molesWritten by cancer.org

Summertime means most of us will be spending more time outdoors. Sunscreen is only one defense against skin cancer.  More importantly is to keep an eye on your skin and to pay attention to all changes, no matter how small.

Unusual moles, sores, lumps, blemishes, markings, or changes in the way an area of the skin looks or feels may be a sign of melanoma or another type of skin cancer, or a warning that it might occur.

Normal moles

A normal mole is usually an evenly colored brown, tan, or black spot on the skin. It can be either flat or raised. It can be round or oval. Moles are generally less than 6 millimeters (about ¼ inch) across (about the width of a pencil eraser). Some moles can be present at birth, but most appear during childhood or young adulthood. New moles that appear later in life should be checked by a doctor.

Once a mole has developed, it will usually stay the same size, shape, and color for many years. Some moles may eventually fade away.

Most people have moles, and almost all moles are harmless. But it is important to recognize changes in a mole – such as in its size, shape, or color – that can suggest a melanoma may be developing.

Possible signs and symptoms of melanoma

The most important warning sign for melanoma is a new spot on the skin or a spot that is changing in size, shape, or color. Another important sign is a spot that looks different from all of the other spots on your skin (known as the ugly duckling sign). If you have any of these warning signs, have your skin checked by a doctor.

The ABCDE rule is another guide to the usual signs of melanoma. Be on the lookout and tell your doctor about spots that have any of the following features:

  • A is for Asymmetry: One half of a mole or birthmark does not match the other.
  • B is for Border: The edges are irregular, ragged, notched, or blurred.
  • C is for Color: The color is not the same all over and may include shades of brown or black, or sometimes with patches of pink, red, white, or blue.
  • D is for Diameter: The spot is larger than 6 millimeters across (about ¼ inch – the size of a pencil eraser), although melanomas can sometimes be smaller than this.
  • E is for Evolving: The mole is changing in size, shape, or color.

Some melanomas do not fit the rules described above. It is important to tell your doctor about any changes or new spots on the skin, or growths that look different from the rest of your moles.

Other warning signs are:

  • A sore that does not heal
  • Spread of pigment from the border of a spot into surrounding skin
  • Redness or a new swelling beyond the border
  • Change in sensation – itchiness, tenderness, or pain
  • Change in the surface of a mole – scaliness, oozing, bleeding, or the appearance of a bump or nodule

Be sure to show your doctor any areas that concern you and ask your doctor to look at areas that may be hard for you to see. It is sometimes hard to tell the difference between melanoma and an ordinary mole, even for doctors, so it’s important to show your doctor any mole that you are unsure of.

To see examples of normal moles and melanomas, visit the Skin Cancer Image Gallery.

caregiverHow caregivers can recover from—and avoid—burnout.

By Susan Fulton. Susan Fulton is Clinical Leader at Classic LifeCare a BC-based home care provider.

Are you a member of the sandwich generation? If you’re unfamiliar with the term, the sandwich generation is the current generation of people, usually women, who care for their aging parents while supporting their own children.

The sandwich generation doesn’t have it easy.

In fact, nearly a third of unpaid family caregivers are stressed out to the point of breakdown due to serious gaps in seniors respite programs. That’s according to a September 2015 report by the Seniors Advocate of British Columbia.

The BC Senior’s Advocate also reported that:

  • Twenty-nine per cent of caregivers are in distress.
  • Unpaid caregivers provide 19 hours of care per week on average (caregivers in distress report providing as many as 30 hours of care per week).
  • While 54% of caregivers would benefit from respite services, few are accessing the help.

“There is little question that caregiving is stressful,” BC Senior’s Advocate Isobel MacKenzie (@SrsAdvocateBC) said in her September report. “The physical strain of caregiving is exacerbated by the emotional toll of watching your loved one becoming increasingly frail.”

According to the BC Seniors Advocate’s report, respite, such as visits by a home care worker, offers adult caregiver the chance to recharge and avoid burnout or crisis.

Ultimately providing caregivers with some sort of respite strengthens a healthy relationship between the person receiving care and the caregiver.

Caregiver Burnout is Common, But Can Be Avoided With Small Breaks

Caregiver burnout is all too common and can often be avoided with small breaks throughout the week.

Even a two- or three-hour break can be enough to revitalize the caregiver and give them some room to breathe.

The caregiver needs a break just so they can go back to being the daughter or the husband, rather than the caregiver.

What Are the Symptoms of Caregiver Burnout?

It’s important to recognize the symptoms of burnout.

Symptoms can include feeling constantly tired, and losing interest in the hobbies and pastimes that typically bring you pleasure and help you enjoy life.

Growing increasingly irritable while facing routine challenges such as commuting to work or even trying to change a lightbulb is another key indicator of burnout.

One client noted she started to use the horn a lot more when driving. She also reported she started to drive a little more aggressively.

At this point burnout can become dangerous.

5 Ways Caregiver Can Care for Themselves

If caregivers don’t care for themselves they are likely less able to care for an aged parent or relative.

Five tips to avoid burnout include:

1) Give yourself a break

Make time to spend some time by yourself. British Columbia is a spectacular place to live, so during the week schedule time to get out and enjoy life.

2) Find a support system

Express how you’re feeling to someone you trust. Perhaps you have a colleague who is experiencing the same challenge, so try to check in to see how you’re doing. Help each other recognize how you’re feeling.

