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How forest schools boost children’s immune systems

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How forest schools boost children’s immune systems

What Is Breadcrumbing? Dating Experts Share Signs & What to Do.

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What Is Breadcrumbing? Dating Experts Share Signs & What to Do.

YOU’VE PROBABLY HEARD OFghosting.” Maybe you’ve also heard about “haunting.” And these days, because dating is so great, there’s also a practice called breadcrumbing. Breadcrumbing isn’t precisely a food-related problem, but if the word conjures a vision of Hansel and Gretel and their trail of disappearing crumbs in the woods, you’re on the right track.

Here’s what to know about breadcrumbing, how to spot it, how to avoid it, and what to do if it happens to you. You might even realize you’ve done it yourself.

What is breadcrumbing?

Breadcrumbing, essentially, is when the person you like is leaving you a trail of romantic breadcrumbs that lead to nowhere.

 

According to one entry on Urban Dictionary, breadcrumbing happens “when the crush has no intentions of taking things further, but they like the attention. So they flirt here or there, send DM/texts just to keep the person interested, knowing damn well they’re staying single.”

You might be in a breadcrumbing situation if you swiped right on someone, went on a date, and texted but didn’t hear back for a few days. Then, they pop up again, you have a few great conversations, and they sink into the background. Days later, the cycle repeats.

Breadcrumbing can also happen if you’ve never met the person. They might flirt via text, but when you ask them out, they sidestep the question.

It’s as if this person knows the right time to poke you to keep your interest piqued. If this were 20 years ago, we’d simply call this behavior “leading someone on.” It can happen in a variety of relationships, including at work (think: interviewing); with friends and family; and of course, in the world of dating.

Breadcrumbing can be confusing for the person on the receiving end, says Jess Carbino, PhD., a relationship expert and former sociologist for Tinder and Bumble, based in Washington, DC.

In fact, people who’d experienced breadcrumbing, or the combined behaviors of breadcrumbing and ghosting, “reported less satisfaction with life, and more helplessness and self-perceived loneliness,” in a preliminary study of 626 adults published in the International Journal of Environmental Research and Public Health in 2020. In other words, this stuff can mess with your mental health.

Why does breadcrumbing happen?

Some people may leave a trail of crumbs on purpose. Others may not know they’re doing it. Plus, people can do it with bad intentions and without.

Examples of breadcrumbing without malice? Some people have clinically diagnosed anxiety that makes it difficult for them to handle dating. Some are inexperienced and may not know how they’re supposed to act in a budding relationship. Some have low self-esteem and may feel undeserving of your attention, says Rosara Torrisi, Ph.D., an AASECT certified sex therapist and the founder of the Long Island Institute of Sex Therapy. “Every once in a while they’ll say ‘hi’ to see if you want to talk to them,” she says. “But they’re usually pretty afraid, and don’t want to put themselves out there consistently.”

Similarly, people who have just gotten out of a long-term relationship might find themselves conflicted about dating although they want to move on, Carbino says. So they may try to maintain contact without sharing their sob story, she says, which can manifest as them disappearing and reappearing.

But while Torrisi likes to believe the vast majority of people aren’t hurting others on purpose, there definitely are people who string others along for the fun of it, or people who do it to have a friend with benefits at their fingertips. Some people may even do it for the ego boost.

Theoretically, breadcrumbing can be more common in online dating and other situations where the degree of connective tissue is thin, Carbino says, because if there isn’t a certain level of social enforcement, some people can feel less pressure to act ethically. (Like if you met them at a grocery store vs. being introduced by mutual friends.)

stressed black man looking at smartphone while sitting on couch at home

Prostock-Studio//Getty Images

What are signs of breadcrumbing? And what can you do if you think you’re being breadcrumbed?

From busy schedules to anxiety and depression, there are various factors in people’s personal lives that can affect their communication. And some people just aren’t big texters, which can confuse those who are. So how do you know if someone is actually leading you on? Carbino shared some common signs of breadcrumbing.

Breadcrumbing can look like:

♥ A person who texts randomly or vaguely out of the blue, with no connection to what you’ve previously discussed. (They may even start to text more if you start to pull away. That said, bonding over memes can be an exception.)

♥ A person who won’t share about themselves with you, though you’ve shared with them.

♥ A person who avoids committing to go on a date with you. (They may tell you they want to go out, but then say they’re too busy.)

♥ A person who keeps canceling after you’ve made plans.

But even with these signs, figuring out the facts can be complicated. So the way to know if you’re being breadcrumbed—vs. being anxious or overthinking the situation—is to talk to the person. “The more direct we are, the more mature our confrontations are,” Torrisi says.

You can say something like, “I haven’t heard from you for a week and now we’re talking and it feels nice. But I’m confused, because you’re not being direct with me.” With a statement like that, you’re opening a door for your potentialpartner to be honest about their feelings.

But you need to be clear about your intentions, too. If you’re comfortable being a friend with benefits, then say that. But if you want a real relationship and nothing else, make that clear.

“Own your feelings and then make a request,” Torrisi says. Your request can be anything from “I want to talk over text every day” to “I want to go out once a week to see if we’re compatible.” The person might say no, or they might give it a try.

Whether the breadcrumber has malicious intent or is just unsure how to deal with dating, this kind of communication can help you figure out if a relationship with them is worth it to you.

“If you’re finding yourself more interested as they pull away, end the dynamic,” Torrisi adds. “This is not a good way to start a relationship and it’s not a good way to be in a relationship. This could result in a pattern later down the line where you’re always chasing this person to be present and that’s not fun.”

Basically, think about what you want and act accordingly. “If they’re not as in as you are, be out,” Carbino says.

Could you be the breadcrumber? Here’s how to be direct without causing drama.

Before we go, also consider that you might (even unconsciously) be the person leaving the crumbs. So if you’re dropping in and out of people’s lives with no destination in mind, please be real with yourself and them.

