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12/06/19

Investigators have designed a drug-delivery vehicle that consists of six arms joined by an elastic-coated core. The arms were loaded with the oral contraceptive drug levonorgestrel and folded up into a capsule that can be swallowed. Once in the stomach, the arms unfold and have a span that is larger than the opening of the human pylorus, helping the system stay in the stomach where it can release the drug over time.

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Researchers have developed a more accurate method of measuring bispehnol A (BPA) levels in humans and found that exposure to the endocrine-disrupting chemical is far higher than previously assumed. The study provides the first evidence that the measurements relied upon by regulatory agencies, including the US Food and Drug Administration, are flawed, underestimating exposure levels by as much as 44 times.

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Women who initiate medical abortion but opt to stop in the middle of treatment may be at risk for serious blood loss, a study finds. Researchers found this is true even for women who use an experimental treatment that claims to 'reverse' the effects of the abortion pill. The study provides important insights into the safety of using high doses of progesterone during early pregnancy to try to stop a medical abortion.

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For the first time, researchers have used a chip-based sensor with an integrated laser to detect very low levels of a cancer protein biomarker in a urine sample. The new technology is more sensitive than other designs and could lead to non-invasive and inexpensive ways to detect molecules that indicate the presence or progression of a disease.

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Non-alcoholic fatty liver disease is becoming the most common chronic liver disorder in developed countries. Histological analysis of liver tissue is the only widely accepted test for diagnosing and distinguishing different stages of the disease. However, this technique provides only two-dimensional images of the liver tissue in low resolution and overlooks potentially important 3D structural changes. Researchers now generated 3D geometrical and functional models of human liver tissue for different disease stages. They reveal new critical tissue alterations, providing new insights into pathophysiology and contributing to high definition medical diagnosis.

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A new study finds the only reliable way to measure exposure to radon gas is with a long-term testing kit, 90 or more days. Researchers placed two test kits, a short term (five-day) and long term (90-day) in the same homes. Tests were conducted during summer and winter months. Findings showed the short-term kits were imprecise up to 99 percent of the time when compared to a long term test.

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Despite valiant planning efforts and repeated requests, your children are half-dressed. They made the house look like a category F5 tornado came through, and are nowhere near ready to go when you need to get out the door. You can feel your temperature rising as the clock ticks toward late again. If this sounds familiar, below are some helpful tools. Consider building these strategies into your routine to help you get out the door on time with fully-dressed children in tow.

Practicing dry runs of the strategies below with younger children can help prepare you for when you need to leave the house on time in the future.

Make a checklist

If your child has difficulty remembering each step of a morning routine and tends to get distracted easily, a visual list may help. Have your child check off each task completed. Children often like checking off boxes on a whiteboard, for example.

Specific steps might include getting out of bed, making the bed, getting dressed, putting dirty clothes in the hamper, brushing teeth, eating breakfast, and so on.

Set time benchmarks

It can be helpful for children to have time benchmarks by when a task should be completed. Consider the time you need to leave and the time it usually takes to accomplish each task. For example, a child should get out of bed by 7:00 a.m., make the bed by 7:05 a.m., and manage all other morning tasks in time to get out the door by 7:45 a.m.

If your child does not know how to tell time yet, you could use sand timers. Your child will know that time is up when all the sand has settled to the bottom of the timer. Once a task has been completed, you can re-enter the room where the child is and start another sand timer.

Praise each completed step

Providing specific positive attention to your child after each completed step is one way to encourage that behavior to continue. If you say, “Great job,” your child will not know whether it was “great” to get out of bed, make the bed, get dressed, or another behavior. Instead, you could say, “Way to go getting dressed by 7:10 a.m.!”

Praise can be even more effective if one praises enthusiastically and with physical touch, such as a pat on the back or a high five. If a child has sensory processing difficulties, such as being uncomfortable with physical contact, then you can use a nonverbal gesture, such as a thumbs-up, instead. You may find it helpful to set alarm reminders on your phone to cue you to praise children at each step.

