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You probably recognize Kelsey Wells (formerly @mysweatlife) from her viral progress photo proving we should all #screwthescale because those numbers don't mean anything anyway:

Wells started her fitness journey just eight weeks postpartum, and through a combination of Kayla Itsines's #bbg program, a healthy diet, breastfeeding, and some seriously badass dedication, she completely changed her body. But more importantly, she changed her relationship with her body, finally finding inner confidence and compassion.

Now, just three years later, the wife, mother, and personal trainer has joined Kayla Itsines's team to launch the new SWEAT community, a place for women seeking education, inspiration, and support for their unique health and fitness goals. With the new SWEAT app (available for iOS and Android), you can now choose the best plan that suits your personalized goals while still having a dedicated place to share your experiences and develop supportive, encouraging friendships. In addition to Itsines's BBG and BBG Stronger programs, you can now also access Wells's SELF post-pregnancy program and Sjana Elise Earp's BAM (Body and Mind) yoga program.

And even though Wells's program is designed for new moms, the exercises (like these below) are great for anyone easing into a fitness routine for the first (or 40th) timejust be sure to get clearance from your doctor before starting any exercise program.

How to use this list: Set a timer for 7 minutes and aim to complete the below circuit as many times as possible before the timer goes off. Rest for 30 seconds, reset the timer, then repeat for a total of 14 minutes. While youre aiming to complete each exercise as quickly as possible, it's important to maintain proper technique throughout.

1. Pli Jump Squat

Start standing with feet together, hands clasped in front of chest. Jump feet apart with toes pointed slightly out and send hips back to lower into a pli squat (you'll feel this more in your inner thighs than in your glutes like a regular squat). Jump feet back together, landing softly with a slight bend in knees to return to starting position. Repeat for 12 reps.

2. Push-Up to Side Plank

3. Single-Leg Glute Bridge

Lie faceup on mat with knees bent and feet flat, arms resting along sides. Extend right leg straight up to ceiling. Engage glutes and press into left heel to lift hips straight up and then slowly lower back down. Continue for 8 reps then repeat on other leg.

4. Scissor

Lie faceup on mat with arms at sides, palms facing down. Extend legs straight up to ceiling so body forms an L shape. Engage core, then lift head, neck, and shoulders a few inches off mat, being careful not to strain neck forward. While keeping core tight, lower left leg to mat as low as possible (don't let your lower back pop up off the mat) while pulling right leg toward chest as much as you can. You'll feel this in your lower abs and along the back of right leg. Switch legs. Continue to repeat for 10 reps on each leg for a total of 20 reps.

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This Fitness Instagrammer Shows Us Her Favorite 14-Minute Workout - Greatist

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It's a postpartum nightmare for women: being asked when the baby is due after you've delivered.

But the "mummy tummy" that one-third of women have months after giving birth may not be a sign that they're eating too much. It could be diastasis recti, a separation of the abdominal muscles that can occur during pregnancy.

As Michaeleen Doucleff of NPR recently reported, the condition is a common side effect of pregnancy caused when the growing baby pushes against the rectus abdominus, a flat sheath of muscle that runs from the pelvis to the sternum.

"These are the muscles that give you a 'six pack,'" Dr. Linda Brubaker of the University of California, San Diego, told Doucleff. "People think these muscles go horizontal across the belly. But they actually go vertical from head to toe."

Before pregnancy, a cross-section view of this muscle would show a pair of muscles on either side of the belly, meeting in the middle at tissue known as the linea alba. After pregnancy, however, in some women, there's often an inches-wide split, which can be felt by palpitating the area around the belly button with your fingers.

The gap can close on its own, but if it doesn't, organs and tissue can protrude, causing a woman to still look pregnant even if her baby is already eating solid food.

This is not just a cosmetic issue, Doucleff wrote. Women can start to experience lower back pain and in some cases, a hernia can develop.

"If there's a defect in a layer of tissue called the linea alba, then the bowel can poke through. That's going to be more dangerous," Dr. Geeta Sharma of Weill Cornell Medical Center-New York Presbyterian Hospital told NPR. (Women who have been pregnant may remember having "linea nigra," a dark line that ran down their stomach; the linea alba is just under this line.)

Women with diastasis recti may also suffer from incontinence, and the condition may affect performance in athletes, according to K. Aleisha Fetters, writing in U.S. News & World Report.

"I regularly see firsthand the effects of (diastasis recti) on a woman's ability to function, whether it be leaking urine while she lifts weights in the gym or struggling with daily tasks like lifting her toddler or running to catch a cab," Karen Weeks, a physical therapist with the Northwestern Medicine Integrated Pelvic Health Program in Chicago, said in U.S. News & World Report.

