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  • Fitness Trainer Gets Diagnosed With Rare Blood Cancer At 25 After Brushing Off Strange Symptoms

    Fitness Trainer Gets Diagnosed With Rare Blood Cancer At 25 After Brushing Off Strange Symptoms

    For a 23-year-old fitness trainer, Dilan Patel in the U.K., life was going normal until he began experiencing a strange, recurring symptom that kept him up two to three times a night. For nearly two years, Patel ignored night sweats and several other warning signs. However, when they became impossible to overlook, he was faced with a life-altering diagnosis: Hodgkin lymphoma, a rare type of blood cancer.

    Hodgkin Lymphoma is a cancer that affects the lymphatic system. Although a serious form of cancer, the tumors in the lymph nodes can be cured if diagnosed and treated early. However, most often signs such as night sweats can easily be mistaken for less serious issues.

    “You won’t believe it… I was 25 years old, living my life like any other young adult – working hard, working out, hanging with friends, and trying to figure out my future. Life felt normal. I had no reason to think anything was wrong. But then something strange started happening,” Patel said in a TikTok video.

    “I’d wake up in the middle of the night drenched in sweat. I mean SOAKED. My clothes, my bed – everything would be wet. It happened 2-3 times every single night. At first, I just thought, ‘Maybe I’m getting too hot under the covers?’ So I brushed it off,” he added.

    Apart from night sweats, Patel experienced persistent itchy skin, which he brushed off as nothing more than dryness, and fatigue and lumps on his neck that he assumed were from intense gym workouts.

    “Everything had an explanation – or so I thought,” Patel said. However, by the time Patel was diagnosed with stage 4B Hodgkin’s Lymphoma, he already had five tumors and the cancer had even spread to his lung.

    “I couldn’t believe it. I’d spent so long brushing off my symptoms, convincing myself they weren’t a big deal. But my body had been screaming at me for almost 2 years,” Patel said.

    The symptoms of Hodgkin lymphoma include painless, swollen lymph nodes in the neck, underarm, or groin, unexplained fever, drenching night sweats, weight loss over six months without a clear reason, persistent fatigue, and itchy skin, particularly after bathing or drinking alcohol.

    “If there’s one thing I’ve learned from this experience, it’s to pay attention to your body. Those little signs and symptoms? They’re there for a reason. Don’t wait until it’s too late,” Patel added.



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  • Pedal to the Sun: The Top 10 Benefits of Outdoor Cycling for Your Health

    Pedal to the Sun: The Top 10 Benefits of Outdoor Cycling for Your Health

    As the sun rises over the horizon, a group of cyclists hit the pavement, their pedals moving in unison as they embark on a journey of self-discovery and physical transformation. Pedal to the sun, as they call it, is more than just a mode of transportation – it’s a way of life. And for good reason. Outdoor cycling has been proven to have numerous benefits for both physical and mental health. In this article, we’ll explore the top 10 benefits of outdoor cycling and why it’s an activity worth incorporating into your daily routine.

    Benefit #1: Cardiovascular Fitness

    Cycling is an excellent way to improve cardiovascular fitness, increasing heart rate and blood flow throughout the body. Regular outdoor cycling can help lower blood pressure, reduce the risk of heart disease, and even improve lung function. Whether you’re a seasoned athlete or just starting out, cycling is an accessible and enjoyable way to get your heart rate up and keep it there.

    Benefit #2: Weight Loss

    Cycling is a calorie-burning machine, and outdoor cycling is no exception. Depending on the intensity and duration of your ride, you can burn anywhere from 400 to 600 calories per hour. This makes it an excellent addition to any weight loss program. Plus, the fresh air and scenic views can make the time fly by, making it feel less like a chore and more like a treat.

    Benefit #3: Mental Health

    Mental health is just as important as physical health, and outdoor cycling can be a powerful tool in the fight against anxiety and depression. The endorphins released during exercise can help improve mood and reduce stress, while the fresh air and sunshine can boost vitamin D levels and improve overall mental well-being. Whether you’re riding solo or with a group, the sense of accomplishment and camaraderie can be a powerful mood-booster.

    Benefit #4: Increased Strength and Endurance

    Cycling works multiple muscle groups, including the legs, core, and arms. Regular outdoor cycling can help increase strength and endurance, making everyday activities like climbing stairs or carrying groceries a breeze. Plus, the increased blood flow and oxygenation of the muscles can help reduce muscle soreness and improve overall athletic performance.

    Benefit #5: Improved Flexibility and Mobility

    Cycling can help improve flexibility and mobility, particularly in the hips, knees, and ankles. The constant movement and stretching can help increase range of motion and reduce stiffness, making it an excellent activity for people of all ages and fitness levels.

    Benefit #6: Better Sleep

    Regular outdoor cycling can help improve sleep quality and duration. The physical activity and fresh air can help regulate the body’s internal clock, making it easier to fall asleep and stay asleep. Plus, the sense of accomplishment and relaxation that comes with a good ride can help reduce stress and anxiety, making it easier to drift off to dreamland.

