation).
  • Tell your healthcare provider right away if you feel like you cannot stay awake or if you feel like you are going to pass out.
  • Your healthcare provider must monitor you for serious side effects for at least 2 hours after taking SPRAVATO®. Your healthcare provider will decide when you are ready to leave the healthcare setting.
  • Abuse and misuse. There is a risk for abuse and physical and psychological dependence with SPRAVATO® treatment. Your healthcare provider should check you for signs of abuse and dependence before and during treatment with SPRAVATO®.
  • Tell your healthcare provider if you have ever abused or been dependent on alcohol, prescription medicines, or street drugs.
  • Your healthcare provider can tell you more about the differences between physical and psychological dependence and drug addiction.
  • SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS). Because of the risks for sedation, dissociation, and abuse and misuse, SPRAVATO® is only available through a restricted program called the SPRAVATO® Risk Evaluation and Mitigation Strategy (REMS) Program. SPRAVATO® can only be administered at healthcare settings certified in the SPRAVATO® REMS Program. Patients treated in outpatient healthcare settings (e.g., medical offices and clinics) must be enrolled in the program.
  • Increased risk of suicidal thoughts and actions. Antidepressant medicines may increase suicidal thoughts and actions in some people 24 years of age and younger, especially within the first few months of treatment or when the dose is changed. SPRAVATO® is not for use in children
    • Depression and other serious mental illnesses are the most important causes of suicidal thoughts and actions. Some people may have a higher risk of having suicidal thoughts or actions. These include people who have (or have a family history of) depression or a history of suicidal thoughts or actions.
  • How can I watch for and try to prevent suicidal thoughts and actions in myself or a family member?
    • Pay close attention to any changes, especially sudden changes, in mood, behavior, thoughts, or feelings, or if you develop suicidal thoughts or actions.
    • Tell your healthcare provider right away if you have any new or sudden changes in mood, behavior, thoughts, or feelings.
    • Keep all follow-up visits with your healthcare provider as scheduled. Call your healthcare provider between visits as needed, especially if you have concerns about symptoms.
  • Tell your healthcare provider right away if you or your family member have any of the following symptoms, especially if they are new, worse, or worry you:
  • suicide attempts
  • worsening depression
  • thoughts about suicide or dying
  • other unusual changes in behavior or mood

Do not take SPRAVATO® if you:

  • have blood vessel (aneurysmal vascular) disease (including in the brain, chest, abdominal aorta, arms and legs)
  • have an abnormal connection between your veins and arteries (arteriovenous malformation)
  • have a history of bleeding in the brain
  • are allergic to esketamine, ketamine, or any of the other ingredients in SPRAVATO®.

If you are not sure if you have any of the above conditions, talk to your healthcare provider before taking SPRAVATO®.

Before you take SPRAVATO®, tell your healthcare provider about all of your medical conditions, including if you:

  • have heart or brain problems, including:
    • high blood pressure (hypertension)
    • slow or fast heartbeats that cause shortness of breath, chest pain, lightheadedness, or fainting
    • history of heart attack
    • history of stroke
    • heart valve disease or heart failure
    • history of brain injury or any condition where there is increased pressure in the brain
  • have liver problems
  • have ever had a condition called “psychosis” (see, feel, or hear things that are not there, or believe in things that are not true).
  • are pregnant or plan to become pregnant. SPRAVATO® may harm your baby. You should not take SPRAVATO® if you are pregnant.
    • Tell your healthcare provider right away if you become pregnant during treatment with SPRAVATO®.
    • If you are able to become pregnant, talk to your healthcare provider about methods to prevent pregnancy during treatment with SPRAVATO®.
    • There is a pregnancy registry for women who are exposed to SPRAVATO® during pregnancy. The purpose of the registry is to collect information about the health of women exposed to SPRAVATO® and their baby. If you become pregnant during treatment with SPRAVATO®, talk to your healthcare provider about registering with the National Pregnancy Registry for Antidepressants at 1-844-405-6185 or online at https://womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/antidepressants/.
  • are breastfeeding or plan to breastfeed. You should not breastfeed during treatment with SPRAVATO®.

Tell your healthcare provider about all the medicines that you take, including prescription and over-the-counter medicines, vitamins and herbal supplements. Taking SPRAVATO® with certain medicine may cause side effects.

Especially tell your healthcare provider if you take central nervous system (CNS) depressants, psychostimulants, or monoamine oxidase inhibitors (MAOIs) medicines. Keep a list of them to show to your healthcare provider and pharmacist when you get a new medicine.