Are you at risk?

Research published last year in the British Journal of Sports Medicine said about 60 percent of 300 new mothers studied in Norway had abdominal separation six weeks after giving birth. The percentage of women affected declined to 45.4 percent at six months postpartum, and 32.6 percent one year after giving birth.

That study involved first-time mothers, however, and diastasis recti is more prevalent in women who give birth to large babies or twins. You're also more likely to have it if you've been pregnant multiple times, or are older than 35. And, "most women who have a gap eight weeks following pregnancy still have it a year later," Fetters wrote in U.S. World News & Report.

While your doctor can diagnosis the condition, you may be able to tell if you have diastasis recti by doing a simple examination yourself.

According to NPR, the best way to do this is to lie flat with your knees bent, press into your stomach just above your naval, and lift up your head about an inch while keeping your shoulders down. "If you have diastasis recti, you will feel a gap between the muscles that is wider than an inch," the NPR report said.

If you have it, don't rush for the phone to call a plastic surgeon. Exercise may help. But some exercises, like some types of crunches, may also make the condition worse, so don't rush into a fitness program designed for non-lactating warriors.

To try to correct her own abdominal separation, NPR's Doucleff signed up for a class taught by Leah Keller, a personal trainer in San Francisco who specializes in fitness after childbirth.

Doucleff, and the other mothers in her class, saw improvement they attributed to one exercise done for 10 minutes a day.

How it's done

The exercise, developed by Keller and Sharma, was initially tested in a group of 63 women, some of whom did the exercise while pregnant, others after giving birth. All the women in the study showed improvement in abdominal separation, Keller and Sharma said in a study published in the peer-reviewed journal Obstetrics & Gynecology in 2014.

In the study, the women did the exercise for 10 minutes each day for 12 weeks.

The exercise involves extending the belly while inhaling, then contracting it while you exhale. Doucleff described it this way:

"And then as we exhale, we suck in our belly muscles as far back as they'll go, toward the spine. Then we take tiny breaths. With each exhale, we push our stomachs back further and further."

While it can be done in several different positions cross-legged, standing with knees slightly bent, or lying on your side in the fetal position two things are important: First, that your back is flat, not curved, and that your fingers are on your belly button, to ensure that it's not bulging forward, Doucleff wrote.

Does it work?

Doucleff, who has a Ph.D. in biophysics, said she did the exercise for 10 minutes daily for the four weeks of her class, and then for an additional three weeks after the class ended. During that time, her abdominal separation decreased from 1.2 to 0.6 inches, and she said she lost an inch from the circumference of her waist. Other women in the class completely closed up their abdominal separation and lost several inches around the waist, she said.

Doucleff's experience, of course, is anecdotal; she was not part of a study. And Sharma, the ob-gyn at Weill Cornell Medical Center-New York Presbyterian Hospital, acknowledged the dearth of research on the subject, and noted that her own study was small.

There are other exercise programs that are designed to correct diastasis recti, even some commercial programs that promise results but cost about $100.

The American College of Obstetricians and Gynecologists does not suggest any specific exercise to restore abdominal tone, but recommends that women get 150 minutes of moderate aerobic activity (like brisk walking or riding a bike) each week after having a baby. ACOG also recommends Kegel exercises to strengthen the pelvic floor.

Of course, for many moms, having a different body after childbirth is a badge of honor, not cause for shame or embarrassment. But women who are experiencing lower back pain after childbirth, or those who plan to have more children, might want to invest a few minutes a day in the exercise.

"My abs are definitely firmer. And regularly doing this exercise brought a bonus benefit: My lower back pain has almost completely gone away," Doucleff wrote.

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Is this simple abdominal exercise a DIY mommy makeover? - Statesboro Herald

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MedicalResearch.com Interview with:

Dr. Brach

Jennifer Brach, Ph.D., P.T.Associate professor, Department of physical therapySchool of Health and Rehabilitation SciencesUniversity of Pittsburgh

MedicalResearch.com: What is the background for this study? What are the main findings?Response: This study compared two different group exercise programs to improve mobility in community-dwelling older adults.The first program, a seated program focused on strength, endurance and flexibility, was based on usual care.The second program, called On the Move, was conducted primarily in standing position and focused on the timing and coordination of movements important for walking. Both programs met two times per week for 12 weeks. It was found that the On the Move program was more effective at improving mobility than the usual seated program.

MedicalResearch.com: What should clinicians and patients take away from your report?

Response: Community-dwelling older adults who are interested in improving their mobility should consider participating in a group-based exercise program like On the Move. The timing and coordination exercises are designed to be more challenging for participants, but they are important for walking and can improve mobility.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Response: Additional research is needed to examine the impact of the intervention on long-term disability outcomes.

