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Chocolate Chip Cookie Bars (V + GF)

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Picking up a vegan gluten-free chocolate chip cookie bar from a stack

Your favorite chocolate chip cookies, but easier? We had to do it, friends! These vegan, gluten-free chocolate chip cookie BARS have all the flavor, but there’s no chilling, no scooping, and no hand mixer involved! Just stir, spread, and bake.

Plus, just 8 ingredients and 1 bowl required! They’re so easy it almost seems wrong…but they’re so right: perfectly sweet, chewy, buttery, and studded with melty chocolate chunks. Grab your favorite mixing bowl and let’s bake!

Dairy-free milk, gluten-free flour blend, brown sugar, flaxseed meal, salt, baking powder, vanilla, water, walnuts, and chocolate chips

These vegan + gluten-free cookie bars start with a flax egg for binding, brown sugar for its sweetness and ability to create crispy edges, and melted vegan butter and vanilla for classic cookie flavors!

Whisking brown sugar, melted vegan butter, and other wet ingredients in a bowl

After whisking them together, we transition to the dry ingredients! Our gluten-free flour blend is the gluten-free G.O.A.T. for mimicking the texture of all-purpose flour, while baking powder adds some lift and sea salt enhances all the flavors.

Pouring chopped walnuts and chocolate chips into the cookie dough batter

Then there’s just one more required ingredient — arguably the most important of them all: chocolate chips or chunks! We also like adding walnuts for a little crunch, but if you’re not a nuts-in-cookies person, just do you.

Chocolate chip cookie bar batter in a parchment-lined baking pan

We hope you LOVE these cookie bars! They’re:

Chewy
Buttery
Tender
Perfectly sweet
Studded with chocolate
& Undetectably vegan + gluten-free!

Pair with a glass of dairy-free milk and you’ll be in cookie magic land. Or if the weather is chilly, try them with our 5-Minute Vegan Hot Cocoa or 5-Minute Caffeine-Free Chai.

If you try this recipe, let us know! Leave a comment, rate it, and don’t forget to tag a photo @minimalistbaker on Instagram. Cheers, friends!

Dairy-free milk and flaky salt next to a batch of chocolate chip cookie bars

Prep Time 10 minutes

Cook Time 25 minutes

Total Time 35 minutes

Servings 16 (Bars)

Course Dessert

Cuisine Gluten-Free, Vegan

Freezer Friendly 1 month

Does it keep? 3-4 Days

Prevent your screen from going dark

  • 1 Tbsp flaxseed meal (to make flax egg)
  • 2 ½ Tbsp water (to make flax egg)
  • 3/4 cup packed brown sugar (or sub coconut sugar with different results — see notes)
  • 1/2 cup melted vegan butter (we used Miyoko’s)
  • 1 tsp vanilla extract
  • 1 ⅓ cup MB 1:1 GF Blend* (or another gluten-free blend)
  • 3/4 tsp baking powder
  • 1/2 tsp sea salt
  • 1/2 cup semi-sweet chocolate chips or chunks (ensure dairy-free as needed // we like Enjoy Life)
  • 1/2 cup chopped walnuts (optional but recommended)
  • Preheat your oven to 350 degrees F (176 C) and line an 8 x 8-inch baking pan with parchment paper. Set aside.
  • To a medium mixing bowl, add flaxseed meal and water and let rest for 5 minutes to thicken. Next, add brown sugar, melted vegan butter, and vanilla. Whisk well to combine — the mixture should become cohesive.

  • Next, fold in the GF flour blend, baking powder, and sea salt. Finally, stir in the chocolate chips and optional walnuts until just combined.

  • Pour the mixture into the lined baking pan and bake for 25-28 minutes until the edges are golden brown and the center is golden. Let cool at room temperature for at least 20 minutes before slicing into bars. The longer they sit, the better they will hold their shape…although we do love to enjoy them slightly warm!

  • Store in an airtight container at room temperature for up to 3-4 days or in the freezer for up to 1 month.

*We preferred the flavor and texture of brown sugar over coconut sugar. The brown sugar made the bars chewy while the coconut sugar gave them a more wholesome flavor and cakey, slightly crumbly texture.
*If not gluten-free, you can try all-purpose flour in place of the gluten-free flour blend. We recommend starting with 1 ¼ cups, adding more as needed to achieve the consistency of the batter in the video.
*Nutrition information is a rough estimate calculated without optional ingredients.

Serving: 1 bar Calories: 148 Carbohydrates: 148 g Protein: 0.7 g Fat: 7.1 g Saturated Fat: 5.1 g Polyunsaturated Fat: 0 g Monounsaturated Fat: 0 g Trans Fat: 0 g Cholesterol: 0 mg Sodium: 135 mg Potassium: 34 mg Fiber: 0.7 g Sugar: 12.7 g Vitamin A: 0 IU Vitamin C: 0 mg Calcium: 31 mg Iron: 0.8 mg





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Volunteering on Election Day

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My parents never voted in an election, but as soon as I turned 18, I registered to vote. For about 20 years, I voted in every primary and general election. Then in 2012, I worked on a campaign for a friend who was running for our local school board. When she won, I found myself wanting to do more, so I started volunteering on Election Day.

For the first few years, I greeted voters outside my local polling place and handed out sample ballots. It was fun talking to neighbors and meeting new people in my community. Sometimes, the candidates would stop by and talk with voters about key issues. It was a great way to learn about local politics.

Then, I was asked to work inside the polling place. I was thrilled, since only a handful of people get to work inside. As a poll worker, I help voters sign in, show them how to cast their ballots, and answer their questions. I also give out the “I Voted” stickers, which is the fun part of my job.

Benefits of Civic Engagement

There are so many benefits to working on Election Day. It’s exciting to help first-time voters cast their ballots. I meet new neighbors and reconnect with older ones. I am part of a trusted team of poll workers for my precinct. We are moms, dads, grandparents, writers, plumbers, veterans, retirees, and students. Our team has been working together for years. And even though we have different political affiliations, we all work toward the same goal — ensuring that everyone gets to vote.