    Benefit #7: Increased Vitamin D

    Vitamin D is essential for bone health, immune function, and overall well-being. And outdoor cycling is an excellent way to get it. The sun’s UV rays stimulate the production of vitamin D in the skin, making it an excellent activity for people who are deficient or have low levels.

    Benefit #8: Reduced Risk of Chronic Diseases

    Regular outdoor cycling can help reduce the risk of chronic diseases like type 2 diabetes, certain types of cancer, and even dementia. The physical activity and improved cardiovascular fitness can help improve insulin sensitivity, reduce inflammation, and promote overall health and well-being.

    Benefit #9: Increased Creativity and Productivity

    Cycling has been shown to increase creativity and productivity, particularly in individuals who engage in creative pursuits. The fresh air, scenic views, and sense of freedom can help stimulate the mind and inspire new ideas and perspectives. Plus, the physical activity can help increase blood flow to the brain, making it easier to focus and stay motivated.

    Benefit #10: Sense of Community and Camaraderie

    Outdoor cycling is a social activity that can help increase a sense of community and camaraderie. Whether you’re riding with friends, joining a cycling club, or participating in a charity ride, the shared experience and sense of accomplishment can help build lasting bonds and create memories that last a lifetime.

    Conclusion

    Pedal to the sun is more than just a mode of transportation – it’s a way of life. Outdoor cycling offers a wide range of benefits for both physical and mental health, from cardiovascular fitness and weight loss to improved mental health and increased creativity. Whether you’re a seasoned athlete or just starting out, cycling is an accessible and enjoyable way to get moving and stay healthy. So why not grab your bike and hit the pavement? Your body – and mind – will thank you.

    FAQs

    Q: Is outdoor cycling safe?
    A: Yes, outdoor cycling is generally safe, but it’s always important to take necessary precautions such as wearing a helmet, following traffic laws, and being aware of your surroundings.

    Q: What type of bike is best for outdoor cycling?
    A: The type of bike best for outdoor cycling depends on your riding style, terrain, and personal preference. Road bikes, mountain bikes, and hybrid bikes are all popular options.

    Q: How often should I cycle?
    A: The frequency and duration of your rides will depend on your fitness goals and current level of fitness. Aim to cycle at least 2-3 times per week, with longer rides on the weekends.

    Q: What are some tips for beginners?
    A: Start with short, easy rides and gradually increase distance and intensity as you build endurance. Wear comfortable clothing and proper safety gear, and consider taking a cycling class or joining a cycling group to learn new skills and stay motivated.

    Q: Can I cycle in the rain?
    A: Yes, but it’s important to take necessary precautions such as wearing waterproof gear, using bright lights and reflective gear, and avoiding flooded roads.

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  • Page Not Found – Precision Nutrition

    Page Not Found – Precision Nutrition

    It seems the page you’re looking for has disappeared. But we do have some other cool stuff to share.
    Just scroll down to check out our products and services, free starter kits,
    and free nutrition and fitness articles. You can also search for what you need below.

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  • Woman’s Migraines, Motion Sickness Thought To Be From Phone Use Revealed Rare Brain Disorder

    Woman’s Migraines, Motion Sickness Thought To Be From Phone Use Revealed Rare Brain Disorder

    For years, 44-year-old Charlie Rolstone from the U.K. brushed off her migraines, motion sickness, and occasional blackouts as the side effects of spending too much time on her phone. But a medical emergency three years ago revealed a chilling truth that her symptoms stemmed from a rare brain disorder from her skull pushing against the brain.

    An MRI taken during the emergency visit revealed that Rolstone had epilepsy and a Chiari malformation, a condition caused by an abnormal skull structure that forces the brain to extend downward into the spinal canal.

    “I’ve had it my whole life, but my symptoms have only been getting worse as I’ve got older,” said Rolstone, SWNS reported.

    “I’ve suffered with migraines since I was a teen. Whenever I cough, I also get a very piercing pain in my head, covering the back of my skull. It only lasts for, maybe, 30 seconds — but it’s enough to make me grab my head. I can’t even shout or raise my voice without getting a headache. These were symptoms I knew to be there, but I thought they were normal,” she added.

    Rolstone thought she would grow out of the symptoms until she received the diagnosis while she was taken to the hospital after collapsing from a seizure. The doctors also found out that she had brain lesions and an aneurysm.

    “I don’t know the full extent of the damage the condition has done, but I’m glad we’ve caught it now. That seizure saved my life — it revealed my Chiari malformation,” she said.

    Rolstone now manages her migraines with painkillers and limits her phone use to reduce motion sickness. With medications for epilepsy, she has been seizure-free for 21 months.

    Chiari malformation can be present with or without symptoms, and the signs depend on the type of condition. In Chiari malformation type 1, symptoms such as headaches, particularly while coughing or sneezing, neck pain, poor hand coordination, numbness in the hands and feet, and difficulty swallowing, typically begin in late childhood or adulthood, though the condition is often congenital.

    In rare cases, individuals with Chiari malformation type 1 may experience additional symptoms, including ringing or buzzing in the ears (tinnitus), muscle weakness, a slow heart rhythm, curvature of the spine (scoliosis) linked to spinal cord impairment, and breathing difficulties.

