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A super slimmer from Hamilton has told how she faced two tough battles in 2019.

Audrey Hainey shed more than two stone in weight with help from her Slimming World group, as well as battling breast cancer.

She experienced highs and lows last year when she was crowned The Barleycorn Slimming World groups Woman of the Year after losing 2st 3lbs, but was also diagnosed with the disease.

However, the 65-year-old from Silvertonhill slimmed from 16st 12.5lbs down to 14st 9.5lbs and has now been given the all-clear from cancer.

Audrey, who has dropped two dress sizes, explained: When I first joined the group, I never dreamt that I would be in the position I am now.

Losing weight has made such a big difference to my life. My health has improved, I have more energy, Im happier and I feel more comfortable in my own skin.

Audrey joined Slimming World in May 2016, after feeling unhappy about her size.

She said: I started to put on weight when I retired, and became a lady who lunches, dines out at night, and goes several holidays a year. I tried a number of different ways to lose weight but they usually left me feeling hungry or miserable or both, in fact. With Slimming World, its completely different.

My family and friends are all amazed by how much I can eat and lose weight. I still eat all my favourite meals, like cooked breakfasts, curries and roast dinners.

I just prepare and cook them differently now and they taste so much better. I never have to miss out and I dont have to get hung up on weighing and measuring everything I eat.

Ive picked up so many tips and healthy recipes from the other members at my Slimming World group, too, like how I can still go out for lunches and dinners with my friends,and lose weight a winning combination.

I know it can feel like a big step joining Slimming World because you dont know what to expect, but, right from the first moment I walked into my group I was made to feel at ease, and the support Ive received has been amazing, I look forward to going each week to catch up with all of my new friends I just love it.

Audrey says the friendship she has received from other members of the group has been invaluable.

She said: When I discovered that I had breast cancer, my whole Slimming World family were there for me.

Audrey lost 7lbs in her first few weeks and was blown away that the changes shed made had such a big impact so quickly.

Anita Kerr, who runs the Barleycorn group, said: Im so proud of Audrey. Shes a fantastic ambassador for Slimming World and what shes achieved is nothing short of incredible.

Shes a huge inspiration to everyone in our group and I hope she inspires other women and men in Hamilton to change their lives in the same way.

Read more from the original source:
Audrey named Slimming World Woman of the Year and given the all-clear from cancer - Daily Record

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Allison Koonce, LMH Health

According to the Centers for Disease Control, heart disease is the leading cause of death in the United States for both men and women, causing one in four deaths. Reduce your chance of developing heart disease by knowing your risk factors and modifying those you can.

It is important to find out your cholesterol numbers. High blood cholesterol itself does not cause symptoms, so many people are unaware that their cholesterol level is too high.

Lowering cholesterol levels lessens the risk of developing heart disease and reduces the chance of a heart attack. Knowing your numbers and improving your numbers for heart health is a good idea. Having that information allows you to make choices to improve or maintain your health.

A variety of factors can affect cholesterol levels. You cannot control your age, family history or previous history of heart attack or stroke, but you can control other factors. Take action to control your diet, weight and level of exercise. Eating a diet low in saturated fat and cholesterol can help lower your cholesterol level.

Being overweight is another risk factor for heart disease and also tends to increase your cholesterol. Regular physical activity can help lower LDL (bad) cholesterol and raise HDL (good) cholesterol levels. It also helps you lose weight. The American Heart Association recommends being physically active for 30 minutes on most, if not all, days of the week.

For more information on protecting yourself against heart disease, visit the America Heart Association website at heart.org.

Celebrate American Heart Month this February and focus on your heart health. Join us at the LMH Health Healthy Hearts Fair on Saturday, February 22 from 7:30-10 a.m.

The LMH Health Lab will offer cholesterol screenings and total lipid profiles for $25. Find the registration form in the Lawrence Journal-World, at lmh.org/heart-fair, or by contacting the LMH Health Lab at 785-505-2653. Fast from food and drink for 9 to 12 hours before your blood draw to receive accurate results. Results for HDL and LDL, triglycerides and cholesterol ratios will be mailed to you. You can share these results with your healthcare provider.

