Living with migraine: One woman’s journey to create space for a powerful mind/body connection

2023-12-07T07:01:00

(BPT) – Stephanie, 38, was on the phone with her grandmother as she sat in traffic making her way from her day job as an administrative assistant to her evening waitressing shift. Suddenly, she felt the urge to drive to the side of the highway and throw up all over the road. She was experiencing symptoms of yet another migraine attack — symptoms she has suffered with since the age of 7.

Her grandmother, still on the phone, begged Stephanie to turn her car around and go home to rest, but Stephanie couldn’t afford to miss work.

Migraine is a disabling neurological disease that affects more than 39 million Americans and can cause debilitating symptoms including throbbing and pulsating pain, blurred vision, sensitivity to light and sound, as well as nausea and vomiting.

“There was a time when my migraine attacks were so bad that I vomited constantly because of the excruciating pain. I had a grayish hue to my skin and a grayish hue to my life,” said Stephanie. “But I work two jobs to help support my family, so I had to push through it as best I could.”

She also often missed family events, going out with friends and was no longer able to attend her yoga classes because of her migraine attacks.

Life got remarkably better for Stephanie once she had more certainty about what she was dealing with — migraine. Diagnosis in hand, she partnered with her neurologist to find a treatment and lifestyle program that has helped her experience more migraine-free days.

“Once I received my diagnosis, I realized how essential it was for me to take care of my body and relieve the stress and anxiety I felt because of migraine,” said Stephanie. “But first, I needed to find a treatment that would work for me.”

After not feeling satisfied in her treatment journey, Stephanie decided to look for a new option to help manage her migraine disease more effectively. She asked her neurologist about VYEPTI® (eptinezumab-jjmr), a prescription medicine used for the preventive treatment of migraine in adults.

“My neurologist was very supportive and had seen success with other patients trying it,” said Stephanie.

Since her first infusion with VYEPTI, Stephanie has had a decrease in monthly migraine days. In patients with 4 or more migraine days a month, VYEPTI has been proven to reduce monthly migraine days over months 1-3 compared to placebo. Individual results may vary.

Do not receive VYEPTI if you are allergic to eptinezumab-jjmr or any of the ingredients in VYEPTI. See additional Important Safety Information for VYEPTI below.

With more migraine-free days, Stephanie has reconnected with her love of yoga and exercise. With her doctor’s approval, she now practices yoga more regularly. This consistent practice has allowed her to ease back into her other favorite workouts in a sustainable way, despite the unpredictability of migraine. She also has learned what poses tend to help when she feels the onset of a migraine attack. For her, poses like the tree pose have been invaluable tools she can use to reconnect her body and mind to help navigate the pain. Please note, individual experiences may vary. Consult with your healthcare provider before starting any new exercise routine.

These days, Stephanie is enjoying her physical and mental strength through her traditional and aerial yoga practice and participation in a friend’s dance class. “There was a time when I wouldn’t have been able to take her class. With more migraine-free days, I can be more active, which has made it easier for me to navigate the tough days and enjoy the good days.”

For more VYEPTI patient stories and to watch expert-led mind and body practices for people with migraine, including yoga, sound bath and supportive self-care, visit VYEPTI.com.

APPROVED USE
VYEPTI is a prescription medicine used for the preventive treatment of migraine in adults.

IMPORTANT SAFETY INFORMATION

Do not receive VYEPTI if you have a known allergy to eptinezumab-jjmr or its ingredients.

VYEPTI may cause allergic reactions. Call your healthcare provider or get emergency medical help right away if you have any symptoms of an allergic reaction: rash; swelling of your face, lips, tongue, or throat; if you have trouble breathing; hives; or redness in your face.

Before starting VYEPTI, tell your healthcare provider about all your medical conditions, including if you are pregnant or plan to become pregnant, or you are breastfeeding or plan to breastfeed.

Tell your healthcare provider about all the medicines you take, including any prescription and over-the-counter medicines, vitamins, or herbal supplements.

The most common side effects of VYEPTI include stuffy nose and scratchy throat, and allergic reactions.

These are not all the possible side effects of VYEPTI. Tell your healthcare provider if you have any side effect that bothers you or that does not go away.

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.

For more information, please see the Prescribing Information and Patient Information or go to vyepti.com.

Searching for Answers: One Woman’s Bladder Cancer Treatment Journey

2023-12-07T10:03:00

(BPT) – In August 2017, Sarah and her family had plans to join relatives in Arizona for a fun-filled few days of off-roading and watching the solar eclipse. The Monday before she left, Sarah woke up in the middle of the night with nearly uncontrollable rigors (also known as shaking chills) and was barely able to walk. She felt better – although fatigued – the next day, but after two more similar episodes, Sarah went to urgent care, hoping for answers to what was going on. Sarah was diagnosed with a urinary tract infection, and, after receiving an ultrasound and a prescription for antibiotics, Sarah and her family drove to Arizona for their vacation, completely unaware that there may be a more serious problem with her health.

“The doctor started calling just as we crossed over the border into Arizona, leaving messages and repeatedly calling back,” Sarah recalled. “When we got to our destination, we called with my entire family in the room. The doctor said I needed to get to the hospital immediately. We asked if we could go after we saw the eclipse, and the doctor said, ‘No – she won’t live that long.’”

Rushing back to the hospital, the doctor told Sarah that her ureter, the duct connecting the bladder and kidneys, had collapsed, she had sepsis (an infection of the bloodstream that may occur as a complication of an infection) and she needed emergency surgery to have a stent put in immediately. Sarah underwent surgery and over the next several months, she continued to receive antibiotics. That December, Sarah met with the head of the hospital’s urology department and an oncologist who informed her that she had transitional cell carcinoma, also known as urothelial cancer – the most common type of bladder cancer.

