Category: Brandpoint Health

2018-02-20T07:01:00

(BPT) – Every day your heart beats an estimated 100,000 times to move 2,000 gallons of blood through your body. That equates to more than 2.5 billion beats in your lifetime! It’s no surprise heart health is a priority for many people, especially considering that heart disease is so common.

One in four deaths in the United States is caused by heart disease. More than 610,000 people die of heart disease in the U.S. every year, making it the leading cause of death for both men and women, according to the Centers for Disease Control and Prevention.

You know you need to eat a nutritious diet, exercise and avoid smoking. However, there’s a lot more you need to know to protect yourself and your family. Consider these five surprising things your doctor may not have told you about heart disease.

Heart disease can be caused by a genetic disorder

You may never heard of familial hypercholesterolemia (FH), a common, but inherited genetic disorder that causes heart disease. FH affects approximately one in 250 people worldwide, but currently 90 percent of people born with this genetic condition are not diagnosed. Individuals with FH have a high amount of low density lipoprotein (LDL) or “bad” cholesterol in their blood from birth. This lifelong burden of cholesterol is a major reason why FH leads to very early and severe heart disease. The good news is that FH is manageable if detected and treated early in life. If high cholesterol and early heart disease runs in your family, learn more at thefhfoundation.org.

Many heart attacks occur outside the hospital

About 47 percent of sudden cardiac deaths occur outside a hospital, according to the CDC. This suggests that many people with heart disease don’t recognize or act on early warning signs.

Heart attacks have several major warning signs and symptoms:

• Chest pain or discomfort.
• Upper body pain or discomfort in the arms, back, neck, jaw or upper stomach.
• Shortness of breath.
• Nausea, lightheadedness or cold sweats.

Know the signs. Trust yourself. If you have any of these symptoms or sense something is just not right, call 911.

Heart disease affects young people

Many people think heart disease occurs in old age, but it can affect people of all ages. Even if you or your family members are 30 years old or younger, you could be affected, especially if you have risk factors like high cholesterol or a family history of heart disease. Keep in mind, each child with a family member with FH has a 50 percent chance of inheriting the disorder, which is present since birth. Untreated individuals with FH have up to a 20 times increased lifetime risk of early heart disease, yet 90 percent of people with FH are undiagnosed, according to the FH Foundation.

Children (even infants) can have high cholesterol

Many adults are regularly screened for high cholesterol, but it’s not as common for children to be screened, although the American Academy of Pediatrics recommends that all children between the ages of 9 to 11 be screened for high cholesterol. These guidelines also recommend screening for FH as early as age 2 years if there is a family history of high cholesterol, early heart disease or known FH. Talk to your children’s doctor about screening. FH is characterized by an LDL-C level of over 190 mg/dL in adults, or over 160 mg/dL in children. FH may also be confirmed with a genetic test, although this is not necessary for diagnosis.

You can maintain a healthy heart at any age

Being diagnosed with high cholesterol, heart disease or even FH is not a death sentence. Every person’s health considerations are unique, but by working with your doctor, you can come up with a plan to help manage your health and maintain the strongest heart possible. This could include lifestyle changes and medications to manage the LDL cholesterol level in the blood. The key is to keep asking questions, learn about your specific health needs and stay dedicated to your heart health plan.

2018-02-14T16:21:00

(BPT) – Yoga mats, kale salads, fitness trackers, standing desks and gym memberships. It seems like everywhere you look, people are taking strides to get healthier. And with good reason.

In the U.S., 37.9 percent of adults aged 20 and older suffer from obesity, and heart disease accounts for one out of every four deaths. Despite these harrowing numbers, many people have difficulty embracing a heart-healthy lifestyle, especially when it comes to food.

Part of the reason for this is that too often people think that eating right involves a list of what you cannot eat.

It’s easier to focus on all the things you can eat.

As February is American Heart Month, it’s a perfect opportunity to consider how easy and delicious it is to stick to a heart-healthy diet.

Embrace convenience

Sometimes, at the end of the day you just want a quick meal. Unfortunately, most fast food options and restaurants don’t offer heart-healthy options.

Fortunately, Sun Basket, a rapidly growing healthy meal kit service, has developed a recipe each week that meets the American Heart Association’s(R) Heart-Check guidelines for a heart-healthy diet, and conveniently delivers them right to your door.

Sun Basket’s Heart-Check certified recipes have undergone meticulous evaluation to ensure each recipe meets the American Heart Association’s(R) strict nutrition guidelines for a main dish, with each serving having:

* No more than 500 calories

* No more than ≤ 3.5 grams of saturated fat

* No more than 600 mg of sodium

* A serving from at least two of the following food groups: Meat, poultry, fish, dry beans, eggs or nuts; fruits and vegetables; milk, yogurt or cheese; bread, cereal or pasta

* No added sugar and no trans fats

Eat deliciously

There’s a widespread misconception that a heart-healthy diet involves giving up all meat and snacks and only eating kale and whole grains.