3) Get plenty of exercise

Exercise helps fight burnout, and is also essential for maintaining your health. Some caregivers actually discover they are losing weight – specifically muscle mass. Exercise not only changes your outlook, it can help prolong your life.

4) Eat healthily

Some caregivers simply are too overwhelmed to make healthy food choices, and instead rely on packaged meals and fast food—if they remember to eat at all. Eating healthily is not only good for your body, it can also help improve your mood.

5) Watch for signs of depression

Seek help if you find you are  becoming irritable or you are losing interest in reading books or even even watching television. Talking with a friend or family member can help you identify your feelings and deal with them.

And sometimes all it takes to turn things around is to make some time for yourself.

Susan Fulton is Clinical Leader at Classic LifeCare, a BC-based home care provider.

sunscreenArticle from Environmental Working Group

There are a lot of sunscreens on the market: some good, some bad and then the shameful.

Those in the last category are not only a waste of money and time but also potentially harmful. Here are our picks for products to banish from your beach bag.

  • Spray sunscreens can be inhaled, and they don’t cover skin completely.
  • SPF values above 50+ try to trick you into believing they’ll prevent sun damage. Don’t trust them. SPF protection tops out at 30 to 50.
  • Oxybenzone can disrupt the hormone system.
  • Retinyl palmitate may trigger damage, possibly cancer.

11 Worst Spray Sunscreens

These sunscreens are aerosol sprays with SPFs above 50+ and the harmful additives oxybenzone and retinyl palmitate.

Banana Boat Clear UltraMist Ultra Defense MAX Skin Protect Continuous Spray Sunscreen, SPF 110
Coppertone Sport High Performance AccuSpray Sunscreen, SPF 70
Coppertone Sport High Performance Clear Continuous Spray Sunscreen, SPF 100+
CVS Clear Spray Sunscreen, SPF 100
CVS Sheer Mist Spray Sunscreen, SPF 70
CVS Sport Clear Spray Sunscreen, SPF 100+
CVS Wet & Dry Sunscreen Spray, SPF 85
Neutrogena Fresh Cooling Sunscreen Body Mist, SPF 70
Neutrogena Ultra Sheer Body Mist Sunscreen Spray, SPF 100+
Neutrogena Ultra Sheer Body Mist Sunscreen Spray, SPF 70
Neutrogena Wet Skin Sunscreen Spray, SPF 85+

12 Worst Sunscreen Lotions

These sunscreen lotions claim SPFs above 50+ and contain oxybenzone and retinyl palmitate.

Banana Boat Sport Performance Sunscreen Lotion, SPF 100
Coppertone Sport High Performance Sunscreen Lotion, SPF 100
Coppertone Sport High Performance Sunscreen, SPF 75
Coppertone Sport Sunscreen Stick, SPF 55
Coppertone Ultra Guard Sunscreen Lotion, SPF 70+
CVS Sport Sunstick Sunscreen, SPF 55
CVS Sun Lotion Sunscreen, SPF 100
CVS Sun Lotion Sunscreen, SPF 70
Neutrogena Ultra Sheer Daily Liquid Sunscreen, SPF 70
NO-AD Sunscreen Lotion, SPF 60
NO-AD Sunscreen Lotion, SPF 85
Ocean Potion Protect & Nourish Sunscreen Lotion, SPF 70

Click here to read the complete article and to find out how they picked the Hall of Shame.

To find out which sunscreens you should be using; and to see if your sunscreen made the cut, click here.

bigstockphoto_running_5360616.s600x600Article by The Registered Massage Therapists’ Association of British Columbia

Walking, what is it?

Walking is easy on the joints and gets your heart pumping. It’s easy to do, inside or outside and costs almost nothing.

What are the benefits of walking?

  • Improves cardiovascular fitness by strengthening your heart
  • Improves bone health
  • Lower risk of Type 2 diabetes and heart disease
  • Reduce stress and symptoms of depression
  • Improves physical ability and reduces risk of physical disability in older adults

Who should/can do it?

  • Walking is great for any age and any skill level!

How to do it safely?

  • Proper footwear is a must!
  • Invest in a walking or running shoes with good ankle and arch support and a cushioned sole.

How often can you/should you do it?

  • Brisk walking counts as a moderate intensity activity. It should make you feel warm and slightly winded, and increase you heart rate.
  • Follow the Canadian Physical Activity Guidelines. Aim for 150 minutes or more each week of moderate to vigourous intensity activity if you are an adult, or 60 minutes a day if you are under 18 years of age.
  • You can accumulate 150 minutes per week or 60 minutes daily by doing 10 to 15 min intervals of brisk walking a day.

Goal Setting

  • Work up from a low intensity to higher intensity by increasing your stride length and your speed.
  • Start out at your normal walking pace and gradually increase the amount of time that you walk, the speed at which you walk, or both on a daily or weekly basis.
  • Every try speed walking? A good walking speed is 4.5-6.5 km per hour (2-4mph). Once you hit 6.5 km/h, it gets more difficult because it feels like you should probably turn it into a run. Doing a proper speed walk can help at higher speeds.

acupunctureWritten by Sara Calabro

Spring is here! Yes! Except for the fact that many people don’t feel so hot this time of year.

The flu is—knock on wood—mostly behind us.  Allergies have not quite exploded yet. So, why do so many of us feel off in the early days of spring?

You can kindly thank your Liver!

