Soy, broccoli may cut cancer of the breast treatment&amp#039s negative effects

Greater soy intake seemed to be connected with less reported fatigue. 

IANS Updated: 12 , 11, 2017, 18:41 PM IST

New You are able to: Consuming soy foods for example soy milk and tofu and cruciferous vegetables for example cabbages, kale and broccoli might help reduce common negative effects of treatment in cancer of the breast survivors, researchers say.

Treatments made to prevent cancer of the breast recurrence frequently hinder your body’s production or utilization of excess estrogen — the hormone that may fuel cancer of the breast growth. 

Consequently, such patients frequently experience hot flushes and sweating, among other part effects which are generally publish menopause.

The findings, brought by researchers from Georgetown College, demonstrated that consumption of cruciferous vegetables and soy foods were connected with less reports of menopausal signs and symptoms. 

Greater soy intake seemed to be connected with less reported fatigue. 

Phytochemicals, or bioactive food components, for example isoflavones in soy foods and glucosinolates in cruciferous vegetables may cause the advantage, they stated. 

While isoflavones bind to excess estrogen receptors and exert weak oestrogenic effects, glucosinolates in cruciferous vegetables influence amounts of metabolising enzymes that may modulate inflammation and amounts of excess estrogen, possibly attenuating treatment-related signs and symptoms.

The research addresses an essential gap in research around the possible role of lifestyle factors, for example nutritional habits, with regards to negative effects of treatments, stated lead author Sarah Oppeneer Nomura in the University’s Georgetown Lombardi Comprehensive Cancer Center.

“These signs and symptoms can adversely impact survivors’ quality of existence and may cause them to stopping ongoing treatments,” Nomura stated. 

“Comprehending the role of existence style factors is essential because diet may serve as a modifiable target for possibly reducing signs and symptoms among cancer of the breast survivors,” she added.

For that study, printed in Cancer Of The Breast Research and Treatment, they incorporated 173 non-Hispanic white-colored and 192 Chinese Americans.

Ladies who consumed more soy foods also demonstrated suggestive associations with lower reporting of other signs and symptoms, including joint pain, thinning hairOrreduction and memory, however these associations didn’t achieve record significance.

Thus, until more study is carried out, cancer of the breast patients shouldn’t all of a sudden start eating soy, should they have not consumed it before, they cautioned.

Global Health: ‘Opiophobia’ Leaves Africa in Agony

Early Opposition

Inside a telephone interview from Scotland, Dr. Merriman, sometimes known as Uganda’s “mother of palliative care,” described the first times of mixing morphine powder imported from Europe in buckets with water steamed around the kitchen stove.

Once awesome, it had been put into empty standard water bottles scrounged from tourist hotels.

She also remembered early opposition from older doctors who equated giving morphine to dying patients with euthanasia.

“You need anyone to shout and scream and keep it up,Inches Dr. Merriman stated.

Initially, contributors such as the Diana, Princess of Wales Memorial Fund and George Soros’s Open Society Institute helped, and also the British and American governments provided money to assist dying AIDS patients. But individuals funds gradually dried out as drugs for AIDS grew to become more available.

Some hospitals started mixing their very own morphine solutions. A morphine shortage happened this year following cost squabbling between your health ministry and wholesalers.

This Year the nation’s drug warehouse is made the only legal importer of morphine powder, and Hospice Africa was requested to combine solution for the entire country.

Treat the Discomfort walked directly into help. Its founder, Dr. O’Brien, an old epidemiologist in the Clinton Health Access Initiative, stated she produced the nonprofit after studying a 2007 New You are able to Occasions series describing how millions died without discomfort relief and hearing an H.I.V. physician describe his patients screaming in discomfort.

The nonprofit, that is now area of the American Cancer Society, compensated about $100,000 for machines to sterilize water, make plastic containers, fill them and fix labels.

Further mechanization is required. On the recent trip to the operation, a pharmacist whisked powder and water together with what appeared as if a 40-gallon pasta pot, and medical students screwed caps to the bottles.

The road can turn out 5,400 bottles each day, “and things are automated except putting the caps on,” stated Christopher Ntege, the main pharmacist. “That is really a small challenge when compared with what we should faced before.”

Despite its imperfections, the Ugandan model inspires others.

“Many countries come here to understand the way they should rewrite their laws and regulations and medical policies,” stated Dr. Emmanuel B.K. Luyirika, executive director from the African Palliative Care Association, an advocacy group. “This is really a low-cost initiative that needs to be used everywhere.”

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Mr. Bizimungu in a hospice in Kampala. He adopts canned morphine in a less strong strength, which still helps to make the difference. “Without it, I’d be dead,” he stated. Credit Charlie Shoemaker for that New You are able to Occasions

The ministries of approximately 20 countries are now using affordable morphine, Dr. Merriman believed. But it’s frequently available only in hospitals within the capital.

Efforts such as these in Africa, Asia and South America “have laid the research within the last twelve years for which might happen,Inches stated Dr. Kathleen M. Foley, a palliative care specialist at Memorial Sloan Kettering Cancer Center.

“But it hasn’t moved faster due to poverty, insufficient infrastructure, cheap palliative care is really a new field and specialists aren’t compensated by their governments to complete the job.Inches

Now, she added, “I’m more and more concerned that we’re losing the fight due to this panic. Overdose deaths take all of the oxygen.”