ABOUT BLADDER CANCER

Bladder cancer primarily affects older people. In fact, approximately nine out of 10 people with this type of cancer are over the age of 55, and the average age of diagnosis is 73 years.[1] In 2023, there were approximately 82,290 new cases of bladder cancer and approximately 16,710 deaths estimated to be reported in the U.S.[2] It is the fourth most common cancer among men in the U.S. and for men, the likelihood for developing bladder cancer during their life is about 1 in 27.[1] For women, the probability of developing bladder cancer during their life is lower at about 1 in 89.[1] Urothelial cancer, or cancer that occurs within the urothelial cells, which line the urethra, bladder, ureters, and renal pelvis, accounts for about 90% of bladder cancers.[3] In addition to its cell type, bladder cancer may be described as non-muscle-invasive or muscle-invasive.[3] If bladder cancer has spread to surrounding organs or tissues, it is called locally advanced disease. If the cancer has spread to other parts of the body, it is called metastatic disease.[3]

BLADDER CANCER SYMPTOMS

Bladder cancer is a disease in which cells within the bladder begin to grow out of control, form a tumor and, with time, may spread to other parts of the body.[4] It is often associated with urinary symptoms and other symptoms that can negatively impact a person’s quality of life.[5] Oftentimes, bladder cancer can be diagnosed early because symptoms like blood in the urine, changes in bladder habits or symptoms of irritation may prompt a person to consult their healthcare provider.[5] In some cases though, the symptoms may mirror other conditions – such as the urinary tract infection Sarah was originally diagnosed with – which can delay a bladder cancer diagnosis.[5]

Many people living with bladder cancer experience symptoms that include:[5]

  • blood in the urine
  • changes in bladder habits, such as having to urinate more often than usual
  • pain or burning during urination
  • feeling as if you need to urinate right away, even when your bladder isn’t full
  • having trouble urinating or having a weak urine stream
  • or having to get up to urinate many times during the night

Other people experience symptoms such as pain, tiredness, loss of appetite or weight loss.[5]

SARAH’S TREATMENT JOURNEY

Sarah was initially treated with chemotherapy. By June 2018, the cancer had spread, and surgeons eventually needed to remove her ureter, one kidney and 17 lymph nodes.

“After the surgery, I thought I was doing great. I really thought I was getting a lot better, but I started noticing that I was a little short of breath and still had some fatigue,” Sarah noted.

Through routine follow up, her doctors discovered that Sarah had a small nodule on her lung. A biopsy revealed that the nodule was malignant and that the cancer had continued to spread.

Leaning on her husband, a minister, and her faith, as well as adopting “Fight On!” – the official fight song of her favorite football team, the University of Southern California Trojans – as her mantra, Sarah decided that she “was going to choose life, and I was going to fight on.”

Following her doctor’s recommendation, Sarah joined a clinical study investigating the safety and effectiveness of a treatment called PADCEV® (enfortumab vedotin-ejfv) in combination with an immunotherapy drug. PADCEV is a medication known as an antibody-drug conjugate or ADC that works by delivering cell-killing medicine directly to certain cancer cells.[6] PADCEV may be used with pembrolizumab (Keytruda®) for adults with advanced bladder cancer who are not able to receive a chemotherapy that contains the medicine cisplatin. PADCEV with pembrolizumab was FDA approved based on a clinical study that measured how many people had a tumor response. There is another study of PADCEV with pembrolizumab to confirm this clinical benefit. PADCEV may also be used as monotherapy for adults with advanced bladder cancer who have received an immunotherapy medicine and chemotherapy that contains platinum, or who are not able to receive a chemotherapy that contains the medicine cisplatin and have received one or more prior therapies.[7]

PADCEV may cause serious side effects including skin reactions. Severe skin reactions have happened in people treated with PADCEV, and in some cases, severe skin reactions have caused death. Most severe skin reactions occurred during the first cycle of treatment but may happen later. People who are treated with PADCEV will be monitored during treatment by their healthcare providers who may stop their treatment with PADCEV completely or for a period of time (temporarily), or may change their dose, or prescribe medicines if they get skin reactions. Please see Important Safety Information below and read the Patient Information for more information, including risk of Serious Side Effects.

After Sarah enrolled in the clinical trial and began treatment with PADCEV and pembrolizumab, she was often fatigued and developed a severe rash, particularly on her legs and feet. She was on the treatment for a total of 14 months.

In a clinical trial of 121 adults treated with PADCEV in combination with pembrolizumab, who were previously untreated and could not receive cisplatin-containing chemotherapy, 55% of patients had a partial response, meaning that their tumors shrank, and 12% of patients had a complete response, meaning their tumors disappeared.[7] Individual results may vary.

Now, more than a year after completing treatment with PADCEV in combination with pembrolizumab, Sarah’s cancer is in remission. Her fatigue has resolved, however, she still deals with skin issues, and experiences weakness, numbness, pain and muscle loss in her hands and feet. Despite it all, Sarah remains grateful for the support of her church, her family and her entire community who have rallied around her during this difficult time.

“My message to other people going through a similar experience is ‘don’t let cancer define you, and don’t be afraid of it,’” Sarah says. “I really believe you can face cancer – don’t see yourself as a victim. All you have is today. I want to end each day saying, I have no regrets for this day that I’ve lived today.”

Cancer has impacted Sarah’s life in many ways, including limiting her ability to participate in some activities she previously enjoyed. She still loves to go off-roading, but these days she and her husband opt for the gentler roads. Sarah recalls, “Before I had cancer, our kids told us that I was more active than they were. After the cancer, I’m happy to say that I don’t think I’ve slowed down a whole lot.”

Sarah was compensated by Astellas and Seagen to share her story. This was her experience at the time of publication. Please see Important Safety Information below and read the Patient Information for more information, including risk of Serious Side Effects.

If you or someone you love has bladder cancer, visit https://padcev.com/ for more information, resources and support.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about PADCEV?