The downside of working the polls is that we start at 6 a.m. and wrap up around 9 p.m. It’s a long day, so coffee and snacks are essential.

Lots of Options to Get Involved

If working all day at the polls isn’t possible, there are other ways you can participate in the voting process, such as:

  • Voter registration drives. These events help non-registered voters complete forms so they can participate in future elections.
  • Canvassing. This involves going door-to-door in a neighborhood to discuss a candidate’s platform and remind people to vote.
  • Phone/text banking. Use your phone to connect with voters, share candidate information, and remind them to vote. The candidate’s office provides a list of phone numbers and a prepared script, so you know what to say.
  • Poll greeters. Greeters hand out sample ballots and welcome voters outside polling places. Poll greeters usually work in two-to-three-hour shifts, so this is an easy way to volunteer on Election Day without making an all-day commitment.
  • Voter transportation. If you have a car, you can give rides to people who cannot drive to their polling place.
  • Poll watching. Poll watchers ensure that people are voting safely, securely, and in accordance with all local and federal laws. This is particularly important for voters who may be at risk for intimidation or discrimination, such as new voters, minority voters, and voters who have disabilities.

Most of these are volunteer positions, but there are some jobs you can get paid for. If you’re interested in being a poll worker or a poll watcher, you may need to attend in-person or online training sessions, based on your local or state laws. Contact your local Board of Elections for more details.

Resources

For more information on how you can help get out the vote, check out these resources:

Regardless of which political party you support, there are lots of opportunities to volunteer during the election cycle. Primary election dates vary by state, but the general election is always in early November. So, you’ve got plenty of time to think about volunteering between now and Election Day.



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Colorful Asian Chicken Salad Recipe


I’ve had plenty of chicken salads in my life, but I wanted to mix up the flavors a little. This Asian salad with chicken is full of protein and delicious, crunchy veggies. It’s a feast for the eyes as much as your appetite!

It’s naturally gluten-free and dairy-free and you can even meal prep it ahead of time.

Asian Chicken Salad

There’s something about warmer weather that has me craving a crunchy, fresh salad. I like to keep several different ones in my meal rotation for a variety of flavors and nutrients. Instead of iceberg lettuce or romaine lettuce though, this Asian salad has more of a slaw base. I used napa and red cabbage, but you could also use green cabbage if that’s what you have. Cabbage is a cool weather crop so it’s the perfect main ingredient for a springtime salad!

I add colorful, crunchy veggies like carrots and snow peas for even more variety. Mandarin oranges add a touch of sweetness, and hearty chicken makes it a protein-rich meal. The best part though is the salad dressing. It has a lovely umami flavor from the coconut aminos, garlic, and toasted sesame oil. Then I use both maple syrup and honey to add a little sweetness.

What Chicken to Use

I pre-cook my proteins at the beginning of the week to make meal prep even easier. This recipe is also a great way to use up some leftover chicken breasts or rotisserie chicken. You can even use chicken thighs or grilled chicken if that’s what you have. I cook my chicken in some bone broth which makes it really tender and easy to shred. If you’re using grilled chicken it will need sliced instead.

To save time I don’t marinate my chicken like some Chinese chicken salad recipes do. If you want to add even more flavor though, then you can marinate your chicken in a few tablespoons of the sesame dressing for 30 minutes before cooking.

Garnish Ideas

These add yet another layer of crunch! Instead of chow mein noodles or ramen noodles though we’re using real food ingredients.

Toasted Sesame Vinaigrette

This just might be the star of the salad. I usually add olive oil to vinaigrettes but this version uses toasted sesame oil. It’s a little sweet, a little tangy, and full of flavor. The fresh garlic and ginger add a nice antimicrobial boost and a little spice. If you like your salad a little spicy you can add a little siracha or red pepper flakes to the dressing.

asian chicken salad

Asian Chicken Salad

This Asian Inspired chicken salad recipe isn’t just a quick meal idea; it’s a colorful, nutritious, and refreshing way to enjoy a variety of textures and flavors in one bowl.

For the Salad

  • 3 cups cooked chicken (shredded or chopped)
  • 1 cup red cabbage (finely shredded)
  • 1 small head of napa cabbage (finely shredded)
  • 1 cup carrots (grated or finely shredded)
  • 1 cup snow peas (sliced, optional for added crunch)
  • 1 cup mandarin orange slices (optional for a sweet burst)
  • ½ cup cashews (toasted, optional for extra crunch)
  • In a 16-ounce mason jar with a lid, combine the dressing ingredients; soy sauce, rice vinegar, sesame oil, maple syrup, honey, minced ginger, minced garlic, and sesame seeds (if using). Secure the lid and shake well until all ingredients are thoroughly mixed. Set aside.

  • In a large bowl, mix the shredded chicken, red cabbage, napa cabbage, carrots, snow peas, and mandarin oranges (if using).

  • Drizzle the salad dressing over the salad ingredients as needed (you might not use all of it) and gently toss to ensure everything is evenly coated.

  • Sprinkle on any desired garnishes and serve immediately for the best flavor.

Nutrition Facts

Asian Chicken Salad

Amount Per Serving (1 serving)

Calories 427
Calories from Fat 171

% Daily Value*

Fat 19g29%

Saturated Fat 3g19%

Trans Fat 0.01g

Polyunsaturated Fat 5g

Monounsaturated Fat 8g

Cholesterol 72mg24%

Sodium 438mg19%

Potassium 1373mg39%

Carbohydrates 36g12%

Fiber 6g25%

Sugar 20g22%

Protein 32g64%

Vitamin A 6942IU139%

Vitamin C 105mg127%

Calcium 261mg26%

Iron 3mg17%

* Percent Daily Values are based on a 2000 calorie diet.

  • I like to add some homemade wonton strips and green onions to the top as a garnish. 
  • If you want to make this salad ahead of time, add the dressing and crispy garnishes right before serving. 

More Salad Ideas

Looking for more easy recipes to add some more crunch to your life? I love salad but having a variety throughout the week is key. Give one of these recipes a try!

What’s your favorite go-to healthy salad? Leave a comment and let us know!