    Type 2 Chiari malformation is typically associated with a myelomeningocele, a form of spina bifida where the spinal canal and backbone fail to close properly before birth. The symptoms include difficulty swallowing, changes in breathing pattern, sudden downward eye movements and weakness in arms.

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  • (CB 6) Essential Keto Cookbook Digital Plus Bonuses (.95) (PPU: 50232) – Keto Diet Team

    (CB 6) Essential Keto Cookbook Digital Plus Bonuses ($9.95) (PPU: 50232) – Keto Diet Team

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  • Scaling New Heights: Conquering the World’s Most Daring Mountain Treks

    Scaling New Heights: Conquering the World’s Most Daring Mountain Treks

    Scaling New Heights: Conquering the World’s Most Daring Mountain Treks

    The allure of the mountains is irresistible. For many, the thought of scaling the world’s most daring mountain treks is a tantalizing prospect, a challenge to be overcome. For others, it’s a personal quest, a test of resolve and endurance. Whatever the motivation, the allure of the high country is strong, and for those who dare to attempt the world’s most daunting peaks, the rewards are well worth the effort.

    The World’s Most Daring Climbs

    No. 1: Mount Everest, Nepal/China – 8,848m (29,029ft)

    The highest peak in the world, Mount Everest is a behemoth of a climb, requiring trained mountaineers with experience and skill. The steep inclines, crevasses, and unpredictable weather conditions make it a formidable challenge for even the most experienced climbers.

    No. 2: K2, Pakistan/China – 8,611m (28,251ft)

    K2 is often referred to as the "Savage Mountain" due to its treacherous terrain and unpredictable weather patterns. The climb is steep, and the route is exposed, making it a test of physical and mental endurance for even the most seasoned climbers.

    No. 3: Annapurna, Nepal – 8,091m (26,545ft)

    With 16,000m (52,499ft) of vertical gain, Annapurna is one of the most challenging climbs in the world. The climb is physically demanding, with steep inclines and treacherous terrain, making it a true test of endurance for even the most experienced mountaineers.

    No. 4: Nanga Parbat, Pakistan – 8,125m (26,650ft)

    As the 9th highest peak in the world, Nanga Parbat is a formidable challenge, with steep inclines, snow walls, and crevasses. The climb is considered one of the most difficult ascents in the world, requiring expert knowledge and experience.

    No. 5: Makalu, Nepal/China – 8,463m (27,766ft)

    Makalu is considered one of the most unclimbed peaks in the world, with a sheer face that rises from the plateau at over 6,000m (19,685ft). The climb is physically demanding, with steep inclines and treacherous terrain, making it a true test of strength and endurance.

    Conquering the World’s Most Daring Mountain Treks

    For those who dare to attempt these climbs, the journey begins long before setting foot on the mountain. Months of preparation, training, and planning are necessary to prepare for the challenges ahead. Climbers must be in top physical condition, with a strong sense of focus and determination.

    Physical and Mental Preparation

    To conquer the world’s most daring mountain treks, climbers must be prepared to push their bodies to the limit. This requires a high level of physical fitness, including strength, endurance, and agility. Climbers must also be mentally prepared to face the challenges ahead, with a strong sense of focus and determination.

    The Right Gear and Equipment

    Climbers must also have the right gear and equipment to ensure a safe and successful ascent. This includes high-quality climbing gear, such as ropes, harnesses, and crampons, as well as specialized equipment like satellite phones and emergency beacons.

    Conclusion

    Scaling the world’s most daring mountain treks is a test of physical and mental endurance, requiring months of preparation, training, and planning. For those who are brave enough to take on this challenge, the rewards are immense, with breathtaking views, a sense of accomplishment, and a renewed respect for the power and beauty of nature.

    FAQs:

    Q: What are the most important skills for a climber to possess?

    A: The most important skills for a climber to possess include physical endurance, mountaineering knowledge, and the ability to navigate using a map and compass.

    Q: What is the most common hazard on high-altitude climbs?

    A: The most common hazard on high-altitude climbs is altitude sickness, which can cause a range of symptoms, including headaches, nausea, and fatigue.

    Q: How do climbers acclimatize to high altitudes?

    A: Climbers typically acclimatize to high altitudes by gradually ascending to higher elevations, allowing their bodies to adjust to the lower oxygen levels.

    Q: What is the most critical piece of equipment for a climber to bring on a high-altitude climb?

    A: The most critical piece of equipment for a climber to bring on a high-altitude climb is a satellite phone or an emergency beacon, in case of medical emergencies or getting lost.

  • No evidence that cell phone radiation causes cancer, says expert

    No evidence that cell phone radiation causes cancer, says expert

    Under the Donald Trump administration, the Department of Health and Human Services (HHS) may re-evaluate policies related to the potential health risks of cell phone radiation and wireless signals, such as cancer—but research has not demonstrated such risks, according to Harvard T.H. Chan School of Public Health’s Timothy Rebbeck.

