Understanding Pseudobulbar Affect in Patients Caused by Multiple Sclerosis

2024-03-05T07:01:00

(BPT) – This article is sponsored by Otsuka America Pharmaceutical, Inc., for which Dr. Mayer Joshua Hasbani is a paid consultant.

This March is Multiple Sclerosis (MS) Awareness Month and an appropriate time to shine a light on a common neurological condition called Pseudobulbar Affect, otherwise known as PBA1. MS is a chronic and often debilitating disease affecting nearly one million individuals in the U.S.2 PBA can impact some patients within the MS community, yet is frequently misunderstood and underdiagnosed3.

“Pseudobulbar Affect or PBA is characterized by uncontrollable laughing, crying, or a combination of both, and has been reported in an estimated 10 to 46 percent of patients with MS. These symptoms are involuntary, exaggerated, often sudden, and do not necessarily align with the individual’s actual feelings,” according to Dr. Mayer Joshua Hasbani, Board Certified Neurologist, Hasbani Neurology. “PBA is thought to stem from neurological changes caused by MS, that is different from emotional disorders like depression, which PBA is often confused for, so it is increasingly important to understand, recognize and diagnose those affected.”

Because PBA symptoms can be mistaken for emotional disorders like depression, this can lead to misdiagnosis1. As a result, people experiencing PBA may struggle with their symptoms before finally receiving an accurate diagnosis1. Therefore, differentiating PBA from conditions like depression is important since each requires a unique approach to care.

“PBA can present a considerable burden in addition to the struggles of living with MS. This is further compounded by a lack of awareness and understanding about PBA that extends beyond healthcare providers to the general public. As a result, many individuals with PBA and those around them may experience frustration when episodes occur, as the episodes can be misunderstood and lead to confusion and embarrassment,” says Dr. Hasbani. “Therefore, patients with MS who are experiencing PBA-like symptoms of uncontrollable laughing, crying, or a combination of both, or their caregivers and loved ones, should talk to their healthcare provider about potential treatment options available.”

Today, NUEDEXTA® (dextromethorphan HBr and quinidine sulfate) is currently the only FDA-approved treatment for PBA and is clinically proven to reduce PBA episodes. Do not take NUEDEXTA if you are taking other drugs that contain quinidine, quinine, or mefloquine. The most common side effects were diarrhea and dizziness. These are not all the risks from use of NUEDEXTA. Please see additional Important Safety Information below.

“Having the ability to diagnose and treat my patients experiencing uncontrollable crying and laughter is especially rewarding,” says Dr. Hasbani. “While there is no cure for PBA and a diagnosis may seem daunting for patients, treatment with NUEDEXTA is an option that can help appropriate patients decrease laughing and/or crying episodes.”

Patients with MS who experience symptoms of PBA should engage in an open dialogue with their healthcare providers4 or seek consultation with a neurologist that has experience treating individuals with PBA. Specifically, sharing details about the frequency, nature, and impact of laughing or crying episodes can greatly assist a healthcare provider in making an accurate diagnosis and determining proper treatment4. Effectively managing PBA caused by MS needs a holistic approach to communication and a thorough care plan.

For more information about PBA, NUEDEXTA®, and resources for support and education, please visit treatingPBA.com. Please read the full INDICATION and IMPORTANT SAFETY INFORMATION for NUEDEXTA below.

INDICATION and IMPORTANT SAFETY INFORMATION for NUEDEXTA® (dextromethorphan HBr and quinidine sulfate)

INDICATION:

NUEDEXTA is approved for the treatment of Pseudobulbar Affect (PBA).

PBA is a medical condition that causes involuntary, sudden, and frequent episodes of crying and/or laughing in people living with certain neurologic conditions or brain injury. PBA episodes are typically exaggerated or don’t match how the person feels. PBA is distinct and different from other types of emotional changes caused by neurologic disease or injury.

NUEDEXTA is only available by prescription.

IMPORTANT SAFETY INFORMATION:

Before you take NUEDEXTA, tell your doctor:

  • If you are taking monoamine oxidase inhibitors (MAOIs), quinidine, or quinidine-related drugs. These can interact with NUEDEXTA causing serious side effects. MAOIs cannot be taken within 14 days before or after taking NUEDEXTA.
  • If you have previously had an allergic reaction to dextromethorphan, quinidine or quinidine-like drugs.
  • About all medicines, herbal supplements, and vitamins you take as NUEDEXTA and certain other medicines can interact causing side effects.
  • If you have had heart disease or have a family history of heart rhythm problems. NUEDEXTA may cause serious side effects, including changes in heart rhythm. If you have certain heart problems, NUEDEXTA may not be right for you. Your doctor may test your heart rhythm (heartbeats) before you start NUEDEXTA.
  • If you have myasthenia gravis.

While taking NUEDEXTA, call your doctor right away:

  • If you feel faint or lose consciousness.
  • If you experience lightheadedness, chills, fever, nausea, or vomiting as these may be signs of an allergic reaction to NUEDEXTA. Hepatitis has been seen in patients taking quinidine, an ingredient in NUEDEXTA.
  • If you have unexplained bleeding or bruising. Quinidine, an ingredient in NUEDEXTA, can cause a reduction in the number of platelets in your blood which can be severe and, if left untreated, can be fatal.
  • If you feel dizzy, since it may increase your risk of falling.
  • If you have muscle twitching, confusion, high blood pressure, fever, restlessness, sweating, or shivering, as these may be signs of a potential drug interaction called serotonin syndrome.