How will I take SPRAVATO®?

  • You will take SPRAVATO® nasal spray yourself, under the supervision of a healthcare provider in a healthcare setting. Your healthcare provider will show you how to use the SPRAVATO® nasal spray device.
  • Your healthcare provider will tell you how much SPRAVATO® you will take and when you will take it.
  • Follow your SPRAVATO® treatment schedule exactly as your healthcare provider tells you to.
  • During and after each use of the SPRAVATO® nasal spray device, you will be checked by a healthcare provider who will decide when you are ready to leave the healthcare setting.
  • You will need to plan for a caregiver or family member to drive you home after taking SPRAVATO®.
  • If you miss a SPRAVATO® treatment, your healthcare provider may change your dose and treatment schedule.
  • Some people taking SPRAVATO® get nausea and vomiting. You should not eat for at least 2 hours before taking SPRAVATO® and not drink liquids at least 30 minutes before taking SPRAVATO®.
  • If you take a nasal corticosteroid or nasal decongestant medicine take these medicines at least 1 hour before taking SPRAVATO®.

What should I avoid while taking SPRAVATO®?

Do not drive, operate machinery, or do anything where you need to be completely alert after taking SPRAVATO®. Do not take part in these activities until the next day following a restful sleep. See “What is the most important information I should know about SPRAVATO®?”

What are the possible side effects of SPRAVATO®?

SPRAVATO® may cause serious side effects including:

  • See “What is the most important information I should know about SPRAVATO®?”
  • Increased blood pressure. SPRAVATO® can cause a temporary increase in your blood pressure that may last for about 4 hours after taking a dose. Your healthcare provider will check your blood pressure before taking SPRAVATO® and for at least 2 hours after you take SPRAVATO®. Tell your healthcare provider right away if you get chest pain, shortness of breath, sudden severe headache, change in vision, or seizures after taking SPRAVATO®.
  • Problems with thinking clearly. Tell your healthcare provider if you have problems thinking or remembering.
  • Bladder problems. Tell your healthcare provider if you develop trouble urinating, such as a frequent or urgent need to urinate, pain when urinating, or urinating frequently at night.

The most common side effects of SPRAVATO® when used along with an antidepressant taken by mouth include:

  • feeling disconnected from yourself, your thoughts, feelings and things around you
  • dizziness
  • decreased feeling of sensitivity (numbness)
  • feeling anxious
  • lack of energy
  • increased blood pressure
  • vomiting
  • feeling drunk
  • feeling very happy or excited
  • nausea
  • feeling sleepy
  • spinning sensation

If these common side effects occur, they usually happen right after taking SPRAVATO® and go away the same day.

These are not all the possible side effects of SPRAVATO®.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Please see full Prescribing Information, including Boxed WARNINGS, and Medication Guide for SPRAVATO® and discuss any questions you may have with your healthcare provider.

cp-170363v1

Nicole is a volunteer with the SHARE Network, a Janssen Pharmaceuticals, Inc., program, made up of people who are dedicated to inspiring others through their personal health journeys and stories of caring.

If a Janssen treatment has made a difference in your life or the life of a loved one, we hope you will consider joining the SHARE Network.

Every story is unique. If you are an adult living with TRD, talk to your doctor to figure out a treatment plan that’s right for you.

This information is intended for the use of patients and caregivers in the United States and its territories only. Laws, regulatory requirements and medical practices for pharmaceutical products vary from country to country. The Prescribing Information included here may not be appropriate for use outside the United States and its territories.

References

  1. National Institute of Mental Health. Prevalence of Major Depressive Episode Among Adults. https://www.nimh.nih.gov/health/statistics/major-depression.shtml. Accessed December 18, 2020.
  2. Rush AJ et al. Am J Psychiatry. 2006;163(11):1905-1917.
  3. Agency for Healthcare Research and Quality. Treatment-Resistant Depression: A Narrative and Systematic Review of Definitions and Methods in Clinical Research Studies. https://www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/trdepression-protocol-amendment.pdf. Accessed December 18, 2020.

© Janssen Pharmaceuticals, Inc. 2021 February 2021 cp-201355v1

Agricultural legacies: 4 tips for succession planning

2021-03-03T08:01:00

(BPT) – Kory Hagen, who runs a 1,000-acre corn farm in Iowa, had to take over the family business in his early 20s when his father suffered a stroke. Unexpected tragedies, like Hagen’s, can be challenging but proper planning can ease the burden of passing down a business from one generation to the next.