PADCEV may cause serious side effects, including:

Skin reactions. Skin reactions including severe skin reactions have happened in people treated with PADCEV and may be more common when PADCEV is given with pembrolizumab. In some cases, these severe skin reactions have caused death. Most severe skin reactions occurred during the first cycle of treatment but may happen later. Your healthcare provider will monitor you, may stop your treatment with PADCEV completely or for a period of time (temporarily), may change your dose, and may prescribe medicines if you get skin reactions. Tell your healthcare provider right away if you develop any of these signs of a new or worsening skin reaction:

  • target lesions (skin reactions that look like rings)
  • rash or itching that continues to get worse
  • blistering or peeling of the skin
  • painful sores or ulcers in mouth or nose, throat, or genital area
  • fever or flu-like symptoms
  • swollen lymph nodes

See “What are the possible side effects of PADCEV?” for more information about side effects.

Before receiving PADCEV, tell your healthcare provider about all of your medical conditions, including if you:

  • are currently experiencing numbness or tingling in your hands or feet.
  • have a history of high blood sugar or diabetes.
  • have liver problems.
  • are pregnant or plan to become pregnant. PADCEV can harm your unborn baby. Tell your healthcare provider right away if you become pregnant or think you may be pregnant during treatment with PADCEV.
  • are breastfeeding or plan to breastfeed. It is not known if PADCEV passes into your breast milk. Do not breastfeed during treatment and for at least 3 weeks after the last dose of PADCEV.

Females who are able to become pregnant:

  • Your healthcare provider should do a pregnancy test before you start treatment with PADCEV.
  • You should use an effective method of birth control during your treatment and for at least 2 months after the last dose of PADCEV.

Males with a female sexual partner who is able to become pregnant:

  • If your female partner is pregnant, PADCEV can harm the unborn baby.
  • You should use an effective method of birth control during your treatment and for at least 4 months after the last dose of PADCEV.

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

What are the possible side effects of PADCEV?

PADCEV may cause serious side effects, including:

  • Skin Reactions. See “What is the most important information I should know about PADCEV?”
  • High blood sugar (hyperglycemia). An increase in blood sugar is common during treatment with PADCEV. Severe high blood sugar, a serious condition called diabetic ketoacidosis (DKA), and death have happened in people with and without diabetes treated with PADCEV. Tell your healthcare provider right away if you have any symptoms of high blood sugar, including: frequent urination, increased thirst, blurred vision, confusion, it becomes harder to control your blood sugar, drowsiness, loss of appetite, fruity smell on your breath, nausea, vomiting, or stomach pain.
  • Lung problems. PADCEV may cause severe or life-threatening inflammation of the lungs that can lead to death. These severe problems may happen more often when PADCEV is given in combination with pembrolizumab. Tell your healthcare provider right away if you get new or worsening symptoms, including trouble breathing, shortness of breath, or cough.
  • Nerve problems. Nerve problems called peripheral neuropathy are common during treatment with PADCEV and can sometimes be severe. Nerve problems may happen more often when PADCEV is given in combination with pembrolizumab. Tell your healthcare provider right away if you get new or worsening numbness or tingling in your hands or feet or muscle weakness.
  • Eye problems. Certain eye problems are common during treatment with PADCEV. Tell your healthcare provider right away if you have dry eyes, increased tearing, blurred vision, or any vision changes. You may use artificial tear substitutes to help prevent or treat dry eyes.
  • Leakage of PADCEV out of your vein into the tissues around your infusion site (extravasation). If PADCEV leaks from the injection site or the vein into the nearby skin and tissues, it could cause an infusion site reaction. These reactions can happen right after you receive an infusion, but sometimes may happen days after your infusion. Tell your healthcare provider or get medical help right away if you notice any redness, swelling, itching, blister, peeling skin or discomfort at the infusion site.

Your healthcare provider may decrease your dose of PADCEV, or temporarily or completely stop your treatment with PADCEV if you have severe side effects.

The most common side effects of PADCEV when used alone include:

  • rash. See “What is the most important information I should know about PADCEV?”
  • changes in liver and kidney function tests
  • increased sugar (glucose) in the blood. See “High blood sugar (hyperglycemia)”
  • tiredness
  • decreased white blood cell, red blood cell, and platelet counts
  • hair loss
  • decreased appetite
  • diarrhea
  • decreased sodium, phosphate and protein (albumin) in the blood
  • nausea
  • itching
  • change in sense of taste
  • increased uric acid in the blood
  • increased lipase (a blood test done to check your pancreas)
  • decreased weight
  • dry skin

If your healthcare provider prescribes PADCEV in combination with pembrolizumab for you, also read the Medication Guide that comes with pembrolizumab for important information about pembrolizumab.

The most common side effects of PADCEV when used in combination with pembrolizumab include:

  • increased sugar (glucose) in the blood. See “High blood sugar (hyperglycemia)”
  • changes in liver function and kidney function tests
  • rash. See “What is the most important information I should know about PADCEV?”
  • decreased red blood cell and white blood cell counts
  • tiredness
  • decreased sodium, phosphate and protein (albumin) in the blood
  • increased lipase (a test done to check your pancreas)
  • hair loss
  • decreased weight
  • diarrhea
  • itching
  • decreased appetite
  • nausea
  • change in sense of taste
  • urinary tract infection
  • constipation
  • increased or decreased potassium
  • increased calcium in the blood
  • swelling of the arms, hands, legs and feet
  • dry eye. See “Eye problems”
  • dizziness
  • joint aches
  • dry skin

PADCEV may cause fertility problems in females and males, which may affect the ability to have children. Talk to your healthcare provider if you have concerns about fertility.

These are not all the possible side effects of PADCEV.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

WHAT IS PADCEV®?

PADCEV is a prescription medicine used to treat adults with bladder cancer and cancers of the urinary tract (renal pelvis, ureter or urethra) that has spread or cannot be removed by surgery. PADCEV may be used alone if you:

  • have received an immunotherapy medicine and chemotherapy that contains platinum, or
  • are not able to receive a chemotherapy that contains the medicine cisplatin and you have received 1 or more prior therapy.

PADCEV may be used with pembrolizumab (also known as Keytruda®) if you:

  • are not able to receive a chemotherapy that contains the medicine cisplatin.

PADCEV with pembrolizumab was FDA-approved based on a clinical study that measured how many people had a tumor response. There is another study of PADCEV with pembrolizumab ongoing to confirm the clinical benefit.

It is not known if PADCEV is safe and effective in children.

