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Months Before the ByHeart Recall, Babies Were Already Sick — Parents Ask Why Early Warning Signs Were Missed

The manufacturer ByHeart issued a voluntary recall of all its powdered infant formula products earlier this November, following a multistate outbreak of infant botulism linked to the brand’s Whole Nutrition Infant Formula.

However, several families say their babies fell ill months earlier, between late 2024 and mid-2025, after being fed the same product. This has raised concerns about whether early warning signs were overlooked.

According to the United States Food and Drug Administration (FDA) and the Centers for Disease Control and Prevention (CDC), at least 31 infants across 15 states are suspected or confirmed to have developed botulism after consuming ByHeart formula during the period from 9 August to 13 November.

Symptoms of infant botulism to watch for in babies who may have consumed the affected product include poor feeding, loss of head control, difficulty swallowing and decreased facial expression.

Early Cases Spark Questions Over Outbreak Timing

In California, the state health department confirmed that six babies who consumed ByHeart formula between November 2024 and June 2025 were hospitalised with infant botulism or suspected cases. A parent, in a conversation with the Associated Press, said they did not believe it was a coincidence.

Despite these earlier illnesses, health officials say they could not establish a clear connection to the outbreak due to missing lot numbers and insufficient product samples. Dr Jennifer Cope of the CDC clarified that this does not necessarily mean the cases were unrelated.

Expanded Recall After Bacteria Detected in Formula

The investigation revealed that unopened cans of ByHeart formula have tested positive for Clostridium botulinum.

On 8 November, California officials announced the confirmation of type A botulinum bacteria in an opened can linked to a recent case. ByHeart subsequently informed the FDA that tests conducted by independent laboratories on unopened cans also detected the bacterium. This prompted an expanded recall covering all lots, regardless of whether a specific illness had been reported.

The FDA noted that while ByHeart accounts for roughly 1 percent of US formula sales, it has been associated with a disproportionately high number of the cases under investigation.

Why Initial Cases Failed to Trigger Investigation

For affected families, the situation has prompted frustration and confusion. As one mother asked: ‘Why did the cases beginning in August flag an investigation, but the cases that began in March did not?’

The delay in linking the early cases to the broader outbreak appears to stem from several factors. Infant botulism is extremely rare, which complicates monitoring and trend detection. Symptoms can take weeks to appear and may initially resemble other conditions.

Health authorities also stressed that many of the early cases lacked product lot details or retained formula containers, both of which are essential for laboratory testing and tracing the source. As a result, early clusters did not have enough statistical support to trigger a formal investigation until cases surged dramatically after August.

Parents Urged to Stay Vigilant Amid Recall

Ongoing enquiries by the FDA and CDC now focus on determining how contamination occurred, identifying any manufacturing or distribution issues and understanding why earlier illnesses were not flagged sooner.

Parents are urged to remain vigilant and monitor babies closely for any symptoms, while staying informed about recall alerts.

The incident underscores the need for stringent quality-control measures, robust supply-chain tracking and rapid regulatory action, particularly for high-risk products such as infant formula.

While botulism linked to powdered formula is rare, this outbreak highlights how contamination in even small-market brands can lead to widespread risk.

Authorities anticipate that the situation will lead to heightened scrutiny of formula manufacturing practices and environmental safety standards across the industry.

Originally published on IBTimes UK

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November 25, 2025
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November 25, 2025
Thanksgiving All Year Long: 5 Simple Gratitude Practices for Daily Life
5 Simple Gratitude Practices for Daily Life

1) Begin with Gratitude for Your Body—Elaine Smookler

Some days I wake up and notice that my spring has already sprung and each movement has a kind of creaking quality. After years of practicing mindfulness, it makes me smile. Whatever experience I’m having—good, bad, pleasant, unpleasant—I will never pass this way again.

This is an invitation to explore the experience of the present moment in all its gory glory. You can do this practice sitting, standing, upside down or whatever way you find the present moment.
1. Let’s start by taking three nice big breaths. Breathe in for a count of three and out for a count of five. Do you notice? You’re alive. It’s actually kind of amazing. Can you bring your attention to the jaw-dropping wonder that is the human body?
2. Let’s start with the toes, bringing attention to your feet touching the ground. You may be amazed by how many sensations there are to experience, whether it’s tingling, pulsing, restlessness, hot, cool, moist, dry, ticklish, itchy, numb, neutral. What do you notice about paying attention to these small experiences? Is it possible that they could help you cultivate gratitude for this body that’s going to accompany you through your life?
3. As you move up the legs, what do you feel? Whenever I feel anything uncomfortable, I notice how much I want to make meaning out of it. Instead, I invite us all to just feel what’s here without making any meaning of it at all. It’s all so interesting. So this is what’s happening now.
4. Moving up the land of pelvis, I notice clenching the moment I go to explore sensations in my bladder. Do I dare? Again, reminding myself that it’s not about trying to relax or make anything easier or better. I use these moments of awareness to widen the palette of colors available to experience what it is to be a human. When you do this, what do you notice?
5. Continuing the journey up the body, eventually we encounter the beautiful belly filled with so many stories. Loss, longing, yearning, wanting. Can you be grateful for all that it’s experienced and send it love and appreciation?
6. Moving up through the torso, this luscious landscape which houses heart and lungs, you may picture an inner river pumping and flowing, bringing juicy life through the body.
7. When you reach your shoulders, you can lay gentle hands on yourself, massaging some of the day’s stress away. Taking a moment to be grateful for all that our shoulders shoulder. Swooping down through arms to fingers, I thank them for allowing me to be independent in so many ways. Can you offer appreciation to your hands and arms that work so hard?
8. We visit the neck and face. Are lips dry or moist? Are your teeth clenched? What about the jaw? Can you feel the air moving in and out of your nostrils? Can you notice your eyeballs, top of head, back of head, side of head, and ears?
9. On an out-breath, let go of focused awareness. On an in-breath, expand your attention around the entire body, noticing all the sensations reminding you that you are alive right now. What do you notice when you bring the spirit of gratitude into every precious moment that you and your body share together?
2) Allow Gratitude to Connect You to All Living Things—Shauna Shapiro

