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This Is How Your Body Changes When You're In A Relationship

In the 1950s, a young man named Kyle Ballard worked as a waiter on the liner ship SS Lurline. The ship sailed between Honolulu and California, running vacationers back and forth between Oahu, San Francisco, and Los Angeles. It’s safe to say there were lots of married couples gathering in the ship’s dining room at mealtime.

Ballard and his fellow waiters got to know their passengers—they were assigned to the same tables every night for the entire five-day trip. Ballard still marvels at the details he and the other waiters noticed about these long-married couples.

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“All the experienced waiters agreed on the same thing,” the octogenarian tells HealthyWay. “We could take all 20 people for dinner on sailing night when we first met them and jumble up all persons married at least 40 years, and we could match those couples [because] they looked so much alike.”

Even the height was similar, Ballard says, except the husband was typically a bit taller than the wife.

“Both with about the same weight,” Ballard says. “Even eating and dressing alike. We never stopped making that comparison.”

The thing is, the science backs up Ballard’s story of romantic seaborne adventures from long ago. One 1987 study found that after 25 years of marriage, couples did begin to resemble each other—as in, facially. One working theory is that spouses come to mimic each other’s facial expressions and that leads to physical changes in the face’s musculature over time. Twenty-five years later, you’ve got two faces that look more alike than they did on their wedding day.

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If you think that’s incredible, or just incredibly romantic, check out these other physical and physiological changes that long-term relationships can create within our bodies.

1. You start to like the same foods and maybe even the same perfume. But it might not mean what you think it means.

There’s no need to argue over the wedding menu. You may hate onions today, but if your spouse is a die-hard onion ring devotee, give it a few years (or maybe a few decades).

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A recent study in the journal Appetite makes the astonishing claim that the longer a couple stays together, the more their preferences in taste and smell line up. The researchers asked 100 couples between the ages of 18 and 68 to rate how much they liked the study’s collection of flavors and scents. Some of the couples had only been together for 3 months; others had 45 years under their belts, but most fell between these extremes.

The data revealed that “both taste and smell preferences are more similar the longer couples have been in a relationship,” according to the study’s abstract. However, in a surprise finding, the researchers report that people in happy marriages don’t necessarily love the same odors.

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In fact, relationship satisfaction was “negatively related” to similar preferences in scents. So the happier people said they were in their relationships, the less likely they were to like the same smells. To further complicate matters, this finding did not extend to flavor.

So if you and your spouse still disagree about the smell of frying onions, don’t fret. You might be one of the lucky ones.

2. In the early stages, your brain chemistry goes haywire.

There’s a reason all the pop songs are about love or substance abuse. Or both. Apparently, the initial stages of an intense romantic relationship affect our brain chemistry not unlike an illicit pharmaceutical.

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That’s according to David Bennett, a certified counselor and co-runner of the men’s support website The Popular Man.

“When you’re in love, your physiology changes quite a bit,” Bennett says. “And it’s the result of brain chemistry changes.”

In particular, Bennett points to three neurotransmitters that have powerful effects on the way you feel.

“Your dopamine levels go up, leading to feelings of excitement and euphoria related to your partner,” Bennett explains. That can also get you into trouble, of course.

“If your partner stops reciprocating attention (such as not texting back right away,) you’ll feel anxious and nervous,” he says. Call it love withdrawal.

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Second, your brain produces extra norepinephrine, a chemical similar to adrenaline.

“This is why when you’re in love, you can barely sleep and will stay up late into the night with your partner, even if you have to get up early the next day,” Bennett says. It’s a good thing this particular effect tends to fade with time and familiarity, or else our work lives would be even rougher.

Oddly, though, serotonin levels actually drop during an experience of romantic love, Bennett explains. A 1999 study in the journal Psychological Medicine found that the loss of serotonin makes the young Romeo’s brain more similar to that of someone with obsessive-compulsive disorder, another psychological state associated with low serotonin.

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“This explains why when you’re ‘in love,’ you want to spend time with your partner almost obsessively, and you jealously guard your time with them,” Bennett says.

3. That wedding ceremony line about “sickness and health” is onto something.

You might promise to care for each other “in sickness and in health,” but you’d better plan for these conditions happening to both of you at the same time. Long-married couples have health similarities that seem to go way beyond sympathy pangs.

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A 2016 study published in the journal The Gerontologist lays out some of these findings, which include health similarities in some surprising areas. For instance, couples who have been married for decades and decades showed similar grip strength. That might not sound like much, but grip strength is actually a reliable predictor of mortality, so it’s a valuable metric.

Other indicators that long-married couples tended to have in common include cholesterol levels and even kidney health. No big deal, you might say. People choose spouses who are similar to themselves, maybe even on a genetic level.

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But wait! The researchers controlled for that. They compared these health similarities in couples who had been married for fewer than 20 years, and didn’t find the same convergence. This seems to be something that grows over time—just like a lifelong romantic relationship itself.

4. Physical fitness habits tend to sync.

One possible explanation for the aforementioned health similarities between long-term couples is that your general predictors of health might align. We’re talking about the big two: diet and exercise.

“Couples influence each other,” says Michele Paiva, a licensed psychotherapist who specializes in body image disorders. “One person might be trying to be more healthy and the other is sabotaging them with ice cream.”

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But this reciprocal influence isn’t necessarily a bad thing, Paiva points out.

“Perhaps they both go to yoga together and are vegan,” she says. That type of relationship would likely lead to better health outcomes over the years.

So if you really want to maximize the “in health” part of your marriage over the “in sickness” agreement, start working out and eating right—and do it together. It’s also important to be present and loving with one another, Paiva says.

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“How the couple relates together intimately and how healthy their relationship is plays a part” in overall health over the long term, she says. “If there is a healthy relationship, there is not self-sabotage or sabotaging of the partner; there is mutual health encouragement.”

Now that sounds romantic.

5. You may feel less actual pain when your partner’s in the room.

Pain is subjective; that’s not to say it isn’t real, just that it’s a physiological event that occurs within your body and that complex factors can influence how bad it can get—what the scientists call “modulation of pain.”

A 2013 literature review published in Frontiers of Human Neuroscience looked at six studies in which romantic partners were present while their loved one was experiencing pain.

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Taken as a whole, these studies support the claim that the presence of a partner reduces the intensity of experienced pain for the patient. Of course, nothing in medical science is that simple.

In order to modulate pain, the relationship had to meet certain criteria: The partner couldn’t be seen as acting out of character, and the “adult attachment style”—the overall model of how you connect to others—makes a profound difference. Still, the idea of reducing pain just by having your sweetie hold your hand is a comforting one.

Romantic Love and Health in the Long Term

Ballard points out that his experience aboard the SS Lurline was far from scientific research. It was just something he and the guys would laugh about when the shift was over.

“This was not a study,” he says. “This was nature’s real life.”

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The funny thing is what the study that backs up Ballard’s experience also found. The more those long-term couples came to resemble each other over the course of 25 years of cohabitation, the more satisfied they said they were with their marriages. Presence, it seems, makes the heart grow fonder.

Opposites may attract, at least in the beginning. But after a lifetime of partnership, it seems that similarity is one key to true marital bliss. If that’s not just as romantic as taking a liner ship to Hawaii with the love of your life, we don’t know what is.

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The Gross Reason To Stop Going Sockless (And Other Foot Health Factoids)

With the average person walking nearly 115,000 miles in [their] lifetime … our feet take significant physical abuse.

Earlier this week, I was talking to a few friends about our feet. It’s admittedly a weird topic to get into with friends, but hear me out.
It started with talk of shoe shopping and slowly digressed into complaints about foot pain, toenail problems, visits with the podiatrist. It was kind of funny—all of this time, I’ve assumed that experiencing foot pain wasn’t typical, that my endless search for comfortable and stylish shoes was just me, with my fallen arches and big feet, but this conversation revealed otherwise.

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I had one friend who was constantly battling athlete’s foot on her preschooler’s little feet, while another was having a really hard time with arch pain while running. Another had an entire toenail removed after months of fighting with an ingrown nail. I, on the other hand, was nursing a case of plantar fasciitis.
What I realized was that most of these women had foot problems and were actually dealing with them. I, on the other hand, had been ignoring my foot pain for years—outside of looking for better shoes.
It’s pretty common to struggle with foot problems, Mark Hinkes, doctor of podiatric medicine (DPM), tells me.
“With the average person walking nearly 115,000 miles in [their] lifetime … our feet take significant physical abuse,” he says. “It’s no wonder people suffer from a wide range of problems,” which can include bone, soft tissue, skin, and nail deformities.
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Many people dealing with foot pain, dermatological problems on their feet, or issues with the way they walk can find a link between their foot problems and the foot health habits they employ, according to Hinkes.
Yet foot care simply isn’t a priority for some. Are you guilty of these bad foot health habits?

Baring it All

There’s nothing wrong with going barefoot from time to time (more on that later), especially if the skin on your feet is intact. However, there is one common habit that everyone should avoid, according to Edgard Nau, MD, DPM, and that’s going sockless while wearing shoes.

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“The major concern is developing a fungal infection,” explains Nau, who owns Manhattan Home Podiatric. “The shoes [are] the perfect environment for fungi. It’s dark, it’s warm, and it’s moist.”
So to avoid the growth of foot fungus, for some it’s as simple as making sure you’re wearing socks.

Improper Trimming

Ingrown toenails can be incredibly painful and might earn you a house call from Dr. Nau. The next time you set out to do a little nail trimming, make sure you are careful not to set yourself up for nail problems in the future.