You can also participate in free blood pressure, body mass index and finger stick glucose screenings. LMH Health and community organizations will be on-site to answer your heart health questions. Staff members from LMH Health Cardiac Rehabilitation will also be available to discuss ways you can incorporate more physical activity into your day.

Allison Koonce is community outreach & engagement supervisor at LMH Health.

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Know your risk and keep your heart healthy | LMH Health | Lawrence, KS - LMH Health

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Prepared from the black cumin seeds, black seed oil is one of the most beneficial oils available. Belonging to the ranunculus family, black cumin plant is native to southwestern Asia. The black seed oil is being used as a herbal medicine from a very long time. From helping fight against cancer to combat cancer, and treating infections, black seed oil can help you in many ways. The oil is able to provide these many health benefits due to the presence of three chemicals in it. They include thymoquinone, thymohydroquinone, and thymol. Read further to know more reasons to use black seed oil.

According to a research published in the Journal of Diabetes & Metabolic Disorders, the use of black seed oil can increase your bodys metabolism and help in effective weight loss. It can lower your body mass index by regulating glucose levels in the blood. Notably, a high blood sugar level leads to increased cravings and overeating. Also, the oil contains an antioxidant named thymoquinone, which is known to reduce inflammation, a significant factor behind weight gain.

The liver is one of the most important parts of the human body. From detoxifying substances in the body to manufacturing cholesterol, and producing bile juice for digesting fats, the liver does many favours to you. It keeps your mind and body happy. In the case of poor liver function, you may experience itchy skin, chronic fatigue, swelling in legs, abdominal pain, and yellowish eyes. The use of black seed oil can keep the functions of the liver, optimum and prevent damage.

Black seed oil can help you deal with eczema, acne, and psoriasis effectively. It also acts as a skin moisturizer and can soften your skin if applied regularly. Even if you wish to hydrate your hair to prevent damage, you can use black seed oil.

Read more here:
Looking For an Effective Way to Lose Weight And Reduce Risk of Diabetes? Opt For Black Seed Oil - India.com

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Thirty years ago, fat was the main diet demon and carbs fuelled the day with toast or cereal the standard breakfast, a simple sandwich at lunchtime. Back then, dinner wasn't dinner unless a potato or some rice or pasta graced the plate.

Now there are few food groups as tainted as the humble carbohydrate, especially when it comes to weight loss. So while many an extreme diet bans carbs completely, are they really that bad for us? Are some better than others? And how can you strike the right balance for you?

Carbohydrates are one of the three macro-nutrientsthat give the body energy (the other two are protein and fat). Carbs are primarily found in plant-based foods, including bread, rice, breakfast cereal, fruits, starchy vegetables and sugars and offer 17kJ (4 calories) of energy per gram.

The simplest form of carbohydrate is glucose, and carbohydrates range from mixes of simple sugars to hundreds of individual sugars that form more complex carbohydrates, such as breads and cereals.

Carbohydrates can also be grouped according to their glycaemic index. The glycaemic index refers to how quickly or how slowly a carbohydrate releases glucose into the bloodstream. Low GI foods such as wholegrains release the glucose relatively slowly, compared to higher GI foods such as white bread and rice.

Generally speaking, natural sources of carbohydrate, as found in whole, natural foods like fruit, starchy vegetables, and legumes, and wholegrains such as oats, barley and quinoa, are the best carbs to include in the diet on a daily basis.

When carbs are consumed as wholefoods, we get the added benefit other key nutrients, including fibre, vitamins and minerals. Wholegrain and low GI natural sources of carbohydrate are also far less likely to be overconsumed the way refined carbohydrates found in processed cereals, white breads, snack food, biscuits, juices and sugars are.

The amount of carb you need will depend largely on how active you are. If you spend all day on your feet and are already quite slim, you will need more than someone who sits all day does minimal exercise. And similarly, on days you train for an hour or more, you will need more than on a sedentary day when you barely leave the house.

Without shifting to a complete 'low carb' or keto approach, where carbs equate to less than 20 per cent of total calories or just 50-80g of total carbohydrates per day, the average adult will require 30-50 per cent of their daily calories from carbohydrates (you can see this is a wide range), equating to roughly 80-200g of carbohydrates each day, or 1-3 half cup serves at each meal.