Mindfulness, self-compassion, gratitude, and the practices that emerge from them help free us from the prison of isolation and the delusion of separation. These practices open our minds, awaken our hearts, and deepen our sense of connection with ourselves, each other, and our world. We begin to realize that we are never just practicing for ourselves. Transforming ourselves creates echoes in the universe, because as we heal ourselves, we heal each other, and our world. As renowned author Arianna Huffington beautifully puts it, “Living in a state of gratitude is the gateway to grace.”
1. Begin by settling the mind and body, taking a seat on a chair, on the floor, or wherever you can sit comfortably upright. Allow a soft smile to rest on your lips, not as a way to paper over how you are feeling, but simply to invite in rest and ease.
1. Bring your awareness to the simple sensations of breathing. Feel how the breath is supporting you, oxygenating the body with each inhale, releasing stress and toxins with each exhale. Begin to sense the beating of your heart. Become aware of how the heart is supporting you, sending blood carrying oxygen and nutrients to all the trillions of cells in your body. Invite in a feeling of gratitude and kindness toward your breath, your heart, your body.
1. Begin to feel your body in your seat, and let your awareness expand to include the earth below you, supporting you. Allow yourself to rest into the Earth, to feel held by the Earth. Feel how there is nothing more you need to do in this moment.
1. Reflect on how the Earth is supporting all beings equally, and that gravity is keeping all beings tethered to the Earth. Reflect on how this planet is connected to a solar system and a vast universe. And that all things—all humans, all animals, the Earth, the sun, and the stars—are composed of the same matter, the same basic particles. We are literally all made of stardust.
1. Feel the web of life into which we are born, from which we can never fall. Feel how you are part of this web. Nothing is separate.
1. Feel yourself resting with gratitude in the heart of the universe. Begin to send your good wishes to all beings, gently and silently repeating, “May all beings be peaceful. May all beings be safe and protected. May all beings be happy. May all beings be filled with love and kindness.”
1. And then recognize that you are contained within the good wishes for all beings. Rest your attention once again on this one being sitting here, and silently direct the good wishes to yourself: “May I be peaceful. May I be safe and protected. May I be happy. May I be filled with love and kindness.”
1. As you breathe in, you are breathing in this loving-kindness, and as you breathe out, you are sending this loving-kindness out. May all beings here and everywhere dwell with peace. May the Earth dwell in peace. And close by offering: May this practice be of benefit for all beings.
Excerpted from Good Morning, I Love You: Mindfulness and Self-Compassion Practices to Rewire Your Brain for Calm, Clarity and Joy by Shauna Shapiro, PhD. Sounds True, June 2022. Reprinted with permission.

3) Awaken the Flow of Gratitude in Nature—Georgina Miranda

Regardless of where I am experiencing nature—at a local city park, perched up high on mountain tops, or swimming in the sea—I’ve found it is always a good time to pause and be present with the gratitude I feel for our inherent connectedness to nature. Our breath is an anchor that can always bring us home. A few deep breaths, connecting with the space we are in, bring home a knowing that there is no separation between us. We need our Grand Mother, the Earth—her air to fill our lungs, her living things to feed us, her awe to keep our souls warm. She needs us too—to look after her, to shift our day-to-day ways of living, to treat her as one of our dearest friends.

Next time you are in nature, see if you can shift from a state of doing into a state of being. The key difference between exercise and movement is that when you move with the intention of exercise, you quickly enter a state of doing. Movement is free-flowing and allows you to enter a state of being. The benefits are vast when you allow yourself to be one with the nature you choose, connecting and moving with gratitude.
1. Give yourself permission to be. Go into nature without an agenda or expectations and just to be with it and move with it. If you are struggling with stress, anxiety, depression, or sluggishness, let movement outside help ignite an internal shift.
1. Breathe and pay attention. Bring all the attention to your breath, its rhythm, its ability to inspire a reset with each inhale and exhale. Notice the air you are breathing in, the smells, the temperature, the freshness. Let each inhale be an opportunity to connect you deeper with the nature you are in. Let each exhale be an opportunity to let go of anything that is not needed at this moment.
1. Breathe and feel deeper. When you’re connected to your breath, what else do you feel? As you take each step, what flows through your body? How does the sun, wind, snow, or rain feel on your skin? What can you hear? While you notice each breath you take, can you start to unite with the space you are in, versus be separate from it? Can you notice you are one with the earth, the air, the water, around you?
1. Breathe and open up to gratitude. Look around, and while staying connected to your breath, let your heart open to any gratitude that’s arising in this moment. Gratitude for the pause in the busyness of life and existence…to your body for its willingness to move freely…to this natural setting and the natural gifts from Mother Earth to you…for this moment of well-being…for knowing that this type of movement, state of awareness, and pause all in one is always available to you.
1. Surrender. Surrender completely with the help of the beautiful nature around you. Become one with it, one with your breath. Just be and soak in the feeling of liberation that can come from the present moment.
4) Counteract Resentment—Barry Boyce

To begin this gratitude practice, I’d like to start by considering one of the biggest obstacles to gratitude: resentment. We can dress up our resentment with a sophisticated storyline about how others—one, or many, or multitudes—are doing us wrong, but what it simply boils down to is being upset because we’re not getting what we want.

