Finding Balance with Primary Immunodeficiency: Karla’s Journey

2025-04-15T11:01:00

(BPT) – Karla has always found solace in the outdoors. Growing up on a large cattle ranch, she spent her days surrounded by wide-open fields, tending to animals and doing farm chores with her sister. But unlike her sister, Karla often found herself sidelined by illness. As a young child she frequently battled colds, flu and pneumonia. “Some family members started labeling me as ‘lazy’ which made me feel isolated and alone,” she recalls. As she grew older, her health challenges intensified, affecting not only school, but also work and her relationships.

A Long Road to Answers

By adulthood, Karla’s struggles became impossible to ignore. “By my 20s, it felt like I was getting sick more often, and it was hard to explain because people in my life couldn’t believe that anyone could be this sick.”

After years of doctor visits and treatments for recurring infections, the turning point came when Karla’s daughter, Sadie, was referred to an immunologist after exhibiting similar symptoms as a baby. “I found an immunologist who not only helped Sadie but also acknowledged my medical history and tested my immune system to understand what was going on with me,” she recalls. “The doctor made me feel incredibly validated.”

When the immunologist reviewed the comprehensive immune panel results, she said, “Oh my goodness, Karla. It’s not that you have problems with your immune system. It’s that your immune system is hardly there.” The bloodwork revealed Karla had specific antibody deficiency (SAD), a form of primary immunodeficiency (PI). PI is an umbrella term used to describe a group of ~550 disorders that weaken the immune system, making it harder to fight infections.

Finding a Treatment That Fits

The immunologist recommended that Karla start a type of treatment called immunoglobulin (IG) therapy to help give her body the antibodies it needed to protect itself against infection. Initially, she wasn’t sick as often, but she did get sick in between infusions. That’s when her doctor suggested treatment adjustments—including increasing her doses and an alternative IG treatment that allowed for more frequent infusions—to find the right treatment for her.

Living in a Remote Area: A Consideration for Treatment

Living in a rural area of Wyoming meant long travel times to in-office infusion appointments for Karla. She had to consider logistics, flexibility and convenience when discussing treatment options with her doctor. After discussing her options with her specialist, she was introduced to CUVITRU® [Immune Globulin Subcutaneous (Human)] 20%, a medicine approved for PI in patients two years and older.

What is CUVITRU?

CUVITRU is a ready-to-use liquid medicine that is given under the skin (subcutaneously) to treat primary immunodeficiency (PI) in people 2 years and older.

IMPORTANT SAFETY INFORMATION

What is the most important information I need to know about CUVITRU?
CUVITRU can cause the following serious reactions:
  • Severe allergic reactions causing difficulty in breathing or skin rashes
  • Decreased kidney function or kidney failure
  • Blood clots in the heart, brain, lungs, or elsewhere in the body
  • Severe headache, drowsiness, fever, painful eye movements, or nausea and vomiting
  • Dark colored urine, swelling, fatigue, or difficulty breathing

Please continue reading for additional Important Safety Information.

Karla’s doctor explained that after proper training from a health care professional such as a nurse, Karla could self-administer CUVITRU, eliminating the need for her to make frequent trips to an infusion clinic. “Since I live in such a rural area, being able to administer treatment at home felt like a more manageable option for my individual needs.”

Embracing a New Routine

At first Karla wasn’t sure what to expect, but over time she developed a routine that worked for her. “Infusion days at home became something to look forward to. Sadie and I make these our special nights, complete with movies and our favorite snacks. Instead of feeling like another chore, infusion days have become moments of connection and self-care.”

With her treatment plan in place, Karla feels like she has more control over her health. She continues to take precautions—like minimizing unnecessary germ exposure and staying in touch with her health care providers.

Most importantly, Karla wants others with PI to know they are not alone. “If you take one thing away from my story, I want it to be this: You are in control of your life—PI is not. Be empowered to advocate for yourself and your health.

Individual experiences with PI may vary. Always consult your health care provider for medical advice or services.

To learn more about CUVITRU, visit https://www.cuvitru.com.

This content was provided by Takeda. Karla has been compensated by Takeda for sharing her story.

IMPORTANT SAFETY INFORMATION (Continued)

Who should not use CUVITRU?
Do not use CUVITRU if you:
  • Have had a severe allergic reaction to immune globulin or other blood products.
  • Have a condition called selective (or severe) immunoglobulin A (IgA) deficiency

What should I avoid while taking CUVITRU?

  • CUVITRU can make vaccines (like measles/mumps/rubella or chickenpox vaccines) not work as well for you. Before you get any vaccines, tell your healthcare provider (HCP) that you take CUVITRU.
  • Tell your HCP if you are pregnant, or plan to become pregnant, or if you are nursing.

What are the possible or reasonably likely side effects of CUVITRU?

CUVITRU can cause serious side effects. If any of the following problems occur after starting CUVITRU, stop the infusion immediately and contact your HCP or call emergency services:

  • Hives, swelling in the mouth or throat, itching, trouble breathing, wheezing, fainting or dizziness. These could be signs of a serious allergic reaction.
  • Bad headache with nausea, vomiting, stiff neck, fever, and sensitivity to light. These could be signs of irritation and swelling of the lining around your brain.
  • Reduced urination, sudden weight gain, or swelling in your legs. These could be signs of a kidney problem.
  • Pain, swelling, warmth, redness, or a lump in your legs or arms. These could be signs of a blood clot.
  • Brown or red urine, fast heart rate, yellow skin or eyes. These could be signs of a liver or blood problem.
  • Chest pain or trouble breathing, or blue lips or extremities. These could be signs of a serious heart or lung problem.
  • Fever over 100ºF. This could be sign of an infection.

The following one or more possible side effects may occur at the site of infusion. These generally go away within a few hours, and are less likely after the first few infusions.

