What is CBD oil good for?

What is Colic and the main cause?

What is Vitamin B12?

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<p class="p1">Cannabidiol (CBD) oil is a natural product derived from the cannabis plant. High in essential fatty acids, CBD oil provides numerous potential health benefits, including improved sleep, mood regulation, and pain relief. Let’s take a closer look at how CBD oil works and why people are turning to it for help with their health issues.</p>
<h2 class="p2"><b>What is CBD Oil?</b></h2>
<p class="p1">CBD stands for cannabidiol, which is a chemical compound found in <a href="https://nowpatient.com/medications/is-cannabis-available-on-prescription">cannabis</a> plants. It&#8217;s important to note that while CBD comes from cannabis plants, it does not contain tetrahydrocannabinol<b> </b>(THC) the psychoactive compound that causes the &#8220;high&#8221; associated with marijuana. As such, taking CBD oil should not cause any intoxicating effects. CBD oil may also contain trace amounts of other cannabinoids, as well as beneficial plant compounds such as terpenes and flavonoids. In addition to these naturally occurring components, some CBD oils may also contain carrier oils, such as coconut oil or hemp seed oil, to improve their consistency and absorption.</p>
<h2 class="p2"><b>How does CBD Oil work?</b></h2>
<p class="p1">CBD is one of more than 100 compounds found in the cannabis plant known as cannabinoids. Unlike THC, CBD does not produce any psychoactive effects when consumed. Instead, it interacts with the body’s endocannabinoid system, which helps regulate various bodily functions like mood, appetite, and immune system response. This interaction can help balance out the body&#8217;s systems and reduce inflammation in the process.</p>
<h2 class="p2"><b>What can CBD Oil do?</b></h2>
<h3 class="p2"><b>Evidence for cannabidiol health benefits</b></h3>
<p class="p1">Thanks to its ability to interact with the body’s endocannabinoid system, cannabidiol has been linked to numerous potential <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a> benefits.</p>
<p class="p1">Here are some of the most promising areas where it could make an impact:</p>
<ul class="ul1">
<li class="li1">Anxiety and <a href="https://nowpatient.com/health-conditions/dealing-with-depression">depression:</a> Studies have shown that CBD oil may be effective in managing symptoms of both anxiety and depression. It works by activating receptors in the brain responsible for regulating mood and emotion. CBD oil is often used as an anxiety-reducing treatment, as it has been found to have anti-anxiety properties. Studies have shown that it can help to reduce stress levels, which can help people with certain types of anxiety disorders find relief from their symptoms. It has also been found to be useful in treating <a href="https://nowpatient.com/health-conditions/what-is-chronic-insomnia">insomnia</a> and other sleep problems</li>
<li class="li1">Pain relief: There’s evidence that CBD oil can help reduce inflammation and chronic pain caused by a variety of medical conditions, including arthritis, fibromyalgia and cancer. Studies have shown that it can help to reduce inflammation, which can help pain management with conditions like arthritis or fibromyalgia. It has also been found to help treat acute injuries and muscle soreness</li>
<li class="li1">Sleep aid: Research suggests that taking CBD before bedtime can help improve sleep quality and duration. It may work by reducing anxiety and calming the body down so you can fall asleep more easily</li>
<li class="li1">Skin care: Some research suggests that topical application of CBD oil can reduce redness, irritation, and other symptoms associated with skin conditions such as <a href="https://nowpatient.com/health-conditions/what-is-eczema">eczema</a> and psoriasis. Studies have also shown that CBD oil can be beneficial for skin health. It contains antioxidants, which can help protect your skin from damage caused by free radicals and environmental pollutants. Additionally, it can help reduce inflammation and redness associated with acne and other skin conditions</li>
<li class="li1">Heart health: Preliminary studies indicate that taking CBD may help lower blood pressure levels and reduce risk factors associated with heart disease</li>
</ul>
<p class="p1">It is important to note that more research is needed to better understand how these compounds work and their long-term effects on our bodies. Research investigating the effects of CBD on certain conditions is ongoing, and there is still much to be learned about the potential uses of CBD. Until then, talk to your doctor about whether or not using CBD oil is right for you.</p>
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<h3 class="p2"><b>CBD in treating neurological disorders</b></h3>
<p class="p1">Our understanding of the potential of CBD has grown rapidly in recent years, including its potential to treat a range of neurological disorders such as epilepsy, multiple sclerosis, and <a href="https://nowpatient.com/health-conditions/what-is-parkinsons-disease">Parkinson&#8217;s disease</a>. This natural compound, derived from the cannabis plant, is becoming increasingly popular for its therapeutic benefits. Many patients have found relief through the use of CBD, particularly when traditional medications have failed to provide adequate results.</p>
<p class="p1">You may be interested to know that clinical trials have shown the potential of CBD in alleviating symptoms related to these neurological disorders.</p>
<p class="p1">In terms of epilepsy, CBD is effective in reducing the frequency and severity of seizures in some cases. For those who have multiple sclerosis, CBD can help with muscle stiffness, pain, and spasms. Additionally, preliminary research shows that CBD may also have the potential in relieving symptoms of Parkinson&#8217;s disease such as tremors and rigidity, as well as improve the overall quality of life. However, it is vital to consult with a healthcare professional before considering the use of CBD as part of your treatment plan.</p>
<p class="p1">While there is still much to learn about the full potential and benefits of CBD as a treatment, the promising results witnessed so far offer a newfound sense of hope for many patients seeking alternative and more natural solutions for managing these challenging conditions.</p>
<h2 class="p2"><b>How to take CBD oil?</b></h2>
<p class="p1">The CBD market has seen rapid growth in recent years, providing a plethora of products to cater to the diverse needs of its consumers. There are now various forms of CBD products available to suit different lifestyles and preferences, including:</p>
<ul class="ul1">
<li class="li1">Tinctures, which are highly concentrated liquid CBD that can be taken sublingually or added to food and beverages</li>
<li class="li1">Creams and balms infused with CBD, designed for topical application to soothe sore muscles can be applied directly to the skin to address specific concerns</li>
<li class="li1">Edible treats like gummies, cookies, and chocolate bars make it easy and enjoyable to incorporate CBD into the daily routine</li>
<li class="li1">CBD <a href="https://nowpatient.com/healthy-living-and-wellness/is-vaping-harmful">vapes</a> are perfect for those who enjoy inhalation as their method of consumption</li>
<li class="li1">Bath bombs can offer a relaxing and rejuvenating bathing experience while absorbing the goodness of CBD</li>
</ul>
<p class="p1">The versatility of these products ensures that there is something for everyone, offering a convenient and enjoyable way to experience the therapeutic effects of CBD. Depending on your condition and desired effects, your doctor may recommend a specific method of usage that best suits your needs. It is important to speak with your doctor before starting any new supplement or medication regimen so that they can ensure you are taking appropriate dosages at recommended intervals throughout the day.</p>
<h2 class="p2"><b>What are the side effects of CBD?</b></h2>
<p class="p1">When considering the use of CBD, it&#8217;s important to be aware of the potential side effects it may cause. Thankfully, most people find CBD to be well-tolerated and experience only minor side effects if any. However, it&#8217;s important to note that everyone reacts differently, and some individuals may experience mild discomforts such as dizziness, dry mouth, or diarrhoea after consuming CBD products. In some cases, CBD might also cause fatigue or changes in appetite. It&#8217;s essential to monitor your body&#8217;s response to CBD, especially when starting a new regimen or adjusting your dosage.</p>
<p class="p1">Always make sure to consult with a healthcare professional if you&#8217;re unsure about incorporating CBD into your regimen or if you&#8217;re experiencing adverse effects.</p>
<h2 class="p2"><b>Are CBD oil and hemp oil the same?</b></h2>
<p class="p1">While browsing various health and wellness products, you might have encountered CBD and hemp oil. Although CBD oil and hemp oil are derived from the same plant, Cannabis sativa plant, their similarities end there.</p>
<p class="p1">Many people unknowingly use these terms interchangeably, which can confuse. CBD oil is derived from the whole hemp plant including its stalk, leaves, and flowers, making it rich in cannabinoids like CBD, as well as terpenes and flavonoids that can provide a variety of health benefits.</p>
<p class="p1">On the other hand, hemp oil, also known as hemp seed oil, is extracted solely from the seeds of the hemp plant. It contains high levels of omega-3 and omega-6 fatty acids, making it an excellent choice for culinary purposes and skincare products, but it does not contain substantial amounts of CBD.</p>
<p class="p1">It is essential to understand the difference between these two oils to ensure you choose the appropriate product for your needs while reaping the maximum benefits they can offer.</p>
<h2 class="p2"><b>Is CBD legal in the UK?</b></h2>
<p class="p1">Navigating the legality of CBD in the UK can be quite confusing for many people, given the rapidly evolving landscape surrounding cannabis and its derivatives. The good news is that CBD is indeed legal in the UK, as long as it comes from authorised industrial hemp strains containing not more than 0.2% THC (the compound responsible for the intoxicating effects).</p>
<p class="p1">To ensure safety and adherence to regulations, CBD products are required to undergo rigorous testing. CBD oil is not a controlled substance under the Misuse of Drugs Act and it can be sold in the UK as a food supplement if the seller does not make any claims about its medicinal properties. So, if you are in the UK and considering trying CBD for its potential wellness benefits, you can do so with peace of mind knowing that it is lawful and regulated.</p>
<h2 class="p2"><b>What is medical cannabis?</b></h2>
<p class="p1">Understanding the difference between medical cannabis and CBD oil is essential, especially when it comes to their use and benefits for our health.</p>
<p class="p1">Medical cannabis is a term used to describe the whole cannabis plant or its extracts, which contain various active compounds, including THC and CBD. THC, responsible for the psychoactive effect or the &#8220;high&#8221; associated with marijuana use, can be beneficial in certain medical conditions. On the other hand, CBD oil is derived from hemp plants and primarily contains the non-psychoactive compound CBD. It does not produce the &#8220;high&#8221; sensation mind-altering effects.</p>
<p class="p1">Essentially, medical cannabis provides a broader spectrum of relief due to the presence of various cannabinoids, whereas CBD oil offers targeted support with minimal psychoactive effects. As a patient, understanding these differences can better inform your healthcare decisions and allow you to choose the right option for your specific needs.</p>
<p class="p1">Specific cannabis-based products are available on <a href="https://nowpatient.com/nhs-prescriptions">NHS prescription</a> as medicinal cannabis. These are only likely to benefit a very small number of patients and are prescribed to very few patients. A hospital specialist can only prescribe medical cannabis. You cannot get cannabis-based medicine from a GP.</p>
<p class="p1">Epidiolex can be prescribed by a specialist for patients with Lennox-Gastaut syndrome and Dravet syndrome (both severe forms of <a href="https://nowpatient.com/health-conditions/what-causes-epilepsy">epilepsy)</a>.</p>
<p class="p1">Sativex can be prescribed for multiple sclerosis which can be sprayed into the mouth. It is licensed in the UK for adults with MS-related muscle spasticity that has not got better with other treatments.</p>
<h2 class="p2"><b>Using CBD oil safely &amp; effectively</b></h2>
<p class="p1">If you&#8217;re considering using CBD oil to treat a specific condition or symptom, consult your doctor or pharmacist first for medical advice. They will be able to provide advice on how to use it safely and whether or not you should avoid any medications while taking it e.g. when taking opioid painkillers like morphine, CBD increases the effect of morphine. Additionally, they may be able to recommend a reputable brand that offers high-quality products.</p>
<p class="p1">When buying CBD oil online or in stores, always read labels carefully so that you know exactly what you&#8217;re getting, including the dose of CBD. Additionally, look for products that have been tested by third-party labs for purity and potency as this will ensure that you get a product that is safe and effective for your needs.</p>
<h3>Sources</h3>
<ul>
<li class="p1"><a href="https://www.nhs.uk/conditions/medical-cannabis/">Medical Cannabis &#8211; NHS</a></li>
<li class="p1"><a href="https://www.macmillan.org.uk/cancer-information-and-support/treatment/coping-with-treatment/complementary-therapies/cannabis-oil">Cannabis oil and cancer &#8211; Macmillan</a></li>
</ul>
<div class="row mm-row component column-splitter "></div>