The most common side effects of NUEDEXTA include: diarrhea, dizziness, cough, vomiting, weakness, and swelling of feet and ankles. This is not a complete list of side effects. Tell your doctor about any side effect that bothers you or does not go away.

You are encouraged to report side effects of NUEDEXTA® (dextromethorphan HBr and quinidine sulfate). Please contact Otsuka America Pharmaceutical, Inc. at 1-800-438-9927 or FDA at 1-800-FDA-1088 (www.fda.gov/medwatch).

Please read accompanying FULL PRESCRIBING INFORMATION and IMPORTANT SAFETY INFORMATION, also available at treatingPBA.com.

References

  1. Ahmed A, Simmons Z. Pseudobulbar affect: Prevalence and management: TCRM. Therapeutics and Clinical Risk Management. November 29, 2013. Accessed December 13, 2023. https://doi.org/10.2147/TCRM.S53906.
  2. Understanding multiple sclerosis. National Multiple Sclerosis Society. Accessed December 13, 2023. https://www.nationalmssociety.org/What-is-MS/MS-FAQ-s.
  3. Vidović V, Rovazdi MC, Kraml O, Kes VB. PSEUDOBULBAR AFFECT IN MULTIPLE SCLEROSIS PATIENTS. Acta Clinica Croatica. 2015;54(2):159-163. Accessed January 31, 2024. https://pubmed.ncbi.nlm.nih.gov/26415311/
  4. Pseudobulbar affect (PBA). Brain Injury Association of America. November 7, 2023. Accessed December 13, 2023. https://www.biausa.org/brain-injury/about-brain-injury/pba.

Ready for wellness? 4 unexpected benefits of chiropractic care

2024-03-05T07:01:00

(BPT) – A popular misconception about chiropractic care is that it’s only for people with back pain. However, chiropractic treatment has the potential to treat various physical ailments. Whether you’re an athlete who needs help with sports recovery, a professional suffering from tech neck, or simply dealing with everyday aches and pains, you may benefit from chiropractic care.

Since 1999, The Joint Chiropractic has strived to improve people’s quality of life through routine, affordable chiropractic care. In honor of its 25th anniversary, The Joint offers the top four ways you could benefit from regular chiropractic treatment.

1. Pain relief

The most obvious benefit of chiropractic care is that it may help alleviate pain and discomfort. First, a licensed chiropractor will work with you to identify the source of your pain. Once they find the root cause, they can use various adjustment techniques to align your spine, eliminate joint restrictions and alleviate pressure on the nerves and other tissues.

Beyond back pain, spinal adjustments can help with:

  • Joint discomfort
  • Bursitis
  • Arthritis
  • Chronic injuries
  • Stress and tension disorders
  • Neck, upper and lower back, shoulder and elbow, as well as knee, foot and ankle pain

2. Improved nervous system communication

Your body is a living communication system. The brain sends electrical impulses down the spinal cord through miles of nerves that connect to every cell, system, structure and organ in the body. Those cells, systems, structures and organs send electrical impulses back to the brain so it can respond accordingly.

Just like with technological communication, structural issues in your body — like restricted range of motion in the spinal joints — can cause signal interference in your nervous system. When a joint is stuck or not moving properly, the ligaments and tissues within the joint, the muscles that attach, and the nerves that exit that area of the spine can be negatively affected.

To keep your body’s nervous system in tip-top shape, schedule regular chiropractic treatments. A consistent chiropractic routine can help unblock your joints, improving communication between your brain, nerves and body. Better communication promotes better function, which can lead to improved health and life experience.

3. Enhanced recovery

Another benefit of improving your nervous system through chiropractic care is the potential to increase rates of healing. Your nervous system controls how quickly your body recovers from infections, diseases and injuries. Consistent chiropractic treatment may improve the brain and body’s communication, improving function and performance.

Because chiropractic care can speed healing and recovery, many athletes and sports programs use chiropractic treatments to improve performance. In fact, according to the American Chiropractic Association, about 80% of professional and Olympic-class athletes use chiropractic care to increase performance and reduce the risk of injury. That’s why The Joint supports various collegiate and professional sports teams across the country through partnerships, thus furthering the connection between chiropractic care, athletics and physical fitness.

4. Increased relaxation

When your body is misaligned, it has to work harder to maintain a consistent state, causing a strain on your sympathetic nervous system. This system governs your fight, flight or freeze instincts, activated in high-stress or dangerous situations. Your body is not made to remain in this state constantly because it makes it more difficult to stay calm or relax.

Unfortunately, spinal misalignment and stiff joints can cause your sympathetic nervous system to activate even when you’re not in danger. You may be able to shift your body out of this state through chiropractic care. Chiropractic adjustments can take pressure off the nervous system, signaling to your body that you’re not in danger and can relax.

A different kind of chiropractic care

Chiropractic care is more than just a solution for back pain. It’s key to a healthy lifestyle. However, many face financial or logistical barriers when looking for a chiropractor. That’s why for the past 25 years, The Joint Chiropractic has made quality chiropractic care accessible.

With over 900 locations nationwide, The Joint is the nation’s largest provider of chiropractic care, serving more than 13 million patients a year. The company continues to expand its clinic network across the U.S., ensuring that quality chiropractic care is readily accessible to diverse communities.

What makes The Joint different from other chiropractic models? The company is known for its convenient retail setting and concierge-style services, including no appointments, no insurance hassles, affordable chiropractic care and accommodating hours of operation, including evenings and weekends.

