If youve changed your eating habits to focus on healthier foods and gotten serious about your workouts, you might expect to start shedding pounds. But the reality is that despite what youve been led to believe, weight loss is more complicated than calories in versus calories out. If youre trying to lose weight, check out these habits that might be interfering with your efforts.

If you typically eat a muffin or avocado toast for breakfast, you might need to boost your protein intake. Research suggests that a protein-rich breakfast can help manage hunger better, which may make you less tempted to supplement with a mid-morning snack.

Protein is important at lunch and dinner, too. If youre routinely eating salads or sipping on gazpacho without any protein accompaniments like a boiled egg, yogurt, beans, meat, poultry or fish it could lead to declining muscle tissue over time, which means your metabolism will start to slow down and make it harder for you to lose weight. Aim for 20 to 35 grams of protein per meal (a portion about the size of a smartphone). But keep in mind that to boost weight loss, you may need to cut down on something else, like the starchy portion of your meal.

When youre short on sleep, it alters your bodys appetite-regulating hormones, spiking the levels of the hormones that tell you when youre hungry and reducing levels of the ones that tell you when youve had enough to eat. The net-net: Youre hungrier than normal. In one study, women who slept for five hours a night (instead of the recommended seven hours) were 32% more likely to experience a 30-plus pound weight gain during the 16-year study period.

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When youre sleep deprived, the type of food you crave can change, too. Studies suggest that it leads to an increase in activity levels of the reward circuitry in your brain, so donuts and other high-calorie foods are more irresistible. If you arent meeting the sleep guidelines, start off by creating a set sleep schedule, setting an alarm to go to bed earlier at night and staying consistent about going to bed and waking at routine times every day.

A mere 5% of adults are participating in exercise for 30 minutes a day, so any exercise deserves props. Physical activity is tied to a lower risk of heart disease and diabetes, and staying active can help you maintain your weight more easily. But if youre exercising to drop pounds (rather than maintain your weight), you might need to re-think your motives. Time and again, research points to the fact that when people exercise, theyre hungrier and therefore, eat more enough to make up for the calories they worked off.

Studies also show that when coupled with diet, exercise produces virtually the same weight loss as diet alone. Exercise because it makes you feel better, lifts your spirits and makes you feel stronger, more energetic and empowered. These motivators might even help you lean in toward activities you enjoy rather than ones you think you should be doing, which ups the odds youll stick with your fitness routine. Youll get health benefits from as little as 15 minutes of exercise a day the benefits drop off after 60 minutes a day, so aim to get somewhere in that range.

A little stress here and there isnt a big deal, but when its persistent, your body responds by continuing to pump out the hormone, cortisol, which leads to an increase in appetite and eating. Stress also impacts your food choices. Theres a reason why you crave comfort food, like pizza, instead of a salad when youre stressed out.

And heres the kicker: Studies suggest that when you actively try to lose weight by restricting what you eat, it ups your stress and cortisol levels, which is counterproductive. Exercise, meditation and hugs (be it cuddling a pet or hugging a housemate) are a few good ways to help lower cortisol levels, even when stressful circumstances are beyond your control.

Your body tells you when its hungry and when youve had enough to eat, but over time, you might have learned to override these signals. When you tune in to what your body tells you, you can respond more appropriately, say, by finding an activity when youre bored (instead of rummaging through the cabinets for a snack) or by wrapping up a meal when youre satiated, instead of when youve had too much to eat. Developing these listening skills takes practice, but over time, can help you reduce stress eating, minimize overeating and enjoy meals more.

Its possible to overeat very healthful foods, like avocados, nuts and quinoa, and this can influence your ability to lose weight. These foods can absolutely be part of a weight-loss eating plan, but your portion sizes may need some fine-tuning. For instance, a portion of pasta even healthier whole grain, lentil and chickpea versions is 1/2 cup (about the size of a teacup). A serving of nuts is an ounce, or the amount that would fill a mint tin. For nut or seed butter, the serving size is two tablespoons, or the size of a golf ball. An easy hack to help you fill up on proper portions is to reverse your ratio of grains to veggies on your plate, having twice the amount of veggies as grains or pasta. This trick helps downsize grain and pasta portions while keeping your plate full of food.

