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HIIT Nutrition: A Guide to Creating a Powerful Presentation

Because intense interval training (HIIT) requires a lot of energy in short bursts, proper nutrition is essential for optimal performance, recovery, and achieving health goals. Whether you’re a painstakingly pre-arranged contender or a freshman to the universe of HIIT, understanding how to fuel your body fittingly can essentially impact your ability to push through unprecedented activities and lift the benefits. In this article, we’ll examine the basic principles of HIIT food to help you power through your gatherings with force.

1. The Meaning of Pre-Exercise Nutrition:

Empowering your body before a HIIT meeting is basic for giving the energy expected to help intense center undertakings. Take into consideration the following nutritional advice before exercising:

  • Timing is Key: Consume a respectable gala containing sugars, protein, and strong fats 2-3 hours before your activity. If your gathering is closer, pick a more humble snack 30-an hour sooner.
  • Carbs for Energy: Carbohydrates are the primary source of fuel during intense focus workouts. Pick complex carbs like whole grains, normal items, and vegetables for upheld energy.
  • Protein for Muscle Support: Integrate a moderate proportion of protein to assist with muscling capacity and fix. Plant-based proteins, dairy, and lean meats are phenomenal sources.
  • Hydration Matters: Ensure you’re a lot of hydrated preceding starting your HIIT work out. Drying out can impact execution and impede recovery.

2. During-Exercise Nutrition:

Strategic fueling may be beneficial for longer or more intense HIIT sessions, but shorter HIIT sessions may not require additional nutrition during the workout:

  • Hydrogenation: During exercise, taste water frequently to monitor your hydration status. Consider an electrolyte drink accepting your gathering is particularly serious or long.
  • Quick Sugar Boosts: For longer gatherings, especially those getting through more than an hour, consume unobtrusive amounts of really eatable carbs (e.g., a games gel) to help energy levels.

3. Sustenance for After-Workout:

To speed up recovery, repair muscle, and replenish glycogen stores, the right recovery food is essential. Contemplate the going with post-practice sustenance rules:

  • Timing is Critical: Consume a post-practice gala or snack inside 30-an hour after your HIIT meeting to grow supplement maintenance and recovery.
  • “Protein for Muscle Repair:” Center around protein admission to assist with muscling fix and advancement. Sources like lean meats, eggs, dairy, or plant-based proteins are perfect.
  • Starches for Glycogen Replenishment: Consolidate starches to recharge glycogen stores depleted during intense center work out. Choose a mix of muddled and direct carbs for rapid and upheld energy.
  • Hydration: Rehydrate with water or an electrolyte-rich games drink to compensate for the liquids you lost during the exercise.

4. Adjusted Food for Generally Good Health:

Despite unambiguous pre, during, and post-practice food, keeping a fair eating routine is indispensable for all things considered and upheld energy levels:

  • Whole Foods: Stress whole, supplement thick food assortments like natural items, vegetables, lean proteins, whole grains, and strong fats in your everyday eating routine.
  • “Sufficient Calories:” Ensure you’re consuming a sufficient number of calories to satisfy the energy needs of your HIIT works out, as insufficient calories can provoke shortcoming and forestall execution.
  • Micronutrients: Concentrate on nutrients and minerals because they play crucial roles in energy digestion, safety, and overall prosperity. Contemplate a multivitamin if essential.
  • Individualized Approach: Individual requirements for food and shelter can vary. Consider chatting with an enrolled dietitian or nutritionist to tailor your food plan taking into account your specific goals, tendencies, and dietary prerequisites.

5. Focus on Your Body:

At last, the most dire piece of HIIT food is focusing on your body. Individual reactions to food varieties and timing can fluctuate contingent upon the individual. Center around how your body feels during and after activities, and change your food as necessary.

Conclusion:

The provision of adequate nutrition for your intensity is an essential component of a successful HIIT journey. You can work on your presentation, support your general wellbeing, and expand your energy levels by decisively arranging your sustenance previously, during, and after an exercise and by eating an even eating routine. Review that sustenance is a tweaked adventure, so attempt various things with different ways of managing find what ends up being savage for you. With the right fuel, you can brave your HIIT practices and achieve your wellbeing targets with power and affirmation.

Prescribing Antibiotics for Pediatric Outpatients? There’s an App for That


Credit: William Hook/Unsplash

A digital clinical decision support algorithm, ePOCT+, reduced the number of antibiotic prescriptions for pediatric outpatients without adverse health outcomes compared to usual care, in a cluster randomized controlled trial1 conducted in Tanzania.

When used in conjunction with pertinent clinical data such as C-reactive protein, hemoglobin, and pulse oximetry, the investigators suggest that the use of the digital tool to safely reduce antibiotic prescribing could help to mitigate development of bacterial antimicrobial resistance (AMR).1

“The use of the ePOCT+ digital clinical decision support algorithm (CDSA) package resulted in a close to three-fold reduction in the likelihood of a sick child receiving an antibiotic prescription compared to children in usual care facilities.Despite substantially fewer antibiotic prescriptions, clinical failure did not increase in intervention facilities,” lead author Rainer Tan, MD, Centre for Primary Care and Public Health (Unisanté), University of Lausanne, Lausanne, Switzerland, and colleagues reported.

Although AMR is a global health issue, attributable for 1.27 million deaths in 2019, Tan and colleagues point out that the highest burden has been in sub-Saharan Africa. They note that in Tanzania, as in many resource-constrained countries, more than 50% of sick children receive antibiotics at health facilities, with 80 to 90% prescribed in outpatient treatment, “and most deemed inappropriate.”

Tan and colleagues developed the ePOCT+ to be used in conjunction with several point-of-care tests to help prescribers determine when antimicrobial treatment is likely to be appropriate.2 The CDSA provides guidance on what symptoms and signs to assess, advises on what tests to perform, and proposes appropriate diagnoses, treatment and management. The current version is applicable for treating infants as young as 2 months through children under 15 years of age.