MedicalResearch.com: Is there anything else you would like to add?

Response: It is important to note that the participants in the study were older, with an average age of 80 years. Many had multiple chronic conditions and impaired mobility, and approximately one third reported a fear of falling and a history of falls.

MedicalResearch.com: Thank you for your contribution to the MedicalResearch.com community

Citation:

Brach JS, Perera S, Gilmore S, VanSwearingen JM, Brodine D, Nadkarni NK, Ricci E. Effectiveness of a Timing and Coordination Group Exercise Program to Improve Mobility in Community-Dwelling Older AdultsA Randomized Clinical Trial.JAMA Intern Med.Published online August 14, 2017. doi:10.1001/jamainternmed.2017.3609

Note: Content is Not intended as medical advice. Please consult your health care provider regarding your specific medical condition and questions.

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Group-Based Exercise Program Improves Mobility in Geriatric Population - MedicalResearch.com (blog)

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Diet Doc Explains Why Customized Dieting is More Effective than the Popular Keto Diet

Oklahoma City, OK, Aug. 16, 2017 -- When people want to lose weight quickly, keto diets are a very common choice and for good reason. Low-carb dieting has been successfully used for years to drop pounds due to ketosis. Ketosis is what occurs when the body begins to burn fat for fuel, rather than carbohydrates; thus resulting in accelerated fat loss. In spite of the fact that it produces quick results, Diet Doc cautions that there are some additional characteristics of the diet that may not be as welcomed.

A diet low in carbs and high in protein cannot be sustained long-term given the effects of added protein can have on the kidneys, along with its negative effects on muscle and liver glycogen stores. Ketogenic diets often lack essential nutrients. If not balanced, a keto diet can lead to nutrient deficiencies such as b-vitamins and fiber. Healthy carbs are important for maintaining energy and fiber is critical for gastrointestinal health and weight reduction.

Customized diet planning on the other hand, can offer personalized guidance that takes all health issues into consideration to ensure that nutritional needs are being met and that weight loss is happening quickly. This route can help clients solve weight loss plateaus, address emotional eating patterns, assist with weight maintenance and other potential aspects. Diet Doc offers one of the most long-standing medical weight loss programs in the country, with individualized diet plans and supplements available for each clients unique needs. Their programs are conducted remotely, with certified doctors, coaches and nutritionists who get to know your health needs and can get you on the fast track toward improved health and weight loss success.

To lose weight safely and quickly, new Diet Doc patients can call or easily and effortlessly visit https://www.dietdoc.com to complete an initial comprehensive, yet simple, health questionnaire and schedule an immediate personal, no-cost consultation. Diet Doc Physicians all received specialized training in nutritional science and fast weight loss. Diet Doc reviews each patients health history to create a personalized diet plan geared for fast weight loss, or that addresses life-long issues causing weight loss to slow down or stop. Nutritionists work personally with each patient and use their own algorithm to craft meal and snack plans that are compatible with each patients age, gender, activity level, food preferences, nutritional needs and medical conditions. They combine these state of the art diet plans with pure, prescription diet products that enable their patients to resist the temptation to reach for sugary snacks, eliminate fatigue and curb the appetite. Over 97% of Diet Doc patients report incredible weight loss results with the majority losing 20 or more pounds per month.

At Diet Doc, all patients gain unlimited access to the best minds in the business. Their staff of doctors, nurses, nutritionists and coaches are available 6 days per week to answer questions, offer suggestions, address concerns and lend their professional guidance and support. Because of this, more and more people are turning to Diet Doc for their weight management needs. Diet plans are tailored to be specific to the needs of those of any age, gender, shape or size and for those who are struggling to lose that final 10-20 pounds to those who must lose 100 pounds or more. Call today to request a private, confidential, no-cost online consultation.

About the Company:

Diet Doc Weight Loss is the nation's leader in medical, weight loss offering a full line of prescription medication, doctor, nurse and nutritional coaching support. For over a decade, Diet Doc has produced a sophisticated, doctor designed weight loss program that addresses each individual specific health need to promote fast, safe and long term weight loss.

Diet Doc Contact Information:

Providing care across the USA

Headquarters:

San Diego, CA

(800) 581-5038

Info@DietDoc.com

Homepage

Twitter: https://twitter.com/DietDocMedical

Facebook: https://www.facebook.com/DietDocMedicalWeightLoss/

Linkedin: https://www.linkedin.com/company/diet-doc-weight-loss?trk=biz-brand-tree-co-logo

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Diet Doc Explains Why Customized Dieting is More Effective than the Popular Keto Diet - EconoTimes

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BYH Winterville PD, you have some of the nicest, professional officers. Other small towns would benefit by following their lead.