  • Mild or moderate pain
  • Redness
  • Itching

The most common side effects that may occur are:

  • Headache
  • Nausea
  • Fatigue
  • Diarrhea
  • Vomiting

These are not all the possible side effects. Talk to your HCP about any side effect that bothers you or that does not go away.

For additional safety information, click for Information For Patients and discuss with your HCP.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

©2025 Takeda Pharmaceuticals U.S.A., Inc. 500 Kendall Street, Cambridge, MA 02142. 1-877-TAKEDA-7 (1-877-825-3327). All rights reserved. Takeda and the Takeda Logo are registered trademarks of Takeda Pharmaceutical Company Limited. CUVITRU is a registered trademark of Baxalta Incorporated. US-CUV-0849v1.0 04/25

The best grilled cheese sandwich for your zodiac sign

2025-04-15T12:05:00

(BPT) – By Karla Walsh

Whether it’s an after-school or after-work snack, a quick and easy lunch or a comforting dinner, there’s no wrong time to savor a grilled cheese, if you ask us. In fact, add an egg and call it breakfast; it truly is an around-the-clock treat.

It’s clear we’re not alone in thinking grilled cheese is the GOAT. According to a September 2024 poll by Talker Research, grilled cheese is America’s favorite sandwich. (Sorry, turkey, tuna and PB&Js.)

Nostalgic, fast, flavorful and endlessly customizable, there’s a lot to love about a grilled cheese sandwich. But with so many breads, spreads, cheeses and flavor-boosters available these days, how is a sandwich-lover supposed to choose?

The answer is written in the stars, believes Alice Smith, astrologer at Alice Smith Astrology in Seattle.

“The signs of the zodiac describe our outlook and approach on the world. They describe our worldview, which includes our preferences, so they can also be helpful in determining our tastes and the things that bring us pleasure,” she says.

To help you meet your match, we asked Smith and Julie Taparia, a Vedic astrologer in New York City, to share the flavors, textures, aromas and overall energy members of each zodiac sign might gravitate toward. Then to inspire your future grilled cheese feasts, we’re dishing up recipes for each.

We’re firm believers that if you start with high-quality bread and cheese, you don’t need much more to make the best grilled cheese. We love Organic Valley cheese because their dairy comes from cows raised on organic family farms and cared for without the use of antibiotics, artificial growth hormones, toxic pesticides or GMOs. But to spice things up and speak to each zodiac, we’re adding a bonus ingredient to each combo. The recipes below each feature a unique style of cheese, a different type of bread and one or two other ingredients to speak to the spirit of your zodiac sign.

Aries: March 21 to April 19

“Aries is a firecracker sign that’s known for taking action, and it’s the first fire sign in the zodiac,” Smith says. Aries tend to be headstrong and courageous and crave spicy and exciting experiences and food, the astrologers agree. Vivian Krenz, a data specialist for Organic Valley, chimes in to add that Aries “live life out loud.” So to keep the flames stoked and ensure the crunch volume is turned up nice and high, try a sandwich made with chewy sourdough, jalapeño-studded Pepper Jack, and a spoonful or two of chili crisps for even more punch.

The Best Grilled Cheese for Aries: sourdough bread with Pepper Jack cheese and chili crisps

Taurus: April 20 to May 20

Indulgent, sensual and extremely “in touch with their physical senses,” according to Smith, Taurus is an earth sign. In addition to appreciating the finer things in life, Taurus individuals often appreciate timeless style and quality. To please your fine taste, consider starting with thick and rich slices of brioche. Layer on buttery Muenster, then add a scoop of earthy sautéed mushrooms (cook in a skillet with a splash of oil for about 10 minutes, or until tender and aromatic). Once this all melts together, you’ll be treated to luscious cheese pulls … and decadent flavor.

The Best Grilled Cheese For Taurus: Brioche with Muenster and sautéed mushrooms

Gemini: May 21 to June 21

Adventurous and “the life of the party,” says Taparia, Geminis are driven by curiosity. “They love novelty and detest predictability. Being bored is the worst thing for a Gemini,” Smith adds. With that in mind, Geminis will surely melt over a sandwich made with Organic Valley’s newest cheese: American Fiesta. It’s designed for queso but is an incredible ingredient in so much more — including a gooey grilled cheese with smoky, crispy bacon. Once you’ve mastered this recipe at full-size, try it crostini-style and add them to the menu for your next get-together.

The Best Grilled Cheese for Geminis: multigrain bread with American Fiesta and crispy bacon

Cancer: June 22 to July 22

Like a crab, which represents this sign, protecting itself in its safe shell, “cancers enjoy staying home and being cozy,” Smith says. They prefer foods that “feed the body and soul.” We’re sticking with the classics here. Fluffy, soft and rich potato bread acts as the ideal base for a blanket of classic American cheese and a nourishing fried or over-easy egg. (Pro tip: Griddle each slice of buttered bread in a skillet cheese-side up. Top with a lid to help cook the cheese. In a separate pan, cook the egg as you like it. Once the bread is lightly browned and the cheese is melted, place the egg on top of one cheesy toast, top with the other and dive in.)

The Best Grilled Cheese for Cancers: potato bread with American White and an egg

Leo: July 23 to Aug. 22

Leos live large and don’t mind stepping into the spotlight. “They often have huge personalities,” Taparia says. To match that presence, Taparia suggests a large-and-in-charge sandwich made with thick slabs of Texas toast “to stand tall above the rest. This natural leader needs the largest grilled cheese sandwich in the zodiac.” Inside, robust and tangy Raw Sharp Cheddar won’t shy away from the spotlight. A layer of fig jam lends a lovely layer of sweetness to help balance out the bite.