As carbohydrate is the primary fuel for the muscles, it is a common belief that eating fewer carbs means that you automatically burn a greater amount of fat. While this is somewhat true, as the body prefers to burn carbs in the form of glucose as its primary energy source, if carbs are restricted to a great enough extent, even though the body will shift to burning fat it will also slow metabolic rate over time. This means that initially you will get good results from a strict low-carb approach, but over time metabolic rate will reduce and the body will begin burning fewer calories as a result. This effect can be observed in individuals who have great success initially using a low-carb diet but who find it difficult to maintain once they return to their usual carbohydrate intake.

The strongest sign that you're eating too much carbohydrate is if you're gaining weight, or not losing weight despite making a concerted effort to eat less and exercise. The easiest way to count your own carbs is to use an online monitoring app such as 'myfitnesspal'.

While extremely low-carb diets, or less than 50g of total carbs a day will support ketosis and rapid weight loss, for those not in keto, it is possible to eat too few carbs for the amount of activity you are doing.

Signs your carbs may be a little on the low side include constant sugar cravings and hunger and an inability to lose weight despite eating less and exercising more. This may suggest you need a little more carbs to successfully burn body fat. The minimum amount of carbs someone not in keto will require is roughly 80-100g plus another 20-30g for every hour of exercise.

Naturally every food that contains carbohydrates has a different amount and generally larger serves for example, larger slices of bread have more than smaller slices. As a general rule of thumb, cup of carbohydrate or one piece of fruit has about 20g of carbs per serve. For a more accurate analysis, simply check 'carbs per serve' on nutrition panels or use a monitoring program such as 'myfitnesspal'.

So carbs are not bad for us, rather it tends to be the types of carbs we commonly choose or are served. Large slices of sourdough or Turkish bread, the white rice in sushi and large serves of noodles and fries at night are when we get our carbs wrong.

On the other hand, fruit, vegetables and controlled portions of wholegrains have plenty to offer the key is to stick to natural, whole unprocessed carbs when you can. And if your goal is weight loss, keep a close eye on how much total carbohydrate you are consuming each day.

Susie Burrell is a leading Australian dietitian and nutritionist, founder of Shape Me, and prominent media spokesperson, with regular appearances in both print and television media commenting on all areas of diet, weight loss and nutrition.

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Everything you need to know about carbs - 9Honey

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MANSFIELD Stay-at-home mom Kara Franco has been overweight for most of her life, but she doesnt let it keep her from doing what she can to be a good mother, wife and having confidence in herself.

Im still pretty much physically fit and am able to do many things, but it (her weight) does still hold me back in a lot of ways, Franco said.

In 2010, Franco decided to get in shape for her wedding. She used a personal trainer, worked out with a friend and ran marathons. She ended up losing between 60-80 pounds.

Even with my wedding gown, I remember the lady was like, We probably should just buy you a new one, Franco recalled after losing so much weight.

Franco participated in many marathons, which aided her in losing over 60 pounds in 2010.

After their wedding, Franco and her husband decided they wanted to immediately try for kids, but they hit a roadblock when Franco discovered she was infertile.

They decided to go to Womens Care Inc. after trying to conceive for five years and received Intrauterine insemination treatment (IUI), a procedure in which sperm cells are directly placed into the uterus around the time ovulation occurs.

Julie Fogel, a licensed practice nurse at Womens Care Inc., loves making a difference in parents' lives.

What theyre doing here is great, Fogel said. Theres not a lot of facilities around here that do anything with infertility. We have one of the cheapest ones here because it is self-pay, we have the onsite lab here, so were able to run every lab that needs done and every ultrasound that needs done. Its all able to be done in one place thats here locally.

Womens Care Inc. has helped 50-100 women in the last 10 years with IUI and IVF treatments.

Franco and her husband went six times total for IUI treatments, but they unfortunately saw no results.

Every month youre like, Is this the month that Im pregnant? and then you take the test and its like, Nope! Didnt happen this month, Franco said. And then (I) would try to comfort (myself) with food, and so I did continue to gain weight.

Their next step was to try in vitro fertilization treatments (IVF), and although Womens Care Inc. doesnt do IVF treatments in Mansfield, they put Franco and her husband in touch with a fertility doctor at Ohio Reproductive Medicine.