© 2023 Astellas Pharma US, Inc. and Seagen Inc. All rights reserved. 081-2074-PM 11/23

PADCEV and the PADCEV device are registered trademarks jointly owned by Agensys, Inc., and Seagen Inc.

Keytruda® is a registered trademark of Merck Sharp & Dohme Corp., a subsidiary of Merck & Co., Inc., Rahway, NJ, USA.

  1. American Cancer Society. Key Statistics for Bladder Cancer (01-13-2023). https://www.cancer.org/cancer/types/bladder-cancer/about/key-statistics.html. Accessed 6-27-2023.
  2. Siegel RL, Miller KD, Wagle NS, Jemal A. Cancer statistics, 2023. CA Cancer J Clin 2023;73(1):17-48
  3. American Society of Clinical Oncology. Bladder Cancer: Introduction (12-21). https://www.cancer.net/cancer types/bladdercancer/introduction. Accessed 7-14-2023.
  4. American Cancer Society. What Is Bladder Cancer? (12-19-2019). https://www.cancer.org/cancer/bladder cancer/about/whatisbladdercancer.html. Accessed 9-27-2023.
  5. American Cancer Society. Bladder Cancer Signs and Symptoms (01-30-2019). https://www.cancer.org/cancer/types/bladder-cancer/detection-diagnosis-staging/signs-and-symptoms.html Accessed 10-20-2022.
  6. National Cancer Institute. NCI dictionary of cancer terms: antibody-drug conjugate. https://www.cancer.gov/publications/dictionaries/cancer-terms/def/antibody-drug-conjugate. Accessed 6-27-2023.
  7. PADCEV [package insert]. Northbrook, IL: Astellas Pharma US, Inc.

3 Important Things to Think About During Open Enrollment Season — and Beyond

2023-12-07T15:01:00

(BPT) – It’s that time of year again — time to assess some important life maintenance duties to prepare for the year ahead, starting with your annual health care benefits review for both you and your family. Whether you have an employer-sponsored plan or individual coverage for medical, dental and vision, the end of one year and the beginning of another is a great time to evaluate your health care options and assess your insurance needs. And while you’re at it, it’s also the perfect time to set an annual reminder to check a few other life duties off your busy to-do list.

1. Take time to fully take stock

Consider dedicating a day to take stock of your family’s health and financial situation, then make a list of any tasks you may need to complete to accommodate these changes. Getting your ideas on paper can be immensely helpful for tackling and prioritizing to-do lists while avoiding feeling overwhelmed.

For starters, as you review your employer’s health insurance plans (or Medicare plans, if you’re now eligible), it’s important to ensure that your current health care plans cover your needs in terms of level of coverage, prescriptions, wellness visits, etc. — all at a cost that’s affordable for you and your family.

Next, consider what other crucial life administration tasks can contribute to your overall security and peace of mind. For example, when was the last time you reviewed your homeowners or auto insurance? If you’ve had changes to your circumstances over the past few years, it’s recommended that you review your needs, benefits and costs to make sure your current plans make sense, and that you’re sufficiently covered in case of emergencies or unforeseen events.

This is also the perfect time of year to think about estate planning or review whether you have other important documents in place, such as a will. Families and situations change over time, so it’s important to be sure your estate plan is up to date.

2. Make time for your eye health

While eye care is critical to your overall well-being, it is often overlooked when considering health insurance coverage. It’s important to know that a VSP® Individual Vision Plan can supplement your health care coverage to fill in gaps that may exist in other plans. And best yet, you can purchase a VSP Individual Vision Plan any time — not just during open enrollment season.

VSP plans start as low as $13 per month and can help you save up to $300 per year, while also giving you access to the largest independent eye doctor network. Plans include 30% savings on lens enhancements, like progressives from the VSP network of eye doctors, plus members get access to benefits like 20% savings on additional glasses or sunglasses within 12 months of your last exam.

Because you can enroll in a VSP Individual Vision Plan at any time, you’re even covered if you miss the open enrollment period. You can sign up for new vision care coverage 24/7/365, with coverage starting the same day you apply. Find out which vision plan is best for you at VSPDirect.com.

3. Schedule annual appointments and household maintenance

The end of the year is a great time to prioritize vital tasks such as getting your routine health care appointments completed (especially if you haven’t utilized your benefits for the year); winterizing your car; and completing (or hiring experts for) household maintenance jobs like gutter cleaning, pest control/inspections, energy audits and routine HVAC servicing.

Many also put reminders on their calendars for this time of year to tackle annual or semi-annual tasks such as swapping out batteries in household smoke and carbon monoxide detectors. The colder weather and the holiday season also provide a great excuse to clean out your closets, then donate old clothes and other items in good condition to local charities.

By taking care of these essential matters on a regular annual schedule, you can rest assured that your household tasks and health care plans are in place as the new year gets underway.

Are you a money whisperer? New study reveals 6 in 10 Americans don’t talk about money

2023-12-07T08:39:00

(BPT) – America, it’s time to have the money talk. According to research by Empower, a financial services company, 62% of people don’t talk about money. Mum’s the word with their family (63%), friends (75%) and even with their spouse/partner (46%), though millennials and Gen Z are twice as likely to say they’re an “open book” compared to older generations (28% versus 13%). Many people would rather discuss politics (43%) and death (32%) than their finances (24%).

It may be costing them their dreams. A majority of people believe more candid “money talks” have the power to change the world: 66% remark that open conversations can help people build generational wealth, improve the gender wage gap (62%) and over half say that money conversations could improve workplace transparency (56%).

Carol Waddell, president of Empower Personal Wealth, says, “Conversation is a currency on the pathway to financial security, and open discussions about money can have a truly transformative effect on society. Our study shows people believe that clarity about their financial picture, talking to an advisor and financial education are key to achieving financial success.”

1. Growing up without money conversations

Don’t talk about money: that’s the message half (52%) of Americans hear, learning it’s impolite to talk about finances (26%), and certainly not what you earn (35%). The taboo prevails for nearly two-thirds (60%) of people who don’t feel comfortable on the topic.

