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"The ability to be aware to have compassion; to be confident, but not arrogant; and to take joy in helping to create someone else's success."

Davorka (Dada) Suvak, co-founder and director of Spirit Open Equestrian Program at Frying Pan Park in Herndon, made Equine Assisted Learning a top priority. The programs, available for youth, families and corporate and other groups, each use the interactions between horses and humans to encourage personal growth and development and to improve basic life skills, according to Spirit's website. But after interviewing a few of the teenagers and their parents who participate in the youth program, that barely scratches the surface of the value this program can bring.

Learning basic riding skills, grooming, tacking and barn skills as well as providing assistance for the therapeutic riding program are merely a backdrop for what is happening.

Riders in the Equine Assisted Learning program have significant responsibilities, "We get here before classes start, feed, groom, tack and exercise horses," Meagan Hosker, 16, explained. Best part is getting to hang out with awesome people, like Nicole.

Her mom, Claire, got to the heart of what it has meant as a parent. "The program teaches excellent time management skills without even having them aware. How else would these students be able to accomplish all their successes with higher grades, horse management, other school commitments, and learn and support the Spirit program?"

When therapeutic riding classes are in session, the more experienced EALs side-walk (spotting and/or physically supporting riders), lead horses for riders who are not able to fully control them and some EALs are in training as assistant instructors.

Danielle Springer, who is getting ready to go off to college in the Fall, has watched her sister's joy of therapeutic riding for many years. So a few years ago, when she was looking for an activity for herself, getting involved at Spirit was an obvious choice.

Danielle values having had the opportunity to develop her leadership skills, "I feel like I have the personality for a leader. But I sometimes need help in focusing my attention," she said. "[As an assistant instructor] you have to watch at most five kids [at the same time]," which she acknowledged can be a challenge, "You learn to look at both the small things and the bigger picture." And communication is critical for keeping everyone moving and safe, "You are in charge of the five riders, then you have volunteers and EALs walking with them," and that can be a lot, she says.

Danielle recognizes how those skills translate to an office job or the hospital she hopes to work in when she completes her nursing degree. There are going to be times, she says, "where [I] may have a task and need to manage and motivate a group to reach an end goal."

Abby Schwall of Oakton is just 16, but with the grace and poise of a much older young woman. "One thing that is special about the horses here," says Schwall, "is that the majority of them are rescue horses. So you dont know how they are going to react to certain situations, [which means] you have to make sure you can handle whatever they are going to throw at you. [That has taught me] to be able to maintain my cool. So now its a lot easier to handle situations Im not used to or comfortable with."

And while these EAL girls, as the young clients refer to them, are growing themselves, they are providing wonderful role models for young riders there, who cherish their friendships and aspire to one day become EAL's themselves.

Nicole Springer of Sterling treasures the friendships she has made with the EALs, who help out during her riding sessions. When the virus hit, it was very hard. She choked up as she described what it was like for all those months. "I was sad. I cried a few times. Because that is one of the biggest things I miss during this whole thing. Her mom, LJ, agrees that it had been hard, sharing that Nicole had missed Buttercup, the horse she rides and the EALs equally.

Born with low muscle tone (hypotonia), which impacts both her fine and gross motor skills, Springer's parents recognized how important it was for her to build key muscle strength and signed her up for therapeutic horseback riding when she was nine years old.

A bubbly college student now, Nicole is proud of how far she has come. It made me stronger. I can jump rope now and I can play basketball more easily. And now she is an independent rider, which is a big achievement, Parents of therapeutic riders echo the same joy that while riding has improved physical strength and skills, it has also had an impact on confidence and self esteem.

During the stay-at-home order, Suvak hosted a weekly Zoom where the entire Spirit community could come together. According to Susan B., her daughter, 10-year-old Sarah couldn't wait to catch up with Suvak, the EALs and the horses. Her calendar marked each week, Sarah made sure her homework was done and the table was set in time.

When hippotherapy, horse related physical therapy, was recommended as a companion to Sarah B's traditional physical therapy, her parents knew they had their work cut out for them. At three years old, she wasn't very steady on her feet, which made her fearful of things that might knock her over, and horses are big, especially when you are so little.

So for the year she was on the Spirit waitlist, they found every opportunity to get Sarah excited about horses. Pony rides available at the fair, they were on it. Vacation pony rides, sign them up. Sarah started to enjoy the ponies. But despite all of the preparation, on that first day at Spirit, Sarah's parents were apprehensive and then, suddenly she was up on the horse, "excited and comfortable," her mom says.

Alongside traditional physical therapy, there has been great improvement over the years. Parents can all relate to having to nag their children, and being ignored. For Sarah's mom, Susan, it was heartening to see Sarah respond immediately to Director Davorka (Dada) Suvaks admonishments to sit up straight on the horse. Now ten, Sarah's posture is perfect and she rides independently, controlling the horse herself.

Her confidence has grown and she has set goals for herself. She aspires to one day be an EAL and she hopes to transition from therapeutic riding to traditional riding.

In addition to the therapeutic riding clients served by Spirited Open Equestrian Program, Spirit's equine-assisted psychotherapist works with children referred by Fairfax County's Children's Community Services Act. The CSA helps children and families access support services when a child struggles with serious emotional or behavioral problems and equine assisted psychotherapy is one of the therapies used in that effort. Private pay clients can also participate in equine assisted psychotherapy at Spirit. You can read more about it here.