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If your feet and nails are healthy, nails should be cut straight across, according to Nau—avoid cutting into the corner to avoid ingrown nails. The rules might be different if you have problems with your feet, though, such as compromised feeling in your feet or vascular compromise caused by chronic health conditions.

Being Unsupportive

Many people have come to expect that they will experience foot pain after enough time standing or walking. While some level of foot pain may be unavoidable for certain individuals, the right amount of support can significantly improve overall foot health. Take a look at the video below to learn more about the dos and don’ts of footwear.

Do-it-Yourself Foot Care

Those do-it-yourself corn removal kits at your local drugstore might be tempting, but they’re actually not the solution to your foot problems. While there is nothing particularly harmful about those kits, they only address the symptom, according to Nau.

A habit that is bad for foot health is ‘bathroom surgery,’ where people often attempt to treat their own foot problems.

“I’d rather you figure out why you’re getting the corn in the first place,” says Nau, referring back to his comments about poorly fitting shoes.
Corns are caused by ill-fitting shoes. They develop because the body is trying to protect the joint underneath when there is too much pressure on the foot.

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And, although corn-removal kits are mostly harmless, individuals with vascular or neurological compromise to their feet should avoid them.
“What happens is folks leave them on longer than they should and the acid stays on there and actually causes an ulcer,” Nau explains. “If you’re diabetic, those are very dangerous.”
In general, trying to deal with foot problems on your own is a dangerous habit, says Hinkes.
“A habit that is bad for foot health is ‘bathroom surgery,’ where people often attempt to treat their own foot problems,” warns Hinkes. “This is a dangerous practice because they may not have the correct instrument for the problem and end up using what they have: a scissors, razor blade or tweezers. The use of these non-sterile, inappropriate instruments combined with poor lighting, bad vision, and faulty eye-motor coordination is a recipe for a foot health disaster.”
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So next time you’re faced with, say, an ingrown toenail, let the professionals do the doctoring.

Forgetting the Fungus

If you you have a problem with fungus, we have good news! There is plenty you can do to prevent it, according to Nau. Specifically, he suggests wearing socks made from natural fibers, avoiding wearing the same socks for two days in a row, and occasionally treating your shoes with an over-the-counter anti-fungal powder.

In any case, don’t ignore it. If you catch it early, you can prevent it from spreading.
“If you see any kind of changes in the color of your nails, like white streaks or white spots, get it checked out,” he advises. “ If you can prevent one nail unit being infected to the extent that the actual nail root is growing out fungus, you can prevent the whole foot from being infected.”

Always Wearing Shoes

Going sockless might be a problem for your feet, but don’t be nervous about ditching your shoes and socks altogether. There is actually some benefit to going without shoes from time to time, especially outdoors.
“It’s good to run in the sand barefoot,” encourages Nau. “It’s good exercise for the deep muscles in your foot.”

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Additionally, walking barefoot on the ground is natural. The transference of body weight when our bare feet hit the ground outdoors exposes our bodies to the least amount of stress while walking, according to The Washington Post.
When it comes to fear of picking up disease, the risk is minimal, according to The Washington Post. Diseases spread more often by hand than by foot, anyway, especially if there are no cuts on on our feet.

Not Taking Shoe Clues

Another fascinating fact about feet is that your shoes might be giving you clues about underlying problems with how you walk. Shoes wear over time—that’s only natural—but certain patterns of wearing might be a signal of a larger issues.

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“It’s normal for the outside part of the heel to wear down,” says Nau in reference to running shoes. “If you’re noticing wear in the center or the inside part [of your heel], you want to get that checked out, because you’re not striking the ground normally.”
If you’re not noticing any strange wear on your shoes, you should follow a few basic guidelines for replacing running shoes. Avid runners should replace their shoes every six months; Less active individuals should still replace them once a year. Even if they still look great on the outside, it’s important to replace them because the interior material will break down, according to Nau.

About Amputation

For individuals with diabetes, foot care simply isn’t optional. Taking care of your feet and watching for signs that there is something bigger going on is essential to protecting your health.
Of the 185,000 limb amputations in the United States each year, 54 percent are caused by vascular diseases like diabetes. In 2010, 73,000 diabetic American over the age of 20 had amputations, according to Healthline.

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“… and up to 85 percent of [diabetes related] amputations are preventable,” Hinkes says. And he’s right, according to a paper in the Journal of Diabetes & Metabolic Disorders.
If you have diabetes, protecting yourself from serious foot problems is as simple as scheduling a yearly check up. Specifically, Hinkes suggests diabetic patients make sure they have a Comprehensive Diabetic Foot Health Screening with a podiatrist every single year. This test should include a monofilament test, a simple test that checks the foot for loss of sensation that would indicate neuropathy in the foot.

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Lifestyle

10 Hygiene Habits It's Time To Ditch

Del the Funky Homosapien rapped it best: “It’s important to practice good hygiene/At least if you wanna run with my team.”
Well, we do want to run with Del’s team, and besides, smelling nice is always a plus. But think of hygiene more as a happy medium than an all-out blitz. It is possible to overdo it.

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In fact, sometimes, in the name of health, we innocently do more harm to our bodies than good. From drying your hands to washing your dishes and cleaning your ears, here are 10 hygiene practices you’re better off skipping. Don’t worry; you’ll still be able to run with Del.

1. Relying on Too Much Hot Air

Ah, the old and bitter controversy: hand towels versus air dryers. Well, debate no further. An authority no less illustrious than the Mayo Clinic points to research that shows paper towels are better than electric hand dryers, at least in terms of scraping away bacteria.

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By nature, not only do electric hand dryers fail to “wipe off” the bacteria remaining on your hands, but they may also spread it to the entire room, essentially aerosolizing the bugs. Not to mention, hand dryers are louder and often less effective, and they can leave your skin chapped and dry. Plus, if you’re concerned about the environment, know that standard warm air dryers use a lot of power and can be resource-intensive to install.
Summary: Hand towels are often more effective at fighting germs. Use fewer towels to reduce your ecological footprint.

2. Using This Old Excuse to Get Out of Your Turn Doing Dishes

Dishes are everyone’s least favorite chore—they’re gross, and they take forever. So it’s no surprise that people often “let them soak” to avoid the dirty work. It turns out, though, that there’s some very scary things that make a home inside that dirty sink.
According to research compiled by the University of Arizona, somewhere between 50 and 80 percent of bugs that lead to food-borne illnesses are bred right at home.
And where exactly in the home do you think these pathogens are breeding? The second-worst offender in microbiologist Charles Gerba’s research, after the kitchen sponge, is the kitchen sink. It has more bacteria than your toilet, according to Gerba. (“That’s why your dog likes to drink out of the toilet,” he jokes.)
Summary: Wash dishes as soon as possible with hot water and soap.

3. Waging All-Out War on Microbes

Good old-fashioned hand-washing is still the best way to fight the spread of germs, but should you really choose antibacterial soaps designed to nuke all microorganisms, no matter what? Triclosan, a broad-spectrum antibacterial agent used in soap, mouthwash, and even deodorant, was examined in a study in Clinical Infectious Diseases.

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According to study authors, this sanitizing agent is “no more effective than plain soap at preventing infectious illness symptoms and reducing bacterial levels on the hands,” and its potential to kill even healthy bugs may be associated with the “emergence of antibiotic-resistant bacteria.”
The FDA seems to have agreed with the study’s conclusions, as the administration recently restricted triclosan’s use in certain products.
Summary: When in doubt, use plain soap every time to win the fight against germs.

4. Skipping the Dirt

According to researchers at Cornell University, a little dirt in your diet is a good thing. Maybe you shouldn’t wash your garden vegetables so scrupulously.
They say that geophagy, or the consumption of soil, has existed in humans for millennia—and it may actually help protect the stomach against pathogens, toxins, and parasites.

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The data shows that geophagy shows up most commonly in women in the early stages of pregnancy and in pre-adolescent children. Both categories of people are especially sensitive to parasites and pathogens, according to the study’s authors. A little dirt goes a long way.
Summary: Don’t fear a bit of dirt on your veggies—that mud pie you ate as a child might have been medicinal.

5. Over-Reliance on the Fridge

It goes without saying that some foods (such as meat) need to be refrigerated. But according to a study published in the Journal of Physiological Anthropology, purposefully allowing other foods like fruits and vegetables to be exposed to warm air (thereby slightly fermenting them) can actually cultivate your own homemade and delicious probiotics!

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Long before the invention of refrigeration (and the concept of hygiene), milk, bread starter, and vegetables were often fermented before eating. The researchers found that eating slightly fermented foods actually boosts your immune system and increases the nutrient content of the food. Who doesn’t love sourdough?
Summary: Keep your fruit and veggies in a bowl on the kitchen counter for a little probiotic boost in your diet.

6. Refusing to Share

Odds are, if you and a pair of friends want to share an oversized dessert at your favorite restaurant, you’ll ask for three spoons with the dish. You might assume using separate spoons is healthier than sharing. Not necessarily, say researchers.
Encouraging the spread of healthy bacteria in our guts is something we need to do more of, the researchers say. Sharing saliva among healthy friends and family members—and thus introducing their microbes into your own microbiome—may actually help your immune system. Not only does sharing cut down on calories, then, but it also builds up the body’s supply of good bugs.

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It’s important to note, though, that you really don’t want to share food or drinks with people who are actively sick. That’s especially true of drinks, Sunny Jung of Virginia Tech explained to Popular Science. No matter how careful you may be, there’s always some level of backwash left in the cup after a sip. Yuck.
Summary: Share food and drinks with healthy friends and family to boost your immunity.