“We are rounding the corner to our 1,000th clinic milestone, making 2024 a banner year for The Joint Chiropractic,” said Peter D. Holt, president and CEO of The Joint Corp. “This 25-year journey is a testament to our commitment to shaping a future where quality chiropractic care is within reach for everyone.”

Take charge of your wellness. For information on The Joint Chiropractic or to find one of our chiropractors near you, visit TheJoint.com. To learn more about your first visit, go to TheJoint.com/What-to-Expect.

Choosing the right weight management medication to best suit your health goals

2024-03-05T08:01:00

(BPT) – Struggling with weight loss is a problem everyone is familiar with – either they themselves or someone close to them has faced challenges in maintaining a healthy weight. Obesity is a disorder involving excessive body fat that increases the risk of health problems.1 A common, serious and costly chronic disease that affects adults and children, obesity is on the rise in the United States.2 About one-third of Americans suffer from obesity.2 Many have other chronic, expensive medical conditions, such as heart disease, diabetes and arthritis.2

“Obesity is a disease caused by many factors, including eating patterns, physical activity levels, sleep routines and genetics,3” said Dr. Anthony Auriemma JD, FOMA, obesity medicine specialist at Ascension Medical Group Illinois. “There is no one size fits all approach to treating obesity, which is a complex condition. While lifestyle intervention is the basis of treatment, it is important to consider the new therapies FDA approved for chronic weight management.4

Obesity is a chronic condition that requires long-term commitment to treatment.5 It’s important to consider the range of options as some therapies may be more appropriate than others to help manage weight loss in people with diabetes or cardiovascular disease.5 In addition, the benefits of weight loss through medication have been shown to have positive effects on managing other diseases such as high cholesterol, sleep apnea, and heart disease.6

“When treating obesity, it’s essential to consider the specific challenges of each person,” said Dr. Anthony Auriemma JD, FOMA. “Many new therapies are now available; It’s essential to look beyond the hype and, together, carefully evaluate the various options before committing to a weight loss strategy.5 Specifically, people in partnership with their physician should consider efficacy, safety, ease-of-use, and financial cost when choosing an option that best supports achieving and maintaining healthy weight goals.5

Amid this growing health crisis, there has been much attention focused on recently introduced glucagon-like peptide-1 (GLP-1) agonists, like semaglutide.5 Experts caution these GLP-1 medications may not be suitable for the full range of people struggling with weight loss, and a person or patient should consider the option that best aligns with their individual healthy weight goals.5

The good news is there are a number of proven medications for patients who suffer from obesity and are overweight.5 For example, Qsymia® (phentermine and topiramate extended-release capsules) CIV in combination with a reduced-calorie diet and exercise has been proven to help adults and children ages 12 to 17 lose weight and maintain weight loss.7 The once-daily pill is covered by the majority (81%) of commercial healthcare plans and is indicated for long-term use.8

“Obesity continues to threaten the overall well-being of those affected and is a major public health concern – and no one pill will completely reverse the situation,5” said Dr. Anthony Auriemma JD, FOMA. “Take the time to learn about each option with your physician. Remember, weight-loss medications may take time to show noticeable results.5 Be patient and stay committed to your overall weight-loss plan.”

Sponsored by VIVUS LLC.

Dr. Anthony Auriemma JD, FOMA, obesity medicine specialist at Ascension Medical Group Illinois, is a paid consultant of VIVUS LLC.

About QSYMIA

QSYMIA is a combination of phentermine, a sympathomimetic amine anorectic, and topiramate, indicated as an adjunct to a reduced-calorie diet and increased physical activity for chronic weight management in adults with an initial body mass index (BMI) of 30 kg/m2 or greater (obese) or 27 kg/m2 or greater (overweight) in the presence of at least one weight related comorbidity such as hypertension, type 2 diabetes mellitus, or dyslipidemia. QSYMIA may also be used in pediatric patients aged 12 years and older with BMI in the 95th percentile or greater standardized for age and sex.

The effect of QSYMIA on cardiovascular morbidity and mortality has not been established. The safety and effectiveness of QSYMIA in combination with other products intended for weight loss, including prescription and over-the-counter drugs, and herbal preparations, have not been established.

For more information on QSYMIA, please visit https://QSYMIA.com/

Important Safety Information

Do not take QSYMIA if you are pregnant, planning to become pregnant, or become pregnant during QSYMIA treatment; have glaucoma; have thyroid problems (hyperthyroidism); are taking certain medicines called monoamine oxidase inhibitors (MAOIs) or have taken MAOIs in the past 14 days; are allergic to topiramate, sympathomimetic amines such as phentermine, or any of the ingredients in QSYMIA.

Common side effects of QSYMIA in adults include numbness or tingling in the hands, arms, feet, or face (paraesthesia), dizziness, changes in the way foods taste or loss of taste (dysgeusia), trouble sleeping (insomnia), constipation, and dry mouth. Common side effects of Qysmia in children aged 12 years and older include depression, dizziness, joint pain, fever, flu, and ankle sprain.

QSYMIA can cause serious side effects, including birth defects (cleft lip/cleft palate), increases in heart rate, visual field defects (independent of elevated intraocular pressure), suicidal thoughts or actions, serious eye problems, and severe rash with blisters and peeling skin. QSYMIA may slow the increase in height in children 12 years and older.