    Robert F. Kennedy Jr.—the nominee for HHS secretary—has previously expressed concerns about cell phone safety, and it’s possible that, if confirmed, he would push for tighter regulations. But in a Dec. 10 Undark article, Rebbeck, Vincent L. Gregory, Jr. Professor of Cancer Prevention, said that studies have not found a connection between cell phone radiation and health issues. He explained that the types of radiation known to cause cancer—such as gamma rays and x-rays—have shorter wavelengths than those produced by cell phones.

    “The best evidence is all pretty clear around cell phones right now, and I would make sure that the policy recommendations are not only based in science, but also don’t cause issues that are unnecessary,” he said.

    Read the Undark article: In the Trump Administration Crosshairs: Cell Phone Radiation

    Learn more

    Cell phones don’t cause brain cancer: study (Harvard Chan School news)

    No link found between brain cancer and cell phone use, experts say (Harvard Chan School news)


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  • Pregnant Woman And Baby Saved After Doctors Identify Her Bad Cough, Breathlessness Was Rare Tumor In Chest

    Pregnant Woman And Baby Saved After Doctors Identify Her Bad Cough, Breathlessness Was Rare Tumor In Chest

    MaKenna Lauterbach from Illinois was 36 weeks pregnant when she received the shocking diagnosis of a large tumor in her chest, revealing the real cause of the persistent cough and breathlessness during her pregnancy. The 26-year-old, who was diagnosed with stage 3 melanoma, is now stable and recovering, along with her healthy baby, thanks to the timely intervention and coordinated efforts of a dedicated team of doctors.

    When Lauterbach experienced a bad cough while she was expecting, she knew something was wrong. Simple tasks, like walking to the barn to feed her horses, left her unusually winded, as if she had just run two miles. However, doctors were initially hesitant to perform chest scans due to concerns about radiation exposure.

    When Lauterbach was almost due, the cough worsened to the extent that she started throwing up and had to be hospitalized for shortness of breath. The scans then revealed a grapefruit-sized tumor in her chest, blocking the artery to her right lung.

    By the time Lauterbach received the diagnosis, she was in respiratory distress, the tumor obstructing her airway, putting both her life and her baby’s at risk.

    After being airlifted to the intensive care unit at Northwestern Memorial Hospital in Chicago, her condition worsened, she went into labor, her blood pressure spiked, and the baby began showing signs of distress during contractions.

    “Lauterbach was in real trouble, and we had to act quickly – this wasn’t something that could wait for Monday morning. When you’re pregnant with a baby that’s nearly full-term, your lungs already aren’t functioning at full capacity, and when you add a huge tumor on top of it, you run the risk of having respiratory collapse and cardiac arrest,” said Dr. Lynn Yee, maternal-fetal medicine specialist at Northwestern Medicine in a news release.

    Doctors quickly prepared Lauterbach for extracorporeal life support (ECMO) and performed an emergency C-section, successfully delivering a healthy baby boy.

    “Because of the tumor, the delivery happened so quickly. I was grieving the birth plan I had spent months preparing for, while also dealing with the news of my unexpected diagnosis,” Lauterbach said.

    While her newborn remained in the hospital’s neonatal intensive care unit, doctors performed an advanced bronchoscopy on Lauterbach. The procedure revealed that her tumor was stage 3 melanoma, prompting the medical team to immediately begin developing a treatment plan.

    “Lauterbach’s diagnosis was difficult to make because we weren’t sure if the melanoma started in the chest or somewhere else, and there isn’t much literature or published cases on how to best treat tumors like these, so we had to rely on the expertise that we’ve developed here at Northwestern Medicine,” said Dr. Kalvin Lung, a thoracic surgeon with the Northwestern Medicine Canning Thoracic Institute.

    The medical team decided on surgery to remove the tumor. Before the procedure, Lauterbach was given three cycles of immunotherapy which helped shrink the tumor from 13 centimeters to nine centimeters.

    “We think at some point, Lauterbach had a melanoma on her skin and her own immune system took care of it, but not before a cell or two may have escaped and eventually started growing inside her body,” explained Dr. Sunandana Chandra, medical oncologist with the Robert H. Lurie Comprehensive Cancer Center of Northwestern University at Northwestern Memorial Hospital.

    During the surgery, doctors had to remove her right lung parts of the main pulmonary artery, and lymph nodes. “The tumor was sitting on top of Lauterbach’s heart and extended into the right lung, impacting all three lobes and the entire main trunk of the pulmonary artery, which is why we had to remove the right lung,” said Dr. Lung who conducted the surgery along with Dr. Chris Mehta, a cardiac surgeon with the Northwestern Medicine Bluhm Cardiovascular Institute.

    “It’s extremely rare to see this type of tumor invading into the major blood vessels of the heart. We may see something like this once every few years,” Dr. Mehta added.

    Lauterbach’s latest scans show no evidence of metastatic melanoma, and while her cancer remains stable with no new tumors, she will continue immunotherapy treatments for the next year.

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  • How to stop tracking macros and trust yourself around food

    How to stop tracking macros and trust yourself around food

    “I worried that if I stopped tracking macros, I would lose my physique.”

    After years of careful macro tracking, Dr. Fundaro finally admitted to herself that the method no longer worked for her. Yet she was afraid to give it up.