Theres a strong link between eating processed foods and your weight. One possible, science-backed explanation: You eat faster and dont fill up as quickly on very processed foods, so you wind up eating more. Just think how much easier and faster it is to wolf down a fast food burger than it is to consume a piece of salmon with a side of broccoli and brown rice. Or compare how quickly you can eat an oat-based granola bar to a bowl of oatmeal.

In one year-long study, dieters were assigned to either a low-fat or low-carb eating meal plan, with both groups losing a similar amount of weight. Despite the different dietary approaches, there were some commonalities about how both groups ate. Both limited sugar and overly processed foods and amped their veggie intake while also eating more whole foods. If you want to simplify your eating habits and lose weight, this is a good way to go.

Continued here:
7 things you may be doing that can prevent weight loss - TODAY

Good news, carb-lovers you may not have to cut back on bread even if you're trying to lose weight, according to experts.

"People have demonized carbs as one of the main things behind gaining weight when that's not proven by evidence," nutrition coach and author Graeme Tomlinson told Insider. "It's 'calories in' versus 'calories out' [that] are going to determine whether you gain or lose weight."

Tomlinson, also known as "The Fitness Chef," recently posted on Instagram to illustrate how a humble slice of bread is often blamed for weight gain, when it is, in fact, what's on the bread that can tip dieters into a calorie surplus.

That's because, no matter how much you enjoy bread, it's rare to just snack on a slice alone. Typically, bread is eaten with toppings, Tomlinson said, such as toast with butter, peanut butter and/or jam, or as a sandwich.

Those toppings, particularly when they're calorie-dense foods like cheese or nut butter, can end up being double or quadruple the calories of the bread itself, he explained.

When trying to reduce or maintain body weight, many continue to assume that bread must be abolished from their diet. In terms of energy, there is no difference between white or brown bread. And whilst the latter contains more fibre [which may increase satiety], one would be better placed to evaluate total ingredients consumed with bread in order to determine a more holistic perspective. Not least because bread is rarely consumed alone. These additional ingredients equate to additional calories. In this example, smearing on a few of generous knifes of peanut butter and jam (components of a hearty PB & jelly sandwich) more than quadruples the total calorie content of the consumed food. Consequently, all of a sudden the debate is not about consumption of bread in the first instance, or its colour in the second. Adding an often invisible 10g of butter to a warm slice of bread will result in the calorie value of the bread increasing from 95 calories to 169. Thus, though its visibility is dormant, it is the butter that nearly doubles the calorie value of what we often perceive as the consequence of eating bread. Standing alone, bread is merely one calorie variable. Using the examples shown in my graphic, there can be multiple additional calorie variables. The quantity of additional variables will influence the overall calorie value of that eating episode. Bread may not be the problem after all. This principle can be applied to ones rationale when assessing and addressing their overall diet. In doing so, one can move away from unwarranted demonisation of a food which can be utilized as energy like any other. Of course, one may over consume bread. But unless their diet comprises of only bread, this is a mere contribution to a bigger sequence of variables. To catastrophize bread as a nutritional problem is to catastrophize a minuscule variable out of many. A calorie surplus over time results in weight gain, not bread. - - #portioncontrol #bread #toast #snacks #peanutbutter #jam #carbs #snackfood #fatlosstips #fatlosshelp #caloriecontrol #losefat #caloriesincaloriesout #losingfat

A post shared by Graeme Tomlinson (@thefitnesschef_) on Jun 17, 2020 at 10:38am PDTJun 17, 2020 at 10:38am PDT

This is true not only of bread, but other carb-heavy staples like potatoes,according to Bonnie Taub-Dix, registered dietitian nutritionist, creator of BetterThanDieting.com, author of Read It Before You Eat It - Taking You from Label to Table, and @bonnietaubdix on Instagram.