In acupuncture theory, humans are viewed as microcosms of the natural world that surrounds them. Seasons—particularly the transitional periods, when we move from one season to the next—factor significantly into how we feel.

Each season is linked with an organ system in the body, and spring’s system is Liver. This means that the Liver, as it adjusts to taking over the seasonal reigns, is especially vulnerable.

When the Liver is vulnerable, the functions throughout the body for which the Liver is responsible have a tendency to get out of whack.

Eventually, spring can become a time when the Liver and its associated functions thrive. However, during this transitional period, when the Liver is still finding its footing, certain symptoms commonly show up. Acupuncture improves these symptoms by restoring balance to the Liver system.

Here are seven signs that your Liver may need some acupuncture love:

You feel extra tense

In acupuncture, Liver is the system that’s responsible for smooth flow throughout the body. When the Liver is not functioning optimally, things like emotional stress, rigid posture, shallow breathing, and jaw clenching may become exacerbated.

You have headaches and other aches and pains

When things aren’t flowing smoothly, we start to experience what acupuncturists think of as stagnation-type symptoms. These include pain, and specifically pain that feels like pressure, tightness or restriction. Tension headaches and menstrual cramps are commonly worse this time of year.

Your muscles are really stiff

The Liver and its associated system, Gallbladder, nourish the body’s connective tissue, tendons and ligaments. You may notice increased stiffness, tension or tightness in your muscles and joints in the coming weeks.

You feel irritable and frustrated

Are you feeling more annoyed than charmed by the springtime sound of chirping birds? The emotional symptoms associated with Liver imbalances mimic the physical stagnation that happens. You may notice yourself feeling extra irritable or frustrated, perhaps more easily annoyed. There’s an emotional stuckness that can take hold in spring.

Your fuse is shorter than usual

All organ systems in acupuncture have an associated emotion. Liver’s emotion is anger. A healthy dose of anger helps complete a balanced emotional profile. However, when the Liver isn’t appropriately keeping things in check, there is a tendency for anger to rise up. Along with feeling irritable, you may have a harder time than usual controlling your anger.

Your digestion is messed up

Healthy digestion is heavily dependent on consistent and smooth movement throughout the whole body. When the Liver fails to maintain flow, digestive disturbances can easily occur. There’s also the whole brain-gut connection. When emotional stress is higher than usual, digestive function naturally declines.

To read the complete article – click here.

needlesWritten By Sara Calabro founder of AcuTake.

Curious about acupuncture but afraid of needles? Here are some things your acupuncturist wants you to know!

Most people, when they hear about the benefits of acupuncture, find themselves thinking, “That would be so good for me!” Less stress, more energy, better sleep and digestion… Who doesn’t want that?

But for many people, there’s one thing that holds them back from enjoying the benefits of acupuncture: Fear of needles.

There’s a spectrum of needle fears, ranging from downright needle phobic to being moderately concerned about the whole voluntarily-being-stuck-with-needles thing. Regardless, fear of needles is the number-one reason people choose to forego acupuncture.

5 things to remember if you’re scared of getting acupuncture

Acupuncturists get asked about the tool they wield all the time. Here’s what they tell people who say they’d love to try acupuncture but haven’t because they’re scared of needles.

They’re nothing like the needles you know.

“Needle apprehension is very common and natural, considering that we have been conditioned to associate needles with pain—think dentists, blood draws, and IVs,” says acupuncturist Kathryn Peak. “But acupuncture needles are hair-thin and nothing like the needles we are accustomed to in a medical setting.”

“Acupuncture is the most gentle form of needling possible,” adds acupuncturist David Bonilla. “If acupuncture was anything like getting a shot, I wouldn’t be in business!”

Most people who have never had acupuncture do not realize how thin acupuncture needles are. They bend when you touch them. For an up-close look at an acupuncture needle, check out this article.

You’re in control.

People commonly assume that they cannot move once the acupuncture needles are in place. That they need to lie there stiff as a board lest they endure excruciating pain or damage their insides. Understandably, this leads to a lot of anxiety and out-of-control feelings.

But it’s not true. A good acupuncturist will go at whatever pace you’re comfortable with. If you want to start with only a few needles and not keep them in very long, tell your acupuncturist that. If you want to pull out a needle that’s bothering you, go for it. If you get push back on this, find a new acupuncturist.

“I tell my patients that we can go as slow as they want so that they feel like they are part of the experience,” says acupuncturist Po-Hong Yu. “Acupuncture is not about something happening to you. You have a voice.”

One thing you can ask for is that your acupuncturist avoid acupuncture points in your arms.

Acupuncturist Kerry Jenni, a self-described needle phobe who realized after becoming an acupuncturist that acupuncture needles are nothing like the ones she’s scared of, says that keeping her arms free during her early days of receiving acupuncture was helpful.

“Moving during acupuncture is a weird sensation,” says Jenni. “With your arms free, you can be more in control.”

Acupuncturist Christina Morris makes sure that her fearful patients remain at ease once the needles are in. “I leave the patient with a pager so that they can alert me if they’re feeling overwhelmed when I’m outside the room.”

It’s not all about needles.

“If the needles really freak you out, there are other modalities that acupuncturists can use,” says acupuncturist Paola Acuna.

Acupuncturists are trained in several healing techniques, and only one of them uses needles. There’s acupressure, cupping, gua sha, moxibustion, ear seeds, qigong, herbs, among others. None of these things involve needles.