    If anyone should feel confident in their food choices, it would be Dr. Gabrielle Fundaro. After all, Dr. Fundaro has a PhD in Human Nutrition, a decade-plus of nutrition coaching experience, and six powerlifting competitions under her belt.

    Yet, when she was really honest with herself, Dr. Fundaro realized that she felt far from confident around food. For years, she’d used macro counting as a way to stay “on track” with her eating.

    And it worked… until it didn’t.

    After years of macro tracking, Dr. Fundaro was tired of the whole thing. She was tired of making sure her macros were perfectly in balance. She was sick of not being able to just pick whatever she wanted off a menu and enjoy the meal, trusting that her health and physique wouldn’t go sideways as a result.

    Yet the idea of not tracking freaked her out. Every time she quit tracking, she worried:

    “What if I don’t eat enough protein, and lose all my muscle?”

    “What if I overeat and gain fat?”

    “What if I have no idea how to fuel myself without tracking macros? And what does that say about me as an expert in the field of nutrition?”

    The more Dr. Fundaro wrestled with macro tracking, the more she wanted to find an alternative.

    Something that would support her nutritional goals while also giving her a sense of freedom and peace around food.

    Calorie counting wouldn’t do it. That was just as restrictive as counting macros—maybe more.

    Intuitive eating didn’t seem like a good fit either. Intuitive eating relies heavily on a person’s ability to tune into internal hunger and fullness cues to guide food choices and amounts. After years of relying on external cues (like her macro targets), Dr. Fundaro didn’t feel trusting enough of her own instincts; she wanted more structure.

    Meanwhile, at the gym, Dr. Fundaro began lifting based on the Rate of Perceived Exertion (RPE) scale—a framework that helps individuals quantify the amount of effort they’re putting into a given movement or activity. It’s considered a valuable tool to help people train safely and effectively according to their ability and goals. (More on that soon.)

    While using the RPE scale in her training, Dr. Fundaro found she was both getting stronger and recovering better. There was something to this combination of structure and intuition that just worked.

    And then, it dawned on Dr. Fundaro like the apple hit Sir Isaac Newton on the head:

    If Rate of Perceived Exertion could help her train better, couldn’t a similar framework help her eat better?

    With that, the RPE-Eating Scale was born.

    Dr. Fundaro has since used this alternative method to help herself and her clients regain confidence and self-trust around food; improve nutritional awareness and competence; and free themselves from food tracking.

    (Yup, Dr. Fundaro finally trusts her eating choices—no macro tracker in sight.)

    In this article, you’ll learn how she did it, plus:

    • What the RPE-Eating scale is
    • How to practice RPE-Eating
    • How to use RPE-Eating for weight loss or gain
    • Whether RPE-Eating is right for you or your clients
    • What to keep in mind if you’re skeptical of the concept

    What is RPE-Eating?

    Invented by Gunnar Borg in the 1960’s, Rate of Perceived Exertion (RPE) is a scale that’s used to measure an individual’s perceived level of effort or exertion during exercise.

    Though Borg’s RPE uses a scale that goes from 6 to 20, many modern scales use a 0 to 10 range (which is the range that Dr. Fundaro adapted for her RPE-Eating scale).

    Here’s the RPE scale used in fitness.

    Rating Perceived Exertion Level
    0 No exertion, at rest
    1 Very light
    2-3 Light
    4-5 Moderate, somewhat hard
    6-7 High, vigorous
    8-9 Very hard
    10 Maximum effort, highest possible

    Originally used in physiotherapy settings, the scale is now frequently used in fitness training.

    For example, powerlifters might use it to choose how heavy they want to go during a training session. Or, pregnant women might use it to ensure they aren’t over-exerting themselves during a fitness class or strength training session.

    Because human experience is highly subjective and individual, the scale allows the exerciser to judge how hard they’re working for themselves. A coach can provide a general guideline, such as “aim for a 7/10 this set,” but it’s up to the client to determine exactly what that means for them.

    Dr. Fundaro had used the scale many times with herself, and clients. She always appreciated the sense of autonomy it gave her clients, while still providing some structure.

    So, she decided to take the same 1-10 scale and its principles, and apply it to eating.

    Here’s what the RPE-Eating Scale looks like:

    Table shows a hunger scale that goes from 1 to 10. 1 represents feeling painfully hungry, dizzy or sick; 2 represents feeling “hangry,” with uncomfortable hunger and stomach growling; 3 represents feeling like hunger is noticeable and stomach is rumbling; 4 represents feeling mild hunger a snack would satisfy; 5 represents feeling no hunger or fullness, just sated; 6 represents feeling a noticeable fullness, but comfortable; 7 represents feeling a little too full for comfort; 8 represents feeling an uncomfortable fullness; 9 represents feeling very uncomfortable or “stuffed”; and 10 represents feeling overly full to the point of feeling sick.

    The goal with RPE-Eating is similar to RPE when training: Develop the skills to determine what is sufficient for you, without having to rely on other external metrics (such as apps or trackers).

    How to practice RPE-Eating

    If you’ve ever practiced RPE-training, you’ll know it takes some time to get used to. RPE-Eating is the same.