Luckily for Hagen, he’d worked the fields with his father for years. When it was his time to take over, he learned to run his farm efficiently and sustainably with a five-man team. He found ways to modernize the operation, focusing on no-till farming, which benefits the environment. Today he makes most of the decisions, but also relies on a small team of advisers, including a banker and an accountant Hagen has known since eighth grade.

“It was hard going from farming with my dad to being on my own,” Hagen says. “But I’ll always farm, no matter what. It’s very peaceful; and once it’s in your blood, it’s there for life.”

Farmer Glenn Heard has experienced both sides of farm succession. He gradually took over his father’s farm in Georgia — a 16,000-acre operation growing cotton, peanuts, sweet corn and carrots — and now plans to pass it to his son.

“We did it differently than most farm families,” Heard says. “I started my own farm as a separate operation and shared equipment with my father. My operation got bigger after I acquired land from outside farms and from my father as he transitioned out of the business. By 1995, I was able to take over his farm completely.”

Heard hired dependable farm managers to oversee operations and is now grooming his son to take over in a similar way, getting him started on his own farm and sharing equipment.

For growers like Heard and Hagen, it’s a common dream to pass on farms to family. Farmers can succeed with careful planning that includes their next farm leaders. Parties must navigate local and state tax structures, transfer fixed capital assets and land, create retirement strategies and have difficult conversations with partners and family members.

“A farm is more than just an enterprise — it’s a way of life,” explains Lynn Sandlin, business intelligence manager for Syngenta. “Elder farmers think of it not just as a business, but a legacy they’re leaving for their children, grandchildren and so on.”

Sandlin urges anyone pursuing farm succession to consider everything required by the complex process. To succeed, it’s crucial to plan methodically and understand every necessary decision.

Retired professor of agricultural economics and Texas A&M University Danny Klinefelter, Ph.D., offers four steps to follow.

1. Develop estate and succession plans

  • Start planning as soon as possible, so everyone involved knows where the assets are going.
  • Children interested in the family business should consider enrolling in a management development program at a land grant university.
  • Create a family business council of interested parties to discuss goals and plans.

2. Outsource your trust

Don’t feel obligated to entrust your business solely to family, especially if they lack knowledge in crucial areas. Instead:

  • Enlist a team of agriculture-focused attorneys, tax accountants or consultants who specialize in family-owned businesses.
  • Form an advisory board or even a formal board of directors.
  • A peer adviser group of top managers can also offer outside counsel that may help you and your successors.

3. Evaluate your successors

  • Conduct regular performance evaluations within your team to set expectations, track improvement and assess everyone’s strengths and weaknesses.
  • When one or more successors emerge, give them every opportunity to ask questions and make suggestions.

4. Test your team

Once you have successors identified, assign group tasks to gauge personality styles and management capabilities. Especially for operations with multiple successors, this will help them work together efficiently and build on one another’s strengths. Have open discussions about self-improvement or expanding the team with the right expertise, from forward-looking CEOs to accountants and marketing experts.

To learn about agricultural development, today’s challenges in farming and more, visit www.syngentathrive.com.

More than 9 in 10 infants have Newborn Gut Deficiency

2021-03-03T07:45:00

(BPT) – Nothing is more important than the health and happiness of your baby, and when something is wrong, it’s natural to be concerned. From short-term conditions like diaper rash, colic, eczema, and sleep issues, to more long-term conditions such as allergies and Type 1 diabetes, you may be surprised that many common baby problems may be connected to your baby’s gut microbiome.

You’ve probably heard about the importance of gut health, but what you may not know is that gut health plays a crucial role in the overall health, wellness and development of newborns, specifically through the first six months of life. This is so important because when bad bacteria thrives, there’s an increased risk of the short- and long-term conditions previously discussed.

More than 9 in 10 infants have Newborn Gut Deficiency

A recent study published in Scientific Reports found that more than 90% of babies in the U.S. are suffering from a hidden problem called Newborn Gut Deficiency, or a lack of the key good bacteria, B. infantis, in their gut microbiome, which is essentially the environment inside the digestive tract.

This study benchmarks the widespread deficiency in gut bacteria among U.S. infants, which shows the vast majority have Newborn Gut Deficiency from the earliest weeks of life. The study found the condition is widespread independent of age, diet and location and although extremely common, Newborn Gut Deficiency is a concern that many parents and pediatricians aren’t aware of and therefore aren’t commonly addressing.

