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Designer Masaba Gupta caught Milind Soman snacking and we are shocked! – Times of India

Posted: December 3, 2019 at 8:45 pm

Actor, supermodel and runner Milind Soman has set up high standards when it comes to fitness. The actor crossed the age of 50 but his fitness levels are an inspiration to many. Not hard to guess, a healthy lifestyle along with a regular workout regime is the secret behind Milinds fit body. He is a runner and has not gone to the gym in the last 20 years. Milinds cheat mealMasaba Gupta shared in one of her recent Instagram stories a picture of Milind eating chips and chocolate biscuits. He was seen scrolling down his phone and enjoying chips and biscuit without any guilt. Was this his cheat meal?

Well, we cant be so sure of it. But yes, eating our favourite junk once in a while is absolutely normal is what we understand by looking at these pictures.What is a cheat meal?As the name suggests, a cheat meal is a single meal that is completely different from your planned diet. The theory behind having a cheat meal or cheat day is that by allowing yourself a brief period of indulgence, you will be able to stick to your prescribed plan easily. It is a reward-based strategy.

There are no guidelines on how frequently you can have a cheat meal. Some indulge in one per week while others indulge in one in two days. It all depends on what a persons weight is and what his/her goals are.

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Designer Masaba Gupta caught Milind Soman snacking and we are shocked! - Times of India

Research on viral ‘Wahls Protocol’ treatment for multiple sclerosis continues at University of Iowa – UI The Daily Iowan

Posted: December 3, 2019 at 8:45 pm

In 2007, Dr. Terry Wahls found a way to stop the progression of her multiple sclerosis using diet and lifestyle changes and she continues to study her method with University of Iowa Health Care.

University of Iowa Hospitals and Clinics as seen on Sept 17, 2018.

Katie Goodale

University of Iowa Hospitals and Clinics as seen on Sept 17, 2018.

Katie Goodale

Katie Goodale

University of Iowa Hospitals and Clinics as seen on Sept 17, 2018.

Terry Wahls treatment method for multiple sclerosis, the Wahls Protocol, has already gained a large following online but with a best-selling book and a TEDtalk with more than 3 million views, she still has plans to advance her research.

With a new $2 million grant, Wahls, a clinical professor of internal medicine in the University of Iowa Hospitals and Clinics, is working to further her method through studying multiple sclerosis patients who elect not to take medication to manage the disease.

There are no studies comparing what happens to people who are newly diagnosed with MS and elect to not take drugs and follow the diet and lifestyle that I outlined, she said.

The study is currently being reviewed by the Institutional Review Board, and Wahls hopes to launch it next year with hopes that the Wahls Protocol will be able to be tested in a randomized, double-blind study once its completed.

Wahls developed her protocol an approach to treating multiple sclerosis and other immune diseases using a modified diet approach while suffering from multiple sclerosis herself.

While managing secondary progressive multiple sclerosis, Wahls began researching vitamins and supplements to treat the disease and then began searching for a way to incorporate those nutrients into her diet.

I had a really big a-ha moment that I should redesign my paleo diet to match my intake of all these key brain nutrients Ive identified in food, she said. I start that new way of eating in December of 2007, and within three months my pain is gone, my brain fog is gone. Im beginning to walk with a cane.

After writing up a case study from her own findings, Wahls began studying the method through a series of small pilot studies.

Wahls said that, although she has faced some criticism for publishing the Wahls Protocol without having gone through a scientific double-blind study, the funding for her research comes from families who have benefited from her treatment protocols.

The fact that I have done this publicly with my TED talk, with my book, has allowed me to have the visibility that has allowed us to have a very successful philanthropic support for my research lab for the last nine years, which is how Ive conducted many of my small pilot studies, Wahls said.

Warren Darling, department head of health and human physiology, has been involved with Wahls research for several years.

RELATED: UI plays key role in groundbreaking multiple sclerosis research study

Darling said research he and Wahls have conducted so far shows improved quality of life for patients treated using the Wahls Protocol diet.

There was a clear reduction in perceived fatigue. These people with multiple sclerosis, they often feel exhausted almost all the time, he said. After being on that program with diet and exercise theyre able to do more without being tired. Weve also found improved quality of life related to feeling less tired and improved motor function.

Linda Snetselaar, a professor of epidemiology and chair of preventive nutrition education, is involved in the experimental design of the current study.

She said the study intends to be more scientifically rigorous than previous small pilot studies.

Maybe the numbers were super small, sometimes there was a sample size of two patients what were trying to do is have a larger number of participants in the study and additionally use a scientifically rigorous study design, she said.

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Research on viral 'Wahls Protocol' treatment for multiple sclerosis continues at University of Iowa - UI The Daily Iowan

How Come I Gained Weight This Fall? – Everyday Health

Posted: December 3, 2019 at 8:45 pm

Youre dressing up for your friends holiday party, only to find that last years festive ensemble doesnt fit quite right. Maybe your favorite party pants are too tight for dancing, or your dress wont zip up, leaving little room for the apple pie or the red, green, and gold Hersheys kisses youd planned on treating yourself with.

Dont beat yourself up. Its completely normal for weight to fluctuate by a few pounds, even within the same day, says Kim Yawitz, RD, a private practice dietitian in St. Louis, Michigan. On a day-to-day basis, body weight can rise and fall due to fluid retention, hydration levels, bathroom habits, and medication use.

There are several other potential culprits for your fall weight gain.

Celebratory events, for one, can play a part. My birthday was recently and I celebrated last week, over the weekend, last night, and will celebrate with my girlfriends tomorrow night, says Tara Collingwood, RDN, a sports and performance dietitian in Orlando, Florida. I know I am eating more in this week than normal, so I try to have a lower-calorie lunch, or I up my exercise or daily activity a little bit to make up for it so I can indulge without guilt. I am not skipping meals.

So while a little increase of the scale can happen as seamlessly as a change in season, you can do something about it before it gets out of hand. The important thing is to be aware of the fluctuations and correct them before [it is] too late, says Collingwood. If you find you are [consistently] five pounds up after the summer, attack it. Enjoy that vacation, but come back ready to work for a few weeks at getting any extra pounds off right away.

RELATED: 8 Reasons You Gained Weight Over the Summer

Ready for five more reasons the number on the scale may have crept up a little over autumn, plus some solutions that will help you feel healthy and confident again? Here you go:

Soccer games, classroom bake sales, and school musicals equal happy kids but tired parents. Between professional obligations, back-to-school engagements, new routines, and sports practices, many of my clients with kids have very little time and energy left to cook by the end of the day! says Yawitz. As a result, the entire family tends to eat more fast food and takeout when the calendar gets packed.