101225.02-USP

References

­­­­­­­­­­­_____________

  1. World Health Organization. (n.d.). Obesity. Retrieved from https://www.who.int/health-topics/obesity#tab=tab_1
  2. Centers for Disease Control and Prevention. (2022, May 17). Adult Obesity Facts. Retrieved from https://www.cdc.gov/obesity/data/adult.html
  3. Centers for Disease Control and Prevention. (2023, September 22). Adult Obesity is a Serious Health Problem. Retrieved from https://www.cdc.gov/media/releases/2023/p0922-adult-obesity.html#:~:text=Obesity%20is%20a%20disease%20caused,one%20size%20fits%20all%20approach.
  4. WebMD. (2023, November 9). Prescription Weight Loss Medicine. Retrieved from https://www.webmd.com/obesity/weight-loss-prescription-weight-loss-medicine
  5. Harvard Health Publishing. (2023, November 1). Understanding new weight-loss drugs. Retrieved from https://www.health.harvard.edu/staying-healthy/understanding-new-weight-loss-drugs
  6. Müller, L., & Müller, V. (2018). Obesity and Breast Cancer: Current Insights on the Role of Fatty Acids and Lipid Metabolism in Promoting Breast Cancer Growth and Progression. Frontiers in Endocrinology, 9, 647. https://doi.org/10.3389/fendo.2018.00647
  7. Qsymia. (2023, June). Qsymia (phentermine and topiramate extended-release) capsules, for oral use, CIV. Prescribing Information. Retrieved from https://qsymia.com/patient/include/media/pdf/prescribing-information.pdf
  8. VIVUS LLC (2023, January 23). VIVUS Provides Update on Pipeline and Program Milestones. Retrieved from https://ir.vivus.com/news-releases/news-release-details/vivus-provides-update-pipeline-and-program-milestones

Debunking colonoscopy myths: The truth behind the life-saving procedure

2024-03-05T09:21:00

(BPT) – Your doctor just recommended you have a colonoscopy and you’re suddenly struck with a feeling of dread. No one looks forward to having a colonoscopy, but due to numerous myths and misconceptions, many people are unnecessarily worried and delay a screening that could ultimately save their life.

A colonoscopy is a routine procedure that lets doctors get a closer look at the health of the colon and rectum. This important procedure screens for colorectal cancer, the second leading cause of cancer death overall in the United States, according to “Cancer Statistics, 2023” in the American Cancer Society’s (ACS) journal CA: A Cancer Journal for Clinicians.

“Detecting colorectal cancer early means it’s more likely to be treatable,” said Dr. Douglas K. Rex, M.D., Distinguished Professor Emeritus at Indiana University School of Medicine and a full-time practicing clinical gastroenterologist. “Don’t delay getting a colonoscopy. In addition to detecting cancer, this important procedure helps screen for other diseases and conditions such as polyps, ulcers, colitis, diverticulitis and more.”

Dr. Rex says many people who delay a colonoscopy realize their worries were unfounded after it’s complete. He shares some of the top misconceptions about colonoscopies and the truths to put your mind at ease in hopes more people will schedule this potentially life-saving procedure.

Myth: No symptoms mean you don’t need a colonoscopy

Fact: It’s tempting to skip a colonoscopy if you don’t have any symptoms. However, lack of symptoms doesn’t necessarily mean your colon is healthy. For example, colon polyps can grow without any symptoms, and they may turn into cancer if not treated properly. Regular colonoscopies are recommended for anyone 45 and older, regardless of the presence of symptoms, because early detection makes treatment possible.

Myth: The prep for a colonoscopy is difficult

Fact: There’s no getting around it the preparation for a colonoscopy can be unpleasant. However, you no longer need to force yourself to drink a gallon of unpleasant liquid in order to clear your bowels ahead of a colonoscopy. FDA-approved SUFLAVE™ is a low-volume, safe and effective colonoscopy preparation — with a taste similar to a lemon-lime sports drink. The sports drink like taste and lower volume makes for an improved patient experience when preparing for a successful procedure. Ask your doctor about SUFLAVE™ and learn more at Suflave.com.

Myth: Colonoscopies are painful

Fact: A doctor will provide you with a sedative to make you sleepy and relaxed. Once you’re asleep, air is used to expand the colon so the doctor can look at all the interior walls with a tool called an endoscope. Because the colon has no nerve endings, even if polyps are removed, it doesn’t cause pain.

Myth: A polyp indicates cancer

Fact: After your colonoscopy you may learn that the doctor removed polyps. Polyps are noncancerous but they can lead to cancer, so it’s important to have these removed and sent to a laboratory for further testing.

Myth: The procedure and recovery take lots of time

Fact: You’ll be asked to check in for your colonoscopy appointment about an hour before the procedure. The test itself only takes about 30 minutes to complete. You’ll need about another hour to recover from the sedative at the clinic and will need someone else to drive you home once you’re released. Plan to lay low the rest of the day to allow the sedative to fully wear off.

“A colonoscopy takes a bit of time, but it’s a worthwhile investment in your health. Knowing the facts and having access to new options like SUFLAVE™, can improve the prep experience and can make you feel better about getting this important screening done,” said Dr. Rex.

IMPORTANT SAFETY INFORMATION

SUFLAVE(polyethylene glycol 3350, sodium sulfate, potassium chloride, magnesium sulfate, and sodium chloride for oral solution) is an osmotic laxative indicated for cleansing of the colon in preparation for colonoscopy in adults.