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New Formulation of Cabotegravir for HIV Treatment Can be Dosed at Intervals of at Least 4 Months


Long-acting injectable therapies for HIV treatment have been an evolving modality that more companies are investigating, and have a variety of benefits including adherence, convenience, and it allows people with HIV (PWH) to stop thinking about their status every day. At this week’s ongoing Conference on Retroviruses and Opportunistic Infections (CROI) in Denver, CO, new data being reported shows a new ultra long-acting cabotegravir formulation doubles the current dosing interval. ViiV Healthcare reported this investigational HIV therapy can be dosed at intervals of at least 4 months.

“The HIV community has told us of their desire for longer-acting medicines that can help alleviate the burden of daily treatment,” Kimberly Smith, MD, MPH, Head of Research & Development at ViiV Healthcare, said in a statement.This new formulation of cabotegravir (CAB-ULA) with a higher concentration and at least double the half-life puts us on the path toward delivering dosing at every four months for HIV treatment and PrEP.”

This data being reported at CROI is part of an ongoing, open-label, single-dose, dose-escalation phase 1 study in 70 healthy adults evaluated the safety and PK of 2 different formulations of cabotegravir and their potential for less frequent dosing. To evaluate the long-acting potential of these regimens, their PK profiles were compared against the 200 mg/mL intramuscular formulation of cabotegravir (CAB200), which is currently approved for the prevention of HIV by itself or for the treatment of HIV (when combined with rilpivirine).

One part of the study evaluated single doses of CAB-ULA administered subcutaneously (SC) in 16 participants or intramuscularly (IM) in 32 participants at doses of 800 mg, 1200 mg, and 1600 mg. The maximum observed plasma concentration of CAB ULA, regardless of route of administration, was lower than CAB200 IM at the same dose level, indicating slower absorption of CAB-ULA.

The projected half-life (measure of time the drug stays in the body) of CAB-ULA (SC) and CAB-ULA (IM) was six times greater and two times greater, respectively, than the half-life of CAB200 IM. PK simulations enabled researchers to predict that a 1600 mg/3mL IM dose of CAB-ULA administered every 4 months or greater could potentially achieve a similar level of medicine exposure compared to the approved 600 mg/3mL IM dose of CAB200, which is administered every 2 months.

In terms of safety, administration of CAB-ULA was well tolerated with no adverse events (AEs) leading to participant study discontinuation. All participants who received SC doses of CAB-ULA reported injection site reactions (ISRs), while 22/32 who received IM doses reported ISR events. The majority of IM ISRs were mild pain (grade 1) that lasted less than 7 days. Even though dosing in this study was higher than the currently approved CAB200 IM, the CAB-ULA IM ISR profile appeared comparable to the established CAB200 IM ISR profile.

Reference
ViiV Healthcare Presents Phase 1 Clinical Trial Findings of a Cabotegravir Long-Acting Injectable Investigational Formulation Allowinf at Least Four Months Between Doses. ViiV press release. March 4, 2024. Accessed March 4, 2024. https://viivhealthcare.com/hiv-news-and-media/news/press-releases/2024/march/cabotegravir-long-acting-injectable/



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Irish Nachos | The Recipe Critic

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This website may contain affiliate links and advertising so that we can provide recipes to you. Read my disclosure policy.

‘Irish Nachos’ are made with thin russet potato slices, topped with melty cheddar cheese, sour cream, bacon bits, and chives! Toasted to golden perfection, they’re sure to be a crowd-pleaser!

Potato appetizers are seriously the best. I can never get enough! You’ll have to try some homemade potato skins or mashed potato balls next! They’re sure to be a hit no matter the occasion.

Top-down view of russet potato slices topped with bacon, chives, and sour cream.

What are Irish Nachos?

These Irish Nachos are anything but your average pub fare! Despite the name, they’re not actually an Irish dish. So, where does the “Irish” come in? It’s all about the star ingredient: crispy potato slices!

They take the place of traditional tortilla chips, giving these nachos a hearty twist! They’re still loaded with all the melty cheese, creamy toppings, and smoky bacon you crave, making them a perfect party appetizer.

Ingredient List

Irish nachos use a lot of simple ingredients. Just grab some potatoes and your typical ‘loaded’ fixings- sour cream, bacon, cheese, and chives!

  • Russet Potatoes: Thinly sliced russet potatoes are the base of this dish. Baked until crispy, they replace the usual tortilla chips. You can try different types of potatoes to see which you like best! Yukon gold potatoes are another great choice.
  • Olive Oil: A light coating of olive oil helps the potato slices crisp up beautifully in the oven without burning.
  • Salt and Pepper: Simple flavor boosters! Season to taste.
  • Cheddar Cheese: Shredded cheddar cheese is melted over the hot potatoes, creating a gooey and delicious layer that binds everything together.
  • Bacon: Because everything is better with bacon. Chop it into small pieces so each bite of the Irish nachos are filled with meaty goodness!
  • Sour Cream or Crema: A dollop of cool sour cream (or crema) cuts through the richness of the cheese and adds a refreshing tang.
  • Chives or Green Onions: Chopped to add an extra pop of flavor.

Let’s Make Irish Nachos!

For easy prep of your potatoes, I recommend using a mandolin slicer. (Just be careful of your fingers, they’re sharp!)

  1. Slice Potatoes: Carefully slice the potato thin with a knife, about ⅛ inch thick, or slice it on a mandolin. Place the slices in a large bowl filled with cold water and let them soak for 30-45 minutes. Meanwhile, preheat the oven to 400 degrees Fahrenheit.
  2. Season: Remove the potatoes from the water and pat them very dry with a clean kitchen towel or paper towels. Place them in a single layer on 2 baking sheets. Drizzle with about a ¼ cup of olive oil and season with a few large pinches of salt and some ground black pepper. Toss the potatoes all around until they are all evenly coated with oil and seasonings and redistribute them on the baking sheets in a single layer.
  3. Bake: Bake the potatoes for 40-45 minutes, until they are beginning to turn brown and crispy. You will need to flip the slices over every 10-15 minutes to ensure they do not stick to the pan. If some slices crisp up faster than others, remove them from the pan and place them on a plate lined with paper towels. Once all the potatoes are done, add the rest of them to the paper towels to cool for 10 minutes or so.