"It's not about the carbs, it's about the company they keep," Taub-Dix told Insider. Condiments and spread can quickly and surreptitiously raise the total calorie of your meal or snack and make it harder to keep track, she said.

However, cutting out the carbs themselves could actually backfire, Taub-Dix added, since there's some evidence that carbs, especially high fiber versions like whole grains, are linked to feeling fuller and more satisfied after eating. Carbs could even boost mood, according to some research.

"It's not just about what bread is providing nutritionally speaking but emotionally speaking," Taub-Dix said."If you're having turkey rolled up in cheese and lettuce, you can have 20 of them and not feel satisfied. If youwould have just put that on a sandwich, you would have feel like you had a decent meal."

As such, carbs can potentially be a useful tool for weight loss if they can help stave off snacking later in the day, she added.

Taub-Dix recommends trying to include some of each macronutrient carbs, fat, and protein when you sit down to eat so your meal or snack is nutritionally balanced but also enjoyable.

"That combination is satisfying for your body but also for your mouth and your mind," she said.

Mariana L/Shutterstock

Cutting out bread, or carbs, entirely can also backfire if it makes you crave those foods intensely, leading to overindulgence later.

"If you're cutting things out, those are the foods that come back with a vengeance when you're off the diet and you'll gain back any weight you lost," Taub-Dix said.

If weight-loss is a goal for you, Tomlinson advises focusing on the total meal, including any toppings on your bread. This means using a kitchen scale or other tools to measure out serving sizes and see exactly what it looks like compared to how much you typically use.

"It can be a bit of an eye opener to see how many calories you were eating vs how many you want to meet your target," Tomlinson said."You can eat a lot of the foods you enjoy, you just have to understand portion sizes so you can eat those things and still meet your goals."

You don't have to constantly measure out everything you eat, though just try it a few times so you can get better at estimating a portion size, and how it fits into your own nutritional goals, he suggests.

With that in mind, including some bread in your diet can actually help with weight loss goals, Tomlinson said, since a diet of foods you enjoy is more likely to be a diet you can stick to.

"If you enjoy a type of food, you should include it. People will end up depriving themselves can end up over-consuming enjoyed food," Tomlinson said. "If you can take the diet you have and make the smallest change with the biggest impact, that's sustainable. It's about a lot of small little tweaks."

Read more:

Huge doses of vitamin D will not cure or protect you from the coronavirus, a new report says

Demand is rising for Adele's rumored weight-loss plan, the sirtfood diet. Here's how it works.

How to safely go to the gym and reduce your risk of getting the coronavirus

Read the original post:
Bread won't make you gain weight. It's the toppings, nutritionists say - Insider - INSIDER

64 participants with type 2 diabetes were recruited, all of whom were aged between 30 and 60.

They consumed camomile tea three times per day immediately after meals for eight weeks.

A control group also followed this routine, but they drank water instead.

The camomile tea group had significantly reduced HbA1c (your average blood glucose (sugar) levels for the last two to three months) and serum insulin levels, as well as significantly increased total antioxidant capacity compared to those in the control group.

It shows how quickly each food affects your blood sugar (glucose) level when that food is eaten on its own.

Foods with a high GI ranking will send blood sugar levels soaring so are best to be avoided.

These include:

Type 2 diabetes often goes undetected because the symptoms are often subtle or non-existent in the initial stages.

If you experience symptoms, the most common include:

See more here:
Type 2 diabetes: Drink this tea daily to reduce blood sugar and boost insulin sensitivity - Express

Good news, carb-lovers you may not have to cut back on bread even if you're trying to lose weight, according to experts.

"People have demonized carbs as one of the main things behind gaining weight when that's not proven by evidence," nutrition coach and author Graeme Tomlinson told Insider. "It's 'calories in' versus 'calories out' [that] are going to determine whether you gain or lose weight."

Those toppings, particularly when they're calorie-dense foods like cheese or nut butter, can end up being double or quadruple the calories of the bread itself, he explained.