“Because even if you don’t like somebody, or even if you’re not ready to be in a relationship with somebody again, telling that person and being straightforward about what’s going on with you at a given moment provides clarity and certainty for everybody,” Carbino says. (You never know: If you’re not ready for a relationship, maybe they’d go along with that if given the choice.)

If you’re afraid the truth will hurt their feelings or are trying to fade out without confrontation, remember breadcrumbing can cause damage. “I would argue that it’s as hurtful if not more hurtful to continue to lead someone on than it is to be direct with somebody about how you feel,” Carbino says.

So know you can share your real thoughts in a simple and caring way, with Carbino noting you don’t have to be extensive. If you’re just not interested, she says you can text something like: “I really enjoyed getting to know you better. I don’t feel that we’re the right match. I wish you the best of luck.” In later stages of dating, you may decide to say this in a brief conversation. Either way, you can kindly give that person closure, Carbino says.

Because really, it’s better to be clear—and to treat people honorably—than to be confusing.

Headshot of Leslie Quander Wooldridge

Leslie Quander Wooldridge is a writer, editor, speaker, and coach whose articles have reached tens of millions of readers; find her at lesliequander.com.

How This Dental Health Supplement Can Improve Your Teeth and Gums

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How This Dental Health Supplement Can Improve Your Teeth and Gums

About ProDentim Dental Probiotic Supplement

ProDentim is a health product full of many probiotics and nutrients that help keep your gums and teeth healthy. The official website for ProDentim says that the product does not have any fake substances, is free of gluten, or has no GMOs. The ProDentim supplement can be sure that it won’t cause bad effects. Besides the many other ingredients, ProDentim has over 3.5 billion different probiotic types, each of which has been proven by scientific research to improve the overall health of your gums and teeth.

Click Here To Buy: Official Website 

Also, the fact that the ProDentim is made in a GMP-approved place according to strict rules shows that the company cares a lot about trust as an important factor.

The main goal of ProDentim is to support the health of your teeth and gums.

What is ProDentim?

ProDentim is a dental product with 3.5 billion probiotic types and tested nutrients to improve oral bacteria balance. It’s made in an FDA-approved, GMP-certified place with natural, GMO-free ingredients, looking safe at first.

However, trusting only claims is not smart. Check how ProDentim gets its promised results to make sure it works and is safe.

What is ProDentim and How Does It Help Your Oral Health?

ProDentim is a natural product that helps you grow more good bacteria in your mouth, which can protect your gums and teeth. It has 3.5 billion probiotics that are proven to work well for oral health, such as Lactobacillus Paracasi, B.lactis BL-04, and Lactobacillus Reuteri.

Click Here To Buy: Official Website

But why do you need good bacteria in your mouth? Let’s look at the science behind ProDentim.

The makers of ProDentim say that they based their product on a recent discovery that was published in a scientific journal. The discovery showed that people who have healthy gums and teeth also have a lot of good bacteria in their mouths. This means that even if you brush your teeth twice a day and follow a good oral hygiene routine, you may not have good oral health if you don’t have enough good bacteria in your mouth.”

What are the special things in ProDentim that make it work?

Good Bacteria L. Paracasei: One of the main things in ProDentim is Good Bacteria L. Paracasei. This is a kind of probiotic, which means it helps your oral health. It makes more good bacteria grow in your mouth, which can stop bad bacteria from causing problems like gum disease and tooth decay. It also keeps your mouth in a good condition, so you don’t get infections.

Bacteria B. BL-04: This is another powerful probiotic in ProDentim. It fights against bad bacteria that can make your teeth and gums sick. It also helps you have more good bacteria in your mouth. This way, ProDentim can protect you from many oral health issues.

Inulin: This is a thing that does two jobs in ProDentim. It helps your teeth and gums, and also your stomach. Inulin is a kind of fiber that feeds the good bacteria in your gut. ProDentim uses inulin to improve both your gut health and your oral health. It makes a balance that is good for your whole body.

Mint Pepper: This is a tasty and refreshing thing in ProDentim that has many benefits for your oral health. It can kill bad bacteria that can harm your mouth. It can also prevent gum disease and improve your breath. Mint pepper makes your mouth feel fresh and clean. ProDentim has mint pepper not only to help your oral health, but also to make you enjoy using it.

LABRADUCILLUS REUTI: This is one of the strongest probiotics in ProDentim. It is good for your health and your oral health. It replaces the bad bacteria in your mouth with good bacteria. ProDentim stops bad bacteria from growing and causing trouble. It helps you have a strong defense against different oral health problems.

Acid Malic: This is a thing in ProDentim that is known for helping your oral health. It stops plaque from building up on your teeth, which can cause gum disease and cavities. This natural acid is also found in some fruits, which can clean your mouth and reduce bad breath. It makes you feel refreshed. Another important thing in ProDentim that makes your oral health better is Tricalcium Phosphate. This is often used in oral care products because it can make your teeth stronger.

How ProDentim Capsules Make Your Oral Health Better

  1. Increasing good bacteria

The good bacteria already in our bodies are a strong protection against bad bacteria or other foreign things that might get into our systems. It is a sign of a strong immune system.

If the body’s reaction to the immune system is accurate and happens on time, then the body’s overall health will stay good.

Sometimes the good bacteria cannot fight off the bad ones well and end up losing.

2.Natural ingredients

ProDentim supplement does not have any harmful substances. The substances that go into the making of ProDentim are natural, pure, and completely made of herbs.

As a result, it does not have any negative side effects, but it does have a good influence on the body’s conditions.

3.Maintains microflora balance

A dry mouth is a place for many dangerous microorganisms that can cause bad breath, tooth decay, and pain in the mouth.

These symptoms can be caused by dry mouth. Because it makes saliva, ProDentim prevents dry mouth and helps keep the bacteria that naturally live in the mouth.

4.Tested to be Safe

The making of ProDentim is done following the standard rules. ProDentim has the GMP Certification, was made in a high-quality place, and does not have any GMOs. The non-GMO making did not cause any allergic reactions in test people.