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Leading by Example - McLean Connection

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Bernard J. Wolfson September 9, 2020

If your life these days is anything like mine, a pre-pandemic routine that included regular exercise and disciplined eating has probably given way to sedentary evenings on a big chair, binge-watching reruns of your favorite TV series while guzzling chocolate ice cream or mac n cheese.

But lets not beat ourselves up about it. Several doctors I spoke with recently said most of their patients and many of their colleagues are struggling to maintain healthy habits amid the anxiety of the pandemic. The Quarantine 15 (pounds, that is) is a real phenomenon.

The double challenge of protecting our health, including our immune systems, while battling unhealthy temptations is a struggle everyone is dealing with, says Dr. David Kilgore, director of the integrative medicine program at the University of California-Irvine.

Well before COVID-19, more than 40% of U.S. adults were obese, which puts them at risk for COVID-19s worst outcomes. But even people accustomed to physical fitness and good nutrition are having trouble breaking the bad habits theyve developed over the past five months.

Karen Clark, a resident of Knoxville, Tennessee, discovered competitive rowing later in life, and her multiple weekly workouts burned off any excess calories she consumed. But the pandemic changed everything: She could no longer meet up with her teammates to row and stopped working out at the YMCA.

Suddenly, she was cooped up at home. And, as for many people, that led to a more sedentary lifestyle, chained to the desk, with no meetings outside the house or walks to lunch with colleagues.

I reverted to comfort food and comfortable routines and watching an awful lot of Netflix and Amazon Prime, just like everybody else, Clark says. When I gained 10 pounds and I was 25, I just cut out the beer and ice cream for a week. When you gain 12 pounds at 62, its a long road back.

She started along that road in July, when she stopped buying chips, ice cream and other treats. And in August, she rediscovered the rowing machine in her basement.

But dont worry if you lack Clarks discipline, or a rowing machine. You can still regain some control over your life.

A good way to start is to establish some basic daily routines, since in many cases thats exactly what the pandemic has taken away, says Dr. W. Scott Butsch, director of obesity medicine at the Cleveland Clinics Bariatric and Metabolic Institute. He recommends you bookend your day with physical activity, which can be as simple as a short walk in the morning and a longer one after work.

And, especially if you have kids at home who will be studying remotely this fall, prepare your meals at the beginning of the day, or even the beginning of the week, he says.

If you havent exercised in a while, start slow and gradually get yourself up to where you can tolerate an elevated heart rate, says Dr. Leticia Polanco, a family medicine doctor with the South Bay Primary Medical Group, just south of San Diego. If your gym is closed or you cant get together with your regular exercise buddies, there are plenty of ways to get your body moving at home and in your neighborhood, she says.

Go for a walk, a run or a bike ride, if one of those activities appeals to you. Though many jurisdictions across the United States require residents to wear masks when out in public, it may not be necessary and may even be harmful to some people with respiratory conditions while doing strenuous exercise.

Its clearly hard to exercise with a mask on, says Dr. Yvonne Maldonado, a pediatrician specializing in infectious diseases at Stanford Universitys School of Medicine. We go hiking up in the foothills and we take our masks with us and we dont wear them unless somebody starts coming the other way. Then we will put the mask on, and then we take it off and we keep going.

If you prefer to avoid the mask question altogether, think of your house as a cleverly disguised gym. Put on music and dance, or hula-hoop, Polanco suggests. You can also pump iron if you have dumbbells, or find a cable TV station with yoga or other workout programs.

If you search on the internet for exercise videos, you will find countless workouts for beginners and experienced fitness buffs alike. Try one of the seven-minute workout apps so popular these days. You can download them from Google Play or the Apple Store.

If you miss the camaraderie of exercising with others, virtual fitness groups might seem like a pale substitute, but they can provide motivation and accountability, as well as livestreamed video workouts with like-minded exercisers. One way to find such groups is to search for virtual fitness community.

Many gyms are also offering live digital fitness classes and physical training sessions, often advertised on their websites.

If group sports is your thing, you may or may not have options, depending on where you live.

In Los Angeles, indoor and outdoor group sports in municipal parks are shut down until further notice. The only sports allowed are tennis and golf.

In Montgomery County, Maryland, the Ron Schell Draft League, a softball league for men 50 and older, will resume play early this month after sitting out the spring season due to COVID-19, says Dave Hyder, the leagues commissioner.

But he says it has been difficult to get enough players because of worries about COVID.

In the senior group, you have quite a lot of people who are in a high-risk category or may have a spouse in a high-risk category, and they dont want to chance playing, says Hyder, 67, who does plan to play.

Players will have to stay at least 6 feet apart and wear masks while off the field. On the field, the catcher is the only player required to wear a mask. Thats because masks can steam up glasses or slip, causing impaired vision that could be dangerous to base runners or fielders, Hyder explains.

Whatever form of exercise you choose, remember it wont keep you healthy unless you also reduce consumption of fatty and sugary foods that can raise your risk of chronic diseases such as obesity, diabetes and hypertension all COVID-19 risk factors.

Kim Guess, a dietitian at UC-Berkeley, recommends that people lay in a healthy supply of beans and lentils, whole grains, nuts and seeds, as well as frozen vegetables, tofu, tempeh and canned fish, such as tuna and salmon.

Start with something really simple, she said. It could even be a vegetable side dish to go with what theyre used to preparing.

Whatever first steps you decide to take, now is a good time to start eating better and moving your body more.

Staying healthy is so important these days, more than at any other time, because we are fighting this virus which doesnt have a treatment, says the Cleveland Clinics Butsch. The treatment is our immune system.

This KHN story first published onCalifornia Healthline, a service of the California Health Care Foundation.