BYH ECU state employees. Welcome to the real world; the gravy train of benefits is over!

As I was driving around the city noticing all the large construction cranes, I also began to notice new roads. Greenville, you look good in your new suit.

Stanford University has introduced a course to discuss the possibilities of abolishing whiteness, according to the course description. I am not too sure where this is headed. I am pretty sure I was born the color I am and just thought it was part of the natural process. I would like to lose weight and grow more hair, but changing color seems a might drastic.

Bless your heart, Vidant, for being one of the dirtiest hospitals I have ever seen. You should be using some of the ridiculous profit from the outrageous prices charged in the cafeteria to keep the hospital clean!

I have been studying all the campaign promises made by city council and mayoral candidates over the past 25 years. By my calculation, if all of their promises had come true, then we would be living in a city of over 40 million people with a greenway that would stretch to Kathmandu. Please remember to discount campaign promises by a factor of 110 percent. Then forget them and you will not be disappointed.

BYH and welcome back, ECU students. Just one favor, please put your devices in the glove compartment when you drive. Thank you.

BYH to the painters and planners of the bike lanes that are on less than 1 percent of our roads. It is great that Greenville is starting to realize that many of us wish to be able to safely bike and walk. However, a few token bike lanes that never connect with each other just makes sharing the roads even more dangerous. Drivers of cars speed too much, run red lights and refuse to share the roads with others. City leaders need to see what cities like Raleigh are doing to improve the quality of life for the people who live there and make every street safe to use by everyone.

NO BYH to NCDOT. Where is the road going from Dickinson to 10th Street? I would say 50 percent of the cars going down Dickinson would turn right onto 10th. Theres no road anymore!

Bless his heart, candidate Trump said Im not going to have time to play golf, believe me if elected, and Who the ... wants to leave the White House? Well, today marked the 50th day he has spent at one of his golf resorts as president, making those words as empty as everything else hes said.

Send contributions using the Bless Your Heart box on reflector.com, by emailing to blessyourheart@reflector.comor by calling 252-329-9564.

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Aug. 15 Bless Your Heart - Greenville Daily Reflector

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After I had my daughter via cesarean section, I diligently tried to breastfeed. I kept my baby latched as directed, and maintained skin-to-skin contact. But milk was not coming in, and my baby was not happy about it. If she was awake, she was screaming. My husband and I were worried, but the hospital-issued lactation consultants assured us that she was fine. I recalled something from the breastfeeding class we had taken at the hospital while I was pregnant. The lactation consultants told us that even a drop of nutrient-dense colostrum (the substance present in breasts from pregnancy until mature milk comes in) can satisfy a newborn. Not my newborn! Eventually, a pediatrician took notice of our babys abnormal weight loss and procured a bottle of formula, against the lactation consultants orders.

I was so relieved as our baby sucked down that tiny bottle and finally seemed satisfied! Then I felt crushing guilt that I had allowed her to starve. In my post-op drugged state, I didnt really feel that I had been offered a choice. The lactation consultants orders did not seem to be optional. She lost more than 11 percent of her body weight before that doctor stepped in. Lactation consultants didnt want us to supplement with formulaeven a few ouncesbecause of nipple confusion (when a baby wont breastfeed because they think of the bottle nipple as normal, or they prefer it due to its faster flow of milk) and interference with breast milk production, resulting in a low supply. But those things never happened. Eventually my milk came in, and from that point, we didnt need to supplement any more. My daughter was exclusively breastfed with no issues whatsoever despite this brief flirtation with formula.

Eventually I discovered that many new moms had similar stories; lactation consultants pressuring them into avoiding temporary formula use, despite weight loss, dehydration, or jaundicewhich infants are at higher risk for if theyre dehydrated or not getting enough calories. Lactation consultants are specialists in breastfeeding. They help new mothers learn to breastfeed and help troubleshoot when problems arise. But I began hearing tales of overbearing decision-making rather than gentle guidance from consultants. So who is really in charge of a babys early nutrition, and whats best? What are the guidelines? How much weight loss is actually worrisome?

I delivered at a Los Angeles area hospital in 2013, when it was working toward becoming a baby-friendly hospital (It received that designation in 2016). The Baby-Friendly Hospital Initiative (BFHI) was launched by the World Health Organization and UNICEF in 1991 as a global effort to implement practices that protect, promote, and support breastfeeding. BFHI was designed with babies health in mind. The existing evidence indicates advantages for breastfed infants in terms of neurodevelopment, growth and immune-related outcomes, says Sarah A. Keim, the principal investigator at the Center for Biobehavioral Health at The Research Institute at Nationwide Childrens Hospital. Hospitals seeking that Baby-Friendly designation must adhere to certain guidelines promoting breastfeeding such as treating breastfeeding as the norm and providing breastfeeding assistance, and staff must follow step six in the Guidelines and Evaluation Criteria for Facilities Seeking Baby-Friendly Designation: Give infants no food or drink other than breast milk, unless medically indicated. In fact, according to the guidelines, hospitals must track their rate of formula supplementation in breastfed infants, and are told that information will be analyzed. Furthermore, they need to see that rate decrease over time.