Convenience meals can but dont have to lead to extra pounds. Restaurant foods tend to be higher in sodium than home-cooked meals, which can lead to temporary water weight gain, notes Yawitz. Over time, Yawitz adds, frequently eating restaurant meals can also cause lasting weight changes due to the fact that they tend to be high in calories with very large portions. In a study published in January 2018 in the American Journal of Health Promotion, each fast food meal in a week was connected with a 0.8 increase in body mass index (BMI). For sit-down restaurants, there was a link with an increased BMI of 0.6. To put this in perspective, if your BMI was 24.5 and increased by 0.8, you would go from a healthy BMI to an overweight BMI, as the National Institutes of Health notes.

As a busy mom, I know how difficult it can be to make time to cook, says Yawitz. On less-hectic nights, I like to make double batches of freezer-friendly meals, like soups and casseroles. I serve one on the night I cook it and schedule a reminder in my phone to reheat the second portion on a night I know Ill be busy. Investing in appliances such as the Instant Pot, which works as a slow cooker, a pressure cooker, and more; or the Brava, a smart oven that rapidly cooks meals, can help speed up meal prep. The Instant Pot starts at $65, while the Brava is a choice for those who want to splurge, coming in at $1,095.

You can also try one of the many healthy meal delivery services popping up that offer heat-and-eat meals. Freshly, for instance, allows you to select meals with less than 500 calories and runs as low as $49.99 per week for four meals. Snap Kitchen offers tailored meals for different eating styles (such as low-carb) with varied costs depending on location. And Fresh N Lean provides portioned meals for plant-based eaters, athletes, and more, coming in at $8.40 per meal for its cheapest option, the vegan standard meal plan.

RELATED: 6 Meal Delivery Services That Make Dinner Prep a Cinch

These days, a holiday doesnt last just one day. For Thanksgiving, you may have the actual day, plus Friendsgiving and a work potluck. And then theres the multitude of other holidays that happen in the fall. You have tailgating for college and pro football games and Halloween candy lying around for weeks, acknowledges Collingwood. Plus, pumpkin spice lattes [PSLs] are consumed because they only come around for a few months of the year. Fall is a season for food-centric socializing, and that can send your calorie intake soaring, thereby increasing weight.

Youll have to make some hard decisions here. I love a PSL like everyone else but the syrup is not sugar-free, and the calories can add up! says Collingwood. I make conscious decisions around how often I might indulge in a sugary coffee beverage, or say yes to the pumpkin cake roll brought into the office. If you know where your major temptations lie, you can be more aware and eat more strategically than reactively.

Eating strategically means making indulgences matter and adjusting your diet choices throughout the day to account for them. Are the cookies in the break room from the grocery store, or are they from a specialty bakery and totally worth it? If you decide to go for the treat, choose one (so a cookie or a glass of wine or a small slice of cake not all three!) and scale back in other areas. For instance, skip the fried rice with dinner and go for cauliflower rice instead; or use zucchini noodles instead of real noodles.

Another strategy: If the treats dont look so tempting, have a lighter snack, such as air-popped popcorn or a couple of tablespoons of almonds instead. A study published in December 2014 in Health Psychology revealed that healthier foods like air-popped popcorn and almonds are just as likely to boost a bad mood as higher-calorie, more traditional comfort foods like ice cream.

We all know that the fall months can cause an increase of stress due to school starting and preparing for the winter holidays, says Jennifer McDaniel, RDN, a private practice dietitian in St. Louis, Missouri. Stress can have a number of negative effects on your body. It increases ghrelin, your hunger hormone, as well as cravings. Stress also increases cortisol. Under chronic stress, cortisol can cause your body to store fat in your midsection, called visceral or belly fat.

Stress can impair activity levels, too. In a review published in January 2014 in Sports Medicine, the majority of research showed that stress gets in the way of efforts to be physically active.

If cooking all the food for a holiday meal is the cause of your stress, get some help. This may mean assigning every guest a dish or even investing in a complete heat-and-eat Martha Stewart Thanksgiving array of sides from Williams Sonoma; the bundle ranges in price from $160.97 to $359.96.

The Sports Medicine review also found that a small group of studies showed that stress can make your sweat session more efficient. Regardless of whether you feel motivated to exercise, getting some movement can make your happy hormones dance. Try Zeamo, a monthly subscription that allows you to sample different gyms in your area. You can search and choose gyms by the equipment or classes offered. Feel like kickboxing your stress out one day but want a relaxing, rejuvenating, restorative yoga class the next day?

RELATED: The Ultimate Diet Plan for a Happier, Less-Stressed You

Fall weather is delightfully cool and crisp and while it may be ideal for sitting outside and roasting marshmallows, its not as appealing for an evening run. People may be more active in the summer months when the weather is nice and they are playing with kids outside, going to the beach, or participating in summer leagues of recreational sports, says Collingwood. When the colder weather comes, people may hibernate more inside, forgoing some of the additional daily activity and staying indoors when the weather chills. Similarly, if youre used to walking or biking to work during warmer weather, you may lose out on calorie burn by driving or taking a bus when the weather gets nippy.

The solution may be as simple as a wardrobe investment. Buy clothes appropriate to maintain your active outdoor lifestyle, and make it a priority to move every day, suggests Ginger Hultin, RD, a Seattle-based spokesperson for the Academy of Nutrition and Dietetics.

Since the holidays are coming around, consider asking for an activity tracker, such as a FitBit or an Apple Watch, to help you log your movement and set goals. You can download the free and highly rated Pedometer++ app, which allows you to set a daily step goal and track your activity. Its free on both the App Store and Google Play.

Planning a getaway? Think about making it an active vacation, such as a wellness retreat at Hilton Head Health in South Carolina. (The resort offers portion-controlled meals and a daily agenda of fitness classes.) You could also opt for an all-inclusive ClubMed vacation, where you can schedule in activities like yoga, Pilates, power walking, and meditation. Pricing for these programs varies based on factors including whether youre a first-time or returning guest, and how long you plan to stay.

If youre feeling blue come daylight savings, youre not alone. And seasonal depression can impact your weight. People with seasonal affective disorder (SAD) are more prone to emotional eating than people who dont have the condition, says Yawitz.

In fact, past research showed that people with SAD are more likely to eat carbohydrates, and not necessarily the healthy types, during bouts of seasonal depression. Theres also evidence that women with SAD have more frequent and intense cravings for sweet and starchy carbohydrates, possibly because these foods boost levels of a feel-good hormone called serotonin, says Yawitz.

Try light therapy to boost your mood. In a past study, adults with SAD were given light therapy treatment, which researchers found reduced participants depression symptoms. Consider investing in a Happy Light therapy lamp or box, which run as low as $34.95.

