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By means of concurrent publication in American Journal of Kidney Diseases (AJKD) and Journal of the American Society of Nephrology (JASN), we present the interim report of a joint task force established by the National Kidney Foundation and the American Society of Nephrology to reconsider inclusion of race in the estimation of viagra best price GFR. This report comes at a time in the United States when the enormous and disproportionate burden of illness and death from erectile dysfunction disease 2019 within minority communities, as well as police violence against Black Americans, has laid bare the racial inequities in health and wellbeing in our society. Kidney disease and its complications play a prominent role in this excess burden of illness, motivating the creation of this joint task force.For nephrologists, eGFR is a critical workhorse, a starting point for much of what we do viagra best price. Diagnosis, prognostication, treatment options, and the use of medications all hinge on eGFR. We all know, of viagra best price course, there is much more to kidney function than fiation, but when we ask about a patient’s kidney function, it is shorthand for wanting to know the eGFR.

So, getting it right—having reliable and consistent estimates—is critical to the effective practice of nephrology and all of medicine. Further, understanding the epidemiology of kidney disease, tracking disparities and inequities, and selecting participants for inclusion in clinical trials all depend on estimating GFR accurately and consistently.The task force’s interim report1 documents a process being undertaken viagra best price with extraordinary care and thoroughness. The task force has laid out a planned course of action with three phases, this being the culmination of phase 1. It has articulated a core set of principles to be used in the subsequent stages, compiled a summary of much of the relevant evidence base, viagra best price and established stakeholder input, particularly that of patients. Mindful of the potential unintended consequences of precipitous changes in methods to estimate GFR, the task force has deferred its recommendations until its inclusive and deliberative processes are completed.

The editorial teams of the two journals decided to take the unusual step viagra best price of jointly publishing this report, reflecting our assessment of the importance of the task force’s work.The starting point for considering the inclusion of race in eGFR estimation must be what is best for our patients—people with kidney disease or at risk of kidney disease. The disproportionate burden of kidney disease among Black people in the United States2 and their inequitable access to care, including transplantation, must be addressed3. The burden on Black Americans has been known for decades. It is not simply or viagra best price even principally a reflection of biologic differences. Rather, deep inequities in the social determinants of health and structural racism in the delivery of health care are eroding the wellbeing of our minority communities, compounding the overall societal effects of racism on the lives of Black Americans.4,5As editors we recognize that journals have participated in the dissemination and perpetuation of science that casts race as a biologic construct.

Much is being written about how race is a flawed concept, a societal construct that oversimplifies and at times distorts.6,7 The editorial teams of both viagra best price JASN and AJKD are committed to re-examining our own roles and the language we use to talk about these problems—an essential step, we believe, if we are going to participate effectively in the eradication of unacceptable health disparities. As journal editors, we recognize published research that has emphasized race as a biologic construct has contributed to a failure to address core problems.Journals play an important and privileged role in the dissemination of science, and we feel a deep responsibility not only to inform our readers of these problems but also to participate in a more informed discussion of racism. This is a start, viagra best price we suggest, in the pursuit of effective interventions that will lessen race-based disparities in health. It includes being more cognizant of how reporting of science can perpetuate racism. In this spirit, we are grateful for the viagra best price opportunity to promote and disseminate the work of the task force.The task force is examining the full potential effect of removing race from eGFR expressions, both the desirable benefits and the unintended consequences.

Their deliberations are focusing on how best to optimize GFR estimation for all racial and ethnic groups, while limiting any potential unintended consequences. Although the steps undertaken by the task force may produce recommendations more slowly than some would like, we applaud its deliberative approach and have confidence it will promote improvement in the health status of the patients we serve.We viagra best price eagerly await the recommendations of the task force but call upon the kidney medicine community to show as much resolve to mitigate the influence of the broad array of factors leading to racial disparities as is now being brought to the effort to reassess the use of race in the calculation of eGFR. This important work on GFR estimation should serve as a starting point to robustly address and reverse the unacceptable excessive burden of kidney disease in people within racial minority communities, a sentiment resonant with the task force’s aspiration “that the community of healthcare professionals, scientists, medical educators, students, health professionals in training, and patients to join in the larger, comprehensive effort needed to address the entire spectrum of kidney health to eliminate health disparities.”DisclosuresH.I. Feldman reports consultancy agreements from DLA Piper, LLP, viagra best price InMed, Inc., Kyowa Hakko Kirin Co. Ltd.

(ongoing). Receiving honoraria viagra best price from Rogosin Institute (invited speaker). Being the Steering Committee Chair of NIH-NIDDK’s Chronic Renal Insufficiency Cohort Study. Being a member of the National Kidney Foundation viagra best price (NKF) Scientific Advisory Board. And receiving funding from the NKF to support his role as AJKD Editor-in-Chief.

J.P. Briggs serves as a scientific advisor to the Executive Director of Patient Centered Outcomes Research Institute and reports having other interests/relationships including PCORI—Interim Executive Director from November 2019 through April 2020, and JASN Editor-in-Chief.FundingNone.FootnotesThis article is being published concurrently in the Journal of the American Society of Nephrology and American Journal of Kidney Diseases. The articles are identical except for stylistic changes in keeping with each journal’s style. Either of these versions may be used in citing this article.Published online ahead of print. Publication date available at www.jasn.org.See related article, “Reassessing the Inclusion of Race in Diagnosing Kidney Diseases.

An Interim Report from the NKF-ASN Task Force,” on pages 1305–1317.Copyright © 2021 by the American Society of Nephrology and the National Kidney Foundation, Inc. All rights reserved..

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Can’t get viagra best price enough Labor Department history?. Learn more about our department here. Laura McGinnis is a public affairs specialist in the U.S.

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The majority of these emissions occur does viagra in Oceania. A huge portion of Earth’s carbon is stored in soil, so releasing even a small fraction of this into the atmosphere can have a huge impact on climate change. The problem with pigs Wild pigs (Sus scrofa) are native throughout much of Europe and Asia, but today they live on every continent except Antarctica, making them one of the most widespread invasive mammals on the planet.

An estimated three does viagra million wild pigs live in Australia alone. It’s estimated that wild pigs destroy more than A$100 million (US$74 million) worth of crops and pasture each year in Australia, and more than US$270 million (A$366 million) in just 12 states in the USA. Wild pigs have also been found to directly threaten 672 vertebrate and plant species across 54 different countries.

This includes imperilled Australian ground frogs, tree frogs and multiple orchid species, as pigs destroy does viagra their habitats and prey on them. [embedded content] Their geographic range is expected to expand in the coming decades, suggesting their threats to food security and biodiversity will likely worsen. But here, let’s focus on their contribution to global emissions.

Their carbon hoofprint Previous research has highlighted the potential contribution of wild pigs to greenhouse gas emissions, but only does viagra at local scales. One such study was conducted for three years in hardwood forests of Switzerland. The researchers found wild pigs caused soil carbon emissions to increase by around 23% per year.

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Lastly, we used local does viagra case studies to calculate the minimum and maximum amount of wild pig-driven carbon emissions. And we estimate the soil wild pigs uproot worldwide each year is likely between 36,214 and 123,517 square kilometres — or between the sizes of Taiwan and England. Most of this soil damage and associated emissions occur in Oceania due to the large distribution of wild pigs there, and the amount of carbon stored in the soil in this region.