Kaiser Health News (KHN) is a national health policy news service. It is an editorially independent program of the Henry J. Kaiser Family Foundation which is not affiliated with Kaiser Permanente.

This story can be republished for free (details).

Subscribe to KHN's free Morning Briefing.

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At their first meeting, U.S. Army recruiter Sgt. Derek Melendez had bad news for Tashime Felder.

It was March of 2019 and Felder, then 28, wanted to enlist. The Cherry Hill, N.J., resident stood 5-foot-8 inches tall and weighed 297 pounds.

Melendez, the station commander of the Cherry Hill Army Recruiting Center, appreciated Felder's desire to serve his country, but the young man didn't meet the Army's weight standards, which are calculated according to age and height. To successfully enlist, Felder's weight needed to be under 190 pounds and his body fat less than 28% of his total weight. At the time, he was 107 pounds over the weight limit, and his body fat was 35%.

Melendez had dealt with prior potential enlistees who'd needed to lose 55 or 60 pounds in order to pass the physical exam, "but never close to 110," he said. So while Melendez liked Felder, he had to decline his application. The recruiter said he didn't expect Felder to return, given the enormity of the obstacle he faced to admission into the Army.

But it turns out that being turned down was the impetus Felder needed to begin a weight-loss journey that has led to an astonishing physical transformation.

Last month, he returned to the recruiting center to enlist. This time, he was 110 pounds lighter, and his body fat percentage was just 17%.

Welcome to the Army.

"I am really proud of him," said Melendez, who was so impressed by Felder's metamorphosis that he posted about it, including before-and-after pictures of Felder, on his Facebook page. "That wasn't normal, what he did. A lot of people would have given up. He literally had to change his life in order to join the Army. It fires you up to see he was so inspired to serve and was ready to do what it took to reach his goal."

Within weeks of his initial rejection by the Army, Felder committed to changing his body.

"I knew it would be one of the biggest hurdles I had to overcome in my life," said Felder, now 29, who works in Philadelphia as a social worker.

Aiding Felder was Francisco Santos, a personal trainer who worked with him for the first eight months.

Felder's exercise program entailed daily jogs on a treadmill, for at least an hour, and weightlifting.

"I wanted him to put on muscle, which he did," said Santos, who also designed a regimen of circuit training for Felder: 10 different activities back-to-back-to-back like jumping jacks, push-ups, and quick sprints without much of a break in between.

"There were days when he would be doing this outside in 100-degree weather," Santos said. "He wasn't a big fan" of doing circuits, "but it made a huge difference."

Felder agrees.

"Every day I trained I would tell him, 'I hate you for making me do this,'" said Felder, laughing. "Afterward we were fine, but while I was doing it, he wasn't my friend."

Felder also followed a 2,000-calorie-a-day diet, eating five times a day three meals, plus two protein-shake supplements.

His new look has produced double-takes from his friends.

"A lot of them are proud of what I have done, but for the most part they're shocked, especially if they haven't seen me for a while," he said.

Felder hopes he can be an inspiration to others. There are plenty who could use the motivation. Obesity is prevalent in more than 42% of U.S. adults, and severe obesity is prevalent in more than 9%, according to 2017-2018 National Health and Nutrition Examination survey.

The situation is negatively impacting the country's military readiness, according to the Council for a Strong America, a nonprofit that supports evidence-based policies and programs to help enable kids to be healthy, well-educated, and prepared for productive lives.

"Obesity has long threatened our nation's health; as the epidemic grows, obesity is posing a threat to our nation's security as well," according to the organization's 2018 study, "Unhealthy and Unprepared."

"In the United States, 71% of young people between the ages of 17 and 24 do not qualify for military service, and obesity disqualifies 31% of youth from serving if they so choose."

Joining the Army had always been his goal, Felder said. He reported for duty on Sept. 8 to Fort Jackson in South Carolina, where he will learn how to fix video and audio equipment and computers.

"I will be working with communications devices, and I am looking forward to learning a lot," he said.

At the end of his five-year commitment, he said, "My long-term goal is to work with veterans who have PTSD. Eventually I want to get my master's and try to open a counseling business."

For now, though, he's just happy to be heading into the next phase of his life. He knows the discipline he showed in losing weight will help him in many areas of his life. Meantime, he feels better each day, not carrying the extra pounds.

"It absolutely makes a major difference," he said.

And it has allowed him to enter the Army, a lifelong goal that obesity once threatened.

"I am so excited," Felder said. "It took a lot of hard work. And if I can do that, I feel I can do almost everything."

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He wanted to join the US Army but wasn't fit. So he lost over 100 pounds. - yoursun.com

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Reservations required for fitness equipment, weights

Matthew Nobert

The WELL at Sacramento State will begin providing outdoor services Thursday. Its "DIY Outdoor Fitness", which utilizes The WELL's exercise equipment moved outside, will require reservations.

The WELL at Sacramento State will reopen Thursday for socially distanced outdoor fitness and recreation, according to The WELLs website.

Sac State administration and Sacramento County approved the WELL to reopen, according to the website. The WELL used California guidelines and recommendations from Student Health and Counseling Services to create its outdoor programs and services.

Reservations are required for DIY Outdoor Fitness, which will help utilize the available equipment in a circuit-style fashion according to The WELLs Instagram story Tuesday. Each person can make one 50-minute reservation per day, according to the reservation page.

Sac State faculty, staff and alumni are required to pay $5 per reservation. Current Sac State students will not be charged.