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To stop the opioid epidemic, the White House should embrace prevention

There’s an old adage that states “An ounce of prevention is worth a pound of cure.”

President Donald Trump declared a public health emergency on opioid use on Oct. 24. He outlined several strategies to address the crisis, including plans to establish drug courts in every federal judicial district; to adjust reimbursement rates for addiction treatment; and to streamline federal funding for drug treatment programs.

These plans focus primarily on treating opioid addiction after the problem is detected. In our response to the opioid crisis, the “pound of cure” is prominent. But where can we find the ounce of prevention?

Any comprehensive response to a health issue must consider those who have not developed the problem. When public health and medical professionals responded to the H1N1 crisis several years ago, for example, a great deal of time and resources were devoted to teaching people how to avoid contracting this potentially life-threatening disease.

People are dying from the opioid overdose epidemic, and we must mount an aggressive response in order to save lives. But let’s not forget the needs of those who haven’t developed opioid addiction, or those who are at risk for addiction. Their life trajectories could be changed with the support of timely and responsive prevention efforts.

Why prevention matters

What does prevention entail? At a basic level, prevention means stopping a behavior, like opioid abuse, from ever occurring in the first place. To experts in public health and related professions, it can also entail delaying the onset of that problem behavior or reducing its impact.

Most importantly, prevention also means strengthening individual and community-level health and resilience, as well as promoting policies that improve physical, social and emotional well-being.

Research clearly shows that prevention is effective at enhancing human functioning and reducing psychological and physical distress. Prevention services help to further the health and well-being of both individuals and entire communities across many areas – for example, reducing the negative consequences of alcohol abuse, sexually transmitted infections, diabetes and many other conditions.

There’s clear evidence that expanding preventive services reduces the costs of substance abuse and mental health care. Prevention allows health care workers to address problems early, before costly treatment is necessary.

Prevention policies have been effective in reducing death rates. For example, states that raised the legal drinking age to 21 saw a 16 percent median decline in motor vehicle crashes.

Prevention services can also mitigate the consequences of health issues that may disproportionately affect demographic groups by race, gender, disability, socioeconomic class and other factors.

The importance of prevention is affirmed by the U.S. National Prevention Strategy, a government initiative that aims to shift our nation’s focus from sickness and disease to wellness and prevention.

Preventing opioid abuse

With regard to prevention strategies for opioid abuse and addiction, the federal government has laid out some potentially promising strategies. However, the current opioid emergency response places most of the federal focus – and, likely, available funding – on the needs of a relatively small segment of the population: those with existing opioid use disorders and addiction.

A much larger segment of the population is affected in other ways. Many may have a family member or friend experiencing such addiction. Or they may themselves be at risk of starting to abuse opioids. These people need help to ensure that opioid use problems do not develop in the first place.

There are a few ways that the government can ensure that its current plan addresses the need for prevention.

The White House commission addressing the opioid abuse issue recommended a system for distributing federal funding. This system mirrors the process for obtaining block grants, allocations to states to support substance abuse services. While this recommendation is encouraging, we should ensure that some of these funds are designated to address the needs and build the strengths of individuals and communities who have not yet been affected by the opioid crisis.

The commission also plans to coordinate with private sector and nonprofit groups to implement a national media campaign. This campaign will address addiction stigma and the danger of opioids. As part of this recommendation, it would be important to include messaging indicating that most members of the population do not use opioids, as well as specific steps that communities can take to remain healthy and drug-free.

Finally, the government says it will implement policies that ensure patients are adequately educated about the risks, benefits and alternatives of taking opioids before receiving an opioid prescription for chronic pain. Just as important is the provision promoting the use of nonpharmacological alternatives for pain management by health care professionals.

A comprehensive approach

A comprehensive public health-informed approach to address the opioid crisis may involve responses that affect an entire population, offer early intervention for people who may be at risk for opioid abuse and provide treatment and referral for individuals with already established opioid addiction.

Mapping a comprehensive approach to the opioid crisis. M. Dolores Cimini and Estela M. Rivero, CC BY

As a psychologist who works in alcohol and drug abuse prevention, I believe that public health professionals need to better understand what makes some individuals gravitate to opioid abuse and addiction. Such findings can help to develop strategies to promote health and resilience.

What’s more, we need to expand federal funding to support research across the spectrum of substance use. Substance abuse in all its forms compromises the health and welfare of millions across our nation. President Trump’s heartfelt comments about his brother, Fred, who died as a result of his addiction to alcohol, underscored this point.

One individual and community at a time, we must focus on supporting the millions of people who haven’t developed opioid addiction. That way, we can stem the tide associated with this devastating public health crisis.

Phys Erectile dysfunction: Managing a Marathon? Think Spa, Not Ice Bath, Afterward

Confronted with these largely disappointing experimental results, researchers in the Karolinska Institute in Norway along with other universities started to question lately about heat. Might warming muscles after hard exercise enable them to get back power and strength?

To discover, they asked five fit, youthful women and men to some human performance lab and sitting them before arm-pedaling machines. They requested each volunteer to spin the pedals through a number of brief but grueling times, adopted by twenty minutes of simpler but almost nonstop exercise, as the researchers tracked their heart rates and output.

This routine is built to exhaust the volunteers’ arm muscles. Many processes take part in muscular exhaustion, but the one which is better understood may be the depletion from the muscles’ glycogen, the reputation for their stored carbohydrates. When the muscles burn through the majority of this fuel source, they become weak, tired and cranky, like toddlers looking for a snack.