The trial compared outcomes with the CDSA in 20 primary care outpatient clinics to those in 20 clinics applying usual care. Over 11 months, 23,593 consultations were included from the 20 ePOCT+ health facilities, and 20,713 from 20 usual care facilities The cluster design of the trial refers to comparing outcomes in the populations, rather than by individual.The primary outcomes were number of antibiotic prescriptions; and of clinical failure, corresponding to determination of “not cured,” “not improved,” or unscheduled hospitalization. Secondary safety outcomes were death and non-referred secondary hospitalization.

The investigators reported that antibiotics were prescribed at the CDSA facilities for 23.2% of the population, compared to 70.1% receiving antibiotic prescriptions in facilities with treatment as usual (adjusted difference -46.4%, [95% CI, -57.6 to -35.2]). The intervention was determined noninferior for clinical failure (adjusted relative risk 0.97 [0.85 to 1.10). There was no difference between CDSA and treatment as usual facilities in the secondary safety outcomes of death, and non-referred secondary hospitalizations by day 7.

What You Need to Know

The ePOCT+ digital clinical decision support algorithm demonstrated a substantial reduction in antibiotic prescriptions for pediatric outpatients, almost three-fold lower compared to usual care facilities.

The study suggests that utilizing ePOCT+ in conjunction with clinical data could help safely reduce antibiotic prescribing, thereby mitigating the development of bacterial antimicrobial resistance.

While the findings are encouraging, the effectiveness of ePOCT+ depends on its utilization.

Effectiveness of the CDSA depends on whether it is utilized, the investigators point out.

“Although the present findings are encouraging, it is important to note that nearly 25% of patients were not managed using ePOCT+ in the intervention arm,” they indicated.

“It is reasonable to assume that not all health providers use the digital tool to manage all patients, just as health providers do not consult the IMCI paper chartbook every time they see a patient,” Tan and colleagues acknowledge.

The investigators are now seeking to determine factors that could have reduced use of the CDSA, such as the impact of benchmarking and mentoring dashboards, and how health providers can be better supported in using the tool.

References

1.Tan R, Kavishe G, Luwanda LB, et al. Adigital health algorithm to guide antibiotic prescription in pediatric outpatient care: A cluster randomized controlled trial. Nat Med 2024; 30:76-84.

2.Tan R, Cobuccio L, Beynon, et al. ePOCT+ and the medAL-suite: Development of an electronic clinical decision support algorithm and digital platform for pediatric outpatients in low- and middle-income countries. PLoS Digit Health 2023; 19:2(1):e0000170. doi:10.1371/journal.pdig.0000170. Accessed January 31, 2024.



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Vegan Chili Cheese Fries – Minimalist Baker Recipes

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Large plate of vegan chili cheese fries topped with vegan cheddar cheese sauce, pickled red onions, vegan sour cream, and jalapeños

Sometimes the only thing that will do is chili cheese fries. Y’know? Luckily, you can now satisfy that craving with this equally comforting vegan version! It feels decadent and special but comes together quickly with wholesome pantry staples (including fiber-rich lentils!).

Just 10 ingredients required to nourish your body AND soul, friends. Let us show you how it’s done!

Lentils, coconut aminos, ketchup, apple cider vinegar, spices, olive oil, potatoes, carrots, nutritional yeast, cashews, and tapioca starch

Since they’re called chili cheese fries, let’s start by talking about 1) the CHILI, then we’ll get to 2) the CHEESE and 3) the FRIES!

For the vegan chili, we went with a wholesome base of lentils and seasoned them with chili powder, smoked paprika, apple cider vinegar, ketchup, and coconut aminos. It’s a smoky + savory mix that cooks until thick and flavorful. It’s not too saucy because soggy fries are not a winning move!

Sautéing lentil chili in a skillet

Now, on to the CHEESE! We opted for our cashew + carrot vegan cheddar, which is also good on grilled cheese sandwiches and in mac ‘n’ cheese. It has a neutral, cheesy flavor and is SUPER creamy and delicious!

Stirring vegan cheddar cheese in a saucepan

For the oven baked fries, we kept it simple with potatoes, avocado oil, and salt. Cooking at a high temperature (425 F / 218 C) ensures they get golden brown with crispy edges (a.k.a. fry perfection!).

Homemade potato fries on a baking sheet

Put the three parts together and you’ve got CHILI CHEESE FRIES! Cue the face stuffing.

Drizzling vegan cheddar cheese over chili and fries

Keep it simple or make them beautiful and extra special by topping with quick pickled onions or pickled jalapeños, vegan sour cream, green onions, and/or cilantro.

Picking up a vegan chili cheese fry from a plate

We can’t wait for you to try these vegan chili cheese fries! They’re:

Savory
Spicy
“Cheesy”
Satisfying
Comforting
& SO delicious!

This dish is the perfect meal for satisfying the comfort food craving and getting your fiber in at the same time. It would also be perfect for enjoying when the “big game” is on (or whatever the sporting folks say).

More Comfort Food Classics

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!