They are still charging students for the use of it, so we should be able to use it and hope they have a good plan in place for our safety, said Sac State senior Melissa Zaremba via Instagram direct message. I wish they had more options for machines, but they said they are bolted down so that makes sense.

DIY Outdoor Fitness will be open for reservation Monday through Friday from 9 a.m. to 1 p.m. and Monday through Thursday from 4:30 p.m. to 7:30 p.m. Reservations can be made up to 48 hours in advance.

The WELL will provide exercise equipment, including: spin bikes, rowers, dumbbells, kettlebells, resistance bands, Les Mills bars, jump ropes, resistance bands, BOSU balls, stability balls and medicine balls, according to the WELLs website.

Heavier exercise equipment is often bolted to the floors, meaning some equipment will not be able to be moved outdoors, according to an Instagram story from The WELL Tuesday.

In addition to providing exercise equipment, The WELL will host outdoor slacklining and cornhole tournaments.

Slacklining will be held every Thursday from 4 p.m. to 7 p.m. and not require reservations but will require shoes and masks, according to The WELLs Instagram story. Registration for the cornhole tournament on Sept. 25 will close Sept. 23 at 11:55 p.m.

Along with reopening, the WELL will continue to hold virtual classes.

The WELL has not responded to requests for comments sent Tuesday. Sac State Director of News and Communications Brian Blomster said he has no information on the WELLs reopening at the moment but will get back to The State Hornet Wednesday.

Additional reporting by Mercy Sosa.

UPDATE: Sept. 15, 2020 10:37 p.m.

This story has been updated to reflect information on DIY Outdoor Fitness from The WELLs Instagram story and comments from student Melissa Zaremba.

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The WELL to reopen outdoors Thursday - StateHornet.com

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CHICAGO (PRWEB) September 15, 2020

Functional medicine doctor and holistic dermatology expert, Dr. Shayna Peter of Well Ahead Chicago is launching a brand new program: Dr. Shaynas Skincare Reset. Designed as a self-guided online program, the Skincare Reset program provides an easy to use lifestyle app complete with meal plans, exercise recommendations and educational videos and more.

Dr. Shaynas Skincare Reset program stands out from other detox programs by combining technology, convenience and an unparalleled educational experience. In addition to high quality nutrient formulas that meet FDA standards, the Skincare Reset program provides comprehensive meals plans specially formulated delicious recipe guides and shopping lists that are designed to support detoxification and can be adjusted to fit any lifestyle (or dietary need).

I believe detoxification is such an essential part of maintaining skin health with collateral benefits that are experienced throughout the body. Not only am I a big believer in this program but am excited to promote it to the public, said Dr. Shayna Peter. My team and I have worked tirelessly to develop this program to help people reclaim their skin health, and we cant wait to make this program accessible to the masses.

This 14-day program provides a comprehensive approach that equips participants with the tools they need to get started confidently, regardless if theyve never done a cleanse in the past. The app sends participants daily tips to guide them through the process. They are all given access to a supportive community where they can ask questions and get support if they run into bumps along the way. The program teaches participants how to take what they have learned and incorporate into their lifestyle beyond the 14 days and helps them to transition into a sustainable clean lifestyle.

In addition to helping users jumpstart their skincare goals, this program includes an extensive platform of tools & resources to support participants from start to finish:

Launching on September 24, 2019 Skincare Reset program will be available for $180 at wellaheadchicago.com/skincarereset. This program includes nutritional supplements to support detoxification, access to a lifestyle app, comprehensive eating plan, workout plan, social support community. For more information visit wellaheadchicago.com.

About Dr. Shayna Peter Dr. Shayna Peter, NMD, CNS, LDN is a functional medicine doctor and holistic dermatology expert who has helped thousands who have tried everything for their skin problems and have been left feeling frustrated, helpless, and hopeless. Shes the author of the soon to be released book Its Not Just Acne, a comprehensive resource guide to understanding root causes behind acne and healing from the inside out. She is the founder of Well Ahead Chicago, a functional medicine practice offering health consulting, educational resources, & online training to help people who have unresolved skin conditions. Dr. Peter has been published in the Journal of American Academy of Dermatology and has spoken about holistic health on numerous stages including Chicago Woman Magazine and American Diabetes Association.

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Well Ahead Chicago Takes Skin Wellness and Telehealth to the Next Level with New App and Cleansing Program - PR Web

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RIDGEFIELD,Conn.andINDIANAPOLIS, Sept. 15, 2020 /PRNewswire/ --The U.S. Food and Drug Administration (FDA) has granted Fast Track designation for the development of Jardiance (empagliflozin) to prevent hospitalization for heart failure and reduce the risk of mortality in patients, with and without diabetes, who have had an acute myocardial infarction (more commonly known as a heart attack), Boehringer Ingelheim and Eli Lilly and Company (NYSE: LLY) announced. More than 1.5 million heart attacks, which are the leading cause of heart failure and are associated with a high risk of death,occur annually in the U.S. A heart attack occurs as a result of reduced blood flow to part of the heart muscle.

"Ischemic heart disease (IHD) is the leading cause of death and disability in the U.S. Myocardial infarction, or heart attack, is the deadliest acute manifestation of IHD, and treatment options are urgently needed to help improve outcomes," said Mohamed Eid, M.D., M.P.H., M.H.A., vice president, Clinical Development & Medical Affairs, Cardio-Metabolism & Respiratory Medicine, Boehringer Ingelheim Pharmaceuticals, Inc. "We look forward to working closely with the FDA as we explore the potential for Jardiance to improve survival and prevent hospitalization for heart failure for adults who have had a heart attack, through our EMPACT-MI trial."