How Safe Is ProDentim Candy for Older People to Eat?

Any older adult over the age of 60 would benefit a lot from taking ProDentim as a health product.

If you want to keep healthy teeth, gums, and breathing organs, you will definitely need the presence of good bacteria.

If you want to keep healthy teeth, gums, and breathing organs, you will definitely need the presence of good bacteria.

The fast-working formula of ProDentim gets mixed with your saliva to fill your mouth with good bacteria, thereby improving oral hygiene and the surrounding environment.

For their oral health, most adults only use toothpaste and mouthwash

Because it is all-natural, risk-free, 100% pure, full of good probiotics, and has no bad side effects, ProDentim candy is also a great choice for anyone over 50. If you are over 18, you can take the suggested dose of ProDentim.

It is not meant for children or teenagers. However, if you are over 65 and have a medical problem, you should talk about this ProDentim supplement with your main care doctor or dentist before starting a daily use.

How does ProDentim help your health?

ProDentim is a different kind of product that helps your oral health, unlike other products that you can find. It works well because it has 31.5 billion good bacteria in it. Let’s see what ProDentim does:

Adds More Good Bacteria: Each tablet that you chew has a lot of probiotics, which are good bacteria that help your mouth have a balance of bacteria, which is important for your oral health. This is how ProDentim helps your teeth and gums.

Makes Your Teeth Stronger: The good bacteria in ProDentim make your teeth harder, bring back the minerals to your tooth surface, and protect your teeth from problems.

Helps Your Gums: ProDentim has probiotics that fight bad bacteria, lower gum swelling, and keep your gum tissue healthy. This can help you avoid gum problems.

Improves Your Oral Hygiene: The product helps you have a clean and healthy mouth by making the right balance of bacteria in your mouth.

Helps Your Sinus and Breathing: ProDentim keeps your sinus passages open and clear, which is good for your breathing system, which is connected to your mouth health.

Boosts Your Immune System: Having a clean mouth is good for your overall health, and ProDentim helps your immunity by improving the bacteria in your mouth.

Helps Your Skin and Gut: ProDentim’s good bacteria do more than just help your oral health, because your body’s systems are linked. They help your gut health, which makes your skin look better and healthier.

Keeps Your Teeth White and Beautiful: ProDentim keeps your teeth white by stopping bad bacteria from making stains on them and by keeping your tooth surface looking good.

What do customers say about ProDentim – good and bad things:

The product has many good things, but let’s see the most important ones here:

GOOD THINGS:

ProDentim is made from 100% natural things. It makes your teeth and gums better and stops you from needing dental surgery. ProDentim can be used by anyone, even if you are old. ProDentim works best when your teeth have just started to decay. It helps your stomach health and cleans your body. ProDentim is not expensive at all. ProDentim is better than going to the dentist. It works faster when you take it every day. ProDentim is not addictive or hard to stop. It can be bought at low prices with bonuses. BAD THINGS:

Take ProDentim every day, or you won’t see the best results. You can’t buy it from other websites. ProDentim is not for kids or anyone younger than 18.

How to Use ProDentim Safely and Effectively

ProDentim is a natural product that can help you improve your oral health. But, like any other product, you need to know how to use it properly and avoid any unwanted effects.

Possible Effects:

Most people who use ProDentim do not have any problems. But, some people may feel some discomfort or irritation in their gums when they start using it. This is normal and usually goes away after a few days.

Things to Do:

  1. Try It First: Before you use ProDentim on your whole mouth, you should test it on a small part of your gums. This way, you can see if you are allergic or sensitive to it.

  2. Ask a Dentist: If you have any dental issues or questions, you should talk to your dentist before using ProDentim. They can tell you if it is safe and suitable for you.

  3. Use It Regularly: To get the best results from ProDentim, you need to use it as instructed. Do not skip or change the dosage.

  4. Check Your Age and Condition: If you are pregnant, breastfeeding, or under 18 years old, you should consult a doctor before using ProDentim. They can advise you if it is okay for you.

By following these tips and paying attention to your body, you can enjoy the benefits of ProDentim without harming your teeth or health.

How to Save Money on ProDentim

ProDentim is a natural product that can help you take care of your teeth. It is not expensive and you can get it for a lower price if you buy more.

You can only order it from ProDentim’s official website. Here are the three deals you can choose from:

Get one bottle of ProDentim for $69. Get three bottles of ProDentim for $177. Get six bottles of ProDentim for $294. All orders have FREE delivery. The three and six bottles orders also have two FREE gifts.

Everything You Need to Know About China’s Child Pneumonia Outbreak

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Everything You Need to Know About China’s Child Pneumonia Outbreak

China’s health-care system is once again in the spotlight as a wave of pneumonia cases sweeps through the country, hitting kids particularly hard. The sudden increase in sick children, and a report suggesting widespread clusters of undiagnosed respiratory illnesses, prompted the World Health Organization to ask for more details in order to allay concerns that a novel pathogen — something like Covid-19 — was the source of the outbreaks. So far, Chinese officials say, it’s simply a laundry list of known germs that’s causing the problem.

Read More: COVID-19 Won’t Be the Last Pandemic. Here’s What We Can Do to Protect Ourselves

1. What do health experts say?

Doctors have been warning for weeks that a common bacterial infection would likely cause a spike in “walking pneumonia” cases. In response to the WHO’s request for more data, Chinese health authorities said the uptick in outpatient visits and hospitalizations has been due to the spread of mycoplasma pneumoniae, RSV, adenovirus and influenza. Importantly, they say they haven’t detected any new pathogens. In turn, the WHO said that while the level of illness is unusually high for this time of year, it’s not unusual for winter to bring respiratory diseases. The group advised people to take basic precautions to reduce their risk — wear masks, stay home when sick, wash their hands regularly — and said there’s no need for any travel restrictions based on the current situation.