Assembling the Irish Nachos

  1. Melt Cheese: Spray a sheet pan with pan spray and spread out all the crisp potatoes on the pan. Sprinkle the potatos generously with cheese and bake for 2-3 minutes at 400 degrees Fahrenheit, until the cheese is melted. Give the nachoes more time if you want the cheese a little more melted, but keep a close eye on them as the cheese can overbake very quickly. 
  2. Add Toppings and Serve: As soon as the nachos come out of the oven, drizzle them with sour cream (you can thin it down with a little milk if you’d like) or crema, and sprinkle with chopped bacon and chives. Any of your favorite nacho toppings! Serve immediately.
Cutting and slicing the potatoes, and topping them with shredded cheddar cheese.

Tips and Variations

  • More Toppings: If there is a topping you loooove on a baked potato, add it on! Try toppings such as chili, corned beef, beer cheese sauce, sliced jalapenos, diced tomatoes, or sauteed mushrooms.
  • For Faster Prep: The preparing and crisping of the potatoes is a labor of love. Fear not, there is an easier way! Use thick-cut, kettle chips in place of the homemade ones. A few big handfuls will save you a ton of time and deliver super tasty nachos!
  • Don’t Overcook: Watch your nachos as the cheese melts. It takes only a few minutes, but the exact timing will vary from oven to oven.

Closeup of Irish nachos.

How Long Do Irish Nachos Stay Good?

Soggy potatoes aren’t the most appealing, so it’s best to eat these nachos while they are hot right out of the oven!

Picking up an Irish nacho.

Try These Other Great Potato Dishes!

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  • Carefully slice the potato thin with a knife, about ⅛ inch thick, or slice it on a mandolin. Place the slices in a large bowl filled with cold water and let them soak for 30-45 minutes. Meanwhile, preheat the oven to 400 degrees Fahrenheit.

  • Remove the potatoes from the water and pat them very dry with a clean kitchen towel or paper towels. Place them in a single layer on 2 baking sheets. Drizzle with about a ¼ cup of olive oil and season with a few large pinches of salt and some ground black pepper. Toss the potatoes all around until they are all evenly coated with oil and seasonings and redistribute them on the baking sheets in a single layer.

  • Bake the potatoes for 40-45 minutes, until they are beginning to turn brown and crispy. You will need to flip the slices over every 10-15 minutes to ensure they do not stick to the pan. If some slices crisp up faster than others, remove them from the pan and place them on a plate lined with paper towels. Once all the potatoes are done, add the rest of them to the paper towels to cool for 10 minutes or so.

Nacho Assembly

  • Spray a sheet pan with pan spray and spread out all the crisp potatoes on the pan. Sprinkle the potatos generously with cheese and bake for 2-3 minutes at 400 degrees Fahrenheit, until the cheese is melted. Give the nachoes more time if you want the cheese a little more melted, but keep a close eye on them as the cheese can overbake very quickly.

  • As soon as the nachos come out of the oven, drizzle them with sour cream (you can thin it down with a little milk if you’d like) or crema, and sprinkle with chopped bacon and chives. Serve immediately.

Calories: 566kcalCarbohydrates: 52gProtein: 19gFat: 32gSaturated Fat: 14gPolyunsaturated Fat: 2gMonounsaturated Fat: 12gCholesterol: 64mgSodium: 388mgPotassium: 1217mgFiber: 4gSugar: 2gVitamin A: 659IUVitamin C: 16mgCalcium: 449mgIron: 3mg

Nutrition information is automatically calculated, so should only be used as an approximation.





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Ways to Change Negative Thinking


We all have thoughts that invade our brains from time to time and mess with our moods. We all get down.

Whether it’s your job, your social life, your family, or something completely different, sometimes the negativity can be too much.

“We all have it. We all have it,” says Mark Reinecke, a professor emeritus of psychology and behavioral sciences at Northwestern University’s Feinberg School of Medicine.

Natalie Dattilo, PhD, a clinical health psychologist at Brigham and Women’s Hospital in Boston, agrees.

“Thoughts that we have that we would classify as negative or unhelpful are pretty normal. We all have thoughts that somebody might say, ‘Oh that’s kind of negative.’ “

Sometimes it is, and sometimes that’s just kind of an accurate description of a bad situation.”

But what can you do about those negative thoughts?

They may be common, but negative thoughts aren’t harmless or to be taken lightly. Research shows that having them over and over, while you have depression and anxiety, can lead to serious emotional and physical problems.

A bout of negative thinking now and then or a random negative thought here or there may not mean much. But having them over and over for a period of time can quickly overwhelm a person. Using words like never or always — “It’s always going to be like this,” or “I’m never going to be any good” — are a red flag.

Ruminating — dwelling on negative thoughts — can be dangerous.

“People often talk about thought loops and thought spirals, this sort of chaining of bad things,” Dattilo says. “It does tend to snowball. And that’s the part where it can become problematic.

“It’s less about the content of the thought, and more about the process, and the inability to let it go, having it run through your mind over and over and over again,” she says “Those tend to be negative for people. People are rarely ruminating on other things.”

How can you tell that the way that you’re thinking is doing more harm than good?

“Is it affecting your relationships? Is it affecting your work? Is it leading you to do things that are really harmful, like alcohol and drug use? Are the ways that you’re coping with it getting you into trouble? If they are, you probably need to talk to somebody,” Reinecke says.

“If it’s persistent, if it goes on for more than 2 weeks, if you just can’t get out of this cycle, you probably need to talk to somebody.

“If you have suicidal thoughts, and particularly if you make any behavior — you write a suicide note or pick up that bottle of pills in the medicine cabinet — you need to talk to somebody,” he says.

Reinecke suggests several ways to help break the grip of negative thinking. Many of the methods he suggests fall under the umbrella of cognitive behavioral therapy (CBT), a treatment that focuses on ways to change unhealthy ways of thinking and behaving.

Essentially, it’s thinking about the way we think. A psychologist or psychiatrist can help you with it.