Hospitals seek Baby-Friendly designation because (as mentioned in the guidelines) it carries credibility and prestige, its marketable to the community, and it increases demand at that particular hospital. Many hospitals are aspiring to meet these requirements, at least partly because its a good marketing tool to encourage women who want to breastfeed to deliver at those hospitals, notes Keim. Its changing hospital policies around pacifiers and when to offer formula.

But the best-intentioned lactation consultants and Baby-Friendly guidelines may be contributing to a crushing pressure to breastfeed at all costs. And its not just the hospitals. First-time mothers are generally poorly prepared for breast feeding, yet the societal pressure to breastfeed these days is enormous, says Keim.

Devin Garcia, a new mom from San Bernardino, California, had a more extreme situation than I did. When her son Nolan was born, despite help from lactation consultants, Garcias milk wasnt coming in. I kept asking the hospital for formula and they refused to give me any; they kept assuring me he was getting enough, she recalls. The family went home from the hospital and Nolan began cluster feedingbreastfeeding in sessions close togetherto no avail. I was told by the professionals that this is normal and it's okay, Garcia says. Nolan was born on a Thursday; by Sunday morning, he had lost 23 percent of his body weight, as Garcia and her husband discovered when they brought him back to the hospital.

My poor baby was deemed dehydrated, lowblood sugar, high-jaundice, and we were admitted to [neonatal intensive care] to stabilize, she says. Nolan stayed in the NICU for four days, getting IVs, his blood drawn every two hours to check blood sugar levels, and was on the light treatment for the jaundice. It was the hardest thing in the world to see. Once her mature milk came in, Garcia had issues with low supply, but Nolan is now two months old and doing fine on formula. Breastfeeding isn't for everyone and my body sure as heck let us know that, Garcia says.

Lactation consultants understandably want to encourage new mothers to breastfeed; its their job, and they believe passionately in it. And theres science to support the idea that breastmilk is healthy for babies. But while formula mimics many of the same nutrients found in breast milk, its not a perfect match. For instance, there are substances in breast milk produced by the maternal immune system that babies use for their own immune protection, and those are not mirrored in formula, explains Keim. Also, emerging science indicates that breast milk contains beneficial bacteria that helps the infant gut.

However, there is some evidence that while breast milk is healthier for infants, it may not be vastly better. Keim describes a study led by Michael Kramer at McGill University. It was a randomized controlled trial that compared children who were born in baby-friendly hospitals to children born in hospitals that had not joined the baby-friendly program. Children in the intervention group had fewer respiratory infections as infants, and there might have been some limited benefit to neurodevelopment, but in general the benefits were limited, Keim says. For instance, the children in the intervention group were not less likely to be obese and not less likely to have allergies. So if mature milk simply isnt coming in, how far should hospital staff and lactation consultants go to prevent formula supplementation?

In the classes I took at the hospital while pregnant, we were assured that breastfeeding would be easy and convenient if we simply learned the right ways to hold the baby, and they had the physical ability to latch on at the breast. It wasnt even supposed to hurt if we were doing it right (this turned out to be very false for me), and nothing was mentioned about the fraught time when milk has yet to come in, except that the colostrum would be enough to sustain the baby. Perhaps the optimism is to keep from scaring pregnant women, and I know lactation consultants want to give breastfeeding a positive spin so that more moms will want to breastfeed. But if they had been more forthcoming about common challenges (delayed milk, pain, and a host of other issues), I wouldve felt more prepared. Instead, I felt a bit deceived.

With her first newborn, digital media coordinator Jessica Dickiesons milk didnt come in for three weeks and she was eventually allowed to supplement. So when supply issues happened with her second child, and nurses wouldnt give her formula for her newborn son, the Los Angeles mother of two saw the signs. The baby was starving, I knew it. I'd been through it before, she says, recalling that her sons weight was down 12 percent at his pediatrician visit four or five days after birth. Formula has saved my kids from starving. I wish I could fully breastfeed them but also wish it wasn't looked down as such a terrible thing and to make moms feel guilty for needing it.