<p class="p1">If you have a baby, you&#8217;ve probably heard the term &#8220;colic&#8221; before. What exactly is colic? What causes it? Let&#8217;s take a look.</p>
<p class="p1">Colic can be very frustrating for both babies and their parents. However, it is important to remember that colic is not a medical condition or diagnosis. It is simply a description of a symptom. In most cases, colic will resolve on its own without any treatment.</p>
<h2 class="p2"><b>What is colic?</b></h2>
<p class="p1">Colic, also known as infantile colic, is when an otherwise healthy baby cries excessively and inconsolably for no apparent reason. It’s not usually a sign of a serious medical condition. It can happen regardless of your baby&#8217;s sex or whether you are breastfeeding or bottle-feeding your baby. It typically begins around 2 weeks of age and resolves by 4 months of age. The main symptom of colic is crying for more than 3 hours per day, more than 3 days per week, for more than 3 weeks in a row.</p>
<h2 class="p2"><b>How do babies get colic?</b></h2>
<p class="p1">The exact cause of colic is unknown. However, several possible causes might contribute to it. These include:</p>
<ul class="ul1">
<li class="li1">Gastrointestinal discomfort: Some experts believe that gastrointestinal discomforts like gas or indigestion may cause colic. This theory is supported by the fact that many colic babies seem relieved by passing gas or having a bowel movement.</li>
<li class="li1">Immature nervous system: Another theory suggests that colic may be due to an immature nervous system. This means the baby&#8217;s brain is still learning to process all the new sensory information they are taking in. As a result, they may overreact to certain stimuli, such as light, sound, or touch, which can lead to crying episodes</li>
<li class="li1">Hunger: Some babies may cry because they are hungry. This is more likely to be the case if the baby is not gaining weight properly or if they are not getting enough breast milk or formula</li>
<li class="li1">Overstimulation: Too much stimulation can lead to crying episodes in some babies. This may include exposure to loud noises, bright lights, or too much movement</li>
<li class="li1">Pain: Some experts believe that colic may be caused by pain, such as from teething or an ear <a href="https://nowpatient.com/health-conditions/what-are-the-4-types-of-infections">infection</a>. However, this has not been proven definitively</li>
<li class="li1">Reflux: Gastroesophageal reflux (GER) occurs when stomach contents return to the oesophagus. This can cause heartburn and other symptoms in adults but often goes unnoticed in infants unless it leads to vomiting or poor weight gain. Some experts believe that GER may contribute to colic in some babies</li>
<li class="li1">Food allergies or sensitivity: Some experts believe that colic results from milk allergies or lactose intolerance. This is a reaction in the gut to the milk, usually the cow’s milk protein.</li>
</ul>
<h2 class="p2"><b>Signs and Symptoms of Colic</b></h2>
<p class="p1">The main sign of baby colic is excessive crying. This crying may be more intense than usual and not like normal crying. Baby cries may be accompanied by fussiness or irritability. Crying episodes often occur in the late afternoon or evening and last for several hours at a time.</p>
<p class="p1">Some babies with colic may clench their fists, arch their backs during feeding, or pull their legs up to their chests, turning away when offered a bottle or breast and excessive gas/burping.</p>
<p class="p1">These episodes can be frustrating and exhausting for both infants and parents. However, it is important to remember that colic is not dangerous and usually goes away after a few months.</p>
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<h2 class="p2"><b>How to soothe colic in babies?</b></h2>
<p class="p1">There are a few things you can do to help soothe a colicky baby during a colic episode:</p>
<ul class="ul1">
<li class="li1">Try infant massage or warm bath: Gently massage your baby’s tummy in a clockwise direction with your fingertips or a warm bath to help relieve gas pain</li>
<li class="li1">Rock them gently: Try rocking your baby in a rocking chair or holding them close while you walk around the room</li>
<li class="li1">Swaddling: This technique entails wrapping the infant in lightweight blankets or fabric, usually on the chest, between both arms, and around the legs. When swaddled properly and snugly enough, it can help a fussy baby feel more secure and comfortable</li>
<li class="li1">Give them a pacifier: If your baby takes a pacifier, this can help calm them down during a crying episode</li>
<li class="li1">Go for a walk: Take your baby in their stroller or go for a drive with your baby in their car seat</li>
<li class="li1">Play white noise: White noise can help soothe and relax your crying baby. You can find white noise machines specifically designed for babies or download an app on your phone. Alternatively, use a vacuum cleaner or washing machine to provide white noise</li>
<li class="li1">Reduce stimulation: Keep the environment calm and avoid too much loud noise and harsh lighting</li>
</ul>
<h3 class="p1">Other things you may hear about include:</h3>
<ul class="ul1">
<li class="li1">Anti-colic drops and herbal and probiotic supplements. One helpful medication is simeticone, an anti-foaming agent that helps break down gas bubbles in the baby&#8217;s digestive system. This over-the-counter medication works quickly and can bring relief to both you and your little one</li>
<li class="li1">Changes to your diet if you&#8217;re breastfeeding. Consider changing your diet if you are breastfeeding, as eliminating dairy or caffeine may help reduce excessive fussiness or crying in the infant</li>
</ul>
<h2 class="p2"><b>How long does colic last in babies?</b></h2>
<p class="p1">The average baby experiences colic for between three and four months. However, it can sometimes take up to 9 months for infant colic to resolve. However, every baby is unique, and these timelines may vary depending on the individual. Prolonged colicky symptoms may indicate a <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a> problem if they go beyond the four months mark.</p>
<p class="p1">The sudden onset and loud cries associated with colic can be incredibly difficult for you and your little one. You may also notice that comforting measures don’t help ease the crying. Rest assured that this is a normal part of a baby&#8217;s development. However, speaking to your healthcare provider for medical advice is always advisable if you are worried.</p>
<h2 class="p2"><b>Can breastfed babies get colic?</b></h2>
<p class="p1">It may surprise some parents that breastfed babies can get colic like bottle-fed babies. Breastfeeding can provide a range of benefits over using formula when it comes to helping a baby avoid colic. Breastmilk is produced on-demand, so the baby&#8217;s digestion more easily handles it and gets the right mix of nutrients needed to stay healthy and happy.</p>
<p class="p1">Studies have also suggested that breastfeeding reduces the chances of a baby developing infantile crying or colic since some cow’s milk proteins may cause gastrointestinal distress in newborns. Therefore breastfeeding could be considered an option for colic prevention.</p>
<h2 class="p2"><b>Getting help with a crying baby</b></h2>
<p class="p1">When parents or caregivers are struggling with a crying baby, it can be an extremely trying and exhausting experience. In those moments of distress, it is important to remember that you are never alone in parenting, and there is help available. Call a friend or family member for support, or take deep breaths until you feel calmer.</p>
<p class="p1">It’s important to care for yourself and your baby during this time. Where appropriate, parents may even seek the expertise of a medical professional for further relief. No parents should have to deal with these times on their own the demands of parenting can often be hard enough as it is.</p>
<p>&nbsp;</p>
<h3><strong>Sources</strong></h3>
<ul>
<li><a href="https://www.nhs.uk/conditions/colic/">Colic &#8211; NHS </a></li>
<li><a href="https://cks.nice.org.uk/topics/colic-infantile/">Colic Infantile &#8211; CKS Nice </a></li>
<li><a href="https://www.nhs.uk/conditions/baby/caring-for-a-newborn/soothing-a-crying-baby/">Soothing a crying baby &#8211; NHS</a></li>
</ul>


<p class="p1">Vitamin B12 is essential for keeping the body functioning properly. It aids in producing red blood cells and helps keep nerves healthy while playing a role in many other processes. Despite its importance, many people don’t know enough about vitamin B12, which is why we’ve created this blog post to help you understand everything you need to know about it.</p>
<h2 class="p2"><b>What is vitamin B12?</b></h2>
<p class="p1">Vitamin B12, also known as cobalamin and is one of the eight B vitamins. It is a water-soluble vitamin, meaning the body does not store it. Vitamin B12 plays an important role in many bodily functions:</p>
<ul class="ul1">
<li class="li1">Healthy nerve cell function</li>
<li class="li1">Red blood cell production</li>
<li class="li1">DNA synthesis</li>
</ul>
<p class="p1">Working with Vitamin B9 (also called folate or folic acid) helps regulate levels of homocysteine in the blood. Homocysteine is an amino acid produced by the body during protein breakdown processes. High homocysteine blood levels can put you at risk of having heart problems or a <a href="https://nowpatient.com/health-conditions/signs-of-having-a-stroke">stroke</a>. Vitamins B6, B12 and B9 work together to promote normal homocysteine levels in your blood. B12 and B6 are necessary for activating Vitamin B9 to break down homocysteine in your body. It&#8217;s important to ensure you&#8217;re getting enough of these vitamins regularly through diet or supplementation to protect your cardiovascular <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a>.</p>
<p class="p2"><b>Symptoms of vitamin B12 deficiency</b></p>
<p class="p1">Signs and symptoms of low vitamin B12 levels may include:</p>
<ul class="ul1">
<li class="li1">Megaloblastic anaemia</li>
<li class="li1">Fatigue</li>
<li class="li1">Palpitations</li>
<li class="li1">Pale or yellowish skin</li>
<li class="li1">Depression</li>
<li class="li1">Memory loss</li>
<li class="li1">Weight loss</li>
<li class="li1">Digestive upsets such as <a href="https://nowpatient.com/healthy-living-and-wellness/five-signs-your-bloating-is-something-more-serious">bloating</a>, gas or constipation</li>
<li class="li1">Infertility</li>
</ul>
<p class="p1">Other less common symptoms can include nerve damage which often leads to tingling and numbness in the hands and feet, as well as difficulty walking. Loss of balance could also occur due to the lack of vitamin B12. If these symptoms are ignored or left undiagnosed and untreated, it can increase the risk of cardiovascular disease and serious neurological symptoms over time. Recognising early signs and conditions of vitamin B12 deficiency is key to avoiding potential long-term health issues and ensuring you stay healthy in the future.</p>
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<p class="p2"><b>Risk Factors for vitamin B12 deficiency</b></p>
<p class="p1">Vitamin B12 is a nutrient that helps your body grow and develop, so getting enough of it in your diet is important. Some people are at increased risk of deficiency of this essential vitamin than others:</p>
<ul class="ul1">
<li class="li1">Those with pernicious anaemia, which is an autoimmune disorder, are more prone to having a deficiency since they have trouble absorbing B12 from their food</li>
<li class="li1">Older adults often suffer from impaired digestion and absorption. In older people, affecting around 1 in 10 people aged 75 or over and 1 in 20 people aged 65 to 74</li>
<li class="li1">Vegetarians and vegans often miss out on getting enough B12 since it is only found naturally in animal products, even though there are some fortified foods containing it</li>
<li class="li1">People with medical conditions that affect the small intestine, like Celiac disease and Crohn’s disease</li>
<li class="li1">People infected with <i>Helicobacter pylori</i>, an organism in the intestines that can cause an ulcer. H. pylori damages stomach cells that make intrinsic factor, a substance the body needs to absorb B12</li>
<li class="li1">Pregnant women</li>
<li class="li1">Those taking certain medications, such as metformin and proton pump inhibitors</li>
<li class="li1">Individuals with HIV/AIDS</li>
<li class="li1">Alcoholics</li>
</ul>
<p class="p1">If you have any of these risk factors, it may be important for you to discuss your levels of Vitamin B12 with your doctor. They can determine if supplementation with foods or supplements could help prevent low levels of Vitamin B12, potentially leading to long-term health problems if uncontrolled.</p>
<p class="p2"><b>What foods contain vitamin B12?</b></p>
<p class="p2"><b>Animal sources of vitamin B12</b></p>
<p class="p1">If your body is low on vitamin B12, animal foods are a great way to boost your vitamin level. Animal products are rich in this nutrient and provide us with a great source of dietary vitamin B12. Food sources include:</p>
<ul class="ul1">
<li class="li1">Animal meats, such as beef, pork, poultry, and fish</li>
<li class="li1">Animal milk and dairy products, such as cow’s milk, yoghurt, cheese and cream</li>
<li class="li1">Eggs</li>
<li class="li1">Animal-based seafood such as oysters, mussels or shrimp</li>
</ul>
<p class="p1">Animal sources of vitamin B12 are a reliable way to get enough of this essential vitamin in your diet.</p>
<p class="p2"><b>Non-animal sources of vitamin B12</b></p>
<p class="p1">Follow a vegan diet or vegetarian diet. You may be aware that vitamin B12 is found almost exclusively in animal products and, therefore, can be much harder to get into the diet. Don&#8217;t worry because non-animal sources of vitamin B12 do exist.</p>
<ul class="ul1">
<li class="li1">Nutritional yeast is an effective source and can be easily added to dishes such as salads or pasta sauces</li>
<li class="li1">Fortified foods such as breakfast cereals, non-dairy milk, certain non-dairy yoghurts and cheese</li>
</ul>
<p class="p1">Additionally, many vegan multivitamins come with added sources of B12, making it easier to get your daily recommended amount each day.</p>
<p class="p2"><b>How much vitamin B12 should I take?</b></p>
<p class="p1">The NHS advises that the recommended daily amount (RDA) is 1.5 micrograms (mcg) for adults (aged 19 to 64). The RDA will differ for breastfeeding and pregnant women.</p>
<p class="p2"><b>How do you treat Vitamin B12 deficiency?</b></p>
<p class="p1">Treating Vitamin B12 deficiency begins with regular medical checkups and blood tests to monitor your levels. If you are found to be deficient, your doctor may recommend different treatments. Two types of treatments are available: dietary supplements and prescription medications.</p>
<p class="p1">Taking a dietary supplement is one option that can be purchased over the counter at your local pharmacy. Dietary supplements can include high doses of vitamin B12 taken orally or as an injection. However, if the vitamin B12 deficiency is caused by other underlying medical conditions like an intestinal disorder, your doctor might recommend a prescription medication such as cyanocobalamin or hydroxocobalamin.</p>
<p class="p1">Additionally, a healthy diet rich in vitamin B12 will play an important role in managing symptoms and ensuring that you receive adequate amounts of the vitamin in your diet.</p>
<p class="p1">Whichever option your health care professional recommends, both can be effective in correcting any deficiencies you may have and should be enough to bring your energy levels back up.</p>
<p class="p2"><b>Can you overdose on vitamin B12?</b></p>
<p class="p1">While it’s a great idea to make sure you’re getting enough vitamin B12 through diet or supplements, it’s important to recognise that too much can cause side effects. Though uncommon due to the low toxicity level of B12, overdosing on this vitamin can lead to nausea, headaches, abdominal pain, or even allergic reactions when taken in very large doses.</p>
<p class="p1">If you’re considering taking a supplement or multivitamin containing additional B12 doses over the recommended daily allowance (RDA), talk with a health professional and pay attention to the amount given in each dose.</p>
<p class="p2"><b>Complications of vitamin B12 or folate deficiency anaemia</b></p>
<p class="p1">Vitamin B12 or folate deficiency anaemia can cause several complications, especially if left untreated.</p>
<ul class="ul1">
<li class="li1">The brain and nervous system may be affected in some way. This includes fatigue, pins and needles and difficulty with balance</li>
<li class="li1">In rare cases, vitamin B12 deficiency may confuse problems with cognitive function and <a href="https://nowpatient.com/health-conditions/types-of-dementia">dementia</a></li>
<li class="li1">A lack of folate or B12 can lead to irregular heart rhythms, which could slow the heart rate and lead to other heart complications such as palpitations</li>
<li class="li1">In pregnant women, an unbalanced level of B vitamins can increase the chances of congenital disabilities and other health risks for the baby</li>
</ul>
<p class="p2"><b>Speak to a healthcare professional</b></p>
<p class="p1">Understanding what vitamin B12 does and how much we need can help us make sure we&#8217;re getting enough of this essential nutrient from our diets or through oral vitamin B12 supplements or vitamin B12 injections if needed. While deficiency symptoms can range from mild to severe depending on individual circumstances, having adequate amounts of this nutrient can help us stay healthy overall. Talk with your <a href="https://nowpatient.com/live-consultations">pharmacist</a> or doctor if you have questions about Vitamin B12.</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.nhs.uk/conditions/vitamins-and-minerals/vitamin-b/">Vitamin B &#8211; NHS </a></li>
<li><a href="https://www.nhs.uk/conditions/vitamin-b12-or-folate-deficiency-anaemia/">Vitamin B12 or folate deficiency anaemia &#8211; NHS </a></li>
<li><a href="https://cks.nice.org.uk/topics/anaemia-b12-folate-deficiency/background-information/">Anaemia &#8211; B12 and folate deficiency &#8211; CKS Nice </a></li>
</ul>


