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Pharma ‘Solutions’ Fueled The Opioid Crisis; They Won’t Get Us Out Of It

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Pharma 'Solutions' Fueled The Opioid Crisis; They Won’t Get Us Out Of It


The doctors and dentists Americans count on are still fuelling the opioid crisis. Big pharma pushes addictive drugs, and our healthcare system is more than happy to pay for them. We won’t win this battle by dishing out more prescriptions. Instead, we have to fundamentally reframe the way we view pain and addiction.  

Pain is personal. That’s why a one-size-fits-all approach never works, especially when that solution is brutally addictive. We’ve tackled this problem in the wrong ways for a long time. That’s why we must insist on a new era of self-guided, non-opioid pain relief. 

The opioid figures paint a bleak picture. In the US, the number of people dying from opioid overdose increased by 120% between 2010 and 2018. The pandemic has made it far worse, with 75,673 Americans dying from an opioid overdose in the 12-month period ending in April 2021, up from 56,064 the year before.  The tragic reality of this epidemic is that it’s a self-inflicted wound. 

In the 1990s, Purdue Pharma launched OxyContin® and marketed it as a safe and effective way to treat pain. Pharmaceutical companies launched aggressive promotion and marketing campaigns, pushing the idea that physicians undermanaged pain and worried too much about addiction. 

Since then, between 40 and 80% of opioid use disorder (OUD) has been attributed to initial medical use for pain. Unlike other drug crises, 80% of OUD starts with a pill prescribed by a physician or dentist

Now, we know better. We know that 10-15% of people are susceptible to addictive highs beyond pain relief due to genetic metabolism speed. In fact, in one study of 15,000 young people, 5.8% of young adults who got opioids for wisdom tooth removal were addicted within a year, compared to 0.4% who did not. That’s over 1 in 20 new opioid users, for a commonplace procedure that typically hurts for 2 days. 

Most importantly, we know that for most outpatient injuries and surgeries, opioids are inferior to over-the-counter care. We also know that both psychosocial and genetic factors trigger the persistent use of opioids after healing

Poet, memoirist, and civil rights activist Maya Angelou famously prescribed, “do the best you can until you know better. Then, when you know better, do better.” We didn’t know then, but we certainly do know now. As physicians, our first duty is to do no harm. 

But the call to action extends far beyond the re-education of healthcare providers across America. The opioid crisis in the United States requires us to rethink the way we manage pain across our entire healthcare system. 

As the first port of call, for acute pain, we need to get everyone below 3 days of home opioid use. For minor pain, we need to give people pain relief options to avoid opioids altogether. 

We already have credible, highly effective pain solutions that give patients power over their pain, without exposing them to the risk of addiction. For example, it turns out that readily-accessible options like pressure, stretching, motion, and touch all inhibit pain strongly in the spine. Cold and magnesium supplements each reduce pain by up to 30%. A recent pilot of a cold/mechanical stimulation device after knee surgery reduced opioid use by 35%. A 2013 mastectomy study found magnesium reduced oral opioids from 30mg opioid equivalents to 10mg.

But neither M-stim devices nor magnesium are covered by insurance. Few doctors even know to tell patients about these options at all. 

Our pharma-focus fuels our addiction crisis. Pain is personal, complicated, and best treated with patient-directed, multi-option plans. Pills should be a short-term option, but not the first solution for pain. A balanced model is the safest and most effective way to treat pain. To make that work, Americans need coverage for pain relief, not just pain pills. 

Ultimately it is patients who understand their pain the most. That’s why we need to require non-pharmacological recommendations with every prescription. Health plans should cover pain relief devices, office education, pill-sparing strategies, and even give patients a budget for pain services and products. 

Our healthcare system is set up to reimburse and pay for drugs the moment they tip the statistical significance scales, but not to pay for much less expensive, holistic options. And we’ve come to accept this one-size-fits-all solution that’s anything but a solution. For those 75,653 Americans in 12 months, it’s a death sentence. 

If we want to start saving lives, all stakeholders, from physicians to health insurers and policymakers, are going to have to work in unison to redraw the pain management policy map. The NOPAIN act by Senator Moore-Capito would pay for proven opioid-sparing devices. It’s a good start, but doesn’t go far enough with our understanding of the power of options, and allowing patients to pick pain prevention.

