Detailed recipe on the website

How Often Should You Exercise?

Go for moderate activity, like brisk walking, at least 30 minutes a day, at least 5 days a week. If you’re short on time, vigorous activity, like jogging, gives you the same benefit in 20 minutes, 3 to 4 days a week.

If you’re not active today, gradually work up to this amount of exercise. If it takes you a few weeks to get there, that’s absolutely fine.

First, warm up. A 5- to 10-minute warm-up helps your body get moving and helps prevent injury.

Next, step up the intensity. Don’t overdo it — you should still be able to talk to someone while you’re exercising. But if you’re able to sing, step it up a bit to make sure you’re getting the most out of your exercise.

Lastly, cool down. When you’re done exercising, don’t stop suddenly. Just slow down for a few minutes. This is especially important for someone with high blood pressure.

Details on the official website

Canned Salmon

Salmon might not be the first food you think of for stronger bones, but Clark says canned salmon with bones in particular is a good one to consider.

It’s got calcium and vitamin D to help keep your bones strong. Salmon is also loaded with omega-3s, which help curb inflammation.

Clark recommends making salmon patties from canned salmon.

Another bonus: “When you eat salmon, you’re not eating barbecued spareribs — the kind of foods that create the joint problems.”

Other foods to try: Low- or no-fat plain yogurt or milk, which are both high in calcium and vitamin D. Try other naturally oily fish, such as trout or sardines, for their omega-3s.

Detailed recipe on the official website

Reducing inflammation and preventing damage
A balanced, nutritious diet will give the body the tools it needs to prevent further damage to the joints, which is essential for people with osteoarthritis.

Some foods are known to reduce inflammation in the body, and following an anti-inflammatory diet can improve symptoms. Eating enough antioxidants, including vitamins A, C, and E, may help to prevent further damage to the joints.

Reducing cholesterol
People with osteoarthritis are more likely to have high blood cholesterol, and reducing cholesterol may improve the symptoms of this disease. On the right diet, people can quickly improve their cholesterol levels.

Detalles en el sitio web

Si se sufren varices, no deben tomarse, o al menos limitar su consumo, alimentos que contengan:

Sal
En concreto, sodio, pues provoca retención de líquidos, lo que aumenta el volumen de sangre y facilita la hinchazón de las piernas y la aparición de edemas. Debe limitarse su consumo, aunque no se elimine totalmente de la dieta. Son ricos en sodio alimentos como:
Sal común.
Conservas.
Patatas fritas y similares.
Sopas de sobre.
Salsas.
Aceitunas.
Encurtidos.
Pan.
Bollería.
Galletas.
Embutidos.
Patés.
Quesos curados.
Carnes y pescados salados o ahumados.
Alimentos precocinados.

Detalles en el sitio web

Ingerir más alimentos con fibra
Los alimentos ricos en fibra son aliados para disminuir los niveles de colesterol y optimizar la circulación. Por otro lado, son capaces de mejorar el tránsito intestinal. Esta es la razón por la cual los expertos los recomiendan para evitar el estreñimiento.

Con el fin de controlar la aparición de varices, se aconseja el consumo diario de fuentes de fibra como:

Frutas y vegetales frescos.
Legumbres (lentejas, garbanzos, frijoles, etc.).
Frutos secos y semillas.
Cereales integrales.
Quinoa y trigo sarranceno.

Detalles en el sitio web

Sin embargo, hay productos que los especialistas recomiendan evitar para no agravar las varices:

Alcohol y café. Su consumo contribuye a la vasodilatación y retarda el flujo sanguíneo.
Los alimentos grasos, la comida rápida y los productos hechos con harina que, en caso de uso excesivo, conducen a la obesidad.
Además, para las varices, es importante no solo lo que comemos, sino también cómo lo cocinamos. Por ejemplo, los médicos recomiendan comer raciones pequeñas en 5 o 6 comidas al día. Así, los alimentos se metabolizan mejor. Además, la cena (o la última comida) debe realizarse a más tardar cuatro horas antes de acostarse.

Esta dieta se basa en todos los principios básicos de una alimentación saludable, que toda persona debe conocer, independientemente del estado de su sistema venoso.

Los expertos normalmente combinan algunos medicamentos indicados para los síntomas de la insuficiencia venosa crónica leve en adultos,(incluso en la inicial) con la dieta. Así pues, si no encuentra un argumento de peso para comenzar un estilo de vida saludable, ¡piense en la posibilidad de tener unas piernas hermosas y saludables en los próximos años!

Receta detallada en el sitio web

Además de los ejercicios, es conveniente incluir en la diaria alimentación aquellos productos que favorezcan la desinflamación, mejoren la circulación como los siguientes:

Cereza, arándanos, fresas y demás frutos del bosque Su consumo habitual mejora la circulación periférica, ya que protege y fortalece las paredes de los vasos capilares y venosos, y esto ayuda a prevenir las varices.