How to correct your child’s gut health

Experts believe that the prevalence of Newborn Gut Deficiency in the U.S. is due to the rise of necessary modern medical practices like C-sections and antibiotic use, which inhibits mothers from transferring good bacteria such as B. infantis to their babies during the birthing process. B. infantis is essential to help manage gut health because it crowds out the bad bacteria and supports a protective environment in the baby’s gut. “Every day I get parents asking me how they can take a proactive approach to their child’s health and I immediately think about their gut health, especially following this new research on Newborn Gut Deficiency,” said Dr. Tanya Altmann, leading pediatrician, best-selling author and nationally recognized child health expert.

“Selecting the right baby probiotic can increase the abundance of good bacteria in baby’s gut. In recent clinical studies, researchers have shown that by feeding newborns the baby probiotic Evivo, the only baby probiotic that contains activated B. infantis EVC001, you can reduce bad bacteria in baby’s gut by 80% and reduce intestinal inflammation by up to 98%,” said Altmann.

Evivo is easy-to-use and is added to a small amount of breast milk or formula before being fed to baby daily. It begins working instantly to reduce bad gut bacteria and help good bacteria in your baby thrive.

Out with the bad, in with the good

Taking action by providing your infant with important good bacteria such as Evivo can help make a difference. Evivo plays a key role in the development of the infant immune system by protecting the infant intestinal tract from potentially dangerous bacteria like E. Coli.

As we continue to learn more about the gut microbiome, Newborn Gut Deficiency and its connection to overall health, I’m a firm believer that addressing the issue early can make a big impact on overall health,” said Altmann.

To learn more about Newborn Gut Deficiency and take an infant gut health quiz, visit www.evivo.com.

Top 3 Easy Weight Loss Tips to Keep Your Resolutions on Track

2021-03-02T11:21:00

(BPT) – Roughly 48 percent of people made a New Year’s resolution to lose weight. However, the high hopes of weight loss tend to dwindle after January. How to keep high hopes going? Simplicity — the key for those looking to stick to their healthy habits all year long. Dr. Mike Roussell, PhD, nutrition advisor to Men’s Health, shares his top three weight loss tips to carry healthy resolutions through 2021 and beyond.

1: Fill up on Fruits and Vegetables

Skip the overly complicated diet and weight loss plans. Focus on healthy food. “Most fruits and vegetables are low in calories and high in nutrients, including fiber, which can help keep you feeling full longer between meals,” notes Roussell. “Fill your plate, bowl or smoothie cup with fruits and vegetables first. Then add protein and grains so you will fill up on fewer calories without feeling deprived.”

2: Snack on Healthy Fats, Fiber and Protein

“My advice has always been to include healthy fats, fiber and protein in every snack to help keep you feeling full and satisfied, and to prevent mindless snacking between meals,” says Roussell. “Pistachios are an example of a great snack for people looking to lose weight. They have a nutritional profile that supports weight loss while also supporting healthy and mindful snacking. It’s one of the core habits I work to instill in clients looking to lose weight.”

Newly published research, from the University of California, San Diego, provides yet another reason to snack on pistachios. Researchers suggest that adding pistachios to a weight loss program, which includes nutrition and exercise counseling, can result in a healthier weight with the added benefit of lowering blood pressure.[1]

According to the lead researcher, Cheryl Rock, PhD, RD, “This study adds to the body of evidence that U.S. pistachios can be a component of a weight loss diet, can increase intake of key nutrients, and can promote a healthy dietary pattern.”

Study participants were given diet and exercise counseling. Half of the participants also added 1.5 ounces of pistachios (a little over a handful) to their daily diet, while the other half did not. After four months, researchers found that both groups had lost about 5 percent of their body weight and decreased their body mass index (BMI). However, the group who ate pistachios daily also had a decrease in blood pressure, and consumed more fiber and fewer sweets, compared with those who did not eat pistachios.

3: Move Every Day

“Exercise is critical to feeling good physically and mentally,” says Roussell. “You don’t need hours at the gym in order to lose weight, improve your health and feel great.”

Aim for 150 minutes of physical activity each week. From walking to online exercise classes to yoga, all movement counts. If it’s easier to break it up into smaller chunks of time, – that counts too. According to health professionals, spreading 10-minute bursts of exercise throughout your day can be just as effective as one, 30-minute block of physical activity. If you’re just starting out on an exercise program, set small goals and think about the type of activity that you like to do. The best exercise program is one that you will find enjoyable to stick with over time.