There is a growing priority to understand and prevent new addiction. Unfortunately, our healthcare system and pharma lobbyists drag this process down by keeping the focus on opioid rehabilitation medications and alternative drug therapies. Prescribing is still an easy habit, and pills cost patients so much less – but cost society so much more. 

(Amy Baxter is a pain relief scientist, and inventor and founder of Pain Care Labs)





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Feeling Tired All The Time? Possible Causes And Solutions

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Long days of work, lack of sleep, and stress at the office can be the most common factors that make you feel tired. However, feeling “tired all the time” (TATT) without known reasons can be an indication of an underlying health issue that needs immediate attention.

Finding the exact cause of the lingering tiredness can be the first step toward solving the symptom.

Health conditions that cause fatigue:

1. Anemia – Anemia is one of the most common causes of fatigue. A person who has anemia does not have enough red blood cells in the body, causing symptoms such as tiredness, dizziness, feeling cold and crankiness.

Most often, anemia is caused by iron deficiency. Hence, the condition can be best resolved by including iron-rich foods in the diet and use of iron supplements.

2. Sleep Apnea – It causes the body to stop breathing momentarily during sleep. The condition can affect the quality of sleep and hence make you feel fatigued.

For milder cases of sleep apnea, lifestyle changes such as losing weight or quitting smoking can help solve the sleep disorder. In more severe cases where there is an obstruction in breathing, surgeries and therapies can help.

3. Diabetes – A person who has diabetes has changes in blood sugar level, which can cause fatigue. A patient who is already on diabetic medication can also experience tiredness as a side effect of the medication.

Early identification and taking the correct treatment is the key to managing diabetes. Losing extra weight and having a healthy diet also help in the treatment.

4. Thyroid – Thyroid diseases can be due to an overactive or an underactive thyroid gland. In people who have an underactive thyroid (hypothyroidism), the metabolism slows down leading to symptoms such as lethargy and fatigue. In people with an overactive thyroid (hyperthyroidism), the metabolism speeds up leading to fatigue and difficulty sleeping.

Right diet and lifestyle choices, along with medications, can help in thyroid management.

5. Infections – A person can show symptoms of fatigue when the body is fighting a viral or bacterial infection. Infections ranging from the flu to HIV can cause tiredness.

Along with fatigue, other symptoms such as fever, headache, body aches, shortness of breath and appetite loss can also accompany the infection. Treating the symptoms and taking adequate rest helps in faster recovery.

6. Food allergies – Fatigue may be an early warning sign of hidden food allergies and autoimmune disorders such as celiac disease. Identifying the allergen using a food allergy test or through an elimination diet can help in allergy treatment.

7. Heart disease – If you feel exhausted from an activity that used to be easy, then it is good to check your heart health, as fatigue can be an indication of underlying heart disease.

8. Depression/ anxiety – Fatigue can also be an indicator of a mental health disorder such as depression or anxiety. A combination of medication and psychotherapy can help relieve symptoms.

Lifestyle causes

Apart from serious health conditions, certain lifestyle habits such as dehydration, poor diet, stress and insufficient sleep can cause exhaustion. Having a well-balanced diet, regular exercise and routine sleep can help solve fatigue caused by lifestyle habits.

Published by Medicaldaily.com



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How To Overcome Your Sleep Debt And Reclaim Energy

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Picture this: you’re burning the midnight oil, studying or binge-watching your favorite shows, all at the expense of a good night’s sleep. Have you ever stopped to think about the toll it takes on your body and mind? The consequences can be more serious than you might realize.

Not getting enough sleep can translate into a multitude of issues, including weight gain, lack of focus, tiredness, a haze of confusion, and even depression. If you too are encountering similar issues lately then chances are you have a sleep debt.

Wondering what is sleep debt?

People from 13-18 years of age need 8 hours of sleep, whilst adults beyond that age will require at least 7 hours of snooze.