Cebolla: Diversas investigaciones indican que el consumo habitual de cebolla cruda ayuda a las personas con problemas de várices, ya que fluidifica la sangre facilitando asi la circulación, previene la formación de coágulos y es diurética.

Gringo biloba: Facilita la circulación venosa.

Uña de gato: antiinflamatorio y desinflamante.

Piña: (cocimiento de cáscaras como maíz morado) desinflamante.

Ajo: Mejora la circulación

Pescados azules Este tipo de pescado resulta muy beneficioso, ya que sus ácidos grasos poliinsaturados y ácidos grasos omega 3 reducen los lípidos, incluido el colesterol, y por tanto reducen el riesgo de que éste se acumule en las arterias facilitando la circulación especialmente de los miembros inferiores (piernas).

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Embryo donation: One possible path after IVF

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For decades, in vitro fertilization (IVF) has enabled countless people to have children, often after years of disappointment. It’s a complex process, medically and emotionally. Those embarking on an IVF cycle are often laser-focused on the baby they long for. Most hope a cycle will yield several embryos, because it frequently takes more than one embryo transfer to achieve a successful full-term pregnancy.

Any remaining embryos may offer the hope of future pregnancies and additional children. Yet remaining embryos also bring difficult decisions to the fore — if not immediately, then in subsequent years. The decisions one person, or a couple, makes might be divided into five paths. One path — donating embryos to another person or couple hoping for children — carries with it many questions. This path, and those questions, are the subject of this post.

A decision pathway for people who became parents through IVF

If you became a parent through IVF and have remaining embryos, you are not alone. Estimates vary on the number of cryopreserved embryos in the United States, but it’s likely to be in the hundreds of thousands.

You may be among the many people or couples who plan to use their embryos, or among those whose family feels complete. And you may be starting to figure out what to do with your embryos, or you may be putting the decision on hold, paying for annual embryo storage and feeling no urgency to make a decision, since embryos can remain safely frozen for many years. Having “extras” in deep freeze may offer comfort, kind of a psychological insurance policy after years of disappointment and loss.

Sooner or later, though, most people find themselves at a decision point, considering these options:

  • You can discard your remaining embryos. This may feel harder than you anticipated but absolutely doable. You see these embryos as part of the IVF process that enabled you to have your cherished child or children. The word “discard” sounds harsh, but you are not prepared to parent another child and do not see donating them to others as an option.
  • You can decide to have an additional child. A larger family wasn’t what you’d planned on or hoped for, but you see extra embryos as part of IVF, and a new child as meant to be. You look at the family you have and decide it is worth undergoing at least one more embryo transfer before making a final decision to discard.
  • You can decide to donate your embryos to science. Unfortunately, if you begin to explore this, you’ll discover there is no easy route for it. Perhaps you will choose to explore other possible pathways, or decide to focus on one of the other options.
  • You can donate your embryos to another person or couple. For some, this feels natural: you have been given the gift of children and you want to pay it forward to others longing for pregnancy and parenthood. However, for many the decision to donate does not feel easy or natural. Rather, it poses a huge dilemma: you want to honor the embryos and offer them a chance at life, but you have unsettled feelings when you think of your genetic offspring being raised by another family.
  • Not to decide is to decide. In listing options, it is important to acknowledge that some of your fellow IVF parents are deciding not to decide. They are among the many who have “abandoned” their embryos (the term clinics use for families that avoid contact). They stop paying their storage fees; they fail to respond to outreach calls and letters.

What questions arise if you choose to donate embryos to another family?

Writing in TheNew York Times about facing her own decision about unused embryos, author Anna Hecker said, “For me this far surpasses discomfort. I see it as a life-or-death decision, which makes it nearly impossible to make.”Having worked with couples making this decision, I can attest that this sense of the “nearly impossible” passes over time, as people grapple with their choice and come to a place of clarity and peace.

Below are some — though not all — questions you are likely to confront as you think about donating embryos. If you are part of a couple, you can sort through these questions with your partner. (If you are single, the decision is yours to make.)

  • How would we feel about another family raising a child created with our genes?
  • Would it feel okay if we knew the family we donate to, or could that make it harder, seeing what might have been our child growing up with others as parents?
  • Is this fair to the children involved? How will our children feel knowing they have full genetic siblings in another family? What will they make of the fact that it was the random choice of an embryologist who determined which embryo would land in our family and which in another?
  • How will children who come from our donation feel? Will they feel displaced, like they landed in the wrong family? Will they, perhaps, feel a bit like a science-fiction project?
  • How will we feel about possible challenges in the future: our child gets sick, the family we donate to gets divorced, we fervently disagree with the parenting style and values of the other family?
  • If we decide to donate, how should we go about finding a family? Does geography or demographics matter — for example, will it feel good or more complicated to have them nearby? Should we donate to a same-sex couple, an older single woman, or others?
  • Do we want to tell family members and friends of our decision to donate our embryos? If so, how much do we share of this information?
  • If there are several embryos, do we donate all to the same family or divide them? For those who feel strongly about not wanting to discard embryos, it may be important to ensure that none are discarded when the receiving family feels complete.
  • If our embryos were created with the help of donor eggs and/or sperm, should we seek permission or approval from the donor? How do we go about this if we do not have access to the donor?