Janet Guida-Davis, a mom from Grants Pass, Oregon says her doctor warned her about lactation consultants. She said they mean well but they have their own agenda. Take what you want and leave the rest! Follow your instincts. After a C-section birth, Guida-Daviss newborn got jaundice and started losing weight, so the new mom asked for formula. He started gaining weight and Guida-Daviss milk eventually came in and all was well. Her son could even switch from bottle to breast with no issues. It would have been nice if somebody at the hospital would have suggested that sooner, she says of supplementing. I don't understand why nobody suggested that option.

Despite a great latch, Melissa Forestas newborn wasnt getting any milk. The screaming baby had lost 14 percent of her body weight before Foresta, a mom from San Clemente, California, demanded formula, threatening to get it herself. She sucked that first bottle down so fast, Foresta says. I felt terrible that she was so hungry and that I had let myself be manipulated and guilted into not supplementing.

Tanya Altmann, a pediatrician and author of What to Feed Your Baby, says a good way to ensure your baby stays healthy in the early days of breastfeeding is to find a pediatrician who checks them frequently. A few days after leaving the hospital and every few days until baby has regained birthweight and is growing well, she recommends. Altmann doesnt feel that the threat of nipple confusion, for instance, warrants avoiding supplementing if its needed. Most babies can go back and forth well, especially once breastfeeding is well-established.

Altmann says there are no actual medical guidelines to offering formula when milk doesnt come in, but she wouldnt let her infant patients lose more than 10 percent of their body weight. It all depends on baby and how baby is growing and developing, if baby is losing too much weight or getting jaundice, she says. It isnt a number of days, but the overall picture of mom/baby health.

Altmann also recommends finding a lactation consultant. Despite the bad experiences some mothers have, lactation consultants can be invaluable in guiding new mothers in feeding their babies. Hurdles like tongue-tie (a condition that restricts the tongues range of motion), thrush (a fungal infection of the mouth), or latch issues can be resolved with a good lactation consultant. Babies arent born experts and neither are moms, Altmann says. With a little help, time, and patience, everything usually begins flowing fine and breastmilk is really the best nutrition for baby.

I had an amazing lactation consultant who saved my breastfeeding, says Melissa Miller, a mom in Los Angeles. I had all the issues. My baby was tongue-tied and tongue-thrusting and my milk came in late ... I got mastitis and had clogged ducts. This woman got me through all of it with my nipples and sanity intact. Miller says that the pain caused by her early breastfeeding issues caused her to have panic attacks and postpartum anxiety. When the lactation consultant gradually helped me fix my breastfeeding issues, that went a long way in reducing my anxiety to manageable levels.

Amanda Sitko, a writer who lives in Los Angeles, eventually found a wonderful lactation consultant after the birth of her baby. She was the first LC I came in contact with who didn't make me feel stupid/ashamed and broke it down in a mathematical way that made sense to me when I had to supplement, Sitko explains. The other LCs I came across were pretty gruff and just grabbed my breasts without asking.

Julie Matheney is a preemie feeding specialist and certified lactation educator, counselor and consultant. She says that cesarean births delay the natural switch from colostrum to mature milk, which is what happened in my case.

I asked Matheney how long it is safe for a mother to wait for mature milk to come in before supplementing with formula. This is a loaded question because every story is different, she says, noting that in hospitals that call is usually based on bilirubin numbersan indicator for jaundice, a liver condition commonly associated with infants. In my practice, if a baby has not had the recommended number of wet diapers by day three we're supplementing at the breast using an SNS at the very least. (An SNS is a supplemental feeding tube designed to simulate breastfeeding.) She says there are no set rules as to when formula should be offered. Unfortunately there are no guidelines and every practitioner comes from their own experience and setting.

Ten percent is normal weight loss for all infants, she explains. Birth weight needs to be regained by two weeks. Red flags that should prompt supplementing also include lethargy, sleeping more than four hours in a row, or not producing enough soiled diapers by 48-72 hours.

When it comes to looking for a lactation consultant, Matheney says the gold standard are consultants certified by the International Board of Lactation Consultant Examiners.

The earlier you get help, statistics show, the longer mothers will breastfeed. If breastfeeding is your goal, get help in the first 7296 hours, says Matheney. Enlisting help gives mothers the confidence in knowing subtle changes in positioning and latch that can make a world of difference. An LC can also identify if there is something wrong, like a tongue tie, inverted nipple, swelling of the breast from fluids at birth, etc., that is impacting feeding.

Matheney disagrees with the Fed is Best campaign (as opposed to breast is best), which posits that mothers should be supported in however they (safely) feed their babes (after all, shes in the breastfeeding business) but admits that sometimes formula cant be avoided. There are obviously cases when supplementation is absolutely necessary and mothers should never be ashamed of needing to supplement, she says. They should also be encouraged to get professional help as soon as possible to facilitate breastfeeding from the beginning. So many issues can be prevented before they're a problem.