So how exactly does disturbing soil release does viagra emissions?. Wild pigs use their tough snouts to excavate soil in search of plant parts such as roots, fungi and invertebrates. This “ploughing” behaviour commonly disturbs soil at a depth of about five to 15 centimetres, which is roughly the same depth as crop tilling by farmers.

Because wild does viagra pigs are highly social and often feed in large groups, they can completely destroy a small paddock in a short period. This makes them a formidable foe to the organic carbon stored in soil. In general, soil organic carbon is the balance between organic matter input into the soil (such as fungi, animal waste, root growth and leaf litter) versus outputs (such as decomposition, respiration and erosion).

This balance does viagra is an indicator of soil health. When soils are disturbed, whether from ploughing a field or from an animal burrowing or uprooting, carbon is released into the atmosphere as a greenhouse gas. This is because digging up soil exposes it to oxygen, and oxygen promotes the rapid growth of microbes.

These newly invigorated microbes, in turn, break does viagra down the organic matter containing carbon. Tough and cunning Wild pig control is incredibly difficult and costly due to their cunning behaviour, rapid breeding rate, and overall tough nature. For example, wild pigs have been known to avoid traps if they had been previously caught, and they are skilled at changing their behaviour to avoid hunters.

In Australia, management efforts include coordinated hunting events does viagra to slow the spread of wild pig populations. Other techniques include setting traps and installing fences to prevent wild pig expansion, or aerial control programs. Some of these control methods can also cause substantial carbon emissions, such as using helicopters for aerial control and other vehicles for hunting.

Still, the long-term benefits of wild pig reduction may far outweigh these does viagra costs. Working towards reduced global emissions is no simple feat, and our study is another tool in the toolbox for assessing the threats of this widespread invasive species. This article was originally published on The Conversation.

Whether you call them feral pigs, boar, swine, hogs, or even razorbacks, wild pigs are one of viagra best price the most damaging invasive species on Earth, and they’re notorious for damaging agriculture Diflucan cost and native wildlife. A big reason they’re so harmful is because they uproot soil at vast scales, like tractors ploughing a field. Our new research, published today, is the first to calculate the global extent of this and its implications for carbon emissions. Our findings were staggering viagra best price.

We discovered the cumulative area of soil uprooted by wild pigs is likely the same area as Taiwan. This releases 4.9 million tonnes of carbon dioxide each year — the same as one million cars. The majority viagra best price of these emissions occur in Oceania. A huge portion of Earth’s carbon is stored in soil, so releasing even a small fraction of this into the atmosphere can have a huge impact on climate change.

The problem with pigs Wild pigs (Sus scrofa) are native throughout much of Europe and Asia, but today they live on every continent except Antarctica, making them one of the most widespread invasive mammals on the planet. An estimated three million wild pigs live viagra best price in Australia alone. It’s estimated that wild pigs destroy more than A$100 million (US$74 million) worth of crops and pasture each year in Australia, and more than US$270 million (A$366 million) in just 12 states in the USA. Wild pigs have also been found to directly threaten 672 vertebrate and plant species across 54 different countries.

This includes imperilled Australian ground frogs, tree frogs and multiple orchid species, as pigs destroy their habitats and viagra best price prey on them. [embedded content] Their geographic range is expected to expand in the coming decades, suggesting their threats to food security and biodiversity will likely worsen. But here, let’s focus on their contribution to global emissions. Their carbon hoofprint Previous research has highlighted the potential contribution of wild pigs to greenhouse viagra best price gas emissions, but only at local scales.

One such study was conducted for three years in hardwood forests of Switzerland. The researchers found wild pigs caused soil carbon emissions to increase by around 23% per year. Similarly, a study in the Jigong Mountains National Nature Reserve in China found soil emissions increased viagra best price by more than 70% per year in places disturbed by wild pigs. To find out what the impact was on a global scale, we ran 10,000 simulations of wild pig population sizes in their non-native distribution, including in the Americas, Oceania, Africa and parts of Southeast Asia.

For each simulation, we determined the amount of soil they would disturb using another model from a different study. Lastly, we used local case studies viagra best price to calculate the minimum and maximum amount of wild pig-driven carbon emissions. And we estimate the soil wild pigs uproot worldwide each year is likely between 36,214 and 123,517 square kilometres — or between the sizes of Taiwan and England. Most of this soil damage and associated emissions occur in Oceania due to the large distribution of wild pigs there, and the amount of carbon stored in the soil in this region.

So how viagra best price exactly does disturbing soil release emissions?. Wild pigs use their tough snouts to excavate soil in search of plant parts such as roots, fungi and invertebrates. This “ploughing” behaviour commonly disturbs soil at a depth of about five to 15 centimetres, which is roughly the same depth as crop tilling by farmers. Because wild pigs are highly social and often feed viagra best price in large groups, they can completely destroy a small paddock in a short period.

This makes them a formidable foe to the organic carbon stored in soil. In general, soil organic carbon is the balance between organic matter input into the soil (such as fungi, animal waste, root growth and leaf litter) versus outputs (such as decomposition, respiration and erosion). This balance is an indicator viagra best price of soil health. When soils are disturbed, whether from ploughing a field or from an animal burrowing or uprooting, carbon is released into the atmosphere as a greenhouse gas.

This is because digging up soil exposes it to oxygen, and oxygen promotes the rapid growth of microbes. These newly invigorated microbes, in turn, break viagra best price down the organic matter containing carbon. Tough and cunning Wild pig control is incredibly difficult and costly due to their cunning behaviour, rapid breeding rate, and overall tough nature. For example, wild pigs have been known to avoid traps if they had been previously caught, and they are skilled at changing their behaviour to avoid hunters.

In Australia, management efforts include coordinated viagra best price hunting events to slow the spread of wild pig populations. Other techniques include setting traps and installing fences to prevent wild pig expansion, or aerial control programs. Some of these control methods can also cause substantial carbon emissions, such as using helicopters for aerial control and other vehicles for hunting. Still, the long-term viagra best price benefits of wild pig reduction may far outweigh these costs.

Working towards reduced global emissions is no simple feat, and our study is another tool in the toolbox for assessing the threats of this widespread invasive species. This article was originally published on The Conversation. Read the original article..

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€œIt’s not hard to find pasta, rice, and potatoes at one meal.”Try to limit your starchy foods to one per meal at most. If you otc viagra cvs have tacos for dinner, skip the side of rice -- the starch can come from the taco shells. Skip the sour cream, Arévalo says, and retire the refried beans.

Instead, boil beans otc viagra cvs until they are soft, then mash them to get the same texture.A Foodie’s Cooking HacksMike Carroll Jr., who played football through high school and into college, packed on the pounds after he left the gridiron and worked a desk job as a graphic designer. At his heaviest, he weighed more than 400 pounds.The 52-year-old, who has coronary artery disease and heart failure, has already lost more than 100 pounds. In late 2021, he otc viagra cvs weighed around 300.

Carroll, who lives in Wichita, KS, plans to shed 25 more pounds to get on a heart transplant list.Like Capalbo, he’s a big fan of pasta. His current otc viagra cvs favorite. Kelp noodles.