2. What is mycoplasma pneumoniae?

Mycoplasma pneumoniae is a bacteria that typically causes a mild infection, with symptoms that are similar to a common cold. It rarely requires hospitalization but sometimes a cough could for last for weeks and younger children with a nascent immune system are at greater risk of developing pneumonia. That’s what’s worrying parents. Local media have reported that some of China’s top pediatric medical centers have been overwhelmed with sick kids, with some families needing to wait seven hours to see a doctor. Chinese social media has also been awash with photos of crowded waiting rooms and hallways, and children hooked up to intravenous drips.

3. What do I do if I catch it?

Most people will recover from an infection on their own or with over-the-counter medications to help alleviate symptoms. But more severe illness will typically require a course of antibiotics. That’s especially concerning since China has the world’s highest incidence of mycoplasma pneumoniae that’s resistant to a class of antibiotic called macrolides. Up to 60% to 70% of adult cases and up to 80% of cases in kids don’t respond to Zithromax and similar drugs, Yin Yudong, an infectious diseases doctor at Beijing Chaoyang Hospital, the nation’s top respiratory disease center, told Beijing News earlier this month.

Read More: Why Infectious Disease Outbreaks Are Becoming So Common

4. Why is it hitting China so hard?

It’s unclear why China appears to be the only country facing a major mycoplasma outbreak, while the US and much of Europe have contended with flu and RSV. One study showed mycoplasma pneumoniae was subdued in China for almost two years by Covid countermeasures that have since been lifted. While Chinese health authorities have said the uptick in cases comes earlier than normal, they’ve also pointed out that other countries have experienced similar surges in respiratory disease after emerging from pandemic restrictions. 

5. Will it spread overseas?

For those outside China, the reports of respiratory-illness outbreaks have brought back memories of the early days of the Covid pandemic, which first emerged as mysterious pneumonia cases in the city of Wuhan in 2019 and whose origin has never been definitely pinned down. But unlike Covid, mycoplasma is a well-known and common germ that tends to cause fresh outbreaks every few years. And other viruses are circulating too, particularly RSV, meaning it’s likely that this winter will see countries across the world face a variety of pathogens.

Read More: Your 2023 Holiday Season Guide to COVID-19, Flu, and RSV

How can we best take care of the health of the men in our lives?

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How can we best take care of the health of the men in our lives?

From receding hairlines to mental health and fertility issues, it’s not always easy to know how best to support the men in our lives.

Especially the men who are not only less likely to speak up when something’s wrong but more likely to avoid a trip to the doctor’s office when it’s needed.

An IMAGE reader survey in 2023 found that 98% of IMAGE readers feel somewhat uncomfortable discussing men’s health issues with the men in their lives.

We reckon it’s time that changed, so we’ve teamed up with Meaghers Pharmacy and picked the brains of two health experts to arm you with the men’s health knowledge you need to better support the cherished men in your life.

20s

Ah, your twenties. Typically a time of self-discovery for women, and the menfolk are no different. This era can signal binge drinking, sexual promiscuity, and mental health issues for some men.

Some men often feel uncomfortable speaking up when it comes to the latter. Unlike the women in your life, men are less likely to let you know when their mental health is struggling.

GP and Founder of Say GP Dr Semiya Aziz says alarmingly 40% of men never discuss their mental health problems, but they may be more likely to open up to you – a woman they know and trust.

If you suspect a man in your life is keeping a lid on a mental health problem, Dr Semiya says there’s lots you can do to support them.

“Trust is a key element when it comes to discussing mental health and it’s important to set aside a time without any distractions to give this person space to talk and be listened to,” she says.

If you find it hard to get the conversation going, Dr Semiya recommends using open-ended questions to get them to talk.

When we care about someone deeply and you see them hurting it’s normal that you want to make all their problems go away, but Semiya says it’s important to resist the urge to fix the situation.

Instead, she recommends exploring support options together and encouraging them to see a healthcare professional.

A devil-may-care attitude when it comes to sex and alcohol is another men’s health hazard to be mindful of.

Worried a man in your life – be it your partner, brother, or other – is drinking a little bit too much? Dr Semiya says encouraging them to set a limit before a night out and to substitute every other alcoholic drink for a non-alcoholic one is key in lowering their consumption.

One of the most effective tips though, could be encouraging them to find an alternative hobby, ideally one you can do together that doesn’t involve alcohol.

As for sexual health? Dr Semiya says it’s a good idea for anyone who is sexually active to undergo a sexual health screening – especially if they have multiple sexual partners.

And of course, practising safe sex is key.  A little reminder – however cringy it may feel – that a condom is the best way to protect against both unwanted pregnancies and STIs could go a long way.

Skin can be another area of concern for men at this age. Skin Accumax™ addresses all levels of problem skin. It works from the inside and nourishes all skin layers, feeding every cell in the body to help support all areas of the skin such as the face, chest, back and shoulders.

Advanced Nutrition Programme Skin Accumax 60 Capsules, €58.00

30s

By his early 30s a man’s party years may be behind him, and his wild ways may have been replaced by an unwelcome development: a receding hairline.

“Men, as they get older, are more prone to hair loss due to a byproduct of testosterone called dihydrotestosterone. Genetics and old age are factors behind hair loss too,” explains Dr. Hamdan Abdullah Hamed, board-certified dermatologist and co-founder of Power Your Curls.

Male hair loss may be common – around 3 in 10 men experience it at age 30 and up to 80% will have some hair loss by age 70 – but it can still come with a stigma.

Manta Healthy Hair & Scalp Brush With Travel Pouch is designed for fragile hair and gently massages the scalp, €22.50

Hair loss can throw up lots of complicated emotions for the men in our lives, like embarrassment, shame, and loss of masculinity to name a few, so be careful when it comes to poking fun or making light.

As far as treatments go, Dr Hamdan says DHT-blocking supplements or medicines such as minoxidil and finasteride can help, while regular scalp massages promote hair growth by stimulating the hair follicles.