So, what do you say? Maybe 2016 is the year you overcome your fears and try acupuncture. Here are 16 reasons to go for it.

For the complete article  by Sara Calabro click here.

new yearWith so many external pressures can any of us be truly happy? As we welcome in a new year, Rachel Kelly suggests small changes to your life that can have a huge impact on your outlook

Below is a portion of Rachel Kelly’s article, “New year, new you – how to be happy”.  To read her complete article click here.

What’s top of your list of new year resolutions for 2016? Do more exercise? Eat better? Spend more time with your children? Find a fulfilling career? How about ticking all your boxes and simply be happy?

Sadly, you can’t simply ‘become’ happy. Happiness is often an indirect consequence of our actions and the way we think. However, the good news is that making even the smallest adjustments can help us attain that elusive state we all aspire to.

Here are some simple changes we can all make to our lives to improve our state of mind.

Slow down

We are human beings, not human doings and it’s very easy to forget that in the frenetic world in which we live. Make a point of setting aside time for a night off and defend space in your diary for doing nothing at all. And if you suffer from FOMO (the fear of missing out), recalibrate and think of it instead as the joy of missing out. A night in can be just what the doctor ordered to maintain a sense of control over busy lives.

Be mindful

Build a ‘mindful’ activity into your day. It can be any routine activity you perform amid the haste of the day, like hand washing. Slow down and give the task your full attention. You’ll soon start appreciating these small moments of stillness.

Unplug

The strong glare of a phone’s backlight isn’t conducive to deep sleep. I have instated a wind-down hour before bedtime in which the phone is firmly it its charging station. It’s all about creating the right conditions for your body to feel relaxed and able to sleep.

Declutter

Clearing cupboards helps give you a sense of control and owning your own space. It can be life-changing as Marie Kondo maintains in The Life-Changing Magic of Tidying: A simple, effective way to banish clutter forever. It also helps you enjoy the objects that you’ve consciously decided to keep instead of relegating them to the status of just more stuff.

Exercise

Breaking a sweat, ideally first thing in the morning, releases endorphins and sets you up for the day. Lack of exercise can leave you feeling sluggish and lethargic, so, if you can, start your day right.

christmas11Written by Alice G. Walton

If you’re not a big fan of the holidays, don’t worry – you’re not alone. This time of year can spark all kinds of unexpected reactions and behaviors in even the most well-adjusted among us. There’s the loneliness, the anxiety, the guilt, the overindulgence (which can also lead to guilt), and, of course, the bitterness. And to top it all off there’s the looming New Year, which is always disturbing since it hits us with the pressure of developing good habits right after we’ve fully exercised our bad ones.

So, let’s be honest about how easy it is to get wigged out this time of year. Here are some of the common holiday pitfalls, mental and physical, which many of us encounter in some shape or form. And, so as not to be too Grinchy about it, there’s also a bit on how to avoid them – or at least, manage them more effectively when they come your way.

1. Overeating
This is the queen mother of the bad holiday habits. Most of us pack on a few pounds in the Halloween-to-Christmas stretch, but it doesn’t have to be that way, even at food-centric holiday gatherings. Forbes contributor David DiSalvo, who wrote Brain Changer, says that there’s one trick researchers discovered in a 2010 study that can help people avoid holiday bingeing – and it’s simply to visualize the bingeing before you do it. “When you see something you’d like to gorge on but know you shouldn’t (let’s say a big bowl of M&Ms),” says DiSalvo, “try visualizing yourself eating the M&Ms – as many as you care to shovel into your mouth, being careful not to spare any details about how incredible they taste. The research predicts that afterwards you’ll eat less of the candies than you would have if you’d given in to your original desire to gorge without playing the mind trick.” It sounds counterintuitive, but giving your brain that imaginary taste of the hedonism it so desires can actually fulfill the craving. So give it a try, and see if it does the trick.

2. Holiday Depression
With all the pressure to be happy this time of year, it’s not hard to be depressed. This is especially true if you don’t have exciting plans, or any plans. On the other end of the spectrum, having too much to do can also be mentally depleting. Psychologist Suzanne Roff-Wexler, PhD, says that though it can be tough to tease apart all your feelings at this time of year, the holidays – with all their demands and stressors – are classic triggers for anxiety and low mood. “The holiday period can be stressful…. Parties, gift giving, food and alcohol intake, time demands and deadlines add to the stress. In addition to stress, some begin to feel a sense of sadness and loss – psychologists think of this as ‘holiday blues,’ which is time-limited and not in itself clinical depression. As the holidays end, the blues typically recede.”

She adds that if the sadness sticks around for weeks or months after the holidays end, it could be actual depression, which needs treatment. But if it’s just depression about the fact that the holidays, well, exist, then the solution is pretty simple: Just power through them. Being social as much or as little as you want to, taking time for yourself to recoup and re-center, and practicing a little gratitude about the good things in your life (even if it’s just that the holidays will be over soon) are all powerful methods for coping. Roff-Wexler says that all the holiday hoopla “can take a toll on your mind and body…So don’t isolate. Seek connection and support.” Most of all, take heart: They’ll be over soon.