For rice, otc viagra cvs he prefers cauliflower rice. He’s swapped mashed potatoes with mashed cauliflower from the frozen food aisle.Carroll, who describes himself as a “foodie,” sometimes posts his meals on social media. He’s become a whiz with his air otc viagra cvs fryer, as he prefers crispy foods -- the crispier the better.

With the air fryer, he can eat everything from chicken wings to turkey bacon without using oil.If he cooks bacon, Carroll may use it to build a BLT, wrapping the bacon, lettuce, and tomato inside a low-carb tortilla instead of bread. Or he may air-fry some wings and pair them otc viagra cvs with vegetable noodles and corn kernels on the side. The noodles, made of zucchini, carry a similar texture to pasta after you boil them a bit, he says.New Eating HabitsCapalbo, who is “100% Italian,” has tried pasta made with chickpeas and black otc viagra cvs beans since his 2020 heart attack.

His current preferred carb is brown rice pasta.Capalbo now mostly cooks at home and dines out only now and then. He loves salmon and often orders it, as well as making otc viagra cvs it at home. He avoids cream sauces in restaurants and suspects there’s hidden butter and other ingredients that make restaurant fish taste so good.

€œIt’s the glazes and the seasonings, you don’t know what they are using,” he says.Going cold turkey on his former eating otc viagra cvs habits hasn’t been easy, Capalbo admits. €œI used to get bacon on everything, I mean everything,” he says. €œIf I fantasize about anything, it’s a bacon cheeseburger.”But his bloodwork shows that otc viagra cvs healthier eating pays off.

Within 5 months of starting his new way of life, Capalbo’s total cholesterol dropped from 195 to 105 and his triglycerides plummeted from 265 to 80. While cholesterol is only one part otc viagra cvs of heart risk, the goal is to keep total cholesterol under 200 and triglycerides under 150. Capalbo’s cardiologist told him that had he been at home alone when he had his heart attack, “I would have been dead.” When Capalbo woke up in the intensive care unit, it was his teenage daughter who motivated him to overhaul his habits.

Along with his new diet, he quit smoking and started walking almost every day.Capalbo’s daughter has since started college, and he plans to otc viagra cvs walk her down the aisle on her wedding one day. He hopes that other people with CAD will learn from his health scare.“I tell everybody. €˜Don’t be me otc viagra cvs.

Be better than me,’” he says. €œI literally had to die to figure it otc viagra cvs out.”Nov. 19, 2021 — Cases of the flu, that once annual viral intruder that was regularly the country’s worst annual health crisis, is showing signs of waking up again this fall.But, experts say, it is far too early to say if the country will have a normal – i.e., bad – flu season or a repeat of last year, when the flu all but disappeared amid the erectile dysfunction treatment viagra.

This flu season is otc viagra cvs starting out more like the seasons before the viagra. About 2% of all visits to otc viagra cvs doctors and outpatient clinics through Nov. 13 were flu or flu-like illnesses, compared to about 1.4% a year ago, the CDC says.

Cases so otc viagra cvs far are being counted in the hundreds – 702 through Nov. 13.Still, while cases are low, they are increasing, the agency says. The spread of flu is already high otc viagra cvs in New Mexico and moderate in Georgia.

The rest of the country is seeing little activity, according to the CDC. This time last year, cases of flu, hospitalizations and deaths were down dramatically, despite fears that a drastic ''twindemic" could occur if cases of erectile dysfunction treatment and influenza increased greatly, and in tandem otc viagra cvs. The comparisons of last year's flu season statistics to previous years are startling — in a good way.In the 2019-2020 season, more 22,000 people in the U.S.

Died from flu otc viagra cvs. Last year, deaths decreased to about 700 for the 2020-2021 season.So, what might happen this year?. Will flu be a no-show once again? otc viagra cvs.

Several top experts say it’s complicated. "It's a hot question and I'd love otc viagra cvs to give you a concrete answer. But everyone is having trouble predicting." -- Stuart Ray, MD, professor of medicine and infectious disease specialist at Johns Hopkins Medicine in Baltimore."It's very hard to predict exactly where the flu season will land.

What seems to be the case is that it will be worse than last year, but it's unclear whether or not it will be an ordinary flu season." -- Amesh Adalja, MD, senior scholar at the Johns Hopkins Center for Health Security."There will be flu, but I can't tell you how bad it will otc viagra cvs be." We do know that flu will be back." -- William Schaffner, MD, infectious disease specialist and professor of preventive medicine at Vanderbilt University Medical Center in Nashville. Already, Schaffner says, “we are beginning to hear about some outbreaks."One outbreak triggering concern is at the University of Michigan, Ann Arbor, where 528 flu cases have been diagnosed at the University Health Service since Oct. 6.

The CDC sent a team to investigate the outbreak. Florida A&M University and Florida State University have also seen large outbreaks this month.Outbreaks on college campuses are not surprising, Schaffner said. "That’s a population that is under-vaccinated," he says, and students are often in close quarters with many others.

University of Michigan officials said 77% of the cases are in unvaccinated people."Predictions about this year's flu season also have to take into account that mask wearing and social distancing that were common last year, but have become less common or sometimes nonexistent this year.Despite uncertainty about how this year's flu season will play out, several changes and advances in play for this year's flu season are aimed at keeping illness low.The composition of the treatments has been updated — and each treatment targets four viagraes expected to circulate.The flu treatment and the erectile dysfunction treatments can be given at the same time.The CDC has updated guidance for timing of the flu treatment for some people.A new dashboard is tracking flu vaccination rates nationwide, and the CDC has an education campaign, fearing the importance of the flu treatment has taken a back seat with the attention largely on erectile dysfunction treatment and its treatment since the viagra began. What's in This Year's treatment?. This year, all the flu treatments in the U.S.

Are four component (quadrivalent) shots, meant to protect against the four flu viagraes most likely to spread and cause sickness this season.The FDA's treatments and Related Biological Product Advisory Committee (VRBPAC) selects the specific viagraes that each year's treatment should target. To select, they take into account surveillance data with details about recent influenza cultures, responses to the previous year's treatments and other information.Both the egg-based treatments and the cell- or recombinant-based treatments will target two influenza A strains and two influenza B strains. Options include injections or a nasal spray.

Several of the formulas are approved for use in those age 65 and up, including a high-dose treatment and the adjuvanted flu treatment. The aim of each is to create a stronger immune response, as people's immune systems weaken with age. However, the CDC cautions people not to put off the vaccination while waiting for the high-dose or adjuvanted.

Getting the treatment that's available is the best thing to do, experts say. treatment TimingIn general, September and October were good times for flu vaccinations, the CDC says. While it's ideal to be vaccinated by the end of October, it still recommends vaccinating later than that rather than skipping it.Even if you are unvaccinated in December or January, it's still a good idea to get it then, Schaffner agrees.

You would still get some protection, he says, since ''for the most part in the U.S., flu peaks in February." But he stresses that earlier is better.While children can get vaccinated as soon as doses are available — even July or August — adults, especially if 65 and older, because of their weakened immune systems, should generally not get vaccinated that early. That's because protection will decrease over time and they may not be protected for the entire flu season. But, early is better than not at all, the CDC says.

Some children ages 6 months to 8 years may need two doses of flu treatment. Those getting vaccinated for the first time need two doses (spaced 4 weeks apart). Others in this age group who only got one dose previously need to get 2 doses this season.