<p class="p1">Are you wondering why your healthcare provider might be talking to you about zinc? You&#8217;ve probably heard of it before, but why is it important for good health? Zinc is an essential mineral that plays a role in many biological processes within the body, and having enough of this nutrient can help keep our bodies running smoothly.</p>
<p class="p1">In this blog post, we&#8217;ll explore what zinc does in your body and how you can make sure your zinc intake of this important micronutrient is adequate. So let&#8217;s dive into the world of zinc &#8211; read on to learn more.</p>
<h2 class="p2"><b>What Is Zinc?</b></h2>
<p class="p1">Zinc is an essential trace mineral meaning that the body only needs small amounts, and yet it is necessary for almost a hundred enzymes to carry out vital chemical reactions. It helps to maintain the structure of proteins and DNA and helps regulate the activity of enzymes in cells. Zinc also helps support immune function, wound healing, cell growth, reproduction, vision, and taste.</p>
<h2 class="p2"><b>What does zinc do in the body?</b></h2>
<p class="p1">Zinc has many important functions in the body, including helping with protein synthesis and cell growth. It also helps to maintain normal testosterone levels in men as well as bone density. Additionally, zinc supports proper nerve conduction, fertility, immune system response, skin <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a>, wound healing, blood clotting ability, cognitive function and energy production.</p>
<h3 class="p2"><b>Wound healing</b></h3>
<p class="p1">Zinc plays a vital role in helping your body heal from injuries and wounds. It does this through its involvement in blood clotting, a process that helps to stop bleeding quickly and promote healing. Without zinc, the proteins that drive this process would not function properly. This means that any cuts or scrapes you suffer could take longer to heal and put you at risk of excessive bleeding or <a href="https://nowpatient.com/health-conditions/what-are-the-4-types-of-infections">infection</a>. People with skin ulcers and low levels of zinc might benefit from oral zinc supplements. Zinc oxide cream, ointment or paste is applied to the skin to prevent conditions such as diaper rash and sunburn.</p>
<p class="p1">Zinc also helps to prevent infection, as it acts as a natural antiseptic that kills bacteria and acts as a barrier at the wound site. Lastly, zinc is helpful for cell growth and tissue regeneration, two processes that are necessary for complete and effective wound healing</p>
<h3 class="p2"><b>Boost the immune system</b></h3>
<p class="p1">One of the main benefits of zinc is its ability to boost the immune system. Studies have shown that when taken in supplement form, zinc can help reduce <a href="https://nowpatient.com/healthy-living-and-wellness/11-ways-to-try-and-swerve-the-flu-this-winter">flu</a> and cold symptoms by reducing inflammation by stimulating the production of white blood cells which fight infection but not all studies agree. Many people believe that taking zinc lozenges or using zinc nasal spray when they first show signs of a <a href="https://nowpatient.com/healthy-living-and-wellness/getting-rid-of-a-cold">cold</a> can reduce the duration and severity of symptoms.</p>
<h3 class="p2"><b>Helps the eyes</b></h3>
<p class="p1">Research has shown that the use of zinc can prevent and slow down the progression of age-related macular degeneration (AMD). AMD is a chronic age-related eye <a href="https://nowpatient.com/health-conditions/what-are-the-10-common-diseases">disease</a> that affects the light-sensitive cells in the macula located in the centre of the retina. It can cause blurred vision, and distorted images, and eventually lead to central vision loss. Generally, there is no cure for AMD however, zinc supplements in combination with antioxidant vitamin C, vitamin E, beta-carotene, and copper are effective in reducing the further progression of this disease in clinical trials.</p>
<p class="p1">By incorporating a supplement regimen with these essential nutrients and maintaining a regular check-up with your eye care professional, you can potentially slow down the damage to your eyes, enabling you to enjoy a better quality of life as you get older.</p>
<h3 class="p2"><b>Reduces diarrhoeal episodes in young children</b></h3>
<p class="p1">Research shows that when paired with special rehydration solutions, zinc can make diarrhoeal episodes shorter and less severe for up to three months. The World Health Organization and UNICEF even suggest that children take 20 mg of zinc daily for 10-14 days, and babies under six months take 10 mg, to reduce the impact of diarrhoea and help prevent future episodes.</p>
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<h2 class="p2"><b>What is the recommended dietary allowance(RDA) for zinc?</b></h2>
<p class="p1">To ensure we get enough of this powerhouse nutrient, it&#8217;s important to know the recommended daily intake:</p>
<p class="p1">The NHS guidelines suggest the amount of zinc you need is about:</p>
<ul class="ul1">
<li class="li1">9.5 mg of zinc a day for men (aged 19 to 64 years)</li>
<li class="li1">7 mg of zinc a day for women</li>
</ul>
<p class="p1">Pregnant or breastfeeding women require slightly more.</p>
<h2 class="p2"><b>What causes zinc deficiency?</b></h2>
<p class="p1">Zinc deficiency can occur for a variety of reasons, making it important for us to understand its causes to maintain optimal health.</p>
<h3 class="p2"><b>Unbalanced diet</b></h3>
<p class="p1">Surprisingly, one of the primary causes of this deficiency is associated with the quality of our nutrition. Consuming a poor diet, such as a diet that is low in nutrient-dense foods or heavily relies on processed and junk foods can lead to an inadequate intake of zinc.</p>
<p class="p1">To maintain adequate levels of zinc, it&#8217;s vital to consume a diverse and nutritious diet that includes food sources rich in zinc, like lean meats, poultry, seafood, whole grains, nuts, seeds, and legumes. Individuals who follow restrictive diets, are vegetarians or vegans or are pregnant or breastfeeding may be at a higher risk for zinc deficiency.</p>
<h3 class="p2"><b>Gut conditions</b></h3>
<p class="p1">Did you know that a healthy gut plays a crucial role in maintaining adequate zinc levels in our body? Zinc deficiency is often linked to certain gut conditions that can hinder our body&#8217;s ability to absorb this vital nutrient. Our digestive tract is responsible for breaking down the foods we consume, extracting essential nutrients like zinc, and then ensuring they are absorbed into our bloodstream. However, individuals suffering from gastrointestinal disorders, such as Crohn&#8217;s disease, celiac disease, or irritable bowel syndrome, may experience impaired nutrient absorption leading to zinc deficiency. Furthermore, conditions like leaky gut syndrome and an imbalance in our gut bacteria can also contribute to lower zinc levels. It is essential to address these gut issues and maintain a balanced diet to ensure the body receives enough zinc to support its various essential functions.</p>
<h3 class="p2"><b>Other medical conditions</b></h3>
<p class="p1">Low levels of zinc can be the result of various medical conditions. In some cases, chronic kidney and liver diseases can also lead to lower zinc levels by interfering with the body&#8217;s natural regulation and distribution of this essential mineral. Other medical conditions, like sickle cell disease, can cause zinc deficiency due to the increased demand for zinc in the body. Additionally, certain genetic disorders, like acrodermatitis enteropathica, make it challenging for the body to absorb and retain zinc.</p>
<p class="p1">It&#8217;s crucial to understand the connection between these medical conditions and zinc deficiency to properly manage and maintain optimal overall health.</p>
<h3 class="p2"><b>Excessive alcohol consumption</b></h3>
<p class="p1">When we consume large amounts of <a href="https://nowpatient.com/healthy-living-and-wellness/how-to-cut-down-on-alcohol">alcohol</a>, our body&#8217;s ability to absorb and retain zinc becomes compromised. This is because alcohol can damage our gut lining, where zinc is predominantly absorbed, and increase the rate at which our body expels the mineral through urine. Moreover, alcohol itself can deplete the zinc in our liver and muscles, making it even harder for our bodies to maintain optimal levels. As a result, excessive alcohol consumption can lead to a deficiency, which may weaken our immune system, impair our senses of taste and smell, and slow down the healing process. So it&#8217;s essential to be mindful of our alcohol intake to protect our zinc levels and overall health.</p>
<h3 class="p2"><b>Chronic stress</b></h3>
<p class="p1">When we experience heightened and prolonged stress, our body responds by releasing a hormone called cortisol, which helps us deal with the emotional and physical demands of stress. However, this cortisol release also has a downside – it can lead to zinc depletion, as our body uses up this valuable mineral to function in high-pressure situations. The effect of chronic stress on zinc levels is often overlooked, yet maintaining a balanced and nutrient-rich diet, along with managing stress levels, is essential for our overall well-being.</p>
<h2 class="p2"><b>What are the symptoms of zinc deficiency?</b></h2>
<p class="p1">A slight deficiency might only cause minor symptoms, while a more severe shortage can have a major impact on your health.</p>
<p class="p1">If you&#8217;re not getting enough zinc, you may experience symptoms such</p>
<ul class="ul1">
<li class="li1">Hair loss</li>
<li class="li1">Low energy levels</li>
<li class="li1">A weakened immune system results in infections, such as the common cold, coughs and chest infections</li>
<li class="li1">Slow wound healing</li>
<li class="li1">Skin changes</li>
<li class="li1">Loss of appetite</li>
<li class="li1">Difficulty concentrating.</li>
<li class="li1">A reduced sense of taste or sense of smell</li>
<li class="li1">Eyesight changes or vision loss</li>
</ul>
<p class="p1">In children and adolescents, there also can be:</p>
<ul class="ul1">
<li class="li1">Slow growth</li>
<li class="li1">Delayed puberty</li>
<li class="li1">Development of learning difficulty</li>
</ul>
<p class="p1">It&#8217;s crucial to know the signs of zinc deficiency, as it&#8217;s an essential factor in maintaining your overall health and well-being. Don&#8217;t hesitate to consult your healthcare provider if you suspect you might have a deficiency – they can help you assess your zinc levels and provide proper guidance to ensure you&#8217;re receiving the right amount of this vital mineral.</p>
<h2 class="p2"><b>What Foods Contain Zinc?</b></h2>
<p class="p1">Good sources of foods with high zinc content include:</p>
<ul class="ul1">
<li class="li1">Shellfish such as oysters and crabs</li>
<li class="li1">Nuts like cashews and almonds</li>
<li class="li1">Red meat such as beef, lamb, liver and kidney</li>
<li class="li1">Whole grains such as oats or wheat germ</li>
<li class="li1">Fortified breakfast cereals</li>
<li class="li1">Eggs</li>
<li class="li1">Poultry such as chicken or turkey</li>
<li class="li1">Seafood like salmon or tuna</li>
<li class="li1">Seeds like pumpkin seeds or sesame seeds</li>
</ul>
<h2 class="p2"><b>What Foods Can Block Zinc Absorption?</b></h2>
<p class="p1">While zinc is an essential nutrient for healthy bodies, certain foods can interfere with the body&#8217;s absorption of zinc:</p>
<ul class="ul1">
<li class="li1">Foods high in phytates and oxalates have been found to reduce the amount of zinc absorbed in the body. Phytates are typically found in whole grains, legumes and nuts, while oxalates are commonly present in spinach and rhubarb</li>
<li class="li1">Plant compounds called tannins have also been found to block zinc absorption. Tea, red wine and coffee all contain tannins, meaning it is important to monitor your consumption of these beverages when trying to optimize your intake of zinc</li>
<li class="li1">Saturated fats such as butter, lard or even dairy products like milk have also been known to reduce the absorption of this nutrient.</li>
</ul>
<p class="p1">Vegetarians are at a higher risk of consuming foods that block zinc absorption due to high amounts of plant-based food sources in their diets.</p>
<h2 class="p2"><b>Who Needs to Take Zinc Supplements?</b></h2>
<p class="p1">Zinc supplements are beneficial for many people, although dietary supplements may not be necessary or recommended for everyone: Groups that may benefit are:</p>
<ul class="ul1">
<li class="li1">Anyone with a zinc deficiency</li>
<li class="li1">Those with certain medical conditions such as sickle cell disease and diabetes</li>
<li class="li1">People with a compromised immune system due to chemotherapy, lupus, AIDS, or even ageing</li>
<li class="li1">People with Wilson Disease. A rare inherited disorder that affects the body&#8217;s ability to metabolise copper.</li>
<li class="li1">Pregnant women and breastfeeding women</li>
<li class="li1">Those with poor diets lacking fresh fruits and vegetables</li>
<li class="li1">Those on a vegan or vegetarian diet</li>
<li class="li1">Athletes who do strenuous exercise regimens regularly</li>
</ul>
<p class="p1">There are different forms of zinc supplements available. Zinc sulfate can help your body absorb more zinc and can be found in pill form or powder. Another popular form is zinc gluconate, which has been found to have higher levels of absorption by the intestine and stronger effects in some cases. Lastly, zinc citrate boasts a high bioavailability in the body and might also have stronger effects than other forms. Speak to your doctor about which form of zinc supplement may be best suitable for you.</p>
<h2 class="p2"><b>Side effects of supplemental zinc</b></h2>
<p class="p1">Supplemental zinc has been known to have some potential side effects, especially when taken in high doses. While it is generally accepted that consuming supplemental zinc can be beneficial to health and can support the immune system, excess zinc can also lead to stomach issues such as nausea and vomiting or interfere with iron or copper levels. In some cases, long-term consumption of supplemental zinc may even lead to anaemia or lower good <a href="https://nowpatient.com/healthy-living-and-wellness/managing-your-cholesterol">cholesterol levels</a>.</p>
<p class="p1">It&#8217;s important to discuss how much supplemental zinc is right for you with your healthcare provider. Regular blood work can help track any possible changes due to increased zinc levels. Keeping a healthy balance is key!</p>
<h2 class="p2"><b>Speak to your healthcare provider for help</b></h2>
<p class="p1">We hope this blog post gave you a better understanding of what zinc is and why it&#8217;s important for your health. Be sure to include foods rich in zinc into your diet to ensure that you’re getting enough of this essential mineral each day.</p>
<p class="p1">As always consult with your doctor or pharmacist before adding any nutritional supplements to your diet. Zinc supplements can interfere with other medicines such as penicillamine, quinolone or tetracycline antibiotics, iron or calcium supplements and thiazide diuretics medication. Always seek medical advice from a healthcare professional.</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.nhs.uk/conditions/vitamins-and-minerals/others/">Vitamins and minerals &#8211; NHS </a></li>
<li><a href="https://www.nutrition.org.uk/healthy-sustainable-diets/vitamins-and-minerals/?">The science of vitamins and minerals &#8211; Nutrition </a></li>
<li><a href="https://ods.od.nih.gov/factsheets/Zinc-HealthProfessional/">Zinc &#8211; NIH</a></li>
</ul>