    Don’t expect to be in lockstep with all of your body’s internal cues at first, especially if you’ve been ignoring them for a long time.

    With this in mind, apply the steps below to practice the RPE-Eating process.

    Step #1: Get clear on your goals.

    RPE-Eating is not just another diet.

    “It’s not about aiming to change your body,” Dr. Fundaro explains. “It’s not about feeling more control over your diet. Nor is it about feeling like you’re eating the ‘optimal’ diet.”

    If your priority is maintaining a specific physique (such as staying ultra lean) or changing your body (building muscle or losing fat), this method can be adapted for that, though it isn’t the most efficient one to use.

    Instead, RPE-Eating is about sensing into what your body needs and giving yourself appropriate nourishment—while building inner trust and confidence along the way.

    “You have to trust that you’ll be able to nourish your body, and that you’ll be okay even though things may change in your body,” says Dr. Fundaro.

    Admittedly, this can be challenging to do. It can also be difficult to let go of the expectation that you’ll hit the “right” macros at every meal—which RPE-Eating isn’t specifically designed to do.

    However, if your goal is to build more self-trust, RPE-Eating can be a great tool to help you do that.

    Step #2: Practice identifying your hunger cues

    Before we explore this step, let’s distinguish between two motivators for eating.

    First, there’s hunger. Hunger occurs when physical cues in your body (like a general sense of emptiness or rumbling in your stomach, or lightheadedness) tells you that you require energy—known to us mortals as food.

    Then, there’s appetite. Appetite is our desire or interest in eating. It can stay peaked even after hunger is quelled, especially if something looks or tastes especially delicious—like a warm, gooey cookie offered after dinner that you feel you have to try, even though you’re technically full.

    While it’s normal to eat for both hunger and appetite drives, the two can become mixed up. Especially if we have a history of dieting and tracking food.

    The RPE-Eating scale helps you tap back into those true physical hunger cues, and learn the difference between hunger and appetite.

    To put this in practice, try this before your next meal:

    ▶ Using the RPE-Eating scale mentioned above, identify your current level of hunger. Record the number on paper or the notes app on your phone.

    ▶ Then, eat your meal with as much presence as possible. (Note: This in itself takes practice. It can help to limit distractions, such as eating at the table rather than in front of the TV, and focusing on the flavors and textures of the food you’re eating, and how you feel eating it.)

    ▶ About halfway through the meal, check in again. Based on the scale, how hungry are you now? As before, record the number.

    ▶ If you’re still hungry, finish your meal. When you’re finished, repeat the same process, writing down where you are on the scale.

    ▶ Once you’re done, take a minute and tune into what your body feels like. What does it feel like to be full? “Download” that feeling into your mind and internalize it in your body, as if you’re updating your phone with the latest software.

    Repeat this for as many meals as you can. Aim to do it for one meal a day for a week or so, or for as long as feels good to you. Don’t worry if you forget: simply repeat the practice when you can.

    The more you practice this, the better you’ll become at being attuned with your actual hunger cues. With time, you’ll likely find you develop more trust in your internal compass than what the latest diet tracker says for your needs.

    (For more on fully-tuned-in, mindful eating, read: The benefits of slow eating.)

    Step #3: Get to know your non-hunger triggers

    Have you ever come home after a super stressful day and you’ve basically thrown yourself onto a bag of chips or a carton of ice cream?

    We might like to imagine ourselves eating every meal mindfully, using the RPE- Eating system to a tee, but life rarely works like that.

    Chances are, there are certain situations that trigger you to eat more quickly, mindlessly, and beyond the point of hunger.

    That’s okay.

    Dr. Fundaro’s suggestion? Aim to become more aware of the situations that cause you to overeat in the first place.

    To do this, you can practice something we use in PN Coaching: Notice and name.

    When you find yourself scarfing down food faster than you can blink, simply try to notice what’s going on.

    Can you name a feeling—such as anxiety, or sadness?

    Can you identify a situation or moment that happened before you started eating—say, an argument with your teenager, or a nasty email from your boss?

    Once you’ve identified the feeling, event, or person that’s triggered you to eat compulsively, see if you can also identify what you might really be needing or desiring.

    Eating for comfort is normal. However, if it’s the only coping method we have, it can cause more problems than it solves in the long run.

    When you find yourself with an urge to eat mindlessly, consider what non-food coping mechanisms might help you feel better. That could be 10 minutes away from your computer to close your eyes and breathe, a walk outside, or a quick call to a friend to rant—or just talk about something completely unrelated.

    Getting to know your non-hunger eating triggers—plus widening your repertoire of self-soothing methods—is just as valuable as getting to know your hunger cues. Over time, this awareness will allow you to eat with more intention.

    Step #4: Eat for satiety AND satisfaction

    Even when you’re “adequately fueled” from a physical perspective, you might still feel unsatisfied from an emotional perspective.

    That’s because, according to the RPE-Eating framework, eating should fulfill two criteria:

    ▶ Satiety describes the physical sensation of being full; your calorie or fuel needs are met.

    ▶ Satisfaction describes a more holistic feeling of being nourished; your calorie needs are met, but your meal also felt pleasurable.