The world is too complex and multifaceted for us to continually get our way. It’s good to aspire for the best for ourselves and others, while nonetheless remaining committed to the journey more than the satisfaction of achieving a fixed outcome. If everyone gets their way, we can’t have a cooperative world. From time to time, we need to undercut our own perspective and see things from the other side—maybe even from all sides. Gratitude is a practice that can work with the tendency to cling to fixed outcomes and to feel resentful when we don’t get our way.
1. Bring to mind something that seems unlikely to change and that you do not accept. Perhaps it’s something that’s happened to you or it’s something that’s going on with a loved one or in the world at large. It can be big or small.
2. Counter-intuitively say thank you for that. You’re not being thankful for the thing itself, you’re being thankful for the opportunity to let go. To accept how things unfold doesn’t mean we condone bad behavior or indulge in pessimism or martyrdom. Rather, the point is to use gratitude to undercut our resistance to working creatively with difficult situations.
3. For about 3 minutes, keep imagining things you resent, that you’re irritated about, things that you have trouble accepting or allowing.Try having an attitude that says, “Thank you for the opportunity to work with this.” When we open to deep gratitude for the opportunity to let go of our grasping to outcomes, we can foster a kind of embryonic openness that can lead to other more outward kinds of gratitude.
4. In this next step, let’s be grateful in concentric circles, moving out from our immediate situation, with prompts like the following: I’m grateful to have the necessities of life. I’m grateful to have people to love and to share love with. I’m grateful for friends and the companionship they offer. I’m grateful for the people who serve my needs, who pick up the garbage, take care of the roads, or fix my bicycle. I’m grateful for the people who provide energy and take care of the vast infrastructure that supports society and life. Thank you to the people who sell me food. I’m grateful to health care workers. I’m grateful to the people who are dedicated to keeping me safe. Finally, I’m grateful for the need to encounter those who mean harm, who are tormented by mental and physical pain that causes them to act badly or even violently. While I do not condone purposefully harmful actions, I am grateful that there is a spark of compassion available for those who do harm, and for all of us when we do harm, and the possibility of beneficial change emerging in time. Thank you very much. I’m grateful to share this with you.
5) Nurture a Felt Sense of Gratitude—Gina Rollo White

In this practice, we will be connecting ideas and thoughts with bodily sensations. I’ll walk you through all of it. Follow along and do what works for you.
1. Choose a posture that’s comfortable for you: standing, sitting, or lying down. If you want to close your eyes, you can. Know that at any point, if you feel uncomfortable, you can always open them. If you are standing, sometimes closing your eyes can make you a little wobbly, so you can open them, adjust, and close them again.
1. Before we begin, take a nice big inhale. So inhale…and exhale. In this practice, we will be connecting ideas and thoughts with bodily sensations. I’ll walk you through all of it. Follow along and do what works for you.
1. Begin by noticing the length of your body. Just noticing the entire length of your body, from your feet all the way up to the top of your head. And bring to mind this idea of length, but also this idea of strength and pride. Feel yourself, standing tall or lengthening long, and connect with the sensation of your feet all the way up to the top of your head, so the entire length of your body is connected with the idea of strength and pride and length.
1. Now we’ll move to the back of our body. See if you can imagine what the back of your body looks like—the back of your head, your back, your seat, the back of your feet—and connect that with the idea of the past. Everything that’s behind you, your entire past, is connected with the backs of your shoulder blades, your seat. Maybe you can notice the space in between your shirt and your body, or the space in between your shoulder blades. Just bring to mind the back of your body, and connect it with the past.
1. Next, we move to the sides of our body. See if you can imagine the sides of your body from shoulder to shoulder, hip to hip, outside edges of your feet, maybe ear to ear. Think of that as connecting with the outside world, connecting with community. Even raise your arms up and see if you can create a little circle around yourself. Connect the sides of your body with this idea of protecting yourself, so you can create boundaries. But also, if you can, open up and reach your arms really wide, reaching out to your community, to those around you. Notice how you can reach really far and feel connected with those around you, but also create the safety of boundaries, connecting with the sides of your body, your shoulders, your hips, the outside of your feet.
1. Take a moment to continue connecting with community by sending thoughts of love and kindness and gratitude toward others. Bring to mind someone or something, maybe a pet, that you have an uncomplicated relationship with, who you feel safe with. As you bring to mind someone who creates safety or something that creates safety, imagine sending these words to them: May you feel love and kindness. May you feel safe and secure. May you feel healthy and strong.
1. And now, broaden those kind thoughts to your inner circle or your local community or neighborhood. Bringing to mind your community, send thoughts of love and gratitude: May you feel love and kindness. Imagining. All those people. May you feel safe and secure.
1. Continue opening your arms and your circle of love and gratitude. Broadening your arms even more, maybe continuing it out to your nation, to your continent. Imagine all the people and beings on your continent, and then even further out, to the entire world: May you all feel love and kindness. May everyone, every being, every animal feel safe and secure. May you all feel healthy and strong.
1. And now, bring your arms in closer to your body. Making that circle smaller and smaller, you can come back to our neighborhood, your community, all the way back to that first person or animal that makes you feel safe and secure. Connect with the outside of your body, the outside of your feet, your hips and shoulders.
1. Bring your focus now to your internal world. What’s occurring inside of your body? Notice your heartbeat, your stomach digesting, your lungs as you inhale and exhale. Connect that with the idea of present-moment awareness. What’s occurring right now, in this moment? Your breath. Your heartbeat. And also yourself, connecting your awareness with all that you are. Take a moment to send yourself gratitude and love and kindness. If it’s available to you, put your hands over your heart.
1. Think to yourself as you’re standing here in this present moment: May I feel love and kindness. May I feel safe and secure. May I be healthy and strong. May I be happy. Place your hands by your side, and move from the internal once again to the external. From the front of your body, the tips of your toes to your belly, to the outside of your chest, the outside of your shoulders, your face. Connect the front of your body with the idea of forward movement, and with the idea of all that is before you.
1. Picture your entire body, connecting all the parts. The front of your body, the sides of your body, the back of your body, internal head to toe. Bringing it all into one thought, one image, and take a moment to send yourself some gratitude. You might say to yourself, Great job. Great job for practicing today. Maybe even put your hands over your heart again and saying, Thank you.
1. Place your arms by your side, and then if you can, as you inhale, reach your arms up really high, all the way up. As you exhale, lower your arms. If your eyes were closed, you can open them. Just take a moment to look around and take in the colors, the sights, maybe even the sounds.
1. Get curious about what you feel right now. What is the quality you feel right now? And then as you close this practice, give yourself one final moment of gratitude, saying to yourself, Thank you. Great job.
How to Practice Gratitude

Practicing gratitude has incredible effects, from improving our mental health to boosting our relationships with others. Explore ways you can be more appreciative in our mindful guide to gratitude.
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Mindful Staff

September 21, 2023
The Science of Gratitude

Research shows gratitude isn’t just a pleasant feeling—being grateful can also support greater health, happiness, and wisdom in ourselves and our communities.
Read More

Misty Pratt

February 17, 2022
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November 24, 2025
From Strangers to Friends: The Unlikely Bonds Formed Through Volunteering

Introduction

Volunteering is often associated with giving back to the community, helping those in need, and making a positive impact on society. While these aspects are undoubtedly true, volunteering also has a lesser-known benefit: the formation of unlikely friendships. When individuals from diverse backgrounds and age groups come together to work towards a common goal, they often form strong bonds that transcend their differences. In this article, we will explore the phenomenon of strangers becoming friends through volunteering, highlighting the ways in which these relationships are formed, the benefits they bring, and the lasting impact they can have on individuals and communities.