EMPACT-MI (A Streamlined, Multicenter, Randomized, Parallel Group, Double-blind Placebo-controlled Superiority Trial to Evaluate the Effect of EMPAgliflozin on Hospitalization for Heart Failure and Mortality in Patients With aCuTe Myocardial Infarction) is investigating the effect of Jardiance on all-cause mortality and hospitalization for heart failure in adults with and without type 2 diabetes who have had an acute myocardial infarction and no history of chronic heart failure. This randomized clinical phase III trial is being conducted, analyzed and reported in partnership with the Duke Clinical Research Institute (DCRI), with Boehringer Ingelheim and Lilly providing funding. EMPACT-MI is part of the EMPOWER clinical program, the broadest and most comprehensive clinical program for an SGLT2 inhibitor. EMPOWER explores the impact of Jardiance on the lives of people across the spectrum of cardio-renal-metabolic conditions.

Jardiance is a once-daily tablet used along with diet and exercise to lower blood sugar in adults with type 2 diabetes and to reduce the risk of cardiovascular death in adults with type 2 diabetes and known cardiovascular disease. Jardiance is contraindicated in patients with a history of serious hypersensitivity reaction to empagliflozin or any of the excipients of Jardiance, and in patients with severe renal impairment, end-stage renal disease, or dialysis. Jardiance is not for people with type 1 diabetes or for people with diabetic ketoacidosis (increased ketones in the blood or urine).

"The FDA Fast Track designation for Jardiance is an important milestone towards addressing an unmet need for people who have had a heart attack," said Jeff Emmick, M.D., Ph.D., vice president, Product Development, Lilly. "We remain committed to finding breakthrough outcomes for people with and without type 2 diabetes, including the prevention and treatment of heart failure. We look forward to learning the results of EMPACT-MI, which are anticipated in 2023."

About the EMPOWER programThe Alliance has developed the EMPOWER program to explore the impact of Jardiance on major clinical cardiovascular and renal outcomes in a spectrum of cardio-renal-metabolic conditions. Cardio-renal-metabolic conditions are the leading cause of mortality worldwide and account for up to 20 million deaths annually. Through the EMPOWER program, Boehringer Ingelheim and Lilly are working to advance knowledge of these interconnected systems and create care which offers integrated, multi-organ benefits. Comprised of eight clinical trials and two real-world evidence studies, EMPOWER reinforces the long-term commitment of the Alliance to improve outcomes for people living with cardio-renal-metabolic conditions. With more than 257,000 adults studied worldwide in clinical studies, it is the broadest and most comprehensive clinical program for an SGLT2 inhibitor to date.

The development program encompasses:

About Cardio-Renal-Metabolic ConditionsBoehringer Ingelheim and Lilly are driven to transform care for people with cardio-renal-metabolic conditions, a group of interconnected disorders that affect more than one billion people worldwide and are a leading cause of death.

The cardiovascular, renal and metabolic systems are interconnected, and share many of the same risk factors and pathological pathways along the disease continuum. Dysfunction in one system may accelerate the onset of others, resulting in progression of interconnected diseases such as type 2 diabetes, cardiovascular disease, heart failure, and kidney disease, which in turn leads to an increased risk of cardiovascular death. Conversely, improving the health of one system can lead to positive effects throughout the others.

Through our research and treatments, our goal is to support people's health, restoring the harmony between the interconnected cardio-renal-metabolic systems and reducing their risk of serious complications. As part of our commitment to those whose health is jeopardized by cardio-renal-metabolic conditions, we will continue embracing a multidisciplinary approach towards care and focusing our resources on filling treatment gaps.

WhatisJARDIANCE?(www.jardiance.com)

JARDIANCE isa prescriptionmedicine used alongwith dietandexercise to lowerblood sugarinadults withtype 2 diabetes.

JARDIANCE is also used to reduce the risk of cardiovascular death in adults with type 2 diabetes who have known cardiovascular disease.

JARDIANCEisnotforpeoplewith type 1 diabetesorforpeople with diabetic ketoacidosis(increased ketonesinthe blood or urine).

IMPORTANTSAFETYINFORMATIONDonottake JARDIANCEif you are allergicto empagliflozinoranyof the ingredientsin JARDIANCE.

Donottake JARDIANCEif you have severe kidneyproblemsorare ondialysis.

JARDIANCEcancauseserioussideeffects,including:

ThemostcommonsideeffectsofJARDIANCEincludeurinarytractinfectionsandyeastinfectionsin females.

ThesearenotallthepossiblesideeffectsofJARDIANCE.Formoreinformation,askyourdoctororpharmacist.

Before taking JARDIANCE, tellyourdoctorifyou:

Tellyourdoctoraboutallthe medicinesyou take, includingprescriptionand over-the-counter medicines, vitamins, andherbal supplements.Especiallytell yourdoctorifyou take waterpills (diuretics)ormedicinesthatcanloweryourbloodsugar,such asinsulin.

You are encouragedtoreportnegative side effectsofprescriptiondrugs totheFDA.Visit http://www.fda.gov/medwatchorcall1-800-FDA-1088.

Formoreinformation,pleaseseePrescribingInformationand Medication Guide.