It’s a good idea to remind the men in your life that they shouldn’t neglect the basics. Dr Hamdan says resting, exercising, eating a balanced and healthy diet, and avoiding bad habits such as smoking, drugs, and alcohol can go a long way to minimising hair loss.

Viviscal is the world’s leading hair growth supplement; this supplement contains AminoMar C™ – a rich marine protein complex to aid the growth and repair of hair cells, as well as zinc, biotin, iron and more to help support the growth of healthy hair.

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This decade doesn’t just signal receding hairlines, but a change in priorities. Like women, it’s a time when many men think about starting a family.

If you’re in this age bracket, and trying to conceive, you may have gone to great lengths to prime your body for pregnancy – but your other half can improve your chances of conception too.

Dr Semiya says men can improve their fertility by following all the usual good health advice – like quitting smoking, limiting alcohol intake, eating well, and exercising regularly.

“Ideally, their genitals should be kept cool, by wearing loose clothing and underwear too,” she adds. “Studies indicate that tight clothing and higher temperatures around the genitals impact on the quality of sperm.”

Taking a supplement that supports sperm production and health may help as well.

The Big C is a topic few people want to discuss but it should certainly be a talking point for men in their 30s.

“Testicular cancer is often found in younger males under the age of 40 and there are various risk factors that may predispose a man to this type of cancer,” says Dr Semiya.

This includes having undescended testes at birth, congenital problems, a family history and infertility.

Signs and symptoms of testicular cancer to look out for include pain in the testicular area, a swelling in the scrotum, a lump felt on the testes and back pain.

The best way to reduce the risk? Regularly encourage the men in your life to check their balls for any lumps. Dr Semiya says doing this after a warm shower can make the examination easier.

40s and beyond

This age bracket usually heralds the beginning of menopause for women. For men, it’s a time to become more aware of health concerns like heart disease, sexual dysfunction and diabetes.

Let’s delve into the heart stuff first. Men are far more likely to suffer from cardiovascular disease than women.

Dr Semiya says this is because men tend to have an increased propensity to hypertension, diabetes, high cholesterol, and making poor lifestyle choices – think smoking, drinking excessively and eating a poor diet. Stress can be a contributing factor too.

Some of these habits can contribute to the development of diabetes as well. “As men and women get older, they often tend to develop more fat, not only around their organs better known as visceral fat, but also around the abdomen,” Dr Semiya explains.

“Increasing fat around the belly predisposes an individual to Type 2 Diabetes. This, along with being overweight, living a sedentary life, adopting an unhealthy diet, and having a family history puts men at greater risk of developing Type 2 Diabetes later in life,” she explains.

Another health concern that could be having a knock-on effect on your peace of mind is sexual dysfunction. It’s estimated that around 50-55% of men aged between 40 and 70 suffer from erectile dysfunction.

It can be a consequence of a condition called atherosclerosis, which causes a hardening of the blood vessels, as well as declining levels of testosterone.

“Diabetes and certain medications such as antidepressants may contribute to sexual dysfunction too,” Dr Semiya points out.

It might surprise you to learn that, to an extent, all these health concerns – heart disease, diabetes, and sexual dysfunction – are related. The best way to manage and get ahead of them is to make better lifestyle choices.

“What we have to be mindful of is that our genetics control 20% of our health yet 80% is governed by lifestyle and the environment that we live in,” Dr Semiya notes.

“While we cannot predict who will develop a particular condition, we are able to take some control and optimise our lifestyle choices, reducing the risk of developing a medical condition,” she says.

According to the Men’s Health Forum, men in this age bracket are less likely to engage in physical activity than women, so first off, it’s a good idea to get them out and get them moving.

Be sure they couple that with a balanced diet, full of vitamins A, B, C, and D, and folic acid in particular. Dr Semiya says eating the rainbow is key – so the more (naturally!) colourful the food on their plates the better.

Active Iron has created this first male-specific Iron with B-Complex Plus supplement, with clinically proven better absorption of iron sulfate. The Iron Sulfate and Vitamins B1, B2, B3, B5, B6 and B12 help boost energy, whilst Vitamin B5 also contributes to mental performance. Active Iron & B Complex Plus also helps enhance muscle function and immunity, so win, win.

Active B Iron Complex
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Next up? It’s stress management, something which can be particularly difficult for men of this age group to master. It’s not all mindfulness and breathing techniques though – although these can prove helpful.

Some more “man-friendly” ways of managing stress can include developing a good sleep routine of 7-8 hours a night, limiting destructive habits like smoking and drinking, and engaging in social activities.

Dr Semiya says if the men in your life start to adopt all of these measures in their daily lives, they’ll improve their general well-being and reduce their risk of long-term disease. Hopefully, in doing so, they’ll put your mind at ease too.

Visit Meaghers.ie for more.

How AI supports women’s health

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How AI supports women’s health

Contemporary OBGYN:

Hi, I’m Celeste Krewson with Contemporary OB/GYN and I’m here with Dr. Leitner to discuss artificial intelligence and women’s health. Do you want to introduce yourself?

Kirstin E. Leitner, MD:

Sure. My name is Kirstin Leitner. I’m an assistant professor of clinical obstetrics and gynecology at Penn Medicine, and I provide clinical care at the hospital at the University of Pennsylvania here in Philadelphia.

Contemporary OBGYN:

So, to get started, can you provide a brief overview of how artificial intelligence can help in women’s health?

Leitner:

Sure, I think there’s a huge amount of potential with artificial intelligence to improve the care that we provide to our patients and women’s health. Specifically, I’ve been involved in an automatic text messaging program, to provide ongoing support to patients after their birth, so, for postpartum specifically. But I think outside of my own clinical program, which we’ll talk about a little bit going forward, the ability for artificial or augmented intelligence to help providers provide care more equitably, and more effectively, and allow them to focus on the you know, more problematic patient care at hand is really sort of untapped, and in many ways unknown. To this point, I think there’s only good things that can come out of our ability to work with AI.