Franco heard many stories about other women needing to lose weight in order to get pregnant, but her fertility doctor told her it wasnt an issue in her case.

It was not a factor to him, which was a blessing and a curse kind of because I didnt feel like I had to lose a bunch of weight in order to get pregnant, Franco said.

The first round of IVF for Franco and her husband was a success, but upon their six-week check up, they found out the fetus had no heartbeat.

It was extremely hard, especially because we tried so hard going through it, and then at the time I had a job where I was a manager to 20 something employees, Franco said.

The expense of the IVF treatments took a toll on the couple as well because they couldnt rely on insurance after the first round.

Each time you put a substantial amount of money down before you can even start the procedure, and then on top of that to pay for the drugs, Franco said.

After another unsuccessful attempt with IVF and making some choices, Franco and her husband decided to try one last time, and fortunately it worked.

Franco and her husband were in for an even bigger surprise, however. They discovered they were having twins.

After five years of unsuccessful attempts, Franco carried the twins to full-term in 2015 with no complications and delivered healthy a boy and girl: Zef and Zoey Franco.

Today, Franco still loves being a stay-at-home mom, but the combination of stress, medications she took while in treatment and giving birth led to her gaining back all of the weight she lost.

Kara Franco, 41, has grown up in Mansfield since she was 5 years old. She is a stay-at-home mom with twins and enjoys interior decorating. Most of the furniture at her home shes built herself.

Now that her kids are in school, Franco has a lot more time for herself and wants to use it responsibly by getting fit with challenges like Strive to Thrive. She hopes that with this weight loss journey she can also encourage her children to have a healthy relationship with food and fitness.

With my husband and I around, theyre predisposed to probably having those overweight traits, but I also dont want to stick that in their minds that they have to diet or workout, Franco said.

Im trying to let them see the healthy habits.

As her weight loss journey continues, Franco is determined to stay on track and continue to find herself outside of being a mom.

Ive typically always been a confident person, but even just getting my workouts in again and just the feeling I get from that has just been really nice, Franco said.

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Mother of twins vows to get herself back with Strive to Thrive - Richland Source

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Michelin-starred chef Tom Kerridge has kicked off the new year with a new cooking and fitness show.

On his BBC Two series Lose Weight and Get fit with Tom Kerridge, Tom has the mission to help 11 volunteers achieve their fitness goals with diet and training.

Episode 5 (Wednesday, February 12th) saw Tom making a vegetarian version of the nations favourite snack scotch eggs.

Heres a step-by-step tutorial on how to make Tom Kerridges vegetarian scotch eggs.

Tom Kerridges vegetarian scotch eggs

First things first, you will need six eggs.

For the coating, you will need 1 tin of chickpeas, 1 finely sliced shallot, 3 cloves of garlic, 1 green chilli, and two courgettes. You will also need 1 tbsp of turmeric, cumin and coriander.

For the crispy crust, you will need a mixture of 1 cup of onion powder and 1 cup of breadcrumbs.

Step 1: Boil the eggs for 4 minutes and 30 seconds.

Step 2: Next, fry the chopped onion, garlic, ginger and chilli. Add 1 tablespoon of each of the dried spices cumin, coriander and turmeric.

Step 3: After 4 minutes and 30 seconds, get the eggs out and put them into ice water.

Step 4: Then, add 2 grated courgettes to the spicy onion mixture.

Step 5: Put the drained chickpeas in a food processor and blend them. Add the vegetable mix to them, and blend them further. Place the mixture in a bowl and divide into six slices.

Tom Kerridges vegetarian scotch eggs

Step 6: Now, put a cling film on your chopping board. Take one of the six slices and form it into a flat piece. Place the egg on top and gently fold the vegetable coating around the egg.

Step 7: Use the cling film to shape the coating around the egg.

Tom Kerridges vegetarian scotch eggs

Step 8: For the crispy crust, mix the dried onion powder and breadcrumbs. Whisk two eggs in a separate bowl.

Step 9: One by one, roll each ball on the egg mixture first and then in the breadcrumb mix.

Step 10: Finally, spray oil on each scotch egg and bake them for 10-12 minutes at 220 degrees or gas mark 7.