When trying to reduce or maintain body weight, many continue to assume that bread must be abolished from their diet. In terms of energy, there is no difference between white or brown bread. And whilst the latter contains more fibre [which may increase satiety], one would be better placed to evaluate total ingredients consumed with bread in order to determine a more holistic perspective. Not least because bread is rarely consumed alone. These additional ingredients equate to additional calories. In this example, smearing on a few of generous knifes of peanut butter and jam (components of a hearty PB & jelly sandwich) more than quadruples the total calorie content of the consumed food. Consequently, all of a sudden the debate is not about consumption of bread in the first instance, or its colour in the second. Adding an often invisible 10g of butter to a warm slice of bread will result in the calorie value of the bread increasing from 95 calories to 169. Thus, though its visibility is dormant, it is the butter that nearly doubles the calorie value of what we often perceive as the consequence of eating bread. Standing alone, bread is merely one calorie variable. Using the examples shown in my graphic, there can be multiple additional calorie variables. The quantity of additional variables will influence the overall calorie value of that eating episode. Bread may not be the problem after all. This principle can be applied to ones rationale when assessing and addressing their overall diet. In doing so, one can move away from unwarranted demonisation of a food which can be utilized as energy like any other. Of course, one may over consume bread. But unless their diet comprises of only bread, this is a mere contribution to a bigger sequence of variables. To catastrophize bread as a nutritional problem is to catastrophize a minuscule variable out of many. A calorie surplus over time results in weight gain, not bread. - - #portioncontrol #bread #toast #snacks #peanutbutter #jam #carbs #snackfood #fatlosstips #fatlosshelp #caloriecontrol #losefat #caloriesincaloriesout #losingfat

A post shared by Graeme Tomlinson (@thefitnesschef_) on Jun 17, 2020 at 10:38am PDTJun 17, 2020 at 10:38am PDT

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"It's not about the carbs, it's about the company they keep," Taub-Dix told Insider. Condiments and spread can quickly and surreptitiously raise the total calorie of your meal or snack and make it harder to keep track, she said.

As such, carbs can potentially be a useful tool for weight loss if they can help stave off snacking later in the day, she added.

Taub-Dix recommends trying to include some of each macronutrient carbs, fat, and protein when you sit down to eat so your meal or snack is nutritionally balanced but also enjoyable.

Cutting out bread, or carbs, entirely can also backfire if it makes you crave those foods intensely, leading to overindulgence later.

"It can be a bit of an eye opener to see how many calories you were eating vs how many you want to meet your target," Tomlinson said. "You can eat a lot of the foods you enjoy, you just have to understand portion sizes so you can eat those things and still meet your goals."

With that in mind, including some bread in your diet can actually help with weight loss goals, Tomlinson said, since a diet of foods you enjoy is more likely to be a diet you can stick to.

Huge doses of vitamin D will not cure or protect you from the coronavirus, a new report says

Demand is rising for Adele's rumored weight-loss plan, the sirtfood diet. Here's how it works.

See the article here:
Stop worrying about bread, nutritionists say the toppings you put on your carbs are more likely to influence - Business Insider India

Apple cider vinegar is more than just a tangy salad dressing ingredient. It has been found to have some health benefits for weight loss, gut health, and blood sugar. Here's what the research says about the benefits of apple cider vinegar.

Apple cider vinegar is made from apples using a three-step process:

According to a series of small, preliminary studies, apple cider vinegar may help you lose weight.

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For example, a study published in 2009 in Bioscience, Biotechnology, and Biochemistry followed 175 participants who went about their usual diet and exercise patterns for 12 weeks, but added a drink of one tablespoon of apple cider vinegar diluted in 250 ml of liquid twice per day one dose after breakfast and the other after dinner. The researchers found that people who drank the vinegar solutions lost on average 4.5 pounds by the end of those 12 weeks.

However, if you are looking to lose weight, apple cider vinegar probably won't be enough on its own, Shibeeb says. In order to get the best results from apple cider vinegar, you should combine it with exercise and lower calorie intake.

The type of apple cider vinegar you buy determines whether or not it will contain probiotics, live microorganisms that may support gut health.