Americans recall stowing away coins in a piggy bank (41%) but say many practical financial lessons weren’t discussed — like the importance of having an emergency fund (31%), building good credit (30%), and managing debt (27%) — as kids or adults. This might explain why Americans tend to clam up when the conversation turns to money. While many received an allowance (36%), the majority (68%) were never taught how to manage a budget. Nearly a quarter of Gen Zers (23%) grew up in a household with a swear jar teaching about money and manners — yet 79% of all people say they never spoke about how much is “needed” to be financially secure.

One in 5 (18%) Americans surveyed say they were raised with a YOLO money motto: “You only live once, so don’t worry too much about finances.” Despite the saying, more than a third (37%) say they regularly worry. That’s even higher for Gen Z and millennials (51% and 49%) and women, who are considerably more stressed about their personal finances than men (42% versus 33%).

2. Talking about money at work

Figuring out personal finance is intimidating and overwhelming for half of Americans (48%), and when it comes to managing their money, 39% say they don’t know where to start, including 41% of women and 37% of men. Compare that with sky-high confidence managing money at work: 73% feel at ease overseeing company budgets and the majority say they clearly understand their employer’s finances and performance (70%).

Reassuringly, people have a strong grasp on employer benefits like the availability of their company’s 401(k) plan (80%) and say they know how their pay raises work (77%). Advocating for themselves is where it gets tricky. One-third (33%) of people don’t feel comfortable asking for an increase. Men feel more comfortable asking for a pay raise than women (74% versus 59%). Better market data on compensation could potentially boost negotiation confidence and nearly half (49%) of survey respondents (and a majority of millennials, 69%, and Gen Z, 71%) believe discussing salaries can lead to better career opportunities.

Americans say they avoid uncomfortable money talk at work (68%), and more than half (56%) wish discussing salaries wasn’t taboo. Do you know how much your co-workers make? Just 19% of respondents say they’ve asked. But the workplace isn’t the only area Americans are staying quiet. People haven’t asked their friends (68%) or family (60%) either. Women are less comfortable talking about money with co-workers than men (36% women versus 50% men).

That said, people may not be as shy as expected: 58% of millennials and 53% of Gen Z (and 34% of Americans overall), would share their salary information on their LinkedIn.

What’s it amount to? According to 62% of respondents, open money conversations could solve the gender wage gap. Americans say greater wage transparency would motivate employees to work harder (50%) and help avoid miscommunications (60%).

3. Speak with an expert.

More than three-quarters (77%) of Americans want to see society take on more “money talks” about ways to save for the future (41%), money mistakes they’ve made (36%) and basic financial literacy (34%). A quarter want more discussions about how to negotiate (26%) and pay for big expenses (24%). Even more open dialogue about the emotional aspects of money would be helpful for 20% of respondents.

Ultimately, people believe more open conversations about money can have a truly transformative effect on society: 66% think it can help more people achieve financial freedom.

So, how does America get there? Respondents agree that clarity about their financial picture (40%), talking to an advisor (36%), and financial education (34%) are key to achieving financial success.

“In these challenging times, staying tight-lipped about money is something people can no longer afford. As part of our mission to advance financial freedom for all, we’re here to help people speak up and take the next step for a brighter financial future,” says Waddell.

If conversation is a currency on the pathway to financial security, it’s time to start speaking up.

How to Have a Happy & Gut-Healthy Holiday Season

2023-12-07T10:01:00

(BPT) – The holiday season is filled with sugar and spice and everything nice — like parties, beloved traditions, festive foods and time with loved ones. And while all of these are things to be enjoyed, they can also lead to gut health woes as your eating habits and routines are thrown a bit out of whack.

“Bloating and digestive discomfort are incredibly common, even outside of the holiday season,” says gut health expert and registered dietitian Kristie Leigh, Director of Health and Scientific Affairs at Danone North America. “In fact, about 50% of the Western population experiences issues like bloating, gas, rumbling or discomfort on a regular basis. With the uptick in indulgent foods, traveling and socializing that we see around the holidays, these issues can be exacerbated — which is the last thing you want when you’re trying to enjoy this happy time of year.”

Luckily, there are some simple things you can do to help keep your gut healthy and happy amid the festivities and beyond. Here are Leigh’s top five tips to help you enjoy the holiday season to its fullest, without letting uncomfortable bloating or gut issues put a damper on your celebrations:

1. Consume fermented foods. These include foods like yogurt, kombuchas, sauerkraut and home-pickled vegetables. Consuming these regularly as part of an overall gut-healthy eating pattern may help with the minor digestive issues that come with heavy holiday foods because they help support your gut health overall and on an ongoing basis. Not only has research linked fermented foods with an increase in the diversity of bacteria in your gut (an indication of good gut health), they’re also associated with benefits such as better blood pressure and blood sugar levels and lower levels of inflammation.

2. Consider probiotics that target bloating and digestive discomfort. While it’s a common misconception that all live and active cultures, like those you find in fermented foods, are probiotics, that isn’t necessarily the case. “To be considered a probiotic, a bacterial strain must be clinically studied and shown to have a specific benefit,” Leigh explains. “So, if your goal is to help manage bloating and minor digestive discomfort, you’ll want to look for probiotic products studied to provide that benefit.” One example is Activia probiotic yogurt, which contains billions of the probiotic strain Bifidobacterium animalis lactis DN-173 010/CNCM I-2494. Leigh typically recommends getting probiotics through food versus supplements because they give you an array of other valuable nutrients along with the beneficial bacteria and because they can help buffer stomach acids, increasing the chance that probiotics will survive to the intestine where they need to go.

3. Eat plenty of fiber-rich foods, like fruits, vegetables and whole grains. Fiber helps move things through your digestive tract, and a type of fiber called prebiotic fiber actually acts as food for the good bacteria in your gut. Prebiotic fiber is found naturally in foods like artichokes, asparagus, leeks, onions, garlic, chicory, bananas, berries, soybeans, legumes, oats, barley and wheat and is used in concentrated form to fortify some foods and beverages. Just note that, with any type of fiber, you’ll want to introduce it slowly over time if your digestive system isn’t used to it. Adding too much too quickly could lead to some abdominal discomfort, and as it stands, most Americans aren’t currently getting enough. Simple swaps and small additions to your diet can help reach your fiber goals, such as adding sliced banana and berries to your morning oatmeal or yogurt, swapping regular pasta for whole wheat or adding a side of edamame to your lunch or dinner.