That’s far from the truth. Many of the best cuts of meat are also ideal for a heart-healthy diet and can satisfy the most ardent carnivore. Pork tenderloin, skinless chicken and turkey breasts are naturally lean, while fatty fish, like salmon, trout and tuna, are loaded with omega-3 fatty acids.

As far as snacks go, it’s really just a matter of embracing things like fresh fruit with low-fat yogurt, vegetables and hummus, or a savory mix of nuts like almonds, walnuts and pistachios.

The list goes on, but the point is that a heart-healthy diet doesn’t have to be limiting; rather, it’s full of delicious food.

Shopping is easy

So how do you know if something meets the nutritional standards you need to maintain a healthy heart? You don’t need to be a nutritionist for this. Simply look for the American Heart Association’s(R) iconic Heart-Check mark on food packages when you ship, and you’ll instantly know it meets the Association’s recommendations to be part of a healthy eating pattern.

Try it and see

Still not convinced about how delicious and easy it is to follow a heart-healthy diet? Check out this recipe for Sun Basket’s Tandoori-style chicken with Bombay curried potatoes.

In your box you’ll receive:

2 to 4 boneless skinless chicken thighs

Tandoori spice blend

1 onion

Potatoes

4 sprigs of fresh cilantro

1 teaspoon curry powder

1 cup vegetable broth

1/2 cup diced tomatoes

2/3 cup peas

1 1/2 ounces baby greens

1. Prep and cook the chicken

Preheat oven to 425 degrees.

Pat the chicken dry with a paper towel. Season generously with salt, pepper and the tandoori spice blend.

Place the chicken on a pan lined with foil and roast at 425 degrees for 15 to 20 minutes. Halfway through, turn it over.

2. Prep the Bombay potatoes

Chop 3/4 cup of onions.

Scrub potatoes and cut into 1/2-inch by 1/2-inch pieces.

Coarsely chop the cilantro for garnish.

3. Cook the Bombay potatoes

In a large frying pan warm 2 to 3 teaspoons oil over medium-high heat. Add the onion, season with salt and pepper, and cook until starting to soften. Stir in the curry powder and cook until fragrant, about 1 minute.

Add the potatoes, vegetable broth and tomatoes. Bring to a boil, reduce to a vigorous simmer, cover and cook between five and seven minutes.

Uncover and cook until the liquid has thickened and the potatoes are tender.

Stir in the peas and cook for about two minutes.

Stir in the greens and cook until just wilted.

Transfer the chicken and Bombay potatoes to individual plates, garnish with the cilantro.

Serve and enjoy.

Eating right shouldn’t be a chore. With Sun Basket’s Heart-Check certified recipes, it’s never been easier to enjoy a heart-healthy meal.

2018-02-02T12:17:00

(BPT) – Managing finances can seem like a daunting task, and many have a hard time deciphering between necessities and luxuries, such as vacations. People might even take some of these necessities for granted and not consider healthcare costs as part of that. However, a chronic health condition like diabetes can add an extra layer to managing a budget.

With medical costs for people with diabetes two times higher than for people without diabetes¹, it’s not surprising that in a recent survey of 500 U.S. adults, ages 26-64, with diabetes and 500 U.S. adults, ages 26-64, without diabetes, more than half with diabetes report the costs associated with their condition have negatively impacted their finances. In fact, of those surveyed, more than two-thirds of employed participants with diabetes are concerned they’ll have to delay retirement specifically because of healthcare costs, and 62 percent of employed participants living with diabetes are concerned health issues will force them to retire before they have the financial resources to do so.²

With managing personal finances often top of mind, it is important for those living with diabetes to have tools and resources to help with budgeting. Roche Diabetes Care Inc. collaborated with Alexa von Tobel*, Founder and CEO of LearnVest.com, a company redefining America’s approach to personal finance, to help give people living with diabetes the ability to focus on their health, not the costs. In a video on Accu-Chek.com, von Tobel shares her advice and tips on budgeting, specifically for adults living with diabetes, which include:

• Creating a budget, mapping out all of the expenses in your life, and dedicating a credit or debit card to diabetes-related expenses to make tracking what you spend even easier
• Dedicating 50 percent or less of total income toward necessities, like groceries, diabetes-related expenses, rent, and transportation
• Putting away 20 percent for the future so you are left with 30 percent for personal expenses

Another tool for those living with diabetes to help with managing budgets is the Accu-Check^® Guide SimplePay program.³ With the program, people with diabetes can have a savings solution that maintains a low cost for test strips to help them focus on what is best for their health, not what it costs. The Accu-Chek^® Guide SimplePay program is designed to help make managing diabetes more affordable for the millions of Americans living with diabetes by guaranteeing a low price for test strips every day. To utilize the SimplePay program, patients can sign up by answering a few short questions at www.Accu-Chek.com, and hand the SimplePay card to their pharmacist, along with their test strip prescription to start saving.

To learn more about budgeting tips from Alexa von Tobel, check out her video on www.accu-chek.com. While there, you can also learn more about the Accu-Chek^® Guide SimplePay program and download the free SimplePay card.