As far as food goes, try embracing mindful or intuitive eating. Every time you have the urge to eat, take a moment to reflect on how youre feeling physically and mentally, suggests Yawitz. If youve eaten recently and youre not having any physical signs of hunger like a growling stomach, consider whether you might actually be sad, lonely, or anxious rather than hungry. You might find just as much comfort from calling a friend, meditating, or taking a bath. Even better, bundle up and take a walk if its sunny outside! Our bodies produce more serotonin when were exposed to sunlight, so a bit of time outside can be a great mood boost.

RELATED: 10 Ways to Beat the Winter Blues and Feel Great

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How Come I Gained Weight This Fall? - Everyday Health

I cracked the code for shifting that extra stone that most Irish men carry around – The Irish Times

Posted: December 3, 2019 at 8:45 pm

5.45amIm up and running on adrenaline and dont eat or drink until after my radio sketch.

8.15amIll have a massive bowl of fruit and greek yoghurt with black coffee. This is my new breakfast since I changed my eating habits in July and cracked the code for shifting that extra stone that most Irish men carry around.

In the old days I tucked into bacon, eggs and rye toast. I was doing weight training, tennis and walking but could not lose the weight that was sitting uncomfortably on me. I tried different avenues, like calorie control, that worked initially, but nothing lasted. I was in a funk and once even gave up alcohol for six weeks and not a pound came off.

In the end the answer was sitting in plain sight of me. This was my wife, Blathnaid, and her mindset of focusing on veg, salads and fruits to such an extent that unhealthy foods are crowded out. In the four months since I started to take her advice my weight has gone from 14 stone 7 down to 13 stone 8 pounds. My vanity weight would be 13 stone 2 pounds but Im happy enough.

1pmNow I embrace salads. And I am talking tasty, substantial ones. This is usually my variation of the salade nioise with good balsamic dressing, tuna, egg, green beans, tomatoes, lettuce and avo. Ill have a black coffee and feel satiated. In the bad old days I would have launched into a big sandwich with chicken and mayo. This was never enough and I found myself in the slippery routine of supplementing with a packet of crisps. The trick to make the salad satisfying is to add extra of whatever it is you like - I love red onion so always request extra in the cafe where I eat my lunch.

4pm I get home and grab a few oranges off our massive fruit bowl.

5pmWe like to eat early with the kids and often have a big piece of fish - cod or salmon - with veg and baked potato, or once a week roast chicken. Other days its meatballs and wholewheat spaghetti, or lentil burgers. Always homemade by Blanath and always with lots of veg and salads.

8pmOne thing I have learned with eating is that if you dont plan, you plan to fail; in the evening I get hungry and previously would have lashed into the cheese and tuc crackers with hot chocolate. Instead Blathnaid makes a batch of healthy flapjacks every week and I allow myself one with a peppermint tea. The herbal tea is a recent adoption of mine and I love it. If I set this limit I dont panic when I get peckish as I know if I stick to my snack I am on course. You have to remain flexible though and if at a relatives house I am handed a plate of lasagna and potato salad, followed by cheesecake, I will eat every scrap. We go out for dinner once a week and then all bets are off.

9.30pmWe are in bed early, but Im no paragon of virtue, and am up later at weekends. I enjoy two pints of lager as much as the next man and have not given up alcohol. Another reason why I think this new approach works is that my digestive system gets a break every day for quite a stretch; between the hours of 6pm and lunchtime I only have the flapjack and fruit and yoghurt - all easy to digest.

My mantra has always been if you apply yourself and work hard, then reward yourself and your self esteem, and throw yourself a party. Im still rewarding myself but have reorientated my eating so that if almost all of my meals in the week are healthy there is less space for the party throwing crisps. I dont call it a diet, there will be no rails to fall off at Christmas, its my new approach to eating.

Finding some sort of balance in your life sounds so boring and mundane and actually, its extremely hard to do but if you find it, you realise its magical. Im fresher, in better form and more giving. Im getting geared up for my nationwide show to celebrate 20 years of Gift Grub and Im excited I can now slip into size 14 Miriam OCallaghan dresses.

in conversation with Mary McCarthy

by dietitian, Conor Kerley

Mario has a plan of meals each day but is not rigid. He is smart to view his new way of eating as a new mindset the minute you say you are on a diet there is an expected expiry date. He mentions that all the exercise he did made no difference, people often get a skewed approach to eating if they exercise a lot but you can never outrun a bad diet.

What with all the information, misinformation and confusion we are all bombarded with, the clear lesson here is: focus on real food with fruit/veg/salad at all meals and allow flexibility for living life. Bravo Mario ... and Im sure he looks lovely in his MOC dresses.

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I cracked the code for shifting that extra stone that most Irish men carry around - The Irish Times

Vitamin B12 Deficiency Can Be Avoided By Eating These Five Foods Regularly – International Business Times

Posted: December 3, 2019 at 8:44 pm

One of the functions of vitamin B12 is to help keep the blood cells and nerves of the body healthy. It also plays a major role in DNA production and helps in preventing anemia, which is a general term referring to the low amount of red blood cells. It may also refer to having an abnormally fewer amount of hemoglobin in every red blood cell.Hemoglobin or Hb is a protein that can be found in red blood cells, which carries oxygen in different parts of the body and also gives blood a red hue.

Getting Vitamin B12

Since the body cannot produce vitamins, people should get it by going outdoors in the sun or from the foods and drinks they consume. The problem is during the winter season, there is not enough sunlight, and in the case of food, there are some who find it difficult to absorb the vitamin from food. Because of this, between 1.5% and 15% of the population in the UK are suffering from vitamin B12 deficiency.

Pregnant or breastfeeding women, as well as vegetarians, are also at high risk of becoming vitamin B12 deficient. This is why they have to closely monitor their diets to ensure they are getting adequate amounts of vitamin B12.Good thing, some foods are rich in vitamin B12, which you can include in your diet to prevent becoming deficient. What are these

Clams

These are small shellfishes with rubbery consistency and are packed with huge amounts of nutrients. Clams are a good source of lean protein, and they also have high concentrations of vitamin B12. This food is also high in antioxidants. vitamin b12 sources for deficiency Photo: nakoangchul - Pixabay

Beef

Beef is also rich in vitamin B12. A grilled flat iron steak can provide you with nearly 200% of the RDI for vitamin B12. The same type of steak also contains substantial amounts of vitamins B3, B2, and B6.

Animal Kidneys and Liver

Some of the most nutritious foods that you can get your hands on are organ meats. Kidneys and liver, particularly those coming from lambs, are very rich in vitamin B12. Lamb's liver is also very high in selenium, vitamin B2, vitamin A, and copper. Lamb, beef, and veal kidneys contain high amounts of vitamin B12 and can provide you with 13,000% of the RDI for each serving.