4. Stay hydrated. Dehydration is one of the main contributors to constipation, something that’s all too common when we’re traveling, staying with family and friends or otherwise shifting our habits or routines. To make sure you’re drinking enough water every day, find little tricks that help you reach your hydration goals — like starting your day with a big glass of water before you do anything else, finding a reusable water bottle that you love and making sure you have it filled and with you throughout the day or getting a little fancy with some fruit infusions. “I like infusing my water with cranberries and mint or orange and rosemary around the holidays for some refreshing, festive flavor and a little extra fun,” says Leigh.

5. Prioritize self-care. This includes getting enough sleep, moving your body in ways you enjoy and taking some time for yourself to de-stress, all of which can help promote a healthier, happier gut. That’s because exercise helps keep your digestive system moving and has been linked to a more diverse gut microbiome, while stress and anxiety often worsen symptoms like bloating and digestive discomfort. “It’s easy to get so busy during the holiday season that we let a lot of our self-care go out the window,” says Leigh. “But to fully lean into the festivities and bring our best selves, it’s important to prioritize ourselves and our overall wellness.”

And when it comes to gut health, Leigh emphasizes, the key is to build these tips into your everyday life. “There isn’t a magic bullet for gut health or one food that will magically make bloating and digestive discomfort disappear,” she says. “It’s more about supporting your gut on a regular basis so that it’s better able to handle the occasional indulgence or shift in habits.”

So, as you’re gearing up for this year’s celebrations, remember the adage “an ounce of prevention is worth a pound of cure” and consider implementing these simple tips now to help promote a healthy gut and a happy holiday season!

You Can Work from Home, You Can See a Doctor from Home…and Now You Can Participate in a Clinical Trial from Home

2023-12-05T23:01:00

(BPT) – Former U.S. Congressman Gregg Harper’s son, Livingston, has Fragile X Syndrome (FXS), a rare neurological disease often misdiagnosed as autism or attention deficit/hyperactivity disorder (ADHD). FXS affects 1 in 4,000 boys and 1 in 8,000 girls worldwide1 and is the most common inherited cause of autism and intellectual disability. At 34 years old, Livingston continues to wait for an FDA-approved therapy to treat his FXS symptoms.

Gregg laments the lack of clinical research when Livingston was first diagnosed at just four years old, “Thirty years ago, I don’t think many pediatricians knew what Fragile X Syndrome was, let alone how to test for it and diagnosis it. There were no clinical trials to even consider.”

He continues, “Today, pediatricians can conduct a simple genetic test for FXS and there are multiple clinical trials underway in hopes of introducing new, effective treatments for this genetic disorder. It’s so important for families to participate in these trials because they may open doors that help our entire FXS community.”

Gregg is also realistic about potential barriers to participation in clinical research for FXS families. Many people with FXS have behavioral symptoms and anxiety that can make trial visits challenging for their caregivers and the individual.

Gregg shares that when his son was young, his wife would take Livingston to speech and occupational therapy and other medical appointments, with his younger sister in tow. “The numerous doctors’ appointments and tests can disrupt the whole family.”

When Gregg learned about a new approach to clinical trials that has emerged allowing for at-home participation, he noted, “that would have been a game changer for our family!”

Science 37, a company that supports at-home clinical trials, keeps the patient at the center of its work by bringing clinical trials directly to them no matter where they live. This helps increase the diversity of trial participants and promotes inclusivity – so important to advancing scientific discovery.

Dr. David Kudrow is the medical director of neurology for the company. “With the Science 37 approach, we can reach patients across the US and not be limited in any way by geographic constraints,” he said. “With our model, you don’t need to sit in the same room as the patient. If an investigator is licensed in the state where the patient lives, we can conduct a study visit.”

Once a patient is screened and enrolled for a clinical trial using telemedicine – appointments by computer, tablet or smartphone – patients and families continue to participate via “virtual” visits.” Additionally, mobile nurses, who are trained and employed by Science 37, visit patients to check vital signs, collect bloodwork and perform other medical evaluations and tests, such as electrocardiograms (ECGs).

As Dr. Kudrow explains, “Children and young adults with FXS don’t have to live near a trial center and caregivers don’t have to miss work or travel with their child to various appointments. On top of that, they still have their entire care team outside of the clinical trial, whom they continue to see for regularly scheduled check-ups. The Science 37 team keeps their care team informed of the trial involvement and progress.”

Dr. Kudrow noted, “With Science 37’s approach and at-home clinical trials like the RECONNECT study, which is currently enrolling, we can reach into any community, support diversity, and go beyond geographic, conventional boundaries to deliver reliable data.”

He concluded: “This is a very special population – not just the kids, but the families. Some families have multiple children with FXS and would otherwise have to travel to a clinical trial site. With respect to convenience, what Science 37 has been able to provide is invaluable. We can go where the patients are.”

Added Gregg: “People should avail themselves of this unique opportunity. I’m excited about it and hope that families who are dealing with FXS realize that we must have participants in these trials to discover new treatments. I urge families to take this opportunity. It’s free, it’s easy and, at the end of the road, it may change lives.”

To learn more about FXS and the ongoing RECONNECT clinical trial of an investigational treatment, visit FragileXHelp.com for more information.

Content sponsored and provided by Harmony Biosciences/Zynerba Pharmaceuticals, Inc. Gregg Harper has partnered with Zynerba to increase awareness of FXS and highlight the vital role of clinical trials in discovering and studying new investigational treatments for rare diseases.

+++

  1. https://fragilex.org/understanding-fragile-x/fragile-x-101/

How to enjoy getting ready for the holidays

2023-12-07T02:01:00

(BPT) – The season is full of activity, fun and festivities — but it can also be somewhat stressful, especially if you feel unprepared. To make your holiday season go more smoothly this year, do a little advance planning so that you can spend more time relaxing with family and friends.