___________________________________

¹ https://www.cdc.gov/diabetes/pdfs/library/socialmedia/diabetes-infographic.pdf

² The Roche Diabetes Care Survey was conducted online by Wakefield Research among U.S. adults ages 26-64, 500 of whom are currently being treated for diabetes and 500 who aren’t, between Nov. 21 and Dec. 1, 2017. The margin of error was +/- 4.4% for each audience.

³ The card is not insurance; it is a cash discount program and cannot be combined with any form of health insurance. Those insured by any government healthcare program, such as Medicare, Medicaid, the military or VA, are NOT eligible for this offer. Insurers may offer a lower cost option. 30- or 90-day Accu-Chek Guide test strip prescription required. Limit 12 vials per refill.

Refills cannot be dispensed before 75% of previous days’ supply have elapsed. Program may be changed or discontinued at any time.

*Alexa von Tobel is a paid spokesperson for Roche Diabetes Care, Inc. and Accu-Chek^®.

**Roche Diabetes Care, Inc. is not providing financial, investment or tax advice. You should consult with your professional financial adviser to determine what is best for you.

Accu-Chek^®, Accu-Chek^® GUIDE and Accu-Chek^® GUIDE SIMPLEPAY are trademarks of Roche.

2018-02-14T08:01:00

(BPT) – Think of all the items you replace regularly — your cellphone, lightbulbs and even your toothbrush. But when was the last time you replaced your smoke alarm batteries, or even the alarms themselves? It’s easy to overlook, but the time to think about fire safety is now — before an emergency strikes.

Many assume that because they have smoke alarms in their homes, they’re protected in the event of a fire. In reality, smoke alarms need to be installed, maintained and tested regularly to ensure they’re working properly. That effort includes knowing how old smoke alarms and their batteries are, as neither lasts forever. While smoke alarm lifespan and sensing technology have improved in recent years, the fact remains that all smoke alarms — even hardwired and sealed battery models — expire after 10 years.

“According to the National Fire Protection Association (www.nfpa.org), three out of five home fire deaths occur in homes without smoke alarms or from missing or dead batteries,” said Tarsila Wey, director of marketing for First Alert. “Just like other household duties, it’s important to make sure alarm maintenance and replacement and escape planning and practice become a regular, ongoing part of your family’s routine.”

First Alert offers the following advice to ensure your family is best protected from fire.

Count the alarms — In most cases, one alarm isn’t enough. In fact, the U.S. Fire Administration (USFA), recommends smoke alarms be installed inside every bedroom, outside each sleeping area and on every level of the home, including the basement, as well as one carbon monoxide (CO) alarm on each level and in each sleeping area. A quick and easy way to remember is one on every level and in every bedroom.

Install them properly — Does your alarm ever sound when cooking? Chances are, you’ve installed the alarm too close to your appliances. An easy way to reduce false alarms and maximize coverage is to take a moment to review manufacturer guidelines and install alarms in the proper locations. Smoke alarms should generally be installed at least 10 feet from a cooking appliance to minimize false alarms. It’s also recommended to install smoke alarms high on walls or ceilings. Remember, smoke rises, so high placement provides a direct path for detection. Lastly, don’t install smoke alarms near windows, doors or ducts, where drafts might interfere with their operation.

Get complete coverage — In general, there are two types of fires — quick flaming and smoldering. Today’s smoke alarms are effective at detecting both but use unique technologies that make them better suited for particular locations within the home. The NFPA and other safety advocates recommend installing dual-sensor alarms like the First Alert 10-Year Battery Dual Sensor Alarm because they provide the best potential for early detection of all types of common household fires while helping to reduce the number of non-emergency alarms — all while providing a decade of protection without the need for costly and ongoing battery replacement.

Install and maintain — Having smoke alarms is only one part of the story. In order to function properly, all alarms must be regularly inspected and maintained. Make sure to test the alarm, by simply holding down the test button, at least once a month. Also, when testing, it’s important to clean the alarm to remove any dust or debris. This advice holds true even for newer alarms, which feature 10-year batteries, as well as hardwired alarms that feature a battery back-up. Check or replace the battery when you change the time on your clocks each spring and fall.

Plan your escape — Maintaining alarms is essential to every household, but what about your escape route? Unfortunately, recent research indicates that just 25 percent of families have an escape plan that they practice regularly. To develop an effective plan, walk through your home and inspect all possible exits and escape routes. Identify two ways out of each room, including windows and doors. Practice your home fire escape plan at least twice a year and make sure to plan a meeting spot.

For more fire safety tips, visit www.firstalert.com.

2018-02-06T06:01:01

(BPT) – Chest discomfort. Heartburn. Tightness or pressure in the throat, jaw, shoulder, abdomen, back or arm. These are all symptoms of a common heart disease called obstructive coronary artery disease (CAD), also known as a blockage in the heart arteries. And it can be deadly. In fact, it often is.