Sardines

Sardines are a type of saltwater fish with small, soft bones. You often get them canned in sauces, water, or oil. If you live near the sea or a fishermens wharf, you may be able to get fresh versions of them. This fish type is very nutritious as it contains almost every single nutrient in rich amounts.

Fortified Cereal

For vegetarians and vegans, they can get their vitamin B12 requirement in fortified cereals as this food is made synthetically and does not come from animal sources. Studies have shown that regularly consuming fortified cereals can increase your vitamin B12 concentration.

For those who are at risk of vitamin B12 deficiency, there are available supplements that they can take. Pregnant or breastfeeding women, adults, persons with intestinal issues, vegetarians, and vegans, as well as those who just had stomach surgery, can safely take vitamin B12 supplements.

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Vitamin B12 Deficiency Can Be Avoided By Eating These Five Foods Regularly - International Business Times

As Aspen ski icon Klaus Obermeyer turns 100, he reflects on how he stays so fit and positive – The Colorado Sun

Posted: December 3, 2019 at 8:44 pm

By David Krause, The Aspen Times

Klaus Obermeyer landed in the United States in 1947 as an aeronautical engineer looking for work. He made his way to Aspen, thanks to Friedl Pfeifer, and became a ski instructor. Since then he has been a great influence in our community.

On Monday, Klaus joined the Centenarian Club and celebrated his 100th birthday with an afternoon party at the Hotel Jerome.

Earlier this fall, The Aspen Times spent a morning with Klaus just to get a glimpse into what keeps him going and how he stays so fit and positive. The following a question and answer from our interview with him that day.

This story first ran in The Aspen Times on Monday, Dec. 2, 2019.

The Aspen Times: What motivates you to swim and work out every day?

Klaus: I have been swimming for a long, long time. When you get to be well over 25 years old, you cant run any more. You can barely walk. But swimming you can safely do and it gives you all the motions to keep your body in fairly good shape. I swim a little more than half a mile every day. It gets me in one year all the way to Denver, and the next year I swim back. It allows you to eat well because it burns it off. As you get older, you dont want to eat more than you can burn off. Thats a very important thing. Otherwise your legs get tired of carrying that (weight) around.

EARLIER: Aspen innovator Klaus Obermeyer, still skiing at age 99, celebrated at Outdoor Retailer Snow Show kickoff

AT: Was there ever a time when you were younger and starting the business when you thought, Man this isnt going to work? Or, What was I thinking? Have you ever had any of that doubt?

KO: No. You always get to where you aim to. If you aim at Aspen Mountain you will not end up at Red Mountain. You will go up Aspen Mountain. Its a very powerful thing, an aim. You take aim at something that is doable. When I came to Aspen, Friedl Pfeifer got me here and he said, Klaus, youre an airplane technician. We need better skis, we need better poles, we need better clothing. There was no ski clothing in 1947. He said, So, anytime youre not in a class or teaching (skiing), work on it. And I said, Friedl, Ill do that. So I aimed at making a lot of things better and make it more fun for people to be outdoors and to make skiing more enjoyable and safer and share that pleasure with more and more people. And it worked.

AT: What do you think about when youre sitting on the lift?

KO: I just love nature. I just think its so beautiful to look at a tree with snow on it standing there watching you like little people. Its just such a miracle. And then you see a weasel run across, and thats another miracle. I think it is a gift what we have inheritated that took billions of years to develop. Its just such a miracle what we have inherited. All the life, all the many, many plants, the beautiful roses. How do they do it? The snails. How they can build that little house without having to go to snail house-building school? That they have that little, little thought that they inherited that they can do that. Life is such a miracle and puts a smile on your face. I love it. Love it. Love it.

Read more outdoors stories from The Colorado Sun.

AT: Its become harder to live in the mountains. Whats your advice for people who want to live here and stay positive when it can be difficult to live here sometimes?

KO: Problems are also our teachers. When we start walking we fall and we learn how to get up. So that we fell was really a good thing because it forced us learn how to walk. Problems in our business or everyday we embrace. The Japanese call it Irimee to enter it, to get to know the problem really well and make it so that its better that the problem came than it would have been if it would not have come. So, embrace the problem, love it, learn from it and thats in business every day there is something. But you can also get negative about it and that points you down.

AT: How does somebody who is 25 or 27, your age when you moved here, get to be where you are in 75 years?

KO: Set priorities. The first priority is your health what it is you need to do every day to retain as much as possible your health. Thats No. 1 in eating and exercising and living and breathing.

No. 2 is how to make a living. Thats really important.

No. 3 is what you want to do for your fun stuff.

AT: How do you maintain that positive energy every day?

KO: Thats ones choice. We have the choice of perception. Every morning in the shower I clean the mirror of perception. Its your choice. You can hate Aspen Mountain or you can love Aspen Mountain. Its up to you. I love the planet. I love the unbelievable life on this planet. The nice weather in Aspen thats great for outdoor sports in summer and winter. There are very few things one can be sad about.

Hate is a negative energy. Love is a positive energy. You always have that choice. Make it nice, make it good, make it terrific and love life and love the planet. Love everything. We are so lucky.

AT: How have you changed your diet? Do you stay away from any foods?

KO: I like everything. We have chickens at the ranch. Now, I dont eat chicken because theyre so nice. Otherwise I eat anything, everything, but not too much. Otherwise if I eat too much I have a hard time burning it off. Ive found a balance and now I dont eat what I cant burn off. That way you dont get fat and have a hard time walking around.

I cook my own breakfast: two soft-boiled eggs, radishes, avocado, a little toast. Its nice and simple. I do a small lunch. My wife is a very good cook, so she makes all kind of nice things. A lot of vegetables.

AT: Have you ever been on a snowboard?

KO: Ive been on it. Ive been punished. Im a skier. I think the snowboard did a lot of good for skiing. It brought us the shorter and wider ski. It allows you to float on snow at lower speeds than we used to have. With the narrow and longer skis you had to go very fast to make turns in deep snow. With the short, wide skis its more like a snowboard, and a snowboard is ideal in deep snow. It finally convinced the ski makers to make them shorter and wider, and its working. Now people are climbing again and skiing the backcountry, which is fantastic.

AT: What is the advice from your parents that you think about every day?

KO: Advice from my dad was to be able to laugh and enjoy. When he met somebody on the street, they would talk with each other and then when they left each other they were both laughing. He told them some joke. You dont have to pay taxes on jokes. Make life fun. Its your choice.

