Author: Laura Bernard

 

Daily Covid-19 deaths will soon double, expert says, while others warn Thanksgiving gatherings could worsen case surge

Thanksgiving this year comes at a critical point in the country’s battle against Covid-19. The pandemic is already ravaging many American communities and experts fear traditional celebrations and gatherings will in a few weeks translate to a case surge stacked on top of the current one.Every day since November 3, more than 100,000 new infections have been reported. Every day for more than two weeks, climbing hospitalizations hit another national record. And every single day, hundreds of Americans die of the virus, with both Tuesday and Wednesday recording a daily death toll of more than 2,100 deaths.The devastating numbers show no sign of slowing down. One expert predicts daily deaths will double in just a matter of days.

“When you look at people who are hospitalized today, they were infected two weeks ago, maybe more. So, it takes about five to seven days to become symptomatic,” Dr. Jonathan Reiner, a professor of medicine at George Washington University, said. “Usually, it takes about another week to be sick enough to be hospitalized so that’s two weeks at least, and then it takes usually another week for folks to succumb to the illness.”Content by PhoneSoapGet 20% off all PhoneSoapsKeep your phones and devices as clean as they can possibly be with PhoneSoap’s revolutionary technology.”I expect that the daily death rate will double in the next 10 days,” he said. “We’ll be seeing close to 4,000 deaths a day.”More than 262,100 people have died in the US since the pandemic’s start. An ensemble forecast published by the US Centers for Disease Control and Prevention Wednesday projects nearly another 60,000 could lose their lives over the next three and a half weeks.

‘We will see a surge upon a surge’

With the country deep into the fall Covid-19 surge, local and state leaders made last-ditch attempts all week to get the warning out to Americans: don’t opt for traditional Thanksgiving celebrations this year, or things could get worse.

Phone alerts were sent out in Pennsylvania and parts of Georgia urging residents to stay safe during the holiday. New Orleans officials sent residents a reminder to celebrate within their own household and keep larger celebrations virtual. In a final plea to Kansans, Gov. Laura Kelly said following health regulations “will be more critical than ever in the coming days.” US Surgeon General Dr. Jerome Adams said the safest Thanksgiving this year includes only immediate household members.Similar warnings have poured in during the past week from officials in almost every state. And experts have cautioned of what could happen in the coming weeks if Americans don’t heed the guidance.”It is kind of serious news here with all those people traveling and then at their destinations spending a lot of time indoors in a warm family relationship with extended families,” Dr. William Schaffner, professor of infectious diseases at Vanderbilt University, said Wednesday night.”The virus is going to attend some of those Thanksgiving dinners and will spread, I’m afraid. And then people will come home, some of them will become ill, spread it further into their families and into their neighborhoods,” he added.

“In a week, more likely two weeks, we will see a surge upon a surge,” Schaffner said. “We’re in for a tough time.”To prevent that from happening, the CDC urged Americans last week to avoid traveling for the holidays. Many changed their plans, a new poll showed. But millions didn’t.About 4.8 million people have boarded airplanes since the CDC warning, with more than 900,000 passing through security at the country’s airports on Tuesday, the Transportation Security Administration said.

Hospitalization records for 16 days in a row

A surge stacked upon the current one could cripple the many communities already grappling to respond to the spreading virus.Hospitals in some parts of the country are already quickly filling up. Nearly 90,000 people are hospitalized across the country, setting another record for the 16th day in a row, according to the COVID Tracking Project.

In Los Angeles County, where Covid-19 hospitalizations have soared by about 70% over the past two weeks, hospitals could face a shortage of both regular hospital and ICU beds within the next two to four weeks.”What is stretched most thin within both public and private hospitals across Los Angeles County is the availability of staff,” Los Angeles County Department of Health Services Director Dr. Christina Ghaly said.The county will be able to find flex space within hospitals, using pre- and postoperative space, unused wings, or the emergency department to hold patients, but finding trained staff will be more difficult.Meanwhile, the Mayo Clinic will bring staff in from other states — like Arizona and Florida — as well as bring back credentialed retirees to combat the stretched capacity during Covid-19 surges in Minnesota, according to Dr. Andrew Badley, chair of the Mayo Clinic’s Covid-19 Research Task Force.

“These are really distressing times,” Badley told CNN on Wednesday. “Right now, at Mayo Clinic, as of a day or so ago, we had about 1,400 of our staff who were out either with Covid or Covid restrictions.”Washington state health officials said, “case counts have skyrocketed” and predicted that if current disease transmission continues at the same pace as early this month, daily hospital admissions could double by early December.”The situation is incredibly urgent and there is still time to turn the tide before our hospitals become overwhelmed,” Secretary of Health John Wiesman said in a statement. “I know these are difficult and disappointing times for many, and I am so grateful for everyone who has made the decision to stay at home with their immediate household for Thanksgiving tomorrow. When added up collectively, each action we take to reduce the chance of spreading COVID-19 matters.”

21 Pictures Of Coronavirus Survivors For Anyone Who Still Believes Covid-19 Isn’t Real Interview

21 Pictures Of Coronavirus Survivors For Anyone Who Still Believes Covid-19 Isn’t Real Interview

As one of the worst years so far, 2020 has taken a toll on everyone. From forest fires and explosions to war conflicts, it’s safe to say that the entire year has been filled with negative energies. One of the worst things that happened in 2020 is the COVID-19 pandemic which looks like it’s far from over. Almost 36 million confirmed cases have been reported across the world and more than 1 million COVID-19 related deaths.