CL-JAR-100057 01.27.2020

Boehringer Ingelheim and Eli Lilly and CompanyIn January 2011, Boehringer Ingelheim and Eli Lilly and Company announced an alliance that centers on compounds representing several of the largest diabetes treatment classes. Depending on geographies, the companies either co-promote or separately promote the respective molecules each contributing to the alliance. The alliance leverages the strengths of two of the world's leading pharmaceutical companies to focus on patient needs. By joining forces, the companies demonstrate their commitment, not only to the care of people with diabetes, but also to investigating the potential to address areas of unmet medical need. Clinical trials have been initiated to evaluate the impact of Jardiance on people living with heart failure or chronic kidney disease.

About Boehringer IngelheimMaking new and better medicines for humans and animals is at the heart of what we do. Our mission is to create breakthrough therapies that change lives. Since its founding in 1885, Boehringer Ingelheim is independent and family-owned. We have the freedom to pursue our long-term vision, looking ahead to identify the health challenges of the future and targeting those areas of need where we can do the most good.

As a world-leading, research-driven pharmaceutical company, more than 51,000 employees create value through innovation daily for our three business areas: Human Pharma, Animal Health, and Biopharmaceutical Contract Manufacturing. In 2019, Boehringer Ingelheim achieved net sales of around $21.3 billion (19 billion euros). Our significant investment of over $3.9 billion (3.5 billion euros) in R&D drives innovation, enabling the next generation of medicines that save lives and improve quality of life.

We realize more scientific opportunities by embracing the power of partnership and diversity of experts across the life-science community. By working together, we accelerate the delivery of the next medical breakthrough that will transform the lives of patients now, and in generations to come.

Boehringer Ingelheim Pharmaceuticals, Inc., based in Ridgefield, CT, is the largest U.S. subsidiary of Boehringer Ingelheim Corporation and is part of the Boehringer Ingelheim group of companies.In addition, there are Boehringer Ingelheim Animal Health in Duluth, GA and Boehringer Ingelheim Fremont, Inc. in Fremont, CA.

Boehringer Ingelheim is committed to improving lives and strengthening our communities. Please visit http://www.boehringer-ingelheim.us/csr to learn more about Corporate Social Responsibility initiatives.

For more information, please visit http://www.boehringer-ingelheim.us, or follow us on Twitter @BoehringerUS.

About Lilly DiabetesLilly has been a global leader in diabetes care since 1923, when we introduced the world's first commercial insulin. Today we are building upon this heritage by working to meet the diverse needs of people with diabetes and those who care for them. Through research, collaboration and quality manufacturing we strive to make life better for people affected by diabetes and related conditions. We work to deliver breakthrough outcomes through innovative solutionsfrom medicines and technologies to support programs and more. For the latest updates, visit http://www.lillydiabetes.com/ or follow us on Twitter: @LillyDiabetes and Facebook: LillyDiabetesUS.

About Eli Lilly and CompanyLilly is a global health care leader that unites caring with discovery to create medicines that make life better for people around the world. We were founded more than a century ago by a man committed to creating high-quality medicines that meet real needs, and today we remain true to that mission in all our work. Across the globe, Lilly employees work to discover and bring life-changing medicines to those who need them, improve the understanding and management of disease, and give back to communities through philanthropy and volunteerism. To learn more about Lilly, please visit us at lilly.com and lilly.com/newsroom.

This press release contains forward-looking statements (as that term is defined in the Private Securities Litigation Reform Act of 1995) about Jardiance and reflects Lilly's current belief. However, as with any pharmaceutical product, there are substantial risks and uncertainties in the process of drug development and commercialization. Among other things, there can be no guarantee that future study results will be consistent with the results to date or that Jardiance will receive additional regulatory approvals. For a further discussion of these and other risks and uncertainties that could cause actual results to differ from Lilly's expectations, please see Lilly's most recent Forms 10-K and 10-Q filed with the U.S. Securities and Exchange Commission. Lilly undertakes no duty to update forward-looking statements.

Jardiance and EMPA-REG OUTCOME areregistered trademarks of Boehringer Ingelheim.

P-LLYMPR-US-101382

CONTACT:Jennifer ForsythDirector, Public RelationsBoehringer Ingelheim Pharmaceuticals, Inc.Email: jennifer.forsyth@boehringer-ingelheim.comPhone: (203) 791-5889

Stephan Thalen Global Business CommunicationsLilly Diabetes and Lilly USAEmail: stephan.thalen@lilly.comPhone: (317) 903-5640

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Despite its safety protocols, USF Recreation & Wellness reported six positive COVID-19 cases over the weekend. All indoor facilities will remain closed until its deemed safe to reopen. ORACLE PHOTO/LEDA ALVIM

After six of its employees tested positive for COVID-19, Recreation & Wellness on Sunday shut down all of its indoor facilities, including the Rec Center, the FIT and pools, until further notice.

Of the 300 student employees, six notified Director Jay Souza of their positive tests between Sept. 11 and 13 and were required to self-isolate for 14 days. The Florida Department of Health has been contact-tracing anyone who might have been in contact with the employees and will be notifying all individuals who might need to self-isolate.

So, unfortunately, we did have some staff that tested positive for COVID-19, and we decided to make this move because those students do work in the operational aspect of both the FIT and the main Rec Center, Souza said.

Due to rotation in the schedule, Souza said all six employees were working across different facilities, including the Rec Center and the FIT.

I think its just safe for us to close at this point in time, and give it a two-week window, maybe more, depending on what happens with the rest of campus to kind of work this out and see how it goes, Souza said.

The Florida Department of Health is working with Student Health Services to access the data and testing results of those who are in isolation, according to Souza. They will then interview all individuals who might have been exposed in order to establish the contact tracing.

Souza said the university is not participating in any of the contact tracing being done by the Florida Department of Health.