Vegan chili cheese fries speared onto a fork

Prep Time 15 minutes

Cook Time 30 minutes

Total Time 45 minutes

Servings 3 (Servings)

Course Entrée

Cuisine Gluten-Free, Vegan

Freezer Friendly 1 month (stored separately)

Does it keep? 2-3 Days

Prevent your screen from going dark

FRIES

  • 2 large (~1/3 lb each) potatoes, scrubbed clean but NOT peeled, cut into 1/2 inch “fries” (Yukon gold or russet work well)
  • 1 Tbsp avocado oil
  • 1/4 tsp sea salt

CHILI

  • 1 (15-oz.) can lentils, drained and rinsed
  • 4 tsp chili powder (or store-bought // if salted, start with less coconut aminos)
  • 1 Tbsp smoked paprika
  • 1 Tbsp apple cider vinegar
  • 1 Tbsp ketchup
  • 2 Tbsp coconut aminos
  • 1/8 tsp cayenne pepper (optional)
  • 1 Tbsp avocado oil, for cooking
  • CHEESE: if serving with homemade Vegan Cheddar Cheese, begin soaking your cashews and carrots now: 2/3 cup (80 g) cashews + 1/2 cup (64 g) thinly sliced peeled carrots covered with boiling water. Set aside.
  • FRIES: Preheat oven to 425 degrees F (218 C). For easier cleanup (but slightly less crispy fries), line a baking sheet with parchment paper (we didn’t). Add sliced potatoes to the baking sheet and toss with oil and salt. Spread the fries out so they are all on a flat side with the peel facing up, and ensure that no fries are overlapping. Bake for 20-25 minutes or until beginning to brown on the bottom, then carefully toss and bake for another 8-10 minutes until tender but crispy.PRO TIP: If your fries are sticking, use a metal (or other thin/hard) spatula, flip it upside down, and push it under the fries to lift and flip, keeping all the crispy goodness (think scraping rather than scooping).
  • CHILI: While the fries bake, add your lentils to a mixing bowl along with the chili powder, smoked paprika, apple cider vinegar, ketchup, coconut aminos, and cayenne (optional). Toss until evenly coated.

  • Heat a 10-inch or larger nonstick or well-seasoned cast iron skillet over medium heat. Add avocado oil and place your lentil mixture into the skillet. Distribute the mixture in the pan, ensuring an even layer. Cook for 4-5 minutes, undisturbed. It should be sizzling and bubbling nicely — if it’s not, turn up the heat a bit.
  • Once some of the liquid has cooked off and the mixture is slightly browned on the bottom, use a spatula to flip sections as evenly as possible to brown the other side for another 3 minutes. Once the mixture is darkened in color and looks thick and chili-like, turn off the heat and set aside.

  • CHEESE: Finish making the Vegan Cheddar Cheese at this time. Stop cooking when the “cheese” looks creamy and thick like queso but before it firms up too much.
  • Time to assemble! Plate your fries and top with lentil chili and vegan cheese sauce (there will be extra cheese sauce*). Garnish with pickled onions (and/or pickled jalapeños), vegan sour cream, green onions, and cilantro (all optional). Leftover chili and vegan cheddar keep (stored separately) in the refrigerator for 2-3 days or in the freezer for up to 1 month.

Serving: 1 serving Calories: 489 Carbohydrates: 66.7 g Protein: 19.4 g Fat: 18.6 g Saturated Fat: 2.5 g Polyunsaturated Fat: 3.4 g Monounsaturated Fat: 10.8 g Trans Fat: 0 g Cholesterol: 0 mg Sodium: 652 mg Potassium: 1527 mg Fiber: 13.6 g Sugar: 9.6 g Vitamin A: 2687 IU Vitamin C: 9.5 mg Calcium: 136 mg Iron: 11.1 mg





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Get ready: Open Enrollment is less than 2 weeks away

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Open Enrollment for 2024 starts soon. Are you ready? Take steps today to make applying easier.

Image
A smiling woman with bag and a phone with headphones walking. There is an icon of a stethoscope and a heartbeat. Words read "Open Enrollment is right around the corner."

Prepare for 2024 Open Enrollment



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Water Fasting Benefits, Dangers, & My Personal Experience

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Several years ago, I started experimenting with water fasting. Over the years, I’ve found it to be an amazing experience, so much so that I continue to do it every year, several times a year. I’ve seen so many benefits, not just health-wise but also mentally and spiritually. It’s been a fun journey to take as I’ve learned more and grown stronger with each fast I take.

Before I share more about my experience with water fasting, I must emphasize that this is MY experience. While fasting is generally considered safe for short amounts of time, not everyone can or should try it. What works for one of us might not work for everyone. 

This is what worked for me.

What is Water Fasting?

As the name suggests, it’s fasting while only consuming water. Nothing but water. Herbal teas, black coffee, calorie-free drinks, and supplements are not part of water fasting. Just water. You can add in Himalayan salt to your water, which is helpful to maintain electrolytes, especially in the first three days when you lose a lot of water.

This year, I’ll also be experimenting with drinking more salt water and minerals on the water fast and possibly taking enzymes like Masszymes, which I theorize won’t break the fast but might speed up autophagy.

If it sounds tough, I can say from my experience, that water fasting is much easier than other types of fasting (bone broth, juicing, etc.), which are more dietary modifications and not fasting. The results are much more profound with water fasting than other fasts. This type of fasting is also called block fasting or long-term fasting.

How Long Does a Water Fast Last?

Water fasting can vary in duration. Short-term fasts of 24-72 hours are considered safe for most people. Prolonged fasting includes fasts of five, seven, or even forty days. I started with a shorter fast of 24 hours to begin and then worked my way up. Now, I typically do a five-day water fast once a quarter and a longer seven-day water fast to start each year off. The longest I’ve fasted is ten days.

Why I Decided to Fast on Water Only

Throughout history, people have fasted by default when access to food was limited or during travel when food was unavailable. In addition, every major religion recommends (or requires) fasting in some way.

But in modern times, the idea of voluntarily going without eating seems absurd to some. Researchers estimate that Americans don’t even eat just 4-6 times a day like we think we do. The actual number is closer to 17-18 times a day.

Don’t think you eat that many times a day? Consider this — from a biochemical perspective, any time we put something caloric in our mouths, there’s a digestive event. Every hand full of nuts, every sip of smoothie between meals, or even a sip of coffee with cream. The body sees all of those as digestive events.