The Power of Shared Experience

One of the primary reasons why volunteering leads to the formation of strong bonds is the shared experience of working together towards a common goal. When individuals volunteer, they are often tasked with completing a specific project or activity, which requires collaboration and teamwork. This shared experience creates a sense of camaraderie and unity among volunteers, as they work together to achieve a common objective. Whether it’s serving food at a soup kitchen, participating in a beach clean-up, or building a house for a low-income family, the shared experience of volunteering creates a sense of shared purpose and responsibility.

Breaking Down Barriers

Volunteering also provides an opportunity for individuals to break down social and cultural barriers that might otherwise separate them. When people from different backgrounds and age groups come together to volunteer, they are often forced to interact and communicate with one another, which can lead to a greater understanding and appreciation of each other’s perspectives and experiences. This can be particularly true for individuals who may not have had much interaction with people from different racial, ethnic, or socioeconomic backgrounds. By working together, volunteers can break down stereotypes and misconceptions, and develop a more nuanced understanding of the world around them.

The Role of Shared Passion

Another factor that contributes to the formation of strong bonds among volunteers is the shared passion for a particular cause or issue. When individuals are passionate about a particular issue, they are often drawn to others who share their passion, and this shared enthusiasm can create a strong bond between them. For example, animal lovers who volunteer at an animal shelter may form strong bonds with fellow animal enthusiasts, while environmentalists who participate in a local clean-up initiative may connect with like-minded individuals who share their commitment to sustainability.

The Benefits of Unlikely Friendships

The friendships formed through volunteering can have a range of benefits for individuals, including increased social connections, improved mental and physical health, and a greater sense of purpose and fulfillment. These relationships can also provide a support system and network of like-minded individuals who share similar values and interests. Furthermore, the diversity of relationships formed through volunteering can broaden individuals’ perspectives and challenge their assumptions, leading to greater empathy and understanding.

Real-Life Examples

There are countless examples of unlikely friendships formed through volunteering. For instance, a young professional may meet a retired teacher while volunteering at a local literacy program, and the two may form a close bond over their shared love of reading. Similarly, a group of volunteers from different cultural backgrounds may come together to cook a meal for a community event, and in the process, learn about each other’s traditions and customs. These relationships can be a powerful reminder of the common humanity that unites us, and the potential for connection and friendship that exists across cultures, ages, and backgrounds.

Overcoming Challenges

While volunteering can be a powerful way to form new friendships, it’s not always easy. Volunteers may face challenges such as language barriers, cultural differences, or conflicting personalities, which can make it difficult to form connections with others. However, with patience, empathy, and a willingness to listen and learn, these challenges can be overcome, and strong bonds can be formed.

Building a Sense of Community

The friendships formed through volunteering can also contribute to a greater sense of community and social cohesion. When individuals from different backgrounds and age groups come together to work towards a common goal, they can create a sense of shared ownership and responsibility for their community. This can lead to a greater sense of pride and investment in the community, as well as a stronger sense of connection and belonging among community members.

Conclusion

In conclusion, volunteering is a powerful way to form unlikely friendships and build strong bonds with others. Through shared experiences, shared passion, and a commitment to a common goal, individuals from diverse backgrounds and age groups can come together and form lasting connections. These relationships can have a range of benefits, including increased social connections, improved mental and physical health, and a greater sense of purpose and fulfillment. As we strive to build stronger, more compassionate communities, the power of volunteering to form unlikely friendships should not be underestimated.

FAQs

Q: What are the benefits of volunteering for mental health?

A: Volunteering has been shown to have a range of benefits for mental health, including reduced stress, improved mood, and increased social connections.

Q: How can I find volunteer opportunities in my community?

A: There are many ways to find volunteer opportunities in your community, including searching online, contacting local non-profits, and checking with community centers or places of worship.

Q: What if I don’t have a lot of time to volunteer?

A: Even small amounts of time can make a big difference. Consider volunteering for a one-day event or committing to a regular shift of just a few hours a week.

Q: Can volunteering really lead to lasting friendships?

A: Yes, volunteering can be a powerful way to form lasting friendships. By working together towards a common goal, individuals can build strong bonds and develop meaningful relationships.

Q: What if I’m not sure what type of volunteering I want to do?

A: Don’t worry! There are many different types of volunteer opportunities available, and you can try out a few to see what you enjoy. You might consider volunteering in areas such as animal welfare, environmental conservation, or education.

November 24, 2025
Is Arthritis Inevitable With Age? Early Arthritis Symptoms and Proven Treatment Options for Joint Pain at Any Age
Arthritis, a condition characterized by joint inflammation and pain, is often associated with aging. However, is it truly inevitable as people grow older? This article explores whether arthritis is a natural part of aging, the early symptoms to watch for, and effective treatment options that can help manage the condition and preserve joint health. Understanding arthritis treatment, arthritis symptoms, and age-related joint pain is crucial for maintaining mobility and quality of life.

Is Arthritis Inevitable as You Get Older?

Aging does affect joint health, but arthritis is not an unavoidable consequence of growing older. While many older adults may experience joint pain as part of normal wear and tear, this does not necessarily mean they have arthritis.

Arthritis is a chronic condition characterized by joint inflammation, which multiple factors, including genetics, injury, autoimmune processes, and lifestyle factors such as obesity can trigger. Normal joint aging may cause some stiffness and discomfort, but persistent inflammation and damage are not guaranteed in every individual. Therefore, arthritis development involves risk factors beyond just age.

What Are the Early Symptoms of Arthritis?

Recognizing early arthritis symptoms is key to timely diagnosis and treatment. Common symptoms include joint pain, swelling, stiffness, especially noticeable in the morning or after periods of inactivity, and reduced range of motion. These signs distinguish arthritis-related joint pain from age-related discomfort, which tends to be less persistent and severe. Early detection allows for intervention before significant joint damage occurs, improving treatment outcomes.