The Swedish scientists suspected that finding methods to quickly replenish these stores may help your muscle mass to recuperate relatively quickly using their fatigue.

So that they requested their volunteers to eat considerable amounts of carbohydrates within the two hrs after their session of hard pedaling although not to otherwise coddle their muscles.

After that time subsequent appointments with the lab, they’d the youthful people repeat the pedaling workout two times more, and immediately afterward, slip lengthy cuffs over their arms that may be heated or chilled with water coils. The cuffs were warmed during one session to around 100 levels F and chilled during another to around 5 levels. The volunteers used the cuffs for 2 hrs whilst downing carbohydrates.

Finally, in the finish of every session, the women and men repeated the interval part of their original pedaling, because it was probably the most tiring.

And all of them could pedal hardest at that time if their arm muscles have been warmed in advance. Their ability output then was “markedly better” than following the other two sessions, the scientists write within their paper, suggesting their muscles ought to obtained strength. Their ability was worst after their muscles have been cooled.

However these results, while interesting, couldn’t explain why heat may be goosing recovery, therefore the inquisitive scientists next switched to individual leg-muscle tissue acquired from rodents. They attached the fibers to some mechanism that may record the effectiveness of contractions after which zapped the fibers with electricity so they contracted, again and again. They noted when these contractions slowed, indicating the fibers had grown pooped.

Then they tired other fibers before dousing a number of them with glycogen and subsequently warming or cooling all the fibers and restimulating them your final time.

Additionally they examined whether warming or cooling had affected just how much glycogen muscle tissue absorbed.

Just like the youthful men’s and women’s arms, muscle fibers switched to have retrieved best after being heated — as long as additionally they have been uncovered to glycogen. Once the fibers hadn’t received any refueling after their exercise, they didn’t get back their original power, despite enjoyable warming.

The lesson of those findings, printed within the Journal of Physiology, appears to become that “warming muscles most likely helps with recovery by augmenting the muscles’ uptake of carbohydrates,” states Arthur Cheng, a investigator in the Karolinska Institute, who brought the research.

This research looked limited to taking care of of recovery after exercise, however, focusing on how tired muscles might best get back remarkable ability to create power. It can’t inform us whether warm baths might lessen muscle discomfort after lengthy, hard exercise. (Regrettably, newest studies claim that nothing substantially reduces this soreness, except time.)

However the study provides a rationale for clogging your gutters bathtub with tepid to warm water following a marathon or any other hard effort, grabbing a sports bar or chocolate milk to exchange lost carbohydrates, and settling set for a lengthy, revivifying soak.

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Personal Health: Using the Feldenkrais Way of Chronic Discomfort

In her own book, she recounts the expertise of Courtney King, who first experienced crippling back spasms in her own late 20s. Ms. King was taking several dance classes per week and practicing yoga, and she or he thought the strain of those activities may be resulting in the discomfort in her own tight, inflexible back. But after numerous Feldenkrais sessions, she told Ms. Ramin, “I recognized the discomfort had more details on generate income transported myself every single day.Inches

Despite only one session, I understood what she meant. After I be dilligent about walking upright and fluid, sitting straight, even cooking relaxed and unhurried, I’ve no discomfort. The slow, gentle, repetitive movements I practiced inside a Feldenkrais group class helped promote a comprehension of my technique for using my body system with regards to my atmosphere, and awareness is the initial step to altering one’s behavior.

One prevalent problem which I’m frequently guilty is applying small muscles to complete tasks intended for large, heavy-duty ones, leading to undue fatigue and discomfort.

The audience class, known as Awareness Through Movement, was adopted by a person session known as Functional Integration having a counselor that helped to free tight joints and muscles which were restricting my motion and growing my discomfort. Using gentle manipulation and passive movements, the counselor individualized his method of my particular needs.

The best objective of both sessions is, essentially, to re-train the mind – to determine new neural pathways that lead to easy, simple movements which are physiologically effective and comfy. Even though the Feldenkrais method was created within the mid-twentieth century, neurophysiologists have since shown the plasticity from the brain, being able to form new cells, reorganize itself and, essentially, learn new methods to do things.

The good thing about Feldenkrais training is they are generally relatively low-cost (group classes average $15 to $25, individual sessions $100 to $200) and potentially available to nearly everybody. There are other than 7,000 teachers and practitioners employed in 18 countries, including large figures within the U . s . States. You may be all ages, strength, level of fitness and condition of well-being to sign up. The workouts are slow, gentle and adjustable to whatever might ail you. Their calming effect counters the strain that leads to contracted muscles, tightness and discomfort.

Feldenkrais practitioners like Marek Wyszynski, director from the New You are able to center, typically start professional existence as physiotherapists. Then they undergo 3 years of coaching to get certified within the Feldenkrais method.

Mr. Wyszynski described he starts by observing how people are utilizing their skeletons – the way they sit, stand and walk-in ways in which could cause or lead for their pathology, whether it is spine disc disease, joint disease, shoulder discomfort or broken knee joints. In compliance with Dr. Feldenkrais’s astute observation, “If you do not know your work, you cannot do what you would like,Inches people are then given a obvious physical experience with how their posture and behavior lead for their discomfort and physical limitations.