With these frightening numbers, there’s a lot of hope with the number of recovered people. More than 27 million people are confirmed to recover from the virus. However, these people came out of the virus exhausted and weary. Luckily, now the recovered patients can go back home to their families with their lives. Instead of staying silent and ignoring the people that don’t believe in the virus, many of these people shared photographs of themselves after beating the virus to show the world that it’s not a joke. Despite all the warnings from the World Health Organization about the measures and wearing masks, many people don’t believe that the virus exists.

WHO also warns that the death toll will probably reach 2 million before a global vaccine is available. There are many efforts from different countries and organizations for creating a vaccine and WHO predicts that it will be available around the Summer of 2021.

Symptoms of COVID-19

There are different types of symptoms that exert different people affected by the virus. Most of the people that are infected either show no or mild symptoms while others find it hard to survive from the difficulties it caused them. This minority of patients claim that the symptoms of coronavirus are never-ending. They feel them weeks and sometimes even months which is weird because most of these people led a very healthy and active lifestyle.

The most common symptoms of the virus are dry cough, fever, and tiredness with possible symptoms like headache, sore throat, the loss of smell and taste, diarrhea, and muscle pain. The people with a severe case have symptoms like chest pains, difficulty breathing, and sometimes even loss of movement or speech.

Staying Safe from the Virus

Many protective measures are shown to us to follow by WHO. Because the virus is transmitted from person to person, it’s our responsibility to fight against it. These are 6 precautions you should follow every day:

  • Cleaning your hands often is crucial because we always touch things such as door handles or benches that we sit on in the outside. It’s recommended to wash your hands with soap for at least 30 seconds. However, if you don’t have soap nearby, it’s always good to carry a sanitizer with you.
  • Coughing or sneezing should be done in your bent elbow or inside a mask. Never cough or sneeze in your hands since you’ll probably touch something afterward and infect others.
  • Don’t touch your nose, mouth, or eyes since that’s the main way that the virus is spreading.
  • Avoid social gatherings and spending lots of time in crowded places. You’ll never know who is or isn’t infected because most of the people that are don’t show symptoms but can infect you.
  • Never have close contact with a person who is sick.
  • Always clean and disinfect objects that are frequently touched by you or someone else.

That being said, if you do get infected, it doesn’t mean that it’s the end for you. Even if you have severe symptoms, keep yourself up because if you don’t, your organs will let you down just how you did it to them. If you feel down and think it’s the end, your immune system won’t even bother protecting you from the virus. Remember, many people went through it and survived, just like these brave people that decided to post their photograph.

Photographed Coronavirus Survivors

After beating COVID-19, this 103-year-old woman celebrated with a Bud Light

Joy Andrews survived a plane crash in Libya, breast cancer, a Nazi assassination attempt, and now coronavirus

This nursing home resident survived both COVID-19 and the Spanish Flu at 101 years

Mike Schultz battled corona for 6 weeks in the hospital and these are before and after photographs

This is the oldest man aged 104 years to survive COVID-19

After recovering from corona, this ICU worker returned to his 12 hours shift the next day

Even a 6-months old baby named Cora beat the virus

A 78-year-old man was hospitalized for 11 days and lost 12 kg. but still beat COVID-19

One of the first patients to recover from coronavirus at MLKCH is James Simpson

After surviving COVID-19, Jefferson Riascos asked his girlfriend, Diana Paola Angola, to marry him at the Versalles Clinic in Cali, Colombia

This man spent 83 days in the hospital due to COVID-19. That’s almost 3 months!

Former partisan and firefighter Stanislaw Bigos beat corona at the age of 100

These 3 patients went through the coronavirus battle in a nursing home and survived. Props to the staff that worked under enormous stress

After battling Covid for a month, his father finally recovered

Bryan Cranston, known for his main character in Breaking Bad, seen donating plasma to help others recover from COVID-19

This COVID-19 survivor from Seattle got a $1.1 million, 181-page hospital bill after his release

Man seen returned from the hospital with an ambulance

After battling Covid for months and later physical rehab to regain her strength, this woman is released home. You can see the joy she felt after being taken off from the hospital

This 95-year-old man from Mandaluyong City was discharged from the hospital after his recovery

Proudly wearing a “Corona Survivor” shirt

This couple is 90+ years old and beat the coronavirus in India together

The 21-day Morning Challenge That Reduces Fat – The Genuine Way

Practicing toward the beginning of the day has such a large number of advantages like helping you wake up less demanding and helping you in your weight reduction endeavors. When you are finished with early day preparing schedule, your body will consume calories snappier all through the entire day, paying little mind to whether you are sitting in the workplace or viewing a movie at night.

Weight Loss in 21 days Within 3 weeks

There will be less need to purchase types of gear or rec center participation’s. You will simply require a tangle and an exercise center clock which is easily downloadable on your mobile.

The Activities To Perform – 21 Days Morning Weight Loss Challenge

In the main week, the activities should keep going for a large portion of a moment and you have to take a 15-second break in the middle of activities. You should make two redundancies.