Given how serious a disease this is, you need to know your options for an accurate diagnosis. There’s new evidence for a simple blood test that can help your doctor determine whether your symptoms are due to heart disease or something else, like heartburn caused by a spicy meal, anxiety due to stress, or a pulled muscle in the upper chest area. An emerging field of medical research called cardiovascular genomics has given doctors a new way to discover whether their patients’ symptoms are caused by obstructive CAD just by looking at a patient’s blood sample.

A recent substudy of the Duke University-run National Heart, Lung, and Blood Institute-funded PROMISE trial^[1] gave further evidence that this simple blood test can be used to help doctors determine whether obstructive CAD is the cause of patients’ symptoms as well as to provide information about the potential for future heart disease events.

The test (known as the Corus CAD^® blood test) incorporates age, sex and gene expression measurements into a single score that indicates a person’s current likelihood of having a significant blockage or narrowing in their heart arteries. Unlike a genetic test, which provides information about a patient’s future risk of disease, this test provides the likelihood of plaque buildup in the arteries right when the testing is done.

Dr. Andrew Waxler of Berks Cardiologists Ltd. tells us that “Heart disease is not only the number one killer in the U.S., it is also incredibly expensive. The traditional and common tests and procedures doctors use, including heart catheterizations, are expensive, though these are very valuable tools when used with the right people. The beauty of this simple blood test is it’s not very expensive, relatively speaking, and it will direct who needs the more expensive and more risky tests, and who doesn’t. This is a good thing because fewer invasive tests mean fewer risks to the patient, including surgery complications and radiation exposure.”

“In these current health care economic times, people don’t want to pay for unneeded tests. With proper use I feel this simple blood test will help us all save money in the long run while helping doctors determine the best treatment path for each individual patient. It’s a win-win for all involved,” adds Dr. Waxler.

This simple blood test is scored on a scale of 1-40. Those with low scores, defined as ≤ 15, can be safely assessed as having symptoms not caused by CAD, whereas patients with higher scores have a higher likelihood of obstructive CAD. A low score means the patient may be spared invasive and potentially risky cardiac tests and procedures, while those with high scores may require more testing.

If you are concerned about the symptoms of obstructive CAD, talk with your doctor.

For more information about the blood test, visit coruscad.com.

Fast Facts

• One in seven deaths among Americans is caused by CAD.^[2]
• A simple blood test called Corus CAD helps doctors identify patients who are at low risk so that unnecessary and potentially harmful cardiac tests can be avoided, as well as those at high risk so appropriate next steps can be taken.
• This simple blood test (Corus CAD) offers potential costs savings to the patient as well as to health insurance companies as it can help reduce unnecessary tests and procedures, which are often more costly.

2018-02-20T13:01:00

(BPT) – In January, when many people make New Year’s resolutions to get fit, they’re full of energy and excitement to start and see results.

But by the end of February, that intensity and interest start to slip. Gold’s Gym has identified this as the Fitness Cliff, or the time that gym check-ins begin to gradually decline.

To help fight against the urge to slow down or quit, Gold’s Gym has declared Feb. 22 to be Commitment Day. On that date, Gold’s Gyms across the country will offer free workouts and classes along with resources to help people stay on track. But you can take action right now to make it easier to recommit to your fitness resolutions.

1. Create a plan

Everyone’s fitness journey is different, and with a personalized plan of attack, you’re more likely to get the results you want. Work with an expert to develop a routine that’s best for your current fitness level, body type, age and health history.

“Simply planning to make your resolution part of your schedule makes a significant difference,” says Dempsey Marks, a Gold’s Gym fitness expert. “Our lives can get very busy, so writing a weekly workout plan on Sunday that includes days, times and workouts will help keep you focused, organized and accountable.”

To help you get started, anyone who recommits to their goals on Feb. 22 at Gold’s Gym will receive a free 30-day fitness plan from a certified personal trainer.

2. Eat well

Just because you kill it on the treadmill or in the weight room doesn’t mean you can eat whatever you want with no consequences. Food is fuel — learn what to put into your body that will help it perform its best.

Remember, eating three to four hours before your workout will deliver energy to your muscles and help you avoid low blood sugar levels. And eating after a workout will replenish the fluids and carbohydrates your body just burned off.

3. Find an accountability partner

Having at least one workout buddy is good motivation to keep you showing up, push you to work hard and encourage you to keep striving toward your goals. Plus, it’s great to have someone to celebrate with when you reach those fitness milestones.

Commitment Day is the perfect time for you and a pal to get started — bring a friend in to Gold’s Gym for free workouts and classes on Feb. 22.

4. Be adaptable

We get it: Life happens. If you can’t make it to the gym because your car broke down or you’re traveling, it can be tempting to take a break from your fitness routine.

With a digital personal training app like GOLD’S AMP™, you’ll always have an option for workouts at home or on the road. You can choose a coach-guided workout — including outdoor walking and running workouts, stretching and bodyweight exercises — to take anywhere and pair it with the perfect exercise playlist.

5. Just breathe

A fit lifestyle doesn’t happen overnight; don’t get frustrated if things are slow to start or if you hit a plateau. Let yourself rest, think positively and be patient. Getting stronger takes time and effort, and you’re putting in the work that will lead to results later.