Effective Early Treatment Options for Arthritis

The primary goals of arthritis treatment are to relieve pain, reduce inflammation, and maintain joint function. Treatment often involves a combination of approaches tailored to the patient’s specific type of arthritis and severity of symptoms.
- Medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or naproxen help reduce pain and swelling. Acetaminophen can also relieve mild to moderate pain. For inflammatory arthritis, disease-modifying antirheumatic drugs (DMARDs) target the underlying disease process to slow progression. Corticosteroid injections provide quick relief in inflamed joints. Newer options like duloxetine and tramadol may be prescribed for chronic pain management.
- Physical Therapy and Exercise: Structured exercise programs focusing on strength, flexibility, and aerobic fitness improve joint mobility and reduce symptoms. Physical therapists design customized routines that promote joint stability and function. Low-impact activities like swimming or walking are particularly beneficial.
- Lifestyle Changes: Weight management reduces mechanical stress on joints; each pound lost can lower knee joint load by about four pounds. An anti-inflammatory diet rich in omega-3 fatty acids and low in processed foods supports joint health. Joint protection techniques and assistive devices can help minimize strain.
- Alternative and Emerging Therapies: Platelet-rich plasma (PRP) therapy and regenerative treatments aim to promote healing by harnessing the body’s own growth factors. Although promising, these require further validation. Some patients benefit from complementary therapies like massage or shockwave therapy.
Can Early Treatment Prevent Arthritis Progression?

Early and consistent management of arthritis can effectively slow disease progression, especially in inflammatory conditions such as rheumatoid arthritis. Non-surgical treatments are most effective when initiated before extensive joint damage, according to the World Health Organization. If symptoms worsen despite these measures, surgical options such as joint replacement or realignment (osteotomy) may be considered to restore function.

How to Manage Joint Pain Related to Aging

Joint pain at any age can be managed through various strategies:
- Using heat or cold therapy for symptomatic relief
- Taking over-the-counter NSAIDs or acetaminophen as needed
- Incorporating low-impact exercise to maintain mobility
- Ensuring proper ergonomics and using braces or orthotics for joint support
It is essential to understand that some age-related joint pain does not always signal arthritis but should still be addressed to preserve joint health, according to the Centers for Disease Control and Prevention.

When Should You See a Doctor for Joint Pain?

Medical evaluation is recommended if joint pain persists for more than a few weeks, is accompanied by swelling, redness, or warmth, limits daily activities, or is accompanied by systemic symptoms such as fever or unexplained weight loss. Doctors use medical history, physical exams, imaging, and laboratory tests to diagnose the specific type of arthritis and recommend a personalized treatment plan.

This comprehensive overview shows that while joint pain with age is common, arthritis is not an inevitable part of aging, and early treatment options can significantly improve outcomes. Effective arthritis treatment involves a multidisciplinary approach, including medications, physical therapy, lifestyle modifications, and emerging therapies to control symptoms and preserve joint function. Recognizing arthritis symptoms early and consulting healthcare professionals promptly can prevent progression and enhance quality of life at any age.

Frequently Asked Questions

1. Can lifestyle changes prevent the onset of arthritis?

Lifestyle modifications such as maintaining a healthy weight, eating a diet rich in omega-3 fatty acids, and engaging in regular low-impact exercise may reduce the risk of developing certain types of arthritis or delay the onset of symptoms. Avoiding smoking and protecting joints from injury also contribute to prevention efforts.

2. What types of exercise are best for people at risk of arthritis?

Low-impact aerobic exercises like walking, swimming, and cycling are recommended to keep joints flexible and strengthen surrounding muscles without overloading the joints. Flexibility exercises such as stretching, yoga, and Pilates help maintain joint mobility and reduce stiffness.

3. How does weight management influence arthritis symptoms?

Excess weight increases mechanical stress on weight-bearing joints, such as the knees and hips, accelerating cartilage wear and joint inflammation. Losing even a small percentage of body weight can significantly reduce joint pain and improve function, underscoring the importance of weight management in arthritis treatment and prevention.

4. Are there ways to protect joints from damage in daily activities?

Yes, joint protection techniques such as using proper lifting methods, avoiding repetitive strain motions, and using assistive devices when needed can help reduce joint stress and prevent injury. Taking breaks and using ergonomic supports also help preserve joint health over time.
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November 24, 2025
Venous Thromboembolism – Deep Vein Thrombosis (DVT)
Most people can treat DVT with medicines at home. Sometimes, more serious blood clots require you to stay in the hospital for treatment.

Your healthcare provider will likely prescribe blood-thinning medicine to keep blood clots from getting larger and prevent a DVT from becoming a life-threatening pulmonary embolism. If you are unable to take blood thinners, other medicines or procedures can help. Learn more about treatments for DVT.

As you recover from DVT, talk to your provider about what you can do to stay healthy.
- Be aware of possible complications. A condition called post-thrombotic syndrome can develop following DVT. If you experience pain, itchiness, or swelling, tell your healthcare provider.
- Prevent a repeat DVT. Talk with your provider about your risk, get regular checkups, and take all medicines as prescribed to help lower your chance of having repeat blood clots.
- Make healthy lifestyle changes. Talk to your provider about changes you may need to make, including choosing heart-healthy foods, getting physically active, aiming for a healthy weight, and quitting smoking.
- Take care of your mental health. Anxiety, fear, and stress can be common after a blood clot. Reach out to your healthcare provider if you need support.
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November 24, 2025
Understanding GERD Symptoms, Acid Reflux Causes, and Effective Heartburn Treatment
Gastroesophageal reflux disease (GERD) and acid reflux are related digestive conditions involving the backflow of stomach contents into the esophagus. Acid reflux causes occasional backflow, resulting in heartburn, whereas GERD is a chronic, more serious condition. Understanding the difference is important because frequent reflux symptoms often signal GERD, which can cause esophageal damage if untreated.

What is Acid Reflux?

Acid reflux occurs when stomach acid flows backward into the esophagus, causing symptoms such as heartburn and a burning chest sensation. Occasional acid reflux is common and usually triggered by factors such as certain foods, obesity, smoking, pregnancy, or medications. Acid reflux causes discomfort, but when it occurs infrequently, it typically does not damage the esophagus. Common causes of acid reflux include fatty, spicy, or acidic foods, caffeine, alcohol, and overeating.