Try a reward chart

A reward chart can provide a reinforcement boost to routine behaviors. For example, your child could earn a sticker or a star for each step completed on time. The stars can be used for rewards that your child has identified as motivating. Rewards do not have to cost money. For example, one reward may be your child choosing the meal for dinner.

  • If a child earns a star for the behavior, then your praise would include, “Way to go getting dressed by 7:10 a.m. (high five)! You get a star (add star to reward chart)!”
  • If the child did not complete the behavior on time, you could say in a neutral tone, “You did not get dressed by 7:10 a.m., so you do not get a star. I know you can try again tomorrow.”
  • If a behavior does not seem to be within reach after some practice, try breaking it into steps. For example, your child puts on a shirt by 7:10 a.m. (praised behavior), and you help the child put on the remaining clothing items.

Stay calm

It is important to remain calm even though you may be stressed about being late and frustrated with your child. Any attention, even frustrated tones, will strengthen a behavior. Your goal is to give attention to the completed versus the incomplete tasks. You also want to remind your child that there is another chance to complete a behavior in the future. Your attention is like gold: cheering on behaviors you want to see brings that desired jackpot of attention within reach for the child. Practice makes progress. You’ve got this!

The post Got children? How to get out the door on time appeared first on Harvard Health Blog.



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Stevia (Stevia rebaudiana), a perennial shrub native to South America, has a long history of use as a natural sweetener for food, medicines and beverages.1 Whole stevia contains a number of substances, including various stevioside compounds, rebaudiosides and glycoside.

Steviol glycosides, including rebaudioside A, rebaudioside D and rebaudioside M (Reb A, Reb D, Reb M respectively), are what provide the sweet taste, with Reb A being the sweetest.2 In its isolated, purified form, Reb A is 250 to 400 times sweeter than sugar.

Despite hundreds of years of safe use of stevia, the U.S. Food and Drug Administration has labeled stevia leaf and crude stevia extracts “unsafe food additives,”3 granting GRAS (generally recognized as safe) status to certain high-purity steviol glycosides only.4

In 2007, Hain Celestial Group Inc., maker of Celestial Seasonings herbal teas, received a warning letter from the FDA saying the stevia used in some of their teas may be dangerous to blood sugar and reproductive, cardiovascular and renal systems.5

If this FDA action strikes you as backward, you’re not alone. More often than not, consuming whole plant products will be safer due to synergistic effects than using a single active ingredient by itself. Many suspect the FDA is protecting the sugar and artificial sweetener industries.

As noted by Rob McCaleb, president and founder of the Herb Research Foundation, “Sweetness is big money. Nobody wants to see something cheap and easy to grow on the market competing with the things they worked so hard to get approved.”6

Beware of Cargill’s Genetically Engineered ‘Stevia’

To this day, FDA considers whole stevia unsafe, while genetically engineered (GE) versions of stevia have received the green light for widespread and unregulated use in food. The FDA issued a GRAS No Objection letter for Cargill’s GE stevia product EverSweet in 2016.7

Even more ridiculous, Cargill’s GE stevia is being marketed as “nonartificial.” As reported by the nonprofit watchdog group U.S. Right to Know (USRTK) November 20, 2019:8

“The international food conglomerate Cargill is ramping up commercial-scale production of its genetically engineered sweetener, EverSweet, in a new $50 million production facility that began operating this week in Blair, Nebraska …

Cargill is marketing its new stevia substitute as ‘non-artificial.’ What does that mean? Consumers who click on the link provided in the press release will not get a straight answer.

The web page twists itself into knots trying to describe the new process, which involves genetically engineering yeast to convert sugar molecules into a substance that mimics the taste of stevia, as a ‘centuries old technique’ — without once mentioning genetic engineering or the genetic modified organisms (GMOS) used to make the product.”

In short, Cargill’s “nonartificial stevia” isn’t even derived from actual stevia. It’s a GE-derived synthetic biology product designed to mimic components of the real thing.9 While “inspired” by real stevia, EverSweet’s Reb M and Reb D components are made through GE yeast fermentation. Can it get any more artificial than that? As reported by Star Tribune:10

“A decade ago, Cargill partnered with the University of Munich and Swiss biotech company Evolva to map the stevia leaf’s molecular biology. The team found that when Reb M and Reb D were combined, it produced the same sweetness but without the Reb A molecule that can give pure stevia products a bitter aftertaste.