6. Avoid the comfort zone

If it’s getting too easy, it’s time to reassess your routine. Don’t be afraid to try a different piece of equipment, lift that heavier weight or join a new group exercise class.

“It’s easy to get stuck in your comfort zone because it’s comfortable!” Marks says. “But with fitness, it’s especially important to avoid the comfort zone to challenge your body in new and unique ways. Plan a new workout every other week by switching up the equipment and machines or go for that personal record. It’ll help to avoid boredom and lead to greater physical gains.”

7. Set an example

Your efforts don’t go unnoticed. Whether or not you realize it, you’re inspiring someone else with his or her own fitness. Use that to give yourself a boost when you need it.

Take Gold’s Gym Challenge winner Ellie Carter, whose two young sons were moved by her efforts to get back in shape.

“Every time we’d go to Gold’s, the boys would say, ‘We’re going to the gym, and Mommy is going to get strong,’” she says. “[Kids] do what we model, so I definitely want to keep encouraging fitness.”

Read Ellie’s success story and find more inspirational stories like it.

2018-02-13T06:01:00

(BPT) – Recent research is giving the 86 percent of Americans who sit all day at their jobs new reasons to reach for a handful of nuts while at work, and in particular, pistachios. Adding to an increasing volume of research around the health benefits of pistachios, one study and a national survey in the U.S. suggest a snack of pistachios might boost brain power and concentration levels at work.

Pistachios helped office workers stay focused until lunchtime

In a national survey, 1,000 American office workers who skipped breakfast consumed a snack of 42 grams (1 and 1/2 serving size) of pistachios between 9 and 11 a.m. Ninety-two percent of the participants said they are “distracted from their tasks at work due to hunger before lunch.” Eighty percent said they usually get hungry in the mornings before lunch and think about food often or every day.

The midmorning snack of pistachios proved to be just what they needed to power through the morning. Ninety-two percent of the participants reported the pistachio snack helped improve their concentration at work as stated in the study, “somewhat or greatly.”

That’s not surprising, according to Dr. Mike Roussell, nutrition expert and adviser. “Skipping breakfast is never a good idea, but even with a good breakfast and lunch, hunger pangs and stress-driven hunger can be distracting, leading to unhealthy snacking habits.”

Roussell says pistachios are an ideal midmorning or midafternoon snack because of their unique nutrient package that not only promotes feelings of fullness and satiation, but also, newer studies show, can promote an optimal mental state and more focus at work.

Increasingly, people with desk jobs are looking for a healthier snack alternative to the usual donuts and vending machine fare. Ninety percent of the survey’s participants said they believe the snack of pistachios is healthier than their usual snack. The study involved office workers in the Northeast, South, Midwest and Western U.S. who snack at their desk two or more times a week at midmorning.

Pistachios may have a role in improved brain function

Loma Linda University (LLU) researchers found that eating nuts on a regular basis enhances brainwave frequencies associated with cognition, learning, memory, recall and other key brain functions. While the research studied multiple nuts, pistachios produced the greatest gamma wave response, which is critical for enhancing cognitive processing, information retention, learning and perception.

In the study, electroencephalograms (EEG) were taken to measure the strength of brainwave signals. EEG wave band activity was then recorded from nine regions of the scalp associated with cerebral cortical function.

“This study provides significant beneficial findings by demonstrating that nuts are as good for your brain as they are for the rest of your body,” said the study’s principal investigator, Lee Berk, DrPH, MPH, associate dean for research at the LLU School of Allied Health Professions, in an interview featured in the November 2017 issue of LLU’s publication, Today. An abstract of the study was presented at Experimental Biology 2017 in San Diego, California, and published in the FASEB Journal.

The workplace-snacking survey and health-benefit studies add to a growing base of pistachio research, solidifying that pistachios have all the ideal qualities for a go-to workplace snack.

2018-02-21T15:01:00

(BPT) – According to the Centers for Disease Control and Prevention, there are approximately 2 million poisoning incidents per year within the U.S., and more than 90 percent of these occur within the home. This winter, keep your family safe by learning more about the potential for poisoning, how to prevent it and how to get help if an incident occurs, most notably by calling the Poison Help line at 1-800-222-1222.

Follow these tips to have a healthy and safe winter season:

1) Know which winter items are poisonous. There are many household items in use during the winter that may pose a specific poison risk, including antifreeze and snow salt.

Antifreeze is a poisonous liquid used in cars. It has a sweet taste that children and animals like. If even a little is swallowed, it can be harmful and can cause kidney damage and death. Keep antifreeze, household cleaners and all chemicals in the containers they came in with a tight cap and keep away from children and pets. Before throwing away an antifreeze container, be sure to rinse it with water and replace the safety cap.

Salt used on driveways and sidewalks in winter can harm a pet or child if eaten. Store such salt out of reach and in a locked cabinet.