What is GERD?

GERD is a chronic form of acid reflux occurring more than twice a week and often causing symptoms severe enough to impact everyday life. It results from a weakened lower esophageal sphincter (LES) that prevents typical acid backflow. GERD symptoms include frequent heartburn, acid regurgitation reaching the throat, chest pain, difficulty swallowing, chronic cough, and hoarseness, according to the World Health Organization. If untreated, GERD can lead to complications such as esophageal inflammation and tissue damage, differentiating it from simple acid reflux.

Symptoms of GERD vs. Acid Reflux

Acid reflux symptoms are occasional heartburn, mild regurgitation, and brief chest discomfort.

GERD symptoms are more persistent and include frequent heartburn, acid reflux reaching the throat or mouth, chronic cough, hoarseness, difficulty swallowing, chest pain, and the feeling of a lump in the throat. These symptoms significantly affect quality of life and warrant medical evaluation.

Causes of Acid Reflux and GERD

Acid reflux causes include lifestyle and dietary factors such as eating trigger foods, smoking, and obesity. GERD shares these causes but also involves anatomical factors like a weakened LES or hiatal hernia. Additional risk factors include pregnancy and medications that relax the LES. Recognizing the causes of acid reflux is essential to prevent it from developing into GERD.

Why the Difference Matters

Distinguishing acid reflux from GERD is critical because chronic GERD can lead to esophageal ulcers, strictures (narrowing), Barrett’s esophagus (a precancerous change), and impaired swallowing. Untreated GERD increases the risk of esophageal cancer. Acid reflux, when occasional and mild, mainly causes discomfort but rarely damages the esophagus. Accurate diagnosis ensures appropriate treatment and prevents serious complications.

Heartburn Treatment and Managing GERD

For occasional acid reflux, lifestyle modifications are effective:
- Avoid trigger foods and beverages
- Eat smaller meals and avoid eating late at night
- Maintain a healthy weight and elevate the head of the bed
- Quit smoking
Over-the-counter heartburn treatment includes antacids, H2 blockers, and proton pump inhibitors (PPIs). For GERD, doctors may prescribe higher doses of PPIs and recommend surgery or endoscopic procedures if needed. Persistent symptoms, difficulty swallowing, or chest pain need prompt medical attention to prevent complications.

Long-Term Complications of Untreated GERD

Chronic GERD can cause persistent inflammation of the esophagus (esophagitis), leading to ulcerations and bleeding. Over time, scar tissue may form, causing esophageal strictures that narrow the passageway and make swallowing difficult.

Barrett’s esophagus is a serious complication where the regular esophageal lining changes, increasing the risk of esophageal adenocarcinoma, a type of cancer. GERD may also cause extra-esophageal symptoms like chronic cough, asthma exacerbations, laryngitis, sinus infections, and dental erosion due to acid exposure.

The mechanisms underlying GERD complications involve inflammatory responses initiated by acid injury, with cytokines and immune cells contributing to esophageal tissue damage. These effects underline the importance of controlling acid reflux to prevent progression.

Though proton pump inhibitors effectively manage symptoms and promote healing, long-term GERD management may be necessary, especially for severe esophagitis or Barrett’s esophagus. Patients should use the lowest effective dose of medication and be monitored regularly.

Additional Advice for Managing GERD

Patients with GERD can improve their quality of life by combining medical treatment with lifestyle changes, as per Mayo Clinic. Weight loss is strongly recommended for overweight individuals to reduce intra-abdominal pressure that promotes reflux.

Avoiding tight clothing around the abdomen and reducing alcohol consumption also helps. Elevating the head of the bed by 6 to 8 inches can prevent nighttime reflux, improving sleep and reducing esophageal irritation. Addressing these habits early limits disease progression and minimizes long-term complications.

Frequently Asked Questions

1. How does GERD affect a person’s quality of life beyond digestive symptoms?

GERD can significantly impair quality of life by disrupting sleep due to nighttime reflux, causing fatigue, and reducing daily productivity. It may also affect social interactions and physical activity because of discomfort and worry about symptom flare-ups. Psychological impacts such as anxiety and depression have been reported more frequently in GERD patients, likely due to chronic symptom burden and impaired well-being.

2. Can acid reflux or GERD symptoms lead to respiratory problems?

Yes, reflux of stomach acid can irritate the airways and lungs, leading to respiratory symptoms such as chronic cough, asthma exacerbations, hoarseness, and even pneumonia in severe cases. This happens when acid enters the throat or airway, causing inflammation. People with chronic cough or asthma not responding to typical treatments may be evaluated for underlying GERD.

3. Are there any dietary supplements or natural remedies proven to help with GERD symptoms?

Some supplements, such as ginger, aloe vera, and melatonin, have shown potential benefits for reducing GERD symptoms, but the evidence remains limited and inconsistent. Dietary changes remain the cornerstone of symptom control. Patients should always consult healthcare providers before trying supplements, primarily because some may interact with medications or worsen acid reflux.

4. How do doctors diagnose GERD if symptoms overlap with other conditions?

Diagnosis starts with a thorough medical history and symptom evaluation. When symptoms persist or are severe, tests such as upper endoscopy, ambulatory pH monitoring (to measure esophageal acid exposure), and esophageal manometry (to assess esophageal motility and LES function) may be performed. This helps distinguish GERD from other causes, such as functional heartburn, esophageal motility disorders, or cardiac conditions.
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November 23, 2025
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November 23, 2025
Workplace Wellbeing in This Digital Age: Mindful Guidance for Digital Fatigue and Burnout

It’s 3p.m., and you’ve been at your desk for all or most of the day. Maybe you even worked through lunch, hunched over your keyboard while eating a sandwich. If you paused and tuned into your body, would you notice how your eyes are burning, how your neck and shoulders are tense and achey? Swamped at work, trying to stay on deadline, can you remain focused and calm your frazzled mind—or do you struggle with staying on task?

Or how about when the workday is over? Maybe you crawl into bed, exhausted—but still can’t sleep through the night. And when you’re away from your office, how often do you remember to unplug and wander screen-free in healing green spaces?