[1] Rock CL, et al. Effects of pistachio consumption in a behavioral weight loss intervention on weight change, cardiometabolic factors and dietary intake.

Exploring the patient-caregiver relationship: The story of a family’s journey navigating a cancer diagnosis

2021-03-02T08:01:00

(BPT) – When faced with a cancer diagnosis, life often changes drastically, with each person experiencing the impact differently. One change that can cause great uncertainty is an unexpected shift in relationships, especially with family or those closest to the patient. For some, the established family dynamic can quickly shift into a relationship of patient and caregiver.

This was the case for Jordan Mendelson, who was diagnosed with diffuse large B-cell lymphoma (DLBCL), a cancer that grows in lymph nodes, the glands in the neck, armpits, groin or abdomen. In an instant, Jordan’s parents and his older brother became his caregivers, supporting him as he navigated treatment and management of his disease.

DLBCL is the most common type of non-Hodgkin lymphoma (NHL) in adults worldwide, and there are around 28,000 patients diagnosed with the disease each year in the United States. It can affect people of any age, though more than half of new cases are diagnosed in people over 65. In Jordan’s case, he was 23 and just days before starting the spring semester of his pre-med program when he received his diagnosis.

Symptoms of DLBCL include painless swelling in the lymph nodes, unexplained fever, drenching night sweats, persistent fatigue, weight loss, a rash or itchy skin, pain in the chest, abdomen and bones, loss of appetite, sensation of bloating or fullness, enlarged spleen or liver, cough and skin lumps, among others. For Jordan, while on a family vacation, he felt a lump in his left armpit; after discussing his symptoms with his family, it became clear that he needed to see a doctor. Within a month, it was confirmed that Jordan had DLBCL, and that’s when everything changed.

“It was startling — it really is scary to hear any cancer diagnosis. And when the surgeon told me, while the news was hard to hear for myself, I found it even more difficult thinking how I would share this news with my family,” says Jordan.

Following the devastation of a DLBCL diagnosis — or any cancer diagnosis — figuring out how to balance relationships can take time and pose unique, unexpected challenges along the way. The DLBCL journey in particular has been described as one of continual ups and downs.

Patients may worry they are a burden, or alternatively, feel responsible for the emotional support of their caregivers. Caregivers often want to provide help in any way that they can but may not know how to truly empathize with what the patient is experiencing. Both may have a fear of the unknown, or frustration.

Please remember that your healthcare provider remains the best source of information regarding your treatment and condition.

To support both patients and caregivers, Jordan and his family shared tips they found helpful as they navigated their own patient-caregiver journey together:

1. Lean on your friends and family

A good support system makes all the difference. For a patient or a caregiver, while it may feel difficult at times, it can be helpful to open up and lean on family and/or friends, even if it seems like you are better off handling the situation on your own.

“What I say to people now is, I might have been the only person that had cancer, but we all fought it together — and I think that is really important to maintain perspective on,” says Jordan. “Even though you can sometimes feel alone, it’s important to remember those supporting you are going through the experience with you, even if they are not the ones receiving treatment. They go through the emotional highs and lows just like you do. My family — my parents and my brother — were instrumental to me during this entire process as I was going through the diagnosis and then treatment.”

“A cancer diagnosis changes everything — it changes the family, it changes the dynamic, but it’s very important to keep your head about you and remember that you are all in this together, especially when tensions are high,” says Eric, Jordan’s father. “We were very fortunate to have a great support system during this experience, among the four of us and beyond. As the parents of a sick child, you can’t do this alone. Jordan’s friends who reached out to help him, helped all of us. Those are the people we will be eternally grateful to. I don’t care who you are and how strong you think you are; you cannot do this alone — and I know the support we received was invaluable.”

2. Openly communicate

Ongoing communication between patient and caregiver is crucial. As a patient, it is important to be honest about how you are feeling, and let your caregiver know if you need something — even if that something is simply a little space.

“This experience was a significant adjustment for everyone at the beginning, but the patient-caregiver part of our relationship got much easier as time went on – so just give it time,” says Jordan. “At the beginning, it was difficult because no one knew what to do or expect, but after that first treatment cycle, it became more familiar and we were able to get into our individual roles more easily. For us, it was a very transformational change to the caregiver-patient dynamic when we were able to be honest with each other about how we were feeling and what we needed in the moment.”