For instance, many people could use excessive pressure, clench their teeth, hold their breath or hurry, causing undue muscle tension and skeletal stress. Years back, I recognized that my frequent headaches resulted from your unconscious practice of clenching my jaw after i concentrated carefully on the task like sewing or cooking. Feldenkrais teachers tendency to slack formulas for any correct way of behaving rather, they depend on their own patients’ capability to self-uncover and self-correct.

Once conscious of their counterproductive habits, students receive the chance to see alternative movements, postures and behaviors and, through practice, create new habits which are less inclined to cause discomfort.

Mr. Wyszynski explained there are greater than 1,000 distinct Feldenkrais training presently available, many of which involve everyday actions like reaching, getting out of bed from the chair, turning, bending and walking.

Like a mechanical engineer and physicist, Dr. Feldenkrais understood the job from the human skeleton ended up being to accommodate the results of gravity to be able to remain upright. And that he wanted people to do this in the best possible way.

Using two tall foam cylinders, one perched on the top from the other, Mr. Wyszynski shown a guiding principle from the Feldenkrais method. Once the top cylinder was centered at the base one, it was in position without assistance. However when it had been off center, perched close to the fringe of the underside cylinder, it tipped over. If rather of cylinders they were someone’s skeletal parts which were askew, tightened muscles would need to keep your patient from falling over.

As Mr. Wyszynski described, “Good posture enables the skeleton to carry up and offer the body without expending unnecessary energy regardless of the pull of gravity. However, with poor posture, your muscle mass do area of the job from the bones, with poor skeletal support, your muscle mass need to remain contracted to avoid against falling.”

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The Governor Blocked State medicaid programs Expansion. Now Maine Voters Could Overrule Him.

Kari Medeiros, 40, of Eastport, a small town within the state’s poorest county, earns under $5,000 annually cleaning houses and pet sitting, and it has back discomfort which has worsened enough where she will barely mop and sweep.

“With MaineCare In my opinion I’d manage to find a service provider who’d see me,” she stated, talking about the state’s State medicaid programs program. “But many people here don’t election. A lot of families listed here are getting addiction issues with themselves, and they’re not centered on likely to election — despite the fact that individuals would be the people who require it probably the most.Inches

Underneath the Affordable Care Act, the us government selected in the entire price of new enrollees under State medicaid programs expansion for that first 3 years and continuously pay a minimum of 90 %. (States cover a considerably bigger area of the expenses from the regular State medicaid programs program.) What the law states enables any citizen with earnings as much as 138 percent from the poverty level — $16,642 for a person, $24,600 for any group of four — to qualify.

The primary arguments for expanding this program listed here are it is needed financially fragile rural hospitals, create jobs and supply take care of vulnerable those who have lengthy gone without them.

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R.J. Miller, 33, who is affected with psoriatic joint disease that triggers severe joint discomfort and swelling, stated he worries about relying indefinitely on free choose to control his condition. Credit Sarah Grain for that New You are able to Occasions

But Mr. LePage along with other opponents state that Maine ought to know better. The condition began a far more modest growth of State medicaid programs in 2002, under former Gov. John Baldacci, a Democrat. Afterward, Maine battled with budget shortfalls and fell behind on State medicaid programs payments to hospitals.

“People shouldn’t acknowledge the unintended effects that Maine has experienced,” stated Brent Littlefield, a political advisor to Mr. LePage who’s becoming the spokesman for Welfare to operate, the committee leading the opposition. He stated that despite the us government having to pay the majority of the cost — a scenario that may change if Congress eventually succeeds in repealing Obamacare — the condition could owe near to $100 million annually, based on estimates in the LePage administration.

Work of Program and monetary Review has believed a lesser condition cost, about $54 million annually when the federal share drops to 90 % in 2021. Maine wouldn’t get the full 90 % match for moms and dads of youthful children because many already entitled to the program.

Maine’s legislature, that is controlled by Democrats in the home and Republicans, by one election, within the Senate, could proceed to block the referendum whether it would pass, consider it voted for State medicaid programs expansion five occasions already, supporters and opponents alike believe that it is unlikely to meddle. And also the governor might have no authority to veto the end result. The only real other threat could be if Congress been successful in repealing the Affordable Care Act and ended the State medicaid programs expansion program.

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Teen suffers vision loss after parasite found living in his eye

For one unfortunate Mexican teenager, an unwanted tenant living in his eye led to what may be a permanent loss of vision, doctors report.

As published Sept. 21 in The New England Journal of Medicine, an unnamed 17-year-old boy from a rural town in Mexico came to a hospital after suffering impaired vision and pain in his right eye for three weeks.

According to ophthalmologists Drs. Pablo Guzman-Salas and Juan Serna-Ojeda, an examination showed an inflamed cornea, blood in the back of the eye, “multiple iris perforations” and other eye damage.

The cause?

“A flattened and mobile trematode [tiny flatworm] was seen moving freely” at the back of the eye, according to the doctors. The parasite was traveling — through holes it had made in the eye’s iris — between the front and back portions of the eye.

The doctors said the boy was given praziquantel, a drug used to treat parasitic infections, and then underwent surgery to physically remove the worm, upon which even more damage to the eye was noted.

The worm “was removed in multiple pieces and [its species] could not be more specifically identified,” said the physicians, who work at the Institute of Ophthalmology Conde de Valenciana in Mexico City.

Unfortunately, they said, six months later there was no improvement in vision in the boy’s right eye.

How did he become host to the tiny worm? According to the physicians, the boy reported that he had not ingested foods that might contain the worm, nor had he swum in lakes where he might have contacted the creature.