The Best Grilled Cheese for Leos: Texas toast with Raw Sharp Cheddar and fig jam

Virgo: Aug. 23 to Sept. 22

With a keen eye for detail and a penchant for elegance and balance, Virgos gravitate toward things that are carefully tailored and well-made. “They don’t want to reinvent the wheel; they want to perfect it,” Smith says. It can’t be too bold or too bland, either. We’re searching for the “Goldilocks” of recipes made with “quality, natural ingredients,” Taparia says. Crunchy, sweet-tart green apple slices paired with understated yet ultra-creamy provolone slices, all inside whole grain bread coated in good butter? Now that sounds like a recipe for success.

The Best Grilled Cheese for Virgos: white bread with Provolone Cheese and green apple slices

Libra: Sept. 23 to Oct. 23

Libras are lovers. Described by Taparia as “romantic and affectionate,” Libras tend to be fair, balanced and charming. Since they thrive when they’re able to socialize, Smith says, they will likely adore a light and sweet option to keep them energized from day to night. Start with buttered cinnamon bread. (We’re skipping the raisins since Krenz says Libras prefer to avoid conflict — and raisins can be a controversial bread ingredient.) Then spread those warmly spiced slices with cream cheese and apple butter, and if you like, top things off with a pinch of flaky sea salt as a hat tip to the balance Libras showcase. Salty, sweet and crowd-pleasing. What’s not to love?

The Best Grilled Cheese for Libras: cinnamon swirl bread with Cream Cheese and apple butter

Scorpio: October 24 to November 21

“This zodiac is ruled by the red-hot planet, Mars,” Taparia notes. Scorpios seek out the mysterious and intense, and enjoy depth, Smith says. “Since they value their privacy, a pita bread is a perfect fit for a Scorpio. With its deep pocket, it will be a mystery to others what they are eating,” Taparia explains. Only you will know there is a salty, tangy and smoky duo hiding inside. Since Scorpios are “often intrigued when things are a bit ‘off,'” Krenz says, we recommend crumbled Feta or funky blue cheese. (Use a slice of provolone to melt it all together.) Then for a bright, smoky finish, tuck in slices of vibrant roasted red pepper. If you like, finish with a drizzle of balsamic glaze for a sweet-tangy flourish. Bake at 400 F for 10 to 15 minutes, and you’re all set to dive into the most complex combo of the group. How fitting for emotionally layered Scorpios!

The Best Grilled Cheese For Scorpios: pita bread with Feta Cheese or Blue Cheese and roasted red pepper

Sagittarius: Nov. 22 to Dec. 21

For many Sagittarians, their passport and suitcase are always ready to fly. “They are known as freedom-loving and truth-seeking world travelers,” Taparia says. They’re the most adventurous sign, Smith and Krenz agree, and since trying food from other parts of the world allows us to learn about other people, “Sagittarius folks are also often the most open to flavors from other cultures,” Smith says. To celebrate this fact, build a grilled cheese on melted Ghee-brushed naan. Inside, you can take your taste buds on a “trip” via Spicy Cheddar (which packs a zip from habanero and paprika) and warm, sweet, tangy and tingly mango chutney.

The Best Grilled Cheese for Sagittarius: naan with Spicy Cheddar and mango chutney

Capricorn: Dec. 22 to Jan. 19

Practical and traditional, Capricorns are as trustworthy and reliable as your favorite pair of jeans. Capricorns seek out substance and prefer to “leave the lighthearted stuff to Libra and the inventive stuff to Aquarius and Gemini,” Smith says. Since old-fashioned and classic is what Caps crave, we suggest sturdy slices of whole wheat bread with the OG after-school combo of Yellow American Cheese and juicy tomato slices.

The Best Grilled Cheese for Capricorn: whole wheat bread with American Yellow and tomato slices

Aquarius: Jan. 20 to Feb. 18

You’ll rarely find Aquarius fading into the background. “They appreciate innovation, individuality and anything that rebels against tradition,” Smith says. No need to stick to standard white bread here. We’re calling in an unexpected foundation, salty, briny olive bread, which can stand up to a not-so-shy cheese: Smoky Cheddar. Then, since Smith says that folks who fall under this sign “appreciate true innovation,” and “if elements of tech and science can be incorporated, even better,” layer on some caramelized onions. (As the raw alliums are exposed to the heat, over time, they transform into a gloriously jammy, sweet and brown delight thanks to the Maillard reaction and caramelization.) For a beautifully unexpected and delicious briny boost, feel free to add a thin layer of olive tapenade, too.

The Best Grilled Cheese for Aquarius: ciabatta bread with Smoky Cheddar and caramelized onions

Pisces: Feb. 19 to March 20

Pisces, who are intuitive, spiritual and in touch with their feelings, are prone to “have emotions like the high tides and low tides of the water,” Taparia says. This means that the scenery and sensations they surround themselves with can definitely move the needle. So, we’ve designed the epitome of a food hug here: Slice open a croissant, stack on slices of silky, nutty Baby Swiss (imagine the holes can offer a glimpse into your heart!) and finish with a drizzle of honey. Heaven.

The Best Grilled Cheese for Pisces: croissant with Baby Swiss and honey

We hope you savor your zodiac-inspired sandwich! Remember, you can enjoy any sandwich, regardless of your sign. Organic Valley is proud to offer even more cheese options than ever to help you build your best bite. Want even more delicious cheesy recipes? Read more here: 5 Salads to surprise and delight, and the cheeses that make them great!

Karla Walsh is a Des Moines, Iowa-based freelance writer, editor, freelance writing coach and level one sommelier who balances her love of food and drink with her passion for fitness (or tries to, at least!). She has over 16 years of professional experience covering food, wine, travel, nutrition, health, fitness, psychology, beauty, relationships and beyond. If you’d like to follow more of her work, you can find it on Better Homes and Gardens, Allrecipes, VERANDA, Travel + Leisure, Food & Wine, Peloton’s The Output and more — and keep up with her adventures on Instagram at @karlaswalsh.