2) Keep your home warm — and safe. Carbon monoxide (CO) is a poisonous gas that has no color, odor or taste. The risk for CO poisoning increases in the winter, as the use of fuel-burning devices increases. Sources of CO include gas furnaces, gas water heaters, gas stoves, gas ovens, kerosene space heaters, wood and gas fireplaces, wood-burning stoves, power generators and car engines. These devices make CO, primarily when they are not working properly or are not used in a properly ventilated space.

Signs of CO poisoning are similar to flu and other cold-weather-virus symptoms, including headaches, nausea, vomiting, dizziness and confusion. To prevent CO poisoning, have at least one CO detector in your home. The best places for a CO detector are near bedrooms and close to furnaces. Have your heating system, vents and chimney checked every year by experts. Always follow product instructions for installing and repairing appliances that burn fuel, and never burn charcoal inside a house or garage. Additionally, do not use a gas oven to heat a house or apartment or use unvented fuel-burning devices indoors. Finally, never run a car in a closed garage.

3) Don’t let winter cold and flu season become more serious. Be sure that all medication, including over-the-counter cold medicine, is kept in locked cabinets, away from children and pets. Also, avoid mercury poisoning by using digital thermometers instead of glass mercury thermometers, which can break in a child’s mouth. Stay with children when taking their temperature. Spilled mercury should be cleaned up properly as it is a hazardous waste.

4) Save the number, save a life. The Poison Help line is your first line of defense against poisoning deaths and injuries. By dialing 1-800-222-1222, you will be connected to a local poison center staffed by trained, professional experts who can help you right away. Save the number in your phone today so you have it if you need it. You can also visit the Poison Help website at www.poisonhelp.hrsa.gov for more information on poison prevention.

2018-02-06T09:59:01

(BPT) – Bipolar I disorder is a condition that equally affects men and women, regardless of age, race, or ethnicity.¹ Approximately 1.5 million adults in America are living with this disease, yet it’s a condition that’s still chronically misunderstood and often misdiagnosed.² In fact, people with bipolar disorder may struggle an average of 10 years before they receive an accurate diagnosis.¹ That’s why knowing and understanding the symptoms is so important.

“One of the biggest difficulties with diagnosis is the wide variety of ways in which the disorder can manifest itself,” said Gary Sachs, MD, Associate Clinical Professor of Psychiatry at Harvard Medical School. “Although every person with bipolar I disorder can experience it differently, these experiences do include features that fall into specific categories of identifiable symptoms.”

Whether you’re someone who has a history of mental illness or are concerned about a loved one who is struggling with their mental health, Dr. Sachs sheds light on bipolar I disorder and answers some important questions to help you better understand this condition.

What is bipolar I disorder?

Bipolar I disorder is a brain and behavioral disorder that causes unusual changes in mood, activity levels, energy, and judgment, impacting a person’s ability to carry out day-to-day tasks.³ Everyone has typical ups and downs, but in bipolar I disorder these can be more extreme. People diagnosed with bipolar I disorder have periods called “mood episodes,” which can be either manic, hypomanic, depressive, or mixed.³ Every patient experiences episodes differently, but it’s important to note that bipolar I patients have had at least one manic or mixed episode. When managing their condition, patients should keep an open dialogue with their healthcare providers.⁴

Can you tell me more about what it means to experience mania?

Many people know what it means to be depressed, but fewer understand mania. Someone experiencing manic symptoms of bipolar I disorder may have periods of unusually elevated feelings like extreme happiness, energy, or irritability. Some symptoms of manic episodes may include³:

• Feeling unusually happy, excited, or energetic
• Feeling restless, irritable, wired, or overreactive
• Having racing thoughts, difficulty concentrating
• Poor judgment with risk taking, indulging in impulsive behaviors, and having a heightened sense of self-importance

What does it mean to experience a mixed episode? Is it common?

Someone with bipolar I disorder can have a mixed episode when experiencing symptoms of mania and depression at the same time. Mixed episodes are more common than you may think. In fact, 40% of people living with bipolar I disorder have experienced a mixed episode, sometimes called a “mixed state.”⁵ Some of these symptoms include³:

• Feeling overly energized, while feeling very hopeless
• Feeling agitated, while having extreme changes in appetite, and having suicidal thoughts
• Having racing thoughts, while feeling “slowed down” or experiencing a loss of interest in something once enjoyed

Can you treat bipolar I disorder?

There is no known cure for bipolar I disorder, but symptoms may be managed through treatment. It is important for patients to partner with their healthcare providers, so that, together, they can determine an appropriate treatment plan. This may include counseling, support groups, and medicine. In fact, recently approved atypical antipsychotics have provided additional options to help people living with bipolar I disorder.

VRAYLAR^® (cariprazine) is a once-a-day prescription medicine that’s FDA-approved in adults for the acute treatment of manic or mixed episodes of bipolar I disorder.⁶ In clinical studies, VRAYLAR^® was proven to help manage manic symptoms in adults with manic or mixed episodes associated with bipolar I disorder. VRAYLAR^® showed significant improvement in overall manic symptoms compared to those who took a placebo (sugar pill). VRAYLAR^® was not studied to measure symptoms individually, and is not approved to treat hypomania, depression, or depressive symptoms.