WATCH LOSE WEIGHT AND GET FIT WITH TOM KERRIDGE WEDNESDAYS AT 8.30 PM ON BBC TWO

AND GET FREAKY WITH US ONINSTAGRAMANDFACEBOOK

Read more from the original source:
Make Tom Kerridges vegetarian scotch eggs: Lose Weight & Get Fit revamps the snack! - Reality Titbit - Celebrity TV News

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PHILADELPHIA Weight loss diets are rarely easy. In pursuit of the perfect beach body, or perhaps just a few less pounds, dieters do their best to stay away from sweets, treats, fried foods, and carbs. Exercise is, of course, another integral aspect of getting in shape, but the debate surrounding exercises influence on dietary habits has raged on for quite some time. Some believe working out leads to an increased appetite, while others say it helps regulate appetite and reduces overeating. In a win for exercise enthusiasts the world over, a new study finds that physical activity helps dieters stick to their rigorous meal plans.

Researchers from Drexel University tracked a group of people participating in a weight-loss program, and exercise proved to be a protective factor that enabled the dieters to persevere through their reduced-calorie regiment and avoid overeating.

Almost all behavioral weight loss programs prescribe exercise because of its health benefits and because it expends energy or burns calories, comments lead author Rebecca Crochiere, a graduate student in the College of Arts and Sciences, in a release. Interestingly, our study suggests that exercise may also aid in adhering to a reduced-calorie diet, perhaps through improved regulation of appetite or eating behavior. It adds another reason to engage in exercise if one is seeking weight loss.

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When study participants didnt exercise on a particular day, they had a 12% risk of overeating over the following hours. However, when they engaged in at least one hour of exercise, that risk percentage dropped by more than half to just 5%. For every additional 10 minutes of exercise, that risk percentage decreased by another 1%.

In total, 130 dieters took part in the research. Their eating and activity habits were tracked via a number of methods, such as surveys and hip-attached exercise trackers.

These findings can help researchers to better understand when participants who are seeking weight loss are at risk of overeating, Crochiere adds. It can inform the development of treatments that prevent overeating and facilitate weight loss.

Researchers noted that the studys results suggest exercise may have more a prominent influence on eating habits depending on the intensity of the workout. Light exercise actually displayed the strongest protective effects against eating too much.

In the future, the studys authors would like to investigate if exercises influence on eating patterns fluctuates from individual to individual.

The study is published in Health Psychology.

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Exercise Makes It Easier To Maintain A Healthy Diet, Doesnt Cause Increased Appetite - Study Finds

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After his junior year at Grace Community School, Gabriel Craig was on top of the world.

Not because he stood 6-foot-4, and while on the mound looked a foot taller and made a baseball look like a dart.

He was on top of the world because he was 17 and would grow another inch to 6-foot-5. He had a frame for a pitcher and the velocity on his fastball that had colleges around the country taking notice. Craig was rated as the 113th best right-handed pitching prospect in Texas and ranked with Perfect Game.

As the summer was winding down after his junior season, the arm was tired. He pitched his way as a starter through countless high school and travel ball games and it caught up with him.

Fortunately for Gabe, it was only stress to his ulnar collateral ligament (UCL) and not a tear. The remedy for healing was rest.

This meant missing his senior year of baseball.

But there was something else.

There were no more days of sorting through junk mail to find recruitment letters. Missing a season and potential arm issues scared the scouts away.

Gabe wasnt thinking of his future. He was thinking about the present. He wanted 2019 to be the season for Grace Community School.

My sophomore and junior years we made the playoffs, and it seemed just a few things didnt go our way or we had a chance at winning a title, Gabe said. I was looking forward to helping the team my senior year reach our goals. It was frustrating, seeing my teammates playing and not being able to help them and pitch.

While the public saw Craig (who was also an above average hitter with power) sitting on the bench and not playing, they didnt see what he was doing in the gym for 11 months while he was not throwing a baseball. He trained, he ran and he strengthen his arm.

It was time to slide that familiar cowhide over his hand, smell the distinct sweet smell of a baseball glove and grip a baseball.

He started some light throwing, then regular catch. He started his long toss program.

Something felt good. He knew he could throw 87 miles per hour on a good day, but he felt very strong.

But still, no interest from colleges.