I think everyone seems to assume LC support is helpful and positive, but its not always, says Keim, who found that 30 percent of the women she studied as part of upcoming research reported negative experiences with their lactation consultants. Part of this could be womens expectationsmaybe because women are not well-prepared for the reality of breastfeeding they may have a rosy picture of how it should be and then disappointment hits hard. Part of it could be that not all LCs are well-trained in or really skilled with the counseling part of offering this support. Part of these negative experiences with lactation consultants could also be that hospital pressure to obtain or maintain Baby-Friendly designation. But the more information expectant and new mothers have about early breastfeeding, the more confidence theyll have in feeding their babies, and the more prepared theyll be, should things go wrong.

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Breastfeeding at Any Cost? - The Atlantic

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MADISON, Wis. (AP) Researchers say bear bait could be playing a role in the high density of bears in northern Wisconsin.

New research from the state Department of Natural Resources and the University of Wisconsin-Madison shows bear bait makes up more than 40 percent of a black bears diet in the region, Wisconsin Public Radio reported.

Researchers sampled bear bait and native foods in the Chequamegon-Nicolet National Forest, and then compared the samples to black bear tissues from 2011 to 2013. The study focused on areas with forest and wetlands in order to minimize the impact of crop cover.

It was a study designed to better understand the ecology of bears in the state and the role that the various foods on the landscape play in the population, said Dave MacFarland, a large carnivore specialist with the Wisconsin Department of Natural Resources.

That gives us information on the impact of regulations. Its sort of a first step to better understanding the role of bait in bear diet.

High-calorie foods such as meat, candy or cookies are often used as bait. The state doesnt allow bait to contain any animal parts or animal by-products.

The state allows baiting from April through early October, a period thats about three times longer than baiting periods in Michigan and Minnesota.

While female black bears have experienced increased fertility when they eat bait, researchers said more study is needed to determine how bait affects the bear population.

Itd also be interesting to see what, in states with different policies and different regulations, what role bait is playing in the diet of those bears, MacFarland said. Theres some more work potentially to be done, but I think its an important first step in us better understanding this.

The area is home to more than 20,000 bears.

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IRON MOUNTAIN A 25-year-old Iron Mountain woman faces charges in Dickinson County stemming from two controlled ...

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Bait has heavy role in bear diets in north Wisconsin - Iron Mountain Daily News

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Toni Okamoto was trying to make her family healthier when she started the blog that would become Plant Based on a Budget, a website for meal planning, recipe sharing, and education about the affordability of a vegan diet.

By the time she first posted vegan recipes on her family blog in 2012, she had seen her grandfather pass away due to complications from heart surgery and an aunt amputate a toe and foot due to Type 2 diabetes.

I had just started learning more about food issues, so in my early 20s, I thought, OK, this is really frustrating and sad for me to sit here and do nothing while my family is suffering, Okamoto told NBC News.

But over the past five years, Plant Based on a Budget has built a growing reader base, with more than 120,000 followers on Facebook.

The success has allowed, Okamoto, now 30, to author a cookbook, The Super Easy Vegan Slow Cooker Cookbook, which highlights 100 healthy, low-maintenance recipes, as well as co-author The Friendly Vegan Cookbook. She was also featured in What the Health, a documentary on plant-based diets released on Netflix in June.

The feedback for my segment has been amazing, she said. I can't believe how many people are inspired to eat plant-based after watching the film. I'm so grateful to have had a small part in it all.

Growing up in a multi-ethnic household in Sacramento, California, Okamoto learned first hand the importance of maintaining a healthy diet.

Every day before high school track practice, she would eat lunch at a fast food chain located across the street. But within minutes, shed immediately feel sick to her stomach.

It was not healthy for me to eat that way, Okamoto said. My track coach said, why dont you stop eating fast food and try cutting back on red meat?

As Okamoto changed her diet, she saw herself thrive as a runner and after participating in a two-week vegetarian diet challenge with a friend eventually decided to transition into a full-vegetarian diet.

The four-year transition to a vegan diet for ethical reasons was more gradual, Okamoto said.

I stopped eating beef, then getting broth beef and stopped drinking cows milk and butter, she said.

The cover of "The Friendly Vegan Cookbook" by Michelle Cehn and Toni Okamoto.

In an effort to inspire healthier eating options for her family, Okamoto began compiling plant-based recipes. But when she put the recipes up, she was shocked when many of her family members expressed the concern that it was too expensive for them to eat the way she did.

That's when my family food blog turned into a blog that challenged the misconception that plant-based food is only for privileged people, Okamoto said. I wanted to provide everyone resources that gave them inspiration and drive to eat healthy.

Okamoto stresses the importance of providing early nutrition education in schools and avoiding processed foods.