In the meantime, some ideas:

Acknowledge the emotions. Feeling sad because of the death of a loved one? Laid off? Anyone would be sad. It’s serious stuff. You have to realize that it’s natural to have negative thoughts.

Identify and clarify the thought. Pick apart the most distressing thought. Why is it bad to feel this way? Understand the implications of the way you’re thinking. Treat the thought as an object.

Evaluate the emotions. Sit back and think it through. What’s the evidence for and against this way of thinking? By trying to be clear and rational, you often come to a new insight. Set the thought aside, even for just a moment: “Hmmm, that’s interesting,” or “Well, there you have it.” Taking the emotions out of the equation can help you gain a different perspective.

Come at it from a different angle. Is there another way to look at this? Example: How could this be of benefit to me? Maybe you’ll recognize that adversity builds character, resilience comes from loss, and that good can come from pain.

So what? “And by so what,” Reinecke says, “I mean ‘so what?’ ” The idea is that whatever you’re going through, in the grandest scheme of things, is not that big of a deal. Death is part of life. People go on, and even thrive, after broken relationships all the time. Keep whatever is causing your negative thoughts in perspective, don’t be reactive, and take the longer-term view.

Experts suggest a range of other methods to cope with negative ways of thinking:

Distractions like exercise, reading, doing a puzzle, meeting with friends — simply trying to clear your mind of the problems that affect it — is certainly one way. Writing things down, a form of clarifying your thoughts, is another.

“Sometimes the answer is right there in front of you,” Dattilo says.

Friends and family members can help by staying engaged with, and not withdrawing from, those who are wrangling with unhealthful ways of thinking. Acknowledging their point of view, maybe offering a sympathetic ear — “Well, sounds like you have a lot on your mind,” or “Do you think it would help to think about it like this?” — can be useful.

Certainly, professional help is always an option. The key to quelling harmful, negative thoughts may be more in how we think, rather than what we think.

“There’s a lot of people who tend to see the world [as] glass half-empty but believe that they’re fully justified in the way that they see it,” Dattilo says. “My job isn’t to necessarily argue with them about that, or to convince them to see the world differently.

“My question to them would be, ‘How does it make you feel to think that way?’ And if your goal is to feel better, or have better relationships, or to have more fun, ‘Does thinking like that help you?’ “



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Potential Biomarkers of Long COVID


It remains a mystery in why acute COVID-19 infections can evolve into PASC or Long COVID. Medical science has been investigating some potential clues with pathophysiology and biomarkers that offer some indications. Still, until an understanding of the condition has been developed, definitive tests to identify and diagnose Long COVID remains impossible.

One area that might offer a key to diagnosing Long COVID is blood serum proteins. Carlo Cervia-Hasler et al, showed that patients experiencing Long COVID, “exhibited changes to blood serum proteins indicating activation of the immune system’s complement cascade, altered coagulation, and tissue injury.” This was a multicenter study, which consisted of 39 healthy control patients and 113 COVID-19 patients who were followed-up to 1 year after initial confirmation of infection through PCR test. After confirmation of acute infection, patients were seen for follow-up appointments at 6 months and 12 months to identify biomarkers associated with Long COVID. At the 6-month follow-up, 40 patients had Long COVID symptoms.1

More research shared at this week’s ongoing Conference on Retroviruses and Opportunistic Infections (CROI) in Denver, CO, looks to shed some more light into characteristics of Long COVID through blood-related biomarkers.

In previous research performed by Zhu, et al, COVID-19 pathophysiology was seen to be profoundly altered by infection of lung megakaryocytes (MKs) and platelets by SARS‐CoV‐2. For the CROI study, He et al, collected blood samples from 3 different groups: participants with Long COVID with symptoms duration > 3 months with 30 in this group; patients who were previously infected with COVID-19 but without persistent symptoms (10 people); and healthy donors (20 people).2

Flow cytometry was utilized to quantify MK frequency. The investigators analyzed platelets and blood MKs for microclots, and the presence of spike protein and SARS-CoV-2 RNA. Spike and serotonin were quantified in plasma.2

“The frequency of CD41+ MKs in peripheral blood mononucleated cells (PBMCs) was significantly higher than healthy donors (0.28± 0.05 versus 0.03± 0.02) as a sign of MK infection, as we previously shown in acutely infected individuals with SARS-CoV-2 in platelets. Accordingly, in all samples analyzed, circulating MK in Long COVID sheltered both Spike and SARS-CoV-2 ssRNA, but also dsRNA suggestive of viral replication,” the investigators wrote.2

Potential Takeaway

“In patients developing Long COVID, SARS-CoV-2 persists and replicates in MKs producing virus-containing platelets,” the investigators wrote. The presence of spike in plasma might be an additional sign of viral persistence that could be used as a Long COVID biomarker,” the investigators wrote. 

They postulate that the presence of SARS-CoV-2 could “lead to abnormal platelet activation and the formation of microclots, which would contribute to the various symptoms and to deregulation of serotonin uptake, contributing to the neurocognitive symptoms observed in long-onset COVID.”

References

1.Parkinson J. Changes to Blood Proteins May Offer Further Insights Into Diagnosing Long COVID. ContagionLive. Janauary 23, 2024. Accessed March 4, 2024. https://www.contagionlive.com/view/changes-to-blood-proteins-may-offer-further-insights-into-diagnosing-long-covid

2. He F, Huang B, Cottignies-Calamarte A, et al. Persistence of SARS-CoV-2 in Platelets and Megakaryocytes in Long COVID. Poster #347 presented at CROI 2024. March 3-6, 2023. Denver, CO.



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Cabbage Roll Casserole Recipe | The Recipe Critic

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Cabbage roll casserole is a much EASIER version of cabbage rolls! Layers of ground beef, onion, garlic, rice, marinara, cheese, and tasty seasonings are assembled into a casserole. You’ll love all the textures and flavors in this easy one-pan dinner!

Casseroles are the easiest way to feed a hungry family! If you’re looking for more casserole recipes to try, this chicken casserole is one of our favorites! We also love this spaghetti casserole, and my breakfast casserole is a must!