7. Relaxing in the Shower

There’s nothing like a long hot shower, especially first thing in the morning. It wakes you up and leaves you feeling fresh and ready to start the day. But is it good for your skin?
According to Alan J. Parks, MD, founder of DermWarehouse, the answer is, sadly, not so much. Hot showers strip protective oils from your skin, so you should always keep them short as you can stand, Parks suggests.

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The soap you use is important, too. “Many soaps will strip your skin of natural oils and cause your skin to dry out,” Parks says. Try to use gentle soaps, like those made for sensitive skin, and make sure to rinse every last bit of lather from your body before [linkbuilder id=”3589″ text=”getting out of the shower”].
Here’s another shocker: Hot showers are actually most beneficial at night, as part of your bedtime routine. The cooling process that begins after stepping out of a hot shower can create an easier transition to sleep—potentially leading to a more restful night. A temperature drop triggers your body to rest because it slows down the body’s metabolic activities, like digestion, breathing, and heart rate.
Summary: Keep hot showers as short as possible, and take them at night to help you sleep.

8. Abusing the Q-Tip

It’s too bad earwax is brown and sticky. Many people falsely assumed that it’s dirty and needs to be cleaned. Earwax (scientifically named cerumen) is a combination of sebum (oils), secretions from glands in the outer ear canal, and skin cells. It’s all good stuff, people.

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Like many processes in the body, earwax production is a self-cleaning, protective mechanism that you shouldn’t interfere with in most cases. Even worse, sticking objects in your ear can damage your eardrum and lead to hearing loss.
Occasionally, earwax gets impacted and messes with your hearing. Even in this case, though, you shouldn’t try to clear the blockage yourself. Instead, visit a doctor to remove it.
Experts suggest that if you absolutely must try something at home, just put a drop of mineral oil in your ear every day for a few days. That can loosen built-up earwax. Once the wax reaches peak-gooeyness, squirt clean water gently into the ear canal and wipe with a fresh towel; that should do the trick.
Summary: Don’t stick things in your ear. Ever. Unless earwax is impeding your hearing, leave it there.

9. Developing a Preoccupation With Exfoliation

You need to exfoliate to remove a layer of unpleasant skin cells, exposing the beauty beneath, right? Maybe so, but it’s a mistake to treat your skin like a plank that needs sanding. There’s no good reason for most of us to exfoliate every day.

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Just like with hot showers, this is an issue of preserving the oils that protect the skin. Even worse, you can actually damage the skin if you don’t give those shiny new layers time to grow in.
So how often should you exfoliate? Dermatologists like to point out that everyone is different, and that your skin will let you know if you’re over-exfoliating. Unfortunately, it can only do that by getting all red and painful, so it might be best to err on the side of caution.
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The consensus among dermatologists, when pressed, seems to be that you shouldn’t exfoliate more than two or three times a week.
Summary: Do exfoliate. Do not do it every day. And don’t try to get a straight answer out of a dermatologist.

10. Fearing Greasy Hair

Everyone’s hair is a little different—there’s a wide range of types, from the brittle and dry to the over-oily. But all of us could probably stand to go easier on the shampoo.

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The oil that the hair naturally produces, called sebum, is actually good for your hair and your skin, as it forms a protective layer and locks moisture in.
Unfortunately, shampoos don’t discriminate between healthy oils and gunk like dirt, sweat, and product residue. Shampoo strips away the good and the bad, potentially leaving your hair drier and more vulnerable to damage.
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Now, it’s true that some people need to wash their hair daily. People with extremely fine or oily hair, or who live in very humid climates, or who sweat profusely, might consider shampooing daily with a mild moisturizing shampoo. But that’s not most of us.
Summary: Go as long as you can between shampooing your hair, even if that means more ponytail days.
The point of all this is not that you should stop taking care of yourself entirely, of course. Fail to heed Del the rapper’s warnings and you know the result: “You’ll be funky.”

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How The Apple Watch And Other Tech Are Treating Illness And Saving Lives

Want to check snow conditions on the mountain, how many calories are in your lunch, or where you parked your car? “There’s an app for that,” as Apple memorably advertised its iPhone in 2009. In the years since, developers have introduced apps for more than 2 million other things.

But what about…saving lives? Yes, apparently there’s an app for that, too.

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In fall 2015, ABC News reported the viral story of Massachusetts teen Paul Houle, Jr., who was experiencing some back and chest pain after football practice. He thought to check his Apple Watch; its sensors registered his heart was beating at twice its normal rate. Houle alerted his family and health professionals, who then discovered he had rhabdomyolysis, a very serious condition in which muscle fibers break down and enter the bloodstream, potentially damaging major organs.

After his diagnosis, Houle spent a few days recovering in the hospital, which is much preferable to what could have happened if he’d suffered from kidney failure on the football field, which may well have happened had he gone to the next practice.

Parents are constantly struggling to get their kids (not to mention themselves) to put down the technology. In Houle’s case, it’s a good thing he didn’t. And Apple Watch’s heart-rate monitor is just the beginning of the many ways smart devices are improving our health—and even saving lives.

First Aid Kit 2.0

When a tech giant like Apple unveils its latest products, we tend to geek out over all the shiny new bells and whistles. This year, for instance, the company showcased its amusing Animoji and flashy Face ID. Garnering less attention, however, are its ambitious—if less glamorous—health initiatives.

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In a project it calls ResearchKit, Apple has been teaming up with some top U.S. university medical centers and institutes, including Duke and Johns Hopkins, to develop apps for Apple products that target a battery of illnesses and disorders: Parkinson’s disease, autism, concussions, and melanoma, to name just a few.

EpiWatch, for instance, is an Apple Watch app that helps track seizures, which is particularly useful for people with epilepsy, hence the name.

Although the app can’t currently detect seizures outright, it uses Apple Watch technology to collect real-time data before and during a seizure event, including the option for the wearer to send an alert to a family member or caregiver. Johns Hopkins is analyzing the data to get a better understanding of epilepsy and improve its treatment, with an eye toward device detection and automatic notification of seizures in the future.

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At Apple’s 2017 event, it debuted a new partnership with Stanford University to harness the Apple Watch for the detection of atrial fibrillation, an irregular and rapid heart rate associated with a variety of cardiac diseases.

What’s key to these efforts isn’t just Apple’s whiz-bang hardware—the sensors, gyroscopes, GPS, and accelerometers it packs into a wrist-sized bundle. It’s the data.

Big Data

While we may take it for granted, internet-based technologies have already transformed our health and lives by bringing previously unavailable or inaccessible data right to our fingertips.

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Consider how we can learn more about our symptoms if we are feeling sick with a search on WebMD, how we can consult with our doctor across the globe thanks to Skype, or how we can navigate the world like never before using mapping programs like BlindSquare if we have a visual impairment.

But with wearable devices like Apple Watch, we—our very bodies—are the data. And we are lots and lots of data.

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With Apple’s ResearchKit, for example, app users agree to essentially become study participants, allowing researchers to collect a volume and depth of data previously unavailable in traditional, in-person studies. These data will provide a potentially massive database no one laboratory could ever summon
, given that Apple had sold over a billion devices by 2016.

In its new study with Apple, Stanford aims to analyze all the heart data from its participating Apple Watch users to fashion an algorithm that spots heart arrhythmia with the flick of wrist, so to speak.

Now that’s not your grandma’s country doctor.

One Step at a Time

Fancy stuff, Apple. But sometimes it’s the simpler features of our technology that prove transformative.

“Those little notifications just reminded me I needed to move,” says Felicia Bolton of her Fitbit, a wireless health and fitness tracker worn on the wrist. The device had over 22 million active users in 2016.

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A disabilities support worker in British Columbia, Bolton sank into a deep postpartum depression following the birth of her third child. On top of that, she was still recovering from a very difficult pregnancy and surviving the trauma of an earlier abusive relationship. “I didn’t think there was a way out,” she says of the time right after her daughter was born.

Then she turned to her Fitbit, which her boyfriend had given her for Christmas. The device can be programmed to give reminders for such activities as moving regularly.

“After [the] baby was born, I would basically sleep all day in bed, barely get up to eat. Getting those notifications made me get up to get something eat and walk around with her,” Bolton says, adding that this activity helped keep her mind “off all the bad stuff.”

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Bolton’s Fitbit didn’t just nudge her to get out of bed. “The app kept me connected,” she says. Around this time, she was new to her town and her boyfriend was working long hours. She felt isolated in addition to her tendency to isolate herself post-trauma. “I didn’t realize how many of my friends and family have them.”

Fitbit allows fellow trackers to engage in encouraging challenges, such as the “Daily Showdown,” or “Who can get the most steps today?” These friendly competitions helped prevent from Bolton disappearing further into isolation with her newborn.

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“The more steps I took, I got braver,” Bolton continues. “I would walk around the neighborhood. That was a big thing. [My former partner] was so controlling I couldn’t leave the house without him knowing.”

As Bolton later noted in a message, Fitbit’s sleep and calorie trackers also helped her with her struggles with insomnia and an eating disorder. But its greatest impact was clearly psychological. “It got me thinking. I have my baby to care for. I have myself to care for,” she says.

“There’s still a long way to go, but I’m so grateful my partner got me that Fitbit. I don’t know where I’d be today, but I’d probably still be in bed crying.”

Opter-ing for a Better Lifestyle

Chalisa Prarasri knows the importance of changing behaviors one step at a time.

After Prarasri studied neuroscience and biomedicine at the University of California, Los Angeles, she and her CalTech-trained physicist husband have just launched Opter Pose. Opter Pose is a unisex smart necklace/clip that tracks posture, sleep, and exposure to ultraviolet (UV) and blue light, which Prarasri says no other wearable is currently monitoring.