These days, we eat much more, move much less, get less sunlight, and have much more artificial light exposure. The odds are not in our favor.

I decided to experiment with fasting because of all the health benefits. However, I found that I actually felt more mental and spiritual benefits from it than I was expecting. Now, I learn much more about the mental and sort of emotional side of it.

The Benefits of Water Fasting

Although I’ve researched several types of fasts (intermittent fasting, fasting mimicking diet), I decided to experiment with water fasting because of all the benefits experts have discovered.

Studies show many positive effects of fasting, including:

  • It creates autophagy in the body
  • Lowers age-induced inflammation in the body
  • Reduces oxidative damage
  • Lowers NF-kB activation
  • Boosts the immune system

What is Autophagy?

Autophagy literally means “self-eating”. Essentially, during autophagy, the body recycles old parts to create new parts.

Research shows that autophagy is a key part of the body’s ability to detoxify and regenerate itself. Fasting and high-intensity exercise both stimulate it. Even intermittent fasting can have benefits, though the biggest results seem to come from longer-term fasting.

Studies have found that autophagy can lead to decreases in risk of cancer, heart disease, and Alzheimer’s. Other studies found it can increase longevity and reduce all-cause mortality. Recycling = good for cardboard and good for our cells too!

Lower Inflammation and Oxidative Damage

Increased inflammation and oxidative damage correlate to early death, while reduced levels equate to longer life. People who live to be 100+ years old share the common factor of low levels of inflammation in the body.

Studies show that fasting reduces pro-inflammatory cytokines and inflammation in the body. Specifically, researchers at Yale School of Medicine found that a compound called beta-hydroxybutyrate (BHB) inhibits NLRP3.

NLRP3 is part of a set of proteins called the inflammasome, which drives the inflammatory response in several disorders, including autoimmune diseases. These include Hashimotos, type 2 diabetes, Alzheimer’s disease, heart disease, and other auto-inflammatory disorders.

The researchers found that BHB is produced by:

  • Fasting (most effective)
  • High-intensity exercise
  • Caloric restriction
  • A ketogenic diet

Reduce Cancer & Heart Disease Risk

Emerging research shows a link between fasting and reduced cancer risk. This is likely due to the two factors listed above: increased autophagy and reduced oxidative damage/inflammation.

Research also shows that water fasting may slow or halt tumor growth, as well as improve the chemotherapy effects and reduce the side effects. This makes it potentially beneficial when combined with conventional cancer treatments.

Yet another study found that water fasting can help protect the heart against damage from free radicals.

One doctor I spoke to claimed that 1-2 five-day water fasts a year could reduce cancer risk by more than 90%! Even if the results aren’t that dramatic, I decided it was worth a try.

Boost the Immune System

A 2014 study found that water fasting for just three days could regenerate the immune system. The researchers found that fasting “flips a regenerative switch” and prompts stem cells to regenerate new white blood cells.

“It gives the ‘OK’ for stem cells to go ahead and begin proliferating and rebuild the entire system,” according to Dr. Valter Longo, Professor of Gerontology and the Biological Sciences at the University of California and author of The Longevity Diet.

This research makes fasting promising for those with immune problems, those undergoing chemo, and all of us as we age since immune function declines with age.

Improve Brain Function

When fasting, the body switches from burning glucose to burning fat. Instead of glucose, the brain uses ketones for fuel. Ketones are largely considered a more efficient fuel for the brain. For this reason, fasting is associated with increased mental clarity, focus, and concentration.

My Experience Fasting on Water Only

Before jumping into a water-only fast, I researched the potential benefits and talked to several experts. Like I said, I’m not suggesting this type of fast for anyone else; I’m just sharing my personal experience. Anyone considering it should do their own research and talk to a qualified healthcare professional.

For my first fast, I picked a week free of travel or any major activities. This turned out to be a good thing because, fair warning… the first few days of fasting are not fun. At all. But they also aren’t as bad as you might think.

A few days before I start, I focus on eating a lot more green veggies, drinking water, and taking supplements (they aren’t allowed on a water fast). I also make sure my electrolytes are up with homemade electrolyte drinks and add salt to my food.

Testing on the Water Fast

My experiments with fasting are for research as well as the health benefits. To evaluate the effects on my body, I do several types of testing before, during, and after my first fast, including:

  • Full CBC and Thyroid Blood Panel – I ordered without a doctor through Life Extension (click on “lab testing”). I do this before and after the fast to measure results.
  • Ketone Testing & Blood Glucose Testing – I used a Keto Mojo meter for both of these. You want a 1:1 or greater ratio of ketones: glucose in mmol/L during fasting to show autophagy. If you have a regular glucose meter that measures in mg/dl, divide that number by 18 for mmol/L. For instance, my normal fasting blood glucose of 71 divided by 18 is 3.94 mmol/L.
  • Breath Acetone Testing – This test measures the amount of ketones used and can predict fat burned. The blood ketone measurement above determines ketones in the blood, and this one measures how it’s being used. I used this device. Of all the tests, I consider this one the least important.
  • Gut Testing – I tested my gut using Viome before and after to see if there were any dramatic shifts in gut health.

What Kind of Water on the Fast?

Since water is the only thing consumed during the fast, it’s important to make sure to drink high-quality water. I have a whole house filter and a 14-stage under-the-sink filter, so I drink my tap water. Some people prefer to use distilled water while fasting because it’s free of all minerals.

Electrolyte depletion is one of the bigger risks of fasting, so I added some high-quality Himalayan salt to a couple of glasses of water each day. This is supposed to help with headaches and tiredness.

The amount of water is also important during a fast. Drinking too much water can cause problems, as can not drinking enough. Sources vary on the exact amount but it ranges between 2-4 quarts a day. I just drank when thirsty and added a pinch of salt to a couple of glasses a day.