All of these are extremely common symptoms and contributors to what we call screen-related stress, digital fatigue, and burnout—and they’re endemic in the workplace.

The good news is that you don’t have to keep living this way. We have the option to work more mindfully: by improving our computer station; learning on-the-spot de-stressing techniques; taking nature breaks to recharge; and establishing better tech habits.

When we get serious about Digital Wellness, we can create healthier workplaces, be kinder to our bodies and minds, and engage in activities that actually replenish our energy and combat burnout when we’re not at work.

Our Digital Wellness Best Practices: 4 Easy-to-Use Tips

I’ve been fortunate to work with Dr. Michael Rich, Director of Harvard University’s Digital Wellness Lab, in developing these research-backed strategies for greater digital wellness. Dr. Rich contributed to our book Less Screen More Green, and we were truly blessed to have the late Dr. Jane Goodall write the foreword.

The reality is, today’s digital workplace was not designed for our wellbeing, as you probably know all too well. It’s clear that we need to be intentional about fostering our wellbeing more than ever. Here are four essential places to start.

1. Check Your Workstation Ergonomics

How your workstation is set up has a significant impact on you and your work. Pamela Dempster, a Certified Professional Ergonomist and collaborator in our programs, cautions: “Laptops can be a health issue as they promote more neck bending/cervical flexing which should be avoided for extended periods of time. Also, poorly designed workstations, and the current trend of ‘hot desking’ [where workstations are continually rotated], significantly increase workplace stress.” So let’s look more closely at how a workstation should be set up to limit stress and promote better skeletal, muscular, nervous-system, and eye health.

First, a good chair with lumbar (lower back) support and a good armrest is key. Supportive armrests are critical for upper body/upper extremity health, and they’re best if padded with soft foam underlay. Your screen should be an arm’s length away and at eye level so you are looking straight ahead into the upper part of the screen, not looking down and straining your neck. Monitors at eye height promote neutral head/neck positioning. This promotes downward eye gazing which is healthier for our near-sighted visual system and its ability to focus better on what it’s reading.

As you probably know, staring at blue-lit screens and unhealthy tech habits, including poor ergonomics, increase our stress levels and our exhaustion. They drain our physical and mental fuel and contribute to burnout. To support eye health, invest in blue-light filtering glasses to ease eye strain, and keep lubricating eyedrops at your desk and remember to blink. (Yes, we “forget” to blink when we’re glued to screens!)

2. Do Regular Deskercises

It’s important to keep the body moving during the day, even when you’re right at your desk. This keeps us from developing muscle strain and repetitive injuries like “Tech Neck.” Regular gentle movement practices like Chi Gong, and intentional practices like mindfulness meditation and breathing exercises (yes, we “forget” to breathe, as well) help relax our bodies and calm and focus our minds. This not only increases ease and productivity at work, but also helps us sleep much better at night.

Turn away from your screen frequently to refocus your gaze and take some deep breaths for on-the-spot relaxation and recharging. One of the easiest deskercises we recommend is called 20-20-20: Set a timer, and every 20 minutes, shift your gaze away from your screen—even better if it’s out a window. Look at least 20 feet away, for at least 20 seconds, and do some deep breathing.

One of our Digital Wellness participants reported that since doing the Mindful Tech program, she’s rearranged her desk and computer setup, relieving tension in her neck and low back. She now also takes regular breaks to do the 20-20-20 practice and stand up and stretch. “It’s made me feel better with the amount of screen time in my work, and it’s non-negotiable.”

3. The Nature Remedy: A Daily Dose of Nearby Nature

In a world that is tech-obsessed, noisy, and chaotic, it’s so easy to forget that “nature” is not something out there in the woods. It’s not separate from us. We humans are part of nature! (Although this isn’t always evident by how recklessly we treat our environment.) Being in the forest, a city park, a patch of grass, or just pausing to turn inward for a moment and take some lungfuls of fresh air is coming home to our true selves, in some way.

We call this intentional practice The Nature Remedy, and it is the ground of our workplace wellness program.

Scientific evidence by researchers including Dr. Qing Li, the Scientific Advisor for The Forest Bathing Institute, supports the benefits of mindfulness in nature for many physical and mental health issues including: hypertension, anxiety, depression, empathy fatigue, and burnout. This Japanese practice of Shinrin Yoku is emerging as a key strategy for workplace wellness and is practiced by many eminent health professionals themselves.

Our co-author Dr. Rich is an advocate of the healing power of nature as a key aspect of workplace wellbeing and was surprised by the effect of Shinrin Yoku: “Recently, at a conference in Aspen, I had my first experience with Forest Bathing. Surprisingly, it may seem that nothing is happening; there we were under the canopy of trees just focusing on specific senses. Yet somehow it is everything as we paused, slowed down, and listened to the trees. Most of this digital generation are so used to being hyper-stimulated that it takes them time to ease into the quiet that is so key to their mental health. Gearing down, being in nature, without our phones, is truly beneficial for us all.”

Dr. Rich explains what is happening in this simple moment. Forest Bathing works, because when we shift from our habitually speedy and cluttered mind, this can have a profound impact on resetting our nervous system. We’re shifting from the sympathetic (stress) mode, to the parasympathetic (relaxation) mode. The mental health benefits are similar to clearing your mind in meditation. You’re connecting with an inner stillness that is usually drowned out by the noise of our highly urbanized workplaces.

Remember, it’s important to do this screen free. Screens disrupt our sense of connection to time and place and our bodies, which limits our ability to settle into the quietness.

We’ve found that this intentional reconnection with nature is resonating, even with people whose jobs require them to spend entire days on screens. One IT professional reported this experience after taking our Digital Wellness program and trying our Nearby Nature tip: “Instead of moaning about not being able to get out for a long hike, I take frequent breaks. Just walk around the block without checking my phone or listening to music. That’s a big change for me! I am seriously hooked, worse than my caffeine habit. Our boss is happy we’re taking fewer sick days. It’s a good reminder to do some of my mindfulness stuff outdoors when I can, without my phone.”

4. Sleep Strategies

The quality and duration of your sleep has an immense impact on your mental, emotional, and physical wellbeing. We need it for good immune function, to process thoughts and emotions, and to repair our bodies and balance our nervous system. But we don’t always make the connection between our daily screentime, digital fatigue, burnout, and our ability to get the very sleep we need to recover.