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Blue light, a high-energy wavelength of light emitted from the many screens we use throughout the day, has a major effect on our biological clock and overall health.

Unlike other popular wearables, Opter Pose is taking a “more behavioral approach,” Prarasri says. “It’s about how can you change your behavior to change your health as opposed to how can we give you numbers and graphs and you can figure it out on your own.”

“We will track when you sleep and tell you these are the more efficient hours you could sleep,” Prarasri continues. “We will track your posture and that’s sort of real-time information about what you could be changing. Or will we track UV exposure,” prompting users to apply more sunscreen.

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With Opter Pose, Prarasr
i wants to build a “smart lifestyle.” As with smart, lifestyle is a bit of a buzzword in today’s health and wellness zeitgeist, but Prarasri has very clear, science-backed vision for it.

“There are all these tiny choices we make every single day that have an impact on our health because we do it every single day. Slouching for one hour is probably not going to give you chronic back pain,” she says. “But if you are in an awkward position every day… If you get sun burnt once? Probably not a big deal, but if you are exposed all the time,” then you can develop serious problems.

The technology that makes a product like Opter Pose work is quite complicated. But Prarasri’s underlying theory for it is pretty simple: “Slight behavior change can really impact our health.”

And it’s all packaged in a sleek, stylish accessory designed to seamlessly integrate into your look—and lifestyle.

Brave New Wearables

Bolton’s story and Prarasri’s vision are nothing short of inspiring. But what if you have have diabetes, are at risk of breast cancer, or—well, you name it? There’s probably a wearable for that.

In recent years, the so-called “internet of things” has been booming in health and medicine; in the case of Clarius’ handheld, wireless ultrasound machine, for instance, doctors can use smartphones to display ultrasound images.

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As the number of products is wide and the array of technologies broad—not to mention advances in medical technology itself—let’s stick with wearables to highlight a few compelling examples.

Slated for mass introduction in 2018, K’Watch Glucose is a specialized watch that allows people with diabetes to measure glucose levels with just the touch of a finger. Since 2014, Google has been testing prototypes of a smart contact lens that will continuously monitor glucose levels in tears.

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iTBra can help take the time, costs, and pain out of breast examinations with its “intelligent breast patches,” which detect changes in breast tissue temperature, instantly sending off the data for clinical analysis.

And while iTBra may not be an actual everyday brassiere, smart clothing—yes, full-fledged wearable wearables—are taking off. Much of this technology is targeted at athletes, but the Owlet Smart Sock is a veritable baby monitor 2.0: Strap this soft half-bootie onto your infant, and it will notify you if there are any concerning changes in your baby’s heart rate and oxygen levels.

They’re smart, but are they safe and secure?

This all sounds too good to be true, doesn’t it? Wearables and other personal smart technologies are profoundly changing—or disrupting, to use the buzzword—our fitness, health education, symptom tracking, and health communication and management. But it has its limitations.

Lukasz Piwek, MA, MSc, PhD, led a 2016 study, published in the Public Library of Science Medicine, assessing the state of consumer health wearables. He and his team found that wearables hold great and exciting promises in “providing patients with personalized health data, which could assist with self-diagnosis and behaviour change interventions.” They also raised serious concerns about its barriers, including:

Safety

Users can become overly dependent on their devices, leading to a false sense of security, self-misdiagnosis, or using their device as a substitute for doctor visits. Plus, the constant availability of data can compel some to check their devices compulsively, causing needless anxiety. And people can widely differ in how faithfully or accurately they use a device, which could cause harm.

Reliability and Validity

Walk the same distances using Fitbit’s pedometer and Apple Watch’s pedometer and you may well get different results. Such margins of error raise red flags about product effectiveness. And some products don’t work 100 percent of the time, such as a melanoma app that was found to fail up to 30 percent of the time.

Security

And then there’s all that data. In many instances, users own the device—but not their own data. That becomes the property of the manufacturer, which they might sell at the risk of exposing your personal information, as even anonymous data can potentially reveal identifying information.

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Finally, as devices, they can be hacked, which can compromise the very health data that makes wearables and other smart technologies so attractive in the first place.

And none of this is to mention cost. The Smart Sock costs $300, and most of the newest Apple Watches come in at $400. Not that we aren’t shelling out; the overall wearables market is forecasted to crack $6 billion in 2018.

A computer is only as smart as the person using it.

In the meantime, as doctors and engineers work out the challenges to smart tech—and as they forge ever smarter devices that we willingly integrate into our lives—maybe we can take a cue from our conscientious football player, Paul Houle.

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He patiently saved up for his expensive Apple Watch, for one thing. And he used it just as that: technology. Not as healthcare and not as a substitute for seeing a physician, but as a tool that helped him get to a doctor when he needed it most.

Now that’s pretty smart.

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Sweat

When Yoga Is Actually Just Cultural Appropriation

When you think of “yoga culture,” you may very well picture a thin, most likely white woman clad in $80 lululemon leggings, green juice in hand as she heads to her boutique yoga class. Perhaps this imaginary woman bears a striking similarity to former model Tara Stiles, who’s now one of the most famous yoga teachers in the world.
In reality, the yoga culture that most people in America are familiar with is a far throw from the practice’s origins. Hailing from India, yoga is said to have originated thousands of years ago. It is thought, religion, and philosophy all embodied in movement—a practice so multi-faceted that it’s hard to describe with words.
While many of today’s Western yoga teachers are more than happy to string up prayer flags in their studios and exercise their limited vocabulary of Sanskrit words for each pose, it’s not quite as close to the real deal as it could be.

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And this is where the problem lies: cultural appropriation.

What exactly is cultural appropriation?

Western society’s fascination with other cultures often pushes boundaries to the point of being offensive. Cultural appropriation has become one of the most talked-about subjects both on the internet and in real life, and for good reason.
But what is cultural appropriation? Dictionary definitions are often limiting, but Oxford Dictionaries actually explains it pretty well: “The unacknowledged or inappropriate adoption of the customs, practices, ideas, etc. of one people or society by members of another and typically more dominant people or society.”

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Everything from hairstyles to headdresses have been involved in accusations of cultural appropriation, and the debate is never-ending.
Some people would argue that some forms of cultural appropriation are more damaging than others—for example, adopting sacred customs from marginalized cultures for fashion (such as Native American feather headdresses).
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Others say that even adopting everyday cultural aspects from a group that could be considered a minority isn’t okay. Remember when Miley Cyrus started twerking and was accused of appropriating black culture?
Whether it’s slang or clothing, the cultures those things originated from have all, at some point, experienced discrimination for associating with these cultural markers. And therein lies the difference between appreciation and appropriation.
This is why it can be hurtful when Western people use these cultural markers. They’re borrowing an important part of a culture’s identity and benefitting from it, while the original culture continues to experience persecution for doing the very same thing.
[pullquote align=”center”]”Yoga is not about the yoga pants. It’s not about getting a yoga butt.”
-nisha ahuja[/pullquote]
There’s no denying that Indian culture has been highly appropriated by the West. Bindis, henna, and the Om symbol have all become fashion trends in recent years. And while many people understand the potential problem with adopting these things as fashion symbols, the same careful thought is rarely given to yoga—despite the fact that it’s one of the oldest parts of India’s history.

The Cultural Origins (and Erasure) of Yoga

To understand the potential for yoga to be culturally appropriated, it’s important to acknowledge its historical significance.
The spiritual custom of yoga was practiced throughout India for thousands of years and was strongly connected to wisdom, philosophy, and mastery of the mind. It wasn’t so much about physicality as it was energy.

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Under British rule, practices like yoga and Ayurveda were demonized and even banned in India. This was just one of many steps taken to erase and control Indian culture during colonization.
British rule of India officially ended in 1947. Just over a decade later, as India was still working to reclaim and rebuild their culture, yoga was trending in America thanks to the New Age obsession of the ’60s.
Nowadays, yoga in the West looks very different. It’s mostly viewed as a form of exercise—ever heard the term “yoga body”? Luxury yoga retreats can cost thousands of dollars; every man and his dog are becoming certified yoga teachers; YouTube videos offer yoga classes to anyone with an internet connection, garnering millions of views; “drinking yoga” classes are now a thing in Germany (though this is hardly surprising considering Germany’s love affair with libations).
Amidst all of this, Indian yoga teachers are still the minority in today’s Western yoga culture.
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For Indian teachers like nisha ahuja, co-founder and co-director of SOMA Ayurveda and Integrative Wellness, the way that ancient practices like yoga have been adopted into Western culture can be difficult to deal with.
“Witnessing Ayurveda and yoga become more of a trend brings up complex emotions,” she says. “There is part hope of societal transformation, but given how these medicine/spiritual systems are being practiced, it is often painful. It is painful to witness these 5,000-year-old medicine systems and spiritual paths—that my ancestors could have been killed or imprisoned for practicing during colonial rule that many teachers had to secretly keep alive—now being sold as a diluted version to be consumed by the masses and thus becoming void of its essential purpose as a spiritual path.”
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Even when the spiritual purpose of yoga is acknowledged, it’s often misappropriated by those with no cultural ties to its history:
“It is equally painful when these practices/medicines/sciences are revered as spiritual paths, but Western teachers or practitioners have placed themselves or accepted the position of being spiritual leaders and gate keepers to traditions that South Asian people in that region diasporically have to navigate.”
We use these funds ahuja has spoken at length about decolonizing yoga. In fact, SOMA uses donations from its supporters and customers “to support sliding scale appointments and youth programs with marginalized youth in both the West and India (hopefully South Africa soon), so that more young folks who are excluded from the Western Yoga Industry can have holistic access to the teachings.”
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She also appeared in a video on the subject called You Are Here: Exploring Yoga and the Impacts of Cultural Appropriation. She’s a firm believer that appropriation of many cultures is a product of colonization.
“It is important to recognize that this is not happening in isolation, but comes from a long history of colonization and a subconscious sense of entitlement embedded in Western/colonizing cultures of owning and having what others have,” she says. “Today, at this moment, this is widely seen in the consumption of African American cultures and cultures of the indigenous peoples of North America, and other People of Colour.”
It isn’t just Indian yoga culture that’s being exploited, either. Yoga’s diverse cultural roots are often ignored.
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“Kemetic Yoga from East Africa is rarely recognized within yogic traditions by South Asian people, as well as in the ‘trendy’ yoga industry we see all around us,” ahuja says. “And I imagine for black diasporic people this is doubly painful to have another place of erasure.”
Yoga in India today is a little different from both modern American practices and its own cultural origins. There’s still a lot of debate in India over how yoga should be taught and practiced. But regardless of the debate, yoga in India is far from a fashion statement or gym alternative. It was always primarily a spiritual practice—not, as ahuja says, a method of getting a “yoga butt.”
“Yoga is not about the yoga pants,” she says. “It’s not about getting a yoga butt. It’s not about competition. It’s not aerobics or a good workout. It is not about attachment to the body. So make time to learn, study and practice the depth of the teachings of yogic paths from both South Asia and East African Kemetic Yoga traditions.”