3. Overspending and Debt
Advertisers take no prisoners when it comes to pushing the holidays on us these days, which can make it easy to get sucked in to overspending. Though it’s great to be generous with your loved ones, if you’re able, a lot of us just do too much. Period. Going into a lot of debt for the holidays is not a good idea, since you’ll pay the price, literally, for months or years to come. Only get gifts for those in your immediate circle of friends and family, and cards for the outer circle. And try, if you can, to pay for most things outright, rather than with credit cards. It may not be completely possible to avoid debt, but a little is better than a lot.

4. New Year’s Eve Dread
An especially grating reality of the season is that the New Year is lurking just around the corner. Although this can be a nice time of the year to start over for some people, others just feel a sense of doom, whether it’s about New Year’s Eve, having to hear Auld Lang Syne, or the New Year itself. There’s lots of research suggesting that most people fail their New Year’s resolutions by about week two, and this just gets things off to a bad start. But if you’re a secret New Year’s hater, take heart: There are many of us out there, and there are some simple solutions to avoid the New Year’s stress.

One way is simply not to make any resolutions in the first place. There’s no reason to start a new lifestyle habit or kick an old one on January 1st. Do it when you’re good and ready. And if you are going to make changes, think deeply about why you’re doing it. If you’re just saying you want to lose weight because you know you “should,” go a little further into your motivations. Are you doing it for your kids? Maybe it’s because you want to be able to get down and play with them better, or be around for them longer. Writing out the things that are really driving you can help you remember (especially during times of weakness) why you’re making changes in the first place.

Taking baby steps – really small and regimented ones – is another trick for making changes actually happen. Marian Margulies, PhD, a child and adult psychologist in Manhattan, says make specific, small steps, rather than sweeping, general statements. “Rather than say you will lose weight, you might say, ‘I will join a gym this week.’ Next week, ‘I will go at least one time,’ and then twice the week after. A loftier goal to aspire to can be going two to three times a week to the gym.” But that can come later – first break down your goal, and create manageable, teeny steps to get it going.

5. Kids Will Drive You Crazy
A major problem with the holidays is the kid pressure. “Parents often complain to me that their kids demand the latest hot item,” says Margulies. “with the rationale, ‘all my friends got it!’” But she says do not fall into the “but he’s getting it!” trap. And stay strong. “Much as they won’t admit it, children appreciate gifts of time and thoughtful presents and the price tag does not have to factor in here. If your child longs for a gift that is beyond your budget, you might say, ‘this is what I can do’…. Meaningful gifts might include taking your child to a special show followed by dinner at their favorite restaurant. A gift packed with meaning and special thought goes a longer way than spending excessively on items popular this time of year.”

Stress to your kids the real things – the value of family time, gratitude, and helping others who may not have as much. Of course, they may not like you at the time (they may actually hate you a little), but in the long-run, they’ll be the better for it.

6. The Holiday “Attitude”
People who go holiday-crazy can feel a kind of anticlimax or emotional emptiness during or after. “Advertisers show us a Christmas season full of romance, extravagant wealth, wholesome family cohesiveness, and major celebrations with friends that can cause you to feel inferior by not living up to a hyped image,” says Roff-Wexler. But if you’re not feeling everything you think you “should,” don’t overdo it by faking it. “One danger is in trying to overcompensate with an attitude of entitlement that’s obnoxious! The media’s image of the holidays can also underscore feelings of loneliness and low self-esteem.” Remembering what the holidays are actually about – family, love, togetherness, re-centering (and other things, depending on your religion) – is important in making through the season in one piece.

7. Household Accidents and ER Visits
The guy dangling by his foot by the Christmas lights he’s trying to hang on the roof is a classic holiday image. And it’s actually not so farfetched: Household accidents increase quite a lot around the holidays, as do ER visits. The CPSC.gov estimates 15,000 holiday-related accidents, with at least 12,000 ER trips. So be careful, and take care of yourself and your kids, so you don’t end up spending the holidays at the hospital.

8. An Eggnog to Take the Edge Off?
Drinking too much is pretty common around the holidays, whether it’s to celebrate the festivities or take the edge off schmoozing with colleagues or family members you’d rather not be spending your free time with. Constance Scharff, PhD, Senior Addiction Research Fellow and Director of Addiction Research for Cliffside Malibu, points out that at this time of year, “it’s not just those with drinking problems who overindulge. Those who do not often drink can find themselves having a little too much at parties, when they’re having fun or when they are under stress. A good rule of thumb is not to drink alcoholic beverages at all at a work gathering. That is not the place to tie one on.” She says that a good rule of thumb is to limit yourself to two drinks total, and no more than one an hour, at social functions.

9. The Holiday Office Minefield
Another classic and oft-dreaded event is the Holiday Office Party, which is even riskier if it offers endless free drinks. Roff-Wexler points out that ending up in bed with your colleague is no way to end the year. “Holiday office parties can be dangerous when potentially decreased inhibition leads to detrimental personal and/or professional consequences such as inappropriate workplace affairs, bullying, or competition. You can also damage your reputation with a drunken ego.” Use the two-drink rule to get through this one, or even better to ensure your reputation – don’t drink at all.

10. Family Stress
If you have a great, supportive, sane family, by all means skip ahead. For many people, spending time with the family or extended family is a mixed blessing, or just incredibly painful. Getting quizzed by Aunt Mildred about your relationship status, your job, or your irritable bowel syndrome are just some of the reasons we hate holiday gatherings. Drinking to get through these get-togethers is not the best way (refer to #8). If you’re in the “I can’t stand my family” boat, making an appearance for a little bit, making the rounds, and then politely skipping out, saying you have another commitment to get to, is a better (and mentally healthier) way to get through it.