Early vaccination can also be considered for women in the third trimester of pregnancy, because the immunization can help provide protection to their infants after birth. Infants can't be vaccinated until age 6 months. Two Arms, Two treatmentsWith millions of Americans now lining up for their erectile dysfunction treatment boosters, experts urge them to get the flu treatment at the same time.

It's acceptable to get both treatments the same day, experts agree."You can [even] do 2 in one arm, spaced by an inch," says L.J. Tan, PhD, chief policy and partnership officer, Immunization Action Coalition, an organization devoted to increasing immunization rates. "We co-administer treatments to kids all the time." And, Tan says, ''the flu treatment is not going to amplify any reaction you would have to the erectile dysfunction treatment."Tracking VaccinationsAccording to the CDC National Flu Vaccination Dashboard, about 162 million doses of flu treatment have been distributed as of Nov.

5.It expects about 58.5% of the population to get a flu shot this season, up from about 54.8% last season. Undoing the ‘Flu Isn't Bad’ Thinking One common misconception, especially from parents, is that ''the flu is not bad, it doesn't cause serious problems," says Flor M. Munoz, MD, MSc, medical director of transplant infectious diseases at Texas Children's Hospital in Houston."Flu by itself can be serious," she says.

And now, with erectile dysfunction treatment, she says, ''we do worry. If someone got both s, they could get quite sick."Among the potential complications in kids, especially those under 5 years, are pneumonia, dehydration, brain dysfunction and sinus and ear s.The treatment for flu, like for erectile dysfunction treatment, isn't perfect, she also tells parents. "In a good year, it gives 60 to 70% protection.

" But it can be much less protective than that, too. Even so, "if you get vaccinated and still get the flu, you will have milder illness."Anti-Virals to the RescueWhen flu symptoms — fever, cough, sore throat, runny nose, body aches, headaches, chills and fatigue — appear, anti-viral treatments can lessen the time you are sick by about a day, according to the CDC. They are available only by prescription and work best when started within 2 days of becoming sick with flu.

Four antiviral drugs to treat flu are FDA-approved, including:Oseltamivir phosphate (generic or as Tamiflu)Zanamivir (Relenza)Peramivir (Rapivab)Baloxavir marboxil (Xofluza)Depending on the drug and method of administration, the drugs are given for 1 to 5 days, generally, but sometimes longer than 5 days.Track Local Flu RatesRay of Johns Hopkins suggests keeping an eye on how widespread flu is in your community, just as we've gotten used to tracking erectile dysfunction treatment rates, and then taking precautions such as masking up and social distancing. "Maybe we are a little more nimble now in responding to risk," he says, given the practice gotten with erectile dysfunction treatment.He says adapting these habits in responding to flu outbreaks would be helpful—and more natural for most people than in the past. ''I don’t think it was usual ever, 3 years ago, to see people out in masks when flu rates were high."Nov.

19, 2021 -- President Joe Biden is in “good spirits” following his trip to Walter Reed hospital today for his first annual physical exam and routine colonoscopy as commander-in-chief, according to White House Press Secretary Jen Psaki.A colonoscopy is a medical procedure where doctors examine your large intestine (colon) and your rectum.A flexible tube with a small camera at the tip is inserted inside your rectum, so that doctors can check for signs of colon cancer, bleeding, or any other abnormalities.Because Biden went under anesthesia -- a treatment that makes you sleepy and prevents you from feeling pain -- he temporarily transferred presidential power to Vice President Kamala Harris, making her the first woman in U.S. History to serve as acting president, though only for around 90 minutes.The 25th amendment to theConstitution allows for this transfer of power when a president is unable to fulfill their duties. These powers are then shifted to the vice president, until the president documents in writing that he can, once again, fully resume his role.

Biden, who turns 79 tomorrow, is the oldest president in U.S. History.His health has been a hot topic of conversation since he announced he was running for office.In 2019, Kevin O’Connor, DO, the White House physician and Biden’s personal doctor for over a decade, released a document with details on Biden’s health.The report said that Biden had been taking the drug Eliquis to help prevent blood clots, Crestor to lower his triglycerides and cholesterol, Nexium for acid reflux, Allegra for allergies, and a nasal spray.The document also stated that the president had been receiving treatment for atrial fibrillation, or an irregular heartbeat. But O’Conner said overall, then-presidential candidate Biden was “a healthy, vigorous, 77-year-old male, who is fit to successfully execute the duties of the Presidency.”Biden has had serious health scares in the past, including a brain aneurysm when he served as a U.S.

Senator in 1988.Other procedures in Biden’s medical history include gall bladder removal in 2003, various surgeries for bone injuries, and the removal on nonmelanoma skin cancers.Biden is still scheduled to attend the annual White House turkey pardoning ceremony in the Rose Garden today.By Robert Preidt and Ernie Mundell HealthDay ReportersTHURSDAY, Nov. 19, 2021 (HealthDay News) – People who live with chronic migraines suffer intense throbbing and pulsing, sensitivity to light and sound, nausea and vomiting. Could a plant-based diet, credited with a variety of positive health impacts, also help ease these chronic symptoms?.

It might. Researchers in New York have published a case study of one man with severe chronic migraines who had tried everything to curb them, and then switched to a plant-based diet -- loaded with a lot of dark green leafy vegetables. He quickly found significant relief from the headaches, doctors reported online Nov.

18 in the journal BMJ Case Reports."This report suggests that a whole food plant-based diet may offer a safe, effective and permanent treatment for reversing chronic migraine," wrote a team led by Dr. David Dunaief, who specializes in nutritional medicine and has a private practice in East Setauket, N.Y.One expert in migraine who wasn't connected to the study was cautiously optimistic about the findings. "It is hard to make much from one case report, [but] it does illustrate the importance of all of these non-pharmacological, evidence-based treatments," said Dr.

Noah Rosen. He directs Northwell Health's Headache Center in Great Neck, N.Y.As the researchers noted, more than 1 billion people worldwide have migraines, defined as one-side, pulsating headaches, sometimes with a variety of other symptoms, that last between four and 72 hours. Some migraines are episodic, meaning they happen fewer than 15 days per month.

Others are chronic, with 15 or more migraine days per month plus migraine features on eight days per month. To be considered successful, migraine treatment must cut the frequency and length of the attacks in half or improve symptoms. The 60-year-old man whose experiences are detailed in the report had endured severe migraine headaches without aura for more than 12 years.

Six months before his clinic referral, his migraines had become chronic, occurring anywhere from 18 to 24 days each month.He had tried a number of potential fixes, including the prescribed medications zolmitriptan and topiramate. He also cut out potential 'trigger' foods, including chocolate, cheese, nuts, caffeine, and dried fruit. Beyond this, the man also tried yoga and meditation to curb the attacks.

None of those interventions had worked.The man described the pain as throbbing, starting suddenly and intensely in the forehead and temple on the left side of his head. His migraines usually lasted 72 hours and also included sensitivity to light and sound, nausea and vomiting. His pain severity was 10 to 12 out of a scale of 10.He didn't have high levels of systemic inflammation but had a normal level of beta carotene in his blood, possibly because he ate sweet potatoes daily.