DOSAGE AND ADMINISTRATION: A low residue breakfast may be consumed on the day before colonoscopy, followed by clear liquids up to 2 hours prior to colonoscopy. Administration of two doses of SUFLAVE are required for a complete preparation for colonoscopy. Each bottle must be reconstituted with water before ingestion. Each bottle and one flavor-enhancing packet are equivalent to one dose. An additional 16 ounces of water must be consumed after each dose. Stop consumption of all fluids at least 2 hours before the colonoscopy.

CONTRAINDICATIONS: Use is contraindicated in the following conditions: Gastrointestinal obstruction or ileus, bowel perforation, toxic colitis or toxic megacolon, gastric retention, hypersensitivity to any ingredient in SUFLAVE.

WARNINGS AND PRECAUTIONS: Risk of fluid and electrolyte abnormalities: Encourage adequate hydration, assess concurrent medications and consider laboratory assessments prior to and after each use; Cardiac arrhythmias: Consider pre-dose and post-colonoscopy ECGs in patients at increased risk; Seizures: Use caution in patients with a history of seizures and patients at increased risk of seizures, including medications that lower the seizure threshold; Colonic mucosal ulcerations: Consider potential for mucosal ulcerations when interpreting colonoscopy findings in patients with known or suspected inflammatory bowel disease; Patients with renal impairment or taking concomitant medications that affect renal function: Use caution, ensure adequate hydration and consider laboratory testing; Suspected GI obstruction or perforation: Rule out the diagnosis before administration; Patients at risk for aspiration: Observe during administration; Hypersensitivity reactions, including anaphylaxis: Inform patients to seek immediate medical care if symptoms occur.

ADVERSE REACTIONS: Most common adverse reactions (> 2%) are: nausea, abdominal distension, vomiting, abdominal pain, and headache.

DRUG INTERACTIONS: Drugs that increase risk of fluid and electrolyte imbalance.

See Full Prescribing Information and Medication Guide

2024 Braintree Laboratories, Inc. 550-853-v1 February 2024

Wear contact lenses? 5 questions to discuss with your eye doctor

2024-03-05T10:45:00

(BPT) – Whether you spend long hours working in front of a computer or have difficulty reading signs when driving at night, finding a contact lens may be as easy as answering five questions.

“The best contact lenses for you will depend on several factors such as your prescription and the type of lenses that suit your lifestyle,” according to Erin Rueff, OD, PhD, FAAO, chief, Cornea & Contact Lens Services, Southern California College of Optometry.

“While this quiz may help you in your search for contact lenses that meet your needs, it’s important to schedule an eye exam as only an eye doctor can assess your eye health and recommend the appropriate treatment for your individual needs,” added Dr. Rueff. If it has been a while, find a doctor near you here.

1. Do you spend a lot of time on digital devices?

Well, who doesn’t? But, did you know that adults spend 13+ hours a day on digital devices, a 35% increase since 2019? From scrolling on a smart phone to working on a laptop, when looking at a digital screen, you blink 60% less, which can dry out your eyes. Blue-violet light is everywhere, coming from screens, fluorescent light and the sun and scatters more which may result in decreased visual clarity.*

If you’re one of the many people who are dependent on your digital device, then you may consider ACUVUE® OASYS MAX 1-Day with TearStable™ Technology, designed to maximize tear-film stability and lock in moisture. These lenses also filter about 60% of blue-violet light.[*]

2. Do you have trouble seeing far away?

Myopia, or nearsightedness, is a chronic, progressive disease in which the eye grows too long and makes it difficult to see objects far away. Myopia is common in children and is often diagnosed between ages 8 and 12 but can develop earlier. In fact, on average one in three kids in the U.S. have myopia. Abiliti™ Overnight Therapeutic Lenses have shown to be successful for myopia management. These lenses are worn overnight and temporarily reshape the cornea, typically eliminating the need to wear glasses or contacts during the day.[†]

3. Do you have trouble seeing up close?

If you’re over 40, you may have presbyopia. This means you can see things far away but not up close. Spoiler alert! If you squint or pull out the light on your phone to read a menu, then you may have presbyopia. A great option for the 40+ crowd is ACUVUE® OASYS MAX 1-Day MULTIFOCAL contact lenses. These lenses are designed for crisp, clear vision at all distances and in all lighting conditions plus all-day comfort.

4. Are you active and always on the go?

Whether you’re training for your next marathon or juggling work and kids, your days are packed with activities. When you need clear vision to help you get through the day, the last thing you want to worry about is your contacts. Another great option is 1-DAY ACUVUE® MOIST contact lenses, which can help keep your eyes hydrated and feeling fresh. With LACREON® Technology, these lenses create a long-lasting cushion of moisture for 20 hours or more.

5. Do you have astigmatism?

*Always wash your hands when handling contact lenses

If you have astigmatism, a common imperfection in the curvature of the eye that causes blurred or distorted vision at all distances, then you may consider ACUVUE® OASYS 1-DAY for ASTIGMATISM Brand Contact Lenses designed with HydraLuxe® Technology. These daily contacts are specifically designed for people with astigmatism and help to provide clear, consistent, stable vision all day long.

Important Information for Contact Lens Wearers

ACUVUE® Contact Lenses are available by prescription only for vision correction. An eye care professional will determine whether contact lenses are right for you. Although rare, serious eye problems can develop while wearing contact lenses. To help avoid these problems, follow the wear and replacement schedule and the lens care instructions provided by your eye doctor. Do not wear contact lenses if you have an eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. If one of these conditions occurs, remove the lens and contact your eye doctor immediately. For more information on proper wear, care and safety, talk to your eye care professional and ask for a Patient Instruction Guide, call 1-800-843-2020, or download the Patient Instruction Guide.