Nutrition education is nonexistent in many low-income communities of color, she said. Its important to feed children healthier food.

Having grown up in a low-income family, Okamoto focuses particularly on budget-conscious recipes. Her meal plans can be as inexpensive as $25 per week per person and include a grocery list that shows how to use 100 percent of the ingredients while staying within budget.

Theres also a focus on ease when she doesnt have time to cook, Okamoto pre-plans her meals and uses her slow cooker, letting ingredients cook overnight.

While I sleep, I cook beans overnight, and in the morning Ill add chili and stuff, and when Im at work, Ill cook it, she said. When I come home, I have dinner, and the rest of the week Ill have leftovers.

Okamoto said that she wants people to know that Plant Based on a Budget is not an all-or-nothing decision and that every bit of progress toward a health goal is something to be proud of.

It takes a lot of courage and effort to relearn all of the things youve been taught about food and that is difficult, she said. Pat yourself on the back for every healthy meal you eat and every day you choose plant based.

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August 14, 2017 - By Marguerite Chambers

Among 13 analysts covering Cineworld Group PLC (LON:CINE), 11 have Buy rating, 0 Sell and 2 Hold. Therefore 85% are positive. Cineworld Group PLC had 131 analyst reports since July 24, 2015 according to SRatingsIntel. As per Thursday, March 9, the company rating was maintained by N+1 Singer. Barclays Capital maintained Cineworld Group plc (LON:CINE) on Monday, July 11 with Overweight rating. The company was maintained on Tuesday, August 4 by Numis Securities. HSBC maintained Cineworld Group plc (LON:CINE) rating on Tuesday, April 4. HSBC has Buy rating and GBX 750 target. As per Friday, October 9, the company rating was maintained by Canaccord Genuity. On Thursday, January 7 the stock rating was maintained by Numis Securities with Add. On Friday, July 29 the stock rating was maintained by JP Morgan with Overweight. The rating was maintained by Investec on Thursday, August 13 with Buy. The stock of Cineworld Group plc (LON:CINE) earned Overweight rating by J.P. Morgan on Friday, September 25. J.P. Morgan maintained Cineworld Group plc (LON:CINE) on Monday, November 2 with Overweight rating. See Cineworld Group plc (LON:CINE) latest ratings:

10/08/2017 Broker: Canaccord Genuity Rating: Hold Old Target: GBX 630.00 New Target: GBX 700.00 Reiteration10/08/2017 Broker: Investec Rating: Buy New Target: GBX 825.00 Maintain10/08/2017 Broker: N+1 Singer Rating: Buy Old Target: GBX 760.00 New Target: GBX 770.00 Upgrade10/08/2017 Broker: Numis Securities Rating: Hold Old Target: GBX 750.00 New Target: GBX 750.00 Maintain10/08/2017 Broker: Peel Hunt Rating: Add Old Target: GBX 775.00 New Target: GBX 775.00 Maintain26/07/2017 Broker: Berenberg Rating: Buy Old Target: GBX 675.00 New Target: GBX 800.00 Reiteration25/07/2017 Broker: Numis Securities Rating: Hold Old Target: GBX 750.00 New Target: GBX 750.00 Maintain11/07/2017 Broker: Deutsche Bank Rating: Buy Old Target: GBX 825.00 New Target: GBX 825.00 Maintain15/06/2017 Broker: Investec Rating: Buy New Target: GBX 825.00 Maintain09/06/2017 Broker: Peel Hunt Rating: Add Old Target: GBX 775.00 New Target: GBX 775.00 Maintain

Barings Global Short Duratin Hgh Yld Fnd (BGH) formed multiple top with $20.78 target or 3.00% above todays $20.17 share price. Barings Global Short Duratin Hgh Yld Fnd (BGH) has $404.57M valuation. The stock increased 0.95% or $0.19 on August 11, reaching $20.17. About shares traded. Barings Global Short Duratin Hgh Yld Fnd (NYSE:BGH) has risen 16.94% since August 14, 2016 and is uptrending. It has outperformed by 0.24% the S&P500.

About 74,303 shares traded. Cineworld Group plc (LON:CINE) has 0.00% since August 14, 2016 and is . It has underperformed by 16.70% the S&P500.

Cineworld Group plc is a United Kingdom international cinema chain. The company has market cap of 1.96 billion GBP. The Firm operates in approximately nine countries. It has a 20.08 P/E ratio. The Firm operates through two divisions: UK and Ireland, and Central and Eastern Europe and Israel .

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Barings Global Short Duratin Hgh Yld Fnd (BGH) At $20.17 Forms Top; Cineworld Group plc (LON:CINE) Had 11 ... - High Point Observer

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