One of the most helpful things you can do is just unplug at least one hour before bedtime. Leave your phone powered off; get a battery alarm clock to use instead. As you may know, there’s scientific evidence that wireless radiation affects our sleep, so you will also sleep much better in this tech-free sanctuary if you also turn off your WiFi. Avoid all caffeine in the late afternoon and evening, and consider natural supplements such as calcium, magnesium and low-dose melatonin. When you can’t get to sleep, fussing about not sleeping generally tends to make things worse. Instead, doing a sleep meditation or deep breathing can often help you sink into a deep rest.

Reclaiming Our Right to Workplace Wellbeing

Inertia is a strange thing. It’s easy to assume, just because most workplaces, by default, encourage unhealthy daily routines and habits, that this is “just the way it is.” The truth is that it doesn’t have to be this way at all. We can reclaim our right to workplace wellbeing.

We’re also seeing positive signs every day that change is coming: A significant number of businesses and organizations are waking up to how crucial it is to have employees take care of themselves if they want workplaces that can actually function.

If you’re inspired to take action for your own wellness, please try these practices for yourself, and check out the resources we offer.

Details about our program: www.DigitalWellnessPrograms.com

Our book: www.LessScreenMoreGreen.org

Our nonprofit: www.GlobalHealthAlliance.ca

More from Pamela Dempster and healthy ergonomics: www.DempsterWellness.com

Details about The Forest Bathing Institute: www.tfb.institute

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November 22, 2025
The Eco-Warrior’s Guide to Living Sustainably
As the world grapples with the challenges of climate change, environmental degradation, and social injustice, it’s becoming increasingly clear that the way we live our lives is no longer sustainable. The good news is that there are many simple and effective ways to reduce our impact on the planet and live a more sustainable lifestyle. In this article, we’ll explore the eco-warrior’s guide to living sustainably, covering everything from reducing waste and conserving energy to eating sustainably and supporting eco-friendly policies.

Understanding the Importance of Sustainable Living

Sustainable living is about more than just saving the planet; it’s also about improving our own health and wellbeing. By reducing our exposure to toxic chemicals, eating fresh and nutritious food, and getting outside and connecting with nature, we can improve our mental and physical health. Additionally, sustainable living can help to reduce our costs, increase our energy independence, and create jobs and stimulate local economies.

Reducing Waste and Conserving Energy

One of the simplest and most effective ways to live sustainably is to reduce our waste and conserve energy. Here are a few tips to get you started:
- Reduce single-use plastics: Refuse single-use plastics like straws, bags, and water bottles, and opt for reusable alternatives instead.
- Compost and recycle: Compost food waste and recycle paper, plastic, and glass to reduce the amount of waste that ends up in landfills.
- Use energy-efficient appliances: Replace traditional incandescent light bulbs with LED bulbs, and use energy-efficient appliances to reduce energy consumption.
- Turn off lights and electronics: Make it a habit to turn off lights, TVs, and computers when not in use to avoid standby power consumption.
Eating Sustainably

The food we eat has a significant impact on the environment, from the water and energy used to produce it to the packaging and transportation costs. Here are a few tips for eating sustainably:
- Buy local and seasonal: Buy food from local farmers and producers to reduce transportation costs and support the local economy.
- Choose organic and regenerative options: Choose organic and regenerative options to reduce exposure to toxic chemicals and support more sustainable farming practices.
- Reduce food waste: Plan meals, use up leftovers, and compost food waste to reduce the amount of food that ends up in landfills.
- Eat plant-based: Eat a plant-based diet to reduce greenhouse gas emissions, support more sustainable farming practices, and improve your health.
Supporting Eco-Friendly Policies and Practices

While individual actions are important, they’re not enough to address the scale and complexity of the environmental challenges we face. Here are a few ways to support eco-friendly policies and practices:
- Stay informed and get involved: Stay up-to-date on environmental issues and get involved in local campaigns and initiatives.
- Support eco-friendly businesses: Support businesses that prioritize sustainability and environmental responsibility.
- Advocate for policy change: Advocate for policy changes at the local, national, and international levels to support more sustainable practices.
Creating a Sustainable Home

Our homes are a significant source of energy consumption and waste, but there are many simple and effective ways to make them more sustainable. Here are a few tips:
- Insulate and weatherize: Insulate and weatherize your home to reduce heat loss and energy consumption.
- Use eco-friendly cleaning products: Use eco-friendly cleaning products to reduce exposure to toxic chemicals and support more sustainable practices.
- Create a sustainable garden: Create a sustainable garden to grow your own food, reduce stormwater runoff, and support local biodiversity.
Building a Sustainable Community

Sustainable living is not just about individual actions; it’s also about building a sustainable community. Here are a few ways to build a sustainable community:
- Connect with neighbors and friends: Connect with neighbors and friends to build relationships and support local initiatives.
- Support local businesses: Support local businesses to stimulate the local economy and support more sustainable practices.
- Participate in community events: Participate in community events and initiatives to build a sense of community and support more sustainable practices.
Conclusion

Living sustainably is a journey, not a destination. It’s about making small changes to our daily lives, supporting eco-friendly policies and practices, and building a sustainable community. By following the tips and strategies outlined in this article, we can reduce our impact on the planet, improve our health and wellbeing, and create a more sustainable future for all.

FAQs

Q: What is sustainable living?
A: Sustainable living is about reducing our impact on the planet, improving our health and wellbeing, and creating a more sustainable future for all.
Q: How can I reduce my waste and conserve energy?
A: Reduce single-use plastics, compost and recycle, use energy-efficient appliances, and turn off lights and electronics when not in use.
Q: What are some tips for eating sustainably?
A: Buy local and seasonal, choose organic and regenerative options, reduce food waste, and eat a plant-based diet.
Q: How can I support eco-friendly policies and practices?
A: Stay informed and get involved, support eco-friendly businesses, and advocate for policy change.
Q: What are some tips for creating a sustainable home?
A: Insulate and weatherize, use eco-friendly cleaning products, and create a sustainable garden.
Q: How can I build a sustainable community?
A: Connect with neighbors and friends, support local businesses, and participate in community events and initiatives.
November 22, 2025