Why gluten-free baking is having a moment

2025-04-15T13:49:00

(BPT) – Consumers are increasingly choosing easy, convenient foods to support their active, busy lifestyles. This trend includes ready-to-bake treats such as brownies and cookies, but with alternative ingredients like those found in Ghirardelli’s new Gluten Free Double Chocolate Brownie Mix. That’s right, gluten free isn’t just for people with food allergies anymore, it’s the choice of ingredient-savvy consumers as well as those with gluten sensitivities. In fact, current research shows the U.S. market for gluten-free foods is among the largest in the world. That’s why gluten-free baking is having a moment.

Gluten free as a lifestyle choice

Nearly a third of consumers currently follow a gluten-free diet or have done so in the past. Grocery stores are paying attention, dedicating shelf space and expanding product selections to please the palates of this growing demographic. It’s easier than ever to bring home ready-to-eat and easy-to-make gluten-free goodies.

A gluten-free lifestyle encourages experimentation in the kitchen and introduces new flavors and textures. Gluten-free bakers are discovering that mixing and matching alternative flours, such as rice flour, creates blends that rival the original texture of wheat flour. Use almond flour in your banana bread for an extra-nutty kick. Or swap in oat flour to make pancakes that are thick and sweet. Explore different ingredients that suit your taste. Today’s gluten-free baked goods are innovative and indulgent.

Restaurants and retailers jumping on the gluten-free bandwagon

Cookie connoisseurs and brownie-baking enthusiasts are benefitting from the evolution of gluten-free baking at bakeries and restaurants, as well as in their own kitchens. In fact, the term “gluten free” has grown 39% on menus over the past four years, making it more accessible than ever. Gluten-free treats are now readily available for people who want to have their desserts and eat them, too.

American consumers are increasingly aware of gluten intolerance and the benefits of clean eating. This heightened awareness is driving growth of allergen-free items on grocery shelves. From bread and pasta to baking mixes, whole aisles of gluten-free products are now available.

Where sweet meets gluten free

Meanwhile, Americans also consume 2.8 billion pounds of chocolate each year, according to Jobera. And now you don’t have to choose between chocolate goodness and living your best life, regardless of your dietary preferences.

So, why not feed your chocolate craving with Ghirardelli’s Gluten Free Double Chocolate Brownie Mix, which combines premium semi-sweet and bittersweet chocolate chips, plus a unique blend of cocoa powders and a hint of vanilla to create the signature Ghirardelli flavor profile. Instead of wheat flour, the gluten-free recipe uses brown rice flour. It’s the same delicious taste as the original Double Chocolate Brownie Mix, but now available to more consumers than ever before. An 18-ounce brownie pouch mixed with butter, water, oil and an egg yields an 8X8-inch pan of rich, fudgy, gluten-free brownie bliss.

When it comes to gluten-free baking, the possibilities are deliciously limitless!

Here’s why enjoying screen-free play is good for you … and your cat

2025-04-14T16:01:01

(BPT) – Getting tired of scrolling on your phone? While it may seem like a stress-reliever, constantly being glued to screens can actually increase stress.

A recent University of Texas study found that taking a break from our screens can significantly improve mood and well-being. Many of us have fond memories of childhood weekends spent playing outdoors or staying in for game nights with family and friends. Reviving these routines is a great way to unplug and get much-needed breaks from overstimulation and stress.

If you’re seeking engaging activities beyond the screen, why not revive the cherished tradition of game night?

According to the National Institute for Play, the many benefits of play throughout your adult years include emotional, physical, social and cognitive advantages. And humans aren’t the only ones who benefit from play — if you’re a pet owner, you may already know how much our furry friends love to engage in fun activities.

“Play is a great outlet for humans and pets alike,” said Purina pet behaviorist Dr. Annie Valuska. “Enjoying activities together is one of the best ways to deepen your bond with your pets.”

Game Time Meets Play Time

If you have a pet at home, including them in your screen-free routines is a great way for both of you to get much-needed playtime and mental stimulation while strengthening your bond.

Friskies, the popular cat food and treat brand, recently created a brand-new game, “Adventures in Friskies World” to give board game and pet enthusiasts a fun activity that brings back the nostalgia of game night — with a feline twist.

A board game called

Developed by world-class game designer Ellie Dix, with cat insights from Dr. Annie Valuska, Adventures in Friskies World gives cat fans and board game lovers a challenging adventure that will keep them on their toes. Plus, if you have a cat at home, your felines also get a special toy included in the game, so they can stay entertained with the greatest toy of all — the cardboard shipping box the game arrives in.

“Cats are often incorrectly stereotyped as aloof and reserved, but their health and development benefit tremendously from playtime with us,” said Dr. Valuska. “They enjoy variety, and they love a challenge — much like humans do — so we designed the game with their instincts in mind.”

Couple petting their cat in a carrier while attending game night at a friend's house.

The Adventures in Friskies World game is available for purchase at BoardGame.friskies.com, while supplies last.

Dr. Annie’s Tips for Enhancing Cat Playtime

Meanwhile, to help bring out the playful side in your cats, keep them in mind as you explore new ways to play, using tips from Dr. Annie, and even taking inspiration from the board game.

1. Discover your cat’s favorite toys

Experiment with different toys to find out what your cat responds to the best. Cats naturally love to stalk, chase and pounce. Try out different toys that are designed for them to bat around, clutch, kick or carry, such as balls or small stuffed toys.

Safety tip: Always supervise play with toys that have feathers, strings or other parts that could be swallowed.

2. Explore different play modes

While some cats love to catch toys and then stay put with their “prey,” others are more intrigued by toys that move or make noise. Some like to chase a toy that is fast moving, while others are intrigued by slow stalking.

Changing how you play with toys can make things more interesting for your cat. It will help you learn which styles of play your cat likes best, giving you more opportunities to enjoy spending time together.

3. Bring out the boxes

You’ve seen it happen — sometimes your cat likes the box their new toys came in better than the toys themselves! And luckily, Adventures in Friskies World comes in a box your cat will enjoy. But why do cats love boxes so much?