11. Unrealistic Expectations
And on the flipside, let’s be honest, the holidays don’t make everything better like they do in the movies. “We like to think that this year is going to be different,” says Scharff, “that the uncle who is an alcoholic will somehow not be inebriated at Christmas dinner, or the work holiday party that is always stressful and awkward will somehow magically change.” But things don’t usually work out like they do in A Christmas Carol, and acknowledging that reality is much healthier than hoping for a scenario that is probably not going to happen. “People and situations are what they are – and we need to recognize that going into the season,” says Scharff. “If we adjust our expectations, we’ll have a better time enjoying the gifts of the season.”

12. Being A Mall Santa
Tens of thousands of kids sit on Santa’s lap every year in the mall or department store. Forbes editor Dan Bigman wondered whether mall Santas might pose any health risks. While there’s no hard science on the subject (that I’ve found anyway), considering how many children he comes into contact with every day, it’s certainly plausible. Among the possibilities, Mall Santa could be a carrier for viruses (the common cold, flu, and stomach flu), bacteria (staph), and larger creepy-crawlies that it’s better not to even think about.

Aside from the organisms your kid might be contracting, the experience of waiting in the mile-long Santa line is enough to stress out any sane adult. But just as with any other item in the Holiday Unhappiness arena, just breathe through it, and accept it for what it is. Don’t hope for too much, but don’t freak yourself out preparing for the worst. And keep in mind the most comforting advice of all: It’ll all be over soon.
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homemade-yogurtWritten By Kristen Mancinelli

First of all, what the heck is yogurt? Yogurt is a fermented milk product that has been used for centuries to preserve liquid milk from spoilage. Like milk, yogurt contains important nutrients such as protein and calcium. Traditional yogurt is made by adding two bacterial cultures (Lactobacillus bulgaricus and Streptococcus thermophilus) to milk to “ferment” the lactose into lactic acid, giving the product a tart, sour flavor and creating the thick consistency with which we are all familiar. If the yogurt is chilled rather than heated after fermentation, the bacteria remain alive and the product can be labeled as containing “live” or “active” cultures, which makes it a probiotic (i.e., good for your gut). Studies show that live, active probiotic cultures can improve digestive health and regulation of the immune system. The practice of choosing a healthy yogurt is all about checking the nutrition facts (paying attention to added sugars and protein content) and the ingredient list (to avoid additives and sweeteners). While common ingredients like pectin and guar gum are derived from plant sources, their presence is a sign of a poorer-quality product. Sugar will show up in most flavored yogurts, so you might consider choosing a plain yogurt and adding your own fruit or berries. If you are choosing a flavored yogurt, seek one with a low sugar content. Synthetic sweeteners like high-fructose corn syrup should be completely avoided. Additionally, choose organic whenever possible. If organic is not an option, look for the words “rBGH-free,” “hormone-free” or “grass-fed” on the label.

Whole-Milk (Full-Fat) Yogurt

Although current nutrition recommendations still steer consumers toward lower-fat dairy products, recent studies are beginning to show less of an association between dietary fat intake and heart disease, although more research needs to be done. In one recent study published in 2013 in the Scandinavian Journal of Primary Health Care, of over 1,000 Swedish men aged 40-60, researchers found that those who consumed high-fat milk, butter and cream were significantly less likely to become obese over a period of 12 years compared with men who never or rarely ate high-fat dairy. Another 2013 study, published in the European Journal of Nutrition, found that in most of the studies, high-fat dairy was associated with a LOWER risk of obesity. A major health benefit of full-fat yogurt is that it seldom contains the thickeners and additives that are used to achieve proper consistency and flavor in low- and nonfat yogurts. Whole-Milk yogurt is a convenient way to pack in a lot of nutrition. An eight-ounce serving of plain, whole-milk yogurt contains only 138 calories and 11 grams of sugar, and it provides 8 grams of protein, 275 milligrams of calcium and 352 milligrams of potassium, plus good amounts of folic acid and vitamin A (as well as vitamin D if made from fortified milk). Full-fat yogurt contains 7 grams of fat, 5 grams of which are saturated.

Creamline Yogurt

Creamline or cream-top yogurt is similar to whole-milk yogurt except that it’s made from unhomogenized milk, which results in a “line” separating the watery part of the yogurt from the thicker, creamier part. You can mix the cream top into the rest of the yogurt for a more even consistency. Creamline yogurt contains the same nutrients as regular yogurt, including calcium and potassium, which are both lacking in the diets of many Americans. The live bacterial cultures found in most yogurts are also present in creamline yogurts. These probiotics help replenish the natural bacteria in the intestines after antibiotic treatments, and these “good” bacteria help to produce some B vitamins and vitamin K.