Experts believe that the probiotics in apple cider vinegar may be beneficial for gut health, but this has not been researched.

Early studies suggest that drinking apple cider vinegar after a meal can help control blood sugar for people with diabetes.

Researchers believe that apple cider vinegar helps control blood sugar because it makes your body more sensitive to insulin, the hormone that regulates your blood sugar levels. This is important because over time, people with diabetes can lose sensitivity to insulin, making it harder for their bodies to balance blood sugar after a high-carb meal.

Drinking too much apple cider vinegar can have negative consequences.

Apple cider vinegar generally comes in liquid form, but you can find apple cider vinegar tablets. However, there is little research on whether these tablets provide any health benefits.

In order to avoid health risks and negative side effects, Shibeeb says that you should drink no more than 2 to 3 tablespoons of vinegar in 12 oz glass of water each day.

Read more here:
Apple cider vinegar may help with weight loss here's what the research says - Business Insider India

When it comes to mental health, lockdown has affected almost everyone in some way.

And today, in the fourth part of our Helping Hand series, we look at the struggles people have been facing and how to tackle some of the most common issues such as how we can all be mentally weighed down literally.

Ever since I can remember, Ive had an issue with my weight. When I was six, my mum bought me a new swimsuit for my holiday and asked me to try it on to show my auntie.

I remember feeling very self-conscious and came downstairs covering my tummy with my arms. My mum told me I was being silly, but I felt so uncomfortable.

The negative comments started in primary school, but it was when I went to secondary school that the bullying went up a notch.

Ill never forget the day a girl pushed me off the parked school bus shouting: Youre too heavy, the bus cant take it!

Back home, safely hidden from the bullies, Id comfort myself with huge portions of steak pie and rice pudding.

Years passed and though I tried to put school behind me, my anxiety didnt go away. I loathed anyone looking at me, ever after all, theyd have nothing nice to say.

Even surrounded by my loving family my parents Kevin and Helen, my husband Mark, and my children, Jamie and Louise my happiness was always clouded by my low self-esteem.

My mental health was at an all-time low, and physically my health was very poor, I had crippling IBS and problems with mobility.

I knew I had to do something about my weight.

Leaving the house became a huge hassle. If I had to walk, I knew I couldnt go far, my back, knees and ankles would throb, Id be sweating after a short distance and I would get so anxious of being seen and judged.

I felt like I was banging my head against a brick wall when I tried to lose weight. I tried so many plans and fad diets and I couldnt stick to any of them.

Id try my hardest then fall back into bad habits a quick chocolate bar for breakfast and snacking on crisps and sweets.

Then in 2014 my grandfather, who I called Papa, fell ill with cancer. We were very close, and I was visiting him in hospital when he said: Im not scared of dying because Ive lived a wonderful life now, lass, its time you started getting out and living yours.

It was with his words ringing in my ears that I walked into a Slimming World group. It was the only plan I hadnt tried.

I asked a mum outside school, a nurse, about it. She said shed heard it was very good.

The first time I went to the group was nerve-wracking, I felt sick. Ive always been shy and not very good in social situations, but I neednt have worried.

Everybody was so nice. There was no judgement, no humiliation and people were being honest, I thought it was amazing.

I decided to go back the following week. Standing in the queue for weigh-in, I started to panic Id be the first one to gain on their first week.

I thought there was no way I could eat so much and still lose weight.

I couldnt believe it. After a week of cooking from scratch, eating lots of fantastic food and feeling fuller than ever.

Id eaten lasagne, sweet and sour chicken with egg fried rice, mince and potatoes and Id lost 4lb.

This was no diet. This was a sensible healthy eating plan, and the lifestyle change I was looking for.

I lost weight every week. My family all commented on the improvement to not only my figure but my self-esteem.

When my husband was posted to the Falklands for five months, I worried it might send me back to comfort eating.

But my group kept me motivated. When he came back, he hardly recognised me. I had lost an extra 3st while he had been away.

In two years, I lost 9st and now I am happier and more confident than ever.

I feel I am a better role model for my children too with my positive attitude to healthy meals that they love helping to prepare.