Its not our role as a department, we dont ask peoples personal information so were not even getting involved with that, Souza said. Its really about the Department of Health stepping in and they assess your level of risk and what you need to do, whether its self-isolate for 14 days or just monitor your health as an example or no, you need to come get a test now, like thats essentially what happened.

For the time being, no employee will be allowed inside any facilities, according to Souza. He said the facilities will be cleaned once theres a set date to reopen.

Im very comfortable that once we are up and open again that we properly clean the entire facility, and we do actually work with the facilities area on campus to make sure that were following protocol, Souza said.

Despite all indoor facilities being closed, Souza said Recreation & Wellness will give the option to other student employees to remain actively working until normal operations resume.

Right now, were working with our team to see what else we could offer in different areas of the department, Souza said. We have some professional development opportunities that we would typically offer throughout the year, which we may end up giving some opportunities for those to participate now to get some of that done, which we would typically do through training purposes, and were also looking to help out in some other areas, for instance, if [Riverfront Park] needs additional staff, were willing to offer that up to our student employees.

Under the new safety protocols implemented for the fall semester, all students were required to wear face masks upon entering and exiting the facilities as well as when walking around, except for when exercising. However, as students started taking the masks off when walking around the facility, Recreation & Wellness announced on Sept. 11 that the use of masks would be required at all times, even when exercising.

Unfortunately, we found a lot of students that were taking their masks off and were talking and we had to constantly remind them to put the mask on because they would sometimes forget, and go get a drink or fill the water bottle or move on to the next area of their exercise routine and they would just forget to put it on, Souza said.

It started getting a little unsafe for our concern so we figured were gonna have to mandate the masks.

Students, faculty and staff were required to make a reservation to access any on-campus gym, including the Rec Center and the FIT. During each one-hour-and-15-minute reservation, the Rec Center had a maximum capacity of 75 people, compared to 35 people in the FIT.

In total, about 1,000 people would visit the Rec Center and the FIT daily, according to Souza.

While all indoor facilities remain closed until further notice, Souza said all virtual programs will continue uninterrupted and the USF Riverfront Park, outdoor fields, tennis courts and the Fitness Trail will remain open.

Were focusing entirely on our virtual programming, and probably should see more activity there because were going to direct people that fashion to all multiple programs, whether its in real sports, eSports, fitness, group fitness and even some outdoor educational pieces, he said.

After shutting down most of its facilities on short notice, Souza said the decision was made to ensure the health and safety of all students.

I just hope students understand that we do this out of an abundance of caution to make sure our students are staying safe, Souza said. The primary objective for us is to make sure that our students are well, theyre cared for and that theyre safe so, at first, of course, were going to get some feedback and students are upset, but its all in an effort to help them remain safe.

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Weight loss is eating less energy than the body requires daily. Although watching the calorie intake is a proven way of losing weight, there are other methods too that allow more flexibility. An example of this is the popular diet called "If It Fits Your Macros" (IIFYM).

Unlike watching the calories a person takes in, IIFYM gives more flexibility to the person while still promising the same results. In this diet, it counts daily macronutrientintake, such as fats, carbohydrates, and proteins. Many people like this diet because it allows them to consume any food as long as it fits their daily macronutrient needs.

But no research yet has specifically examined whether counting macronutrients is as effective as other diet methods. Previous research has looked into the effect of consuming low-fat vs. low-carbohydratediet and research on comparing four different diets with different proportions ofprotein, carbohydrate, and fats.

Ultimately, both diets have no significant difference in how much weight they help people lose, and both are difficult to maintain in the long run. That means it is difficult to tell whether counting calories is better than counting macronutrients in losing weight.

(Photo: Pixabay)Weight Loss: Is Counting Calories Better Than Macronutrients?

The tricky part of weight loss is establishing energy requirements. But whether one who is in a diet choose to count calories or macros, they will need this starting to work from to keep within their targets. But the actual energy requirements still depend on how active a person is, but the requirements for macronutrientsare specified in government guidelines.

In counting macros, it ensures that essential nutrients are included in the diet instead of focusing only on calories that do not take nutrients into account.

Hypothetically speaking, even if a person eats seven bars of chocolate, which equal to 1,596 calories, a person would still lose weight if their total energy expenditure is around 2,000 calories a day.

Macro calculations are estimated based on the height, weight, and activity levels, which can be adjusted to the desired weight. Although macro counting allows for flexibility of food choices, it is a time-consuming diet method which could be difficult in the long-term as the person must always keep track of macro intake.

Regardless of what diet method is used, the person will still be required to read food labels and keeping a record of all the foods and liquids being consumed in a day. Online nutritional databases and applications may be used, but they are not always accurate. Additionally, there is a possibility that a person might not absorb all the nutrients in the food labels list.

Also, neither of the two diets guarantees that a person will meet all the nutrient requirements. For example, macronutrient counting only focuses on carbs, protein, and fats, which could overlook vitamins and minerals, which are essential for good health.

Neither method is a long-term solution to weight loss unless it is combined with dietary advice on making permanent changes to a healthy and balanced diet.

Read Also:Losing Weight? Experts Say Timing Your Meals is the Best Way

On the opposite side of weight loss is that some people are also trying to build muscles. These people would need a daily protein of around 1.2-1.7 grams per kilogram of body weight to repair micro-damage from extensive strength training, which is essential for muscle building.

Aside from that, they would also need energy and carbohydrates to make sure that the body has enough fuel to work out. This makes counting macros more effective than counting calories to ensure that all the body's energy and carbohydrate needs are met. Research also shows that the timing of macros is important for muscle growth.