Every patient experiences symptoms differently and not all patients respond to treatment in the same way. That’s why it’s important for patients suffering from bipolar I disorder to actively engage with their healthcare provider to determine which treatment path is appropriate for them.

IMPORTANT RISK INFORMATION

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

VRAYLAR may cause serious side effects, including:

• Stroke (which can be fatal) in elderly people with dementia
• Neuroleptic malignant syndrome (NMS): Call your healthcare provider right away if you have high fever; stiff muscles; confusion; changes in pulse, heart rate, or blood pressure; or sweating. These can be symptoms of a rare but potentially fatal side effect called NMS. VRAYLAR should be stopped if you have NMS
• Tardive dyskinesia (TD): Tell your healthcare provider if you cannot control the movements of your face, tongue, or other body parts. These could be signs of a serious and sometimes permanent side effect called TD. Risk of developing TD and the chance that it will become permanent are thought to increase the longer a person takes the medicine and the more medicine a person takes over time. TD can develop even after a person has been taking the medicine for a short time at low doses. TD may partially or completely go away if you stop taking VRAYLAR. TD may also start after you stop taking VRAYLAR
• Late-occurring side effects: VRAYLAR stays in the body for several weeks, even after you stop taking it, which could affect the timing of when you may experience side effects. Tell your healthcare provider if you have side effects (eg, uncontrolled movements of the body and face, muscle stiffness, or feelings of restlessness) as these may occur several weeks after starting or increasing dose of VRAYLAR
• Problems with your metabolism, such as:
  • High blood sugar and diabetes: If you have diabetes or risk factors for diabetes (eg, being overweight or family history of diabetes), your blood sugar should be tested before you start VRAYLAR and regularly during treatment. Complications of diabetes can be serious and even life threatening. Tell your healthcare provider if you have symptoms such as feeling very thirsty or very hungry, urinating more than usual, or feeling weak
  • Increased blood cholesterol or triglycerides: Your healthcare provider should check your cholesterol and triglyceride levels before and during treatment
  • Weight gain: Weight gain has been reported with VRAYLAR. Your healthcare provider should check your weight before and regularly during treatment
• Low white blood cell count: Low white blood cell counts have been reported with antipsychotic drugs, including VRAYLAR. This may increase your risk of infection. Very low white blood cell counts, which can be fatal, have been reported with other antipsychotics
• Decreased blood pressure: You may feel lightheaded or faint when you rise too quickly from a sitting or lying position
• Falls: VRAYLAR may increase risk of falls, which could cause fractures or other injuries
• Seizures
• Impaired judgment, thinking, and motor skills: Do NOT drive or use dangerous machinery until you know how VRAYLAR affects you. VRAYLAR may make you drowsy
• Increased body temperature: VRAYLAR may make you more sensitive to heat. You may have trouble cooling off. Be careful when exercising or when doing things likely to cause dehydration or make you warm
• Difficulty swallowing: VRAYLAR and medicines like it have been associated with difficulty swallowing

Who should not take VRAYLAR?

Do not take VRAYLAR if you are allergic to any of its ingredients. Get emergency medical help if you are having an allergic reaction (eg, rash, itching, hives, swelling of the tongue, lip, face or throat).

What should I tell my healthcare provider before taking VRAYLAR?

Tell your healthcare provider about any medical conditions and if you have or have had:

• Diabetes or high blood sugar in you or your family
• High levels of total cholesterol, triglycerides, or LDL-cholesterol; or low levels of HDL-cholesterol
• Seizures or conditions that increase your risk for seizures
• Low or high blood pressure
• Low white blood cell count

Tell your healthcare provider if you are pregnant, or if you plan to become pregnant. Using VRAYLAR in the third trimester may cause uncontrolled movements of the body and face, muscle stiffness, or feelings of restlessness and/or withdrawal symptoms in newborn babies. A special program (National Pregnancy Registry for Atypical Antipsychotics) collects information on the safety of antipsychotic drugs, including VRAYLAR, during pregnancy. For information, contact the program at 1-866-961-2388 or visit http://www.womensmentalhealth.org/clinical-and-research-programs/pregnancyregistry/.

Tell your healthcare provider about all medicines that you take or have recently taken, including prescriptions, over-the-counter medicines, and supplements. VRAYLAR may affect the way other medicines work, and other medicines may affect how VRAYLAR works.

What are the most common side effects of VRAYLAR?

• The most common side effects were uncontrolled movements of the body and face, muscle stiffness, vomiting, indigestion, sleepiness, and restlessness.

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

Please also see full Prescribing Information, including Boxed Warning, which are also available at www.vraylar.com and https://www.allergan.com/assets/pdf/vraylar_pi.