Here are key tips to help give you the confidence to tackle all the merriment the holidays can bring.

1. Take a pantry inventory

Remember running out to the store for heavy whipping cream or more flour at the last minute last year? Reduce your stress by taking stock of your pantry for baking and cooking staples you know you’ll need, with your favorite recipes in hand. To make this easier, many online recipes also post a shopping list. If you’re hosting relatives in your home over the holidays, be sure to add extra amounts to everyday staples on your shopping list — especially necessities like milk, eggs, bread — and snacks!

And, just in case something falls through the cracks, have your favorite grocery delivery service bookmarked on your computer or tablet so that you can make last-minute orders.

2. Ensure you have the bakeware you need

There’s nothing like having your cake batter ready to go, then realizing you borrowed a pan last year — from a friend who’s out of town this year. Instead, make sure you’ve got everything you need to bake and roast all the sweet and savory recipes you and your family love. For example, with a GoodCook Ready 5 Piece Metal Bakeware Set you’ll have a 13″x9″ small cookie sheet, a 13″x9″ bake and roast pan, a 9″ round cake pan, an 8″x4″ medium loaf pan and 6-cup muffin tin.

All of these pans have a scratch-resistant and dishwasher-safe nonstick coating that provides excellent release, while also making clean-up quick and easy. They’re also metal spatula safe, so you can serve your baked goods right off the sheet. Best yet, they’re made with heavy-duty gauge steel to resist warping, so you’ll be able to use them for high-quality baking for years to come.

Find these items and more GoodCook kitchen essentials at Target.com.

3. Keep it simple

To make your holidays more fun and less frantic, simplify wherever possible. Fewer decorations, placed carefully, will make more of a visual statement than loads of ornaments, and will free up time to do other things. Focus your cleaning efforts on the rooms where you’ll be entertaining and consider blocking off less tidy areas with festive ribbons and funny signs saying things like “Santa’s Workshop — Do Not Enter.” And unless you have loads of extra time for experimentation, stick with tried-and-true recipes that you already know you can pull off beautifully.

4. Make a schedule, check it twice

If you’re planning a big party or hosting a sit-down dinner, write out a schedule starting with your planned food-serving time and work your way backward. This will help you remember when each dish needs to be put in the oven or started on your stovetop so everything is ready at about the same time. Make your life even easier by prepping as many ingredients or even full dishes a day or two ahead of time, if possible.

5. Enlist some elves

Friends and family members actually like to help, as long as they know what to do. Delegate a few specific tasks to others so you don’t feel like you have to do everything yourself.

Have a creative child? Let them make place cards or place mats with guests’ names on them. Musical relative? Let them create a holiday playlist. One of your friends an expert mixologist? Put them in charge of the beverages. Spreading the burden means spreading the joy — so everyone can enjoy the preparations together.

With an upbeat attitude — and some holiday music — while you’re setting up, you’re bound to have just as much fun getting ready as you will once your guests arrive. Prepping ahead of time will give you that much more confidence that your celebrations will be thoroughly enjoyed, by one and all.

6 expert ways to nurture friendships during the holiday rush

2023-12-06T13:31:00

(BPT) – The holidays aren’t just a time to spend with family. They’re also a great opportunity to connect with friends. In fact, according to a recent Bumble For Friends survey*, over half (54%) of U.S. respondents actually prefer to spend the holidays with friends they consider ‘chosen family’ over their relatives.

However, hectic holiday schedules can make it challenging to nurture our friendships. To help you stay connected to your friends this holiday season, Danielle Bayard Jackson — Bumble For Friends’ resident friendship expert — offers her top six expert tips.

1. Be intentional with your time

The holiday season is jam-packed with “shoulds,” from attending parties to shopping for the perfect holiday gifts for loved ones. Instead of focusing on what you “should” do this holiday season, fill your calendar with activities that bring you joy and allow you to spend intentional, quality time with friends. No matter what you choose to do together, show your friends that you are deliberately carving out time in your busy schedule to be present with them.

2. Check in on your friends

The holidays tend to be an emotionally charged season. Checking in on your friends — even the “strong” ones — is a simple yet powerful way to show you care. Take time to compose a thoughtful text, a quick phone call or schedule a video chat. Ask about their holiday plans, share your own, and really take time to listen. During this busy season, knowing you care can make a world of difference to your friends.

3. Make a festive food or drink together

Nothing brings people together quite like a meal. Plan a virtual or in-person cooking or baking hang-out with your friends to prepare festive treats. Encourage everyone to share recipes and cooking tips while enjoying each other’s presence and the joy of the season. You can even turn this gathering into a dinner party, whether at your home or over video, so you can enjoy your culinary creations and catch up.

4. Mail a holiday care package

Surprise your friends with a thoughtful holiday care package! You can include some of their favorite treats, seasonal decorations, face masks, coffee beans or tea leaves and a handwritten note to tell them how much you appreciate their friendship. They’ll feel the holiday cheer and your love when they receive their curated care package.

5. Have a holiday movie marathon

A holiday movie marathon is a classic way to celebrate the season. Plan a movie night at your place or use a remote-watching service to watch simultaneously with loved ones all around the world. Make a list of your favorite holiday movies and choose new holiday releases to experience together. A movie party may be a simple activity, but it’s a fun and easy way to celebrate the season and create new memories together.

6. Create new holiday traditions

The holidays are built on traditions. This season, strengthen your bonds by creating new traditions with your friends. For example, you can establish a yearly ornament exchange, potluck or game night. You can even consider volunteering to give back to the community and celebrate the season’s spirit. These traditions can become cherished rituals your friends look forward to year after year.

Maintain and form new connections

While the holidays may be chaotic, it’s important to prioritize your friendships. Let these six tips inspire you to connect with friends even during the busiest season of the year.