Whichever method is used in altering the body weight and composition, at the end of the day, it still depends on the person's goal and how tech-savvy they are.

Read More: 3 Things to Know About Time-Restricted Diet: How Long Should You Fast to Lose Weight?

Check out more news and information on Weight Losson Science Times.

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Weight Loss: Is Counting Calories Better Than Macronutrients? - Science Times

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By: Lifestyle Desk | New Delhi | September 14, 2020 6:20:23 pm Some of the diet myths you should know about. (Source: Getty Images/Thinkstock)

The internet is filled with information, tips, and tricks along with numerous DIYs on ways to build ones health and boost immunity. But it is always advised to tread with caution and understand the authenticity of such information before making it a part of ones routine. Here are some common misconceptions that people need to do away with, suggested nutritionist Nmami Agarwal.

Take a look.

*Reduced protein intake and weight loss

Cutting down protein from ones diet can impact the health negatively by weakening the bones and muscles. This will not help lose weight. It is, therefore, necessary to speak to an expert before making any drastic changes to your diet as protein is one of the essential nutrients that help in the smooth functioning of the body.

*Cashews and increased cholesterol levels

Cashews, which are rich in carbohydrates and fats, are believed to spike up the cholesterol levels. According to Agarwal, while they contain saturated fat, the maximum of it comes from stearic acid which is a type of fatty acid that has a neutral effect on blood cholesterol. This means they can be consumed in limited quantities. Moreover, the nut provides plenty of vitamins and minerals that are quite beneficial for the human heart and can help in managing weight.

*Age and exercise

Many old people tend to stay away from exercise thinking their biones may not be able to take the strain. However, Agarwal mentioned that exercising under guidance can make one feel optimistic and energetic and it improves overall health. Just maintain your pace and try not to force your body to do more. You can do yoga, low-intensity aerobics, breathing exercises at an older age to keep yourself away from pains and aches, Agarwal said.

ALSO READ |This immunity-boosting chutney is good for constipation and blood sugar

*Plant-based diet may not provide enough protein

Certain plant-based food sources are rich sources of protein that help balance the bodys diet deficiencies. Food sources like tofu, lentils, peanuts, chickpeas, almonds, quinoa, chia seeds, hemp seeds, beans and rice, potatoes and green leafy vegetables are all rich in protein. All you have to do is focus on consuming a balanced and nutritious diet to get the maximum amount of nutrients, shared Agarwal.

*Green tea helps in burning fat

The truth is green tea does not make one lose weight. It only boosts ones metabolism and can benefit ones health in multiple ways.

Instead of relying on widely shared myths, it is always a good idea to check with an expert and make changes to ones diet accordingly, she recommended.

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We all wish that we had a magic solution for weight loss where we can eat whatever we desire while keeping our ideal weight.

Unfortunately, there is no magic solution for losing weight and in order to keep the weight off we need to change our diets.

On the bright side, there are several types of diets out there that can help you lose weight in combination with other healthy lifestyle choices.

I have put together five types of diets that can aid in weight loss along with the pros and cons and other key facts to know when youre deciding which one works best for you.

The alkaline diet

The alkaline diet is based on the idea of replacing acid-forming foods with alkaline foods to improve health. It is said that this diet helps combat serious diseases such as cancer.

The idea is that a person can control the acidity or alkalinity of their body through the foods they consume. When food is metabolised to extract calories, the food is burnt, leaving an ash residue that may be acidic, alkaline or neutral. Advocates of the alkaline diet claim that this ash can affect how acidic the body is and that acidic ash increases susceptibility to disease. Alkaline ash, on the other hand, they believe is protective and that by alkalizing the diet and balancing the bodys pH, it is possible to improve health.

A few alkaline foods that one can consume with this diet include lettuce, spinach, sweet potato, carrots, pineapple, watermelon, grapefruit, onion, ginger, cashews and almonds to name a few.

Pros

Cons

Keto diet

A keto or ketogenic diet is a low-carb, moderate protein, higher-fat way of eating. The reduction in carb intake puts your body in a metabolic state called ketosis, where fat, from your diet and from your body, is burned for energy. This diet is especially useful for losing excess body fat without hunger and for improving type 2 diabetes.

Some keto friendly foods include sardines, mackerel, shellfish, cauliflower, zucchini, cheese, avocados, chicken, eggs, coconut oil and the list goes on.

Pros

Cons

Intermittent fasting

Intermittent fasting is eating that cycles between fasting and eating. It is not specific to what you should eat, but rather when you should eat. Common intermittent fasting methods involve daily 16-hour fasts or fasting for 24 hours, twice per week.

Pros

Cons

Raw food diet

A raw food diet, also sometimes called raw foodism, is about eating mostly or all unprocessed and uncooked foods so you get all the nutrients without the dangerous additives.The goal of eating more raw foods is to obtain plenty of nutrients in an easy-to-digest manner, one thatour bodies are naturally suited for.

Some of the foods in that diet include fresh, juiced or dehydrated raw fruits, raw nuts, raw nut butters, seaweed

Pros

Cons

Low fat diet

Low fat diets involve restricting fat intake to less than 30% of total daily calories. Instead, youre meant to eat naturally low fat foods like fruits, vegetables, whole grains, egg whites, legumes, and skinless poultry. Fat-reduced foods like low fat yogurt, skim milk, and lean cuts of beef and pork are also sometimes permitted.

Pros

Cons

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5 diets that can help with weight loss - Loop News St. Lucia

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