“Cats are ambush mesopredators who love cardboard boxes because they provide a safe, enclosed space where they can hide, feel secure and observe their surroundings without being seen,” said Valuska. “On top of that, the texture of cardboard is perfect for biting and scratching, making it fun and engaging for cats to play with.”

Playing with your cat is more than just, well, cat’s play. It offers a world of exploration, physical activity, mental stimulation and fun that helps your cat stay happy and healthy. Best of all, it’s a fantastic way to enjoy screen-free fun with your furry companion.

Learn more about all the tasty options to tempt your feline family member at Friskies.com.

Summer is coming: How to keep pesky mosquitoes away

2025-04-14T12:25:00

(BPT) – Did you know that mosquitoes are active as early as late March in some regions of the country? And by May, they’re a widespread nuisance across most of the United States. Mosquitoes are not just an annoyance that can make spending time in your yard less enjoyable — they can also carry diseases that are dangerous for both humans and pets, like West Nile disease, Zika, malaria and more, making them a serious health threat. There are actually over 3,500 species of mosquitoes worldwide, and a professional pest control service can help you learn which type you have, and how to deal with them properly.

To help you enjoy your outdoor spaces safely — and keep pests from getting inside your home — the experts at Mosquito Joe, a Neighborly company, offer their advice to help you plan for a pest-free season while minimizing environmental impact.

Mosquito Joe is a Gold-Level partner in the Environmental Protection Agency’s Pesticide Environmental Stewardship Program (PESP), which is prestigious recognition of the company’s steps to help protect the environment at the same time that it works to protect your family. Mosquito Joe has taken significant steps to promote Integrated Pest Management (IPM) services, an effective, environmentally sensitive approach to pest management that relies on a combination of common-sense practices and sustainable pest control methods.

“We are incredibly honored to receive the EPA’s PESP Gold Level designation,” said Lou Schager, president of Mosquito Joe. “This recognition reflects our ongoing commitment to prioritizing the health and safety of our customers and communities by utilizing environmentally responsible practices. Through our partnership with the EPA, we aim to set a new standard in pest control that protects both people and the environment.”

Here are concrete steps you can start taking now to ensure that you have a more relaxing, safer and healthier pest-free property this year:

Reduce standing water

  • Empty birdbaths, fountains and buckets regularly to clean out standing water.
  • Clean gutters to avoid water accumulation, plus clogs or damage.
  • Maintain clean and well-circulated swimming pools.
  • Repair leaky outdoor faucets promptly.
  • Direct water away from the foundation.
  • Set sprinkler timing to not overwater the lawn.

Maintain your landscaping

  • Keep your yard weed-free.
  • Cut grass and shrubs short and prevent overgrown vegetation.
  • Ensure dumpsters are away from the structure.

Seal entry points

  • Ensure caulking around doors and windows is in good repair.
  • Seal cracks at the foundation, around outside spigots and HVAC lines.

Consult a professional outdoor pest control service

  • Mosquito Joe can help defend your property against mosquitoes and ticks while also helping keep ants, spiders, cockroaches, and mice from entering your home.
  • The company offers whole-yard protection, which is the most effective defense against pests.

Mosquito Joe protects your home and property from the outside while reducing pesticide risk inside. By planning ahead, taking concrete steps to keep mosquitoes from thriving in your yard, and using a professional outdoor pest control service, you can enjoy a pest-free season while minimizing the environmental impact.

Don’t wait for spring’s warm weather to activate the pests in your yard. Visit MosquitoJoe.com to get started today.

This is how advance care planning brings peace of mind

2025-04-14T12:39:00

(BPT) – You can probably imagine how important it is for someone with a serious illness to have an advance care directive — instructions about their wishes in the event they’re unable to communicate what they want in the future. The fact is, 1 out of 3 people will need someone to speak for them in a healthcare emergency. That means making your wishes clear in case of a future medical condition or emergency is recommended for everyone, while they’re still healthy.

National Healthcare Decisions Day, April 16, is a good reminder to start or complete your advance care planning (ACP). While it can be difficult to think about, making plans now will bring peace of mind for you and your loved ones.

For the past 15 years, the National Hospice and Palliative Care Organization has been encouraging healthy people to outline their wishes in an advance directives plan so their providers, family and caregivers understand their wishes in case of a medical emergency or serious illness.

“It’s crucial for everyone to make plans reflecting your care wishes,” said Dr. Michael Gabriel, national medical director for Carelon Palliative Care. “While the topic is uncomfortable, having a clear plan in place when you need one lets you focus on what matters. It also helps your loved ones avoid indecision, conflict or guilt at a very stressful time.”

Palliative care planning

Your planning should include your wishes regarding palliative care. When someone faces a serious chronic or terminal illness, palliative care helps provide the best possible quality of life at a difficult time. The palliative care teams at Carelon help their members use advance care planning to guide their healthcare decisions now — making plans reflecting each individual’s unique wishes for the days ahead.

Each physician-led interdisciplinary palliative care team includes a nurse practitioner, nurse and social worker, who work together to support people with their medical, emotional and social needs. Carelon’s home-based palliative care program is designed to complement your doctor’s care, not replace it.

“It offers extra support when you need it most, helping you feel less overwhelmed,” added Gabriel. “You can receive palliative care alongside your treatment, which helps ease daily challenges and helps you navigate the healthcare system.”

Benefits of advance care planning

ACP facilitates important personal discussions that ensure your values are expressed and your wishes are honored if you can’t communicate them yourself.