ACUVUE® Abiliti™ Overnight Therapeutic Contact Lenses are available by prescription only for the management of myopia. An eye care professional will determine whether these contact lenses are right for you. Although rare, serious eye problems including vision loss and blindness can develop while wearing contact lenses. To help avoid these symptoms, follow the wear and replacement schedule and the lens care disinfection instructions provided by your eye care professional. Do not wear these contact lenses if you have an eye infection, or experience eye discomfort, excessive tearing, vision changes, redness or other eye problems. If one of these conditions occurs, remove the lens and contact your eye doctor immediately. For more information on proper wear, care and safety, talk to your eye care professional and review the Patient Instruction Guide, call 1-877-334-3937, or visit www.seeyourabiliti.com.


[*] Filtering of HEV light by contact lenses has not been demonstrated to confer any health benefit to the user, including but not limited to retinal protection, protection from cataract progression, reduced eye strain, improved contrast, improved acuity, reduced glare, improved low light vision, or improved circadian rhythm/sleep cycle. The Eye Care Professional should be consulted for more information.

[†] The lenses are indicated for reducing refractive error up to 6.00D of myopia and up to 1.50D of astigmatism. Results may vary by patient and prescription level.

How to make a difference when it comes to heart health

2024-03-05T07:01:00

(BPT) – Did you know that every 33 seconds in the U.S., one person dies from heart disease? This is according to the Centers for Disease Control and Prevention (CDC), which also reports that while affecting people of all ethnic backgrounds, cardiovascular disease accounts for nearly one-fourth (22.6%) of deaths among African Americans. Heart and heart vessel disease can lead to serious health events including heart attacks and strokes.

To make a difference when it comes to heart health in honor of Heart Health Month, learn how you, your family, and your community can support your well-being — and consider opportunities for pursuing a career in healthcare.

Impact of heart disease for African Americans

Data published by the American Heart Association in 2022 found that around 60% of Black men and women had cardiovascular disease, making the mortality rate due to heart disease among the highest in Black Americans compared to other racial and ethnic groups.

“While many factors such as lifestyle and family health history contribute to the high rate of heart disease for African Americans, it has also been found that inequities within the health care system and unequal access to quality health care create serious obstacles,” said Dr. Tony Anno, core faculty in the Acute Care Nurse Practitioner Program at Walden University.

Social determinants of health such as having safe housing, adequate income, access to healthy food and clean water, plus education and job opportunities, are all part of the environment impacting the overall health of an individual, their family and entire communities. These factors are real burdens when it comes to people being able to be proactive about their own wellness.

“Concerns ranging from lack of insurance or being underinsured, to insufficient transportation and the inability to take off work to get checkups can all keep people from taking care of their health,” said Dr. Anno. “For nurses and others working in the field of public health, we try to bridge those gaps by providing information about access to screenings and lifestyle changes people may find helpful to support their heart health.”

Heart health tips to practice and share with others

To help reduce your own risk of heart disease, here are some lifestyle tips recommended by the CDC.

Get moving: Regular physical activity can help you maintain a healthier weight, while also potentially lowering your blood pressure, blood sugar levels and cholesterol levels. Whether you walk, play a sport, go to the gym, dance, swim or cycle — any activity is better than no activity. Always consult your health care provider before starting an exercise program.

Eat food that fuels your body: Choosing fresh fruits and veggies, whole grains and lean proteins will provide more nutrients your body needs than foods containing too much sugar, salt or saturated and trans fats.

See your doctor at least once a year: Annual wellness checks provide opportunities for important screenings that can detect risk factors for heart disease, such as your blood pressure, plus cholesterol and glucose levels. This can help you and your health care team take action to support your health.

Reduce smoking and alcohol intake: If you smoke, now is a great time to quit. Ask your health care provider for assistance to quit smoking. Reducing drinking to one per day for women and two per day for men can also help improve your blood pressure.

Consider a career in healthcare

If you want to help communities understand the risks of heart disease and how to take steps for a healthier heart, you might be interested in advancing your nursing education at Walden University. For example, a Master of Science in Nursing (MSN) degree can prepare you to define your path, find your voice, and play a bigger role in healthcare.

Gain the knowledge and leadership skills to address health and access issues for populations in underserved communities, and focus on key health issues that may otherwise be overlooked. In this program, you’ll have the opportunity to learn from practicing healthcare professionals, like Dr. Tony Anno, who hold doctoral degrees.

Learn more about this and other online degree programs at WaldenU.edu.

2024 is the year to modernize government services

2024-03-04T14:19:00

(BPT) – OpenGov and Cox Enterprises are bringing the cloud to your city, county, and state

By Claudia Arriaga, SVP of Customer Success and Support, OpenGov

One of the long-term — but somewhat hidden — effects of the COVID-19 pandemic is the way it fundamentally changed how cities and counties serve their residents. As public servants swiftly shifted to remote work and led the charge on safety protocols like physical distancing, many city halls were closed to visitors. This meant that they had to figure out how to deliver essential services in a new way — moving many of them online. Instead of going to the clerk’s office to file a permit, contractors could do it through their community’s website. Instead of calling someone sitting at a desk in the public works office, residents could go online to share a photo of a pothole that needed attention.

THE PERFECT STORM

Now, four years later, a wave of modernization ripples through our government, expanding these digital services. What’s driving it: a perfect storm of increasing retirements, labor shortages, cybersecurity attacks, aging legacy software systems, and more.