But Reb M and Reb D are found in less than 1% of each stevia leaf and Cargill said it could never grow enough to make leaf extraction feasible without degrading the land … The process adds a GMO yeast to a fermentation tank where it helps convert simple sugars into Reb M and Reb D.”

Subterfuge and Misleading Marketing

In recent years, awareness of the potential hazards of GMOs have skyrocketed, and Americans have fought hard for transparency in labeling. More and more people are also demanding fresh, natural, unadulterated or minimally processed foods.

Not only did Americans not get clear and proper GMO labeling, companies like Cargill are taking the subterfuge even further by using vague descriptors such as “fermentation derived” and “nature identical” to describe what’s in reality an artificially lab-created substance.

A key take-home message from all of this is that if you want a stevia-based sweetener that is actually made from the plant, opposed to GE yeast, you have to make sure it’s certified organic or has been non-GMO verified.

Cargill also promotes its synthetic, GE-derived stevia as “sustainable,” which is yet another grossly misleading PR ploy. As noted by USRTK, Cargill provides no data to support its sustainability claims.

What’s already apparent is that lab-grown synthetic biology compounds are causing severe economic damage to indigenous farmers. As reported by Huffpost in 2017, “Farmers in Paraguay and Kenya, for example, depend on stevia crops.”11

Cargill Named Worst Company in the World

In a recent 2019 report12 by Mighty Earth, an environmental protection organization13 chaired by former congressman Henry Waxman, Cargill was named “worst company in the world” for its destructive impact on the environment and its human rights abuses. In the foreword, Waxman states:14

“We recognize this is an audacious claim. There are, alas, many companies that could vie for this dubious honor. But this report provides extensive and compelling evidence to back it up …

In my 40-year long career in Congress, I took on a range of companies that engaged in abusive practices. I have seen firsthand the harmful impact of businesses that do not bring their ethics with them to work. But Cargill stands out.

In contrast to the oil and tobacco industries, for instance, the bad practices documented here are not inherent to the products Cargill sells, and are, in fact, entirely avoidable. For example, perhaps Cargill’s largest negative impact on the natural world is its role in driving the destruction of the world’s last remaining intact forests and prairies …

Unfortunately, because the status quo is deforestation, child labor, and pollution, Cargill’s dithering results in a continuing environmental and human rights disaster. And because Cargill’s reach is so broad, they drag other companies into aiding and abetting their environmental destruction and human rights abuses too.”

Stevia Benefits Beyond Sweet Taste

While stevia has obvious benefits as a natural noncaloric sweetener, studies have shown it may have other health benefits as well. For example, research15 published in the December 2008 issue of the Journal of Animal Psychology and Animal Nutrition noted the stevioside in stevia has antimicrobial and antifungal properties, which could render it useful in animal feed in lieu of antibiotics.

According to this study, dietary stevia leaf reduced blood levels of glucose, triglycerides and triiodothyronine (T3) in broiler chickens. In contrast, chickens that received only the active agent, stevioside, only saw a decrease in T3. What this suggests is that consuming whole stevia may be preferable to only one of its components, even if that one agent does not cause undue harm.

Interestingly, though, both stevia leaves and stevioside were found to significantly increase abdominal fat content in the animals. This is reminiscent of other artificial no- and low-calorie sweeteners, which have all been found to increase weight gain, and often to a greater degree than regular sugar.

In studies looking at artificial sweeteners, the lack of calories has been shown to be largely irrelevant, as your metabolism is still affected. Even your risk for Type 2 diabetes has been shown to rise when using artificial sweeteners.

Another study16 published in 2007 reported that the stevia plant may be useful as a source of natural antioxidants. In this study, stevia leaves were found to prevent oxidative DNA damage better than quercetin, which is quite remarkable.

As reported in “Quercetin Lowers Your Risk for Viral Illnesses,” quercetin packs a powerful punch, inhibiting several strains of influenza, hepatitis B and C and a number of other viruses.