Stool samples also showed no evidence of parasitic infection, they added.

Two U.S. eye doctors said such cases, while very uncommon, can happen.

“This is a rare, but well-known — to ophthalmologists at least — cause of vision loss,” said Dr. Jules Winokur, an ophthalmologist at Lenox Hill Hospital in New York City.

“Animals such as dogs, raccoons, skunks, fish or frogs can carry the parasite, and people can get infected either through ingesting the eggs or through contact with invasion through the skin,” he said.

And infections with these tiny parasitic worms can occur in the United States, Winokur added.

“While rare, certain areas are known to harbor these parasites, including parts of the Midwest and Southeast of the United States,” he said.

Dr. Matthew Gorski is an ophthalmologist at Northwell Health in Great Neck, N.Y. He agreed that parasitic worms can affect the eye and cause major damage.

“Symptoms can range from mild to severe vision loss, blind spots, floaters and pain,” Gorski said. “Treatment consists of a combination of laser surgery, oral medication, eye drops and eye surgery. Though rare, the effects of a nematode in the eye can be devastating to one’s vision and quality of life.”

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Tom Brady reveals the health secrets to his career longevity

At 40 years old, Tom Brady shows no signs of slowing down in a game dominated by younger players. Yesterday, for the first time in his career, the New England Patriots quarterback threw three touchdown passes in the first quarter of a game, helping the Patriots beat the New Orleans Saints 36-to-20.

Brady says his performance is due to his unique fitness and diet regime. It’s described in his new book,  “The TB12 Method: How to Achieve a Lifetime of Sustained Peak Performance”  (published by Simon & Schuster, a division of CBS).

the-tb12-method-cover-tom-brady-simon-and-schuster-244.jpg

Simon & Schuster

Brady, who was interviewed by Norah O’Donnell for CBS’ “Sunday Morning,” gave the “CBS This Morning” co-anchor an inside look at his fitness routine.

“Some people want denser muscles,” Brady said. “As an athlete, as a quarterback, I don’t want them. I want to keep my muscles strong and active, but also pliable.”

He describes “pliability” as lengthening and softening the muscles.

“But everybody thinks they want muscles to be harder?” O’Donnell asked.

“I think that’s what we’ve been educated on. Well, I may argue something differently. I’ve seen really strong, physically-fit guys that, you know, would be the definition of health, that are the ones that are injured the most.

“If I can keep my muscles pliable, I can hopefully, you know, limit the intensity or limit the injury altogether, if I do absorb some of these forces.”

On average, a professional football player lasts just six years in the NFL. Compare that to Brady, who is two games into his 18th season. He credits his longevity to a more holistic approach to fitness.

He credits pliability with helping him prevent injuries. He says it’s not just for athletes, but for everybody. “You know, everyone could do this. My parents can do it. My sisters can do it. I mean, I did pliability this morning on my son, whose leg was sore — he’s eight years old.”

It is an entirely different way to look at athleticism, and is a philosophy Brady adopted after meeting longtime trainer and business partner Alex Guerrero, whom he describes not as a body coach, but a “body engineer.”

“When my elbow was in pain basically every day, Alex through his treatments (this was in 2004), he started lengthening and softening all the muscle in my forearm,” Brady said. “And it took away the tension in the muscle. And I was like, ‘God, that makes so much sense.'”

He says pliability can be achieved in part by a lot of band work. “Band work will, I would say, increase your strength while limiting the density of the muscle. The denser the muscle means the less pliable it is.”

Brady’s sports therapy center, in Foxborough, Mass., doesn’t look like an average gym.  Ninety percent of the training is done with flexible resistance bands, followed by very specific massage techniques to focus on problem areas of the body.

“I would say I’m faster now and quicker now than, you know, when I first started playing football, even in high school,” Brady said.

O’Donnell laughed: “All my friends who are moms are going to be saying to their husbands, like, ‘Tom Brady is better at 40 than what he was at 18,'” resulting in a lot of bands under the Christmas tree.

“There should be!” Brady laughed.

He says his goal is to continue to play into his mid-forties.

Does his wife, Gisele Bündchen, agree with that? “I think we go back and forth,” Brady said. “She’ll always say to me, ‘Well, ten years ago, you told me it was only gonna be ten years. And now it’s ten years, and now you’re saying another, you know, five years.'”

O’Donnell asked, “Do you worry about concussions?” 

“I don’t worry about ’em, no,” he replied. “I mean, I’m not oblivious to ’em. Some of my idols had to retire because of head injuries.

“Yeah, I’m conscious of it, but I also love the sport so much and I want to keep playing. And I’m gonna do everything I can to take care of my body in advance of the, you know, of the hits that I’m gonna take on Sunday.”

  
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Among Opioid Crisis, Insurers Restrict Pricey, Less Addictive Painkillers

Still very disappointed U . s . Healthcare plus they decision to refuse coverage of butrans patches. Belbuca does not work-

and i’m now forced to be more powerful discomfort meds after coping with unmanageable discomfort for days. How’s this ok?

The Baffling Rise of Goop

In an interview with Goop.com, Gwyneth Paltrow’s lifestyle company, a former cable-television technician named Clint Ober explained the practice of “earthing,” or walking barefoot on the ground. What he seemed to draw from his experience in cable systems was that, not unlike live wires, humans’ electrical charges could be neutralized through contact with the earth. Doing so, he explained, “prevents inflammation-related health disorders”:

It’s intuitive that—like in a cable system—grounding would neutralize any charge in the body. After grounding myself, and a few friends who had arthritic-type health disorders, I became convinced that grounding could reduce chronic pain.