The Appeal of the Exotic

Western wellness culture has an undeniable fascination with India. Ayurveda has become popular among proponents of natural medicine, and meditation—while not exclusively part of Indian culture—is experiencing a serious boom in popularity thanks to the mindfulness trend.
The documentary Kumaré perfectly captures America’s fascination with Indian spirituality. American-born Vikram Gandhi impersonates a spiritual teacher in order to verify if Americans will blindly accept his “teachings” as a supposedly wise, sacred Eastern guru, despite not knowing anything about him or what he’s talking about. (Spoiler alert: they do.)

Where does this fascination come from, and how is it causing yoga to be appropriated in both practice and beyond? One explanation that ahuja gives is that this obsession with yoga’s exoticism is a reflection of how Westerners hold onto the notion of “other”—a desire for the mysterious.
She also thinks that Westerners may feel more comfortable turning to Eastern practices in search of stress relief and spiritual connection rather than their own cultural roots—something that brings a sense of achievement.
“There are many European spiritual traditions that have that potential to offer this deeper connection, but many people of those lineages have also been severed from their ancestral traditions and knowledge systems,” she says. “So turning to another culture that has already been colonized allows a subconscious, continual extracting of parts of spirituality that suit their individual need for something more or for better health.”

Are Western yogis honoring or appropriating Indian culture?

It’s not that Western yogis—especially white women—should be banned from practicing yoga. Like many Indian yoga teachers, ahuja firmly believes that yoga is something that can benefit all of humanity, regardless of ethnicity.
But the problem lies in the commercialization of these culturally significant practices. Turning them into money-making schemes in the West tends to benefit those who are already in places of privilege.

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It’s all too easy to claim that cultural appropriation is simply “political correctness gone wild.” But as ahuja points out, it’s important to remember the subconscious sense of entitlement that comes with an inherited position of power.
What about using yoga purely as a physical practice without the spiritual connotations? Well, that’s kind of the exact definition of cultural appropriation—taking one single aspect of a culture out of context.
That’s not to say that yoga can’t be practiced for physical purposes. But it certainly doesn’t hurt to acknowledge the rich philosophy and culture behind this ancient tradition.
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One way to consciously practice yoga while acknowledging its roots is to include just one small but powerful element of its core philosophy: humility.
“Invite immense flows of humility into your day to day and your yoga practice,” ahuja says. “If you think you know a lot, are an awesome yoga practitioner, want to be known as a great yoga teacher, pause and witness the dance your ego is doing that it is leading you down a path that is the opposite of yogic teachings.”
She continues, “If others put you on a pedestal as someone who knows a lot about yoga or mediation, actively point out the 5,000-year-old traditions that millions of people have observed and practiced and maintained before you. And remind yourself of it, too.”
As for the Indian garb? Well, maybe leave that at home—unless you’re in an appropriate environment to be wearing it, of course.
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“Because racism is an atrocious and painful experience People of Colour are subject to on a daily basis in the West,” she says, “be thoughtful of not wearing South Asian or other diasporic clothing, accessories, or spiritual items as either fashion or an attempt to pay homage to a culture, because the people from that culture very likely are discriminated against for wearing the exact same items and may have had to stop wearing these to lessen the racist encounters they deal with on a day to day basis. An exception to note here is when you are visiting a country or ceremony of a specific culture, it may be more respectful to wear clothing [from] that culture.”
nisha ahuja chooses to spell her name with lowercase letters for cultural reasons. You can read more about her journey and work here.

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Fitness Advice x Motivation Sweat

Moves That Fitness Instructors Agree Are A Complete Waste Of Time

Chances are you’re a busy person with a lot going on. And even though you may genuinely enjoy working out and are fully aware of all of the benefits that exercise and leading a healthy lifestyle can have, you also don’t want your efforts in the gym to be wasted. With your limited time, you want to make sure that you’re focusing your efforts on safe, efficient exercises.
Just like everybody is different so is every body, but there are a few moves that fitness experts agree are a total waste of time.

1. Those Gym Machines

Sure, a gym with lots of machines might look impressive, but they may not actually be helping you in any way, shape, or form. Alex Bennett, an Athletics and Fitness Association of America–certified personal fitness trainer with a degree in corrective exercise specialization from the National Academy of Sports Medicine, notes that he sees many people using machines at the gym that actually lack effectiveness and functionality.

Their movement patterns have become altered so the body no longer knows how to stabilize and protect itself.

The top two offenders? The abdominal crunch machine and the hip abductor/adductor machine.
He explains that the machines are designed to isolate a muscle, but in the process they leave out key corresponding muscles, making the move less beneficial overall. Instead, he recommends skipping the machines and doing more compound movements, such as lunges or squats, to help strengthen the hip complex and legs.
“Compound movements also burn more calories than isolation machines,” Bennett adds.
For your core, he suggests planks or stepping it up and doing a plank on a BOSU ball or Swiss ball. “This recruits more muscle fibers and requires greater activation to stabilize the spine,” he explains. “It strengthens the core and leads to better long-term back health.”
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Eric Wilson, 31, a master personal trainer and award-winning corrective exercise specialist from Cary, North Carolina, adds that the Smith machine—that one-stop-shop for all exercises in the gym—is a breeding ground for unbeneficial moves.
“Performing exercises like the squat, bench press, and overhead press on the Smith machine takes your body out of a natural movement pattern,” he notes. Because the Smith machine bar is fixed on a vertical plane, Wilson explains that using it effectively reduces any training for critical stabilizer muscles that need to be strengthened to prevent injury.
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Unfortunately, although some people might think that they are doing a lot of heavy weight on a Smith machine, they actually aren’t able to really lift that much literally anywhere but on that one machine. The Smith machine basically does a lot of the work for you by stabilizing the weight. You might be able to isolate a muscle group, but it’s not helpful for overall strength and everyday functionality.
“This is why you may hear about people who lift a lot of weight in the gym but throw their back out picking up a laundry basket,” Wilson adds. “Their movement patterns have become altered so the body no longer knows how to stabilize and protect itself.”
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Two other gym machines that Wilson actually bans his clients from using at all are the seated ab crunch and seated back extension machine. Not only does he believe that those machines are not beneficial, but he also notes that they tend to pose a great risk for back injury or aggravation. He explains that while many people believe that using machines is “safer” than doing free weights, this is not correct. Instead, machines can isolate muscles in ways they were never meant to be used.
For example, the bending back extension forces the lower back to play a mobility role it wasn’t designed to do. “While seated on these machines, your pivot point is now moved from the hip into the low back, forcing the low back into flexion and extension under shearing forces,” Wilson points out.
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“Imagine your disc being compressed because you are in a seated position, then being further compressed back and forth in a rocking motion under load. This creates the potential for a herniated disc or worse.” To strengthen your back and your abs at the same time without the risks the machines pose, focus on movements that engage the whole core, such as planks, side planks, or crunches on an exercise ball.

2. This Basic Move

Does exercise get any more basic than your classic crunch? Probably not. But unfortunately, that basic crunch is probably not doing much to help you either.

This can also put the back muscles responsible for posture in a very poor position.

Bennett explains that not only is your basic crunch on the floor not an effective exercise, but it can also be harmful for the back and neck. “I see a lot of people tuck the chin during a sit-up,” he says.
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“This puts a tremendous amount of strain on the neck, especially for those who are performing numerous reps. This can also put the back muscles responsible for posture in a very poor position. That position can lead to rounded shoulders and a forward head.”
Instead of risking harm with a basic crunch or sit-up, Bennett suggests moving to a Swiss ball, which allow you to keep your chin up and keep your back flat so you work the entire abdominal complex.
Bennett also notes that crunches or twists that focus on the abdominals or obliques can be particularly harmful to mothers who have recently given birth. “This is due to diastasis recti or rectus divarication, which is the widening of the gap between the two sections of the rectus abdominis (or 6 pack),” he says. Crunches or twists can actually force those muscles further apart.
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Instead, he recommends practicing engaging your core by drawing your belly button back in toward your spine as you slowly exhale. “It is important to do this slowly and not forcefully,” he adds.