Other Stevia Products

Cargill’s EverSweet is certainly not the only stevia product on the market that leaves health conscious consumers wanting. Coca-Cola Co. has Truvia and PepsiCo has PureVia, for example. Both use rebiana, an extract from the stevia plant, and have received the FDA’s blessing.

The fact that stevia has such a long history as a natural sweetener is a major testament to its safety. As mentioned, it’s usually the synergistic effect of all the compounds in the plant that provide the overall health effect, which oftentimes includes “built-in protection” against potentially damaging effects.

But what happens if you take only one or two of these agents and discard the rest? Will it affect your body the same way? The answer is likely no. In its 2008 report, “Toxicology of Rebaudioside A: A Review,”17 the Center for Science in the Public Interest (CSPI) points out that stevioside compounds and Reb A are metabolized at different rates.

This makes it virtually impossible to assess the risk of Reb A from toxicity assessments of stevioside, which has been used as food and medicine in Japan and South America for decades or longer. Additionally, in a human metabolism study, stevioside and Reb A had different pharmacokinetic results.

In layman’s terms, that means your body reacts differently to the two compounds; each compound is metabolized differently and remains in your body for different lengths of time. While neither of these compounds appear to have carcinogenic potential,18 the exact ramifications of these differences are still uncertain.

Is Natural Stevia Safe for Everyone?

Although I believe natural, organic stevia is one of the safest natural sweeteners available, I want to emphasize that if you have insulin issues, you should avoid sweeteners altogether, including stevia, as they all have the ability to lower your sensitivity to insulin.

So, if you struggle with high blood pressure, high cholesterol, diabetes or extra weight, then you have insulin sensitivity issues and would benefit from avoiding all sweeteners, whether they contain calories or not. Additionally, I recommend using stevia in moderation, just like sugar.

According to a 1995 study19 in the Journal of Ethnopharmacology, rats receiving chronic administration of stevia extract for 40 and 60 days developed abnormally low blood pressure, diuresis (increased formation of urine by the kidney), and natriuresis (excretion of an excessively large amount of sodium in the urine).

However, if you compare it to the damage caused by consuming too much sugar — which is GRAS, and very easy to overdo if you eat the standard American diet laden with fast food and processed foods — then stevia is still likely to be the lesser evil. It’s also preferable to artificial sweeteners.

So, if you are going to sweeten your foods and beverages anyway, I believe natural organic stevia is a good choice. Just remember to make sure it’s certified organic and/or non-GMO verified, and not simply labeled “natural” or “nonartificial.”

I also recommend holding off on other stevia-based sweeteners (which contain isolated components of the stevia plant) until their long-term safety have been thoroughly assessed. For information about other safe sweeteners, see my “Sugar Substitutes” report.



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Avocados are rich in monounsaturated fat your body burns easily for energy. They may be one of the healthiest foods you can eat every day as they help protect your heart and optimize your cholesterol. They also are rich in fiber.

Together with high amounts of several essential vitamins and minerals, including the B vitamins, potassium and vitamin K, the avocado is a fruit you may want to consider for more than guacamole. Adding avocados to salad also helps your body to absorb three to five times more carotenoids, helping your body fight against free radical damage.

An average sized avocado also contains about 10% of the recommended daily value of magnesium, a mineral used by every organ in your body. Insufficient levels may lead to unexplained muscle fatigue or weakness, abnormal heart rhythms or muscle spasms.

Avocados are also surprisingly high in fiber, which plays an important role in digestive, heart and skin health. Fiber is also important in helping to regulate blood sugar and weight management. One study found eating one-half of a fresh avocado with lunch may help you feel full longer and prevent snacking later.

Avocados don't ripen on the tree, but only after they're picked. Choose firm avocados, as they will keep in the refrigerator for a couple of weeks, ripening slowly. On your counter, they will ripen within a few days. After you cut it, an avocado will turn brown from oxidation.

If you don't eat it all, you can keep it fresh longer by leaving the pit with the avocado and storing in an airtight container. Brush lemon juice and olive oil over the cut flesh to help inhibit oxidation. Be aware, though, that the oil can add oiliness to the texture, while the juice will give it a slight lemon flavor.