Carelon’s physician-led care team can help you make informed healthcare choices, and their social workers can assist with creating advance directives (legal documents). This may include a living will for future health care choices, and a durable power of attorney (healthcare proxy) that names someone to make decisions for you if you can’t. With Carelon and ACP, you and your loved ones benefit from:

  • Decision guidance: Helps you make important decisions based on your preferences.
  • Symptom management: Work with your healthcare team to boost your health and quality of life.
  • Patient-centered care: Your doctors and care team tailor treatment to how and where you want to receive care.
  • Peace of mind: Documenting your wishes eases future stress for you and loved ones, helping them avoid tough decisions.
  • Timely hospice transitions: Helps ensure easy transitions to hospice care, honoring your wishes and minimizing hospital visits.

What to know about hospice

When needed, Carelon helps advise people and their families on hospice care options. Carelon Palliative Care can help you manage your condition, and as you improve, guide your care back to your primary doctors. The team also helps when treatments no longer work, assisting with important decisions around hospice care, focusing on comfort and quality of life.

While Carelon is not a hospice provider, the team’s hospice experts can explain the process and answer questions for you and your loved ones. They can help you find top care nearby, and usually transition you within 24 hours.

“Hospice provides a wraparound comfort bubble for families,” added Gabriel. “It’s very common for people to wait until very close to death to enroll in hospice, but our palliative care doctors, nurse practitioners and other team members are experts at identifying when members are eligible for hospice care.”

Carelon patients that transition to hospice care have a median stay of about 39 days, compared to the 18-day national average. Earlier transition to hospice care, when appropriate, means patients experience:

  • Better care: Avoids unnecessary treatments that may increase suffering without improving quality of life.
  • Less stress: Families can enjoy more time together.
  • Lower costs: Reduces hospital stays and procedures.
  • Clearer communication: Ensures care aligns with your needs.
  • Better outcomes: Patients can choose where they pass, like at home.

Who should consider advance care planning?

Everyone should discuss end-of-life wishes with their healthcare providers and loved ones, ideally when healthy. It’s even more crucial if you have chronic conditions, family history of serious illness, changing health status or are near end of life. Advance care planning now is key to better end-of-life care, so you’ll be able to better shape your future care according to your wishes.

Learn more about palliative care and advance care planning at Carelon.com.

5 easy ways to refresh your routine this spring

2025-04-14T11:01:00

(BPT) – Do you feel like you’re stuck in a rut? Spring is the perfect time to reset and refocus your routine. You don’t need a full lifestyle overhaul to feel more energized — just a few intentional changes can bring fresh energy to your day. With warmer days and longer hours of sunlight, now is the time to embrace small shifts that can make a big difference. Consider starting with these five simple habits to ease into a refreshed routine this spring.

1. Bask in the sunlight

Start your morning with a few minutes of sunlight to naturally boost your mood. Exposure to sunlight first thing can help to give you a much-needed mental lift. You could go for a short walk around the neighborhood, sit outside while you drink your morning coffee or eat breakfast in front of an east-facing window to take in those rays.

2. Refresh your space

Your environment can have a powerful impact on your state of mind. Look around and find simple changes to create a sense of clarity. Swapping out heavy winter candles for lighter floral or herbal scents, opening the windows for fresh air or adding a vase of seasonal flowers to your table can help reflect the energy of the new season.

3. Disconnect from the digital world

Staring at screens all day can be hard on your eyes and brain. Think about your routine and build in a few screen-free moments throughout your day to disconnect. Whether that’s a quiet cup of tea in the morning, a phone-free lunch break or an evening walk without earbuds, even a few intentional minutes away from your digital devices and screens can help recharge your mind.

4. Get moving

Movement doesn’t have to be intense to be effective. If you sit for most of the day, try to work in some time to get up and walk or stretch. Gentle movement throughout the day can get your blood flowing and re-energize your mind to sharpen your focus. If you work from home, you can even dance around in your kitchen to your favorite tunes to get your body moving.

5. Plan simple, satisfying meals

During a busy week, it can be easy to skip meals or choose foods that aren’t filling. Without proper fuel, you may feel sluggish and unable to complete all of your daily tasks. Having wholesome, easy options on hand makes it easier to stay on track, and value-added brands like Fresh Express make it so simple.

Consider picking up meal kits like the Fresh Express Caesar Chopped Salad Kit. You can enjoy it on its own or you can customize it with a few additional ingredients to be creative and express yourself by making a whole new salad experience! Try out this Ham Cobb Caesar Salad recipe from Fresh Express — a crisp, flavorful meal that delivers convenience and taste, making it the perfect meal to fuel your busy spring days.

Ham Cobb Caesar Salad

Ingredients

  • 2 (9.4-ounce) packages of Fresh Express Caesar Chopped Kit
  • 2 hard-cooked eggs, peeled and chopped
  • 1 cup 1/4-inch-thick deli ham, chopped
  • 2 cups cherry tomatoes, cut in half

Instructions

  1. Place the Fresh Express Caesar Chopped Kits into a large bowl; toss with the salad dressing. Add the toppings. Toss to combine.
  2. Divide salad evenly among four bowls. Top with eggs, ham and cherry tomatoes.

Pro Tip: Consider tossing in leftover Easter ham and eggs.

Don’t let a stale routine prevent you from enjoying the season. Using these five easy tips, you’ll be well on your way to refreshing your daily life and welcome in the spirit of spring.

Get tasty and convenient meals this spring and beyond

Now through June 1, fans can enter the Express Yourself Recipe Contest from Fresh Express, designed to inspire culinary creativity. Learn more at https://www.freshexpress.com/expressyourselfrecipecontest2025 for a chance to win a year’s worth of Fresh Express salads.

Holistic health is within reach with a new series from the U.S. Army

2025-04-11T16:01:01

(BPT) – Many young Americans continue to struggle with their physical and mental health — with 1 in 7 children ages 10-19 experiencing a mental health disorder, and 17% of children ages 6-17 experiencing obesity. But in an increasingly crowded landscape of armchair experts and fragmented fitness offerings, it can be difficult to know where to go for help. Enter the U.S. Army.