What Products Should You Avoid on a Water Fast?

Sources disagree on what products, if any, should be used while fasting. Some claim that any lotion, toothpaste, or deodorant will create a metabolic change and break the fast. They recommend brushing with a plain, wet toothbrush and scraping the tongue. They also recommend skipping deodorant. Others say that normal external products are fine.

Since I make many of my beauty and personal care products, I felt ok using them. I used a natural toothpaste and used magnesium oil for deodorant, since Epsom salt baths are considered ok. I also used soap daily and didn’t notice any negative effects from this.

Supplements aren’t allowed on fasts. As I mentioned, you can add high-quality salt to your water or use Epsom salts. This helps you balance electrolytes during the fast.

My Day-by-Day Water Fast Experience

The first time I experimented with a water fast, I didn’t know what to expect. I hoped to experience autophagy and increased stem cell activity. I’ve noticed that my experience in previous fasts has been pretty similar, but now that I know what’s coming, I can plan accordingly.

Here is what I experienced day by day:

Day 1

Since I didn’t know what to expect, I scheduled an easy first day. Things started out normal, but by dinner, my body started to notice it hadn’t eaten all day, and the hunger hit. Then the tiredness.

Overall, it wasn’t a terrible day, and I just took it easy. I went to bed around 9 PM that night and got about 10 hours of sleep.

Day 2-3

These middle days were rough. I was still hungry (obviously) but also had fatigue and slight body aches. I also got cold, likely due to the changes in T3 that naturally happen during fasting. So, I spent a lot of time on the couch with blankets these two days.

I wouldn’t say these days were as bad as the flu (though it’s been a long time since I’ve had it), but they were rough.

Days 4+

I loved days 4-7 of my first fast! Energy came back with a vengeance, and hunger disappeared. I was easily 2-3x more productive than normal. Many sources claim this is because you have more time since you don’t have to cook. For me, this wasn’t true because I still had to cook for my kids.

Since I was measuring blood ketones, I know they were above 4.0 on these days, and my adjusted glucose was below it. This means I was in autophagy. Ketones are considered a cleaner and more effective fuel for the brain by some experts. I’m guessing the mental clarity came from the increased ketones.

The one complaint I had during these days was itchy skin. From my research, this can be a common reaction to fasting and weight loss, but an Epsom salt bath alleviated it.

Breaking a Water Fast Carefully

Surprisingly, if not done correctly, one of the biggest risk factors of fasting can be the return to normal eating. The longer the fast, the more important the post-fast refeeding period is. In extreme cases, after long fasts, the body can encounter something called refeeding syndrome. This is where fluids, insulin, and electrolytes get out of balance. In really extreme cases, it can be fatal, so breaking the fast correctly is VERY important!

Sources recommend starting with broth, soft cooked veggies, some gentle fruits, and fermented vegetables. Meat, fish, dairy, and raw vegetables are all a little harsh for breaking a fast, so it’s better to wait until day three post-fast for these. Additionally, it’s a good idea to wait four to five days before adding in caffeine or alcohol in very small amounts.

My refeed looks a little bit like this:

  • Day 1: Broth, soft cooked veggies in olive oil, avocado, berries, and sauerkraut (It all tasted amazing!). I typically break the fast at night and keep my meal to around 500 calories to let my digestive system start working slowly.
  • Day 2: Add sweet potato and more volume of food.
  • Day 3: Add slow cooked meats and fish. Also add in supplements.

My Water Fasting Results

On my first water fast, I felt really good after the middle of day three. The mental clarity I had was amazing! This has been my experience with each fast since that first one. For each fast, I still monitor my blood glucose and ketones before, during, and after.

I also tested my blood levels before and after fasting to make sure it didn’t negatively affect my thyroid. Not only was it not harmful to my thyroid, but my levels actually improved!

The biggest changes I noticed from my fast were:

  • Weight loss – Although this wasn’t the main reason I experimented with water fasting, it was a great benefit. When I did my first fast, I lost over fifteen pounds during a one-week fast, of which twelve pounds stayed off. The other three pounds were likely from water and food in the digestive system.
  • Fasting blood glucose – Before the first water fast, my fasting blood glucose was always pretty good — in the mid-80s most days. While fasting, it got as low as the 50s but has normalized and is consistently 71-73 every morning, even now that the fast has ended. I use this continuous glucose monitor.
  • Thyroid levels – My thyroid antibodies were already low but got even lower after fasting. All other thyroid hormones stayed the same or improved.
  • Cholesterol – My cholesterol numbers and ratios have always been good but improved post-fasting. For a short time, they were slightly elevated, which is normal after fasting, weight loss, or being in ketosis. Then, they normalized and returned to slightly better levels.
  • Faster Adaptation to Ketosis – At the time, I was experimenting with cycling ketosis and using it sometimes for mental clarity. By day one of the fast, I had achieved ketosis and saw levels get as high as 5.8 during the fast. Since then, I’ve been able to get into ketosis in one day by just restricting carbohydrates.

Who Should Not Water Fast

In short, no one should fast just because I did, and everyone should thoroughly research the risks of water fasting and talk to a medical professional before trying it. Common sense and research agree that fasting is also not a good idea for:

Pregnant and Breastfeeding Moms

The time spent growing and nourishing a baby is a special (and exhausting) time and not a time to add fasting into the mix. Fasting during these times can lead to nutrient deficiencies and harmful substances being released into breast milk.

Children

This goes without saying, but growing children should never do an extended fast. In our house, our kids sometimes choose to “fast” for one meal rather than eat a food they don’t love or if they aren’t hungry. This encourages them to listen to their bodies and only eat when hungry. It is not the same as an extended fast, and children should never restrict calories for extended periods of time.

That said, kids often don’t want to eat much when sick, and as long as they get enough fluids, this is generally considered okay.