Avocados at Breakfast May Reduce Hunger Through the Day

Being overweight increases the risk of insulin resistance and Type 2 diabetes, and it's possible that eating avocados may help address these conditions. When it comes to weight management, some ethnic groups may be more prone to developing both prediabetes and Type 1 diabetes, for example, Hispanic/Latino Americans, according to the Centers for Disease Control and Prevention.1

Although this is "a diverse group that includes people of Cuban, Mexican, Puerto Rican and South and Central American," they all have a higher potential risk of developing diabetes than nonHispanic whites, the CDC says. The increased risk may come from general risk factors including genetics, foods you eat, your weight and your activity levels.

To gain insight into how to affect change, one survey of Hispanic millennials showed that they would be interested in learning about lifestyle changes they could make that could reduce their risk for diabetes without medication.2 The investigation was spearheaded by the Hass Avocado Board, which runs Saborea Uno Hoy, a self-described research program3 that promotes avocados for their health benefits.

A clinical study published in Nutrients4 sought to evaluate how well avocados could satisfy hunger and replace carbohydrates in a meal. Using 31 overweight or obese adults, the researchers used a visual analog scale that matched against serum levels of ghrelin, a hormone associated with appetite, to measure how full the participants felt after consuming one of three different meals.

There was greater suppression of hunger after the participants consumed a whole avocado as compared to the control meal high in carbohydrates and low in fat. They also felt more satisfied after a meal with a half or whole avocado as compared to the control meal.

The researchers wrote, "Replacing carbohydrates in a high-carbohydrate meal with avocado-derived fat-fiber combination increased feelings of satiety …" Although the study size was small, the findings support a growing body of research that eating healthy fats, including those found in avocados, has a positive impact on weight management and glucose control.

A Fat Found Only in Avocado Associated With Glycemic Control

Another intriguing study found that avocados have yet another impact on glucose control and the management of diabetes.5 Researchers from the University of Guelph in Ontario, Canada, discovered a fat molecule found only in avocados, avocatin B (AvoB), has a positive effect on reducing insulin resistance.6

The researchers wrote a diabetic's inability to properly utilize blood glucose is associated with mitochondrial fatty acid oxidation. When the body completely oxidizes fatty acid, the body can use fat for fuel. However, obesity and diabetes inhibit the body's ability to completely oxidize fatty acids.

AvoB counters this incomplete oxidation in the pancreas and skeletal muscles, improving insulin sensitivity. As detailed by Science Daily, scientists fed mice fed high-calorie meals for eight weeks to induce obesity and insulin resistance. Then, in the following five weeks, they added AvoB to the diet of half the group.

At the end of the study the treated animals weighed less than those in the control group, demonstrating slower weight gain during the intervention, and exhibiting improved insulin sensitivity. The researchers also engaged human subjects and found AvoB supplement was absorbed safely without affecting kidney or liver function.

The human subjects also enjoyed weight reduction while eating a typical Western diet. The beneficial effects of consuming monounsaturated fats from avocados shown in recent studies support past research7 comparing a diet rich in complex carbohydrates against one rich in oleic acid from avocado and olive oil.

Data revealed replacing complex digestible carbohydrates with monounsaturated fatty acids in those with noninsulin-dependent diabetes improved the participants lipid profile while maintaining glycemic control.

Certain Lifestyle Choices May Increase Risk of Diabetes

In 2015, 9.4% of the U.S. population had been diagnosed with diabetes.8 This is slightly higher than the 8.5% of global prevalence among adults over 18 years of age recorded by the World Health Organization9 in 2014.

Your potential risk of developing Type 2 diabetes is dependent on your lifestyle choices and genetics. While you can't change your genes, there are certain risk factors over which you have control that can affect your chances of getting diabetes, including:10

Being overweight or obese

Having high blood pressure

Dealing with depression

Having an imbalance in your cholesterol levels

Having a history of heart disease or stroke

Being physically inactive

In addition to these risk factors, low levels of vitamin D also affect your risk for developing metabolic syndrome, characterized by high triglycerides, low levels of high-density lipoprotein (HDL) cholesterol, large waist circumference, high blood pressure and high blood sugar and/or insulin resistance.