Sweet potatoes are relatively low in food nutrients known as carotenoids, which carry anti-inflammatory and antioxidant properties, the authors explained. Leafy greens such as spinach, kale and watercress do contain high levels of carotenoids, however.So, Rosen's team advised the man to adopt the Low Inflammatory Foods Everyday (LIFE) diet. It's a nutrient-dense, whole food, plant-based diet.

The regimen advocates eating at least five ounces by weight of raw or cooked dark green leafy vegetables every day, drinking one 32-ounce daily green LIFE smoothie, and limiting intake of whole grains, starchy vegetables, oils, and animal protein, particularly dairy and red meat.After two months on the diet, the man said his migraines had been dramatically reduced -- to just one migraine day per month, and even that headache was less severe. At the same time, his blood tests showed a substantial rise in beta-carotene levels. Soon, the man stopped taking all his migraine meds.

His migraines stopped completely after three months and haven't returned in 7 1/2 years.The man was allergic, and previously published research suggests that better control of allergies may also lead to fewer migraine headaches. In this case, the man's allergy symptoms also improved -- to the point that he no longer needed to use seasonal medication.He was also HIV-positive, and HIV has been linked to a heightened risk of migraines. It is possible that the man's HIV status and antiretroviral drugs had contributed to his symptoms, the authors said, though it wasn't possible to study this further without stopping the antiretroviral treatment."While this report describes one very adherent patient who had a remarkable response, the LIFE diet has reduced migraine frequency within 3 months in several additional patients," Dunaief added.

For his part, Rosen said that "the role of proper diet and migraine has had a few studies demonstrating benefit." Being properly hydrated, eating a healthy "low-glycemic" diet and getting lots of omega 3 fatty acids (such as are found in oily fish) have all been shown to have a positive effect on curbing migraines, he said. Beyond food, getting good sleep, regular exercise and psychological interventions such as "cognitive behavioral therapy, mindfulness and progressive muscle relaxation" may also help, Rosen said.More informationFind out more about migraines at the American Migraine Foundation.SOURCE. BMJ Case reports, news release, Nov.

18, 2021Researchers remain hopeful that they're heading in the right direction to finding a cure for HIV, the viagra that causes AIDS. Right now, it’s still out of reach. But the unusual cases of four people may hold clues.The latest case is a 30-year-old woman in Argentina whose name hasn’t been made public.

She had HIV, but for 8 years, it has been “undetectable” in her body, though she didn’t take antiretroviral medication, researchers reported in the Annals of Internal Medicine in November 2021. Scientists don’t know exactly how that works and can’t say for sure that she is cured. But they wrote in the study that cases like the Argentinian woman’s may be “extremely rare but possible.”Perhaps the best known is the “Berlin patient,” Timothy Ray Brown.

He’s the first person ever to be cured of HIV. Brown found out in 2006 that he had acute myeloid leukemia. He already knew he had HIV and had been taking medicine for it for years.After chemotherapy didn’t help his leukemia, Brown went to Berlin, where he got two bone marrow transplants from an HIV-resistant donor.

Ten years later, Brown is leukemia- and HIV-free. Other HIV-positive leukemia patients who got similar treatments haven’t been free of HIV. Experts still don’t know why Brown became free of HIV.

Clues From BabiesUsually, infants who are born to HIV-positive mothers get medications to prevent the becoming infected themselves. Only after two tests come back showing HIV do doctors switch to drugs that treat HIV. The first test isn't recommended until the baby is 2-3 weeks old.

Sometimes doctors take a different approach. A baby from California born to a mother with AIDS got the treatment medicines, called antiretroviral therapy (ART), when she was only 4 hours old. At 9 months, back in 2014, she was still HIV-negative -- and was still getting ART.Another case also made headlines.

Doctors gave a baby from Mississippi treatment medications just 30 hours after she was born to a woman who had HIV. The little girl tested HIV-free for more than 2 years, and some people said she was “in remission” at the time, which was in 2013. But in 2014, at age 4, HIV turned up in the Mississippi baby’s blood.

Her mother had stopped giving her ART when she was 18 months old, against medical advice. The “Mississippi baby, "whose name hasn’t been made public, went back on ART. She finished kindergarten in June 2016 and is “doing great,” Hannah Gay, MD, who treated the baby at the University of Mississippi Medical Center, says in a news release.Gay says she’s making a scrapbook for the little girl so she can one day know more about the role she played in helping experts better understand HIV.HIV Hides in the BodyScientists had hoped giving strong treatment medications so soon after birth would get rid of the viagra or prevent it from spreading and doing damage.The fact that the HIV viagra eventually turned up in the “Mississippi baby” isn't unexpected, says Robert Siliciano, MD, PhD, professor of medicine in the infectious diseases department at Johns Hopkins University School of Medicine.

It supports the theory that HIV cells stay in the body, just out of view in a hidden "reservoir.""Curing HIV is going to require strategies to eliminate this reservoir," he says.Start Treatment EarlierPeople who have HIV should start treatment as soon as they know. That's easier to do for babies, who can be tested and retested right after they're born. Adults rarely know exactly when they're infected.If you're at risk, getting tested for HIV more often may lead to earlier, more effective treatment.

Studies have found that those who adhere to their treatment and maintain a healthy lifestyle can not only live longer, but have virtually the same life expectancy as someone who is not infected.When someone tests positive in a clinic, for example, it might make sense for a doctor there to "start treatment and ask questions later," says David Hardy, MD, a board member of the HIV Medicine Association. Still, patients will need to understand their diagnosis and the treatment and be willing to commit to what is currently a life-long treatment.And until there are better tests to find the viagra hiding in the body, doctors can't accurately call anyone "HIV-free.".

Michael Capalbo http://www.markgrigsby.info/how-to-buy-cialis/ used to subsist mostly on meals in viagra best price restaurants and takeouts.“I just thought I was immortal,” says the 54-year-old Connecticut salesman. €œI was literally living on burgers and wings and pizza and stuff like that.”Then in April of 2020, while at work at Walgreens, Capalbo had a massive heart viagra best price attack caused by a complete blockage in a major artery. A pharmacist gave him an aspirin and called 911.

Capalbo later learned that his heart had to be shocked back to viagra best price life in the ambulance.His near-death experience forced Capalbo to radically change his diet. He gave up red meat, bacon, and greasy sausage pizzas. He said viagra best price goodbye to one of his favorite guilty pleasures.

Garlic parmesan chicken wings. He quit all other fried foods.Capalbo is one of 18 million viagra best price Americans who have coronary artery disease (CAD). It happens when sticky plaque clogs your arteries and slows or blocks the flow of blood to and from the heart.

With his favorite foods banished, Capalbo had to get viagra best price creative in the kitchen. He learned how to prepare healthy dishes faster than a meal delivery. He still viagra best price enjoys pizza, but now it’s homemade with a cauliflower crust -- and no cheese.

The grill has become a key appliance.When you have CAD, a heart-healthy diet -- low in saturated fats and processed foods and high in fresh produce and whole grains -- is an important part of your treatment.But changing your eating habits, and convincing loved ones to go along, isn’t always easy, says Sandra Arévalo, a registered dietitian in Nyack, NY, and a spokesperson for the Academy of Nutrition and Dietetics.“A lot of people are very traditional with their meals, and they don’t want to make any changes,” she says. €œAnd that’s viagra best price the biggest barrier. You have to be willing to try new things.”A Dietitian’s TipsArévalo encourages culinary experiments.