Amid the second week, the term of the activities ought to be 55 seconds and you have to make 15-second delays in the middle of the activities. Complete two reiterations.

In the most recent week, the activities need to keep going for 80 seconds and you have to take 10-second breaks in the middle of the activities. Complete 3 redundancies.

1. Burpee style

2. Inch Worms

inch worms exercise

3. Climbing mountain style

mountain climbers

4. Squatting

5. Skater style

skater exercise

6. Planks

planks exercise

Concentrate On Goals – 21 Days Fat Burning Challenge

Remain roused and you can accomplish your objectives. In the event that you are battling with your inspiration, observe one of our numerous articles for workout motivation.

How To Get Full Six Pack In Less Then 30 Days With These 8 Uber Effective Tricks

Make no mistake about it: getting a six pack is hard work, let alone in a month. To really get those chiseled, ripped abs, you need to be dedicated in both your workouts and food consumption. A month is not a lot of time, so there’s no room for mistakes. Your exercise needs to be efficient and effective, and your diet needs to be perfect, no cheats.

1. Eat Right

The first step to attaining strong abs is essentially summed up in a single phrase: “Abs are built in the kitchen, not the gym.” Eating right is crucial to getting a six pack, and there are several foods you should and shouldn’t eat that help you reach your goal.

2.Increase Protein Intake

To get rock hard abs, it is recommended 10-15% of total calories come from protein. Aim for 1 g protein per 1 kg body weight, or “around .4 grams per pound.” Proteins are constantly being broken down and replaced, so it is important to constantly supply your body with adequate amounts of protein.

Additionally, protein is more diet friendly than carbohydrate or fat. Protein consumption stimulates dietary-induced thermogenesis because more energy is required to digest and metabolize such dense foods. Consequently, you’ll burn more calories.

Furthermore, protein increases satiety. By opting for protein, you’ll feel fuller longer, enabling you to avoid unnecessary calories while you create the ideal environment for muscle growth.

3.Limit Carbohydrate Consumption

Carbohydrates are necessary for providing fuel and energy. However, too many carbs cause insulin levels to spike, resulting in fat storage. While you don’t want to eliminate carbs altogether, limit carbohydrate consumption to in the morning and post-workout. This replenishes glycogen levels while minimizing fat storage.

It’s also important that you opt for complex carbohydrates over
simple sugars. Complex carbohydrates supply longer lasting energy because they contain longer sugar-chain molecules. These take longer to break down, so your energy supply will be smoother and more sustainable.

4.Reduce Sodium Consumption

Limiting sodium intake is crucial. On average, people should consume no more than 1,500 mg sodium per day.

Dr. David Ryan, former Medical Director for the Arnold Sports Festival and practicing chiropractor, explains the body is slightly acidic and salt raises pH levels. This in turn forces the body to hold onto water. Excess water retention “makes you look soft and also stops you from losing the amount of weight you so dearly want to shed.”

5.Watch Out for Refined Flour

It is important to avoid white flour at all costs. Flour, as well as other refined carbohydrates, has less dietary fiber than whole grains. Furthermore, it is a contributing factor to type II diabetes.

Flour is converted into bad sugar – simple sugar. Although this supplies a quick burst in energy, it also leaves you feeling hungry after. As mentioned earlier, sugar intake should come from complex carbohydrates, and only at certain times.

Refined flour is an ingredient prevalent in many different foods, so be vigilant in selecting foods that only contribute to six pack abs.

6.Exercise Often

Implementing a good diet is more than half the battle, but working out is just as important if results want to be seen in a short time.

To Chisel Abs…
Jeremey DuVall M.S., a fitness writer and personal trainer, explains working your core 2-3 times a week prevents overtraining and ensures effective results. During core workouts, he explains a variety of abdominal workouts should be implemented, not just crunches. “Planks, cable woodchops, and abdominal rollouts are all good variations to include.”

Jessica Matthews M.S. also mentions, “As with any resistance training exercise, you ideally want the last few repetitions to be difficult to complete.”

For best results, set goals and dedicate your time to getting those crucial abdominal workouts each week.

7.Lift Weighs After Cardio

Abdominal workouts really start to pay off with weight lifting. Lifting weights, especially after doing cardio, elevates heart rate and keeps it there to burn calories and blast fat. Aim to lift at least 4 times a week, and if possible, as many as 6 times.

Cris Slentz, PhD, and lead author of a study published in the American Journal of Physiology states,

“Resistance training is great for improving strength and increasing lean body mass.”

Try to super set exercises by allowing minimal time in between sets. This increases your workout intensity and enhances energy expenditure (which benefits abdominal definition).

Don’t overdo it, though. Find a comfortable level and push yourself gradually, increasing in time as the month progresses. Getting a maximum heart rate becomes harder with age, and exercising too intensely increases risk of heart problems.

It all comes down to how many calories you burn. As Slentz puts it,

“If you choose to work at a lower aerobic intensity, it will simply take longer to burn the same amount of unhealthy fat.”

8. Take a Fat Burner

Think about using a fat burner to aid workouts and healthy eating. Fat burners including catechins and caffeine are an excellent way to increase energy and boost metabolism, resulting in more calories burned and a better workout.