THE WINDS OF CHANGE

Going digital enables cities and counties to meet the increasing needs of the public efficiently and equitably. That’s why Cox Enterprises invested $1.8B in cloud software provider OpenGov to accelerate the effort to bring the cloud to government. It’s an important signal to our nation’s public servants that they’re heading in the right direction as they strive to operate more efficiently, adapt to change, and strengthen public trust.

Nearly 1,900 local and state governments in America already use OpenGov to run the budgeting and finance office, procurement processes, and operational workflows in public works, community development, and more. From Los Angeles preparing for the 2028 Olympics to Cocoa Beach keeping pace with economic development, cities and counties of all sizes are leveraging the cloud to engage residents, run meetings online, and digitize so people can get more done faster.

HOW TO GET INVOLVED

To find out if your community is among them, visit your city or county website to check which services are available online. Start by looking for links in the following three areas:

1. Permit applications

Fewer than 1 in 5 public servants say that residents are satisfied with their permitting and licensing process, according to OpenGov’s 2024 State of Local Government Report. This is due to limited hours at the clerk’s office, the inability to apply online, and the lack of visibility into where their application stands in the approval process. With 24/7 permitting and online payments, these barriers are gone.

2. Resident service requests

If contacting your public works department makes you want to pull your hair out, this one’s for you. Check your community’s website for a link to submit service requests, sometimes called 311. You’ll see a way to efficiently communicate your concern, and then sign up for notifications via email or text if you want to stay informed about the progress of your request — from receipt to resolution.

3. Budget books

Many taxpayers wonder what is happening with their city or county budget. A quarter of community leaders cite improving transparency as a top priority this year, but struggle to follow through on that promise. Check your community’s website for an online budget book that highlights spending by category in a way that’s easy to understand and aligned with the priorities in your community.

The good news: there is now more funding available to local governments than we’ve seen in generations. Now is the time for local administrators to future-proof their communities by modernizing each of their digital infrastructures.

How to support your nutritional needs while taking weight loss medications

2024-03-04T13:49:00

(BPT) – Are you considering taking or are currently taking a glucagon-like peptide 1 agonist (GLP-1) medication for weight loss? If so, it’s important to know how these drugs can affect your body. Most importantly, this is because most weight-loss medications’ main impact is through decreasing your desire to eat. While you may be eating far less than you used to, your body’s nutrient needs have not changed. It will be vital to ensure your body gets enough essential nutrients including protein, fiber, vitamins and minerals. Make sure to talk to your health care provider about potential side effects of these medications, and the best ways to maintain your optimal health while taking these drugs.

“Weight-loss drugs that work using the GLP-1 receptors curb your appetite, so you may have difficulty getting all the nutrients, micronutrients or even physical activity you need for optimal muscular, cardiovascular and brain health,” said Kent L. Bradley, M.D., MBA, MPH and chief health and nutrition officer at Herbalife. “If you’re taking these medications, you should supplement with products that help you get essential nutrients so that when you do eat, your meal is high in nutrient density, while at the same time making the foundational lifestyle changes needed to achieve sustainable weight loss.”

Side effects of GLP-1 medications

GLP-1 medications help regulate your blood sugar levels and make you feel fuller after eating. However, like most drugs, they’re not without potential side effects. According to the Cleveland Clinic, common side effects include loss of appetite, nausea, vomiting and diarrhea. The side effects each person experiences may vary, so it’s always best to consult your health care provider before and while you’re taking medications about any side effects you’re noticing.

Because of the feeling of satiety (fullness) and loss of appetite, typically experienced by people taking these medications, you’re likely going to be eating less while on the medication. This raises the possibility of your body not getting the protein, vitamins and minerals necessary to perform functions like fighting infection, building and repairing muscles and regulating hormones.

“Recent research has shown people taking weight-loss medications like GLP-1 may experience decreases in muscle density,” explained Bradley. “Herbalife is dedicated to addressing nutritional deficiencies through these new combos that include nutrition products designed to deliver protein and fiber, as well as critical vitamins.”

Why are macronutrients and micronutrients important?

You may know the terms macro and micronutrients, but you may not be aware of the impact they have on your body and the role they play in supporting healthy weight loss. Macronutrients like proteins are made up of amino acids that are essential for the growth and repair of tissues in the body. They can also be used as an energy source. Additionally, a higher protein intake can boost metabolism and reduce appetite by affecting the levels of weight-regulating hormones in your body.

Micronutrients such as vitamins have also been shown to play a part in a healthy metabolism. For example, B-complex vitamins help metabolize carbohydrates, fats and proteins to use as energy, instead of letting them turn into fat. Additionally, vitamins are necessary for energy production, immune function, blood clotting and other functions, while minerals play an important role in growth, bone health, fluid balance and several other processes.

How to supplement nutrition during weight loss

To help anyone taking GLP-1 medications, the premier health and wellness company and community Herbalife is offering a Herbalife GLP-1 Nutrition Companion, which offers food and supplement product combos intended to support the nutritional needs of individuals on weight-loss medications.

The Herbalife GLP-1 Nutrition Companion has two combo choices:

Classic Product Combo
Formula 1 Healthy Meal Nutritional Shake Mix
Protein Drink Mix
Active Fiber Complex

Vegan Product Combo
HERBALIFE V Plant-Based Classic and Chocolate Protein Shake
HERBALIFE V Plant-Based Digestive Support
HERBALIFE V Plant-Based Greens Booster

Each product bundle provides vital protein to sustain lean muscle and boost your energy, as well as fiber to support good digestion and a healthy gut microbiome. The Classic bundle also offers vitamins and minerals to support overall good health.