AT: Have you ever had a day where you just werent feeling it and said I dont feel like exercising or skiing today?

KO: No. That is against my philosophy; it is to stay No. 1 (to) keep your body and your spirit healthy by using them. To be lazy and say Im not going to do it today, I dont think thats right. Youre cheating yourself. Thats something you just dont do.

This reporting is made possible by our members. You can directly support independent watchdog journalism in Colorado for as little as $5 a month. Start here: coloradosun.com/join

Continued here:
As Aspen ski icon Klaus Obermeyer turns 100, he reflects on how he stays so fit and positive - The Colorado Sun

Gender identity is hard but jumping to medical solutions is worse – The Economist

Posted: December 3, 2019 at 8:44 pm

This is a guest contribution for The Economists Open Future initiative, which aims to foster a global conversation on the challenges of the 21st century. More Open Future articles are at Economist.com/openfuture

* * *

The day I knew I should quit my job answering phones at the transgender health-care clinic in California was the day a caller (lets use the name Betty) threatened her in-home caretaker with a knife during the call. As the caretaker begged our clinics nurse to track down Bettys doctor and tell him that Betty was having a psychotic episode, Betty stood between her and the apartments front door with a kitchen knife. Betty had poorly controlled paranoid schizophrenia, and often called the clinic agitated, alternately whispering and screaming about government agents stalking her. Betty was also a trans woman whom most people regarded as male, the sex of her birth.

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The clinic followed the informed-consent protocol: its mission was to provide transgender patients who otherwise lacked access to health care with injections, skin patches and pills of feminising or masculinising hormones without having to pass through a series of requirements and assessmentsknown as gatekeepingthat restricted access in the past.

In medicine broadly, informed-consent refers to the ethical requirement that a clinician administering a treatment communicate to the patient the anticipated risks and benefits, as well as reasonable alternatives to the treatment. Yet for transition medicine in America, informed-consent programmes do not require clinical documentation, beyond patient reports, of the patients gender dysphoria over time (ie, a feeling of mismatch between ones biological sex and gender identity) and readiness for medical interventions.

Gatekeeping horror stories are notorious in the transgender community. In the past it was not unusual for a trans person to be told by doctors and psychologists they would not be referred for hormones because they were not visually appealing as their preferred gender, werent interested in dating the opposite gender, or had unresolved mental-health problems (some of which are predictable responses to experiencing transphobia, such as anxiety and depression).

It was not unusual for a trans person to be told they would not be referred for hormones because they were not visually appealing

Pioneering LGBT health centres across America developed informed-consent protocols for hormone treatment in a well-intentioned effort to imbue the experience of pursuing hormone treatment with dignity for patients. But as informed-consent protocols have become the norm rather than the exception, we may be shunting transgender people in America into a parallel medical systemone in which patients bargain away careful assessment and education for greater autonomy and shortened timelines to access medical treatments.

At my clinic, we were informed-consent true-believers. We didnt badger you with questions; as long as you were 18, even if you had no way to pay the clinics fees, you would get your hormones. You had to sign forms stating that you understood that although hormone-replacement therapy (HRT) benefits many trans people suffering from gender dysphoria, the health risks are largely unknown. Starting hormones could have negative consequences for your mental well-being, social functioning and even the intensity of your gender dysphoria (many people find that their distress about a body part like their breasts will only increase when the effects of testosterone appear, such as facial hair).

Also, people were informed that they were waiving the mental-health screening recommended by the World Professional Association for Transgender Health. Its standard of care recommends that patients seeking HRT be screened for schizotypal disorders, autism-spectrum disorders, personality disorders, dissociative disorders, post-traumatic stress disorders and more.

In the case of Betty, I felt that the clinic where I worked wasnt sufficiently concerned whether her mental disorder created delusions that often controlled her life, or meant she was so cognitively disabled that transition predictably left her more isolated and chronically stressed than before she started HRT. The medical staffs attitude towards Betty and many of the other patients who were receiving hormones while managing (or failing to manage) severe mental illness was a profound lack of interest about whether one affected the other.

We were informed-consent true-believers. We didnt badger you with questions; as long as you were 18, you would get your hormones.

In fact, most of us worked there because we rejected the idea that a strongly felt internal sense of gender could be a symptom of mental illness. That shared, ideological foundation meant it was verboten for the staff to consider whether the HRT might be exacerbating Bettys schizophrenic symptoms or making it harder for her to build the basic social relationships that provide the support and positive feedback that is so necessary for mental health. If the HRT did not actually assist Betty in presenting as a woman or improve her functioningand it seemed to be doing neitherwe considered affirming her identity more important than those conventional measures of the treatments effectiveness.

The most radical and liberatory action we could take was to affirm Bettys identity. If we were the one and only place she visited in her day where she was referred to using her chosen pronouns, we considered it paramount we gave her that experience. This commitment to affirming identity through correct pronouns and easy HRT was our reason for being. But strangely, by fulfilling our commitment to affirming felt identity, we seemed to be off the hook for questioning whether we were doing all we could to avoid harming her.

I quit the clinic in 2014, and in 2016 I spoke to the lawyer of a patient suing that same clinic. This patient also pursued HRT while experiencing intense delusional symptomsit was 2012 and he thought the world was ending. The clinic, affirming as ever, recommended and provided the referral letters for him to have an orchiectomy, a removal of his testicles, which he underwent. When his delusional symptoms eventually abated he detransitioned, coming to an uneasy peace being, and presenting as, male.

I know him because we are both detransitioned people. I was also convinced that I was a trans personas a result of misunderstanding a persistent sense that my body felt unreal, a common dissociative symptom following traumaand received HRT at this same clinic, taking testosterone for nine months. For the past five years Ive been a part of a growing community of detransitioned people who are speaking out about questionable norms and practices in transgender medicine.

The clinic, affirming as ever, provided the referral letters for him to have an orchiectomy, a removal of his testicles

When I first detransitioned, my community consisted of online groups of fewer than 100 women. Five years later the detransition discussion-forum on the popular site Reddit has just hit 7,000 people of both sexes. I know detransitioned people who later discovered they had autism-spectrum disorders, detransitioned people who came to recognise that they were experiencing traumatic dissociation, even detransitioned people who had such severe dissociation that they had multiple alters (ie, multiple identities) while being treated with hormones and surgeries.

Our stories, if taken seriously, could help improve the state of transgender health careparticularly at informed-consent clinics, which are becoming the norm at American colleges, LGBT health centres and recently many Planned Parenthoods. Instead we are ignored, compared to ex-gay Christians or treated as political footballs. (I was particularly disheartened when Ryan Anderson, a fellow at the Heritage Foundation, a conservative think-tank, used my and other detransitioners stories in his book that was critical of LGBT and feminist issues, When Harry Became Sally.)