Greek Yogurt

Greek yogurt is made by straining out the liquid whey to provide a thicker, creamier product with a higher protein concentration and less lactose (sugar). Greek yogurts are required to contain a minimum of 5.6 percent protein compared to 2.7 percent for unstrained yogurts. This means that Greek yogurts provide more protein and less sugar than regular yogurt for the same amount of calories. The process that creates this creamy, protein-packed yogurt also creates a byproduct called acid whey, which is detrimental to the environment – specifically aquatic life. The USDA is working with a private firm to develop a new technology that can turn the different components of the product into valuable ingredients and this is expected to be revealed later this year. A typical six-ounce yogurt contains five to 10 grams of protein. Greek and Icelandic-style yogurts often contain up to 20 grams of protein. The creamy consistency of Greek yogurt appeals to many consumers. This style of yogurt has become so popular that it now accounts for more than half of the $7.6 billion in annual U.S. yogurt sales. Greek yogurt comes in whole-fat, low-fat and nonfat varieties, and some brands carry organic lines. Be wary when reviewing ingredient lists. Some manufacturers “skip” the traditional straining phase and instead just add starch and thickeners like corn or tapioca. Many brands that manufacture traditional yogurt, such as Dannon, Stonyfield and Brown Cow, are now producing Greek yogurt. And some grocers, like Whole Foods and Trader Joe’s, have their own lines. Chobani is the highest-selling Greek yogurt. In a “Consumer Reports” taste test of 11 top yogurts, Greek yogurts Fage Total 2% and Chobani Low-Fat were rated “excellent.”

European-Style Yogurt

Manufacturers of European-style yogurt describe it as being smoother and creamier in consistency compared with regular yogurts, yet still easily pourable. This consistency is achieved by incubating the yogurt in large vats rather than their individual containers. European-style yogurt is not strained, which distinguishes it from other styles that stick in their cups and have less water and a higher protein content. European-style yogurts provide the same important nutrients as milk — protein, calcium and potassium — intake of which has been linked to lower blood pressure and a reduced risk of cardiovascular disease and Type 2 diabetes. Research also indicates that adults who eat yogurt are less likely to be overweight. Because of their smooth consistencies, European-style yogurts seldom contain thickeners or additives: The ingredient lists for these products are commonly simply just milk and bacterial cultures.

Icelandic Yogurt

Skyr, or Icelandic yogurt, is made by incubating skim or nonfat milk with live cultures. The yogurt is then strained to get rid of the whey, and the end product has a thick, creamy consistency similar to Greek yogurt. Icelandic yogurts are very low in sugar, high in protein and contain no fat. Flavored varieties such as strawberry or vanilla contain fruit and/or sweeteners, and thus have a higher sugar content. In general, Icelandic yogurts do not contain the unwholesome ingredients used as thickeners and sweeteners (e.g., HFCS, gelatin) in lower-quality yogurts.

Goat- and Sheep-Milk Yogurts

Yogurt can be made from the milk of cows, goats, sheep or buffalo. Although both goat- and sheep-milk yogurts contain some lactose, many people who can’t tolerate yogurt made from cow’s milk are able to consume these varieties without trouble. Goat- and sheep-milk yogurts have similar nutritional profiles to yogurt made from cow’s milk, but are often lower in sugar (4 grams per six- or eight-ounce container for plain varieties). The taste of goat- and sheep-milk yogurts are not as widely accepted as cow’s milk, however. The different flavors are caused by certain branched-chain fatty acids that are present in the fats of these animals. For this reason, you may want to choose flavored goat and sheep-milk yogurts over plain varieties. It is still a good idea to avoid overly sweetened products, so review the sugar content on the nutrition facts panel. As with other yogurts, check the ingredient list for additives. Pectins and gums are common in these types of yogurts and may be difficult to avoid. Choose fruit- or vegetable-based coloring or flavoring agents, such as beet juice concentrate or cabbage juice, over the purposefully vague “natural colors and flavors

Soy Yogurt

Soy yogurt is made from cultured soymilk and does not contain any dairy, so it is suitable for people with lactose intolerance and those who follow a vegan diet. The same bacterial strains used to culture dairy-based yogurts — L. acidophilus and S. thermophilus — are used in soy-based yogurts. The nutrient content of soy yogurts is similar to that of dairy yogurts, except that the saturated fat content of soy yogurts is much lower than that of yogurts made from whole milk. Ingredient lists for soy yogurts are not as simple as those for high-quality dairy yogurts, and it’s nearly impossible to avoid additives. Even plain varieties of soy yogurt tend to contain thickening agents such as cornstarch and may contain natural flavors or sweeteners. Focus instead on the organic label to ensure that the soybeans used are not genetically modified.

Almond- or Coconut-Milk Yogurt

Cultured almond or coconut milk produces a dairy-free, yogurt-like product similar to soy yogurt that is suitable for people with lactose intolerance or dairy allergies and those who follow a vegan diet. Almond- and coconut-milk yogurts are also available in Greek Yogurt forms, which people who enjoy Greek yogurt may find more palatable and enjoyable. The nutrient contents of almond- and coconut-milk yogurts vary tremendously between brands, but in general these varieties provide less protein and fat, similar amounts of calcium and vitamin D (if fortified), and more starch, fiber and overall carbohydrates (even for unflavored varieties) than dairy yogurts. Like dairy yogurts, these products contain bifidobacterium, the probiotic effects of which enhance gastrointestinal and immune-system health. Almond- and coconut-milk yogurts are relatively new products, and there are only a handful of brands that produce them. Most varieties contain multiple thickening, flavoring and emulsifying agents, including pectin, gums (e.g., locust bean gum), algae (e.g., algin), food starch (rice or tapioca starch) and various other texture-defining ingredients. Sweeteners, such as evaporated or dried cane syrup (sugar), are likely to appear in flavored and even unflavored varieties. Choose the brands with the lowest sugar content and fewest additional ingredients.