    If you ate to satiety only, your calorie needs might be met and your physical hunger quelled, but you might still feel unsatisfied—maybe because chocolate is on your “don’t” list, and even though you’ve eaten everything else in your kitchen that isn’t chocolate, nothing quite “hit the spot.”

    In other words, you can eat to satiety at every meal, yet still be “restricting” foods.

    You may not be restricting calories per se, but you may have banned entire food groups—baked goods, pizza, or whatever else curls your toes. This can lead to a feeling of constantly needing to police yourself, and doesn’t leave much room for the flexibility and spontaneity that real-life (enjoyable) eating requires.

    (Plus, avoiding particular foods tends to work like a pendulum: restrict now; binge later. If you want to learn how to stop those wild swings, read: How to eat junk food: A guide for conflicted humans)

    Satisfaction is a key part of eating.

    After all, humans don’t just eat for adequate nutrients and energy. We eat for other reasons too: pleasure, novelty, tradition, community, enjoyment.

    So, to take your RPE-Eating to the next level, Dr. Fundaro recommends trying it with meals and foods you genuinely enjoy.

    If any foods or meals have been “off-limits,” try eating them using the RPE technique. (Macaroni and cheese, anyone?)

    Practice using the scale with a variety of meals (including those you may have restricted previously), and notice how you feel over time.

    With experience, you’ll get to know what it feels like to adequately fuel yourself with a variety of foods—including those you genuinely enjoy.

    How do I know if RPE-Eating is right for me or my clients?

    RPE-Eating isn’t for everyone, but might be a good fit for you (or your clients) if:

    ✅ You feel dependent on food tracking, but you don’t want to be.

    ✅ Every time you stop tracking, the loss of perceived control freaks you out and drives you right back to tracking.

    ✅ You want to stop tracking, but you want to have some type of system or guidance in place.

    ✅ You’re currently tracking (or considering tracking) your food intake, and you have elevated risk factors for developing an eating disorder such as high body dissatisfaction; a history of yo-yo dieting; a history of disordered eating patterns; and/or participation in weight class sports.

    If you’re a coach looking to use this tool with a client, check out Dr. Fundaro’s resources. Remember this tool may not be for everyone, and how you apply it needs to be flexible.

    Note: If you or your client struggles with disordered eating, this tool does not replace working with a health professional who specializes in eating disorders, such as a therapist, doctor, or registered dietician.

    How to use RPE- Eating for weight loss or weight gain

    According to Dr. Fundaro, the best way to use RPE-Eating is in a weight-neutral setting.

    While it could be used for weight modification, she doesn’t recommend treating it as another way to hit your macros or “goal weight.”

    “I’m not anti-weight modification,” Dr. Fundaro explains. “I’m pro safe weight modification. I compare weight loss to contact sports. There are inherent risks but they can be mitigated through best practices.”

    Dr. Fundaro elaborates: “Since RPE-Eating removes macro-tracking, which can increase risk of disordered eating in some people, and relies on biofeedback and non-hunger triggers, RPE-Eating provides a safety net that macro-tracking alone doesn’t provide.”

    But if you do want to use RPE-Eating for intentional weight change, what should you do?

    Dr. Fundaro recommends aiming to hover around the ranges that support your goal.

    (As a reminder, a 1 to 3 on the RPE-Eating scale is categorized as “inadequate fuel; a 4 to 7 is categorized as “adequate fuel”; and a 8 to 10 is categorized as “excess fuel.”)

    ▶ If the goal is weight gain, you’ll likely aim to eat within the 7 to 8 range for most of your meals.

    ▶ If the goal is weight loss, you’ll likely aim to eat within the 4 to 5 range for most of your meals.

    A key thing to remember is that you would never use RPE-Eating for extreme weight-modification such as for a bodybuilding competition. “That would be like using physio exercises to prepare for a powerlifting competition.” In other words, it’s not the right tool for the job.

    Hold up, bro: Isn’t this just feelings over facts?

    If you’re skeptical and think this is just eating “based on your feelings,” keep in mind that RPE was once laughed at by lifters, too.

    These days, RPE and autoregulation are widely accepted in gym culture and have been studied as a valid method for managing and guiding your training. 1

    RPE isn’t perfect, but it’s pretty accurate and incredibly convenient. A lot more convenient than, say, using a velocity loss tracker for every set. 2 3

    And while it might seem like it’s all feelings-based, the RPE scale is actually built around practicing the skill of interoceptive awareness—the awareness of internal sensations in your body.

    The better you get at the skill of interoceptive awareness, the more you’ll be able to use that awareness to make informed decisions about your training.

    RPE-Eating is similar: It builds the skill of sensing into your own body, and lets your internal sensations guide your decisions.

    Similar to how the bar slowing down on a squat would indicate you’re getting closer to failure, experiencing the absence of hunger at the end of your meal would indicate you’re closer to being full.

    Instead of tracking your glucose levels to validate your perceived hunger, you use internal cues that correlate with lowered blood sugar and coincide with hunger.

    And, let’s be real: Being mindful of stomach grumbling or general hunger pangs is much more convenient and accessible than tracking glucose readings.