One study tested either 690 mg catechins or 22 mg catechins on 2 groups of men for 12 weeks. The men who ingested higher catechin amounts experienced a higher reduction in waist circumference than the other group.

Caffeine is also a stimulant linked to increasing total weight lifted during chest press. Be smart with your supplements. If you do decide to supplement your workout and eating routine with a fat burner, use it appropriately. If you want to see those abs quicker, workout harder and watch what you eat; consuming more fat burners than directed is harmful and detrimental to your six pack abs goal.

Bleeding Causes After or During Intercourse, Prevention & Important Notes

Is it normal to bleed after sex? For women bleeding during intercourse or after, can be a concerning and embarrassing issue outside from the period time, mainly because most women do not really know if it is normal or there is something else that can be the cause for vaginal bleeding.

It’s important to keep in mind that often times a painless bleeding is common, but it’s crucial to pay attention on how frequently this is happening to you, in order to know if a doctor examination is required.

Bleeding after sex can be caused by different reasons, where one of the most concerning causes is the cervical cancer. The vaginal bleeding starts in the cervix, in the form of a tube alike, ranging from the bottom of the uterus up until the opening of the vagina.

What are the root causes of spotting after sex?

  1. Cervix inflammation.
  2. Sexual transmitted diseases.
  3. Cervical polyps.
  4. Friction during intercourse.
  5. Vaginal infection.
  6. Genital Sores.

This could be caused by the inflammation of the cervix or also could be caused by a sexual transmitted disease such as chlamydia or gonorrhea, these types of diseases or inflammation can cause the bleeding after sex. If you have contracted a sexual transmitted disease you need to be tested and get the right treatment.

Another reason for bleeding after sex, light spotting, could be cervical polyps, these are usually small, about one to two centimeters, most of them are not cancerous and they can be easily removed by a doctor.

There are other many reasons that can lead to noticing blood after sex, such as friction during sex, a cervical or vaginal infection, genital sores that can be caused by herpes, it could be normal if you are just beginning your period or if it has just finished and the bleeding does not continue and finally there is the cancer factor, which is the most concerning cause.

Is bleeding after sex normal if you are pregnant?

This can be alarming but most of the time is not a cause for concern. This is common because the cervix can bleed more easily due to the extra blood vessels that are developing in that area.

If all your tests results are normal and your doctor cannot find a specific cause for bleeding after sex, you should not be worried, a recent study have found that half of women that have experienced bleeding after sex have seen it disappear in about two years.

How to prevent bleeding after intercourse?

  • Use lubricants: If one of the reasons you have for bleeding is friction you can always use a lubricant before or during intercourse.
  • Don’t have sex right after period: Also it is known that you can wait a little longer after your period has ended in order to have sex again, it seems the uterine bleeding at the end of your menstruation is the main cause.
  • Remove cervical polyps: If the cause for bleeding after sex or during sex is having cervical polyps the best way to remedy this is to have them removed by your doctor and the bleeding will stop.
  • Treat vaginal infections: Also any kind of vaginal infection that may be the cause for bleeding or blood spotting during sex need to be treated right way with the adequate doses of antibiotics that your doctor can prescribe.

When to Go to a Doctor?

If you are worried about bleeding during intercourse or after having it, it is recommended to go visit your doctor and have a physical exam. At the doctor´s appointment you will go through some routine questions from your doctor in order to know if the bleeding after sex is normal or if it could be something more serious. Your doctor may want to know if you started taking birth control pills since this could be the cause of a breakthrough bleeding due to the change in hormones. Your doctor will also ask you if you have any pain during sex, which can be caused by lack of lubrication or an infection.

The doctor will conduct a pelvic exam to see if there is any signs of the bleeding, such as vaginal tears or lesions, cervical polyps or inflammation. When the doctor performs a pap test, the doctor can swab your cervix to test for sexual transmitted diseases such as gonorrhea, which can be a cause for bleeding after sex. If your results are positive for a sexual transmitted disease this can be easily treated with antibiotics.

Since a pap test can also detect any abnormal or cancer cells this can help to discard these alarming causes or to be able to treat it as soon as possible if the results are abnormal. If your Pap test results are normal but you are still experiencing bleeding after or during sex, your doctor may recommend a colposcopy, which starts like a pap test but it is a longer procedure and the doctor will use a special device to take a better look to your cervix.

Post Menopause bleeding after Intercourse: If you are experiencing post menopause bleeding after sex is not considered normal and you should visit your doctor and get tested for cervical cancer, endometrial cancer and other high risk factors that can be causing this, the doctor may perform a transvaginal ultrasound to get a closer look.

Important to Note

You have to keep in mind that although bleeding after sex, blood spotting or even bleeding just a little after sex can be a normal issue for lots of women, if you are not experiencing any pain and the bleeding stops, you shouldn’t be concerned for this any longer but if you are constantly bleeding or light spotting after sex, and you are many days apart from starting or finishing your period you should always consider visiting your doctor to have the correct examination and prevent or treat any of the causes explained in this article.

New 7 Day Lemon Diet Outstanding Results: Body Detox & Fat Burning

As of late,  an impressive measure of excitement on the web with various weight control methods has flooded everywhere. Everything considered, a vast part of them have tumbled, fundamentally in light of the way that it is to a great degree difficult to tail them. In any case, fortunes are yours today. There is an eating schedule that is to a great degree easy to take after and it will empower you to get the best results. It is extremely an effective setback program which will empower you to ‘relax’ away the fat, detoxify the body and reduce aggravation.