And for someone in a caregiver role, it’s equally important to be open about how you are feeling and coping with the situation — just because you are not the one undergoing treatment does not mean you are not impacted by what is happening.

3. Don’t be afraid to ask for and accept help

As the Mendelson family can attest, there may come a time when help is needed from outside of the patient-caregiver relationship in order to get through a step in the journey. There are many organizations that can help provide tailored support for your specific cancer and relate to the experience both patients and caregivers are facing.

“Talking with other people going through what you are, such as other caretakers or a professional, can really help,” says Debbi, Jordan’s mother. “Shortly after Jordan’s diagnosis a social worker told me about resources and groups, and at the time, I didn’t feel like that was necessary … but it was. For me, especially toward the end of treatment when some of the immediate shock was over, talking to others really helped me process the experience. I highly recommend getting connected with an organization that understands what patients and caregivers are going through.”

4. Try to maintain some normalcy in your daily life

For both patients and caregivers, the logistics of figuring out how to cope with a cancer diagnosis and ongoing treatment may at times seem like all there is. But it’s not, and the Mendelson family believes finding a way to keep elements of your everyday life intact can help.

“For me it was school, but it could be anything — a job, a hobby — just try to keep that up,” says Jordan. “It’s important to remember that even though it feels like all you are is a cancer or lymphoma patient, that isn’t true – you are more than that. And doing those normal, everyday activities when you can does help.”

Josh, Jordan’s brother, summarizes his family’s experience navigating the DLBCL and patient-caregiver journeys as follows: “Our relationship as a family has always been close-knit, and I think this really brought us even closer. For us, it was all about taking each day one step at a time. The most critical thing you can do is be there for each other. Sometimes Jordan appreciated us doing nothing more than anything, so learning how to be understanding of our individual needs was important — and knowing that you’re all in this together.”

To find resources and support for patients and caregivers navigating a lymphoma diagnosis, visit the Lymphoma Research Foundation at https://lymphoma.org/resources/.

3 ways to help your loved one age in place

2021-03-02T08:31:00

(BPT) – In what seemed like an instant, the COVID-19 pandemic turned the world upside down. In addition to completely changing the way we work, shop and interact with others — just to name a few — it’s also forcing seniors to rethink their living arrangements and plans for the future, and changing the way we care for our elderly parents.

Given the recommendations around social distancing and documented outbreaks in nursing homes and other care facilities, more and more seniors are opting to age in place or, in other words, remain in their homes. But that’s easier said than done. Whether we’re in a pandemic or not, adjustments need to be made to ensure they have the support to do so safely.

Medication management

According to the Centers for Disease Control and Prevention (CDC), nearly half of Americans take at least one prescription drug, and one in four take three or more. However, studies have consistently shown that 20% to 30% of prescriptions are never filled and about 50% of medications for chronic disease are not taken as prescribed.

“Medication compliance is one of the most frequent reasons for decompensation with chronic medical illnesses,” said Mitchell Hyatt McClure, M.D., Chief, Hospital Medicine at Hartford Hospital.

To help your loved one stay on track with their medication regimen, consider an automatic medicine dispenser like Pria™ by BLACK+DECKER. Pria is a smart pill dispenser and home healthcare assistant designed to empower seniors to maintain their independence at home. Not only does it dispense the right dose at the right time, but it also allows caregivers to stay connected through two-way video calls, reminders and check-ins.

When using Pria for more than 90 days, users’ average adherence rate was 82% — up from 39% when used for fewer than 45 days. Caregiver presence also positively influences medication adherence when using Pria. Users with one caregiver had an average adherence rate of 79.4%, users with two caregivers were at 80.9% and users with three caregivers were up to 88.2%.

“An electronic pill dispenser like Pria can be invaluable for patients in promoting better health by improving medication compliance and reinforcing good health habits. The ability to additionally use Pria as a tool to communicate is an added benefit to combat social isolation, a problem that already existed in our elderly patients, but has been made increasingly worse by the COVID pandemic,” said McClure.

Remote monitoring

According to the National Council on Aging (NCOA), an older adult dies from a fall every 19 minutes. In fact, falls are the leading cause of fatal injury and the most common cause of nonfatal trauma-related hospital admissions among older adults. Furthermore, falls — with or without injury — can greatly impact seniors’ quality of life. A fear of falling creates a sense of uneasiness that often leads to a decrease in activity, which can, in turn, lead to physical decline, depression, social isolation and feelings of helplessness.