That is because the burgeoning orthodoxy on the left is that detransition is so rare that only transphobes care about it. If you draw attention to the stories of transition gone wrong, the thinking goes, there will be less public support for transition and for transgender people themselves. For academic researchers and journalists, telling our stories is a fast track to being labelled a transphobe. This has profound consequences for what we know about the medical paths that leads to detransition.

In fact, we have no idea how prevalent detransition is in America. The most widely used estimate, that 2.2% of people who transition later detransition, comes from a study in a completely different place (Sweden) and time (1960-2010), when gatekeeping was much stricter. Moreover, that study defined a detransitioner as someone who had changed their name and gender legally (an arduous process in Sweden at the time) and then had the motivation and money to go through the name change process in reverse, a standard so strict that I wouldnt be counted, and nor would 90% of the detransitioners I know.

If you draw attention to the stories of transition gone wrong, the thinking goes, there will be less public support for transgender people

This passionate but misguided argumentthat detransition is extremely rare, thus any research into it is harmful and motivated by transphobiahas led to outright censorship. In 2017 Bath Spa University in Britain shot down a research proposal that sought simply to collect stories from detransitioners. The same year the Philadelphia Trans Health Conference, a major annual gathering of the transgender health community, abruptly cancelled two previously approved panels that I had helped organise on detransition and alternative methods of managing gender dysphoria, because of the level of heated conversation and controversy. These were just two out of nearly 200 sessions.

As a result, the subject of detransitioners health-care experiences remains virtually untouched by academic researchers. This shows in the clumsy approaches of those few researchers willing to engage the subject. For example, a poster presented this summer at the European Professional Association of Transgender Health conference purported to show a very low rate of detransition and regret (0.47%) at an NHS clinic in London. The poster bounced all over social media, cited as proof that detransition is indeed exceptionally rare.

But that estimate was generated by combing through case files for patients who returned to the clinic to inform staff of their detransition or regret. The thing is, though, detransitioners almost never do this. This is widely known within the communitywhy would you go back to a clinic or to a doctor who, in your view, helped you hurt yourself?

Apart from the few who sue their doctors and therapists, detransitioners tend simply to disappear from a clinics view, despite often having urgent needs for continued medical treatment and therapy. I have heard of only three detransitioners who went back to talk to the clinicians who had assisted them in transitioning. (The experience of one who did just that convinced me that I probably never will.) Nor do they tend to go to other clinics for follow-on care: they simply become invisible.

The majority of the studies supporting the conclusion that medical transition yields positive outcomesand there are manyfollowed patients in highly structured clinical programmes that provided comprehensive assessments. But when I searched last February for programmes that met that careful standard in America, I wasnt able to find one. No one knows whether informed-consent protocols will yield the same success rate, but the stories Ive heard during the past five years make me profoundly sceptical.

In a comprehensive examination of peer-reviewed articles on medical-transition between 1991 and 2017 by researchers art Cornell University, called What We Know, there have been no studies tracking a cohort of patients at an informed-consent clinic over time to investigate the outcomes that their protocol produces. Moreover, there have been no studies on what percentage of clinics in America follow the standard of care recommended by the World Professional Association for Transgender Health versus their own informed-consent protocols.

From the point of view of clinics, they would respond to the criticisms by noting that informed-consent clinics often serve a poor and transient population, which presents challenges to following up with patients. Another difficulty is that transgender medicine is a relatively new field serving a small minority of the population, necessarily limiting funding and opportunities for research. As to whether informed-consent policies have the effect of leading people to medical interventions too soon, they would argue that the people who end up feeling ill-served by the high level of patient autonomy will always be a small minority.

Yet this does not obviate the need for better practices. I dont want informed-consent clinics shuttered. I want them to do the tasks normally associated with medical care. This includes giving patients access to differential diagnosis (distinguishing between conditions that share similar symptoms) and follow-up research so that providers can improve the care they offer.

There is a responsible path between making transgender people jump through hoops and allowing people experiencing psychosis to have their testicles removed

For example, ensuring that low-cost psychology referrals are offered to all patients seeking informed-consent care could increase voluntary participation in comprehensive evaluations. Ensuring that staff are trained to identify patients showing signs of certain severe disorders, and to provide psychological evaluations when appropriate, could help prevent outcomes like Bettys.

Even ensuring that all clinics have counselling referrals on hand would be a step in the right direction. Although I received a prescription for hormones by my second visit, many patients sat on the waiting list for counselling from the same clinics social workers for more than five months and when I requested an outside referral, I was told to google the phone number of a local counselling internship site.

There is a responsible middle path between making transgender people jump through hoops to access needed medical care and allowing people experiencing psychosis and delusions to have their testicles removed. Until gender care providers accept their ethical responsibility to find that path, the American medical system continues to serve this community of people poorlybut this time, this neglect is designed and perpetrated by allies under the banner of transgender rights.

_________________

Carey Callahan is a family therapist and board member of the Gender Care Consumer Advocacy Network, a non-profit group that advocates for the rights and welfare of consumers of gender care services.

More:
Gender identity is hard but jumping to medical solutions is worse - The Economist

Cracking the code of bias against trans athletes – Outsports

Posted: December 3, 2019 at 8:44 pm

Transgender participation in sport has come to the forefront in the last few years at all levels, from youth leagues to the Olympics. And thats led to backlash from many groups and individuals who are supported by and stand up for those who have always maintained an anti-LGBTQ position.

On November 20, Outsports contributor Ken Schultz looked into whats behind a recent poll by Rasmussen, which concluded a majority of Americans oppose transgender inclusion in sports.

What he found were polling methods and loaded questions with terms that slant toward creating results opposing trans inclusion.

In his analysis, Schultz stated: In order to move the debate in that more inclusive direction, we need to educate the public on these kinds of biased euphemisms and anti-trans code words that transphobes use to sway public opinion.

As a sports journalist, a sports fan and as a participating transgender athlete, I couldnt agree more with my Outsports colleague. When you look in the transphobes playbook, you find a number of varied tactics designed to make bigotry look reasonable.

My examination here will look at a recent piece of propaganda making the rounds and the tactics it employs. The poster below was created by an operative for an anti-trans organization.