Contemporary OBGYN:

That all sounds really interesting. Can you provide a brief overview of Penn Medicine’s Healing at Home program?

Leitner:

Sure, so I alluded to it a little bit. So, the Healing at Home program is a program that we actually started back in 2019, with the goal of using an innovative approach to support patients during their postpartum journey. Understanding that a lot of patients felt after their heavy touch prenatal care time that the postpartum time can feel like a low touch time when they’re doing a lot of their own, you know, recovery and medical care at home without their providers necessarily guiding them as directly. And so, we tried to find a way that we could use technology to help support patients, which would not only support patients equitably and consistently and provide sort of a basis for that support after delivery, but also hopefully decrease the burden on providers who maybe felt that a lot of the anticipatory guidance and things like that could be sort of automated in a customized way to patients.

And so, what our program actually does is it’s a text messaging program, which uses natural language processing. We’ve partnered with a company called Memora Health to provide this service to our patients. And patients receive text messages at certain intervals after they’re discharged from the hospital for the first 6 weeks postpartum, so they get anticipatory guidance about what to expect about themselves, their baby, feeding their baby, whether it’s with formula or breast milk, as well as the opportunity to ask questions of that augmented intelligence robot. So, they can ask us any questions in their own language about things they might be wondering about. “Is it normal for my baby’s umbilical cord to fall off at this point?” Or “feeding is painful, can you help me with that?” So, we’ve sort of automated responses to all these types of questions that patients have, and additionally, we’ve automated the ability to screen patients for things like new onset postpartum depression, through the Edinburg Postnatal Depression Screening Questionnaire, as well as screenings that we’ve designed to sort of encourage patients to remain engaged in feeding programs, and especially if they’re breastfeeding, to sort of ensure that they’re meeting the goals of breastfeeding during this early time.

Contemporary OBGYN:

Can you talk a bit about the AI machine “Penny” and how it helps women and moms?

Leitner:

Yeah, so that’s sort of really the concept of this natural language processing robots, which we’ve taught, again, through our collaboration with Memora Health, to be able to respond to patients’ questions without them having to necessarily go through a yes or no answer question triage. So, they can literally just ask a question, and ideally get the appropriate response. Of course, sometimes that might not work because it is a robot, and I think all of us have interacted with these chatbots in the past, like, that’s not really the question I was asking. Right? So, we’ve built a couple of ways that we can ensure that patients are more likely to get the answer that they expect. The first is that when they’re enrolled in the program, we educate them on the ability to say “text” me if they feel like this robot is not answering my question, I need a real person to interven here. It’s kind of like that red flag, yellow flag, I need a little extra help. If they text “text me,” our clinical team gets an alert, and we go into the dashboard about once a day. So, we can look at those alerts and respond back because usually, once I see the question, I can kind of understand what the patient’s asking. And we also educate the patients on best practices and how to interact with this robot. So, the robot does best with single questions one at a time and simple ways to ask that question. So occasionally, patients will give us too much background as to what question they have. So, like, all these things are going on, I have this question. So, it may be 2 or 3 sentences. And the robot has a difficult time interpreting that question. So, we encourage patients to use simple, 1 sentence questions and to try to separate their questions that they have more than 1 question by a little bit of time to give the robot a chance to answer.

The other important thing about the development of this robot is there were a couple of times where it felt like we really needed to make sure that we weren’t giving people a false sense of reassurance, right? If they’re texting us in with a question about swelling, for instance, and their legs, the vast majority of the time, that’s going to be a normal change that happens postpartum, related to all of the fluid shifts and all the IV fluids they may have received in the hospital. But occasionally, it can be a sign of a more serious complication like a deep venous thrombosis, or DVT. And so, one of the things we purposefully designed into this robot is sort of, the robot gets alerted to a question that requires additional triage before we can really provide that guidance to them. So, if somebody says, “Hey, I’m having swelling in my legs,” the robot says, “Oh, that could be normal. But let me ask you a few other questions.” And that’s where we get into this more algorithmic approach, where instead of a natural language processing answer, we got a yes no decision tree that the robot goes through. And then in the end, if there’s a warning sign, I, as a clinician receive an alert that somebody has abnormal swelling or swelling, that’s concerning for a DVT. But if it seems like all of the sort of red flags are negative when the robot asks the questions, they receive anticipatory guidance along the lines of, you know, swelling, it’s very common, if it persists, call the office, etc. So, it’s kind of a multi-pronged approach, again, mostly natural language processing, which we’ve tried to educate our users as to how best to interact with the technology with kind of a fallback of this algorithmic approach for the more concerning clinical signs that could develop during this period.

Contemporary OBGYN:

That all sounds great, thank you. Are there any developments you want to make to Penny in the future? And is there any sort of impact you’re aiming for?

Leitner:

Yeah, I mean, it’s a great question. We are honestly constantly developing the program, and the program is always changing is sort of like the best. And that’s sort of how it’s designed to work, right? These robots learn as you use them, they become better over time. But of course, there are some ways that we’re looking to potentially redesign the program going forward, and a few things that we’ve been able to accomplish already, and a few things that I would say we want to do in the future. So, we’ve been able to build the program in a way that we have a basis program for everybody, and then we can customize responses on top of that based on the patient’s clinical characteristics. So, for instance, somebody who has a vaginal delivery may need very different anticipatory guidance to somebody who’s had a C section. They may have different questions, but they also need different guidance around a return to activity, lifting restrictions, and things like that need to be customized to the clinical type. And so, as we think of clinical types, one of the things we’re looking to add in the near future is a clinical type for gestational diabetes, for instance, or preexisting diabetes, so that those patients may get additional educational information around the need to do their follow up glucose tolerance testing, for instance, or to follow up with their primary care doctor for management of their diabetes.