You should know that lemons are essential component of this recipe. They are to an incredible degree possess alkaline properties in the body. Along these lines, they can empower the body to keep up the pH level by  disposing the toxic substances from the body. In like manner, lemons will give you various diverse focal points moreover. They are stacked with strands,  sugars, vitamin c and awesome polyunsaturated fats.

Body Restorative Preferences of Lemon

  • Accelerates the cardiovascular prosperity
  • Diagnoses throat pollution
  •  For infection prevention
  • Sickness prevention
  • It improves the function of the immune system
  • Liver detoxification
  • For kidney stones prevention
  • Washes down your inner parts
  • Decays weight and improve perspective
  • It accelerates your satiety

The Best Strategy to Use Lemon to Burn Fat

Day 1

In the midst of this day, lemon water should be first . Basically, a 8-ounce glass  should be filled with  water, warm specifically. Incorporate around 1/2 recently smashed lemons (2 smashed lemon juice). By then, blend well and drink on a void stomach. Repeat this framework around 30 minutes before lunch. Essentially guarantee you eat strong sustenance’s in the midst of the day.

Day 2

This day, repeat the same step. freshly pound lemon juice and warm water should be drunk on an empty stomach. Then should be done about 30 minutes before breakfast and lunch. By then, in the midst of the day, about 2-3 liters of mineral water should be drunk. For best results, you will similarly need to use about 6 lemons with the water.

Day 3

In the midst of this day, drink lemon water on an empty stomach toward the start of the day. Regardless, as for lunch, the lemon water can be drunk alongside your meal as opposed to before it. Essentially drink mineral water with lemon crush for the term of the day.

Day 4 and 5

Do in like manner as day 3.

Day 6

Let your day begin with lemon water without food . By then, a glass of lemon water should be drunk in the midst of the day. You can decide whether for lunch or dinner. Furthermore, you need to drink water that is filtered or isolated water in the midst of the day.

Day 7

Let your day begin with  1 warm glass of lemon water without food. Furthermore, endeavor to eat good food in the midst of the day. Remember to drink an impressive measure of immaculate, new water in the midst of the day. If this is taken as a custom and repeat every day, you will overflow with essentialness and you will expend all the extra fat too!

Golden Retriever Grooms His Best Friend Cat – Which Returns The Love With A Hug

Golden Retriever Grooms His Best Friend Cat

The owner of a golden retriever and a cat shared footage of the two unlikely friends- in it, the dog is seen licking his best friend cat, while they cuddled up together at their home

It seems that times have truly changed, my friends, and cats and dogs are no longer enemies! It turns out, they have found a way to solve their communication issues, and one adorable duo proves it!

Mr. An, from China, is the lucky owner of a golden retriever and a cat. His two pets shared a strong bond after growing up together, and he has documented it in heart-melting footage!

In the video, his dog, nicknamed Duo Duo, licks Snowball, his best feline friend, while they cuddled up together at their home in Guangzhou.

Duo Duo eventually becomes a comfy bed for his best friend, and Snowball nuzzles into his fur and wraps its paws around his legs.

Cuteness overload!

One user commented on the footage:

‘What a heart-warming scene. They must’ve known each other from past life.’

Another one said:

The cat looked so happy and they rely on each other. Wish they could always be this happy together for the rest of their lives!’

https://youtube.com/watch?v=mcAvrrmbfkg

A man shared footage of his two pets, and it is heart-melting- His dog, Duo Duo, grooms his best friend, Snowball The Cat, while they cuddled up together at their home in Guangzhou, southern China

In the past year, Mr.An has been regularly sharing videos of the two best friends on Douyin

Mr. An explains that his pets are always together, even when they are sleeping.
Since last year, he has been sharing videos of Duo Duo and Snowball on Douyin, the Chinese equivalent of TikTok, and people absolutely love them!
The adorable best friends have attracted more than 143K followers.
We all know why, don’t we?
Their owner says that they are always together, even when they are sleeping

The two adorable pets have attracted more than the 143,000 followers and people love them

Will Eating Breakfast Help You Lose Weight?

Eating breakfast may not help you lose weight - CNN

The “most important meal of the day” might just mean extra calories for people watching their weight. A meta-analysis of 13 randomized controlled trials suggests that the addition of breakfast might not be a good strategy for weight loss. The findings were published online in 2019 in The BMJ.

Participants who were assigned to skip breakfast saw slightly better weight changes than those who were assigned to eat breakfast. Those in the breakfast group also consumed about 260 more daily calories than breakfast-skippers.

Previous observational studies had suggested that eating breakfast was associated with weight loss, a finding not supported by this meta-analysis of clinical trials. Researchers noted that those earlier results could have been because people who eat breakfast are more likely to have overall healthy lifestyles.

It has also been theorized that the consumption of calories at breakfast could assist in weight loss due to the efficient metabolizing of calories early in the day, leading to prevention of overconsumption later in the day. The studies in the meta-analysis that examined metabolic rates found no significant difference between people who ate breakfast and those who didn’t, however.