Whole-wheat pasta or brown rice can bring different textures and taste, compared to their white counterparts.“It’s like viagra best price a taste shock,” she says of trying new foods. But with each bite, it “opens your mind a little bit to know that it’s something new that you’re going to taste.” Shifting your food tastes may take as many as 30 attempts, Arévalo says. €œTaste buds get what we call educated,” viagra best price she says.

€œBy tasting viagra best price a little every time, that’s how you change your taste buds.”Arévalo, who speaks Spanish, often works with Hispanic families. A common challenge is that their diet can be heavy on starchy foods, which can drive up your triglycerides -- a type of fat in your bloodstream. Similarly, white rice, a staple in Asian viagra best price cuisines, raises your blood sugar levels faster than whole grains like brown rice do.“I have tons of families that, because it’s in the culture, eat too many starchy foods at the same time,” Arévalo says of her Hispanic clients.

€œIt’s not hard to find pasta, rice, and potatoes at one meal.”Try to limit your starchy foods to one per meal at most. If you have tacos for dinner, skip the side of rice -- the viagra best price starch can come from the taco shells. Skip the sour cream, Arévalo says, and retire the refried beans.

Instead, boil beans until they are soft, then mash them to get the same texture.A Foodie’s Cooking HacksMike Carroll Jr., who played football through high school and into college, packed on the viagra best price pounds after he left the gridiron and worked a desk job as a graphic designer. At his heaviest, he weighed more than 400 pounds.The 52-year-old, who has coronary artery disease and heart failure, has already lost more than 100 pounds. In late viagra best price 2021, he weighed around 300.

Carroll, who lives in Wichita, KS, plans to shed 25 more pounds to get on a heart transplant list.Like Capalbo, he’s a big fan of pasta. His current viagra best price favorite. Kelp noodles.

For rice, viagra best price he prefers cauliflower rice. He’s swapped mashed potatoes with mashed cauliflower from the frozen food aisle.Carroll, who describes himself as a “foodie,” sometimes posts his meals on social media. He’s become a whiz with his air fryer, as he prefers crispy foods viagra best price -- the crispier the better.

With the air fryer, he can eat everything from chicken wings to turkey bacon without using oil.If he cooks bacon, Carroll may use it to build a BLT, wrapping the bacon, lettuce, and tomato inside a low-carb tortilla instead of bread. Or he may air-fry some wings viagra best price and pair them with vegetable noodles and corn kernels on the side. The noodles, made of zucchini, carry a similar texture to pasta after you boil them a bit, he says.New Eating HabitsCapalbo, who is “100% viagra best price Italian,” has tried pasta made with chickpeas and black beans since his 2020 heart attack.

His current preferred carb is brown rice pasta.Capalbo now mostly cooks at home and dines out only now and then. He loves salmon and often orders it, as well viagra best price as making it at home. He avoids cream sauces in restaurants and suspects there’s hidden butter and other ingredients that make restaurant fish taste so good.

€œIt’s the glazes and the seasonings, you don’t know what they are using,” viagra best price he says.Going cold turkey on his former eating habits hasn’t been easy, Capalbo admits. €œI used to get bacon on everything, I mean everything,” he says. €œIf I fantasize about viagra best price anything, it’s a bacon cheeseburger.”But his bloodwork shows that healthier eating pays off.

Within 5 months of starting his new way of life, Capalbo’s total cholesterol dropped from 195 to 105 and his triglycerides plummeted from 265 to 80. While cholesterol is only one part of heart risk, the goal is to keep total cholesterol under viagra best price 200 and triglycerides under 150. Capalbo’s cardiologist told him that had he been at home alone when he had his heart attack, “I would have been dead.” When Capalbo woke up in the intensive care unit, it was his teenage daughter who motivated him to overhaul his habits.

Along with his new diet, he quit smoking and started walking almost every day.Capalbo’s daughter has since started college, and he plans to walk her down the aisle on her wedding viagra best price one day. He hopes that other people with CAD will learn from his health scare.“I tell everybody. €˜Don’t be me viagra best price.

Be better than me,’” he says. €œI literally had to viagra best price die to figure it out.”Nov. 19, 2021 — Cases of the flu, that once annual viral intruder that was regularly the country’s worst annual health crisis, is showing signs of waking up again this fall.But, experts say, it is far too early to say if the country will have a normal – i.e., bad – flu season or a repeat of last year, when the flu all but disappeared amid the erectile dysfunction treatment viagra.

This flu season is starting out more viagra best price like the seasons before the viagra. About 2% viagra best price of all visits to doctors and outpatient clinics through Nov. 13 were flu or flu-like illnesses, compared to about 1.4% a year ago, the CDC says.

Cases so far are being counted in the hundreds viagra best price – 702 through Nov. 13.Still, while cases are low, they are increasing, the agency says. The spread of flu is already high in New Mexico and viagra best price moderate in Georgia.

The rest of the country is seeing little activity, according to the CDC. This time last viagra best price year, cases of flu, hospitalizations and deaths were down dramatically, despite fears that a drastic ''twindemic" could occur if cases of erectile dysfunction treatment and influenza increased greatly, and in tandem. The comparisons of last year's flu season statistics to previous years are startling — in a good way.In the 2019-2020 season, more 22,000 people in the U.S.

Died from viagra best price flu. Last year, deaths decreased to about 700 for the 2020-2021 season.So, what might happen this year?. Will flu viagra best price be a no-show once again?.

Several top experts say it’s complicated. "It's a hot question and I'd love to viagra best price give you a concrete answer. But everyone is having trouble predicting." -- Stuart Ray, MD, professor of medicine and infectious disease specialist at Johns Hopkins Medicine in Baltimore."It's very hard to predict exactly where the flu season will land.

What seems to be the case is that it will be worse than last year, viagra best price but it's unclear whether or not it will be an ordinary flu season." -- Amesh Adalja, MD, senior scholar at the Johns Hopkins Center for Health Security."There will be flu, but I can't tell you how bad it will be." We do know that flu will be back." -- William Schaffner, MD, infectious disease specialist and professor of preventive medicine at Vanderbilt University Medical Center in Nashville. Already, Schaffner says, “we are beginning to hear about some outbreaks."One outbreak triggering concern is at the University of Michigan, Ann Arbor, where 528 flu cases have been diagnosed at the University Health Service since Oct. 6.

The CDC sent a team to investigate the outbreak. Florida A&M University and Florida State University have also seen large outbreaks this month.Outbreaks on college campuses are not surprising, Schaffner said. "That’s a population that is under-vaccinated," he says, and students are often in close quarters with many others.

University of Michigan officials said 77% of the cases are in unvaccinated people."Predictions about this year's flu season also have to take into account that mask wearing and social distancing that were common last year, but have become less common or sometimes nonexistent this year.Despite uncertainty about how this year's flu season will play out, several changes and advances in play for this year's flu season are aimed at keeping illness low.The composition of the treatments has been updated — and each treatment targets four viagraes expected to circulate.The flu treatment and the erectile dysfunction treatments can be given at the same time.The CDC has updated guidance for timing of the flu treatment for some people.A new dashboard is tracking flu vaccination rates nationwide, and the CDC has an education campaign, fearing the importance of the flu treatment has taken a back seat with the attention largely on erectile dysfunction treatment and its treatment since the viagra began. What's in This Year's treatment?. This year, all the flu treatments in the U.S.