Those With Medical Conditions

Anyone with a health condition or chronic disease should talk to a doctor before attempting any major dietary change, such as fasting. Those with gout, kidney disorders, eating disorders, or diabetes should not fast unless under direct medical supervision.

The Bottom Line of Water Fasting

I’ve had a positive experience with water fasting. Although the first few days are a little rough, I really appreciate the benefits it has on my well-being. I’ve continued to complete fasts every few months and complete one longer water fast at the beginning of each year. I’ve enjoyed the mental clarity and the physical benefits each time. 

Have you ever tried a water fast? If so, what was your experience?

Additional Learning:



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COVID-19 Vaccination Rates Show Differing Patterns in People with HIV vs People Without


A study focused on the vaccination rates among individuals during the COVID-19 pandemic, specifically comparing people with HIV (PWH) to people without HIV (PWoH). PWH were less likely to complete the primary vaccination series but more likely to receive booster doses compared to PWoH. The lower vaccination rates among specific subgroups of PWH underline the need for targeted interventions to increase vaccination uptake, especially considering their higher risk of comorbidities. The higher uptake of booster doses among PWH, however, suggests that once initial hesitancy or barriers are overcome, this group may be more proactive or receptive to additional doses.

The analysis revealed that, despite PWH generally having a higher incidence of comorbid conditions, they had a lower rate of completing the primary vaccination series (78.2%) compared to PWoH (81.8%), with the difference being statistically significant (p < 0.001). PWH showed a higher rate of receiving booster doses (68.5%) compared to PWoH (63.1%), also with a statistically significant difference (p < 0.001). The study also identified that among PWH, individuals with less than 200 CD4 cells/μL, those with detectable levels of HIV viremia, and migrants were significantly less likely to have completed the primary vaccination series compared to their counterparts without HIV (p < 0.001 for all comparisons).

“In our study, the primary vaccination coverage in the overall population (PWH and PWoH) was 81.4%, surpassing the regional average of 75.1% reported by the European Centre for Disease Prevention and Control (ECDC),” according to investigators. “Similarly, the observed coverage of booster vaccinations in our cohort was 65.3%, also exceeding the reported regional average of 54.8%.”

Main Takeaways

  1. PWH were found to be less likely to complete the primary COVID-19 vaccination series compared to PW0H despite generally having a higher risk of comorbid conditions.
  2. The persistent disparities within specific groups, such as PWH, emphasize the need for more nuanced approaches to address the unique challenges and barriers these groups face in accessing vaccinations.
  3. PWH were more likely to receive booster doses than PWoH.

The increased likelihood of receiving a booster dose among PWH who have CD4 levels below 200 cells/uL is promising, especially given their higher risk of severe COVID-19 complications and the alignment with public health guidelines. However, the reduced uptake of booster doses among PWH with detectable viral loads highlights a critical area for improvement. Amid the rise of the Omicron variant in Catalonia, the introduction of the monovalent SARS-CoV-2 vaccine, which has shown to be more immunogenic as a booster against Omicron than the initial two-dose series, underscored the importance of targeted efforts to increase booster vaccination among vulnerable groups like PWH. Such individuals are particularly in need of booster doses to mitigate the risk of breakthrough infections.

“The observed lower SARS-CoV-2 primary vaccination rates among PWH compared to PWoH in Catalonia are concerning,” according to the investigators. “This trend aligns with a global HIV cohort and a study conducted in New York, indicating a consistent pattern of reduced vaccination coverage among PWH. The observed disparities in SARS-CoV-2 vaccination rates among PWH could be attributed to various factors, including potential barriers and hesitancy toward vaccination. Even before the pandemic, vaccine hesitancy was recognized as a significant global health concern by the World Health Organization. Concerns about the safety of the new SARS-CoV-2 vaccines have been a primary reason for vaccine refusal, as highlighted in reports. Furthermore, access barriers, including limited availability or insufficient information tailored to the needs of PWH, could contribute to lower vaccination rates within this population.”

The study also acknowledges several limitations. First, the measure used to assess socioeconomic deprivation is based on the area where an individual lives, which might not accurately reflect their actual socioeconomic status. Second, information on participants’ experiences following vaccination, especially any side effects from the initial vaccine doses that could affect their willingness to get booster shots, was not collected. Third, our study’s design may not account for all influencing factors due to unreported variables like religion and occupation, which can affect attitudes toward vaccination, in our database. Moreover, our database does not include information on home-administered SARS-CoV-2 antigen tests, so we cannot determine if or how this may have impacted individuals’ decisions regarding vaccination.

This observation implies that PWH and their healthcare providers might actively pursue booster vaccinations to strengthen their immune response, especially considering evidence showing insufficient immune responses and worse clinical outcomes in cases of HIV and SARS-CoV-2 co-infection.

Reference

1. Nomah DK, Reyes-Urueña J, Alonso L, et al. Comparative analysis of primary and monovalent booster sars-cov-2 vaccination coverage in adults with and without hiv in catalonia, spain. National Library of Medicine. Published December 30, 2023. Accessed February 2, 2024. doi: 10.3390/vaccines12010044



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Toasted Ravioli Recipe – The Recipe Critic

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Tender ravioli coated in Italian breadcrumbs and parmesan cheese, toasted to golden brown perfection! Served with a side of marinara for dipping, this is one appetizer you don’t want to miss!

My family can never get enough of this delicious stuffed pasta! Here are a few more of our favorite recipes: creamy Tuscan ravioli, baked ravioli, and lobster ravioli for special occasions!

Toasted ravioli on a gray serving platter, with a side of marinara sauce.

Crispy Parmesan Crusted Ravioli

Looking for a seriously good appetizer or anytime snack? Try this recipe for toasted ravioli! It’s so good, I know you’ll love it as much as I do. It transforms your favorite prepackaged ravioli and gives them a crispy parmesan crust that is absolutely irresistible. Perfect for dipping in some homemade marinara or alfredo!