Because of limitations in the trials reviewed, researchers advised caution in interpreting the results. But the findings do suggest that simply adding breakfast won’t be an effective weight loss strategy if it also means adding to total daily calories.

More Doubt About Benefits of Vitamin D and Omega-3 Supplements

The landmark VITAL study tested the ability of vitamin D and omega-3 (fish oil) supplements—two of the top-selling dietary supplements—to protect against a wide array of diseases. The Harvard-run trial included more than 25,000 generally healthy adults ages 50 and older who were randomly assigned to take vitamin D (2,000 international units, or IU, a day) plus a placebo; omega-3s (1 gram a day) plus a placebo; both vitamin D and omega-3s; or two placebos, for an average of about five years. 

Fish Oil and Vitamin D: Your Questions Answered : Shots - Health News : NPR

The first VITAL findings, published in November 2018, concerned the supplements’ effects on cardiovascular disease and cancer, and the results were largely disappointing: Neither vitamin D nor omega-3s reduced the overall incidence of major cardiovascular events or cancer, though subgroup analyses showed some possible benefits for specific groups (especially from omega-3s). 

Now comes round two: the publication of additional VITAL analyses looking at a long list of other primary endpoints, including diabetes, cognition, bone health, depression, asthma, infections, and autoimmune disorders. The first five of these “ancillary” studies, as they’re called, were published in late 2019 and early 2020, in various journals, with more expected to come out throughout this year. Overall, they’ve brought more disappointing news about the potential of either vitamin D or omega-3s to improve various health outcomes. Here’s a summary: 

  • Bone health and falls. Taking vitamin D for two years had no effect on bone density in a subset of 687 VITAL participants living in New England, according to results published in the Journal of Bone and Mineral Research. Nor did vitamin D reduce the risk of falls over five years in the overall VITAL cohort (more than 25,800 adults), a not-yet-published analysis by the same researchers found. But both studies looked at a generally healthy population, and the results may not apply to people with osteoporosis, extremely low vitamin D levels, or a high risk of falls. What’s more, the studies tested vitamin D alone and not with calcium, with which it is often paired and may be more effective. 
  • Colorectal polyps. Supplemental omega-3s did not reduce the overall incidence of adenomas or serrated polyps (both precursors to colorectal cancer) in a study in JAMA Oncology, which included more than 25,000 VITAL participants. Over five years of follow-up, the number of adenomas and polyps were virtually the same between the omega-3 and placebo groups. 

In subgroup analyses, the researchers found a “suggestive beneficial association” between omega-3s and precancerous lesions in African American people and those with low baseline blood levels of omega-3s. (These same subgroups appeared to get a heart benefit from omega-3s in the initial VITAL studies.) But note that subgroup analyses as well as secondary endpoints (see “Heart failure,” below) are less reliable and harder to interpret than primary endpoints; they’re useful mostly for generating hypotheses that can then be tested in further studies and over longer follow-up periods. A VITAL paper looking at vitamin D and colorectal cancer precursors is forthcoming, according to the lead researcher. (Some previous observational research has linked higher blood levels of vitamin D to a lower risk of colorectal cancer.) 

  • Inflammation. In an analysis of about 1,500 VITAL participants, a daily vitamin D or omega-3 pill did not reduce overall levels of three markers of systemic inflammation—interleukin-6 (IL-6), tumor necrosis factor, and C-reactive protein (CRP)—over one year. In fact, IL-6 levels rose slightly (8 percent) in the group taking vitamin D. CRP levels did decline in a subgroup of people taking omega-3s who had a lower intake of fish (a source of omega-3s) at the start of the trial. Higher levels of systemic inflammation are associated with numerous chronic diseases, including coronary artery disease, type 2 diabetes, Alzheimer’s disease, asthma, and rheumatoid arthritis. The results appeared in the journal Clinical Chemistry. Since the study was in generally healthy people, it’s unclear whether the findings would translate to those with inflammatory disorders.
  • Heart failure. In a study published in Circulation, neither vitamin D nor omega-3s reduced the chance of having a first hospitalization for heart failure, the study’s primary endpoint, among 25,835 VITAL participants over five years. There was a decrease in the omega-3 group (but not the vitamin D group) in recurrent hospitalizations for heart failure, a secondary outcome; but this would require confirmation in future trials.
  • Diabetic kidney disease. In a paper in the Journal of the American Medical Association, which included 1,312 VITAL participants with type 2 diabetes from all 50 states, researchers found that neither vitamin D nor omega-3 capsules slowed the decline of kidney function over five years, compared to a placebo. (Chronic kidney disease is a common complication of diabetes.) 

No major adverse effects were reported from either supplement in any of the studies. 

To D or not to D? 
There’s no question that vitamin D plays a role in bone health, in large part by helping your body absorb calcium. People at high risk of bone fractures, such as those with osteoporosis or very low blood levels of vitamin D, may well benefit from supplements. Though the research has been inconsistent, some studies have shown that vitamin D pills, when paired with calcium, can help maintain bone health and reduce fractures in people at risk for them. On its own, in contrast, vitamin D has often flopped.