Top view of a wood serving spoon in the casserole dish of cabbage roll casserole.

Cabbage Roll Casserole

If you’re familiar with my stuffed cabbage rolls then get excited for this easier casserole version! Instead of loading the cabbage leaves with the meat mixture and cheese mixture, let’s just layer it all in a casserole dish. SO much faster, but just as tasty! The added rice makes it hearty, and the melty cheese is the perfect topping for any casserole. This one-pan meal is such a great way to get in those veggies while you feed your family. It’s like a deconstructed version of stuffed cabbage rolls, and I can’t wait for you to try this recipe!

Cabbage is SO underrated in my opinion! It has such a mild flavor and it will shine in any recipe. You’ll also love the texture that it adds! Try my Stuffed Cabbage Roll Soup, this Beef and Cabbage Soup, and this Corned Beef and Cabbage Stew. They are all so delicious and they will not disappoint!

Ingredients For Cabbage Roll Casserole

These ingredients are healthy and together make such a delicious and filling dinner! It’s loaded with flavor and the whole family will love it. See the recipe card at the bottom of the post for exact measurements!

  • Olive Oil: Use olive oil to cook the beef, onion, and garlic.
  • Ground beef: When it comes to ground beef, I like to use lean ground beef.
  • Onion: I like to mince the onion so that I don’t have any large chunks.
  • Garlic: If you don’t have any fresh garlic cloves then use refrigerated minced garlic.
  • Seasonings: I use salt, pepper, Italian seasoning, and dill! They all add so much flavor to this casserole.
  • Marinara sauce: You can use store-bought or make this delicious homemade marinara sauce.
  • Diced Tomatoes: One can of diced tomatoes adds texture to the casserole.
  • Cooked Rice: I used long-grain white rice for this recipe, but you can use brown rice if you want it to be more filling and a bit healthier!
  • Butter: Butter to help brown and wilt the cabbage. Plus it makes the cabbage so yummy!
  • Cabbage: Green cabbage is what I used for this recipe!
  • Shredded Cheese: Sprinkle the cheese throughout the casserole and on top of the casserole to get nice and cheesy!

Cabbage Roll Casserole Recipe

This recipe is much easier to make than traditional cabbage rolls. It’s easy to assemble and you will have an amazing meal in no time! Follow the instructions below on the recipe card.

  1. Preheat the Oven: Preheat the oven to 350 degrees Fahrenheit.
  2. Brown the Meat, and Onion: In a large skillet over medium heat, add the olive oil, ground beef, and minced onion. Cook until the meat is no longer pink and the onion is softened.
  3. Add Garlic and Seasonings: Add the garlic, Italian seasoning, dill, salt, and pepper. Stir and cook for 30 seconds.
  4. Stir in Marinara, Diced Tomatoes, and Cooked Rice: Add the marinara sauce, diced tomatoes, and cooked rice. Stir until combined and continue to cook until warmed through.
  5. Cook the Cabbage: In a large pot, add the butter and cabbage. Cook on high heat until the cabbage is barely wilted and browned.
  6. Assemble the Casserole: To assemble the casserole, layer half of the cooked cabbage in the bottom of the casserole dish. Evenly layer half of the beef mixture on top of the cabbage followed by 1 cup of shredded cheese. Repeat the layers one more time.
  7. Top With Remaining Shredded Cheese: Sprinkle the remaining cup of cheese on top of the casserole.
  8. Bake: Bake for 20-25 minutes until hot and bubbly.
  9. Enjoy: Garnish with fresh parsley and enjoy!
First process photo of the cooked meat, rice, tomatoes, and marinara in a skillet. Second process photo of the meat mixture mixed in a skillet. Third photo of the cabbage cooking in a pan. Fourth photo of the cooked cabbage in a casserole dish. Fifth process photo of the meat mixture layered on top of the cabbage. Sixth process picture of the cheese sprinkled on top.

Tips and Variations

This cabbage roll casserole is straightforward once you read through the recipe. You are going to love how simple it is to put together. Here are some tips for making this recipe.

  • Beef: I love using lean ground beef to make this meal healthier for my family. You can also use ground turkey, sausage, or a combination of meat.
  • Rice: I prefer long-grain white rice in this recipe. I love using premade packaged rice to make the prep even easier. Feel free to use brown rice or cauliflower rice as a gluten-free option.
  • Cabbage: Don’t skip precooking the cabbage. Cooking the cabbage helps release the water in the cabbage so your casserole isn’t soupy. Make sure to drain the cabbage before adding it to the casserole. You can also soak up any excess water from the cooked cabbage by absorbing it with paper towels.
  • Cheese: Our family loves Colby-jack cheese and the combination of flavors as it melts. Feel free to use cheddar cheese if you prefer. Or omit the cheese altogether.

Close side view of a wood spoon lifting up a serving of cabbage roll casserole.

How to Enjoy Leftovers

Leftovers are the gift that keeps on giving, and this cabbage roll casserole is even tastier the next day for lunch! Follow my tips below for storing and reheating leftovers.

  • In the Refrigerator: In the fridge, your casserole should last about 3-4 days. Store in an airtight container for best results.
  • To Reheat: When it’s time to enjoy your leftover casserole, you’ve got options. To reheat in the microwave, cover with a damp paper towel, and heat in 1-2 minute intervals, stirring in between until it’s warmed through. For a crispy cheese topping, try the oven. Preheat to 350 degrees Fahrenheit and cover with foil to keep it from drying out, then bake for about 15-20 minutes. Enjoy!

Top view of cabbage roll casserole on a brown plate with a fork.

More Tasty Cabbage Recipes

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  • Preheat the oven to 350 degrees Fahrenheit.

  • In a large skillet over medium-heat, add the olive oil, ground beef, and minced onion. Cook until the meat is no longer pink and the onion is softened.

  • Add the garlic, Italian seasoning, dill, salt, and pepper. Stir and cook for 30 seconds.

  • Add the marinara sauce, diced tomatoes, and cooked rice. Stir until combined and continue to cook until warmed through.