Let’s talk about the texture of these ravioli though, if you’re not already convinced. They’re still nice and tender on the inside, filled with cheese, meat, vegetables, you name it! The beauty of this recipe is that you can choose any type of ravioli. Add that crispy breadcrumb and parmesan coating, and voila! An upgraded version of one of your favorite Italian dishes.

Breading Ingredients

The dream team for making the perfect toasted ravioli! Check out the recipe card below for all of the measurements you’ll need.

  • Oil: Creates the crispy, golden, fried perfection. Aim for 3 cups vegetable oil (or any other neutral frying oil) for about 1 ½-inch depth in your pan.
  • Eggs & Milk: Whisked together so they help the breadcrumb mixture stick to the ravioli.
  • Breadcrumbs: Italian seasoned breadcrumbs add a delightful crunch and flavor to the toasted ravioli.
  • Parmesan Cheese: Grated parmesan adds salty and savory goodness to the breadcrumb coating. It gets so good when it’s fried! The perfect texture.
  • Italian Seasoning: A blend of Italian herbs like oregano, basil, and thyme infuses the breading with more flavor.
  • Salt & Pepper: The flavor basics! They enhance the overall taste of the ravioli and breading.
  • Ravioli: Choose your favorite flavor, frozen or refrigerated, for this crispy transformation. If using frozen, be sure to thaw your ravioli before breading and frying.
  • Marinara Sauce: The perfect dip! Warm marinara sauce complements the richness of the fried ravioli.
  • Fresh Herbs (optional): For a finishing touch! Chopped parsley or basil adds a pop of color and freshness.

How to Make Toasted Ravioli

Heat up that oil and let’s get to work! You’re going to love this flavorful, crispy crust on your ravioli. Psst– if you don’t want to shallow fry your toasted ravioli, I have also included methods to air fry and bake them in the tips section below.

  1. Heat Oil: With the heat on medium, fill the bottom of a wide skillet with enough oil to a depth of 1-3 cups vegetable oil, or enough to 1 ½-inch, For me this was just about 3 cups. Heat until the oil reaches 375 degrees Fahrenheit. You can also sprinkle a pinch of the dry mixture into the oil to test if it’s ready. The dry mixture should immediately sizzle and pop when added. If it does, you’re ready to add your ravioli!
  2. Egg Mixture: In a shallow dish, like a pie pan or a wide bowl, whisk together the eggs and milk.
  3. Breadcrumb Mixture: Add the parmesan, bread crumbs, Italian seasoning, salt, and pepper to a large ziplock bag. Close the bag and mix until it’s fully combined.
  4. Coat: Add the ravioli to the egg mixture until they are fully coated. Remove the ravioli from the egg mixture and shake off any excess before adding them to the ziplock bag. Close the bag and shake until all the ravioli are evenly coated in the dry mixture.
  5. Fry: Carefully add the breaded ravioli to the hot oil. I did about 3 batches to not overcrowd the pan. Fry the ravioli for 1 minute on both sides before removing it to a paper towel-lined tray or plate.
  6. Serve: Sprinkle the ravioli with fresh chopped parsley or basil and serve warm with marinara sauce.
Collage of ravioli being breaded and fried.

Tips and Variations

A few other ways to whip up some incredible toasted ravioli! It’s delicious no matter how you prepare it.

  • Bake: Bake at 375 degrees Fahrenheit on a parchment or foil lined baking sheet for 10-15 minutes, until the coating is golden brown. 
  • Air Fry: Air fry by spraying lightly with olive oil and frying at 360 degrees Fahrenheit for 3-4 minutes. Flip them over, spray them again with olive oil, and fry for another 3-4 minutes. 
  • Using Frozen Ravioli: If your ravioli is frozen, let them thaw in the fridge for a couple hours, or on the counter at room temperature for about an hour before frying.

Dipping Sauce Ideas for Toasted Ravioli

Use different dipping sauces! Try alfredo, pesto, or a yummy bechamel with your toasted ravioli. They’re perfect for adding an extra boost of flavor to this wonderful appetizer.

Close-up of toasted ravioli.

Storing Leftover Toasted Ravioli

These ravioli are best served warm, right after they have been fried. While they will last in the fridge for a couple of days, I don’t recommend making them in advance as the breading will become soggy and they will lose the crispiness of being toasted as they sit.

A ravioli being dipped into marinara sauce.

More Amazing Ravioli Recipes to Try

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  • With the heat on medium, fill the bottom of a wide skillet with enough oil to a depth of 1 3 cups vegetable oil, or enough to 1 ½-inch, For me this was just about 3 cups. Heat until the oil reaches 375 degrees Fahrenheit. You can sprinkle a pinch of the dry mixture into the oil to test if it’s ready. The dry mixture should immediately sizzle and pop when added. If it does, you’re ready to add your ravioli!

  • In a shallow dish, like a pie pan or a wide bowl, whisk together the eggs and milk.

  • Add the parmesan, bread crumbs, Italian seasoning, salt, and pepper to a large ziplock bag. Close the bag and mix until it’s fully combined.

  • Add the ravioli to the egg mixture until they are fully coated. Remove the ravioli from the egg mixture and shake off any excess before adding them to the ziplock bag. Close the bag and shake until all the ravioli are evenly coated in the dry mixture.

  • Carefully add the breaded ravioli to the hot oil. I did about 3 batches to not overcrowd the pan. Fry the ravioli for 1 minute on both sides before removing it to a paper towel-lined tray or plate.

  • Sprinkle the ravioli with fresh chopped parsley or basil and serve warm with marinara sauce.