Were much more active now too. Before I lost weight I used to joke I was allergic to exercise but now I love walking and Im no longer afraid of people looking at me, my confidence has grown so much.

I often think about how proud Papa would be of me, socialising with friends Ive made in my group while wearing a size-10 dress.

Im enjoying life for the first time in years. I know I can be there for my parents as they get older. I am there for my children and my husband and I now enjoy a social life.

The future is bright now where before it was a dark place. I am forever grateful to my group and to Slimming World.

I feel Ive got my life back and given my husband a happy confident wife and my kids the mum they deserve.

Here is the original post:
Kindness of others inspires woman to lose nine stone in just two years - Mirror Online

The chemical formula of ketamine, a powerful anesthetic that was used to allegedly sedate Elijah McClain during an arrest. He died days later. (Getty Images)

One of the many disturbing police brutality cases to be revisited during the national groundswell of Black Lives Matter support has been that of Elijah McClain the 23-year-old massage therapist and violinist from Aurora, Colo., who was minding his own business and walking home last year when his quirky manner and appearance inspired someone to call the cops on him, leading to his death.

And one of the most alarming details of his case was that it involved the administering of a powerful anesthetic, ketamine, by Aurora Fire Rescue, who allegedly arrived on the scene at the behest of police and injected McClain who reasonably panicked when police officers became aggressive and put him in a chokehold with 500 mg of the drug. The injection, which was enough to sedate a man twice his size, may have played a part in the death of McClain, who went into cardiac arrest on his way to the hospital and later died.

So how did ketamine, a drug used in high doses as a medical sedative and in low doses to combat depression (and, illicitly, as a party drug) get involved in this arrest? While it also played a prominent role in Minneapolis where police allegedly directed EMTs to inject ketamine into dozens of suspects in 2018, leading to an investigation that further revealed suspects were being enrolled in a ketamine study by Hennepin Healthcare without their consent overall, its an uncommon situation. Thats according, at least, to Maria Haberfeld, co-director of the NYPD Police Studies Program at John Jay College of Criminal Justice in New York, who tells Yahoo Life that using ketamine to sedate suspects is practically unheard-of.

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But, she notes, There is nothing general about American law enforcement, with over 18,000 different depts., 97 percent of which are small police departments with less than 50 police officers Im not surprised to find anything and everything, because there are no standards.

And while the use of ketamine on suspects is reportedly legal in Colorado, Haberfeld, who has studied police standards and misconduct for over 20 years, notes that it is not an accepted or legal practice in New York or in any major city. I have no knowledge of any authority, whatsoever, on the part of police to require the EMTs to engage in any specific medical intervention [or] if this is legal or not in a given jurisdiction.

But it is clearly happening, at least in Aurora and Minneapolis. So, what is ketamine anyway? What is it used for, typically, what are the risks and how might it have contributed to the death of McClain? We asked some experts on the drug to explain.

Ketamine was originally developed as an anesthetic agent in the 1960s, and gained popular use starting in the 70s as a field anesthetic during the Vietnam War and others because its very safe to administer in terms of having adverse effects on respiration, explains ketamine expert Gerard Sanacora, a professor of psychiatry at Yale University and director of the Yale Depression Research Program. Its officially in the class of dissociative anesthetic drugs. And, yes, all three versions of ketamine also known as ketamine racemic mixture or ketamine hydrochloride are one and the same.

In addition to being a general go-to anesthetic in operating rooms and emergency rooms, Sanacora says, more recently, its become very commonly used for pediatric emergencies. And its gained a lot of attention in the past decade or two because its been shown to have rapid onset of antidepressant properties. In 2019, the FDA approved a derivative of ketamine esketamine, in the form of a nasal spray to treat depression. Further, adds Sanacora, referring to the McClain case, its come under real interest as a rapid induction sedative. And, notes Alan Schatzburg, a professor of psychiatry at Stanford University who has urged caution in the use of ketamine for depression, Its also been used in certain clinics for severe chronic pain treatment. The main difference for each use lies in the dosage, as well as the route of administration intravenously, orally or, as in McClains case, by intramuscular injection. (As a party drug, it is typically cooked into a powder form and then snorted.) For antidepression use, for example, small, controlled doses are administered, while larger ones are needed for sedation.