To help readers reap these supposed health benefits without having to touch their bare feet to the ground, the Goop article provides a link to bedsheets and mats that can be plugged into the grounding port of an electrical outlet. One queen-sized sheet goes for $200.

The post claims several people in the Goop “community”—including “GP” herself—swear by earthing for “everything from inflammation and arthritis to insomnia to depression.” But Truth in Advertising, a consumer-advocacy group, cited earthing in a database of 50-some instances in which Goop promoted unsubstantiated products or claims. Last month, Truth in Advertising urged two California district attorneys to investigate Goop and take “appropriate enforcement action.”

It’s far from the first time Goop’s medical advice has been called into question.

Yet by outward appearances, it’s still a very successful media company. Its June “In Goop Health” summit, crammed with crystals and aura photographers, sold out of its $1,500 tickets, and there are two more like it scheduled. Each month the site is read by 1.8 million people—people who have the very advertiser-pleasing characteristics of an average age of 34 and a household income in the six figures, according to Adweek. In April, Goop announced it was teaming up with Condé Nast, which publishes The New Yorker, Wired, and other prominent magazines, to create a quarterly print publication debuting this month. According to People magazine, in the inaugural issue Paltrow’s editor’s letter describes the joys of cleanses, bee-sting skin treatments, and, of course, barefoot strolls:

For me, when I take my shoes off and walk in the grass, it’s so healing. It’s hard to find scientific evidence for the idea that “I feel good.” But by trying, you get so much juice out of life.

(Goop did not respond to multiple requests for an interview. In a statement provided to The Hollywood Reporter, Goop said, “while we believe that [Truth in Advertising]’s description of our interactions is misleading and their claims unsubstantiated and unfounded, we will continue to evaluate our products and our content and make those improvements that we believe are reasonable and necessary in the interests of our community of users.”)

How to explain Goop’s popularity? In many ways, it exemplifies—and has capitalized on—several recent trends in health media. Fact-checking often doesn’t fit into increasingly tight media budgets, or isn’t much of a priority, so dubious health claims about prolonged fasting or avoiding gluten ricochet around the internet. The rich are already more likely than the poor to be healthy, so they shell out for alternative treatments and supplements in hopes of achieving even greater vitality.

And as news consumers increasingly seek out their own preferred sources, finding reliable expert advice becomes a choose-your-own-adventure game. Or, to use a Goop-ier word, journey.

* * *

When it hits newsstands later this month, Goop magazine will join a large roster of celebrity-blessed lifestyle publications, following in the footsteps of Oprah Winfrey, Martha Stewart, Rosie O’Donnell, and Rachael Ray. The idea behind celebrity-led publications, says Brooke Erin Duffy, a Cornell professor who researches women’s magazines, is that “celebrities were not just individuals we saw on the screen, but we had a connection to them. We could emulate them in our everyday lives.” By some measures, it works: Dr. Oz The Good Life and O, The Oprah Magazine were both top-10 monthly magazines at newsstands last year, according to the trade publication Min.

The print-magazine and events business are part of a broader shift in how women’s publications position themselves. With news-media profits shrinking, publications want to be a “cross-platform brand, a place that people will come to even if the print publication no longer exists,” Duffy said. Rachael Ray, for instance, has her own line of products, and Cosmopolitan hosts events (as does The Atlantic). Goop has its own online shop, complete with pictures of Paltrow sporting whimsical tops.

For a media company, Goop already seems to be doing relatively well. Revenue reportedly tripled between 2015 and 2016. That year, Paltrow announced she had raised $10 million from venture capitalists.

The site may be benefiting from a growing interest, at least among wealthy Americans, in all things healthy-ish. Organic food sales have grown, well, healthily over the past decade; even Gatorade now comes in an organic variety. Nearly 10 percent of Americans do yoga, and 8 percent meditate. People are skipping soda for “mindful” beverages like coconut water. Americans now spend about a third as much out-of-pocket on “complementary” practitioners as they do on regular doctors.

Millennials, in particular, are more likely than older Americans to say “health” means more than just not being sick. Goop gives many of these SoulCycling, chia-chomping young people a place to ramp their zen to the next level.

One health reporter and editor who has worked at various women’s magazines suggested that Goop’s fun approach to wellness might be more appealing to readers and advertisers than more serious health fare, such as how to prevent diabetes or avoid the flu. Goop “already has a readership built in,” she said. Plus, “Gwyneth Paltrow is an interesting figure and really beautiful … She is living proof of Goop-y health.” (She asked to be kept anonymous because she was not authorized to speak to reporters and was worried about jeopardizing her professional relationships.)

However, the odds for print health magazines are steep these days. Condé Nast recently closed Self magazine in print, and last month American Media ended the print version of Men’s Fitness. (The print version of Fitness died in 2015, 23 years after it was born.) Women’s-health magazines are “chasing an older and smaller pool of women,” said Mike Lafavore, the long-serving former editor in chief of Men’s Health, who also served in top editorial roles at Meredith Publishing and Rodale. “Is Gwyneth Paltrow going to appeal to that group? Or will millennials flock to a magazine about Gwyneth Paltrow? I don’t know. All you have to do is ride the subway and count the number of people who are holding a piece of paper.”