It’s looking less and less likely that the multitude of other benefits for which vitamin D (and omega-3s) have been promoted will pan out, based on the accumulating findings from VITAL and other trials. This isn’t necessarily surprising: Keep in mind that there’s a long history of observational studies suggesting a benefit of a particular nutrient or other substance that subsequent clinical trials (in which nutrients are tested in people against placebos) fail to bear out. Remember antioxidants? That’s why “gold standard” supplement studies like VITAL are so important. A number of additional VITAL analyses are still underway, including one on vitamin D and depression expected to come out this year. 

What to do 
Unlike with other essential vitamins, it’s difficult for many people to get enough vitamin D from food (and sun exposure) alone, since few foods naturally contain the vitamin. For that reason, we’ve recommended that unless you’ve had your vitamin D blood level tested and know that it’s adequate—defined by the Institute of Medicine (IOM) as at least 20 ng/mL, though many other experts think at least 30 ng/mL is better—you should take a modest supplement to ensure that you’re meeting the recommended daily intake. The IOM advises 600 IU a day for adults up to age 70 and 800 IU after age 70; we’ve recommended aiming for a slightly higher range—800 to 1,000 IU. We are sticking with that advice for now, but it will be interesting to see what the additional VITAL studies still underway find. The results may help inform what we recommend on vitamin D in the future.

In the meantime, your health care provider may advise a higher dose (usually 1,000 to 3,000 IU a day) if your blood level is very low or if you have osteoporosis, inflammatory bowel disease, or certain other disorders.

As for omega-3s, most people should get these healthful fats through eating two or three servings a week of fatty fish (such as salmon, mackerel, herring, or lake trout), rather than from pills. An exception is people with high triglycerides, for whom several prescription preparations of omega- 3s are approved. Certain other people at high cardiovascular risk may also benefit from omega-3 supplements, but the evidence here is conflicting. If you go by the VITAL findings (both the original ones and the newer ones reported here), African American people and those who eat very little fish have the most to potentially gain from daily omega-3s (and there doesn’t seem to be any harm in taking them). It’s hoped that further research will provide more definitive answers.

Is CBD a Cure-All or a Snake Oil or Something In Between?

CBD—short for cannabidiol—is a compound extracted from the marijuana plant that’s touted in ads as a way to relieve everything from chronic pain to anxiety to insomnia. Seemingly overnight, a dizzying array of products that contain CBD is now on sale in convenience stores and other retailers or online. They come in the form of ingestible tinctures (drops), oils, vaping liquids, lotions, sprays, capsules—even gummy bears. CBD is in beauty products, chocolate bars, popcorn, peanut butter, and dog treats. You can order a CBD-laced latte or get a CBD-infused massage.

Americans are clearly intrigued: The number of Google searches for “CBD” or “cannabidiol” has increased well over 100 percent annually since 2017 in the United States, according to a study led by University of California, San Diego, researchers and published online last October in JAMA Network Open. There were 6.4 million Google searches in April 2019 alone, which far exceeded the number of searches for other health topics like “diet,” “exercise,” and “meditation” during the same period.

No, CBD is not a miracle molecule that can cure coronavirus, just as it  won't cure many other maladies its proponents claim

Is it pot or not?
CBD is one of the more than 100 chemical compounds known as cannabinoids that come from marijuana or its close relative hemp (both are varieties of the plant Cannabis sativa). But unlike another well-known compound from the marijuana plant, tetrahydrocannabinol (THC), CBD doesn’t get users high. THC produces intoxicating effects when smoked or consumed, such as in brownies or other “edibles.” CBD doesn’t have the same effect as THC on the brain.

Hemp also contains a very small amount of THC and is grown for a number of uses, such as making paper and cloth. Hemp is also used as an ingredient in an increasing number of foods and beverages. Hemp is a rich source of CBD. By U.S. law, CBD products (sometimes labeled “CBD oil” or “hemp oil”) derived from hemp plants can contain no more than 0.3 percent THC by weight.

Fuzzy legal status
Federal and state laws are at odds with one another over CBD’s legal status. The federal 2018 Farm Bill gave U.S. farmers the OK to grow and sell hemp. Yet the U.S. Food and Drug Administration (FDA) has approved the use of only one form of CBD, a prescription-only oral solution called Epidiolex, for prevention of epileptic seizures. Because the FDA deems CBD to be an investigational drug, the agency forbids its sale in dietary supplements and foods. (The FDA doesn’t regulate ingredients in beauty products, and so far using CBD in cosmetics isn’t restricted.)

To confuse matters further, states often override federal laws, and most allow the sale of products containing CBD oil derived from hemp, though in some states you may need to obtain a note from your doctor and purchase products at a special dispensary. Also, the types of CBD products you can buy depends on where you live. For example, Massachusetts forbids the sale of foods containing CBD, while neighboring New York permits CBD edibles. Three states—Idaho, Nebraska, and South Dakota—prohibit the sale of cannabis products, although CBD sometimes falls into a gray area of the law. It’s safe to say that state and federal regulators are still sorting out CBD’s legal status, so laws throughout the country will likely evolve.

What might CBD do for you?
In 2018, the FDA approved Epidiolex for reducing seizures in people with two rare but severe forms of epilepsy. All other alleged health benefits linked to CBD are unproven, despite claims on package labels. Animal studies indicate that CBD appears to have some medicinal properties, such as tamping down inflammation (at least in mice!). As yet, there’s no robust scientific evidence to support most health claims.