References

1. Depression and Bipolar Support Alliance. Bipolar Disorder Statistics. Available at: http://www.dbsalliance.org/site/PageServer?pagename=education_statistics_bipolar_disorder. Accessed January 31, 2018.
2. National Institute of Mental Health. Bipolar Disorder Among Adults. Available at https://www.nimh.nih.gov/health/statistics/prevalence/bipolar-disorder-among-adults.shtml. Accessed January 31, 2018.
3. National Institute of Mental Health. Bipolar Disorder. Available at: https://www.nimh.nih.gov/health/topics/bipolar-disorder/index.shtml. Accessed January 31, 2018.
4. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition.
5. Muneer, A. Mixed States in Bipolar Disorder: Etiology, Pathogenesis and Treatment. Chonnam Medical Journal. 2017 Jan; 53(1): 1–13. doi: 10.4068/cmj.2017.53.1.1.
6. VRAYLAR^® (cariprazine) [package insert]. Irvine, CA: Allergan USA, Inc.; 2017.

Allergan^® and its design are trademarks of Allergan, Inc.

VRAYLAR^® and its design are registered trademarks of Forest Laboratories Holdings Ltd., an Allergan affiliate.

Licensed from Gedeon Richter Plc.

© 2018 Allergan. All rights reserved.

VRA112771_v2 02/18

2018-02-15T06:01:01

(BPT) – Despite our best intentions, 80 percent of us have given up on our New Year’s resolutions by mid-February. Determined to make this year different? If you’re enrolled in Medicare, you might be surprised to learn that your benefits could give you an edge in your quest to stay motivated and on track to attaining your goals for the year ahead.

Read on to learn how maximizing your Medicare benefits could help you achieve some of the most common New Year’s resolutions.

Resolution No. 1: Lose weight and get fit.

Exercise is a key part of the equation if you want to finally get out of those elastic-waist pants and back into your jeans. Only problem is, most of us can come up with a whole host of excuses for not making exercise part of our daily routine, with the expense of a gym membership one that’s frequently cited by people living on a fixed income.

If you’re enrolled in a Medicare Advantage or Medicare supplement plan, you might not be able to use that excuse anymore. Many plans include a gym membership as part of their plan benefits, giving their members access to fitness centers in their area at either no extra cost or a discounted rate.

“Regular exercise can help you lose some weight after over-indulging during the holiday season, but it’s important all year round to help improve your well-being and maintain your independence,” said Efrem Castillo, M.D., chief medical officer for UnitedHealthcare Medicare & Retirement. “Taking advantage of your plan’s fitness benefits could have you well on your way to a trimmer and more energized you by spring.”

Resolution No. 2: Make 2018 your healthiest year yet.

Medicare is designed to make it as affordable as possible to get the preventive care you need. And that can make a huge difference to your health and well-being by catching health issues early, when they’re usually easier to treat.

Original Medicare (Parts A and B) covers an annual wellness visit as well as some preventive screenings, such as mammograms and colonoscopies. Your annual wellness visit is a good opportunity to sit down with your doctor and develop a plan to help you achieve your best health in the year ahead. In addition to services covered under Original Medicare, many Medicare Advantage plans provide additional benefits, such as a full annual physical as well as dental, hearing and vision coverage.

Resolution No. 3: Save more money/Get out of debt.

All those gifts you bought over the holidays may have left your credit card statements extra-lengthy. And life can get expensive any time of year, particularly as our health care costs creep up as we get older. Fortunately most people can save money on health care in a variety of ways.

If you’re enrolled in a Medicare Advantage plan, keep the following tips in mind:

* Take advantage of cost savings on prescription drugs. Many plans offer home delivery pharmacy benefits that can be a great way to save money — not to mention trips to the pharmacy. And if your doctor prescribes a high-cost medication, ask if a cheaper alternative is available that could work just as well, such as a generic or a drug on a lower tier of your plan’s formulary (the list of covered drugs).

* Choose doctors and hospitals that have a relationship with your plan. Staying in-network when you need care is one of the best things you can do to manage your health care costs.

* Look for extra plan discounts on everyday health care items and services such as vitamins, hearing aids and alternative medicine services like acupuncture.

Resolution No. 4: Less stress. More happiness.

More and more Medicare Advantage plans are taking a keen interest in helping their members manage their emotional well-being given the direct correlation between our mental health and our physical health. Check to see if your plan offers any resources to help members manage their stress.

Resolution No. 5: Kick the habit.

If you smoke, you know you should quit. Make 2018 your year! Medicare covers up to eight face-to-face visits per year with a doctor or other health care practitioner who can provide counseling to help you make cigarette and other tobacco use part of your past. That personalized, one-on-one attention can make a big difference. So if you’ve tried to quit on your own in the past but struggled, consider taking advantage of these free counseling sessions.

The secret to sticking to your New Year’s resolutions may just lie in your Medicare benefits. So rather than rely on sheer willpower alone, put those benefits to use to help you stay on track toward your goals. When you close out 2018 as a thinner, happier and healthier version of yourself, you’ll probably wonder why you waited so long to make Medicare your secret weapon in conquering your resolutions once and for all.

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies. For Medicare Advantage and Prescription Drug Plans: A Medicare Advantage organization with a Medicare contract and a Medicare-approved Part D sponsor. Enrollment in these plans depends on the plan’s contract renewal with Medicare.