  • In a large pot, add the butter and cabbage. Cook on high heat until the cabbage is barely wilted and browned.

  • To assemble the casserole, layer half of the cooked cabbage in the bottom of the casserole dish. Evenly layer half of the beef mixture on top of the cabbage followed by 1 cup of shredded cheese. Repeat the layers one more time.

  • Sprinkle the remaining cup of cheese on top of the casserole.

  • Bake for 20-25 minutes until hot and bubbly.

  • Garnish with fresh parsley and enjoy!

Calories: 542kcalCarbohydrates: 37gProtein: 40gFat: 27gSaturated Fat: 14gPolyunsaturated Fat: 1gMonounsaturated Fat: 9gTrans Fat: 1gCholesterol: 122mgSodium: 1323mgPotassium: 1152mgFiber: 6gSugar: 9gVitamin A: 1204IUVitamin C: 42mgCalcium: 431mgIron: 6mg

Nutrition information is automatically calculated, so should only be used as an approximation.





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The Healthy Way to Be Angry


You have an important dinner to attend tonight after work and the clothes you need are at the cleaners. The dry cleaner will be closed by the time you leave the office, so your partner has graciously agreed to pick the clothes up for you. But when you get home, your partner looks up, claps a hand over their mouth, and gasps, “Your dry cleaning!”

You can’t believe it. Your pulse quickens, your face flushes, you want to scream. What do you do next? Do you take a beat? Do you unleash your wrath, or do you push all your hard feelings down?

Anger itself is a perfectly healthy and even useful emotion. But the way you express your angry feelings can be more harmful than whatever it was that made you angry in the first place.

“Anger tends to get a bad rap as an emotion that we want to avoid when in reality it’s a very valid and important emotion,” says Erin S. Bullett, PhD, director of the Psychological Services Clinic at the University of Missouri. “But not all expressions of anger or the behaviors that we pair with anger are useful.”

Anger is a biological reaction — part of the “fight-or-flight” response. This survival mechanism may have helped keep the earliest humans alive in the face of threats. It prompts the body to respond in a bad situation, whether that response is to fight back or run away.

While people today may not face the same threats to their lives that their earliest ancestors did, anger still serves an important purpose.

“Anger can motivate us to engage in change behavior if, for example, an important goal is being blocked, if someone we care about is being threatened or attacked, or if we feel disrespected or like we have lost power,” Bullett says. “Both physical and emotional pain can elicit anger for us.”

When you get mad, it can also be what’s called a secondary emotion. That is, it’s the result of another emotion, such as jealousy or fear.

You can usually express a secondary emotion, says Ashley Hicks, PhD, director of The Ohio State University Couple and Family Therapy Clinic, in a way that won’t make you feel as vulnerable or exposed as the primary emotion would. “So, often when we think we are angry, what we are really feeling is hurt, embarrassed, afraid, abandoned, or like we are not in control,” Hicks says.

True, anger is an important emotion that tells you, “something is wrong, off balance, or unfair, and that it needs to change,” Hicks says.

But when your body is in fight-or-flight mode, you are under stress. Occasional stress is necessary, but constant stress, which includes anger, can be harmful to your health.

Research shows that anger is a risk factor for heart disease. When you feel it all the time, it can raise your risk for high blood pressure, stroke, ulcers, and intestinal diseases. It may also delay wound healing and increase the risk for certain cancers.

For these reasons, it’s smart to learn to manage and diffuse this beast in healthy ways.

First, you have to know what anger feels like in your body to begin with before you can evaluate it as constructive or destructive, Hicks says. “Since we often believe that anger is a bad thing that we should dismiss or avoid completely, we start to ignore the symptoms of it.”

The next time you feel angry, stop and take stock of how that feels in your body to help you build awareness. Does your pulse quicken? Does your jaw tighten? Do you cry?

Some signs that you might be on the verge of flipping your lid include feeling hot or flushing, a pounding heart, or raising your voice. “These can be signs that we are prone to act on our anger in ways that may be less adaptive,” Bullett says.

Perhaps the reddest flag of all, she adds, is whether your heated emotions lead you to behave in a way that you have regretted behaving in the past. Maybe you say unfair and hurtful things to the person who has upset you. Maybe you storm out and trigger a silence between the two of you that lasts for days.

But how can you get off that collision course for a blow-up or a stand-off and get a hold of yourself before it’s too late?

Make no mistake, it’s hard to see a situation clearly when you’re seeing red. But that’s what you need to learn to do if you want to express your feelings in healthy, rather than harmful, ways.

Practicing mindfulness when you’re not angry can help you build the skills you need to be mindful when you are angry. Mindfulness is the ability to be fully present in the moment, aware of what you are thinking and feeling, down to the most minute sensations, without being overwhelmed by the situation or overly reactive to it.

Learning how to be mindful in benign situations, such as when you are eating or brushing your teeth, can help you call on those skills in heated moments.

And the benefits of mindfulness when anger strikes are many.

“It can help with emotional regulation and help you slow down in the moment so that you don’t engage in those angry behaviors,” Bullett says.

When you slow down, or take a beat, in the moment, you become more able to think about what might be the appropriate next action. In some cases, it may be to walk away. In other cases, it may be to tell the person that you are upset and why. When you do communicate your feelings, having taken that beat will allow you to do so more calmly, which can make for a better reaction from the other person.

The healthiest response to anger won’t be the same for every person in every situation. If you are prone to blowing a fuse, you may need to learn to walk away. But, Bullett says, “If you are a person who tends to storm away and stew, you may need to learn to confront the situation in an assertive manner with ‘I’ statements.”

“I” statements refer to speaking only about yourself in the heat of the moment in order to avoid saying something to the other person that you might later regret. So rather than, “You never listen to me,” in response to the forgotten dry cleaning, you might say, “I feel like I’m not being heard.”

You can also remind yourself when you take a beat to look at the situation from the other person’s point of view. Perhaps you will see a reason why they took the action that made you angry — even if you don’t agree with it.

“Mindfulness can also help us check the facts, which is a big thing,” Bullett says.

When you are angry, before you react, Bullett advises that you ask yourself what your assumptions are about the incident versus what you know to be a fact.