Here’s what we know about some of the more common reasons people use CBD:

  • Chronic pain. A modest body of evidence suggests that cannabis contains substances that ease chronic pain. In fact, a cannabis-based pain reliever containing THC and CBD called Sativex is available in 27 countries including Canada and the United Kingdom (but not in the United States) for treatment of pain and muscle spasticity caused by multiple sclerosis. However, it’s hard to say whether CBD alone does the same. Overall, little research has been done on whether CBD, in isolation, provides pain relief. Researchers have studied its effectiveness in easing nerve pain, but the studies have been too small to be relevant, and results have been inconsistent.
  • Anxiety and depression. The few studies of CBD for anxiety in humans were small and short term. In a Brazilian study published in 2011 in Neuropsychopharmacology, 24 adults with social anxiety disorder were given 600 mg of CBD, then asked to deliver a speech. Compared to untreated healthy control subjects asked to give speeches, the CBD users reported less anxiety and discomfort. However, another small study, published in 2017 in Cannabis and Cannabinoid Research, found that treating healthy subjects with varying doses of CBD failed to dampen their emotional responses to upsetting or threatening images and words. There’s even less support for the idea that CBD relieves depression.
  • Sleep problems. A review in the August 2019 issue of Experimental and Clinical Psychopharmacology found some evidence that CBD may help you fall asleep faster, wake up less often while you’re in bed, and get a better night’s rest. However, most of the studies reviewed were small, so carefully designed studies are needed.
  • Other conditions. Limited evidence suggests that CBD could help improve Parkinson’s disease symptoms and might help curb opioid addiction, but much more research is needed. Studies have failed to find benefit in other diseases, including Crohn’s disease (an inflammatory bowel disorder) and diabetes. Product claims that CBD can treat Alzheimer’s disease, cancer, and pet anxiety are all unsubstantiated.

Not to be taken lightly
Reviews of multiple small-scale, short-term human studies have found that pharmaceutical-grade CBD is generally safe, but the high-quality products used in most studies may differ from those in over-the-counter CBD products. The World Health Organization (WHO) stated in a 2017 report that “in humans, CBD exhibits no effects indicative of any abuse or dependence potential. … To date, there is no evidence of public health-related problems associated with the use of pure CBD.” However, the FDA says that evidence is insufficient to deem CBD safe when used as an ingredient in human and animal food.

Despite the WHO’s assessment, CBD is not risk-free. If you decide to try CBD, always talk with your doctor first and bear in mind the following potential concerns:

  • Adverse effects: In clinical trials, some people treated with Epidiolex reported drowsiness, diarrhea, loss of appetite, and other side effects. Liver damage has occurred, too, and patients who take Epidiolex must have their liver function regularly monitored. Similar side effects and liver injury have been reported in studies of CBD use for other purposes. What’s more, nothing is known about CBD’s long-term adverse effects, especially in older adults with chronic conditions.
  • Drug interactions: CBD may interfere with the effectiveness and metabolism of some common drugs. According to reports, CBD heightens the activity of the anticoagulant warfarin (Coumadin), which can increase bleeding risk. Using CBD with drugs that depress the central nervous system, such as benzodiazepines like alprazolam (Xanax) and diazepam (Valium), can induce or intensify drowsiness and sedation. CBT can amplify the potency and side effects of other drugs, such as the muscle relaxant chlorzoxazone (Lorzone) and the bronchodilator theophylline (Theo-Dur, Theochron, others), and interact with herbs and supplements, such as melatonin and St. John’s wort, as well as alcohol. Some antibiotics and antifungal medications can affect CBD’s potency.
  • Quality problems: Since there’s minimal oversight of the CBD market, there’s no guarantee that the information on the product’s labels is accurate, and manufacturers have little incentive to closely monitor the quality of their merchandise. Some products have been found to be contaminated with microorganisms and pesticides and other chemicals. A 2017 analysis found that, of 84 CBD products purchased online, 26 percent contained substantially less CBD than stated on their labels, and 43 percent contained significantly more.
  • Synthetic CBD: Beware of recreational products that add synthetic cannabis compounds to plant material, which could make you very sick. These products, which have names such as Spice or K2, have been found to contain contaminants such as rat poison and have been linked to severe bleeding and caused several deaths.

And there’s another risk to be aware of: If you use a CBD product (with the exception of Epidiolex), you might test positive for marijuana on a drug screening.

Dispelling the Myth That Cannabis Can Cure COVID-19

How to buy CBD

If you decide to try CBD, it’s important to keep in mind that the fast-growing market for products is largely unregulated, and not all products may be safe. Try to buy CBD from a licensed dispensary if one is available in your state. These establishments, which also sell marijuana, are required to label CBD amounts in their products. Also:

  • Buy products that list the amount of CBD per dose.
  • CBD oil is often labeled as hemp oil, but don’t buy hemp seed oil—it contains little or no CBD.
  • Read the ingredients list. Some CBD products contain ingredients you may want to avoid, such as artificial flavorings and corn syrup.

The bottom line
There isn’t enough evidence yet to recommend CBD for any medical use aside from the epileptic conditions it’s approved for. More research is needed to establish CBD’s safety, including safe and appropriate dosages, interaction with drugs and foods, and other potential side effects. Until then, it pays to approach CBD products with healthy skepticism.