<p class="p1">As a pregnant woman, you may be experiencing pain and wondering if it is safe to take co-codamol while pregnant. Co-codamol is an over-the-counter painkiller used to relieve moderate pain. Before taking medication during any stage of pregnancy, it is important to understand the potential risks and benefits associated with this type of medication. This blog post will provide more information on the safety of taking co-codamol while pregnant.</p>
<h2 class="p2"><b>What is co-codamol?</b></h2>
<p class="p1">Co-codamol is a stronger painkiller than non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and aspirin. It contains two different <a href="https://nowpatient.com/medications">medications</a>, codeine and paracetamol.</p>
<p class="p1">Codeine belongs to a class of drugs known as opioids which act on the nervous system and can help reduce feelings of pain or discomfort.</p>
<p class="p1">Paracetamol helps to lower fever and relieve mild to moderate pain from headaches, muscle aches, menstrual cramps, <a href="https://nowpatient.com/health-news/national-toothache-day-awareness">toothaches</a>, and other conditions.</p>
<p class="p1">Co-codamol combines these two ingredients in one pill for easier dosing and faster relief from pain.</p>
<h2 class="p2"><b>What are opioids?</b></h2>
<p class="p1">Opioids are a class of drugs that act on the nervous system to reduce pain. Common types of opioids include oxycodone, codeine, fentanyl, tramadol and hydrocodone. The opioid in co-codamol is codeine.</p>
<p class="p1">An opioid is meant to be used for short periods to relieve acute pain or treat long-term chronic pain. Unfortunately, opioids can have serious abuse potential due to their ability as a depressant and high euphoric effects when taken in large doses. Methadone, an opioid derivative, is commonly prescribed to help manage opioid addiction but must be administered cautiously because it carries the risk of abuse and dependency. Opioids are effective analgesics when appropriately used by a qualified medical team.</p>
<h2 class="p2"><b>What are the side effects of co-codamol?</b></h2>
<p class="p1">Common side effects may include feeling drowsy or sick, constipation, and headaches. In some cases, more severe reactions such as slow and shallow breathing, confusion, anxiety and blurring of vision can occur. Understanding the potential side effects of any drugs you&#8217;re taking is important to know what to expect. If any worrying symptoms are experienced, it is best to consult your doctor immediately and stop using the medication immediately.</p>
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<h2 class="p2"><b>Risks Associated With Taking Co-Codamol While Pregnant</b></h2>
<p class="p1">Paracetamol is generally safe during pregnancy. However, codeine can affect your baby, particularly towards the third trimester. For these reasons, co-codamol is not generally recommended.</p>
<p class="p1">Prenatal codeine use can have significant effects on expecting mothers and their babies. Maternal death, poor fetal growth, preterm birth, stillbirths and specific congenital disabilities can be associated with taking opioids during pregnancy; it may even lead to Neonatal Abstinence Syndrome (NAS) in some cases. Unfortunately, the long-term effects of such exposures remain largely unknown. Research continues toward gaining more understanding of possible outcomes related to this type of prenatal exposure.</p>
<h2 class="p1">Neonatal Abstinence Syndrome (NAS</h2>
<p class="p1">Neonatal Abstinence Syndrome (NAS) is a condition that occurs in newborn babies when they experience withdrawal symptoms as a result of being exposed to certain substances in the womb. It is commonly seen after exposure to opioids such as co-codamol for pain relief during pregnancy. Signs of withdrawal usually begin within 72 hours after birth and may include the following:</p>
<ul class="ul1">
<li class="li1">High-pitched crying</li>
<li class="li1">Poor feeding</li>
<li class="li1">Jitteriness</li>
<li class="li1">Breathing problems</li>
<li class="li1">Hyperactive reflexes</li>
<li class="li1">Difficulty sleeping</li>
</ul>
<p class="p1">To treat NAS, doctors may use prescription drugs to wean the baby off the substance or adjust the dose accordingly. Depending on the severity, babies may require a stay in the neonatal intensive care unit (NICU) for monitoring and close supervision by their team of healthcare providers.</p>
<p class="p2"><b>How much co-codamol can I take while pregnant?</b></p>
<p class="p1">While co-codamol can be taken during pregnancy under the guidance of a healthcare professional, other painkillers may be more suitable.</p>
<p class="p1">If you are prescribed co-codamol for pain relief, taking the medication for as short a time as possible is important. Generally speaking, the NHS advises that co-codamol should not be taken continuously for longer than 3 days. If your pain persists beyond that period, you should contact your doctor or pharmacist and ask if a different form of treatment is available such as an alternative painkiller or a referral to a specialist.</p>
<p class="p1">Long-term use of co-codamol can lead to an increased risk of dependency on it, so it is best to keep each course of treatment as short as possible whenever possible. For these reasons, co-codamol is not generally recommended for pregnant women.</p>
<h2 class="p2"><b>Co-codamol and breastfeeding</b></h2>
<p class="p1">Breastfeeding and taking co-codamol can be a tricky mix. While the paracetamol component of co-codamol poses no risk to your baby, detectable codeine levels enter the breast milk in small amounts and can cause breathing difficulties in babies. For this reason, breastfeeding moms are generally not recommended to take co-codamol while nursing.</p>
<p class="p1">Your doctor or healthcare professional will happily work with you to determine different safe pain relief options for you and your child. Discussing medication use with your healthcare team is essential before making any decisions.</p>
<h2 class="p2"><b>Speak to a healthcare professional</b></h2>
<p class="p1">As a parent-to-be, it&#8217;s important to consider the effects that co-codamol<b> </b>can have on your pregnancy. You should not self-medicate without speaking to your doctor or pharmacist first.</p>
<p class="p1">Prescribing medications during pregnancy is incredibly delicate, and NHS guidelines have been put in place to educate and inform healthcare professionals of the safest approach to this situation. Special knowledge must be acquired when it comes to prescribing drugs during pregnancy. The NHS stresses that drugs should only be given if the risks of not taking them outweigh any potential dangers to both mother and baby.</p>
<p class="p1">Tell your pharmacist or doctor if you take other medicines, including herbal remedies, vitamins or supplements. Also, inform them of your <a href="https://nowpatient.com/health-conditions">health conditions</a>, such as high blood pressure or mental health disorders.</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.nhs.uk/medicines/co-codamol-adults/">Co-Codamol Adults &#8211; NHS </a></li>
<li><a href="https://www.cdc.gov/pregnancy/opioids/basics.html">Opioids &#8211; CDC </a></li>
<li><a href="https://www.medicinesinpregnancy.org/Medicine--pregnancy/Codeine/">Codeine &#8211; Medicines In Pregnancy</a></li>
</ul>


<p class="p1">Are you expecting a baby? Congratulations! Parenting is an amazing journey, and one of the things that can make it even more enjoyable is knowing that you&#8217;re doing all that you can to look after both your health, as well as the health of your little one.</p>
<p class="p1">As a parent-to-be, you want to do everything possible to ensure a healthy pregnancy. But sometimes, that means making tough decisions like whether or not to take <a href="https://nowpatient.com/medications">medication</a>. If you’re wondering, “can I take paracetamol while pregnant?” read on. In this blog post, we&#8217;ve compiled everything there is to know about paracetamol use while pregnant so that you feel informed and empowered to make decisions regarding your health.</p>
<h2 class="p2"><b>How does paracetamol work?</b></h2>
<p class="p1">Paracetamol is a type of medicine known as an analgesic, which reduces the production of prostaglandins in the body. Prostaglandins are hormones that are involved in pain and inflammation.</p>
<p class="p1">It is commonly used to relieve mild to moderate pain, such as headaches. It also reduces fever. Paracetamol works differently than other non-steroidal anti-inflammatory drugs, such as ibuprofen or <a href="https://nowpatient.com/medications/taking-aspirin">aspirin</a>. This means that it has fewer adverse effects but may take longer to provide relief from pain or fever.</p>
<p class="p1">Paracetamol is a safe medication for treating common aches and pains when taken as directed. However, it is important to understand how paracetamol works and best talk to a healthcare professional, such as a <a href="https://nowpatient.com/live-consultations">pharmacist</a>, about any existing health conditions before taking it for relief.</p>
<h2 class="p2"><b>How does paracetamol compare to ibuprofen?</b></h2>
<p class="p1">Paracetamol and ibuprofen are two of the most common over-the-counter medications used to relieve pain, fever and inflammation. While both are effective pain relievers, they work differently and have unique side effects. Paracetamol works primarily by blocking the effect of chemicals in the brain that cause pain. It is recommended for pregnancy as it does not cause stomach or intestinal issues like ibuprofen. Ibuprofen has a different action and is also known as an anti-inflammatory, meaning it helps reduce inflammation associated with certain medical conditions such as arthritis or back pain, which can help reduce stiffness and swelling. However, if you&#8217;re pregnant, it is recommended that you avoid taking ibuprofen. Ultimately, paracetamol may be a better option than ibuprofen when pregnancy is involved due to fewer potential complications. Talk to your doctor to find an appropriate solution for your need.</p>
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<h2 class="p2"><b>How much paracetamol can I take while pregnant?</b></h2>
<p class="p1">Pregnant and breastfeeding women can take paracetamol for fever and pain relief but should stick to the lowest dose of paracetamol for the shortest possible time. According to NHS guidelines, a maximum of 8 500mg tablets over 24 hours is recommended, with at least 4 hours between each one. Taking more than this could pose a risk in pregnancy, so you must adhere closely to these instructions when taking paracetamol as needed.</p>
<p class="p1">Paracetamol is the first choice of pain relief treatment during pregnancy. It is mild, safe during antenatal stages, and can minimise mild to moderate pain levels with no major side effects when taken as instructed. Compared to other analgesics or painkillers such as ibuprofen, paracetamol carries relatively little risk to the mother and baby when properly dosed during pregnancy. Ibuprofen is not usually recommended in pregnancy due to the increased risk of miscarriage.</p>
<p class="p1">It has been demonstrated that paracetamol effectively relieves mild to moderate pain without causing any major health concerns. As such, it has become the go-to choice by many doctors as a safe and effective first-line treatment for mild to moderate pain relief in pregnant women.</p>
<h2 class="p2"><b>Is paracetamol safe to take while pregnant?</b></h2>
<p class="p1">Although it is not possible to say that any medicine is safe to use in pregnancy, there is currently no good evidence that paracetamol will harm your baby.</p>
<p class="p1">Recent scientific studies have suggested that taking paracetamol during pregnancy may be associated with various health risks.</p>
<ul class="ul1">
<li class="li1">A 2021 Finnish study found an association between pregnant women who use the medication and developing pre-eclampsia – a serious condition characterised by <a href="https://nowpatient.com/health-conditions/what-are-the-causes-of-high-blood-pressure">high blood pressure</a> thought to be caused by problems with the placenta</li>
<li class="li1">UK research in 2019 indicated potential links to behavioural issues such as memory troubles or lower IQ scores among children of mothers who took paracetamol while pregnant</li>
<li class="li1">Swedish/UK scientists in 2019 proposed possible connections between prenatal use of this pain reliever and asthma assessment for babies after birth. This correlation was further explored in another US survey published in 2021 which linked prenatal exposure to paracetamol to neurological disorders like autism or attention deficit hyperactivity disorder (<a href="https://nowpatient.com/health-conditions/what-is-attention-deficit-hyperactivity-disorder">ADHD</a>) in child</li>
</ul>
<p class="p1">However, it is important to recognise the limitations of these studies. There is no clear evidence that it harms an unborn baby. They do not demonstrate that taking paracetamol during pregnancy directly causes adverse outcomes. It could be an unrelated illness necessitating medicine intake, causing them instead. Thus, experts agree more research must be done before any conclusions can confidently be made about its safety while pregnant.</p>
<p class="p1">Regarding paracetamol, taking the lowest dose for a limited duration is paramount. This advice from experts will give you peace of mind that using this over-the-counter medication won&#8217;t put your health at risk.</p>
<h2 class="p2"><b>Is paracetamol safe in pregnancy first trimester?</b></h2>
<p class="p1">It is essential to consider the potential drug-related harm to the unborn baby during pregnancy. Exposure to drugs either prescription medication or recreational substances – at any stage of pregnancy can adversely affect the fetus’s development.</p>
<p class="p1">This is true during the first trimester (0-12 weeks of pregnancy ), marking a critical time for forming organs. Damage can also occur in the second trimester (12-24 weeks of pregnancy) when organs fully develop and even up to the third trimester ( 24-40 weeks) when physical growth begins. Therefore, it is important for both women of childbearing age and men trying to father a child to be aware of the risks associated with drugs.</p>
<h2 class="p2"><b>What are the potential side effects of paracetamol?</b></h2>
<p class="p1">Despite its relatively mild nature, there are potential side effects to consider. Some people may experience gastrointestinal issues such as nausea, vomiting or diarrhoea while taking paracetamol. Rarely, someone may have a rash, hives or other allergic reactions after taking medicine. In very rare cases, paracetamol can cause liver damage and even death if taken in large amounts. It is important for those taking paracetamol to follow their doctor&#8217;s instructions carefully, avoid taking too much of the medication, and avoid <a href="https://nowpatient.com/healthy-living-and-wellness/how-to-cut-down-on-alcohol">alcohol</a> while taking it. Anyone having any adverse effects from paracetamol should stop and seek medical help immediately.</p>
<h2 class="p2"><b>Speak to a healthcare professional</b></h2>
<p class="p1">As a parent, it&#8217;s essential to consider the effects of paracetamol on your pregnancy. If used in moderation, paracetamol can safely be used for fever and mild pain during pregnancy. However, excessive medication use should be avoided as it may increase the risk of complications. It is always wise to consult with your healthcare provider before taking any medicine when you are pregnant.</p>
<p class="p1">You should not self-medicate without speaking to your doctor or pharmacist first. So remember, if you have any questions or doubts about whether paracetamol is safe to take while pregnant, talk to your healthcare professional, such as a pharmacist, before taking any medication now or in the future.</p>
<p>&nbsp;</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.nhs.uk/medicines/paracetamol-for-adults/pregnancy-breastfeeding-and-fertility-while-taking-paracetamol-for-adults/"><span role="text">Pregnancy, breastfeeding and fertility while taking paracetamol for adults &#8211; NHS </span></a></li>
<li><a href="https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-03490-x">Increased risk of preeclampsia after use of paracetamol during pregnancy – causal or coincidence? &#8211; BMC Pregnancy</a></li>
<li><a href="https://onlinelibrary.wiley.com/doi/full/10.1111/ppe.12582">Associations between paracetamol (acetaminophen) intake between 18 and 32 weeks &#8211; Wiley Online Library</a></li>
<li><a href="https://pubmed.ncbi.nlm.nih.gov/30880281/">Prescribed analgesics in pregnancy and risk of childhood asthma &#8211; NCBI</a></li>
<li><a href="https://www.nature.com/articles/s41574-021-00553-7">Paracetamol use during pregnancy — a call for precautionary action &#8211; Nature </a></li>
</ul>