“Anyone launching a print magazine in this environment,” he added, “God bless ’em.”

It’s even tougher in the health space, he points out, since WebMD and similar sites attempt to answer people’s health questions for free. And unlike Dr. Oz—who has his own magazine and controversy—Paltrow doesn’t possess medical credentials.

The recent criticisms of Goop’s claims mirror the plight of Jessica Alba’s personal-products brand The Honest Company, which has been beset by recalls and lawsuits. A celebrity like Paltrow might well attract advertisers, Lafavore said. But, “if there’s any controversy at all, advertisers flee.”

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As she explained to attendees at her June summit, Paltrow became interested in wellness after her father was diagnosed with cancer. “Why do we all not feel well? Why is there so much cancer? Why are we all so tired? Why have we created a society where so many of us feel over-obligated with responsibility to the point where we aren’t feeling good—and what can we do about it?” she told audience members, according to the Los Angeles Times.

Since the launch of Goop in 2008, her vision of “what we can do about it” has become untethered from mainstream medicine. One Goop post suggested that bras might be linked to breast cancer, based on the notion that they restrict the flow of “toxins” through the lymph nodes and magnify radiation from cellphones. A large 2014 study found no link between bras and cancer. The Goop post mentioned that study, but it nevertheless wrapped with a roundup of unproven recommendations, including, “Consider a traditional internet connection for your home instead of WiFi. The whole family will be healthier for it.”

I sent several of Goop’s articles to Scott Kahan, the director of the National Center for Weight and Wellness in D.C. Kahan specializes in nutrition and obesity treatment and serves on the faculties of the Johns Hopkins Bloomberg School of Public Health and George Washington University’s schools of medicine and public health.

The pieces I sent him included one titled “You Probably Have a Parasite—Here’s What to Do About It,” in which a homeopathic doctor claims, “If you have a health system with a low vibrational field or a weakened immune system, you’re more susceptible to parasites.” Another featured an interview with a doctor about the role of hormones in weight loss and included a “shop now” link for supplements. Finally, one interviewed celebrity fitness trainer Tracy Anderson, who claimed, “people can generally lose around eight pounds” in a one- or two-week timeframe.

“You absolutely can lose eight pounds in a week whether you’re 400 pounds or 150 pounds,” Kahan said, “but relatively little of that is actually fat.”

Kahan said the site resembles other celebrity-driven platforms: “a well-presented mix of a lot of harmless pseudoscience combined with a lot of high-profit-margin snake-oil promotion, combined with some potentially harmful pseudoscience and product sales, and also combined with some reasonable, if repackaged, recommendations, that are completely accepted but by themselves aren’t enough … to sell copies of their products,” he said. Cleanses, he said, are usually harmless, but if done for weeks they can lead to extreme dehydration. Supplements, meanwhile, can affect the body in unpredictable ways, and splurging on them might leave some patients with insufficient funds for more effective treatments.

Goop’s most vocal critic is Jen Gunter, a San Francisco ob-gyn who has assailed the site for everything from its detox smoothies to its series of “anti-bloat” recipes. Her most viral posts are takedowns of the jade egg, the infamous green weights that Goop has suggested women insert into their vaginas for “spiritual detox.” Goop sells the eggs through its online shop, and despite their $66 price tag, they’ve reportedly sold out at times.

Gunter, who did her residency at the University of Western Ontario and a fellowship in infectious disease at the University of Kansas Medical Center, remembers feeling lured to the depths of internet pseudoscience in 2003, when her sons were born very prematurely and with multiple health issues. “I started researching things online that I had never researched before,” she told me. “I was googling stem-cell therapy. It was a minefield of bad information.”

“I knew where to step,” she said—but others might not. “I realized what it’s like to be desperate at 3 a.m.”

Gunter has written, repeatedly, that the jade eggs discussed in Goop can cause pelvic pain and infections. “Jade is porous, which could allow bacteria to get inside,” she wrote in January. “It could be a risk factor for bacterial vaginosis or even the potentially deadly toxic shock syndrome.”

Nathaniel DeNicola, a faculty ob-gyn at George Washington University, confirmed that the risk of infection with a jade egg is “worrisome,” though it depends on how porous the egg is and how it’s sanitized.

Goop’s editors struck back at Gunter with a post titled, “Uncensored: A Word from Our Doctors,” in which they explained that “we are drawn to physicians who are interested in both Western and Eastern modalities.” Its readers, they implied, can decide for themselves whose advice to follow: “We chafe at the idea that we are not intelligent enough to read something and take what serves us, and leave what does not.”

The “uncensored” post included a note from Steven Gundry, a doctor who has contributed to Goop. In it, he chastised Gunter for using the word “fuck” in her posts, defended his credentials, and claimed Gunter “did not do even a simple Google search of me before opening your mouth.”

On Goop, Gundry promotes the idea that lectins, a type of protein found in certain plants, such as kidney beans, cause diseases like asthma, multiple sclerosis, or irritable-bowel syndrome. It’s true that lectins from uncooked beans can cause food poisoning–like symptoms, but as my colleague James Hamblin reported in April, experts say cooking prevents any potential harm from the lectins. Gundry has also been quoted warning against taking Advil and antibiotics, as well as eating tomatoes, potatoes, corn, and soybeans, among other foods.