3. This Common Ab Exercise

One thing that Wilson frequently sees people doing (that they shouldn’t be) is a common ab exercise in front of a mirror. It involves standing in front of a mirror, holding a dumbbell in each hand, and bending over sideways, engaging the obliques as you stand back up straight.

By holding an equal amount of weight in each hand, you are effectively canceling out any resistance benefits.

The only problem? He says it’s a waste of time.
“While a good mobility drill for the spine if done slowly and controlled, it doesn’t achieve any significant abdominal or muscle strengthening benefit,” he explains. “By holding an equal amount of weight in each hand, you are effectively canceling out any resistance benefits as the weights counterbalance each other; as you bend to the left, the left weight aids you in bending to the side, and the right weight aids you in returning to a neutral position.”
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But there is good news. This move can work with one simple modification: Lose one of weights. Using just one weight in one hand will activate the obliques much more effectively.

4. Basically Any Move When You Do This

The hard truth is that any move can be a waste of time if you’re not taking the time to focus on it. If your mind is wandering, you’re not making that mind–muscle connection that is so important to make it effective. Even more importantly, you’re more at risk for performing the move without proper form, which could lead to injury.

To decrease stress on the spine and shoulder joints, we now instruct people to bring the bar in front of them.

“Any exercise that you cannot do with good form and control—or any exercise that causes pain—should be avoided,” explains Sims Corbett, a national fitness trainer for SilverSneakers.
“It’s also important to learn the correct way to do an exercise to avoid injury. For example, when doing lat pulldowns, many people have learned to pull the bar behind their head. However, to decrease stress on the spine and shoulder joints, we now instruct people to bring the bar in front of them. It is safer, more comfortable and just as effective.”
Additionally, although learning new moves in the gym might be exciting, the temptation to jump into a new form of exercise can transform those moves into a waste of time.
“People are often excited to get started and push themselves too hard when they start exercising,” Corbett points out. “It’s important to start slowly. This decreases the chance of burnout and injury by allowing your body and mind to adjust to the new demands exercise creates.”

5. Age has nothing to do with it.

You might think that what exercises you should avoid will change as you get older, but that’s not actually the case, explains Corbett.
“Often it isn’t age that requires people to change their exercise patterns,” she notes. “Instead, it is the injuries and chronic conditions that become more common as we age.”
As you plan your exercises or work with a trainer, it’s important to keep in mind any chronic conditions or injuries that you have had—and tailor your own workouts around those. Again, there is no one-size-fits-all, and exercises can be individualized.
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For example, she says that people with osteoporosis should avoid forward spine flexion, movements that could lead to a fall, or exercises that require excessive overloading of the back, such as abdominal crunches and leg presses—especially those that load the weight on your shoulders or position you with your legs above your head.

6. Anything You Try to Do on Your Own and Aren’t Sure About

Anytime you are unsure of yourself at the gym, it’s important to [linkbuilder id=”5461″ text=”ask for help”]. Cough up the extra money for a trainer (just make sure he or she is certified first) or even watch a few YouTube videos from credible, reputable trainers.

Doing this helps prepare people for the movement patterns they do in everyday life.

“How helpful an exercise can be is specific to each individual and their unique needs and situation,” Corbett adds. In general, she suggests that people should focus on functional movement patterns that strength train multiple muscle groups at one time, such as rows that engage your back and biceps instead of just bicep curls. “Doing this helps prepare people for the movement patterns they do in everyday life and creates a more efficient workout,” she says.

Stay focused on what matters.

In the end, to ensure that you aren’t wasting your time in the gym, focus on exercise and moves that will translate into life outside of the gym. You don’t want to be able to squat 500 pounds on the Smith machine but not be able to lift your own kid at home.
To stay focused on function, Wilson recommends keeping your exercise moves basic with deadlifts, lunges, squats, farmer’s walks, and planks.
“After that you can start doing variations and additional lifts,” he adds. “But those will cover 90 percent of the movement you would do outside the gym—and make sure you stay safe and strong for your whole life.”

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Sweat

Overdid It At The Gym? Here's How To Safely Recover Those Sore Muscles

Earlier this week, I wandered into the gym a little later than my usual class. No biggie, I thought to myself as I changed into my workout gear. I’ll just join a different class tonight. It’ll be a fun change!
Little did I know that I was walking into a class called “Heavy Weights Only.”
GULP.
Instead of my typical workout class, I was in for a full hour of solely heavy lifting through three exercises and three exercises only: squats, deadlifts, and hip thrusts. It was an entire 60 minutes of badass women lifting their hearts out, and while I loved every minute of it, I have to admit that after endless sets and a blur of more and more numbers on my bar, I was afraid of what kind of pain I would be waking up to.
I was not wrong to be afraid. The muscle soreness was real, and now, as I sit here on day two, the most notorious day of all for soreness, I’m practically crying in pain and dreading using the bathroom because that means squatting (or at least bending down to make it to the toilet seat). However, because I definitely foresee even more lifting in my future—and also because I will eventually need to deal with the porcelain throne—I’ve become a pro at tending to sore muscles.
Here are a few of my favorite strategies that you can turn to the next time you too try to be the Incredible Hulk at the gym.

Take a plunge.

After my first experience with muscle pain, I went to my local Walmart and picked up a giant bag of Epsom salts. I specifically choose one that also has peppermint oil in it, and I assure you that if you also choose a peppermint Epsom salt soak, you will not be disappointed.
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Not only is it thought that Epsom salts help relieve muscle soreness by increasing magnesium in the body, but peppermint is also a natural muscle relaxer. If I’m still sore, I will even rub some diluted peppermint oil on my muscles after the bath, which feels like a good treatment with nature’s own Icy Hot.

Go with ginger.

Not to go all “crunchy” on you, but natural solutions can really help by reducing the inflammation in your body. Turmeric and ginger are two spices that contain compounds that are especially effective at decreasing inflammation. Rather than rubbing ginger all over your body (tempting, I know), try swapping out your morning coffee for a cup of ginger tea or switching to a turmeric latte as you swing into work.
A study by the American Pain Society found that consuming raw or heat-treated ginger in particular is effective for reducing muscle soreness caused by exercise. Eating turmeric in food or as a supplement has also been found to help reduce that pesky delayed-onset muscle soreness.
For an easy way to get your turmeric, Starbucks is now offering turmeric lattes. The company explains that the warm, golden drink is just as delicious as it is photo-ready for your feed. Just think of all the bragging rights you’ll enjoy…

Know your enemy.

Although many of us have been taught that lactic acid is the culprit behind our sore muscles, according to the American College of Sports Medicine (ACSM), lactic acid is actually not the reason our muscles get sore.
Instead, delayed-onset muscle soreness is thought to be caused by the repair processes happening within the muscle fibers. Who knew, right? Lactic acid is no longer the enemy, friends!
The good news is that, according to the ACSM, you’re due to have some relief from your soreness in about three to five days, and if you are just experiencing your typical, run-of-the-mill muscle soreness from exercising (and not an actual injury), a light activity such as yoga, pilates, walking, stretching, or swimming is perfectly fine and won’t impede your muscle repair.
If you experience increased pain as time passes or pain that intensifies with certain movements, stop whatever you’re doing and call your doctor. Injury prevention is always key.

Find a helping hand.

Here’s the thing—while getting a massage might sound like a lovely little act of pampering for yourself, after you’ve worked out to the point where your muscles are so sore you can hardly move, a massage may not be relaxing. I’m sorry to break the bad news, but the good news is that even if it’s a grit-your-teeth-and-get-through-it experience, it will help relieve some of your muscle soreness.
A study featured in the British Journal of Sports Medicine found that getting a massage does help reduce the intensity of sore muscles after exercise. The theory is that because muscle soreness is caused by all sorts of intense repair processes happening at the cellular level in your muscles, massage might help speed up those processes by increasing circulation and reducing inflammation.
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Overall, muscle soreness after an intense workout is not necessarily a bad sign, depending on your workout goals. However, it is important to give your body plenty of time to recover after a workout so your muscles can repair themselves. One study showed that with CrossFit-style workouts (intense exercise focused on weightlifting), taking a rest day not only helps prevent injury but also allows athletes to train more effectively the next time they are in the gym.
The risk of injury if you don’t take it easy is very real. If you’re so sore you can barely move your arm, your form is not going to be stellar and you’re more likely to hurt yourself. The ACSM also supports the idea that you will get more out of your next workout and your muscles will be able to operate better if you follow a proper training schedule overseen by a professional who emphasizes at least one or two complete rest days per week.
In the meantime, soak in a hot bath, sip some hot ginger tea, and marvel at your amazing muscles that are working so hard, even if you wish you weren’t feeling them quite so much at the moment.

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Best Yoga Apps For Your Phone

If you’ve been struggling to incorporate a yoga practice into your life, these apps are here to help. Whether you’re a beginner or an expert, each one of these apps can help to improve your yoga practice.

1. Global Yoga Academy

Practice yoga anytime, anywhere, with the Global Yoga Academy app. It offers a large variety of classes ranging from beginner to advanced and includes customized workouts and a library of over 200 poses. Available from iTunes and Google Play.

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iTunes

Download now on iTunes or Google Play.

2. 5 Minute Yoga

5 Minute Yoga is a perfect way to relieve stress, get some extra movement in during the day at the office, or relax before bed. Each session begins with an instructional video that never runs more than 5 minutes at a time. Available on iTunes and Google Play.

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iTunes

Download 5 Minute Yoga from iTunes or Google Play.

3. Universal Breathing

Learn to breathe deeper and with more meaning by using the Universal Breathing app. Meditative breathing can lead to stress relief and reduce stress-related illnesses, and this app teaches you how to do it for free. Available from iTunes and Google Play.