<p class="p1">Vaping has become a popular alternative to cigarette smoking in recent years and many reports having better success at quitting smoking with the use of vaping compared to traditional methods such as nicotine replacement therapy (NRT). According to The British Heart Foundation, one million smokers in England used an e-cigarette to help them <a href="https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2016/march/over-1-million-smokers-use-e-cigarettes-to-quit">quit smoking</a> in 2015.<b> </b>But is it safe?</p>
<p class="p1">It&#8217;s important to understand the potential risks of using e-cigarettes. While the long-term effects of vaping have yet to be studied, there is evidence that suggests vaping can be harmful. While current research has not identified any irreversible damage from e-cigarette use specifically, there exist strong correlations between long-term usage of e-cigarettes and a wide range of negative health outcomes ranging from high <a href="https://nowpatient.com/health-conditions/what-are-the-causes-of-high-blood-pressure">blood pressure</a> to increased risk of cardiovascular disease.</p>
<p class="p1">This blog post will look at some of the potential health risks associated with vaping and provide advice on how to make informed decisions about this popular trend. Let’s start by first looking at what vaping is and how it works.</p>
<h2 class="p2"><b>What are electronic cigarettes?</b></h2>
<p class="p1">It’s important to understand what e-cigarettes are and how they work.</p>
<ul class="ul1">
<li class="li1">Electronic cigarettes, also known as e-cigarettes, e-cigs, vape pens, and vapes, are a popular alternative to traditional tobacco cigarettes</li>
<li class="li1">Most people are not aware that e-cigarettes can go by several different names, such as ENDS (electronic nicotine delivery systems), JUULs (a type of electronic cigarette), e-hookahs, tank systems, mods, and even cig-a-likes</li>
<li class="li1">The term &#8216;vaping&#8217; refers to the act of inhaling and exhaling the vapour produced by an e-cigarette</li>
<li class="li1">Different terms for electronic cigarettes exist to make them easier to identify based on their size and shape as well as the way they deliver nicotine</li>
<li class="li1">As with any other product, several different companies are making unique models of e-cigarettes and vaping devices that all require a small amount of knowledge to use safely and efficiently</li>
</ul>
<h2 class="p2"><b>How do E-cigarettes work?</b></h2>
<p class="p1">E-cigarettes are devices designed to replicate the sensation of <a href="https://nowpatient.com/healthy-living-and-wellness/smoking-advice-this-stoptober">smoking</a>. The three main components of an e-cig include a battery, an atomizer and a cartridge containing nicotine-laced liquid, which is heated by the atomiser to create vapour. The user then inhales this vapour in a process called “vaping”.</p>
<p class="p1">The vapour is inhaled deep into the lungs, evaporates quickly, and carries the nicotine into the bloodstream. The user will experience an instant release of a &#8216;nicotine hit&#8217; or &#8216;throat kick&#8217;, much like regular cigarettes but without the presence of harmful toxins found in traditional smoking. However, long-term effects still need to be studied.</p>
<p class="p1">The liquids used in vapes come in various flavours, such as mint, mango, or bubblegum, all of which can make them attractive to young adults.</p>
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<h2 class="p2"><b>What do e-cigarettes contain?</b></h2>
<p class="p1">E-cigarettes are an increasingly popular option for individuals who want to switch to a smoke-free lifestyle. Although they are likely less harmful than combustible cigarettes, it is important to understand what you are consuming before considering vaping as an alternative.</p>
<p class="p1">E-cigarettes contain cartridges, which are filled with a liquid solution. The E-liquid usually consists of four main ingredients:</p>
<ul class="ul1">
<li class="li1">Nicotine</li>
<li class="li1">Propylene glycol and/or vegetable glycerin (also known as glycerol)</li>
<li class="li1">Flavourings</li>
<li class="li1">Other added chemicals depending on the brand</li>
</ul>
<p class="p1">The nicotine content in e-cigarettes can vary greatly and some brands offer cartridges that are free from nicotine. This allows consumers to reduce their nicotine intake or completely stop it while still enjoying the flavour of the e-cigarette. Nicotine is the substance responsible for cravings and withdrawal symptoms, which can make quitting challenging It is important to discuss your desired level with your healthcare professional when thinking about starting to use an e-cigarette.</p>
<h2 class="p2"><b>What are the health risks of vaping?</b></h2>
<p class="p1">Vaping comes with several health risks that you should consider before deciding whether it’s right for you.</p>
<p class="p1">One of the primary concerns associated with e-cigarette use is that they contain chemicals which may have a range of negative side effects on your body. Some common compounds found in e-cigarettes include propylene glycol and vegetable glycerin (which are used as solvents), flavourings, nickel (an allergen), diacetyl (a flavouring agent linked to lung disease), nitrosamines (carcinogens), formaldehyde (a carcinogen), and lead (a neurotoxin).</p>
<p class="p1">Many of these compounds have been linked to respiratory problems such as irritation of the airways, lung injury, coughing, or wheezing. Additionally, nicotine has been linked to various health issues such as heart <a href="https://nowpatient.com/health-conditions/what-are-5-genetic-diseases">disease</a>, increased blood pressure and stroke as well as headaches, nausea, and dizziness. It can also lead to nicotine dependence over time if vaped regularly over a long period of time.</p>
<p class="p1">Another risk associated with vaping is it’s potential to cause cancer. The aerosol produced by vape pens contains chemicals such as formaldehyde, diacetyl, volatile organic compounds and benzene, known carcinogens. Long-term exposure to these chemicals could increase your risk of developing certain types of cancer such as lung cancer over time so it’s important to be aware of these potential risks before deciding whether or not to vape. Evidence suggests that regular use of e-cigarettes may increase your risk of developing COPD (Chronic Obstructive Pulmonary Disease), a serious lung disease.</p>
<h2 class="p2"><b>Is vaping safer than smoking cigarettes?</b></h2>
<p class="p1">Every day, more and more people choose e-cigarettes as an alternative or replacement for traditional cigarettes, so it is extremely important to understand their safety. Some research and clinical studies have been done on the safety of e-cigarettes.</p>
<p class="p1">In February 2019, a major UK trial revealed that e-cigarettes could effectively aid smoking cessation. Nearly 900 participants underwent the study and its results showed promising findings; e-cigarette users were twice as likely to quit when compared with those using combination NRTs after receiving behavioural support. Additionally, cough and phlegm rates improved more swiftly among people who opted for vaping instead of nicotine replacement therapy.</p>
<p class="p1">Although long-term studies are ongoing, in the short-term, research indicates that e-cigarettes may lessen the risks associated with traditional smoking due to their health benefits; a much lower level of exposure to toxic chemicals compared to conventional cigarettes to improved lung health.</p>
<p class="p1">Clinical studies conclude that switching from combustible cigarettes to vaping results in numerous health improvements for e-cigarette users, including reduced levels of carbon monoxide and other harmful chemicals.</p>
<p class="p1">The safety and long-term health effects of using e-cigarettes or other vaping products are still unknown. Still, existing research has provided us with promising insight into this healthier option when compared to using combustible tobacco products.</p>
<h2 class="p2"><b>What is the difference between vaping and smoking?</b></h2>
<p class="p1">The biggest difference between vaping and smoking is what you&#8217;re consuming. E-cigarettes do not produce tar or carbon monoxide, two of the most harmful elements in tobacco smoke. However, both e-cigarettes and tobacco smoke contain nicotine.</p>
<p class="p1">When you smoke, you are inhaling burned tobacco that contains nicotine that is produced through combustion and mixed with other compounds. On the other hand, when you vape, you usually consume e-liquid or oil containing nicotine in a heated vapour form. This vapour does not contain any of the toxic compounds from burning tobacco as smoking does. However, vaping does deliver dangerous chemicals, including diacetyl and volatile organic compounds.</p>
<p class="p1">Smoking can involve cigarettes, cigars, or pipes, while vaping is limited to e-cigarettes. Additionally, smoking leads to tar deposits in the lungs while vaping does not, so it may be less damaging to lung tissues. All in all, vaping and smoking differ in terms of method of use, inhalation of substances as well as effects on lung tissue.</p>
<h2 class="p2"><b>Are e-cigarettes available on the NHS?</b></h2>
<p class="p1">Electronic cigarettes are a relatively new way to help smokers quit, but they are not available on the NHS. Although an increasing number of people have been taking up &#8220;vaping&#8221; in recent years and have reported being successful at quitting traditional tobacco-based smoking, due to not enough long-term research into their safety, the NHS currently does not offer them as a smoking cessation aid.</p>
<p class="p1">However, there is growing evidence that E-cigarettes may be beneficial in helping smokers quit and could potentially provide long-term health benefits when they eliminate the use of regular cigarettes. Your GP or local stop-smoking service can provide you with more information to help you make an informed decision and support anyone who may want to consider vaping as an option.</p>
<p class="p1">It is advised that if somebody wishes to try out an electronic cigarette, they should purchase it from a reputable manufacturer or retailer, as there are many available on the market.</p>
<h2 class="p2"><b>Impact on young people</b></h2>
<p class="p1">The other major concern about e-cigarette use is that it may act as a gateway for young people to start smoking traditional cigarettes. Studies have found that teens who use e-cigarettes are more likely to try regular cigarettes than those who do not vape. This is partly due to the fact that e-cigarettes often contain higher levels of nicotine than regular cigarettes, which can lead users down a path towards nicotine addiction and appeal among young people due to their attractive packaging and flavours.</p>
<p class="p1">There is strong evidence that nicotine, the addictive component in e-cigarettes and tobacco products, hurts young and adolescents&#8217; brain development. Research has revealed how e-cigarettes and other forms of nicotine can negatively affect cognitive brain function, such as memory, ability to pay attention, and planning. In addition, it is known to stunt parts of the brain that control emotion and impulse management. This can cause changes in behaviour that place young people at risk for mental health disorders and even addiction as they mature into adulthood. Adolescents must be aware of these potential risks before deciding whether to use e-cigarettes or other nicotine products.</p>
<h2 class="p2"><b>Final word</b></h2>
<p class="p1">In conclusion, while research into the safety of vaping is still ongoing, there are potential health risks associated with vaping that everyone should be aware of before they partake in this activity. If you do decide to vape, then make sure you do so responsibly by using high-quality products from reputable manufacturers and avoiding any ingredients or chemicals that could potentially cause harm if inhaled over a long period. It’s also important to remember that there is no guarantee that any amount of vaping will be completely safe so always proceed with caution when considering whether or not this activity is right for you!</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.bhf.org.uk/what-we-do/news-from-the-bhf/news-archive/2016/march/over-1-million-smokers-use-e-cigarettes-to-quit">Over 1 million smokers use e-cigarettes to quit &#8211; BHF </a></li>
<li><a href="https://ukhsa.blog.gov.uk/2018/02/20/clearing-up-some-myths-around-e-cigarettes/">Clearing up some myths around e-cigarettes &#8211; UKHSA </a></li>
<li><a href="https://www.nhs.uk/live-well/quit-smoking/using-e-cigarettes-to-stop-smoking/">Using e-cigarettes to stop smoking &#8211; NHS</a></li>
<li><a href="https://www.cancerresearchuk.org/about-cancer/causes-of-cancer/smoking-and-cancer/is-vaping-harmful#ecigsrefs0">Is Vaping Harmful &#8211; Cancer Research</a></li>
</ul>