Calories: 530kcalCarbohydrates: 52gProtein: 26gFat: 24gSaturated Fat: 8gPolyunsaturated Fat: 5gMonounsaturated Fat: 4gTrans Fat: 0.1gCholesterol: 176mgSodium: 1773mgPotassium: 162mgFiber: 4gSugar: 4gVitamin A: 413IUVitamin C: 1mgCalcium: 333mgIron: 10mg

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





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Available now: 2024 plans & prices

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Published on October 24, 2023

Open Enrollment for 2024 coverage starts November 1! Get a jump start by previewing 2024 plans with personalized price estimates based on your estimated income and household size. 

Preview personalized 2024 plans & prices

Previewing plans before Open Enrollment starts can help you compare different options, so you’re ready to choose a plan starting November 1. 

Notice:

These are just estimates.  When you log in to submit your application during Open Enrollment, you’ll discover exact prices based on your income and household information. 

So, what are you waiting for? Preview 2024 plans and price estimates now to get a head start on Open Enrollment. Then, come back during Open Enrollment from November 1-January 15 for exact prices, to compare plans, and enroll.



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Too Exhausted or Busy to Hit the Gym? Check Out These Tips

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Feb. 5, 2024 – “Beep — Beep – Beep”: Your alarm clock signals that it’s time to slip on your workout clothes and head to the gym. You’re trying to muster the motivation to get up so your pricey gym membership doesn’t go to waste, like it really did last year. 

Day after day, adults and young people alike find themselves in this scenario. Scheduled exercise seems to fall by the wayside after a few months, weeks, or even days.

According to a recent Forbes Health study, about half (48%) of Americans had fitness-centered 2024 new year’s resolutions. But the study also found that the majority of people either forget or simply give up on their workout goals after a mere 2 to 3 months. 

Maybe you’re a busy mom trying to find ways to fit exercise in between school drop off, work, and cooking dinner. Or perhaps you’re tired of shelling out cash on that costly gym membership. WebMD consulted some of the country’s top fitness experts on simple, realistic ways to stick to your goals and go after that body you’ve always dreamed of.

Where to Start 

Consistency and prioritization are key components of a fitness routine that you can follow year-round, says Gunnar Peterson, personal trainer and former director of strength and endurance for the Los Angeles Lakers. Oftentimes, people say they are too tied up to pencil in a workout. Peterson says schedule it in ink, instead.

“You have to put exercise in as a nonnegotiable — you’re working out whatever time and however much time you have,” Peterson said. “I think that’s where people fall short. They just don’t budget it. You have to. If you don’t put it in your budget, it’s not going to get done.”

Speaking of budget, fancy fitness classes are not required to reach your body goals. Indeed, your body alone can be your most valuable piece of workout equipment, Peterson said. 

He refers to one’s body as “their own terrific gym” and “a built-in cardiovascular machine” they can use for a number of physical activities such as walking, swimming, pedaling, and climbing. Strength training is equally important. Lucky for us, our bodies also have built-in equipment where we can engage in exercises like push-ups and squats, says Aaron Ferguson, a  Los Angeles-based personal trainer who has helped celebrities like Will Smith get in the “best shape of their lives.

“Most times when I do [bodyweight training] with people, they’ll wake up more sore than they would if they were in a full gym,” Ferguson said. “So you can definitely get the results that you want by being away from the gym.”

Working on repping out strength sets — like 20 crunches per minute for a total of 20 minutes — is one effective exercise method, Ferguson says. But don’t worry about the perceived “toughness” of a fitness move. There are many modifications for strength moves — making them both beginner and intermediate-level friendly. For example, performing push-ups on your knees or using water bottles for shoulder presses. 

Time Is Priority

When it comes to timing, look at your schedule and determine how much time you can budget for your workout. If a mere 5 minutes is all you can give, start there, and continue adding time in 5- to 10-minute increments. Try this three times a week for a month, and you’ll find your body and mind will often yearn for more, Peterson said.

Susan Williams, a wife and mother of three in Wichita, KS, has adopted this practice. As a social worker who works 10- to-11 hour shifts, she found herself too exhausted to go to the gym while trying to juggle work, making dinner, doing chores, and spending time with her family. So, she nixed the gym and began doing 20- to-30 minute YouTube workouts that focused on beginner-friendly cardio and strength moves.

“Doing simple exercises in the comfort of my home helps me — knowing that I’m not leaving my house, for one,” Williams says. “Second, I’m not looking at the time because I don’t need to be working out for an hour or two. Doing even 20-to-30 minute workouts can be helpful because the goal is that you’re moving — you’re doing something.”

In addition to her half-hour, at-home workouts, Williams wears a fitness tracker with a goal of 7,000 steps per day. This can be helpful for those, like Williams, who work a desk job. Setting an alarm to get up and walk around or drink water every hour helps hold her accountable to her fitness goals.

No ‘Entitlement’

Be realistic about time put in for exercise and the results you expect, Peterson said. In the grand scheme of things, 5 minutes of exercise, out of 24 hours in a day, is quite low. But people often look at chiseled actors or models and ask themselves, “Why not me?” Peterson calls this an entitlement mentality — which, in fitness, often won’t get you closer to your goals. Take into account the hours upon hours these individuals put into fitness with the goal of perfecting their figures. 

“You can’t expect to have the same results they have if you don’t do what they do,” Peterson said. “There are certainly shortcuts here and there [like surgical or cosmetic procedures], but there’s no shortcut that’s cutting off 90% of [body fat]. You might find a way to shave down 10% being more efficient with your training or nutrition or sleep.”



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Top Infectious Disease Stories: Week of January 29


This week, a measles outbreak spans multiple US states and the CDC highlights a rise in syphilis incidents. Fatalities from Group A strep infections have doubled since last year in Canada, and people who inject drugs are at higher risk for hepatitis C and HIV. Investigators are also tracking incident rates over time post-COVID-19 pandemic.



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