The Army has long been synonymous with “fitness,” but as the force continues to optimize Soldier performance and readiness, it’s taken the latest research and best industry practices to develop a holistic approach to Soldier health. Developed in 2020 and modeled after Special Forces and professional and collegiate athletic training, the Holistic Health and Fitness (H2F) system is changing the Army’s wellness culture by moving away from a one-size-fits-all model to acknowledge the uniqueness of every Soldier, unit and mission across five domains of readiness — physical, mental, sleep, nutrition and spiritual.

The results are paying off, with units who participate in the system reporting that Soldiers are 55% less likely to require additional care for musculoskeletal injuries, 18% more likely to pass the Army Combat Fitness Test (ACFT), 7.7% less likely to have a behavioral health profile and 59% less likely to have a substance abuse profile.

But Soldiers aren’t the only ones who can benefit from the H2F system. Now, the Army is pulling back the curtain with its new video series, “All You.” Published on YouTube and available to everyone, “All You” takes the guesswork out of holistic health by delivering quick, actionable and effective wellness techniques directly from Army experts. The guidance you can expect on your journey with “All You” includes:

1. Try a functional workout to minimize injury and build strength

While Soldiers require a high level of physical readiness to complete the demands of their missions, many of the Army’s tried-and-true workouts can be easily modified for a civilian lifestyle. Staff Sgt. Michael Matis, H2F Academy Instructor, stresses the importance of simply starting where you are, and building consistent habits to build the strength and endurance needed to reach your fitness goals. Incorporating functional movements that mimic daily activity into your workout routine is a great way to increase performance and prevent injury.

Two men wearing army shirts and shorts while working out on the treadmill in a gym

An easily adaptable exercise is the ruck march. A cornerstone of an Army Soldier’s experience, the ruck march incorporates long-distance walking and running with a weighted rucksack to not only improve strength, endurance and cardiovascular health, but also build morale and camaraderie among Soldiers. Anyone can make their own ruck by adding a few weights to a backpack and taking a quick 20-minute walk outdoors or on a treadmill.

2. Practice mindful breathing to increase mental resilience

It is imperative that Soldiers build their mental resilience to adapt during difficult situations. 1st Lt. Brandan Wolfolk, an Army Occupational Therapist and yoga instructor, encourages his fellow Soldiers to proactively explore their mental resilience by practicing different techniques — such as yoga, meditation or mindfulness — and forming them into core habits.

Man on a mat practicing yoga

A quick and easy way to practice mindfulness is through intentional breathing. The practice of controlling your breath can work to reduce stress and anxiety, balance the nervous system, and increase energy levels. By slowing down and breathing in for a count of four, holding the breath for a count of seven, and exhaling for a count of eight, you can help calm the mind and bring your attention back to the present.

3. Build a colorful plate to fuel your nutrition goals

With endless options at the grocery store and the constant string of new diets and eating trends, building healthy nutrition habits can easily become overwhelming and complicated. Capt. Jewel Ory, 193rd H2F Nutrition Program Director, shares the importance of bringing nutrition back to the basics, and focusing on the needs of an individual when planning meals. Ory stresses that it’s not about perfection — it is better to practice consistency. Creating intentional nutrition habits 80% of the time will lead to better results than striving for flawless habits that can only be maintained 20% of the time.

Man dishing up lunch on a tray in the mess hall

By incorporating a variety of basic food groups onto your plate, you are setting yourself up for success without overcomplicating the process. Aim to include lean proteins (fish, chicken or turkey that is baked, broiled, or grilled), whole grains for a sustained source of energy (like oats, brown rice, or quinoa), a variety of fruits and veggies (the wider the variety of colors, the better), and a low-fat source of dairy (like Greek yogurt or cottage cheese).

4. Build a sleep routine to achieve optimal rest

Sleep is often the first thing that is sacrificed when life gets overwhelming — however, it is the secret to reaching your full potential in all aspects of health and performance. While eating a nutritious diet and putting in time at the gym is crucial, those efforts can begin to suffer, along with the other pillars of health, without sufficient, high-quality sleep.

Female meditating in a room.

For Capt. Chris Enke, 165th Infantry Brigade H2F Mental and Sleep Readiness Program Director, a go-to tool when evaluating the quality of an individual’s sleep is the acronym SLANT. Applicable to Soldiers and civilians alike, SLANT represents several factors that may impact sleep:

  • Surface: Ensure that your mattress, pillow and bedding is comfortable and supportive
  • Lighting: Make your room as dark as possible and place your phone out of sight
  • Air Quality: Sleep in a room with fresh, clean airflow
  • Noise: Introduce white or pink noise to your environment to drown out any disturbances
  • Temperature: Adjust the temperature to stay between 65-68 degrees Fahrenheit for optimal sleep performance

5. Find your people and strengthen friendships

Spiritual readiness can be a surprising, yet crucial, aspect to an individual’s holistic health. In addition to religious affiliation, the Army uses philosophical and human values to help Soldiers find purpose, motivation, core values and connection to help them endure stress or adversity.

Men in fatigues marching through the woods.

Chaplain (Major) Scott Lovejoy, 193rd H2F Spiritual Domain lead, encourages his Soldiers to explore the importance of camaraderie. In this always-online world, it can be easy to push away meaningful conversations or stay hidden in your phone, but challenging yourself to call a friend instead of text or ask an acquaintance out for coffee can make a huge difference in feeling lonely and isolated versus feeling further connected.

Published bi-weekly by 11 a.m. EDT beginning Friday, April 11, “All You” is applicable to every stage of a person’s holistic health journey. Whether you’re curious where to start, rehabbing from an injury, or are well on your way to achieving your next wellness goal, start your battle-tested training with “All You” at GoArmy on YouTube.

FIFA’s global soccer tournament to take America by storm this summer

2025-04-11T09:31:00

(BPT) – Everyone’s heard the FIFA World Cup 26™ is coming to Canada, Mexico and the United States in 2026, but this summer, sports fans in 11 cities across the United States will be able to experience 32 of the world’s best soccer clubs in action during the inaugural FIFA Club World Cup 2025™.