But caregivers can provide active loved ones with confident mobility simply by investing in a remote monitoring device. Whether it’s a necklace equipped with GPS, a smartwatch that can detect a fall and automatically alert emergency services, an in-home device that connects directly to emergency response operators or a combination of the three, your loved one will be able to age in place with the peace of mind that they have access to help should they need it.

Home modifications

Most homes aren’t designed for long-term care. However, simple home modifications can make it easier — and safer — for seniors to age in place. And when it comes to home modifications, the possibilities are endless.

When deciding which modifications to make, walk around the house with your loved one and identify their specific pain points. If they fear slipping in the shower, add a shower chair; if the front steps lack support, install railings; if their hardwood floors are slippery, lay down no-slip mats for traction. There are a number of options, both temporary and permanent, that can help your loved one stay in their home safely and comfortably.

The coronavirus pandemic has put our aging population at great risk, so it should come as no surprise that many seniors have opted to age in place. While it may be uncomfortable for family caregivers to accept this decision, it can be incredibly fulfilling and liberating for seniors when planned for properly. By utilizing available technology and making modifications where necessary, most seniors can remain happy, healthy and independent in their own homes.

If you own a business, you’ve only got days left to apply for a Paycheck Protection loan

2021-03-02T11:53:00

(BPT) – by Jennifer Roberts, CEO, Chase Business Banking and Sean ‘Diddy’ Combs, Founder, Our Fair Share, entrepreneur and media mogul

In just four months last year, more than 5 million U.S. businesses received a Paycheck Protection Program (PPP) loan. That helped them pay their workers, their mortgage or rent, and their utility bills. Unfortunately, many small businesses owned by minorities, women and veterans didn’t get PPP loans last year. We want to make sure you know how to apply for the funding your business really needs.

But you need to act quickly. PPP ends March 31, but many lenders may stop accepting applications sooner so they have time to process. That means you need to get started on an application quickly for PPP funds to help with your payroll costs and other bills, to get your fair share. The Small Business Administration (SBA) and participating lenders are working hard to make these loans available to more businesses in low- and moderate-income communities. And to smaller businesses, like barbershops, restaurants, nail salons, clothing brands, bars, bodegas and independent contractors.

Here are eight facts you should know about PPP that may encourage you to apply:

1) Congress funded it with $284 billion for 2021. That’s enough for millions of more loans.

2) It’s for first-time borrowers. The SBA has already approved more than 704,000 loans for borrowers who didn’t get one last year. The SBA also has approved loans for second-time borrowers.

3) A PPP loan may be forgiven. Up to 100% of your loan could be forgiven if you qualify and meet the SBA’s requirements. That means you wouldn’t have to pay back the forgiven amount.

4) Businesses with few employees get special attention. Through March 9, the SBA is accepting applications only from businesses with fewer than 20 employees.

5) Most loans are relatively small. The average loan to first-time PPP borrowers this year is $22,000, the SBA says.

6) Smaller businesses are getting approved. 90% of Chase’s approved PPP loans in 2021 are to businesses with fewer than 20 employees.

7) Help is available to understand PPP. chase.com/ppp has a webinar, checklists and FAQs to walk you through the application process. You can also check out sba.gov/ppp.

8) It’s easy to find participating lenders. The SBA’s website — sba.gov/funding-programs/loans/lender-match — has a “Lender Match” link to help you connect to a lender near you.

The 2021 PPP is scheduled to expire March 31, but to get your application to the SBA by then, you need to act now. If you believe you are eligible, we urge you to find a lender, prepare your information and apply.

Get started now. Don’t miss out!

To learn more, or to access helpful tools and resources, please visit chase.com/ppp or ourfairshare.com.

Top 5 paycheck-stretching hacks for 2021

2021-03-02T09:01:00

(BPT) – Feel like your paycheck is gone before your next payday? You’re not alone. A 2020 survey, “Getting Paid in America,” revealed that 2 out of 3 Americans are living paycheck to paycheck.

Not only is this stressful and frustrating, it can cause you to have fewer choices for managing your money and be more expensive for you in the long run. Nearly 12 percent of U.S. households use expensive methods like money orders, check cashers and bill pay services to access the money they earn, which can lead to a downward spiral of further expense and debt.[1] And for those who borrow money to hold them over, it may take about five months to pay off loans, costing an average of $520 in additional financing charges.[2]

The good news? There are hacks that can help you stretch your dollar further, from one paycheck to the next.