The Tyler native has an advantage over a lot of baseball players. He lives in the same town as one of the best junior college baseball programs in the nation, Tyler Junior College.

And there is a reason Tyler, with a population during the workday of 250,000, is called a small town.

TJC head coach Doug Wren attends church. And at church, he knew the Craig family.

The recruiting process was different with Gabe, Wren said. I had some baseball guys contact me and say he was back, and he was throwing. So, we wanted to see him.

I knew his brother, I know his family and we all go to the same church. So weve had a history with the family as well, Wren continued. They are a great family and solid people. It was easy for us, we knew he was a great kid.

Having great kids is the foundation for a successful sports program. Its the bottom of the pyramid in the Coachs Bible from Fellowship of Christian Athletes.

But you also have to be great to make the TJC Apaches spring baseball team.

Before school started, Gabe had a one-man try-out. The coaches sat in the chair, the catcher got set and he wound up and threw.

He no longer threw in the 80s.

With three months of therapy, going through the pitching workouts from the TJC coaches and getting stronger, the 18-year-old freshman hit a new number on the radar gun.

I know his high school coaching staff and I knew fortunately he only had a few complications and was shut down for his senior season, said Wren. We waited, had him throw in August when he was ready and then it was an easy no-brainer for us.

While Gabe is topping out at 92, it does not guarantee playing time on a top-notch pitching staff like TJC, where up to a dozen kids can do the same thing on the gun.

However, he continues to work off the field and hopes to help the team as a closer.

I feel myself getting stronger. I have a lot of strength and exercise program in the weight room, said Gabe. Throwing also helps with keeping my arm in shape and improving my velocity.

Gabe is working on impressing the coaching staff enough to be a closer at TJC.

Currently, TJC is ranked No. 1 in the country after six games in NCAA Junior College Division III. Gabe has thrown two games, pitched three innings, struck out three, allowed two hits, no walks and a perfect 0.00 earned run average.

I love being a closer, come in and throw an inning as hard as I can, he said. Being a closer is an adjustment. Coming out of the bull pen, you dont know exactly when you are going to pitch or what game or what inning you are going to pitch.

A starter has the luxury of running poles in the outfield, stretching and preparing mentally all day for a game. Not a closer.

You have to be able to get warm quick and be ready to go when they need you, he said. When you are a starter you have more time to get ready to pitch. You need the mentality to be able to pitch when they need you. When you make that adjustment its a lot easier and you get to pitch more often.

For many high school kids, going to college means moving out of town or out of state to experience the country. Gabriel Craig says for two years, theres no place like home.

A first it was weird being from Tyler and going to the same school where I grew up, but then you realize its a blessing to be able to play here, he said. Its a really successful program (six national championships) and Im really excited to play here.

Hitters sitting on his well-placed fastball are now trying to adjust to a changeup and a slider. Mastering those pitches is just one goal.

I want to have a successful season and help the win a few ball games, he said.

Hes a big kid, the ball comes out of his hand well and hes around the zone, said Wren. He has a feel for some secondary pitches, so there was a lot to like there. Plus, knowing his character, his background, his family. You put all those pieces together and its an easy decision.

As for being one of the closers, Wren said Gabe has to work into high-leverage status on the pitching depth chart.

He has been very consistent for us, he has good stuff and I think he will have a chance to pitch in some high-leverage situations, said Wren. We will see. But hes been a really good addition and a great kid.

John Anderson is the editor of the Tyler Morning Telegraph and a longtime sports columnist. He can be reached at janderson@tylerpaper.com.

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After missing his senior season at Grace, Tyler's Gabe Craig now pitches for the nation's No. 1 baseball team, TJC - Tyler Morning Telegraph

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Loretta Ritter is a manager, Rehabilitative Services at Atlantic Health Systems Hackettstown and Newton Medical Centers and David G. Scott is a manager, Rehabilitation & Physical Medicine at Atlantic Health Systems Hackettstown Medical Center.

Q. What is cardiac rehabilitation and who is it designed for?

A. Cardiac rehabilitation is a medically supervised wellness program designed to help you improve your heart health as you recover from a heart attack or surgery, and to assist you in lessening your risk factors for heart disease. Also referred to as Cardiac Rehab, the programs at Hackettstown and Newton Medical Centers will customize your exercise and education to meet each individual participants needs.