If you’re looking to grow your friendship circle this holiday season and beyond: you’re not alone. In Bumble For Friends’ recent survey*, nearly half (49%) of U.S. respondents shared that they’re focusing on friendship instead of finding love this winter. Also, 57% said they’re looking for a new friend to join in on hobbies/activities in the new year.

To start finding friends in your area that share your interests, download Bumble For Friends and take advantage of its many new features, including a Plans option to organize and join IRL group meetups.

*Research was commissioned by Bumble and carried out online by Censuswide in September 2023 amongst a sample of more than 1,000 U.S. adults 18+.

Walmart+ Hits a High Note with Members Looking to Sleigh the Season

2023-12-06T15:43:00

(BPT) – It’s the most wonderful time of the year, but dashing through the snow for parties, plays and presents may have you longing for a silent night. Now a Walmart+ membership is bringing joy to the world for the busiest of families this holiday season.

Helping people save money so they can live better is at the heart of everything Walmart does. Walmart+ is that mission, supercharged, with a series of benefits and offers that will have you singing its praises throughout the season — and beyond.

Fa-la-la-la-Free Delivery from your Store

Whether it’s groceries for a festive meal, a hostess gift for your holiday parties, or all the toys and goodies, you can get unlimited deliveries from the store to your door with $0 delivery fees, all at the same low prices you’ll find shopping in a Walmart store.

Holiday Classics Streaming with Paramount+

From swoon-worthy romcoms to children’s classics — even some jingle bell rock from everyone’s favorite Mean Girls, you can stream some of your season’s favorite flicks with a Paramount+ Essential plan subscription, included at no additional cost with your W+ membership.

The Gift of Member Savings on Fuel

Between traveling to see family and friends, attending parties and functions, cruising town to peep holiday lights or all the everyday shuttling you already do, the holidays may have you spending a lot of time behind the wheel. So the prettiest sight to see may be savings on fuel! Get 10 cents off per gallon at 14,000+ locations nationwide including Exxon, Mobil, Walmart and Murphy stations.

Walmart+ Travel, Santa Approved

Whether you’re traveling over the river or through the woods, Walmart+ members can book their getaways through WalmartPlusTravel.com and earn Walmart Cash. Walmart+ members will start earning rewards on bookings in the form of 5% Walmart Cash on all non-air travel — hotels, vacation rentals, car rentals and activities — and 2% Walmart Cash on air travel. A Walmart+ membership will also get you access to member-only travel deals, no sleigh required.

The Gift of Free Shipping with No Order Minimum

Even if you make a list and check it twice, it’s inevitable those last-minute gift needs will arise. Even small orders ship for free so you can choose from a huge assortment of eligible items and never pay a shipping fee, no matter who is on (or missing) from your list.

Early Access to the Hottest Deals

Members enjoy early access to the most sought-after products at events throughout the season. Oh what fun it is to have an edge on holiday gift giving that even the elves would envy.

Returns from Home

Baby, it’s cold outside, and no one wants to brave the elements for returns. For members, Walmart comes to you. No printing, no repackaging, no need to step foot outside your door. Just book your return in the Walmart app.

At just $98 a year, or $49 dollars annually for customers who qualify for government assistance benefits, a Walmart+ membership will have you rockin’ around the Christmas tree for the holidays and through the new year. You can sign up — or even gift a membership — at https://plus.walmart.com.

How the popularity of concert tours creates economic opportunities for Hosts

2023-12-06T11:01:00

(BPT) – This past summer was a season of major concert tours, driven by renowned popstars and cultural icons like Queens Tay and Bey. From booming box office sales to sold-out arenas, 2023 summer concert tours inspired communities and boosted local economies across the globe.

For Airbnb hosts, the “shero” summer effect meant a boost in revenue. According to Airbnb, Hosts worldwide collectively generated $100 million over concert dates from Jan. 1 to June 30, 2023, including the day before each tour stop. Continuing concert tour trends could spell the perfect opportunity for Hosts to earn more in the coming year.

Global icons and their local impact

Across Europe and the U.S., Queen Tay and Bey’s concert tours ushered in hundreds of thousands of guest arrivals on the platform over the concert dates during the first half of this year. The megastars helped support local economies, and Airbnb Hosts experienced this boost firsthand.

Hosts in Europe earned more than $40 million and their U.S. counterparts earned over $62 million during the first half of this year. These earnings represent a 38% increase in collective Host earnings over concert dates from Jan. 1 to June 30, 2023, compared to the same dates from Jan. 1 to June 30, 2022.

These economic trends are likely to continue into 2024. The upcoming European leg of one of these stars’ tours prompted a remarkable surge in interest. Notably, there was a 1,000% spike in Airbnb searches based on the average increase in searches for concert tour cities from June 20 to June 26, 2023, compared with the week before the 2024 tour announcement.

Hosting fans, creating joy and increasing income

The shero summer doesn’t just mark a return to big events. The droves of fans flocking to these events show that people are excited to come together as a community to share their passion for music. With people feeling increasingly isolated and disconnected, Hosts on Airbnb are focusing on providing distinctive guest experiences to facilitate human connections, one superstar event at a time.

If you’re lucky enough to live in a Host city during the upcoming tour dates, there has never been a better time to join the growing community of Hosts on Airbnb. Based on the total earnings for new Hosts globally in 2022 who started hosting sometime between January and December 2022, new Hosts collectively earned over $5.5 billion in income from hosting on Airbnb. Also, many new Hosts are having great success securing bookings quickly. Half of the listings activated and booked in the third quarter of 2022 globally received their first booking within three days.

Becoming an Airbnb Host has never been easier. The introduction of Airbnb Setup connects new Hosts with Superhosts who can provide one-on-one guidance. The integrated platform also helps new hosts welcome an experienced guest for their first booking and receive specialized support from Airbnb Community Support agents in over 42 languages.

All Hosts also get even more AirCover, which provides top-to-bottom protection, guest identity verification, reservation screening and $3 million damage protection. Protection includes coverage for cars, boats, art and valuables.

Are you ready to become part of the collective joy of live entertainment and increase your own financial well-being? Visit Airbnb.com/Host to learn more about how you can become a Host.