State-of-the-art venues in Atlanta, Cincinnati, Charlotte, Los Angeles/Pasadena, Nashville, Miami, New York/New Jersey, Orlando, Philadelphia, Seattle and Washington, D.C., will host many of the most iconic athletes in the world — from Inter Miami’s Lionel Messi to Manchester City’s Erling Haaland to Real Madrid’s Kylian Mbappe.

What’s the FIFA Club World Cup?

From June 14 to July 13, FIFA’s new global club competition will bring together the world’s best club teams to play 63 matches with one holding the new FIFA Club World Cup™ Trophy at the end. The tournament is formatted like the FIFA World Cup™, but for professional club teams.

FIFA award against the back drop of a city skyline.
The FIFA Club World Cup Trophy on Tour at The Edge on January 15, 2025, in New York City.

The United States as host

Inter Miami CF will kick off the new tournament in style at the Hard Rock Stadium in Miami Gardens, Florida, against Al Ahly FC at 8 p.m. local time.

The tournament will end at MetLife Stadium in East Rutherford, New Jersey, Sunday, July 13, where one team will be crowned the true club world champion.

The full list of host venues include:

  • Atlanta, Georgia (Mercedes-Benz Stadium)
  • Cincinnati, Ohio (TQL Stadium)
  • Charlotte, North Carolina (Bank of America Stadium)
  • Pasadena, California (Rose Bowl Stadium)
  • Miami Gardens, Florida (Hard Rock Stadium)
  • Nashville, Tennessee (GEODIS Park)
  • East Rutherford, New Jersey (MetLife Stadium)
  • Orlando, Florida (two venues: Camping World Stadium + Inter&Co Stadium)
  • Philadelphia, Pennsylvania (Lincoln Financial Field)
  • Seattle, Washington (Lumen Field)
  • Washington, D.C. (Audi Field)

Iconic Fanbases

Don’t expect this to be an average soccer game. The FIFA Club World Cup will feature fanbases and traditions from Africa, Asia, Europe, North and Central America, the Caribbean, Oceania and South America. With teams like Chelsea, Real Madrid, Manchester City, CR Flamengo, Dortmund and more, expect to see some incredible fanbases in the stadium, each with their own traditions, songs and chants. Imagine hearing an iconic “Olé, Olé, Olé,” or Real Madrid’s “Hala Madrid” echoing through the stadium.

Your ticket to history

Don’t miss your chance to show how passionate American sports fans are about the Beautiful Game and witness sporting history with this unprecedented event. Tickets are available for purchase at FIFA.com/Tickets, with tickets starting at just $30 (depending on location and matchup).

FIFA also recently launched two new ticket packages for fans looking to experience the FIFA Club World Cup and FIFA World Cup. The Ticket Pack and Super Ticket Pack allow fans to witness history at the FIFA Club World Cup, while also securing a guaranteed option to purchase tickets for the FIFA World Cup in 2026.

To learn more about the FIFA Club World Cup 2025, including schedules and ticket information, visit FIFA.com. Fans can also apply to be in the FIFA Volunteer program, which provides opportunities for people to volunteer and contribute to hosting a successful inaugural FIFA Club World Cup, at FIFA.com/Volunteer.

Respiratory therapists: Providing valuable care one breath at a time

2025-04-11T12:01:00

(BPT) – If you’ve been in a hospital or other healthcare setting, you’ve likely encountered a Respiratory Therapist (RT) and not even realized it. Yet the work of an RT has never been more critical to people’s health worldwide. Respiratory care is now one of the fastest-growing professions, and the need for more RTs keeps rising.

However, despite growing demand, RTs have been facing a workforce shortage. Now more than ever, it’s important to know how the respiratory care profession not only brings value to patients and care teams but can be a rewarding, life-long career path.

What is a Respiratory Therapist?

Respiratory Therapists are trained to care for people with conditions that impact the lungs and respiratory system.

“If you’re struggling to breathe, a respiratory therapist is your best friend,” said Dana Evans, MHA, RRT, RRT-NPS, FACHE, FAARC, FNAP, Respiratory Therapist and President of the American Association for Respiratory Care (AARC), a professional organization that supports and advocates for the respiratory care profession and its members.

From the first breath and beyond, RTs help patients at all stages of life.

“It’s a tremendously rewarding career with so many diverse opportunities,” said Evans. “A Respiratory Therapist might start their day in the emergency department caring for a toddler with croup, then spend the next hour in labor and delivery helping a new baby take their first breaths. They end their day caring for a patient with COPD in the intensive care unit. Respiratory Therapists are vital to the care of patients of all ages. Many RTs choose to specialize and may focus all of their time in one area too.”

You can breathe easy knowing you have a Respiratory Therapist at your side

The respiratory care profession is built on consistent, high-quality patient care, especially during high-stress times like flu season, when cases of respiratory illness are at their highest. RTs spend years refining their skills and establishing themselves as critical components of any patient care team.

Evans explains that RTs have a wide array of professional opportunities, and their roles are constantly expanding.

“Respiratory Therapists are the people that are at the bedside with that clinical expertise and specialty in respiratory and pulmonary illness that help you breathe easy when it counts,” said Evans.

The need for more respiratory professionals

Despite the increasing need, the U.S. is currently experiencing a shortage of RTs. According to MoreRTs, the number of current and aspiring RTs is decreasing. This shortage has raised concerns about meeting the high demand for respiratory care now and in the future.

How you can make a difference one breath at a time

If you’re searching for a career that makes a lasting and meaningful impact, consider training as an RT. Respiratory therapy is an art and a science that allows you to learn and develop precise skills to deliver consistent, high-quality patient care. Every day as an RT presents new challenges, making this a rewarding career path.

To learn about respiratory therapy and how to start your journey, visit AARC.org.