Sleep debt is a collection of the total hours you haven’t slept or traded your sleep for something else. Sleep debt keeps piling up as a person falls short of the total hours of sleep recommended for an adult, according to the Centers for Disease Control and Prevention.

And when you keep letting go of your sleep for other activities, the body adapts to the new normal and effects start to reflect on the energy levels, which deplete.

“However, like every other debt out there, this too has a repayment option,” Dr. Kunal Kumar, medical director of the Sleep Center at Einstein Medical Center in Philadelphia, told Livestrong.

Below are some expert-vetted ways you can pay back the sleep debt. (Courtesy: Livestrong and Sleepfoundation)

Just like financial debt, imagine sleep debt as a debt you owe to your body. It needs to be repaid. The good news is that catching up on sleep is indeed possible.

  • Maintain a set sleep schedule: Overhauling the sleep schedule is a pretty difficult task to achieve, and it’s best to do that gradually. Create a set sleep schedule by making some small changes to your routine. Instead of making abrupt shifts in your bedtime or wake-up time, adjust them gradually by 15 to 30-minute increments.
  • Minimize your gadget usage: Wind down activities and minimize electronic usage before bed to promote better sleep. Relax and prepare for quality sleep by dimming the lights and setting an alarm for 30 minutes to an hour before bed.
  • Reshuffle your sleeping arrangements: Are you finding it hard to get a good night’s sleep due to excessive sweating? Well, here’s a handy solution: consider upgrading to a cooling mattress or opting for cooling sheets. These innovative sleep essentials can help regulate your body temperature, and keep you comfortably cool throughout the night, ensuring a more blissful slumber. Memory foam pillows can work wonders in relieving neck and back discomfort in case you are struggling with backache.
  • Improve the bedroom environment: Create a sleep-friendly bedroom environment by adjusting the temperature for comfort, and blocking out disruptive lights, or noises that might disturb your restful slumber. And if your mattress, pillow, or sheets are worn out or no longer providing the support you need, consider treating yourself to new ones.

Published by Medicaldaily.com



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Omega-3 Fatty Acids Slow The Progression Of Amyotrophic Lateral Sclerosis: Study

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Omega-3 fatty acids are known for a range of health benefits, from promoting brain and heart health to reducing inflammation and protection against several chronic conditions.

In a new study, researchers found that omega-3 acids, especially the type found in foods like flaxseeds, walnuts, chia seeds, canola oil and soybean oil, can slow down the progression of amyotrophic lateral sclerosis (ALS).

It is a debilitating nervous system disease that gradually worsens over time and can be fatal. The condition results in a loss of muscle control and affects the nerve cells in the brain and spinal cord. It is also known as Lou Gehrig’s disease after the baseball player who was diagnosed with it.

The initial symptoms of the disease include muscle weakness, difficulty in walking and hand movements. The symptoms can slowly progress to difficulties with chewing, swallowing, speaking and breathing.

The exact cause of ALS is not known. However, around 10% of people get it from a risk gene passed down from a family member. It is estimated that more than 32,000 people in the U.S. live with the condition.

In the latest study, researchers from Harvard T.H. Chan School of Public Health in Massachusetts evaluated 449 people living with ALS in a clinical trial. The team assessed the severity of their symptoms, the progression of their disease, along with the levels of omega-3 fatty acids in their blood, for 18 months.

The study suggested that alpha-linolenic acid (ALA), a type of omega-3 found in plants, is particularly beneficial in slowing the progression of ALS. The participants with the highest levels of ALA had a 50% reduced risk of death during the study period compared to those with the lowest levels of ALA.

Researchers also found a reduction in death risk in participants who had eicosapentaenoic acid, the type of omega-3 fatty acid found in fatty fish and fish oil, and linoleic acid found in vegetable oils, nuts and seeds.

A previous study conducted by the same team suggested that a diet high in ALA and higher blood levels of the nutrient could reduce the risk of developing the condition.

“In this study, we found that among people living with ALS, higher blood levels of ALA were also associated with a slower disease progression and a lower risk of death within the study period. These findings, along with our previous research suggest that this fatty acid may have neuroprotective effects that could benefit people with ALS,” said Kjetil Bjornevik, the lead author of the study.

Published by Medicaldaily.com



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