Willful, deliberate misgendering is a critical piece of this con game. The quote used at the top of this image is an example of the conditioning. Its also the tactic of websites such as Breitbart, The Blaze and RedState, who ruthlessly target transgender female athletes. Consider the example of cyclist Dr. Veronica McKinnon, who is one of the most targeted trans athletes in the world right now, ever since winning her first UCI Masters track cycling championship in 2018. She had barely reached the winners podium when the clickbaiter sites screamed headlines such as Man Pedals Faster at the Womens World Cycling Championships, and Transgender female cyclist place first against biological women

The body copy of their articles stays with this theme. There is consistent use of terms such as biological males and biological females, which is passive-aggressive misgendering. Some sites dont even bother with such backhanded attempts, and neither do the professional political transphobe groups. In the Alliance Defending Freedoms complaint to the Department of Education concerning Connecticut high school athletes Andraya Yearwood and Terry Miller, the 29-page document consistently refers to both girls as boys and biological males.

You will rarely if ever see attacks directed at Patricio Manuel (above), or at Chris Mosier, or any transgender male athletes with this piece of propaganda, or any piece by the anti-trans lobby. This is by design. Transgender male athletes dont sell the narrative that transphobes are trying to sell. This is about more than sport to the anti-lgbtq and anti-human rights lobby. It also shows the misogyny of the people who are behind the curtain. The main message here is transgender women are not women and cisgender women are too inept to compete successfully in sport.

Lies of omission are a centerpiece tactic of the anti-trans crowd. The most used is the matter of regulations. They intensely try to sell the idea that men wake up one morning, say they are a woman and play womens sports. Yet they know that there are extensive rules and regulations that transgender athletes must follow to the letter, like every athlete.

For example, consider the case of Southern Illinois swimmer Natalie Fahey. Below is the NCAA regulation that applies to her case.

A trans female (MTF) student-athlete being treated with testosterone suppression medication for Gender Identity Disorder or gender dysphoria and/or Transsexualism, for the purposes of NCAA competition may continue to compete on a mens team but may not compete on a womens team without changing it to a mixed team status until completing one calendar year of testosterone suppression treatment.

There are also lies of omission in terms of context and backstory. Fahey continued to compete during that interim year on the mens team at SIU. When she met the NCAAs regulations and began competing as a woman, she was entered as an exhibition swimmer and her finishes did not count in the overall team standings at the conference championship meet because of the timing when she became eligible to compete. This is the crucial context that the anti-trans lobby will ignore because it wrecks the narrative they are trying to sell.

One can also look the case of an athlete such as 2019 Division II national 400 meter hurdles champion CeC Telfer, who took a year off from competition while starting hormone replacement therapy and then returned to active competition after fulfilling the NCAA requirements. Again, this is what the other side wont tell you.

At times, the other side will just flat-out lie.

How New Zealand weightlifter Laurel Hubbard is portrayed here is a textbook example. The propaganda here and in other places is that she is a world champion. She has never won a world championship. At the 2017 world weightlifting championships she won two silver medals. The anti-trans crowd relies upon the fact that most readers and/or sports fans will not bother to check the facts for themselves, in part, because the sport is more obscure. Keep that in mind as we consider:

Consider how roller derby athletes are mentioned in this piece above. They are attacking perhaps the most trans-inclusive sport in the world. Noted TERF writer Emma Chesworth recently learned that this is not a good idea, when she wrote an article critical of widespread policies of inclusion in roller derby. Teams and leagues in the US and UK lit up Twitter in a vigorous defense of their sport.

Fact checking would have perhaps saved Chesworth some embarrassment, but thats the rub here. A transphobe counts on the general public to not research the claims for themselves.

Notice also that most of the targets pictured on the anti-trans poster come from sports that are out of the mainstream. This type of propaganda also tends to focus on small college and high school athletes because it is easier to bend a story fewer people actively know about.

The propaganda poster here was built by an operative representing Hand Across The Aisle Women. They characterize themselves as radical feminists, lesbians, Christians and conservatives that are tabling our ideological differences to stand in solidarity against gender identity legislation.

But they are allied with groups including the Heritage Foundation, the Family Research Council, and the Alliance Defending Freedom. These are among most influential anti-womens rights and anti-LGBTQ lobbies in the world. Both the FRC and the ADF are also classified as anti-LGBTQ hate groups by the Southern Poverty Law Center.

Scratch the surface of many of these radical feminists and you are finding greater synergies with groups that have made their name by demonizing feminism for decades, and the media mouthpieces like a Breitbart or the Blaze.

Why does this matter? Because this isnt only about sports, just like the headline-making battles in Houston, Texas and North Carolina were not only about bathrooms, and the anti-LGBTQ lobby does not deny this.

This is one of the few fronts they are fighting in a larger battle that legally and culturally they are losing, and they admit to it. Theyve even admitted that the bathroom hysteria was deliberately built to scare people, even though the stats dont fit the hysteria.

Such is the fulcrum lifting three cases pending in the U.S. Supreme Court right now that could redefine a whole spectrum of human rights issues for all LGBTQ citizens.

The real match here is inclusion versus erasure, and it's a match we transgender Americans cannot afford to lose.

See original here:
Cracking the code of bias against trans athletes - Outsports

Expanded U.S. NATETSO Partnership Between Acerus Pharmaceuticals and Aytu BioScience Is Now Fully Operational – Yahoo Finance

Posted: December 3, 2019 at 8:43 pm

TORONTO--(BUSINESS WIRE)--

Acerus Pharmaceuticals Corporation (TSX:ASP, OTCQB:ASPCF) today announced that the revised commercial partnership agreement with Aytu Bioscience (Aytu) to accelerate the growth of NATESTO in the United States is now closed and fully effective as of December 1, 2019. Both parties have mutually waived the closing conditions of the revised partnership agreement, including the requirement that Acerus complete a raise of a minimum of USD 10 million on or before the end of January 2020, enabling Acerus to launch a U.S.-based specialty sales force, which will promote NATESTO to urologists and endocrinologists. Aytu will continue to book all NATESTO revenue in the United States and they will promote NATESTO to all other specialties including internal medicine and family practice.

To accelerate the launch of Acerus U.S. commercial team, Aytu has agreed to transfer 5 current sales personnel to Acerus as of December 2, 2019. These staff will operate as Acerus employees but they will remain on Aytus payroll until the earlier of the date on which Acerus is ready to fully assume the personnel or June 30, 2020. Aytu will deduct the costs of these sales personnel from quarterly payments otherwise owed to Acerus under the revised agreement, with a final accounting to be done once per year. Throughout 2020, Acerus will be building out a complete US-based specialty care sales force and other commercial functions, significantly increasing the number of employees working directly on NATESTO in the United States.

This co-promotion is expected to significantly increase sales force coverage of targeted U.S. prescribers, putting a higher promotional focus on urologists and endocrinologists, while enabling Aytu to focus its promotional efforts in primary care and other specialties.