These questions are complicated, best made over time and with care. While you may want to make the decision soon so that you can feel closure and move on as a family, I have found this is one instance in life when moving slowly, visiting and revisiting a decision, accepting doubt and the need to take pauses, all contribute to you eventually feeling the rightness of your decision.

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Making holiday shopping decisions quicker and with less stress

When faced with buying shoes, some people will be done in five minutes and be totally satisfied. For others, it’ll be a multiday process of reading reviews, comparing prices, consideration, and more consideration before making a decision.

Or not.

People can want to make a choice, but fear of making a bad one or of missing a better deal that might come gets in the way. The upcoming holiday gift-buying only ups the pressure.

“Making decisions is a taxing task,” says Dr. Soo Jeong Youn, clinical psychologist at Massachusetts General Hospital and assistant professor in the department of psychiatry at Harvard Medical School.

We’re doing it constantly, with what to wear and eat. It can also feel agonizing, even paralyzing, because sometimes we don’t know all the information, and so the brain fills in the gaps with worst-case scenarios, which does nothing to lower the stress.

Can we get better at making decisions? The short answer is yes. It takes some organization, but also a mindset shift in which we accept that there is no ideal choice. But before that, it helps to look a little more at why decision-making can be so difficult.

Knowing what to expect

Not all decisions cause the same stress. Big ones, like changing jobs or buying a house, take consideration, which we expect. Everyday choices, like our morning coffee order or groceries, are often automatic. And usually, the prefrontal cortex is in control. That’s the part of the brain behind the forehead, handling executive functioning skills — a term, Youn says, which tries to capture the complexity behind thinking. The prefrontal cortex processes information from the entire brain and puts it together to make a choice.

It’s the midlevel decisions — the new bike, winter jacket, toaster, or shoes — that become troublesome. They’re not huge purchases, but since we don’t make them regularly, we can spend more time weighing cost versus benefit. “We haven’t engaged in the thinking process,” Youn says.

Instead of the prefrontal cortex, the limbic system takes over. It’s the fight-or-flight response part of the brain, and there’s no careful weighing of factors. The goal is simple: survival, and it can cause us to make a less-than-optimal choice just to end the decision-making process — or to avoid the situation altogether by doing nothing, she says.

That’s not necessarily our goal. We want to make a good choice, but often there’s more in play, namely expectations. It’s tied into how we get viewed and what our worth is. If it’s a present, we worry about whether it expresses our feelings appropriately. As Youn says, “That decision is not just about that decision.”

And underlying it all is the fear and regret that you picked the wrong thing.

But to that, Youn poses a question: Wrong for what?

Get your focus

Often, people go into a purchase without being clear on what they need. Is the item for warmth, durability, exercise, style? Does it have to have special features? Do you need it quickly? Establishing a scope gives us something to refer back to and ask, “Does this fit with my purpose?” Conversely, with no parameters, we spend more time and angst making decisions, and sometimes keep looking under the belief that the “perfect” thing exists.

“We want this to check off all the boxes, even though we haven’t defined what all the boxes are,” she says.

For some people, the difficulty is in making the decision, but once done, the stress is over. But for others, the worry continues: the limbic system is still activated, and that’s when regret or buyer’s remorse comes in. Youn says to treat it like that song in your head that won’t go away, and give it some attention.

Examine the worry and name it. If you’re wondering about missing out on something, ask, “Why is that important?” And then with every assumption ask, “And then what would happen?” The process might reduce the magnitude of how much something actually matters. If that doesn’t work and you’re worried that you missed out on a better deal, then do some research. Whatever the result, even if it wasn’t in your favor, take it as a lesson that you can use for the next decision.

Lean on routines

New decisions take energy. That’s why routines are helpful — they remove the uncertainty of what to do in the morning or how to get to work. When possible, Youn says, use previous knowledge instead of constantly reinventing the wheel. If you like a pair of sneakers, there’s no problem with rebuying them if your needs haven’t changed.

If they have, just re-examine the new components, not the stuff you already know. And if you feel like you’re getting stuck in the evaluation process, ask yourself, “Is this worth my time?” The question creates a pause, brings you back into the moment, and allows you to decide how you want to proceed.

More research won’t help with decision-making or decision regret

It helps to realize that when we do our research, there comes a point where we’ve seen everything. In fact, more information becomes overload. What helps is to shrink down options as soon as possible. Maybe start with 10, but quickly get to five, then three, and finally two to compare before picking the winner. What can also help is setting the timer on your phone and giving yourself a certain number of minutes to make a choice. Sometimes that self-imposed deadline can keep us on track, and we can move on to the next decision.

But there can always be a nagging feeling that there’s more to know. In reality there isn’t, and actually we can’t know everything and don’t have to know everything — and that’s all right. As Youn says, “It’s an illusion.”