Cardiac rehabilitation is led by registered nurses and exercise physiologists (i.e. specialists) who coordinate your exercise session, provide emotional support, and educate you and your family about lifestyle changes to reduce your heart disease risk, such as eating a heart-healthy diet, keeping a healthy weight and quitting smoking.

The goal of cardiac rehabilitation is to establish an individualized plan to help you regain strength, confidence, reduce your risk of future heart problems and improve your health and quality of life.

Don't let your age hold you back from joining a cardiac rehabilitation program. People of all ages can benefit from cardiac rehabilitation.

Research has found that cardiac rehabilitation programs can reduce your risk of death from heart disease and reduce your risk of future heart problems and reduce the risk of mortality by 54%. The American Heart Association and American College of Cardiology recommend cardiac rehabilitation programs.

Cardiac rehabilitation is designed for people with many forms of heart disease. In particular, you may benefit from cardiac rehabilitation if your medical history includes:

Heart attack

Heart valve repair or replacement

Coronary artery disease

Pulmonary hypertension

Heart failure

Heart or lung transplant

Peripheral artery disease

Angioplasty and stents

Chest pain (angina)

Coronary artery bypass surgery

Cardiomyopathy

Certain congenital heart diseases

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What is cardiac rehabilitation and who is it designed for? - New Jersey Herald

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About a year and a half after the United States left the Iran nuclear deal, also known as the Joint Comprehensive Plan of Action (JCPOA), the agreement is nearing collapse. For months after U.S. President Donald Trumps decision to depart, the remaining parties to the JCPOA tried to keep it alive. But it is becoming increasingly difficult for them to do so.

One sign came on Jan. 14, in the form of a joint statement from three European signatories to the JCPOAFrance, Britain, and Germany. Together, they announced that they had formally activated the deals dispute resolution mechanism, the process through which a complaint about a potential violation of the deal would be resolved. According to the text of the JCPOA, the dispute could end up at the U.N. Security Council, which could decide to place international sanctions back on Iran. The whole process takes about two months.

During this two-month period, the dispute could resolve itself in a few different ways. Iran could decisively return to its commitments under the JCPOA or the three European countries could backtrack on taking the case to the U.N. Security Council. At present, there is no indication that Iran or the European countries will back down. Iran has repeatedly stated that it will uphold its nuclear obligations only if it starts seeing the economic benefits the agreement promised. It has called on Europe for guarantees that the continent will continue buying Iranian oil and grant Tehran access to the revenues. On the one hand, Iran knows that Europe is unable to meet these demands because many large European firms, automakers, and big refineries that used to buy Iranian oil have extensive commercial and financial relations with the United States and do not want to put their commercial interests at risk under the U.S. sanctions. European governments have no way to force them to change their minds. On the other hand, the three European countries can point out in turn that the JCPOA is on the brink of collapse and that if they cannot convince Iran to reverse course, the Iranian nuclear case will inevitably return to the U.N. Security Councilwhere things are sure to get much worse for the country.

There could also be a third scenario, in which Europe repeatedly extends the one-month deadline for the JCPOA Joint Commission to look into the case before taking the file to the U.N. The commission could bide time as it waits to see how Iran responds, tries to cajole the United States and Iran back into negotiations, looks to the results of continuing inspections by the International Atomic Energy Agency (IAEA) in Iran, and perhaps tries offering the country some economic incentives. European Union foreign-policy chief Josep Borrell has already indicated as much. He has announced that the timeline for the dispute mechanism could be extended indefinitely, although he has not specified a time for the extension.

For now, although Iran has resumed uranium enrichment at the Fordow nuclear site and walked back on its commitments regarding uranium enrichment, research and development, and the amount of enriched materials it will stockpile, its nuclear program still has a long way to go before reaching the capacity it had the year before it signed the JCPOA. So long as Iran does not go beyond the latest infractions, it makes sense for Europe to try to kick the can down the road, especially if there are signs that United States could come back to the negotiating table for fear of possible Iranian blowback.