Its not a straightforward drug, notes Sanacora, explaining that the main effects come from how it seems to bind to the brains major neurotransmitter of glutamate, blocking the activity, and initiating a whole cascade of events, depending on the dosage. At lower doses, the drug can be excitatory it can excite brain regions and cause an increase in metabolism. Animals tend to move around a lot more people become a little bit more disinhibited, he explains. But at higher doses, it becomes much more sedating, decreasing activity in the brain and taking on sedative and anesthetic properties. It is fast-acting, he says, and has a short half-life and is metabolized quickly, so most of the time its gone within a couple to a few hours of taking it. Schatzburg adds that the dose for agitation is high, at 4 mg to 5 mg per kilo, with which a patient will fall asleep in six minutes.

Short-term risks can be either physiological usually a transient increase in heart rate or blood pressure with a lower dose, or, with higher doses, a relatively low risk of respiration problems or psychological. So, in some patients, [low doses] could create a feeling of anxiety, and really change your perceptions and cognition so you may not be thinking clearly. Long-term risks come more with the high-level abuse of ketamine and can include bladder or gastrointestinal problems.

There are higher risks involved in an out-of-hospital setting, when the individuals medical history or current situation is unknown, as with McClain. There is definitely a higher risk, and there are many studies showing a higher risk of intubation when drugs are given in the field [where] youre not able to do blood work or an EKG to try to understand the situation. But the flip side, he says, is that by doing nothing in a situation when someone is highly agitated, theres a real risk too. Schatzburg says that before learning of the McClain incident, I never knew that it was used this way. The 500 mg, he adds, is a whopping dose.

That depends. This is a really difficult thing ... and the true definition of a dilemma, the worst thing for a clinician or EMS, when youre called to someone who is highly agitated and you cant figure out what is going on, says Sanacora. When someone is in a state of acute agitation, sometimes referred to by police and EMTs as excited delirium, he says, there is a relatively high mortality and morbidity risk, so people in those states run a risk of 5 percent to 10 percent of having a really bad outcome ... [so] there is some pressure to take care of that quickly.

Physical restraint, Sanacora explains, is not necessarily the best thing, because part of the physiology thats actually going on during this is called autonomic dysfunction, which is the way the body is normally keeping things in control. Your temperature, your blood pHm, your heart rate is in many cases out of control, so a person can become hypothermic [or suffer from] metabolic acidosis, a serious acid-base imbalance in the body. Pushing against restraints can cause muscle breakdown, which in turn can release a lot of potassium, which can be damaging to the heart. So, there is a real urgency to treat someone like that, and just leaving them in that state is quite dangerous. Its complicated. The standard sedative injection to be used in these situations, he says, has been an antipsychotic along with a benzodiazepine, but that comes with risks to heart and respiratory function. Ketamine research, meanwhile, is suggesting it may be one of the safest things you can give in that situation. So its not crazy.

Schatzburg agrees that people can have excited delirious states where theyre nonresponsive to intervention. Thats real. And theres a relatively high mortality associated with it. But he personally believes that a benzodiazepine might bring less risk in these out-of-hospital situations, and worries that if use of ketamine continues in this way, We are going to have a number of untoward events, if I were to predict. Referencing what hes read about McClain, he notes, With somebody in a manic frenzy, theres risk. But if hes just walking along doing nothing, well, theres not much risk there.

For the latest coronavirus news and updates, follow along at https://news.yahoo.com/coronavirus. According to experts, people over 60 and those who are immunocompromised continue to be the most at risk. If you have questions, please reference the CDCs and WHOs resource guides.

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How does the body react to ketamine the drug used on Elijah McClain during fatal arrest? - Yahoo Lifestyle

With the spectre of an economic crisis looming, political parties made their case for how they would keep Singaporeans in jobs and tackle unemployment on day two of the hustings.