In our interview, Gundry described his portion of the Goop editorial as a plea for civility. “Discussion should always be welcome, but discussion … has always been at a collegial level, and there’s no shouting or screaming or profanity,” he said. (Paltrow has been quoted using the phrase, “If you want to fuck with me, bring your A game,” and reportedly has cocktail napkins stamped with the motto.)

Gundry told me he began contributing to Goop because he knows Alejandro Junger, an Uruguayan cardiologist who, according to the The New Yorker, has treated Paltrow and helped her with her vitamin business. “When he says it’s a good place, that’s good enough for me,” Gundry said. He said he does not get paid for contributing, and he did not know about Goop’s plans for a print magazine.

I asked him where he recommends people get their health advice. “I’ll toot my own horn, GundryMD.com,” he said, referring people to a site where, alongside a blog with health tips, he sells $70 supplement bottles. “I personally feel that it’s the best source of health advice. I think there’s other sites, like Mercola.com, which gives very useful health advice.” When I checked Mercola.com, the site of Dr. Joseph Mercola, a few weeks later, a prominently placed ad on its “vaccine” subsection offered to show readers “How to Legally Avoid Unwanted Immunizations of All Kinds.”

* * *

It’s not clear how, or if, some of Goop’s claims would survive the editing process at more traditional health publications, including at other print magazines. The fact-checkers Lafavore worked with at Men’s Health didn’t accept out-there theories or unproven treatments. If there were no independent studies to back an expert’s statement, the quote would be hedged, i.e., “Dr. Smith says this, however, there aren’t any studies to prove it,” he explained.

He said the fact-checkers still talk about the few mistakes they’ve ever made. “Every fact-checker lives in fear of letting something get through that harms someone,” he said.

The reporter and editor who requested anonymity also described a rigorous fact-checking process at one of the women’s magazines where she’s worked. If a source described a health condition to a reporter, for example, the reporter would ask her to sign a release and confirm the condition with her doctor. Claims by medical experts were cross-checked with a different expert. The marketing claims of products—such as jade eggs—would be evaluated by independent doctors. Experts were off-limits if they made questionable claims or sold supplements, as Gundry does. (At The Atlantic, print-magazine articles are checked by a separate team of fact-checkers, while web articles, with rare exceptions, are checked by the article’s author herself. Newspapers often do not have dedicated fact-checkers.)

Gundry said that after he’s interviewed by one of the site’s writers, a separate person will later “ask for a reference to back up what I say.” (In one Goop post about lectins, Gundry’s views are supported by his own book on the subject.)

When I asked about how something like Goop might be fact-checked, Mark Bricklin, the former editor of Prevention, emailed back simply, “Goop is total BS. It would flunk fact-checking in 15 seconds.”

* * *

When one of my interviewees asked me what I, personally, thought of Goop, I wasn’t sure what to say. My job, you could say, is “wellness.” I, too, like to do yoga, eat berries, and wear flattering neutral tones. When I lived in Los Angeles a few years ago, I dipped toward the Goop-ier end of the spectrum, eating cashew cheese and avoiding “conventional” cosmetics. Even now, with the ruthlessly practical eyes of a Washingtonian, I can see that some of Goop’s advice isn’t bad, like this post on how cognitive-behavioral therapy can help with sleep problems.

Gunter and Kahan both say they’ve seen patients who have read Goop-style questionable theories and brought them up in the exam room. Much of the time, Kahan says, questions about dubious health advice can lead to “a valuable discussion about the issues with the claims, the potential harms in some cases, or just the lack of potential benefit of most of them. In some cases, though, not uncommonly, it’s hard to convince patients that what they’re reading is gobbledygook.”

Gunter, who calls Goop’s advice “goopshit,” recently wrote that the misinformation “bothers me because it affects my patients …”

“They read your crackpot theories and they stop eating tomatoes (side note, if tomatoes are toxic why do Italians have a longer life expectancy than Americans?) or haven’t had a slice of bread for two years, they spend money on organic tampons they don’t need, they ask for [unindicated] testing for adrenal fatigue (and often pay a lot via co-payments or paying out of pocket), or they obsess that they have systemic Candida (they don’t) … I worry that you make people worry and that you are lowering the world’s medical IQ.”

Paltrow encourages Goop readers to weigh the evidence for themselves, but she can also tip their scales: Celebrities influence public health in surprising ways. After Angelina Jolie wrote about her risk of breast cancer in The New York Times in 2013, there was an immediate, 64-percent increase in the number of American women who underwent testing for the breast-cancer gene mutation.

And stars’ influence is not necessarily positive. Several prominent celebrities are anti-vaccine, and 24 percent of parents surveyed by the University of Michigan in 2011 said they have “some trust” in celebrities regarding the safety of vaccines. As Steven Hoffman and Charlie Tan put it in a BMJ paper in 2013, “For people seeking to raise their social status, one strategy is to imitate the behaviors of celebrities.”

Paltrow acknowledged her influence on a recent episode of Sophia Amoruso’s Girlboss Radio podcast, in which she explained that Goop had expanded into e-commerce because its recommendations could move product. “If we wrote about something we liked … we would have an impact on the business,” she said

“Are there learnings you’ve had from the flak that you’ve gotten?” Amoruso asked.

Paltrow described “a lack of willingness to step into who I am … Going into a hole is exactly the opposite of the lesson.”

“The lesson,” she added, “is to energetically cultivate, ‘fuck you.’”