You might assume, for example, that someone cut you off in traffic because they are a thoughtless jerk. But in reality, you probably don’t have any facts about the other driver. That driver may be on the way to an emergency or having a bad day, which made them careless in traffic.

You can also check the facts about yourself at that moment. Ask yourself, for example, whether your feelings are warranted or whether you are tired or stressed and that’s why you responded angrily.

“When you start to really think about what you know and don’t know about the situation, you’re less likely to respond rashly,” Bullett says.

Mindfulness is a popular practice these days — and for good reason: Research shows that the practice eases ire. One study found that mindfulness reduced anger, hostility, and irritation in the workplace. Other studies have found that the practice cuts down on anger and distress in people with troubling health diagnoses, such as cancer and diabetes.

Given its popularity, it won’t be hard to learn more about it on your own. Mindfulness workshops abound online and in real life in many metropolitan areas. For those who can’t find a real-life course, the Netflix docuseries Headspace Guide to Meditation offers lessons in mindfulness. There are also plenty of mindfulness apps available.

Emotions express themselves in physical ways in the body, Hicks says. “So we need to release that angry energy from our bodies.”

If you’ve decided, in your moment of mindfulness, not to pursue a discussion or an argument about the events that made you mad, you may need to release that negative energy in other ways. Maybe it’s as simple as screaming into a pillow or taking a deep breath and counting to 10.

But you may need ongoing channels for angry energy. Learn your triggers, Bullett suggests. Maybe you are most prone to getting mad after a long day at work or when bills are due. Find an outlet for angry energy on those days when you’ve been triggered and may be prone to bad behavior.

“You can learn to channel anger in a way that can be useful. Intense exercise can help shift our mood,” Bullett says, “Or, you know, there’s a reason why ‘rage cleaning’ is a thing.”

Just keep in mind, anger, like all your other feelings, is a valid emotion. Oftentimes, in fact, it is indisputably warranted. It’s letting anger get the best of you and your relationships that should be avoided.



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Lenacapavir Leads to Sustained Virologic Suppression in Heavily-Treated HIV Population


People with HIV (PWH) who experience multidrug resistance (MDR) have limited or no therapy options, which can leave their disease management very challenging.

One therapy option for these patients is lenacapavir (Sunlenca). This HIV antiretroviral (ARV) was FDA approved in late 2022 for adult patients living with HIV, whose infections cannot be successfully treated with other available treatments due to resistance, intolerance, or safety considerations.

The approval was based around the data from the CAPELLA study, which was a double-blinded, placebo-controlled global multicenter trial designed to evaluate lenacapavir when administered every 6 months as a subcutaneous injection in heavily treatment-experienced (HTE) people with MDR.

Lenacapavir is the first of a new class of therapies called capsid inhibitors to be FDA-approved for treating HIV. This antiretroviral works by blocking the HIV-1 virus’ protein shell (the capsid), thereby interfering with multiple essential steps of the viral lifecycle.

For its therapy regimen, Lenacapavir’s starting protocol is for patients to be given as oral tablets and subcutaneous injections, followed by maintenance treatments administered as single injections every 6 months. Lenacapavir is part of a regimen in combination with other antiretroviral(s).

At this week’s ongoing Conference on Retroviruses and Opportunistic Infections (CROI) in Denver, CO, new data was presented as a poster on the antiviral from the CAPELLA study.

Specifically, the results demonstrated treatment benefits over a 2-year period. “In HTE PWH with MDR or an optimized background regimen (OBR) with no fully active ARVs, [lenacapavir] led to sustained virologic suppression over 104 weeks for most participants,” the investigators wrote.

Study Parameters

Specifically, for the results reported at CROI, the data was from the phase 2/3 CAPELLA study, which enrolled people with HIV with HTE. Eligible participants had resistance to ≥2 ARVs in ≥3 of the 4 main ARV classes (NRTI, NNRTI, PI, INSTI).

After initial oral loading, lenacapavir was administered subcutaneously every 6 months.

The OBR participants were selected by individual clinicians, and other investigational drugs were permitted for the study.

The investigators wrote that the OBR overall susceptibility score was the sum of susceptibility scores for each OBR ARV; 0 (no susceptibility), 0.5 (partial susceptibility) and 1 (full susceptibility) and efficacy was assessed at Weeks 26, 52, and 104. Lenacapavir and OBR ARV resistance analyses were done at virologic failure (virologic rebound ≥50 copies/mL or <1 log10 decline vs baseline).

There were 72 patients enrolled, and of them, 12 (17%) had no fully active antiretrovirals in their OBR; 6 of 12 and 1 of 12 had 1 or 2 partially active (score 0.5 each) ARVs, respectively. The investigators report the median (range) number of OBR ARVs was 4 (2–6). Overall, OBR comprised NRTI (9 participants), INSTI (8), PI (7) or NNRTI (6); 5, 2, and 2 participants were on a CD4 post-attachment inhibitor (ibalizumab), CCR5 inhibitor (maraviroc), or attachment inhibitor (fostemsavir), respectively.

“Eight participants had HIV-1 RNA <50 copies/mL at all 3 visits (W26, 52, and 104), including 1 participant with LEN resistance (R; M66I) at W10 and an OBR change at W25. One participant with missing W104 data was suppressed at a later visit; 1 participant not suppressed at W26 developed LEN-R (M66I) but was suppressed at W52 and 104 (OBR changed at W25); and 2 participants had HIV-1 RNA ≥50 copies/mL throughout, but with a stable, low level viral load (1 with <600 copies/mL, OBR changed at W30; 1 with <3000 copies/mL despite emerging LEN-R at W4 [M66M/I]),” the investigators wrote.

Of the 12 study participants, none discontinued the study’s therapy. 

More data on this antiviral will be reported at CROI.

Reference

Ogbuagu O, Ratanasuwan W, Avihingsanon A, et al. Lenacapavir Efficacy IN CAPELLA Patients With No Fully Active Agents In Optimized Background Regimen. Poster #630 presented at CROI 2024. March 3-6, 2023. Denver, CO.



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