Acerus is extremely pleased to see our revised partnership with Aytu moving to execution mode as we strongly believe that the performance of NATESTO in the U.S. will benefit from an enhanced commercial focus on urology and endocrinology, said Ed Gudaitis, President and Chief Executive Officer of Acerus. We are happy to welcome the former Aytu staff to the Acerus team. With this revised partnership, Acerus is effectively pivoting its focus of effort to the U.S. NATESTO opportunity. As such, we have implemented a resource reallocation program within our Canadian office that has led to a greater than 50% reduction in headcount so that we can align our SG&A spend appropriately.

On July 29, 2019 the companies agreed to expand their commercial partnership and amend and restate the original 2016 NATESTO exclusive U.S. license agreement. Under the terms of the new agreement, Aytu returns the NDA for NATESTO in the U.S. back to Acerus. Going forward Acerus will assume all regulatory and clinical responsibilities and costs for the product in the U.S. Acerus will take on a more expansive role in matters such as U.S. marketing, reimbursement and medical strategy as part of the companies joint commercialization committee, and will launch a specialist sales force focused on urologists and endocrinologists (Acerus Sales Channel). Aytu will retain its primary care sales force (Aytu Sales Channel) and will continue to book all product net revenue while serving as the exclusive U.S. supplier of NATESTO to wholesalers, pharmacies and other customers that receive a direct shipment. Financial payments will be based upon a tiered level of net revenue, post cost of goods sold (COGS), based on annual sales performance in the respective Acerus and Aytu Sales Channels.

To establish a high performing commercial footprint in the U.S., Acerus has engaged Syneos Health (SYNH), a leading integrated biopharmaceutical solutions organization including the industrys largest Contract Commercial Organization (CCO), to be its commercialization partner. Syneos Health has extensive experience in Mens Health and with NATESTO, and offers an end-to-end model that will enable Acerus to rapidly stand up a U.S. commercial team; to scale across all aspects of commercialization, including medical and regulatory affairs, managed markets, marketing and sales; and will provide greater flexibility and effectiveness in resource deployment.

Story continues

Low testosterone is estimated to affect approximately 39% of men over 45 years old in the U.S.; however, because the condition is underdiagnosed the overall prevalence is uncertain1. While patients have access to other treatment options, NATESTO is unique in that it is administered in seconds via a convenient and simple nasal gel applicator, addressing the risk of testosterone transference associated with other topical products, which carry black box warnings on their product labels.

About NATESTO (Testosterone) Nasal Gel

NATESTO is a nasal gel formulation of testosterone developed by Acerus Pharmaceutical Corporation and indicated as a replacement therapy for men diagnosed with conditions associated with a deficiency or absence of endogenous testosterone (hypogonadism). It is the first and only nasally-administered testosterone product approved by the U.S. Food and Drug Administration, Health Canada and South Korea Ministry of Food and Drug Safety (MFDS), available in a no-touch dispenser with a metered dose pump. A copy of the NATESTO Canadian product monograph can be found at: http://www.aceruspharma.com/English/products-and-pipeline/NATESTO /default.aspx. For further information, specific to the U.S. product dosing and administration, please visit: http://www.NATESTO .com.

About Acerus

Acerus Pharmaceuticals Corporation is a Canadian-based specialty pharmaceutical company focused on the commercialization and development of innovative prescription products that improve patient experience, with a primary focus in the field of mens health. The Company commercializes its products via its own salesforce in Canada, and through a global network of licensed distributors in the U.S. and other territories.

Acerus shares trade on TSX under the symbol ASP and on OTCQB under the symbol ASPCF. For more information, visit http://www.aceruspharma.com and follow us on Twitter and LinkedIn.

Notice Regarding Forward-Looking Statements

Information in this press release that is not current or historical factual information may constitute forward looking information within the meaning of securities laws. Implicit in this information are assumptions regarding our future operational results. These assumptions, although considered reasonable by the company at the time of preparation, may prove to be incorrect. Readers are cautioned that actual performance of the company is subject to a number of risks and uncertainties, including with respect to the commercial performance of NATESTO in the United States, and could differ materially from what is currently expected as set out above. For more exhaustive information on these risks and uncertainties you should refer to our annual information form dated March 4, 2019 which is available at http://www.sedar.com. Forward-looking information contained in this press release is based on our current estimates, expectations and projections, which we believe are reasonable as of the current date. You should not place undue importance on forward-looking information and should not rely upon this information as of any other date. While we may elect to, we are under no obligation and do not undertake to update this information at any particular time, whether as a result of new information, future events or otherwise, except as required by applicable securities law.

1 Mulligan T, Frick MF, et al. Prevalence of hypogonadism in males aged at least 45 years: the HIM study. Int J Clin Pract. 2006 Jul 1; 60(7): 762769

View source version on businesswire.com: https://www.businesswire.com/news/home/20191202005215/en/

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Expanded U.S. NATETSO Partnership Between Acerus Pharmaceuticals and Aytu BioScience Is Now Fully Operational - Yahoo Finance

Andy Ruiz Jr. vs. Anthony Joshua 2: Height, weight, age and reach of the heavyweight title fighters – DAZN News US

Posted: December 3, 2019 at 8:42 pm

Everything you need to know about how the two heavyweights stack up heading into their Dec. 7 rematch.

Andy Ruiz Jr.haslookedvisibly slimmer in preparation for his highly anticipated rematch with Anthony Joshua.

AJ, too, looks trimmer, as everyone had a chance to see during his public workout in Saudi Arabia on Tuesday.

How their respective weight lossaffects the fight remains to be seen, asRuiz puts his unified world heavyweight titles on the line against Joshua in Diriyah, Saudia Arabia, and live on DAZN, on Saturday, Dec. 7.

Ruiz will be looking to prove that his shocking June 1 seventh-round TKO wasn't a fluke and that he has the British boxer's number in a mismatch of styles. He enters the ring with one blemish on his record a questionable Dec. 2016 majority decision loss to Joseph Parker.

Meanwhile, Joshua is seeking redemption in the form of exacting revenge and snatching back the WBA, IBF, WBO and IBO titles to become a two-time unified world heavyweight champion. Twenty-one of his 23 pro fights have ended via knockout, and he looks to add Ruiz to that count in what would be his most savory KO.

The winner of this bout still has big things ahead. Apotential showdown of the winner betweenWBC titleholder Deontay Wilder and Tyson Fury for the rights to the undisputed heavyweight crown could be next although Joshua on Tuesday indicated a possible trilogy fight with Ruiz in the future.

Here's the tale of the tape between Ruiz and Joshua in what could be the fight of the year:

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Andy Ruiz Jr. vs. Anthony Joshua 2: Height, weight, age and reach of the heavyweight title fighters - DAZN News US


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