Lactose-Free Yogurt

Lactose-free milk is simply cow’s-milk yogurt that has been treated to break down the lactose, or milk sugar, that irritates people with lactose intolerance. Consuming lactose may cause lactose-intolerant individuals to experience gas, bloating and abdominal pain, and for this reason individuals with lactose intolerance may avoid dairy products like yogurt and suffer from a low intake of calcium. Lactose-free yogurt thus helps lactose-intolerant individuals have access to this healthy source of calcium, protein and probiotics. The nutrition profile of lactose-free yogurt is similar to that of regular yogurts, although it might taste slightly sweeter. Lactose-free yogurts come in a variety of flavors, including plain, vanilla, and strawberry. Pectin is typically used in the plain versions, and flavored varieties contain sugar, gums and natural flavors.

Flavored or Fruited Yogurt

Flavored or fruited yogurt can be a nutritional minefield. Consumers can be fooled into believing that these products are healthy because they contain fruit. In reality, most of the flavor in these yogurts comes from added sugar and sweeteners. Vanilla is ubiquitous, followed by common fruit flavors like strawberry, blueberry and peach. Although fruited or flavored yogurts are often low in fat, consumers may inadvertently end up consuming the same amount of calories as they would with the full-fat versions. Flavored or fruited yogurts can contain a whopping 44 grams of sugar per eight ounces — that’s 176 calories just from sugar (although not all added)! If you like flavored yogurt and you can afford the extra calories, look for brands that have short, easy-to-pronounce ingredient lists: just milk, sugar or other naturally occurring sweeteners such as maple syrup or honey, the fruit of choice and active cultures. Stay away from anything that contains high-fructose corn syrup. TIP: One of the best ways to get a sweeter yogurt with fewer calories is to mix a plain variety and sweetened variety — half plain, half vanilla.

Low-Fat and Nonfat Yogurts

Eight ounces of plain, low- or nonfat yogurt contains about 530 milligrams of potassium, which can help lower blood pressure by countering the effects of sodium. Dietary potassium is also linked to a reduced risk of developing kidney stones and decreased bone loss. Just over 50 percent of Americans consume the recommended amount of potassium — 4,700 milligrams per day — in their usual diet. Low-fat yogurt contains between 0.5 percent and 3 percent fat, and nonfat yogurt has less than 0.5 percent fat. Unfortunately, the nutritional quality of yogurt can be diminished if thickeners and sweeteners are added to replace the flavor and texture lost with the removed fat. When choosing a low- or nonfat yogurt, look for a short ingredient list. It should ideally contain reduced-fat or skim milk and live bacterial cultures. Reduced-fat versions may contain other portions of milk products, including cream, buttermilk and skim milk, to achieve ideal textures: These ingredients are on the “good” list. Most brands do contain pectin, which is a naturally occurring substance found between the cell walls of fruits and vegetables that is used to thicken and emulsify lower-fat yogurts. While pectin is not necessarily “unhealthy,” many organic, high-quality yogurt varieties achieve desired consistency without the use of pectins.

Drinkable Yogurt

Drinkable yogurt is similar in nutrition and ingredients to standard yogurts and has a more liquid consistency. Drinkable yogurt is growing in popularity because of its convenience and portability. Most drinkable yogurt is flavored, and it can be a challenge to find varieties that are not heavily sweetened. In plain yogurt, lactose — naturally present in milk — provides the sweetness. But in most flavored yogurts, sugar is added either as sucrose, fructose or high-fructose corn syrup. This can raise the calorie content considerably without providing added nutrition. A typical low-fat yogurt drink available in the United States contains 5 percent to 12 percent added sugar. On the positive side, drinkable yogurt contains live probiotic cultures that improve digestive health and may provide other benefits such as immune-system enhancement. When shopping for a drinkable yogurt look for short ingredient lists (e.g., simply milk and bacterial cultures), and avoid additives like modified food starch, natural or artificial flavors, and pectins when possible. Check the labels of smaller brands carried in your grocery store: They tend to produce drinkable yogurts with fewer added ingredients.

Kefir

Kefir is a fermented milk beverage similar to yogurt. Kefir is made by inoculating milk with a mixture of microorganisms known as “kefir grains.” These include the lactobacilli and streptococci used to make yogurt as well as yeasts and acetic acid bacteria. Kefir is described in a paper in the International Journal of Food Microbiology as “a self-carbonated dairy product with a slightly acidic taste, yeasty flavor, creamy consistency and low alcohol content.” Like yogurt, kefir’s ingredients are milk and bacterial cultures; it contains a similar amount of protein, calcium, and vitamin D; and fat contents are the same as comparable yogurt styles (e.g., whole-fat, low-fat, and nonfat) Unlike yogurt, kefir has an effervescent or bubbly quality. Kefir is highly regarded for its potent probiotic and other health-enhancing qualities. Studies show that kefir has antimicrobial, antitumor, anticarcinogenic and immune-system-regulating properties. Compounds in kefir also help improve lactose digestion. The word “kefir” is derived from the Turkish word “keyif,” which means “feeling good.

It’s estimated that 30 percent of adults and 66 percent of adolescents are regularly sleep-deprived. This isn’t just a minor inconvenience: staying awake can cause serious bodily harm. Claudia Aguirre shows what happens to your body and brain when you skip sleep.

Lesson by Claudia Aguirre, animation by TED-Ed.