The ruling People's Action Party (PAP) has emphasised jobs as one of the key issues in the July 10 general election and it resounded through the day.

Prime Minister Lee Hsien Loong pointed to how the Economic Development Board was able to attract $13 billion in new investments in the first quarter of this year, which will generate several thousand jobs over the next few years.

In a video message yesterday, he said this was possible because investors know Singapore's Government has strong popular support, and can get backing for "policies that will grow the economy, attract talent and investment, and eventually create jobs for Singaporeans".

"In a crisis, it is even more critical for us to reinforce these fundamentals, in order to attract more investments and jobs to Singapore," PM Lee added.

Jobs was also a central topic in an election debate between four parties that was broadcast live by Mediacorp last night.

Workers' Party (WP) candidate Jamus Lim highlighted the party's proposals for a national minimum take-home wage of $1,300 a month for full-time work, as well as a redundancy insurance scheme.

The scheme would see workers pay $4 a month, matched by employers, into a security fund, and retrenched workers would receive a payout equivalent to 40 per cent of their last drawn salary for up to six months, capped at $1,200 a month.

Progress Singapore Party (PSP) candidate Francis Yuen said Singaporeans have to "get priority in jobs", by freeing up jobs held by foreign professionals, managers, executives and technicians (PMETs).

"We believe that we need foreign PMETs to complement, but we need to believe that there is opportunity for us to slow it down," Mr Yuen said.

The former air force colonel also highlighted the need for small and medium-sized enterprises to thrive and prosper, to keep jobs available to Singaporeans.

Singapore Democratic Party (SDP) chief Chee Soon Juan called on the PAP to "stop this foolishness" of bringing in foreign workers, especially PMETs.

It is not sustainable, he said, to bring in foreign PMETs "for the purposes of lowering wages".

In response, Foreign Minister Vivian Balakrishnan noted that 60,000 foreigners have lost their jobs in the first five months of this year. He also highlighted various support schemes and initiatives that have been rolled out to save the jobs of Singaporeans amid the Covid-19 pandemic.

Dr Balakrishnan said: "The central focus of our (PAP's) campaign is jobs, jobs, jobs."

Dr Chee responded: "I think that's more an election jingle than a well-thought-out plan."

Citing the Jobs Support Scheme, Dr Balakrishnan said: "During the circuit breaker, in effect the Government was paying three quarters of the median wage of Singaporeans."

The minister also pointed to measures like the income relief scheme for the self-employed, and the SGUnited Jobs and Skills Package that will create some 100,000 opportunities in the form of jobs, traineeships and paid skills training places.

Parties on the campaign trail yesterday relied on walkabouts in constituencies and other online events to reach out to voters.

Deputy Prime Minister Heng Swee Keat, for instance, held an e-rally with members of his East Coast GRC team. Conducted like a panel discussion, the five candidates spoke on national as well as municipal issues, and addressed questions to them on Facebook.

The WP launched the first episode of its "Hammer Show". The pre-recorded show saw candidates like former Non-Constituency MP (NCMP) Gerald Giam making speeches to viewers.

There was also a talk show segment, where party chief Pritam Singh and chairman Sylvia Lim posed questions to three of the party's candidates.

In the process, the WP leaders reinforced points that they have previously made - that the vote is secret, that checks and balances are needed in Parliament, and that the NCMP scheme is meant to prevent opposition parties from sinking roots in constituencies and building up a power base.

Elsewhere, Home Affairs and Law Minister K. Shanmugam took aim at the PSP, saying it seemed to be "half-hearted" about contesting in his Nee Soon group representation constituency.

He added that the PSP was offering to trade Nee Soon for some other constituency a week ago - a statement PSP candidate Bradley Bowyer called "far-fetched". The party had never negotiated ceding Nee Soon to the Reform Party, Mr Bowyer added.

The hustings continue today, with the first of two party political broadcasts to be aired across 19 TV and radio channels from 8pm this evening.

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Singapore GE2020: Securing jobs key theme on day two of campaign - straits times