    This process will not be perfect. You may undereat or overeat at first. But over time, with practice, you’ll build the core skills of RPE-Eating.

    Are there downsides to RPE-Eating?

    While this tool can be helpful, it’s just a tool. A screwdriver is great, but it isn’t useful when you need a hammer.

    RPE-Eating can be great for helping you become more aware of your internal hunger cues and build a better relationship with food along the way.

    It can also be more laborious. It requires paying real attention to your feelings (physical and emotional), and reflecting on them.

    This can be difficult for anyone—but especially people who aren’t able to sit at the table and have a leisurely meal, like parents with small kids, or people with work schedules that require eating on-the-go.

    If this is you, just use RPE-Eating when it does work for you—or simply pick and choose specific steps to use in isolation. For example, maybe you try RPE-Eating on the occasional quiet lunch break. Or, maybe you focus solely on developing your awareness of hunger and fullness cues, without trying to change anything else.

    If you’ve been tracking macros for a long time, it can be hard to stop.

    Tracking macros isn’t inherently bad. It can actually be a helpful tool to teach you more about nutrition. But it’s also not something most people want to do for the rest of their lives.

    The problem is, if you’ve depended on tracking your food intake, stopping can feel scary.

    In these cases, RPE-Eating can be used as a kind of off-ramp to help transition away from rigid and restrictive macro tracking.

    (It can also help loosen the compulsion to “always finish your plate.” Though macros tracking and habitual plate-cleaning may sound different, they’re actually similar: both rely on external cues—such as macro targets or what’s served on your plate—to determine when you’re “done.”)

    RPE-Eating won’t take away all the scary feelings that may come with changing ingrained ways of eating.

    However, it can provide some structure and language to help you, or your clients, eat with less fear, less stress, and a bit more confidence.

    “The goal,” says Dr. Fundaro, “is to know that you’re nourishing yourself—and you don’t need a food tracker to do that.”

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    References

    Click here to view the information sources referenced in this article.

    1. Helms, Eric R., Kedric Kwan, Colby A. Sousa, John B. Cronin, Adam G. Storey, and Michael C. Zourdos. 2020. Methods for Regulating and Monitoring Resistance Training. Journal of Human Kinetics 74 (1): 23–42.

    2. Hackett, Daniel A., Nathan A. Johnson, Mark Halaki, and Chin-Moi Chow. 2012. A Novel Scale to Assess Resistance-Exercise Effort. Journal of Sports Sciences 30 (13): 1405–13.

    3. Zourdos, Michael C., Alex Klemp, Chad Dolan, Justin M. Quiles, Kyle A. Schau, Edward Jo, Eric Helms, et al. 2016. Novel Resistance Training-Specific Rating of Perceived Exertion Scale Measuring Repetitions in Reserve. Journal of Strength and Conditioning Research 30 (1): 267–75.

    The post How to stop tracking macros and trust yourself around food appeared first on Precision Nutrition.

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  • Eye Drops Recalled For Possible Fungal Contamination That May Affect Eyesight: FDA Warns

    Eye Drops Recalled For Possible Fungal Contamination That May Affect Eyesight: FDA Warns

    The U.S. Food and Drug Administration (FDA) has sounded the alarm on a nationwide recall of Systane brand eye drops, citing potential fungal contamination that could pose serious risks to eyesight.

    Systane Lubricant Eye Drops Ultra PF, commonly used to temporarily relieve burning and irritation caused by dry eye symptoms, is now at the center of a nationwide recall. The product was distributed to multiple retail stores and online platforms.

    Manufacturer Alcon Laboratories initiated the voluntary recall after a consumer reported foreign material inside a sealed single-use vial, which was later identified as fungal contamination.

    “Fungal contamination of an ophthalmic product is known to potentially cause eye infections. If an infection occurs, it may be vision-threatening, and in very rare cases potentially life-threatening in immunocompromised patients,” the FDA stated in a news release.

    The FDA has confirmed that no adverse events related to the recall have been reported so far. However, individuals experiencing quality issues or adverse reactions after using the product are encouraged to report them through the FDA’s MedWatch Adverse Event Reporting program. Complaints can be submitted online, by downloading and mailing the form, or via fax at 1-800-FDA-0178.

    Each cardboard box of the product contains 25 sterile, single-use vials of lubricant solution for ophthalmic use. “The affected Systane Lubricant Eye Drops Ultra PF, Single Vials On-the-Go, 25 count is limited to lot number 10101, expiration date 2025/09. The product can be identified by the green and pink carton design, the presence of “Systane” and “ULTRA PF” brand names on the front of the carton, and the “25 vials” package size,” the news release stated.

    Consumers who still have the products with them are advised to stop usage immediately and return to the place of purchase for a replacement or refund. Those who experience any issues potentially linked to the use of these eye drops should seek advice from a healthcare provider without delay.

    As Alcon conducts its investigation, a spokesperson told NBC News that “the presence of foreign material appears to be isolated to the single unit returned by a customer.” They emphasized that the recall is being carried out, “out of an abundance of caution to prioritize consumer safety.” Those who have issues with the product can also contact them at 800-241-5999.

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