Are four component (quadrivalent) shots, meant to protect against the four flu viagraes most likely to spread and cause sickness this season.The FDA's treatments and Related Biological Product Advisory Committee (VRBPAC) selects the specific viagraes that each year's treatment should target. To select, they take into account surveillance data with details about recent influenza cultures, responses to the previous year's treatments and other information.Both the egg-based treatments and the cell- or recombinant-based treatments will target two influenza A strains and two influenza B strains. Options include injections or a nasal spray.

Several of the formulas are approved for use in those age 65 and up, including a high-dose treatment and the adjuvanted flu treatment. The aim of each is to create a stronger immune response, as people's immune systems weaken with age. However, the CDC cautions people not to put off the vaccination while waiting for the high-dose or adjuvanted.

Getting the treatment that's available is the best thing to do, experts say. treatment TimingIn general, September and October were good times for flu vaccinations, the CDC says. While it's ideal to be vaccinated by the end of October, it still recommends vaccinating later than that rather than skipping it.Even if you are unvaccinated in December or January, it's still a good idea to get it then, Schaffner agrees.

You would still get some protection, he says, since ''for the most part in the U.S., flu peaks in February." But he stresses that earlier is better.While children can get vaccinated as soon as doses are available — even July or August — adults, especially if 65 and older, because of their weakened immune systems, should generally not get vaccinated that early. That's because protection will decrease over time and they may not be protected for the entire flu season. But, early is better than not at all, the CDC says.

Some children ages 6 months to 8 years may need two doses of flu treatment. Those getting vaccinated for the first time need two doses (spaced 4 weeks apart). Others in this age group who only got one dose previously need to get 2 doses this season.

Early vaccination can also be considered for women in the third trimester of pregnancy, because the immunization can help provide protection to their infants after birth. Infants can't be vaccinated until age 6 months. Two Arms, Two treatmentsWith millions of Americans now lining up for their erectile dysfunction treatment boosters, experts urge them to get the flu treatment at the same time.

It's acceptable to get both treatments the same day, experts agree."You can [even] do 2 in one arm, spaced by an inch," says L.J. Tan, PhD, chief policy and partnership officer, Immunization Action Coalition, an organization devoted to increasing immunization rates. "We co-administer treatments to kids all the time." And, Tan says, ''the flu treatment is not going to amplify any reaction you would have to the erectile dysfunction treatment."Tracking VaccinationsAccording to the CDC National Flu Vaccination Dashboard, about 162 million doses of flu treatment have been distributed as of Nov.

5.It expects about 58.5% of the population to get a flu shot this season, up from about 54.8% last season. Undoing the ‘Flu Isn't Bad’ Thinking One common misconception, especially from parents, is that ''the flu is not bad, it doesn't cause serious problems," says Flor M. Munoz, MD, MSc, medical director of transplant infectious diseases at Texas Children's Hospital in Houston."Flu by itself can be serious," she says.

And now, with erectile dysfunction treatment, she says, ''we do worry. If someone got both s, they could get quite sick."Among the potential complications in kids, especially those under 5 years, are pneumonia, dehydration, brain dysfunction and sinus and ear s.The treatment for flu, like for erectile dysfunction treatment, isn't perfect, she also tells parents. "In a good year, it gives 60 to 70% protection.

" But it can be much less protective than that, too. Even so, "if you get vaccinated and still get the flu, you will have milder illness."Anti-Virals to the RescueWhen flu symptoms — fever, cough, sore throat, runny nose, body aches, headaches, chills and fatigue — appear, anti-viral treatments can lessen the time you are sick by about a day, according to the CDC. They are available only by prescription and work best when started within 2 days of becoming sick with flu.

Four antiviral drugs to treat flu are FDA-approved, including:Oseltamivir phosphate (generic or as Tamiflu)Zanamivir (Relenza)Peramivir (Rapivab)Baloxavir marboxil (Xofluza)Depending on the drug and method of administration, the drugs are given for 1 to 5 days, generally, but sometimes longer than 5 days.Track Local Flu RatesRay of Johns Hopkins suggests keeping an eye on how widespread flu is in your community, just as we've gotten used to tracking erectile dysfunction treatment rates, and then taking precautions such as masking up and social distancing. "Maybe we are a little more nimble now in responding to risk," he says, given the practice gotten with erectile dysfunction treatment.He says adapting these habits in responding to flu outbreaks would be helpful—and more natural for most people than in the past. ''I don’t think it was usual ever, 3 years ago, to see people out in masks when flu rates were high."Nov.

19, 2021 -- President Joe Biden is in “good spirits” following his trip to Walter Reed hospital today for his first annual physical exam and routine colonoscopy as commander-in-chief, according to White House Press Secretary Jen Psaki.A colonoscopy is a medical procedure where doctors examine your large intestine (colon) and your rectum.A flexible tube with a small camera at the tip is inserted inside your rectum, so that doctors can check for signs of colon cancer, bleeding, or any other abnormalities.Because Biden went under anesthesia -- a treatment that makes you sleepy and prevents you from feeling pain -- he temporarily transferred presidential power to Vice President Kamala Harris, making her the first woman in U.S. History to serve as acting president, though only for around 90 minutes.The 25th amendment to theConstitution allows for this transfer of power when a president is unable to fulfill their duties. These powers are then shifted to the vice president, until the president documents in writing that he can, once again, fully resume his role.

Biden, who turns 79 tomorrow, is the oldest president in U.S. History.His health has been a hot topic of conversation since he announced he was running for office.In 2019, Kevin O’Connor, DO, the White House physician and Biden’s personal doctor for over a decade, released a document with details on Biden’s health.The report said that Biden had been taking the drug Eliquis to help prevent blood clots, Crestor to lower his triglycerides and cholesterol, Nexium for acid reflux, Allegra for allergies, and a nasal spray.The document also stated that the president had been receiving treatment for atrial fibrillation, or an irregular heartbeat. But O’Conner said overall, then-presidential candidate Biden was “a healthy, vigorous, 77-year-old male, who is fit to successfully execute the duties of the Presidency.”Biden has had serious health scares in the past, including a brain aneurysm when he served as a U.S.

Senator in 1988.Other procedures in Biden’s medical history include gall bladder removal in 2003, various surgeries for bone injuries, and the removal on nonmelanoma skin cancers.Biden is still scheduled to attend the annual White House turkey pardoning ceremony in the Rose Garden today.By Robert Preidt and Ernie Mundell HealthDay ReportersTHURSDAY, Nov. 19, 2021 (HealthDay News) – People who live with chronic migraines suffer intense throbbing and pulsing, sensitivity to light and sound, nausea and vomiting. Could a plant-based diet, credited with a variety of positive health impacts, also help ease these chronic symptoms?.

It might. Researchers in New York have published a case study of one man with severe chronic migraines who had tried everything to curb them, and then switched to a plant-based diet -- loaded with a lot of dark green leafy vegetables. He quickly found significant relief from the headaches, doctors reported online Nov.