<p class="p1">There is a lot of debate surrounding carbs these days. Some people say that they are the root of all evil regarding weight loss, while others claim that they are an essential part of a healthy diet. So, what&#8217;s the truth? More importantly, how can you reduce your intake of unhealthy <a href="https://nowpatient.com/healthy-living-and-wellness/carb-counting-with-now-patient">carbs</a> without compromising your health? Here are some tips for doing just that.</p>
<h2 class="p2"><b>What are carbohydrates?</b></h2>
<p class="p1">Carbohydrates are one of the three main macronutrients (along with protein and fat), and they are an essential part of a healthy diet. Carbohydrates are found in a variety of foods, including bread, pasta, rice, fruits, and vegetables. They can also be found in processed foods such as candy and cookies. The body breaks down carbohydrates into sugar, which is then used for energy. There are two main types of carbohydrates: simple and complex.</p>
<p class="p1">Simple carbohydrates are made up of one or two sugar molecules and are found in foods such as white bread and fruit juice. Complex carbohydrates are made up of three or more sugar molecules found in foods such as whole grains and pasta. Both simple and complex carbohydrates provide the body with energy, but complex carbs tend to be a more slowly-digested source of energy. This means that they can help to keep you feeling fuller for longer. For this reason, it&#8217;s important to choose complex carbs over refined carbs whenever possible. When it comes to weight loss, however, all carbs should be consumed in moderation.</p>
<p class="p1">Our bodies break down carbohydrates into glucose, which is then used for energy. If we consume more carbohydrates than our bodies need, the excess glucose is stored as glycogen or converted into fat. Therefore, it&#8217;s important to maintain a healthy balance of carbohydrates in our diets. Too few carbohydrates can lead to fatigue, while too many can contribute to weight gain</p>
<h2 class="p2"><b>Why are carbohydrates essential in our diet?</b></h2>
<p class="p1">Carbs are an important part of your diet for several reasons:</p>
<ul class="ul1">
<li class="li1">They are the body’s primary source of energy. When you eat carbs, your body breaks them down into glucose, which is then used by the cells for energy</li>
<li class="li1">Carbs help to regulate blood sugar levels. After eating a meal high in carbs, your blood sugar levels will rise. However, over time, the body will release insulin, which helps to bring the blood sugar levels back down to normal</li>
<li class="li1">Carbs play an important role in digestion. They help to bulk up stool and make it easier to pass through the intestine</li>
<li class="li1">Carbs are necessary for the absorption of certain vitamins and minerals. For example, <a href="https://nowpatient.com/healthy-living-and-wellness/vitamin-a">Vitamins A</a>, D, E, and K are fat soluble, meaning that they can only be absorbed if there is fat present in the intestines. However, carbs help to increase the amount of bile in the intestine, which helps to break down fats and allows for the absorption of these essential nutrients</li>
</ul>
<h2 class="p2"><b>What is a low-carbohydrate diet?</b></h2>
<p class="p1">A low-carb diet is a diet that limits carbohydrate intake, typically by avoiding foods such as bread, pasta, and rice. Low-carb diets are often high in protein and fat, which can help to keep you feeling full and satisfied. Studies show that low-carb diets can lead to loss of weight and <a href="https://nowpatient.com/healthy-living-and-wellness/improve-your-health-through-running">improved health</a> markers, such as lower blood sugar levels and reduced inflammation. There are many different types of low-carb diets, and the specific approach that you take will depend on your individual goals and preferences. A strict low-carb diet is often called a keto diet or ketogenic diet consuming around 20 grams of carbs per day while others may be able to eat up to 100 grams. However, all low-carb diets share the common goal of reducing carbohydrate intake to achieve health benefits and lose weight.</p>
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<h2 class="p2"><b>Why might you follow a low-carb diet?</b></h2>
<p class="p1">A low-carb diet is a diet that restricts carbohydrates, such as those found in sugary foods, pasta, and bread. It is typically high in protein and fat and is often used to treat conditions such as obesity and type 2 diabetes.</p>
<p class="p1">There are several reasons why someone might follow a low-carb diet:</p>
<ul class="ul1">
<li class="li1">A low-carb diet can help to promote weight loss by reducing the number of calories that are consumed</li>
<li class="li1">It can also help to control blood sugar levels, which is important for people with type 2 <a href="https://nowpatient.com/healthy-living-and-wellness/ways-to-reduce-your-diabetes">diabetes</a></li>
<li class="li1">A low-carb diet can help to increase levels of <a href="https://nowpatient.com/healthy-living-and-wellness/managing-your-cholesterol">HDL cholesterol</a>, which is considered to be the &#8220;good&#8221; type of cholesterol</li>
<li class="li1">A low-carb diet may also reduce the risk of developing heart disease</li>
</ul>
<p class="p1">While there are many benefits to cutting carbs, it is important to speak with a doctor or registered dietitian or nutritionist before making any major changes to your diet. They can help you to put together a food plan with fewer carbs but still keep a balanced diet to remain healthy. They can also discuss the side effects of a low-carb diet with you.</p>
<h2 class="p2"><b>How to create a low-carb meal plan?</b></h2>
<p class="p1">When it comes to following a low-carb diet, meal planning can be key to success. By taking the time to plan, you can create delicious and nutritious meals that fit within your carb intake. Here are a few tips to get started.</p>
<p class="p1">First, take inventory of your kitchen and pantry. Stock up on low-carb staples like protein-rich meats, healthy fats, and green vegetables. These items will form the foundation of your meals. While there are many different ways to create a low-carb meal plan, there are a few basic principles that you should keep in mind. First, focus on incorporating more protein-rich foods into your diet. This could include lean meats, fish, nuts, and seeds. You should also make sure to have plenty of healthy fats, such as avocados, olive oil, and coconut oil. Finally, don’t forget to load up on low-carb vegetables. These include leafy greens, brussels sprouts, broccoli, and cauliflower. Then, make a list of easy-to-prepare recipes that you can rotate throughout the week.</p>
<p class="p1">There are many great low-carb cookbooks available, or you can find recipes online. Finally, don&#8217;t be afraid to get creative in the kitchen. Experiment with different ingredients and flavours to find what you enjoy most. With a little effort, you can easily create a delicious and nutritious low-carb meal plan that fits your lifestyle.</p>
<h2 class="p2"><b>How do carbohydrates affect a person with diabetes?</b></h2>
<p class="p1">For people with type 2 diabetes, carbohydrates can majorly impact blood sugar levels. When carbohydrates are digested, they are broken down into glucose, which is absorbed into the bloodstream. This increase in blood sugar levels can then trigger a release of insulin from the pancreas. Insulin helps move glucose from the bloodstream into the cells, which are used for energy. However, if someone has diabetes, their body either does not produce enough insulin or is unable to use it effectively. As a result, glucose builds up in the bloodstream and can lead to serious health complications. Therefore, it is important for people with diabetes to carefully monitor their amount of carbs.</p>
<p class="p1">People with diabetes should see a diabetes care and education specialist for diabetes before changing their diet.</p>
<h2 class="p2"><b>Tips for cutting down on high-carb foods</b></h2>
<p class="p1">Reducing your carbohydrate intake can be challenging, but a few simple strategies can help. First, take a close look at your diet and identify foods that are high in carbohydrates and try some of these tips:</p>
<ul class="ul1">
<li class="li1">Increase vegetable intake by swapping starchy vegetables like corn, white potatoes and sweet potatoes for broccoli, kale, cauliflower, peppers, and mushrooms. Cauliflower can also be used as a low-carb swap for rice and even pizza dough. Courgettes (zucchini) can be shredded to replace pasta in dishes</li>
<li class="li1">Swap simple carbs like white bread for complex carbs found mostly in whole foods like whole wheat bread or multigrain bread. Simple carbs are often high in empty calories and low in essential nutrients. Complex carbohydrates are slowly metabolised and provide lasting energy</li>
<li class="li1">Swap white rice for brown rice or quinoa</li>
<li class="li1">Swap sugary breakfast cereals for barley, bran cereal or oatmeal</li>
<li class="li1">Consume high-protein foods. High protein foods such as chicken, turkey, fish, greek yoghurt, and eggs have been shown to increase satiety which helps you feel full for longer</li>
<li class="li1">Consume more healthy fats. Nuts, seeds, avocado and olive oil are good sources</li>
<li class="li1">Choose foods that are high in fibre. They will minimise carb cravings and help you feel fuller for longer. Fibre helps to slow down the digestion of carbohydrates, keeping blood sugar levels steady and preventing spikes in insulin levels. Foods that are high in fibre include legumes, nuts, seeds, and many types of fruits and vegetables.</li>
<li class="li1">Choose low-carb snacks in between meals. Hard-boiled eggs, almonds, beef jerky, cottage cheese, celery veggie sticks with peanut butter, pickled cucumber, and greek yoghurt topped with blueberries</li>
<li class="li1">Swap sugary beverages such as energy drinks, fruit juices, milkshakes, full-fat cola, and fizzy drinks for water, herbal teas, and sparkling water. Try to limit artificial sweeteners, too, because their sweetness makes you crave sugar even more</li>
<li class="li1">Drinking sparkling water can help promote the feeling of fullness and satiety, reducing overeating</li>
</ul>
<p class="p1">Finally, be mindful of portion sizes. It is easy to overeat even healthy foods if you do not pay attention to how much you are consuming. By eating smaller meals and snacks throughout the day, you can help control your carb intake and avoid overeating.</p>
<h2 class="p2"><b>How to cut carbs from the diet when eating out</b></h2>
<p class="p1">First, take a close look at the menu before you get there and identify any low-carb options. One simple way to reduce the carb content of your restaurant meals is to ask for sauce on the side. That way, you can control how much you&#8217;re eating. Another tip is to watch out for hidden carbs. For example, many restaurants use breading on their chicken or fish, which adds carbs. If you&#8217;re not sure whether a food has been breaded, ask your server. You can ask for your sandwich without the bun or for your pasta dish to be made with veggie noodles instead of regular pasta. You can also try to make healthier choices when ordering sides. For example, choose a salad instead of fries, or vegetables instead of rice. By making smart choices, you can enjoy restaurant meals without overdoing it on the carbs.</p>
<p class="p2"><b>Seek advice</b></p>
<p class="p1">If you&#8217;re considering following a low-carb diet, it&#8217;s important to speak with your doctor first to make sure it&#8217;s the right choice for you. Additionally, be sure to monitor your carb intake carefully and eat plenty of other nutrient-rich foods to ensure you&#8217;re getting all the nutrients your body needs.</p>
<h3>Sources</h3>
<ul>
<li class="content-title"><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4264021/">Lower-Carbohydrate &#8211; NCBI</a></li>
<li class="content-title"><a href="https://www.nhs.uk/live-well/eat-well/food-types/starchy-foods-and-carbohydrates/">Starchy foods and carbohydrates &#8211; NHS</a></li>
<li class="content-title"><a href="https://www.diabetes.org.uk/guide-to-diabetes/enjoy-food/eating-with-diabetes/meal-plans/low-carb">Meal plan low carb &#8211; Diabetes</a></li>
</ul>