Vitamin D is a steroid hormone responsible for influencing virtually every cell in your body. Studies have found those who have lower levels of vitamin D have a greater risk of developing metabolic syndrome. Low levels of magnesium also contribute to the development of type 2 diabetes and heart disease.

One review found magnesium deficiency may be the greatest predictor of heart disease, and that even subclinical deficiency may compromise your cardiovascular health. Studies have found those who have Type 2 diabetes are more prone to magnesium deficiency; depletion has been found in 75% with poorly controlled disease.

In addition, magnesium plays an important role in the regulation of high blood pressure, another risk factor for Type 2 diabetes. Studies have also demonstrated supplementation may lower your risk and improve your condition if you currently have diabetes.

You can boost your magnesium by eating foods rich in magnesium, using Epsom salt baths or taking an oral supplement. My personal preference is magnesium threonate, since it appears to be efficient at penetrating cell membranes, including the mitochondria and blood-brain barrier.

Intermittent Fasting Helps You Achieve Metabolic Flexibility

When your body is resistant to insulin it lowers the cells' ability to use glucose for energy. In response, the pancreas secretes more insulin to overcome the cells' weak response and maintain blood glucose in a healthy range. Additionally, animal studies have demonstrated that repeated fasting may induce pancreatic beta cell growth accompanied by a marked improvement in blood sugar control.

In one animal study, researchers found pancreatic fat plays a role in the development of Type 2 diabetes, but intermittent fasting helps prevent these fatty deposits. The team found mice undergoing intermittent fasting every other day exhibited better glucose control and less fat in the liver and pancreas than the control group that was allowed unlimited food.

Intermittent fasting encourages your body to burn fat for fuel. By not relying exclusively on carbohydrates, it reduces insulin resistance that can develop in tissues and organs. Your skeletal muscle burns 60% to 80% of glucose thought to be related to the interaction of skeletal muscle and insulin resistance in those with Type 2 diabetes.

An overall metabolic inflexibility may be overridden by fasting and improving mitochondrial capacity. In other words, the ability to use both fat and carbohydrates for fuel is necessary to reduce insulin resistance, maintain weight and achieve optimal health.

What Is Intermittent Fasting and How Do You Practice It?

There are several ways to integrate intermittent fasting. The idea is to forgo food for a specific amount of time. The method you choose will vary by the number of days, hours and calories you allow.

There is no one plan that works for everyone, so it's likely you'll find a way to fit it into your lifestyle preferences to improve your metabolic flexibility. I recommend starting with a 12-hour fast from 7 p.m. until 7 a.m. Once you have achieved this for a week, try adding one hour every week for a month. This will help you easily move from a 12-hour daily fast to a 16-hour daily fast.

Before starting, remember intermittent fasting is not necessarily a form of calorie restriction but, rather, eliminating food sources to improve metabolic flexibility. Sugar and hunger cravings will disappear as your body begins burning fat, so the quality of your diet does play an important role in your health.

Reduce or eliminate as much processed food as possible and practice fasting under your physician's care if you have an underlying medical condition. Here are several different ways of incorporating intermittent fasting into your daily routine:

  • 12-hours-a-day fast — This is often used as a jumping-off point as described above.
  • 16-hours-a-day fast — This is sometimes referred to as the 16/8 method and is a graduation from the 12-hour fast. Many people choose to finish eating by 7 p.m. and do not eat again until noon.
  • Two days a week — For some it may be easier to restrict food for 24 hours twice weekly as opposed to each day. Men may eat up to 600 calories on the fasting days and women up to 500 calories. To use this type of intermittent fasting successfully, there should be at least one nonfasting day between your fasting days.
  • Every other day — There are several variations of an every-other-day plan. Some completely avoid solid food and others allow up to 500 calories on fasting days. The authors of one study found this type of intermittent fasting was effective for weight loss and heart health for both normal and overweight adults.
  • Meal skipping — This is a more flexible approach that works well for those who respond to hunger signals and normally eat when they're hungry and skip meals when they're not.


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