Note: The Herbalife product bundle is not a drug. Remember to consult your physician before you make changes to your diet during medically supervised weight loss.

Making the weight loss journey easier

Choosing foods and supplements that provide essential nutrients is a convenient way to take the guesswork out of nutrition and help ensure your body isn’t missing out on crucial nourishment while you’re on your weight loss journey.

“There really is no magic pill or shot. We still need foundational lifestyle changes,” Bradley added. “To sustain your results over time, it’s important that you continue to prioritize good nutrition and regular physical activity as part of your daily routine. It also helps to have the support of a community that understands your journey.”

Herbalife’s independent distributors also create a supportive community and can help you build better eating habits, whether you’re on weight-loss drugs or not — and support you in maintaining those habits after the drug treatment ends, so you can continue to benefit from your efforts.

Learn more from Dr. Kent Bradley, Board Certified Preventive Medicine and Public Health physician, about how good nutrition can support people on a GLP-1 weight-loss journey, by watching this video.

For more healthy lifestyle tips and information, visit Herbalife.com.

These 5 Simple Meal Prep Hacks Make Weeknight Cooking a Breeze

2024-03-04T07:01:00

(BPT) – Face it — even if you enjoy cooking, weeknight meal prep can be stressful after a long day. If you’re looking to elevate your meals without sacrificing more time and effort, check out these tips and tools to meal prep with ease.

1. Plan for weeknight delight

List favorite dinners to create weekly menus. Identify the most time-consuming part of each dish, then do advance prep on weekends to help save time later.

Consider cooking some protein ahead, as cooked chicken or turkey can last up to five days in the fridge. Chop veggies you’ll need and store in the fridge. Measure ingredients like dried herbs and spices to save on prep later. Label each container by meal and day so you’ll be ready to create your family faves in no time — even on busy weeknights.

2. Store ingredients thoughtfully

Be sure that your prepped ingredients are stored carefully. Wash and dry greens, then store in reusable, airtight containers lined with paper towels. If using resealable plastic bags, push out air to reduce oxidation. Group each meal’s items together in your fridge so they’re easy to find.

3. Use time-saving tools

Today’s kitchen gadgets can save time and help you cook consistently high-quality food. For example, the new KitchenAid® Grain and Rice Cooker takes care of measuring and monitoring for you by automatically sensing how much grain has been added, dispensing the right amount of water and simmering it to perfection, every time. You can even use it for a wide variety of grains and beans including rice, beans, oats, couscous, quinoa, barley, farro and more.

Need to plan ahead? With the KitchenAid® Grain and Rice Cooker you can schedule cooking up to 24 hours in advance, and once the cooking is done, it will automatically keep grains at serving temperature for up to six hours. You can use the Steam Cooking Mode for veggies, eggs, fish and more, using an included steamer basket that fits above the cooking pot to steam those other ingredients while the grains cook below. Tools like this can save tons of time, taking the guesswork out of cooking, and you don’t have to babysit a pot.

Learn more about the KitchenAid® Grain and Rice Cooker at KitchenAid.com.

4. Embrace globally-inspired recipes

Add variety and boost flavor with easy-to-prep recipes like this Kimchi Brown Fried Rice. Consider doubling the recipe so you’ll have plenty for later in the week.

Kimchi Brown Fried Rice

95 minutes; 4 servings

Ingredients

1 cup long grain brown rice (uncooked)

3 tablespoons toasted sesame oil (divided)

2 large garlic cloves (crushed)

8 ounces enoki or cremini mushrooms (ends trimmed)

2 teaspoons gochujang (paste)

1 1/2 cups kimchi (cabbage)

2 tablespoons kimchi juice

3 green onions (thinly sliced)

3 tablespoons dried seaweed (gim or nori, crumbled)

Fried eggs (optional topping/add-in)

Spam (sliced, optional topping/add-in)

Directions

1. Using the KitchenAid® Grain and Rice Cooker, select “Long Grain Brown Rice” menu option and set cooking liquid to water. Choose “regular” to confirm texture setting and allow rice to cook. When rice is cooked, remove bowl from cooker and let cool uncovered 10 minutes, fluffing occasionally to release heat and steam.

2. While rice is cooling, heat 5 quart saute pan on medium-high heat. Add 1 tablespoon sesame oil, then add mushrooms and toss to fully coat in oil. Saute 5 minutes, stirring occasionally.

3. Thinly slice garlic, then mash with fork until crushed. Add garlic and gochujang to mushrooms, stir, and continue to saute mixture another minute. Use wooden spatula to scrape pan and move mushroom mixture to the side.

4. Swirl remaining sesame oil in pan, then add cooked rice to the oil. Use spatula to turn rice in oil to coat, then pull mushroom mixture on top of rice and spread rice flat into the full bottom of the pan. Allow rice to fry one minute, undisturbed, then fry another 2-3 minutes, stirring occasionally and scraping pan as you fry.

5. Add chopped kimchi and kimchi juice over rice, stir to fully incorporate, then press rice into flat layer in the pan. Fry, undisturbed, for another minute. Turn off heat, top with sliced green onions and crumbled seaweed, stir, then serve.

5. Create intentional leftovers

Cooking up big batches of rice or beans in your rice cooker for one meal provides plenty of leftovers to use later that week. By doubling up these components, you’ll have a head start on another night’s meal.

Using these tips, you can relax and enjoy creating tasty meals with less hassle, any night of the week.