We have started doing blood pressure screening through the program, which even for low risk patients, so for patients without gestational hypertension, which we found to be a really valuable component of our program. And the other patient type that we’re really looking to develop even further is a patient type where a patient may have their infant in the ICN or in the NICU. So obviously, those patients have a very different experience in terms of their postpartum, and they are still often going back to the hospital after they’ve been discharged. And their infant’s needs are very different than the infant’s needs for wellborn infant. And so, designing a program that can still allow patients to feel supported and have infant specific information to either a preemie or baby in the ICN are some of the goals that we’re looking forward to doing over the next few years.

Contemporary OBGYN:

That all sounds great. We’re just about ready to wrap up, but is there anything you want to add first?

Leitner:

No, I mean, I think if anyone’s interested in using text messaging, there’s so much out there and I’d say there’s probably even more out there now than there was in 2019, when we started on this journey. I think the biggest thing that you need to do as you start to think about how AI can help you in your patient care space, is this an acceptable method that your patients are going to be engaging in, because you can design the coolest thing in the world, but if your patient doesn’t use their phone to text you back, it’s not going to work, right? And the same thing, we can design all these really cool tools with extra apps or extra reminders to the patient portal, but if our patient’s really not engaging in that, it’s not the way to get through to them. So, I think the key thing before you even start on this journey, is making sure that whatever technology you’re looking to use is the one that your patients are going to engage with.

Contemporary OBGYN:

Thank you for speaking with me today.

Leitner:

Thank you so much.

Navigating Nutrition Support For Patients With Atopic Dermatitis

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Navigating Nutrition Support For Patients With Atopic Dermatitis

The recent American College of Allergy, Asthma and Immunology (ACAAI) 2023 Annual Scientific Meeting in San Diego, California drummed up conversation about the need for nutrition support for patients with skin conditions, such as atopic dermatitis. Atoosa Kourosh, MD, MPH, is a board-certified pediatrician and allergy and immunology specialist overseeing a holistic clinic in Southlake, Texas. She spoke with Dermatology Times about opportunities for allergists and dermatologists to collaborate, her approach to cases, and patient resources.

Dermatology Times: Can you please discuss highlights from your ACAAI presentation?

Kourosh: We’re actually really delighted the that the ACAAI, the American College of Asthma Allergy and Immunology, is taking an interest in offering integrative medicine in our annual meeting program. I think that’s in response to the desire from the community of allergists that want to know about more about integrative medicine because they know their patients are using it and they’re exploring integrative and holistic pathways.So our feeling is that they need to be in tune with that. Our committee is presenting a symposium on what the allergist needs to know about various integrative therapeutics, and I’m covering special diets.I’mprobably not the only doctor that gets a lot of questions about special diets;I’m sure primary care doctors, other allergists, dermatologists, rheumatologists, GI doctors, and a lot of specialties get questions from their patients about special diets. And there’s certainly a lot of direct marketing going on by proponents of special diets and those who have programs to sell.

The most important thing about my presentation is it covers what these diets purport to do, or claim that they will do,and it covers the actual evidence that we have, if any—the evidence to support or to shed light on possible risks of partaking in these diets. One of the things that I always stress in my practice, which is a precision medicine practice tailored at the individual, is that we may have guidelines and we may have research, but recommendations—especially dietary recommendations—have to be individualized for the patient and the specific needs of the patient, and especially with allergies. We have a long history of doing that with our patients with food allergies, and helping them avoid their food allergens, but I think these special diets that are being marketed go above and beyond that to make health recommendations and health claims that they can either reverse disease or prevent disease. So,we’resort of exploring what evidence there is for that.

Dermatology Times: How do you suggest a clinician talk to their patient who comes in and wants to try a diet that maybe is not recommended or not beneficial?

Kourosh: One of the main things that would appeal to a patient when you’re talking to them about adopting a diet or not is to take into account the risk-benefit ratio, and the cost effectiveness of implementing that diet, because a lot of these diets are going to be expensive. They’re going to either going to require some kind of supplemental nutrition or require the patient to shop in a very specific way.So, taking into account the risks and benefits is one of the ways to approach that. 

The other is to take an approach of, “let’s try it for a temporary time if you’re very passionate about trying this diet and then assess your outcomes.” It should not be approached as a lifelong thing if we are trying to figure out if it’s even working. So, for instance, if a patient is trying to impact their autoimmune disease by adopting a specific diet, it would be important to have current markers of that autoimmune disease and a possible endpoint in time to measure impact. A lot of times it’s very difficult for primary care doctors to go into all of this if they only have a few minutes to speak with their patient. Referring patients to nutrition support might be a way to help with that, especially if those who have access to nutritional counseling. Sometimes insurance will cover nutritional support visits a couple of times a year, especially if a physician feels that it’s necessary.

Another thing is to present from the perspective of the patient. What it is that they’re hoping to gain and is that diet is the right diet to achieve those goals. Because, for instance, I have had patients come to me and say I’m trying this diet primarily to lose weight, but I hope that it will help me with my allergies, autoimmune disease, eczema, fill in the blank of what they’re trying to achieve. I talk to them about how that diet was designed and whether they are nutritionally capable of handling that drastic change in the diet.

The other thing I talked to patients about is that there are 2 approaches to change in diet: One is a gradual step stepwise approach where things are changed gradually and another is sort of a cold turkey, turn-on-a-dime kind of change where everything has changed at once. And the issue with that is that sometimes our digestive system can’t keep up with that level of drastic change. We sort of adapt to digesting the foods that we eat regularly. If, for instance, someone goes from eating mostly a starch-based processed food diet to an entirely plant-based, raw food diet, they might have some digestive distress, because it takes awhile for the digestive system to learn and adapt and be able to digest those fruits and vegetables, even though they’re super healthy. It’s not that the diet inherently is unhealthy, but that the patient might need adjustment time. I definitely discuss that with my patients and talk to them about methods of gradually introducing even positive changes into the diet.