<p class="p1">70 per cent of people regularly suffer from stomach bloating, with Irritable Bowel Syndrome (IBS), acid reflux and constipation as three of the most common causes.</p>
<p class="p1">Stomach bloating is when your belly inflates and you feel uncomfortable. It’s often when you have too much gas that clogs up your gastrointestinal tract (GI tract). You may attribute bloating to eating certain foods and drinks such as fizzy drinks, broccoli, beans, or too many fruits and vegetables. While this is a common cause of bloating, there are times when your bloating could signal something more serious.</p>
<p class="p1">Abdominal bloating is usually nothing to worry about and generally can be attributed to poor diet, intolerance, or a gut problem often on the left side. Symptoms of a bloated stomach vary. Some people notice that their belly looks swollen or misshapen or may experience sharp stomach pain or abdominal pain. Some people bloat when stressed (especially if they suffer from irritable bowel syndrome) or before, during or after their menstrual cycle.</p>
<p class="p1"><a href="https://nowpatient.com/health-conditions/what-is-ovarian-cancer">Ovarian cancer</a> bloating is due to a buildup of fluid (ascites) in the abdomen and can also come with pain. Risk factors include taking medication such as tamoxifen, estrogen supplements that don’t contain progesterone, radiation therapy, a family history of uterine cancer, or a family history of inherited colon cancer called Lynch syndrome.</p>
<p class="p1">How do I know if my bloating is serious? Here are five signs that indicate it may be time to see your doctor.</p>
<h2 class="p1"><b>1. Weight loss</b></h2>
<p class="p1">Weight loss alongside continual bloating should be explored by your GP, especially if the weight loss was not part of a lifestyle change.</p>
<p class="p1">Weight loss can be caused by tumours that press on the intestines, making you feel full after just a small amount of food.</p>
<h2 class="p1"><b>2. Changes in bowel movement</b></h2>
<p class="p1">Out-of-the-ordinary changes in your bathroom habits, such as continuous diarrhoea, needing to go more frequently, or blood in your stools, may indicate that you have something which requires medical attention.</p>
<p class="p1">Constipation may cause or exacerbate symptoms of bloating. Painful bloating could signal a bowel obstruction or a blockage in the small or large intestine.</p>
<p class="p1">Bloating with frequent tummy pain and the runs can often be a sign of inflammatory bowel diseases such as Crohn’s disease or ulcerative colitis, both of which cause inflammation of your digestive tract. Crohn’s disease is an autoimmune disorder that affects the GI tract, usually in the small intestine or colon.</p>
<p class="p1">Crohn’s disease can cause narrowing of the intestines and lead to a bowel obstruction, resulting in severe bloating, weight loss, and nausea and vomiting after meals. Other symptoms may be present outside of the GI tract, including mouth ulcers, joint pain, skin lesions, and eye inflammation.</p>
<p class="p1">Swollen belly accompanied by unusual stools could be a sign of cancers like breast cancer, pancreatic, colon, or stomach cancer if cancer appears along the lining of the abdominal cavity or liver disease.</p>
<h2 class="p1"><b>3. Fatigue</b></h2>
<p class="p1">Continual <a href="https://nowpatient.com/healthy-living-and-wellness/self-help-tips-to-fight-tiredness"><span class="s1">tiredness</span></a> combined with bloating can be attributed to many things but shouldn’t be ignored. If you have Celiac disease, eating foods containing gluten can trigger diarrhoea, abdominal pain and fatigue.</p>
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<h2 class="p1"><b>4. Appetite changes</b></h2>
<p class="p1">If you’re starting to feel full when eating less or find you lose appetite, speak to your GP about your symptoms.</p>
<p class="p1">Frequent indigestion that does not appear to be associated with food or other apparent causes could be a sign of something more serious. Possible causes include a stomach ulcer, cancer, or liver failure.</p>
<h2 class="p1"><b>5. Continual bloating</b></h2>
<p class="p1">If you have bloating that doesn’t seem to reside and is really painful, it is advisable to get advice from your GP.</p>
<p class="p1">A bloated stomach and stomach fullness are symptoms of excessive gas in the stomach. While you can ingest gasses by <b>swallowing air </b>while eating certain foods, <a href="https://nowpatient.com/healthy-living-and-wellness/smoking-advice-this-stoptober"><span class="s1">smoking</span></a> and chewing gum, or drinking carbonated beverages, these gasses mostly escape through belching before they reach your intestines. Otherwise, they tend to pass as flatulence.</p>
<p class="p1">The most common foods that cause problems are wheat, gluten or dairy. Celiac disease is a common digestive condition where your intestine cannot absorb gluten found in wheat, barley and rye. If you have Coeliac disease, eating foods containing gluten can also trigger diarrhoea, abdominal pain and fatigue. Lactose intolerance is associated with many digestive symptoms, including bloating. Lactose is the main carbohydrate in milk.</p>
<p class="p1">If your stomach bloating is caused by diet or alcohol, you can help prevent it by making some lifestyle changes.</p>
<h2 class="p1"><b>FAQ’s</b></h2>
<h3 class="p1"><b>What does bloating feel like?</b></h3>
<p class="p1">Bloating is a feeling of discomfort in your stomach due to an accumulation of gas and fluid. It can be tight, you feel full which often makes clothing too restrictive for comfortable wear. Bloating may also cause cramping and abdominal pain, making it hard to get through the day. The increased gas in the stomach can lead to burping or passing gas more frequently, a very embarrassing symptom. This feeling can occur at any time but is commonly reported after meals when the stomach has run out of room with excess gas. Other causes can be hormonal changes or even swallowed air. If you struggle with bloating, remember you&#8217;re not alone, and there are ways you can treat this uncomfortable feeling.</p>
<h3 class="p1"><b>Why am I still bloated after pooping?</b></h3>
<p class="p1">Pooping is a normal and natural part of life, and it&#8217;s important to remember that when it comes to digestive issues like bloating, the source of discomfort can vary from person to person.</p>
<p class="p1">In most cases, feeling bloated after pooping can be caused by what we ate; for example, dairy or high-fibre foods may cause you to feel puffy afterwards. Another possible culprit is gas that hasn&#8217;t been released during your bathroom session. Another reason could be an indication of food intolerances or food allergies; it could mean your body isn’t digesting and absorbing important vitamins and minerals as it should. Sometimes it could be a sign that something else is wrong with your digestive systems, such as celiac disease, irritable bowel syndrome (IBS) or lactose and fructose intolerant.</p>
<p class="p1">If the bloating persists or worsens during or after pooping, it&#8217;s probably wise to bring this up with a doctor, as other underlying conditions could be at play. But overall, intestinal bloating after a bowel movement is almost always caused by something dietary or related to an accumulation of gas in your digestive tract.</p>
<h3 class="p1"><b>How do I know if my bloating is serious?</b></h3>
<p class="p1">Knowing the difference between occasional bloating and a serious condition is important. Fortunately, several telltale signs can help you understand if your bloating is something to be concerned about.</p>
<p class="p1">If your bloating is accompanied by abdominal pain, cramps, dizziness, nausea or vomiting, then it might be a serious problem. Regularly occurring bloating that doesn&#8217;t improve with lifestyle changes, such as eating smaller meals or avoiding certain foods, may also point to a more serious issue. Other symptoms like weight loss or blood in the stools could also indicate a medical problem and warrant further investigation.</p>
<p class="p1">Speak with your doctor if you have any concerns so they can determine whether additional testing or treatments are advisable. Taking charge of your <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a> starts by understanding the information available and making informed decisions to stay well.</p>
<h3 class="p1"><b>Why does my stomach feel stiff when I press on it?</b></h3>
<p class="p1">Feeling bloating in the abdomen is a very common complaint. When bloating is present, and you press on your stomach, it can feel challenging because bloating causes abdominal swelling that puts pressure on the stomach wall.</p>
<p class="p1">Bloating can be caused by different factors, including overeating, eating gassy foods, irritable bowel syndrome, or even swallowing air while talking. It&#8217;s important to discuss these sensations with your health provider to make sure you can identify any underlying medical issue and take the necessary steps towards relieving bloating symptoms.</p>
<h3 class="p1"><b>How do I treat bloating?</b></h3>
<p class="p1">Dealing with bloating can be uncomfortable and even embarrassing at times, which is why many people are interested in over-the-counter treatments for bloating. These treatments typically involve common medications like antacids, laxatives or probiotics, which help to neutralise stomach acid and restore a natural balance in the digestive system.</p>
<p class="p1">Bloating presents common symptoms like abdominal discomfort, abdominal distension/swelling, and burping. Fortunately, several simple self-care strategies like decreasing the intake of common trigger foods (e.g. full-fat dairy products, cruciferous vegetables like broccoli), drinking plenty of water, engaging in regular physical activity and taking specialised supplements can help to reduce its severity.</p>
<p class="p1">Talk to a healthcare provider to learn more about potential over-the-counter treatments for bloating that may be right for you. Unfortunately, these treatments don’t always solve more severe cases of bloating, so it is important to consult a doctor if you experience bloating regularly.</p>
<h3 class="p1"><b>How long can bloating last?</b></h3>
<p class="p1">Bloating is an uncomfortable and sometimes painful sensation that most people have experienced at one point in their lives. This distention of the abdomen can vary in severity and duration – some episodes of bloating may only last a few minutes, while others can persist for multiple days.</p>
<p class="p1">If bloating lasts longer than three days, it is important to seek advice from a medical professional as it may indicate a more serious underlying condition that needs further investigation. Eating small portions frequently, avoiding certain gassy foods, and drinking plenty of water are all helpful ways to manage and reduce periods of excessive bloating.</p>
<h3 class="p1"><b>What are the causes of a bloated tummy in ladies?</b></h3>
<p class="p1">A bloated tummy can be caused by fibroids or endometriosis in women. Fibroids are benign uterus tumours and may cause bloating because they can push on other organs, such as the bladder and the intestines. In addition, fibroids can produce hormones like estrogen, which cause an increase in the buildup of fats in your abdomen, leading to discomfort and a bloated feeling. Endometriosis is another condition where tissue similar to the uterine lining grows outside the uterus, causing pain and a bloated stomach from fluid accumulation. Other causes include premenstrual syndrome, food allergies or sensitivity, irritable bowel syndrome (IBS), and consuming large amounts of carbohydrates or sodium-rich foods. It is always important to receive a proper medical diagnosis if you have a bloated stomach, as it could be a symptom of other conditions.</p>
<h3 class="p1"><b>I have a bloated stomach, feeling sick and tired, and I am female. Should I be worried?</b></h3>
<p class="p1">If you are a female experiencing a bloated stomach and feeling sick or tired, please take it seriously. Although the symptoms can be minor, they can also indicate underlying health issues that you should check out. The lack of energy or upper abdominal pain could be caused by inflammation or digestive problems such as IBS, food sensitivities, hormonal imbalances, or certain <a href="https://nowpatient.com/health-conditions/what-are-the-4-types-of-infections">infections</a>.</p>
<p class="p1">To help ensure that there isn&#8217;t something serious going on with your body, it is always best to seek medical attention from your doctor if the symptoms don&#8217;t subside after a few weeks. An accurate professional diagnosis will help you find the best possible treatment plan to start feeling better.</p>
<h3 class="p1"><b>I have a bloated stomach, feeling sick and tired, and I am male. Should I be worried?</b></h3>
<p class="p1">If you’re male and constantly feeling bloated, it could be a sign of something bigger. This type of tension or pressure in the stomach accompanied by fatigue or feeling sick can be symptoms of many health issues, from simple digestive problems to more serious illnesses like diabetes or liver disease.</p>
<p class="p1">It&#8217;s important to speak with your doctor if you are experiencing these symptoms regularly, so they can rule out any underlying problems and offer a diagnosis. In many cases, lifestyle changes such as diet and exercise modifications can result in symptom reduction if no other underlying issue is present.</p>
<h3 class="p1"><b>I am feeling bloated and sick after eating. Should I be concerned?</b></h3>
<p class="p1">After overindulging in food, it&#8217;s common to experience bloating and overall discomfort. Bloating is caused by increased gas production within the digestive tract, which certain foods can trigger like those high in fibre, sulfur-containing compounds or sugar <a href="https://nowpatient.com/healthy-living-and-wellness/how-to-cut-down-on-alcohol">alcohols</a>. Eating too quickly or consuming large amounts of food can also contribute to these unwanted symptoms.</p>
<p class="p1">To avoid feeling bloated and sick, try eating slowly and taking smaller bites to help control your appetite. Spacing meals throughout the day can also help keep you from overconsuming calories at once. Eating healthy foods and managing portion sizes are important steps in avoiding uncomfortable sensations after eating.</p>
<h3 class="p1">Is gas a sign of bloating?</h3>
<p class="p3">True bloating is a feeling of fullness, tightness, and pressure that can cause discomfort in the abdominal area. Gas or trapped wind is one symptom of bloating, but other symptoms can include abdominal distension and pain caused by gas buildup or spasms in the gastrointestinal system. It is also possible to experience bloating without any release of gas.</p>
<p class="p3">Factors such as hormonal imbalances, food intolerances, constipation, gut bacteria imbalances, large or small intestinal parasites, and certain medications can all result in bloating without passing gas. It&#8217;s important to remember that while gas may be a sign of true bloating, it depends on what else you are feeling.</p>
<p class="p3">Suppose you&#8217;re experiencing ongoing symptoms like fullness, tightness and discomfort in your abdomen and notice changes in your regular eating patterns. It may be worth discussing with your healthcare provider or a dietitian for further evaluation.</p>
<h3 class="p1">My stomach has been bloated for a week. What should I do?</h3>
<p class="p3">If you have been experiencing bloating for a week or more, it is important to seek medical advice. Bloating can have many causes, ranging from lifestyle factors such as diet, stress, and hormonal changes to underlying medical conditions. To help your doctor determine the best course of action for you, keeping track of any other symptoms besides the bloating is important.</p>
<p class="p3">Have these symptoms, such as abdominal pain or gas, been consistent or come and go? Make sure to also pay attention to accompanying emotions such as anxiety and <a href="https://nowpatient.com/healthy-living-and-wellness/are-you-sad-how-to-combat-being-sad">sadness</a>. Once you’ve given your healthcare provider all the details of what you’ve been experiencing, they can help you find the cause and come up with a plan to reduce bloating.</p>
<h3>Sources</h3>
<ul>
<li><a href="https://www.nhs.uk/conditions/bloating/">Bloating &#8211; NHS</a></li>
<li><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3264926/">Pathophysiology, Evaluation, and Treatment of Bloating &#8211; NCBI</a></li>
</ul>