1. Go digital

If you’re not getting what you need from your current bank or are looking to bank for the first time, you should know that digital banking these days is a safe, accessible and affordable option.

GO2bank is an example of a fully digital bank that can help you get control of your finances right from your mobile phone. It offers all kinds of convenient tools to help you save money, so you won’t have to rely on check-cashing services or payday lenders — which charge high fees or interest rates that take a big bite out of your hard-earned paycheck.

To download the app, visit the Apple App Store or Google Android App Store, or go to www.GO2bank.com.

2. Direct deposit = quick access to pay

Did you know you can actually access your paycheck a day or two early? When you’ve got bills due or need groceries before your paycheck hits your bank, you need your money quicker. Options like payday loans can end up costing you hundreds in fees and even cashing your paycheck can delay your payday even further.

With direct deposit of your paycheck to GO2bank, you don’t have to wait too long, as you can access your paychecks up to two days early or government benefits up to four days early.[3] And should you need cash quick, you’ll also have access to thousands of fee-free ATMs to withdraw from.[4]

3. Plan ahead to avoid fees

First, get a clear picture of where your money is going each month — and when. On a calendar, map out what bills are due when, when subscriptions like Netflix will charge you, and when you’ll be paid.

If one part of the month contains most of the due dates, call your creditor to ask if you can move the due date, easing the strain on that pay period. If you can get bills paid on time, that means fewer late fees — and a better credit score in your future.

GO2bank also offers overdraft protection (up to $200).[5] To get started, just set up your eligible payroll/benefits direct deposits and opt in for overdraft protection — GO2bank will automatically cover purchase transactions that exceed your available balance.

4. Build savings little by little

Since there’s no way to be ready for every unexpected bill or expense, you’ll have more peace of mind if you start building an emergency fund right away. Setting aside even a small amount each pay period will add up over time. You’ll thank yourself when an emergency doesn’t plunge you into debt.

To make your savings go farther, GO2bank offers a high-yield savings rate at 10X the national average[6] and cash back rewards up to 7 percent when you buy e-gift cards from popular retailers in the app you may already be shopping at.[7]

5. Start safely building and improving credit

Having a higher credit score makes it easier and less expensive to borrow money when you need to — such as for a car loan or home mortgage. Building better credit takes time, but there are ways to do so today that will open the door to better options tomorrow. GO2bank makes this option available to you regardless of credit history with its Secured Credit Card with no credit check or annual fee.[8]

Taking these steps may help you get to your next payday with a lot less stress. A little planning and the right tools can go a long way in helping you improve your financial well-being for the future.



[3] Direct deposit early availability depends on timing of payor’s payment instructions and fraud prevention restrictions may apply. As such, the availability or timing of early direct deposit may vary from pay period to pay period. The name and Social Security number on file with your employer or benefits provider must match your GO2bank account exactly or we will decline your deposit.

[4] Fee-free ATM access applies to in-network ATMs only. For out-of-network ATMS and bank teller withdrawals, a $3.00 fee will apply, plus any additional fee charged by the ATM operator in addition to our fees.

[5] A $15 fee may apply to each eligible purchase transaction that brings your account negative. Opt in required. Balance must be brought to at least $0 within 24 hours of authorization of the first transaction that overdraws your account to avoid the fee. We require immediate payment of each overdraft and overdraft fee. Overdrafts are paid at our discretion and we do not guarantee that we will authorize and pay any transaction. Learn more about Overdraft Protection (PDF).

[6] Interest paid quarterly on the average daily balance of savings during the quarter up to a $5,000 balance and if the account is in good standing. 1% Annual Percentage Yield (APY) as of January 2021. APY may change before or after you open an account. See Deposit Account Agreement (PDF) for terms and conditions. The average national savings account interest rate of 0.05% is determined by the FDIC as of 10/23/20. National rates are calculated based on a simple average of rates paid (uses annual percentage yield) by all insured depository institutions and branches for which data are available. Savings account rates are based on the $2,500 product tier of insured depository institutions for which data is available. Visit https://www.fdic.gov/regulations/resources/rates/ to learn more.

[7] Active GO2bank account required to receive an eGift Card. eGift Card merchants subject to change. See Deposit Account Agreement (PDF) for details.

[8] Available only to existing GO2bank accountholders with direct deposits totaling at least $100 in the past 30 days. Eligibility criteria applies. Other fees apply.