There are there are certain things that patients can do cold turkey, like cut out processed sugar, but again, I talk to them about how if they are dependent on that processed sugar for an energy boost, they may find a feeling of fatigue or energy loss, and to adjust for that. I also never start a patient on a dietary change even if I feel like it’s the right diet for them without some kind of intro time—a time of learning. I also advise them to start on a Friday so that they have the weekend—they have 2 days off on the weekend to sort of get their ducks in a row with doing that and prepare for the following week. Because a lot of times the life disruption that comes from trying to adapt a person’s diet ends up creating so much life stress for the patient that they counteract the benefits of the positive changes they’re trying to make, even with a balanced healthy diet.

Dermatology Times: What resources would you suggest for clinicians interested in learning more about integrating nutrition or diet into their patient support?

Kourosh: There are some resources from the American Academy of Pediatrics. They have a toolkit on pediatric healthy weight, and all of those recommendations are very evidence-based recommendations. There are resources also on the American Dietetic Association website about macros, what kind of calories, what kind of protein requirements, kind of carbohydrate and fat requirements are found there. And then I wouldtry resources that show an evidence base, like they have actually been curated at this moment. Most of the medical societies don’t have a lot out there, but some do, such as the Society for Obesity Medicine.Societies like that have done a lot of deep dives into diets like weight loss diets.

AAs far as resources for general nutritional advice on diets, I would say that there’s a few publications that do try to educate the public in general about diets and are not based on any corporate agenda. I would look to those.The American Academy of Pediatrics is what I primarily use because before I became an allergist, I was a pediatrician, and working very, very hard on childhood obesity prevention, and I use those resources and I tend to rely back on them. I also really look at the literature, because a lot of these diets have been reviewed.The National Institutes of Health has an arm or a division on Complementary and Integrative Medicine, and they also are turning their sights more not only into integrative therapeutics and supplementation, or supplements, but also toward dietary changes.

Dermatology Times: Do you have any closing thoughts about diet and nutrition?

Kourosh: I would encourage people to not embark on drastic changes in their diet without consulting either a nutritionist or dietitian or their physician, because a lot of times, I think people don’t realize that they may be going down the wrong path and also that their system may require some changes or some support if they’re going to do that.

I would recommend that diet drastic dietary change be undertaken with medical supervision, and although a lot of their publications and online resources are targeted at medical professionals, the Institute for Functional Medicine, also has a lot of resources for patient education, especially around healthy diets, and around the types of diets that are often promoted for medical- or health-related concerns. So, they have a lot on a hearthealthy diets. They have a lot onautoimmune diseases. So, I encourage people to check out the Institute for Functional Medicine website because a lot of those resources have been extensively researched and curated before they’ve been assembled into a series of blog posts and courses, some of which are available even if you’re not a medical professional.

Invincible Season 2 Release Schedule

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Invincible Season 2 Release Schedule

THERE’S NO BEATING around the bush: the more saturated the “superhero” genre gets, when it comes to film and television projects, the harder it gets to produce something that’s both high in quality and finds a high-yield audience. After more than a decade of initial dominance, the Marvel Cinematic Universe has stumbled in its post-Endgame and post-pandemic phase (a recent report from Variety went in depth on the studio’s troubles), and DC is hoping that Marvel’s eccentric master James Gunn can finally right their ship.

With “the big two” being largely in disarray, it’s been a great relief for genre fans to have Prime Video’s output. We’re big fans of the satirical world of The Boys (and its spinoff, Gen V, which just wrapped up its first season), and now after a nearly-two year wait, Invincible is finally back for its highly-anticipated second season.

Based on the long-running Image Comics series from The Walking Dead creator Robert Kirkman (a prolific writer who also writes the Invincible series on Prime Video), Invincible separated itself from the pack in its first season by doing things that nothing else out there is doing. With a bit of The Boys satire but not quite as much, but also telling an earnest, standalone, R-rated (and gore-filled) coming-of-age superhero origin story, Invincible proved to be a worthy adaptation for the comic’s loyalists, and an easy one for new fans to become obsessed with.

Season 2, then, brings things to an even bigger level. The show’s voice actors (an incredible cast led by Steven Yeun, JK Simmons, and Sandra Oh) all have more to do—and more chances to flex their dramatic and comedic muscles. The animation budget has clearly been increased, and, thusly, the story manages to reach greater heights and scale; things will reach planets, galaxies, and universes that Season 1 didn’t have the resources to even hint at.

Invincible Season 2 will be split into two parts of four episodes each. So enjoy an episode each Friday in November 2023, and then hunker down, because the next four episodes aren’t coming to Prime Video until some time in 2024.

But it’ll be worth the wait—you can trust us on that one.

Amazon Prime

What time do Invincible Season 2 episodes come out?

Invincible episodes will officially hit Amazon Prime Video on Fridays, but most Prime Video originals land in the U.S. a bit early on Thursday nights. So each week you can watch closely to keep an eye out for that.

When is the next episode of Invincible Season 2 coming out?

The next episode of Invincible Season 2 will hit Prime Video on at some point in 2024. Sorry we don’t know more!

How many episodes of Invincible are left in Season 2?

Invincible Season 2 will be eight episodes in total, split into two separate parts. The first part of the season is now available to stream on Prime Video in its entirety. The remaining four episodes of Invincible Season 2 will come to Prime Video at some point in 2024.

Here’s the complete release schedule for Invincible Season 2:

Episodes officially release on Fridays, but usually hit Amazon Prime Video on Thursday nights.

Episode 1, “A Lesson For Your Next Life” Now streaming as of on November 3

Episode 2, “In About Six Hours, I Lose My Virginity to A Fish” Now streaming as of November 10

Episode 3, “This Missive, This Machination” Now streaming as of November 17

Episode 4, “It’s Been A While” Now streaming as of November 24

———-Mid-Season Hiatus———-

Episode 5, TBA 2024

Episode 6, TBA 2024

Episode 7, TBA 2024

Episode 8, TBA 2024

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Evan is the culture editor for Men’s Health, with bylines in The New York Times, MTV News, Brooklyn Magazine, and VICE. He loves weird movies, watches too much TV, and listens to music more often than he doesn’t.