<p class="p1">Before joining Now Patient, I worked at another health-tech start-up with a similar mission – to empower people with long-term conditions, like diabetes, to better manage their everyday lives. I had designed for a number of different complex health conditions but never diabetes.</p>
<h2 class="p2"><b>Diabetes experience</b></h2>
<p class="p1">My diabetes experience prior to joining Now Patient was limited to a simplistic understanding from having a close friend living with type 1 diabetes. Admittedly, in hindsight, I was naive and my understanding of diabetes management was highly oversimplified. It followed the logic that specific foods increased a person&#8217;s blood glucose level, which required enough insulin to be injected to lower it, balancing these factors. If these weren&#8217;t balanced correctly, there was the potential for the person to have dangerously low blood sugar (hypoglycemia) or dangerously high blood sugar levels (hyperglycemia). Simple, right?</p>
<p class="p1">Far from it. Since joining Now Patient, my empathy for what it is like to live with diabetes mellitus has been forever increasing. I&#8217;m very quickly learning that living with diabetes can make everything in life harder if the equilibrium between a number of factors isn&#8217;t found. Factors like the hormones in our body or the weather, things we have no control over, can impact our blood sugar levels and the symptoms of diabetes. For most people, the impact of these is minimal, but for people living with diabetes, the effect of these on <a href="https://nowpatient.com/healthy-living-and-wellness/how-does-diabetes-and-stress-affect-blood-sugars"><span class="s1">blood sugar</span></a> can, over time, have long-lasting consequences. These factors, as well as many more, appear obvious now, but it is easy to lack an understanding of what, in everyday life, is an invisible health condition.</p>
<p class="p1">For each person, the experience of type 1 diabetes and type 2 diabetes is unique, with each having various ways to try to keep their sugars within range. People with diabetes need to consider some of the following: whether their diabetes medication is working correctly, their carbohydrate intake, when to take their insulin injections, when it&#8217;s best to do physical activity, establishing a healthy life with healthy eating habits and meal plans for weight loss, keeping cholesterol levels within range and awareness of diabetes complications such as diabetic ketoacidosis, heart disease, heart attacks, high blood pressure, kidney disease, and potential nerve damage. There is a whole array of factors for people with diabetes to consider. However, continual reevaluation and guesstimation with diabetes care can bring a heavy mental burden. In addition to balancing glucose, this can lead to a negative impact on physical and mental well-being. Balancing the factors that a person with diabetes can control can be overwhelming, but technology is there to help.</p>
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<p class="p1">Unfortunately, most current apps and devices focus on healthcare, recording and reporting, and the perspective of treating diabetes and fail to alleviate the burden of planning everyday life. This is why I&#8217;m glad to be designing at <a href="https://nowpatient.com/">Now Patient</a>, helping to develop a future-focused App for people with diabetes.</p>
<p class="p1">Our goal is to help alleviate some of the everyday mental burdens of planning by helping our users visualise how the factors they control impact their blood glucose, as well as assisting them in making better-informed decisions based on their collective past experiences.</p>
<p class="p1">Having only been at Now Patient for a short while, I&#8217;m conscious there is much more to learn from our users and people living with diabetes. I&#8217;m incredibly grateful for those who&#8217;ve shared their stories and experiences with me so far.</p>


<p class="p1">I used to hate exercising but not for the reasons you would think.</p>
<p class="p1">Getting up early and dragging yourself to the gym, sore muscles and hard work. All extremely valid reasons for having a difficult relationship with exercise. But for me, a person <a href="https://nowpatient.com/healthy-living-and-wellness/navigating-living-with-diabetes-and-needle-phobia">living with type 1 diabetes</a>, unfortunately, it’s deeper than that.</p>
<h2 class="p2"><b>Acknowledging the extra things I have to worry about</b></h2>
<p class="p1">Living with <a href="https://nowpatient.com/healthy-living-and-wellness/st-patricks-day-and-type-one-diabetes">type 1 diabetes</a> mellitus means things that should be simple can be challenging. Even walking to the corner shop can come with difficulties: checking my blood glucose levels before I go, worrying if I have enough hypo treatments (for low blood sugar levels, small carbohydrate snacks like jelly babies or juice) on me in case I go low or if I have my medical alert wristband on. So you can imagine how challenging it is going to the gym, for a swim, on a run, to a BootCamp, a boxing class or any form of physical activity.</p>
<p class="p1">There are always those extra things to worry about in the back of my mind. Not only the logistics of having all my diabetic equipment on me but thinking about whether I need to snack beforehand. When was my last insulin dose injection? Do I have active insulin on board? What type of activity will I be doing and how will it affect my blood glucose levels?</p>
<p class="p1">But here’s where it becomes even more conflicting: regular physical activity is a key part of my life in helping maintain stable blood glucose readings. It increases my <a href="https://nowpatient.com/healthy-living-and-wellness/how-to-improve-insulin-sensitivity">insulin sensitivity</a> and overall health benefits such as body weight loss, reducing risk of obesity, heart disease, high blood pressure and high cholesterol. Even a few days without exercise can have an effect on my <a href="https://nowpatient.com/healthy-living-and-wellness/changing-the-industrys-approach-to-managing-diabetes">diabetes care and diabetes management</a>. I need to exercise to help me with my diabetes, but my condition can also be the thing holding me back from exercise.</p>
<h2 class="p2"><b>Dealing with the anxiety around my diabetes and exercising</b></h2>
<p class="p1">Taking all of this into consideration, my relationship with exercise and type 1 diabetes for some time was, to an extent, tainted. Even as an adolescent I saw it as a huge challenge and a chore at the same time and wanted this to change. So I decided one day to make that change. It wasn’t easy and it didn’t happen overnight. One of the main things that tainted my relationship with high intensity exercise was the anxiety surrounding it. I tackled this by finding different types of exercise or sports where I could really get stuck in and let my diabetic worries go (as much as possible).</p>
<p class="p1">One of these is running, a moderate-intensity aerobic exercise. I knew that as long as I had my phone, my hypoglycemia treatments and my blood glucose testing device on me, I would be able to treat a diabetic emergency or call a family member for support. I started to believe that even if something did happen when I was out for a run, I could handle it. As a result, I became far more confident in myself.</p>
<h2 class="p2"><b>The importance of a routine</b></h2>
<p class="p1">Another vital trick to me now is routine, specifically finding one that works for me*</p>
<ul class="ul1">
<li class="li1">I decide to exercise within certain time frames when I know that I have 0 to very little active insulin on board. This being early evening or late afternoon</li>
<li class="li1">I make sure that my last meal beforehand is balanced. I often have a small low-carb protein shake before I hit the gym or half a banana before a long run, for example</li>
</ul>
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<p class="p1">This routine in addition to consistency eased my anxiety immensely. I eradicated the fear of dropping low or going high as I planned in advance and knew this same method worked to keep glycemic control. This meant that I was so much happier and relaxed during my workouts and had more time to ‘switch off’ from diabetes and improve my mental health.</p>
<p class="p1">I also found that doing group sports with other people really helped my mental and emotional well-being. I mostly go swimming and to the gym but I also like different activities such as tennis and football. And the best way for me to really enjoy these was to share my needs with others.</p>
<p class="p1">For football, normally played in the mornings, I would jump off the pitch at intervals for glucose monitoring of my levels. Instead of seeing this as a pain or something that’s holding the game up, I accepted that it is something I must do in order to take care of myself. I always let the coaches and teammates know about my condition too and everyone is continuously understanding and supportive. Why wouldn’t they be? The players always ask questions which makes me feel so calm and included too.</p>
<p class="p1">It really was a mixture of things that helped me have a better relationship with exercise, type one diabetes and improve my quality of life. These being:</p>
<ul class="ul1">
<li class="li1">Reducing my anxiety</li>
<li class="li1">Creating routine</li>
<li class="li1">Sharing my needs with those around me</li>
</ul>
<p class="p1">I hope my story inspires you to explore things you really want to do even if you feel like type one diabetes may be holding you back, whether it is exercise or something else.</p>
<p class="p1"><em><strong>* Disclaimer: what works for me won’t always work for everyone and that’s OK!</strong></em></p>


<p class="p1">People living with diabetes and other chronic diseases know how challenging and relentless this condition is. It is a 24/7 job of monitoring, calculating and making multiple potentially life-threatening decisions daily, with daily symptoms that can greatly affect the overall quality of life.</p>
<p class="p1">As if all of that was not enough, I seem to be collecting multiple chronic conditions that have all been diagnosed in the last 2 years. All of these affect my type 1 diabetes and its management.</p>
<h2 class="p2"><b>What do having Chronic Conditions and COVID-19 feel like?</b></h2>
<p class="p2">PoTS , Scoliosis, Chronic Pain, Long COVID and a leaking heart valve are all very pesky conditions. For the longest time I didn’t even realise living with other chronic illnesses could affect diabetes. Essentially, my blood sugars are either incredibly high or low, there’s no middle ground and my time in range is never above 30%.</p>
<p class="p1">Chronic pain or fluctuations caused by postural tachycardia syndrome (PoTS) all cause issues with my blood sugar levels. Equally, wild blood sugar fluctuations cause havoc on my already high resting heart rate of over 130 bpm. Long COVID is honestly just one massive Rubix cube to navigate. It has been causing serious <a href="https://nowpatient.com/healthy-living-and-wellness/how-to-improve-insulin-sensitivity">insulin</a> resistance and huge pain flares in my head/brain and legs. It’s quite a vicious cycle. So now, there’s even more guessing and figuring out how to manage diabetes, because it’s not just the standard <a href="https://diatribe.org/42-factors-affect-blood-glucose-surprising-update"><span class="s1">42 factors</span></a> affecting diabetes management that I’m dealing with here.</p>
<h2 class="p2"><b>Managing chronic illnesses creates guilt</b></h2>
<p class="p1">For a long time, I blamed myself for what was happening with my blood sugars; all I was seeing on Instagram were perfect graphs, 60%+ time in range. Then there was me, at one point lucky enough to scrape 10% in range when I was at the peak of a flare. I’ve never been one to compare myself to others online until I got type 1 diabetes. The online community is truly a wonderful place. For someone on the verge of their third bout of burnout, it was quite a dark place for me. During my <a href="https://nowpatient.com/healthy-living-and-wellness/ways-to-reduce-your-diabetes">diabetes</a> clinic at the start of the year, just after recovering from having Covid-19 over Christmas, my diabetes nurse and dietician were shocked by my Dexcom reports. My nurse asked me outright, “have you had Covid recently?” and when I said yes, she looked slightly relieved because it made a bit more sense.</p>
<p class="p1">We then discussed my other <a href="https://nowpatient.com/healthy-living-and-wellness/how-can-we-self-monitor-our-health">health</a> conditions. As soon as I mentioned Dysautonomia (which has now been formally diagnosed as POTs), they confirmed that my approach to diabetes management is not the issue. My body does not function as it should, and that is the issue. Then came the Scoliosis and Chronic Pain diagnosis a few months ago. This helped my consultant, nurse and other healthcare providers confirm both these conditions tend to increase blood glucose levels.</p>
<h2 class="p2"><b>There’s no such thing as control with chronic illnesses</b></h2>
<p class="p1">It felt like everything fell into place and made sense. Even though I was still none the wiser as to how to actually deal with my diabetes and these conditions, I at least knew that it wasn’t all my doing. That was a huge weight lifted from my shoulders, as it is really easy to blame yourself any time something goes ‘wrong’ with diabetes because the entire responsibility of it all is in our hands. We make self-management decisions and have to deal with the consequences, no matter the outcome. The stigma and judgement that comes with it all though from health care professionals and the diabetes care team can be draining.</p>
<p class="p1">I was told that my Dysautonomia has probably been caused by diabetes; I know that I have had symptoms of POTs since 2012, long before my diagnosis of type one, but a cardiologist I used to see defaulted to blaming my health issues on diabetes. Why? Because he can. It is a known fact that having an auto-immune condition can cause other auto-immune conditions to occur; but who’s to say the Dysautonomia/POTs didn’t cause diabetes? Being told that diabetes most likely caused it, honestly made me feel like it was <i>my fault </i>because my time in range was so low.</p>
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<h2 class="p2"><b>Advocating for yourself can help with your diabetes management. </b></h2>
<p class="p1">My biggest piece of advice for dealing with diabetes and other chronic conditions is to not be afraid of advocating for yourself. It could be life-saving because you know your body and its needs better than anyone else. Also, talk to your diabetes team about your health issues such as difficulties with risk factors such as lifestyle changes, obesity and weight loss, lack of physical activity and healthy eating, kidney disease, high blood pressure (hypertension), cardiovascular/heart disease, heart failure and cholesterol or even your well-being and mental health; when I spoke about Dysautonomia to my consultant, he immediately linked me up with an excellent cardiologist who I’m now under the care of to get more clarity of my situation. If you speak to your team about these other issues, they can recommend healthy lifestyle interventions, tweak your treatment plan and refer you to other departments to get the bigger picture, which ultimately can help with your diabetes management programs.</p>
<p class="p1">Now we are getting somewhere with my heart issues, and I’m going to be seen by a spinal surgeon, we can begin to figure out what causes my flares, when, and how best to manage them, while also figuring out different insulin ratios when my body is feeling relatively ok, and when it isn’t.</p>
<h2 class="p2"><b>Living with chronic illness is tough</b></h2>
<p class="p1">Dealing with diabetes and other chronic illnesses is a long, difficult process, and a lot to take in mentally. I am slowly starting to realise that my case is quite a bizarre one. Also, that time in range is not everything. It does not define or undermine the effort that I put into managing diabetes, and my experience compared to someone on Instagram is not comparable in the slightest.</p>
<p class="p1">Living with chronic illness is tough, but diabetes patients are made of strong stuff. If you’re reading this and you’re struggling right now, reach out to your diabetes team, don’t compare yourself to anyone online, and keep going. You’ve got this.</p>
<p>&nbsp;</p>
<h3>Sources</h3>
<ul>
<li>
<p class="page-title--bold"><a href="https://diatribe.org/42-factors-affect-blood-glucose-surprising-update">42 Factors That Affect Blood Glucose?! A Surprising Update</a></p>
</li>
</ul>


<p data-renderer-start-pos="868">Welcome to our Healthy Living and Wellness section. We know just how important health is. At the heart of all good health is a strong commitment to healthy living and wellness. With this in mind, we offer our dedicated Healthy Living &amp; Wellness category section on our medical website. Our goal is to empower you with smart, simple steps towards healthier habits. In this area, you will find valuable information, resources and advice to help you improve your well-being &#8211; emotionally, physically and spiritually. All articles are written by medically qualified content editors and writers. Published content is fact-checked by our panel of experts.</p>