Tensions between the United States and Iran are as high as ever. In May 2019, on the one-year anniversary of the U.S. withdrawal from the JCPOA and reintroduction of sanctions, Iran first started taking gradual steps away from its commitments under the deal. In its fifth and final step, on Jan. 5days after the United States killed Iranian military commander Qassem SuleimaniIran announced in a statement that it would observe absolutely no operational limitations on its nuclear industry. Tehran also vowed that, from now on, its nuclear program would be developed solely based on its technical needs.

It is worth taking Iran at its word. Consider how, in the pre-JCPOA era between 2004 and 2012, Iran developed its current nuclear doctrine. In 2011, it successfully completed the nuclear fuel cycle, meaning it could handle all stages of exploration, extraction, enrichment, reactor operation, and ultimately the destruction of radioactive waste. Soon, Tehran started enriching uranium to 20 percent as a bargaining chip at future negotiating tables. As many as six Security Council resolutions and the imposition of tough sanctions did not deter Iran from its pursuits.

After bringing nuclear facilities online in Natanz, Arak, and Fordow, Tehran reached the conclusion that it did not want to pay any additional costs for its programit was ready to talk. In 2015, the JCPOA, which recognized Irans right to enrich uranium and preserve the core of its nuclear program, was signed. In exchange for the lifting of sanctions, Iran gave up on 20 percent enrichment, shipped the bulk of its nuclear stockpiles out, stopped uranium enrichment at Fordow site, and agreed to redesign the Arak heavy reactor.

Iran is again in a position similar to that of the pre-JCPOA era. With the United States decision to leave the JCPOA, the reimposition of harsh sanctions, and the killing of Suleimani, Iran has had reason to reconsider the deterrent aspects of its nuclear program. In this regard, Irans prime motivation is leverage in future negotiations.

Beyond continued recognition of its right to enrich uranium, Iran hopes that by ramping its nuclear program back up, it can also get European countries to intensify their efforts to secure the economic benefits that were meant to flow to Iran as part of the deal. European countries argue that they have lived up to their obligations under the JCPOA and even launched the Instex financial mechanismwhich enables European firms to get around U.S. sanctions to do business with Iran. But since the inception of the Instex in early 2019, Iran has continued to insist that it has not benefited from the JCPOA at all since it is still unable to sell its oil.

As long as pieces of the JCPOA stay intact and the dispute is not kicked over to the Security Council, it is unlikely that Iran will drastically change its nuclear doctrinefor example, by fully pulling back from the JCPOA, putting an end to IAEA inspections, and resuming uranium enrichment at levels above 20 percent.

But if the Security Council does reinstate its resolutions against Iran and if the United States continues to insist on forcing Iran to make more concessions on its missile capabilities and network of proxy militiasincluding Hezbollah in Lebanon, Hamas in the Palestinian territories, and the Iraqi Popular Mobilization Forcesthat may change. Iran has repeatedly declared that reexercising Security Council resolutions crosses a red line because the resolutions are issued under Chapter 7 of the U.N. Charter, which paves the way for serious measures against Iran such as a war, and thus pose a military and security threat. Beyond that, Iran will not negotiate over its missile program or efforts to exercise its influence in the Middle East; it considers those programs to be essential parts of its national security and deterrence. Tehran has never conducted any negotiations on these issues, and it is very unlikely that it will do so in the future.

If pushed, Iran may put an end to the IAEA inspections and deny inspectors access to its nuclear facilities and activities. It might also take leaving the Nuclear Nonproliferation Treaty (NPT) into consideration, which would make its nuclear program even less transparent. Iran has made clear that it would be within its rights to leave and has invoked Article 10 of the NPT, which states: Each Party shall in exercising its national sovereignty have the right to withdraw from the Treaty if it decides that extraordinary events, related to the subject matter of this Treaty, have jeopardized the supreme interests of its country.

In such circumstances, the line between war and negotiation will be thin. If Iran and the West fail to reach an agreement through talks, the risk of a military conflict would increase. And there is little reason to be optimistic. When the JCPOA was first signed, U.S. President Barack Obama agreed to separate Irans nuclear program from its missile capabilities and its regional activities. By contrast, Trump insists that those are grievous flaws in the JCPOA, indicating that he isnt likely to back off either.

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Europe Puts What Remains of the JCPOA in Limbo - Foreign Policy

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