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iTunes

Download from iTunes or Google Play.

4. FitStar Yoga

FitStar yoga offers classes led by real fitness experts. You can personalize your lesson, choose the amount of time you’d like to spend working out, and connect your account to your iPhone’s Health app to track calories burned. Available on iTunes.

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iTunes

Download from iTunes here.

5. Pocket Yoga

Pocket Yoga offers a variety of yoga lessons—ranging in difficulty—that you can practice in the comfort of your own home. This app offers some fast-paced options that will leave you feeling flexible, but also like you just conquered a cardio class. Available on iTunes and Google Play.

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iTunes

Download from iTunes or Google Play.

6. Yoga Studio

Yoga Studio offers you 80 different yoga classes that are perfect for everyone, from the beginner student to the advanced practitioner. You can even schedule yourself reminder for when you’d like to practice during the day. Available from iTunes or Google Play.

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iTunes

Download from iTunes or Google Play.

7. Kids Yogaverse

Yoga isn’t just for adults. Include your kids in your yoga practice and teach them the power of breath and meditative poses. This app includes affirmations and animated videos for instruction. Available from iTunes.

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iTunes

Download from iTunes here.

8. Daily Yoga

Daily Yoga focuses on building a quiet mind as well as a strong body. Choose from meditative or specific classes meant for targeting certain goals (like weight loss or toning muscle). This app also integrates Pilates and high-intensity interval training during workouts. Available from iTunes and Google Play.

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iTunes

Download from iTunes or Google Play.

9. Down Dog

Down Dog ensures you never get bored with your yoga routines. It generates a brand-new routine on demand for use whenever you want. No studio required. Available on iTunes and Google Play.

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iTunes

Get it from iTunes or Google Play.

10. iYoga

iYoga may not be as flashy as some of the other apps, but it makes up for its more “mature” aesthetic by providing all the information an aspiring yogi could need.

iYoga includes information on the etymology, muscles used, benefits, and tips related to hundreds of poses. You can practice individual poses or choose a full lesson. Available on iTunes.

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iTunes

Download from iTunes here.

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Here's Why Following Up With Vasectomies Is Important

But how could this happen? Vasectomies are often touted as virtually foolproof forms of contraception. One word, ever so important in doctor dealings: follow-up.

Tim, for his part, did his due diligence: He visited the Florida clinic that performed his vasectomy five months afterwards for a routine follow-up. The clinic, apparently, didn’t send back the results. After noticing his wife was displaying signs of pregnancy, Tim contacted the clinic, suspecting his procedure failed. The clinic later confirmed that one of his vas deferens was “unsuccessfully clipped,” as he told People.

Though it doesn’t happen often, vasectomies can indeed fail. Based on its 2004 research study, the Center for Disease Control found that only about 1 percent of procedures failed (i.e., pregnancy occurred). A faulty procedure, in the Brummels’ case, also can happen, but is exceedingly rare.

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Jim Bremmel/YouTube

The greater risk—and broader takeaway from the Brummels’ story—is that sperm can still be active and viable in the immediate months following a vasectomy, making follow-up visits to a doctor absolute must-do’s for a successful procedure.

Some sperm are still viable immediately after a vasectomy.

A vasectomy, says Dr. Tara O’Connell, who practices medicine in Orange County, California, “is not stopping the production of sperm, but stopping the highway [the] sperm takes to get out in the world.” Hence the very term vasectomy: an –ectomy, or “cutting,” of the vas (deferens).

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But we shouldn’t take “cutting” too literally. O’Connell explains that urologists—who, along with some family practitioners, primarily perform this reversible, outpatient procedure—also block sperm passage by tying off or cauterizing the vasa deferentia.

Following a vasectomy, though, sperm that’s already been produced and transported out of the testes can survive—and can lead to precisely what the procedure is designed to prevent: pregnancy.

“You have to make sure you have zero sperm in the system,” O’Connell says.

Urologist Knows Best

O’Connell underscores the importance of what urologists call the post-vasectomy semen analysis (PVSA).

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Urologists, here, are specifically looking for sperm that is immotile, or incapable of motion and thus effectively dead.

Based on decades of research, the AUA has issued a comprehensive set of guidelines for vasectomies. Key takeaways for the patient, translated into layperson’s terms, include:

  • A man can still get a woman pregnant in the months after a vasectomy.
  • Couples should use some form of contraception until the doctor confirms the sperm count is clear.
  • The man should get tested approximately three months after the procedure; the AUA recommends a range of eight to 16 weeks, with the specific timing at the doctor’s discretion.
  • If the test identifies motile sperm, he should have additional testing, about a month or two later, until the count is clear .
  • If the test still doesn’t come back clear six months after the vasectomy, the doctor may recommend a repeat procedure.

Seems simple enough, right?

Post-vasectomy compliance isn’t always easy.

“I had to go back three times to get cleared,” says Chris Caporicci, husband, father of four, and business owner in Orange County, of his vasectomy. “If there were any signs [of sperm], you had to give it another two months. Any more signs, two more months. It took me six months to clear—quite a while.”

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As noted, only 1 percent of vasectomies fail, as determined by unintended pregnancies, or “vasectomy babies,” that happen after the procedure. And although unsuccessful clippings like Tim Brummels’ do occur and vasa deferentia can occasionally grow back, noncompliance with post-vasectomy testing appears to be a significant cause.

Research in 2006 concluded that fewer than a quarter of men fully complied with the recommended PVSA—stack that up against findings in 2003 that attributed 51 percent of vasectomy babies “to unprotected intercourse during the immediate post-vasectomy period” when sperm can still be active.

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Caporicci highlights some of the barriers to post-vasectomy compliance: work, time, and comfort. Patients are instructed to flush their system, so to speak, dozens of times before submitting a sample for analysis. The British Andrology Society, for instance, has recommended at least 24 times in 16 weeks.

The length of the post-operative protocol also deters compliance, with a 2006 vasectomy study finding that only half of its participants submitted samples for analysis 12 weeks after the procedure—AUA’s PVSA sweet spot. Then there’s the awkwardness, with some men feeling uncomfortable providing and hand-delivering a sample in a doctor’s office or laboratory.

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On the issue of compliance—and on vasectomies more generally—O’Connell insightfully drills down into deeper issues of identity.

“Women are used to their bodies changing” throughout their lives, she says. “Women have practiced how to go through menstrual cycles and birthing children and seeing themselves change.”

It’s daunting for a man to have this manly function taken away.

O’Connell cites personal experience. When her husband, also a doctor, had a vasectomy, she wryly observed that he was very concerned about soreness and swelling he experienced, a normal and short-term side effect of the procedure. “I kinda had to suspend my judgment and remind myself of the newness that it was for him,” she says, contrasting, with a loving laugh, his experience to the far more dramatic changes she experienced when birthing their four children.

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Men certainly become more aware of their bodies during puberty, but it’s not until they are much older that they typically confront prostate, colonic, erectile, and contraceptive concerns. Women, on the other hand, deal with soreness and swelling, to name only two symptoms, during periods, on birth control, and throughout pregnancies from young adulthood and into older age. And these changes tend to make women far more conscious of their reproductive system, how it shapes what they feel and look like, and how its affects everyday choices and behavior.

When it comes to vasectomies, O’Connell says, “It’s often men’s first experience in thinking about who they thought they were in their bodies.” For the first time, some men are directly thinking about their own fertility—their masculinity—which they’ve long taken for granted given the relative stability of their reproductive system throughout adulthood.

“It’s a big deal,” O’Connell adds. “It’s daunting for a man to have this manly function taken away.”

But women’s permanent contraception options are even more complicated.

The female equivalent of a vasectomy, tubal ligation, is even more daunting—and invasive and expensive. Tubal ligation, colloquially known as “getting one’s tubes tied,” functions just like a vasectomy and, with a 99 percent success rate, is considered equally effective. This operation closes off the fallopian tubes, where eggs travel from the ovaries for fertilization.

But operation is a key word here. Unlike vasectomies, traditional tubal ligation requires surgery, which spikes risks and costs. Hysterectomies, which prevent pregnancies by virtue of the removal of a woman’s uterus, are even more fraught; Dr. O’Connell notes no one undergoes them for the purposes of birth control. “The vasectomy is an easier, more accessible, quicker procedure,” she says.

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Still, in the U.S., tubal ligations have outnumbered vasectomies. A 2010 report estimated there were about 175,000 to 350,000 vasectomies performed between 1998 and 2002 compared to about 550,000 to 790,000 tubal ligations in the same period. In countries like Canada and New Zealand, however, those rates are flipped. What gives?

For one, the U.S. has a comparatively high rate of caesarean sections at nearly a third of all births, and many mothers are increasingly electing for them in order to schedule birth—and also getting tubal ligations while the doctor is already performing the surgery in the area.

For another, new, non-surgical forms of tubal ligation, called hysteroscopic sterilization, have become available. Debuting in 2002, Essure is a proprietary method which inserts a coil in the fallopian tubes, and, if and only if properly placed, has been found “the most effective of all female or male sterilization techniques” at 99.74 percent, based on the result of a 2009 study.

Despite the quickness of the procedure and its efficacy, Essure has since been suffering some serious blowback. As medical and pharmaceutical watchdog Drugwatcher writes, starting in 2009 Essure patients “were beginning to come forward and reveal their issues, such as fallopian tube perforation, persistent pain and bleeding, unwanted pregnancies and other complications,” thanks especially to the deterioration of and adverse reactions to the device’s signature nickel coil. What’s more, to remove the device, doctors have to perform hysterectomies. Thousands of lawsuits have since been filed against its manufacturer, Bayer.