18 in the journal BMJ Case Reports."This report suggests that a whole food plant-based diet may offer a safe, effective and permanent treatment for reversing chronic migraine," wrote a team led by Dr. David Dunaief, who specializes in nutritional medicine and has a private practice in East Setauket, N.Y.One expert in migraine who wasn't connected to the study was cautiously optimistic about the findings. "It is hard to make much from one case report, [but] it does illustrate the importance of all of these non-pharmacological, evidence-based treatments," said Dr.

Noah Rosen. He directs Northwell Health's Headache Center in Great Neck, N.Y.As the researchers noted, more than 1 billion people worldwide have migraines, defined as one-side, pulsating headaches, sometimes with a variety of other symptoms, that last between four and 72 hours. Some migraines are episodic, meaning they happen fewer than 15 days per month.

Others are chronic, with 15 or more migraine days per month plus migraine features on eight days per month. To be considered successful, migraine treatment must cut the frequency and length of the attacks in half or improve symptoms. The 60-year-old man whose experiences are detailed in the report had endured severe migraine headaches without aura for more than 12 years.

Six months before his clinic referral, his migraines had become chronic, occurring anywhere from 18 to 24 days each month.He had tried a number of potential fixes, including the prescribed medications zolmitriptan and topiramate. He also cut out potential 'trigger' foods, including chocolate, cheese, nuts, caffeine, and dried fruit. Beyond this, the man also tried yoga and meditation to curb the attacks.

None of those interventions had worked.The man described the pain as throbbing, starting suddenly and intensely in the forehead and temple on the left side of his head. His migraines usually lasted 72 hours and also included sensitivity to light and sound, nausea and vomiting. His pain severity was 10 to 12 out of a scale of 10.He didn't have high levels of systemic inflammation but had a normal level of beta carotene in his blood, possibly because he ate sweet potatoes daily.

Sweet potatoes are relatively low in food nutrients known as carotenoids, which carry anti-inflammatory and antioxidant properties, the authors explained. Leafy greens such as spinach, kale and watercress do contain high levels of carotenoids, however.So, Rosen's team advised the man to adopt the Low Inflammatory Foods Everyday (LIFE) diet. It's a nutrient-dense, whole food, plant-based diet.

The regimen advocates eating at least five ounces by weight of raw or cooked dark green leafy vegetables every day, drinking one 32-ounce daily green LIFE smoothie, and limiting intake of whole grains, starchy vegetables, oils, and animal protein, particularly dairy and red meat.After two months on the diet, the man said his migraines had been dramatically reduced -- to just one migraine day per month, and even that headache was less severe. At the same time, his blood tests showed a substantial rise in beta-carotene levels. Soon, the man stopped taking all his migraine meds.

His migraines stopped completely after three months and haven't returned in 7 1/2 years.The man was allergic, and previously published research suggests that better control of allergies may also lead to fewer migraine headaches. In this case, the man's allergy symptoms also improved -- to the point that he no longer needed to use seasonal medication.He was also HIV-positive, and HIV has been linked to a heightened risk of migraines. It is possible that the man's HIV status and antiretroviral drugs had contributed to his symptoms, the authors said, though it wasn't possible to study this further without stopping the antiretroviral treatment."While this report describes one very adherent patient who had a remarkable response, the LIFE diet has reduced migraine frequency within 3 months in several additional patients," Dunaief added.

For his part, Rosen said that "the role of proper diet and migraine has had a few studies demonstrating benefit." Being properly hydrated, eating a healthy "low-glycemic" diet and getting lots of omega 3 fatty acids (such as are found in oily fish) have all been shown to have a positive effect on curbing migraines, he said. Beyond food, getting good sleep, regular exercise and psychological interventions such as "cognitive behavioral therapy, mindfulness and progressive muscle relaxation" may also help, Rosen said.More informationFind out more about migraines at the American Migraine Foundation.SOURCE. BMJ Case reports, news release, Nov.

18, 2021Researchers remain hopeful that they're heading in the right direction to finding a cure for HIV, the viagra that causes AIDS. Right now, it’s still out of reach. But the unusual cases of four people may hold clues.The latest case is a 30-year-old woman in Argentina whose name hasn’t been made public.

She had HIV, but for 8 years, it has been “undetectable” in her body, though she didn’t take antiretroviral medication, researchers reported in the Annals of Internal Medicine in November 2021. Scientists don’t know exactly how that works and can’t say for sure that she is cured. But they wrote in the study that cases like the Argentinian woman’s may be “extremely rare but possible.”Perhaps the best known is the “Berlin patient,” Timothy Ray Brown.

He’s the first person ever to be cured of HIV. Brown found out in 2006 that he had acute myeloid leukemia. He already knew he had HIV and had been taking medicine for it for years.After chemotherapy didn’t help his leukemia, Brown went to Berlin, where he got two bone marrow transplants from an HIV-resistant donor.

Ten years later, Brown is leukemia- and HIV-free. Other HIV-positive leukemia patients who got similar treatments haven’t been free of HIV. Experts still don’t know why Brown became free of HIV.

Clues From BabiesUsually, infants who are born to HIV-positive mothers get medications to prevent the becoming infected themselves. Only after two tests come back showing HIV do doctors switch to drugs that treat HIV. The first test isn't recommended until the baby is 2-3 weeks old.

Sometimes doctors take a different approach. A baby from California born to a mother with AIDS got the treatment medicines, called antiretroviral therapy (ART), when she was only 4 hours old. At 9 months, back in 2014, she was still HIV-negative -- and was still getting ART.Another case also made headlines.

Doctors gave a baby from Mississippi treatment medications just 30 hours after she was born to a woman who had HIV. The little girl tested HIV-free for more than 2 years, and some people said she was “in remission” at the time, which was in 2013. But in 2014, at age 4, HIV turned up in the Mississippi baby’s blood.

Her mother had stopped giving her ART when she was 18 months old, against medical advice. The “Mississippi baby, "whose name hasn’t been made public, went back on ART. She finished kindergarten in June 2016 and is “doing great,” Hannah Gay, MD, who treated the baby at the University of Mississippi Medical Center, says in a news release.Gay says she’s making a scrapbook for the little girl so she can one day know more about the role she played in helping experts better understand HIV.HIV Hides in the BodyScientists had hoped giving strong treatment medications so soon after birth would get rid of the viagra or prevent it from spreading and doing damage.The fact that the HIV viagra eventually turned up in the “Mississippi baby” isn't unexpected, says Robert Siliciano, MD, PhD, professor of medicine in the infectious diseases department at Johns Hopkins University School of Medicine.

It supports the theory that HIV cells stay in the body, just out of view in a hidden "reservoir.""Curing HIV is going to require strategies to eliminate this reservoir," he says.Start Treatment EarlierPeople who have HIV should start treatment as soon as they know. That's easier to do for babies, who can be tested and retested right after they're born. Adults rarely know exactly when they're infected.If you're at risk, getting tested for HIV more often may lead to earlier, more effective treatment.

Studies have found that those who adhere to their treatment and maintain a healthy lifestyle can not only live longer, but have virtually the same life expectancy as someone who is not infected.When someone tests positive in a clinic, for example, it might make sense for a doctor there to "start treatment and ask questions later," says David Hardy, MD, a board member of the HIV Medicine Association. Still, patients will need to understand their diagnosis and the treatment and be willing to commit to what is currently a life-long treatment.And until there are better tests to find the viagra hiding in the body, doctors can't accurately call anyone "HIV-free.".