“It’s Almost Like a Rite of Passage”

New technologies may promise an improvement over traditional tubal ligations—but perhaps not necessarily over traditional male attitudes towards vasectomies. Aside from squeamishness about the process, some men mistakenly fear vasectomies will lower their testosterone and sex drive, while others may hold on to beliefs that contraception is a woman’s responsibility.

It’s almost like a rite of passage among your buds. ‘Yeah, I had the bag of frozen peas on my crotch.’

But such men should take it from Chris Caporicci. “The vasectomy itself went very easily. It was quick,” he says. “If you don’t want to have more children, it’s the most sensible way to do it. If you don’t, your spouse has to get her tubes tied or be on medication. For the guy, basically they just go in with this little device and cauterize the tube that the sperm come in and that’s the end. You still produce sperm it’s just that it can’t go where it needs to go.

Caporicci gets men’s concerns, though, and offers: “It’s almost like a rite of passage among your buds. ‘Yeah, I had the bag of frozen peas on my crotch,’” he mimics a conversation with the guys. “It’s a no brainer.”

Just make sure, post-vasectomy, to remember the Brummels. And make sure to heed the doctor’s advice; as O’Connell says, “Like all areas of medicine, you have to follow the steps through as a patient.”

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6 Surprising Things That Might Actually Help You Sleep

Without sleep, there is no health, no well-being, and no comfort. Go long enough without a snooze and you’ll be left with no life between your ears. Sleep is essential. We know that.
So why is sleep sometimes hardest to come by when you need it most?

We suggest that Americans and their doctors talk about sleep as a vital sign of health and well-being.

If you feel our drowsy pain, you’re not alone. The National Sleep Foundation’s 2014 Sleep Health Index (the latest available) revealed that 45 percent of their respondents said they had been affected by “poor or insufficient sleep” within the seven days prior to the poll.
“The findings from the Sleep Health Index demonstrate a need for sleep health improvement,” said David Cloud, CEO of the National Sleep Foundation, in a press release about the index. “Sleep is an important factor in overall health. We suggest that Americans and their doctors talk about sleep as a vital sign of health and well-being.”
We agree. But while we can’t make you talk to your doctor (you should), we can share some of the surprising techniques sleep specialists and wellness consultants find themselves experimenting with.
Here are some of the expert responses that took us off guard—and hopefully, soon, off to dreamland:

1. Your Noise Is the Wrong Color

The first thing a lot of people do when insomnia strikes is to rush out for a white noise machine. But doesn’t that sound a bit pale? You might need something rosier.

It also drowns out noises that might wake you up in the night, such as a neighbor’s dog barking.

“Many have heard of white noise machines, but pink noise is making a lot of news lately,” Hilary Thompson, a health and wellness consultant from bedding dealer SleepTrain, tells HealthyWay. That’s our emphasis in the quote, by the way—because wait a second. Pink noise?
It’s basically your standard white noise with the less-intense higher frequencies, explains Popular Science. That does sound relaxing.
“Studies have tied it to improved memory,” points out Thompson. “It also drowns out noises that might wake you up in the night, such as a neighbor’s dog barking.”
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I’m not sure about that last point (you’d have to really crank the pink noise in my neighborhood), but the study she’s referring to was published in the journal Frontiers in Human Neuroscience in March 2017. The study was small, but it found that participants showed increased slow-wave oscillations, which indicate deep sleep, when pink noise played as they slept.
The day after sleeping with the pink noise in the room, participants did better on memory tests. The takeaway, as reported by Time magazine and others, is that “one easy way for older adults to get deeper sleep and stronger memories is to listen to” pink noise. Earlier studies showed similar results in younger adults, Time reports—all of which is good enough for us.

2. Go Bananas

You might munch a banana for breakfast or after a workout for a quick dose of potassium. But be sure to save a few of the world’s favorite comedic fruits to have on hand for bedtime, too.

Bananas have a ton of magnesium in them, but the peel has more than the fruit itself.

There’s a pretty decent nighttime use for banana peels, says Dr. Michael Breus, celebrity sleep doctor and a SleepScore Labs advisory board member.
“It turns out that bananas have a ton of magnesium in them, but the peel has more than the fruit itself,” Breus says. “Magnesium has been shown to relax people.”
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At least one recent study supports this claim.
So when you need a little relaxation—maybe the next time you find yourself lying in bed dreading the cruel light of dawn, for instance—get up and try Breus’ recipe for banana tea. He recommends boiling a clean banana in the peel (be sure it’s organic)—minus the two ends—for a few minutes. Mix some honey in the liquid and sip until you drift off.
“It’s delicious and helps to induce relaxation and sleep,” Breus says.

3. Sunglasses After Dark

It’s proven: Shades after dark are cool. But if you get the right kind of sunglasses, you might also find it easier to fall asleep, which is ice cold.

After wearing them, I start to feel sleepy and find that I am able to fall asleep faster.

That’s according to Rebecca Lee, a New York–based registered nurse who runs the holistic medicine website Remedies for Me. Our screens emit blue light that mimics sunshine, disrupting melatonin production, she says. Sure, you could just stop watching TV or checking your phone after dark, but how realistic is that?
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Lee has another solution. “I use amber-colored glasses at least one to two hours before going to bed,” she tells HealthyWay. “After wearing them, I start to feel sleepy and find that I am able to fall asleep faster.”

4. You are a ship’s anchor, tossed into the waves.

Well, not literally. Pick the image that works for you.

Feel your body getting heavier and heavier, sinking into your bed until you drift off to sleep.

The trick, Thompson says, is to imagine your body sinking, sinking, sinking into your mattress.
She says to lie in bed “and focus on your breathing. With each exhale, feel your body getting heavier and heavier, sinking into your bed until you drift off to sleep.”
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You’d be surprised how effective this can be. Apparently, when you can focus your brain on something other than whatever nightmare-inducing anxiety lurks within your morning at work or school (or just going to the grocery store)—whatever it is, you start to relax. That way lies respite.

5. Go the cognitive behavioral therapy route.

If we have a catchphrase (and we do), it is this: Try therapy. It’s our response to everything. Lost car keys? Try therapy. Disappointed with the job? Try therapy. Pervasive negative bias and generally poor self-regard? Seriously, try therapy.

CBT-I is 90 percent effective in reducing or eliminating sleeping pills and improves sleep quality.

The thing is, we’re not kidding. You’ve got to take care of your mental health. Specifically, cognitive-behavioral therapy (CBT) has been proven an effective treatment for everything from chronic anxiety to internalizing disorders in children.
At its core, CBT involves teaching patients strategies to “change their unhelpful thinking and behavior,” according to the Beck Institute, which should know, since it’s named for Dr. Aaron Beck, who invented the approach.
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There’s even a cognitive behavioral therapy for insomnia (CBT-I), says Dr. Angela Reiter, a clinical psychologist who practices in Eastchester, New York.
“CBT-I is 90 percent effective in reducing or eliminating sleeping pills and improves sleep quality,” Reiter says. “CBT-I also helps patients work on their sleep schedule and eliminate negative thoughts about poor sleep.”
All that in a five-session program? You know what we say: Try therapy.

6. Stick to the classics.

We hate to disappoint you, but the old-fashioned methods of getting plenty of sleep might still be best. That’s the perspective of Dr. Neil Kline, sleep physician and spokesperson for the American Sleep Association (ASA).
“Most of the principles of getting good sleep are principles of sleep hygiene that have been around for several years,” he tells HealthyWay.
Chances are you’ve heard these before: Skip the caffeine, if not totally, then at least six hours before sleep; keep your bedroom quiet and comfortable; don’t watch TV in bed.
Learn more about sleep hygiene from the ASA here. It might not be super exciting, but it’s the stuff that’s proven to work.

The Extent of the Sleep Deficit in American Life

How poorly are Americans sleeping? Well, if it’s any indication of the extent of our sleeplessness, the Centers for Disease Control and Prevention (CDC) has labeled insufficient sleep an honest-to-goodness “public health problem.”
Note that these statistics don’t even account for chronic sleep disorders. According to the CDC, somewhere between 50 million and 70 million American adults have “a sleep or wakefulness disorder.” These are more serious than the occasional bout of insomnia, which is what the expert tips above address.
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The National Sleep Foundation recommends practicing good sleep hygiene if you feel like you’re not getting enough shut-eye. If that doesn’t work, or if the problem feels serious, talk to your doctor. They can recommend treatment options.
But even those of us who don’t have diagnosable sleep disorders often find ourselves tired and sluggish after a long night. The National Sleep Foundation recommends seven to nine hours of sleep per night for most adults. Still, a 2009 report from the CDC found that 35.3 percent of a survey’s respondents admitted to an average of less than seven hours of sleep a day.
The survey involved in that report included 74,571 respondents, resulting in some pretty hefty data. And a general lack of sleep wasn’t all the study found.
Nearly 38 percent of the people who responded said that they fell asleep—accidentally, and during daylight hours—at least once within the previous 30 days. A terrifying 4.7 percent of the respondents said that they had “nodded off” or straight-up fallen asleep while driving within the previous 30 days.
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This is bad. How bad? A 2006 publication from the Institute of Medicine Committee on Sleep Medicine and Research went so far as to associate the tragic explosion of the space shuttle Challenger with “errors in judgment” caused by “sleep loss and sleep-related disorders.”
So if you’re one of the many comprising the sleep-deprived masses, take the time to address the problem. Start with good sleep hygiene, and maybe try a few of the items on this list. Consider the value of therapy.
The thought of all the people in the world who could benefit from therapy but don’t know it yet is just another thing keeping us up at night.